WHO Immunization Implementation Guide
0.2.0 - ci-build
WHO Immunization Implementation Guide, published by WHO. This guide is not an authorized publication; it is the continuous build for version 0.2.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/WorldHealthOrganization/smart-immunizations/ and changes regularly. See the Directory of published versions
| Active as of 2025-11-10 |
{
"resourceType" : "ValueSet",
"id" : "IMMZD2DTMeaslesSupplementaryDoseVS",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ValueSet IMMZD2DTMeaslesSupplementaryDoseVS</b></p><a name=\"IMMZD2DTMeaslesSupplementaryDoseVS\"> </a><a name=\"hcIMMZD2DTMeaslesSupplementaryDoseVS\"> </a><p>This value set expansion contains 18 concepts.</p><table class=\"codes\"><tr><td><b>System</b></td><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td><a name=\"IMMZD2DTMeaslesSupplementaryDoseVS-http://smart.who.int/immunizations/CodeSystem/IMMZDAK-Measles|20supplementary|20dose|20was|20not|20administered-131\"> </a><code>http://smart.who.int/immunizations/CodeSystem/IMMZDAK</code></td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-IMMZDAK.html#IMMZDAK-Measlessupplementarydosewasnotadministered-131\">Measles supplementary dose was not administered-131</a></td><td>Measles supplementary dose was not administered</td><td><div><p>Count of vaccines administered (where "Vaccine type" = "Measles-containing vaccines" and "Type of dose" = "Supplementary dose") = 0</p>\n</div></td></tr><tr><td><a name=\"IMMZD2DTMeaslesSupplementaryDoseVS-http://smart.who.int/immunizations/CodeSystem/IMMZDAK-Measles|20routine|20immunization|20schedule|20is|20complete-104\"> </a><code>http://smart.who.int/immunizations/CodeSystem/IMMZDAK</code></td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-IMMZDAK.html#IMMZDAK-Measlesroutineimmunizationscheduleiscomplete-104\">Measles routine immunization schedule is complete-104</a></td><td>Measles routine immunization schedule is complete</td><td><div><p>"Completed the primary vaccination series" = TRUE (where "Vaccine type" = "Measles-containing vaccines")</p>\n</div></td></tr><tr><td><a name=\"IMMZD2DTMeaslesSupplementaryDoseVS-http://smart.who.int/immunizations/CodeSystem/IMMZDAK-Live|20vaccine|20was|20administered|20in|20the|20past|204|20weeks-92\"> </a><code>http://smart.who.int/immunizations/CodeSystem/IMMZDAK</code></td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-IMMZDAK.html#IMMZDAK-Livevaccinewasadministeredinthepast4weeks-92\">Live vaccine was administered in the past 4 weeks-92</a></td><td>Live vaccine was administered in the past 4 weeks</td><td><div><p>Today's date − latest "Date and time of vaccination" (where "Live vaccine" = TRUE) < 4 weeks</p>\n</div></td></tr><tr><td><a name=\"IMMZD2DTMeaslesSupplementaryDoseVS-http://smart.who.int/immunizations/CodeSystem/IMMZDAK-Client|20is|20not|20due|20for|20measles|20supplementary|20dose-48\"> </a><code>http://smart.who.int/immunizations/CodeSystem/IMMZDAK</code></td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-IMMZDAK.html#IMMZDAK-Clientisnotdueformeaslessupplementarydose-48\">Client is not due for measles supplementary dose-48</a></td><td>Client is not due for measles supplementary dose</td><td><div><p>"Immunization recommendation status" = "Not due"</p>\n</div></td></tr><tr><td><a name=\"IMMZD2DTMeaslesSupplementaryDoseVS-http://smart.who.int/immunizations/CodeSystem/IMMZDAK-No|20live|20vaccine|20was|20administered|20in|20the|20past|204|20weeks-92\"> </a><code>http://smart.who.int/immunizations/CodeSystem/IMMZDAK</code></td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-IMMZDAK.html#IMMZDAK-Nolivevaccinewasadministeredinthepast4weeks-92\">No live vaccine was administered in the past 4 weeks-92</a></td><td>No live vaccine was administered in the past 4 weeks</td><td><div><p>Today's date − latest "Date and time of vaccination" (where "Live vaccine" = TRUE) ≥ 4 weeks</p>\n</div></td></tr><tr><td><a name=\"IMMZD2DTMeaslesSupplementaryDoseVS-http://smart.who.int/immunizations/CodeSystem/IMMZDAK-Consider|20measles|20supplementary|20dose.|20Create|20a|20clinical|20note-66\"> </a><code>http://smart.who.int/immunizations/CodeSystem/IMMZDAK</code></td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-IMMZDAK.html#IMMZDAK-Considermeaslessupplementarydose.46Createaclinicalnote-66\">Consider measles supplementary dose. Create a clinical note-66</a></td><td>Consider measles supplementary dose. Create a clinical note</td><td><div><p>"Immunization recommendation status" = "Further evaluation needed"</p>\n</div></td></tr><tr><td><a name=\"IMMZD2DTMeaslesSupplementaryDoseVS-http://smart.who.int/immunizations/CodeSystem/IMMZDAK-Measles|20supplementary|20dose|20was|20administered-131\"> </a><code>http://smart.who.int/immunizations/CodeSystem/IMMZDAK</code></td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-IMMZDAK.html#IMMZDAK-Measlessupplementarydosewasadministered-131\">Measles supplementary dose was administered-131</a></td><td>Measles supplementary dose was administered</td><td><div><p>Count of vaccines administered (where "Vaccine type" = "Measles-containing vaccines" and "Type of dose" = "Supplementary dose") = 1</p>\n</div></td></tr><tr><td><a name=\"IMMZD2DTMeaslesSupplementaryDoseVS-http://smart.who.int/immunizations/CodeSystem/IMMZDAK-Measles|20immunization|20schedule|20is|20complete-49\"> </a><code>http://smart.who.int/immunizations/CodeSystem/IMMZDAK</code></td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-IMMZDAK.html#IMMZDAK-Measlesimmunizationscheduleiscomplete-49\">Measles immunization schedule is complete-49</a></td><td>Measles immunization schedule is complete</td><td><div><p>"Immunization recommendation status" = "Complete"</p>\n</div></td></tr><tr><td><a name=\"IMMZD2DTMeaslesSupplementaryDoseVS-http://smart.who.int/immunizations/CodeSystem/IMMZDAK-Decision|20ID-0\"> </a><code>http://smart.who.int/immunizations/CodeSystem/IMMZDAK</code></td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-IMMZDAK.html#IMMZDAK-DecisionID-0\">Decision ID-0</a></td><td>Decision ID</td><td><div/></td></tr><tr><td><a name=\"IMMZD2DTMeaslesSupplementaryDoseVS-http://smart.who.int/immunizations/CodeSystem/IMMZDAK-IMMZ.D5.DT.Measles|20contraindications-0\"> </a><code>http://smart.who.int/immunizations/CodeSystem/IMMZDAK</code></td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-IMMZDAK.html#IMMZDAK-IMMZ.46D5.46DT.46Measlescontraindications-0\">IMMZ.D5.DT.Measles contraindications-0</a></td><td>IMMZ.D5.DT.Measles contraindications</td><td><div/></td></tr><tr><td><a name=\"IMMZD2DTMeaslesSupplementaryDoseVS-http://smart.who.int/immunizations/CodeSystem/IMMZDAK-The|20client|20is|20pregnant-52\"> </a><code>http://smart.who.int/immunizations/CodeSystem/IMMZDAK</code></td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-IMMZDAK.html#IMMZDAK-Theclientispregnant-52\">The client is pregnant-52</a></td><td>The client is pregnant</td><td><div><p>"Potential contraindications" = "Currently pregnant"</p>\n</div></td></tr><tr><td><a name=\"IMMZD2DTMeaslesSupplementaryDoseVS-http://smart.who.int/immunizations/CodeSystem/IMMZDAK-Measles|20vaccination|20contraindicated-56\"> </a><code>http://smart.who.int/immunizations/CodeSystem/IMMZDAK</code></td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-IMMZDAK.html#IMMZDAK-Measlesvaccinationcontraindicated-56\">Measles vaccination contraindicated-56</a></td><td>Measles vaccination contraindicated</td><td><div><p>"Immunization recommendation status" = "Contraindicated"</p>\n</div></td></tr><tr><td><a name=\"IMMZD2DTMeaslesSupplementaryDoseVS-http://smart.who.int/immunizations/CodeSystem/IMMZDAK-The|20client|20has|20history|20of|20anaphylactic|20reactions-67\"> </a><code>http://smart.who.int/immunizations/CodeSystem/IMMZDAK</code></td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-IMMZDAK.html#IMMZDAK-Theclienthashistoryofanaphylacticreactions-67\">The client has history of anaphylactic reactions-67</a></td><td>The client has history of anaphylactic reactions</td><td><div><p>"Potential contraindications" = "History of anaphylactic reactions"</p>\n</div></td></tr><tr><td><a name=\"IMMZD2DTMeaslesSupplementaryDoseVS-http://smart.who.int/immunizations/CodeSystem/IMMZDAK-Measles|20vaccination|20could|20be|20contraindicated.|20Clinical|20judgement|20required.|20Create|20a|20clinical|20note-66\"> </a><code>http://smart.who.int/immunizations/CodeSystem/IMMZDAK</code></td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-IMMZDAK.html#IMMZDAK-Measlesvaccinationcouldbecontraindicated.46Clinicaljudgementrequired.46Createaclinicalnote-66\">Measles vaccination could be contraindicated. Clinical judgement required. Create a clinical note-66</a></td><td>Measles vaccination could be contraindicated. Clinical judgement required. Create a clinical note</td><td><div><p>"Immunization recommendation status" = "Further evaluation needed"</p>\n</div></td></tr><tr><td><a name=\"IMMZD2DTMeaslesSupplementaryDoseVS-http://smart.who.int/immunizations/CodeSystem/IMMZDAK-The|20client|20has|20history|20of|20severe|20allergic|20reactions-59\"> </a><code>http://smart.who.int/immunizations/CodeSystem/IMMZDAK</code></td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-IMMZDAK.html#IMMZDAK-Theclienthashistoryofsevereallergicreactions-59\">The client has history of severe allergic reactions-59</a></td><td>The client has history of severe allergic reactions</td><td><div><p>"Potential contraindications" = "Severe allergic reactions"</p>\n</div></td></tr><tr><td><a name=\"IMMZD2DTMeaslesSupplementaryDoseVS-http://smart.who.int/immunizations/CodeSystem/IMMZDAK-Clinical|20judgement|20required.|20Create|20a|20clinical|20note-66\"> </a><code>http://smart.who.int/immunizations/CodeSystem/IMMZDAK</code></td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-IMMZDAK.html#IMMZDAK-Clinicaljudgementrequired.46Createaclinicalnote-66\">Clinical judgement required. Create a clinical note-66</a></td><td>Clinical judgement required. Create a clinical note</td><td><div><p>"Immunization recommendation status" = "Further evaluation needed"</p>\n</div></td></tr><tr><td><a name=\"IMMZD2DTMeaslesSupplementaryDoseVS-http://smart.who.int/immunizations/CodeSystem/IMMZDAK-The|20client|20is|20severely|20immunosuppressed-59\"> </a><code>http://smart.who.int/immunizations/CodeSystem/IMMZDAK</code></td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-IMMZDAK.html#IMMZDAK-Theclientisseverelyimmunosuppressed-59\">The client is severely immunosuppressed-59</a></td><td>The client is severely immunosuppressed</td><td><div><p>"Potential contraindications" = "Severely immunosuppressed"</p>\n</div></td></tr><tr><td><a name=\"IMMZD2DTMeaslesSupplementaryDoseVS-http://smart.who.int/immunizations/CodeSystem/IMMZDAK-The|20client|20has|20a|20symptomatic|20HIV|20infection-59\"> </a><code>http://smart.who.int/immunizations/CodeSystem/IMMZDAK</code></td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-IMMZDAK.html#IMMZDAK-TheclienthasasymptomaticHIVinfection-59\">The client has a symptomatic HIV infection-59</a></td><td>The client has a symptomatic HIV infection</td><td><div><p>"Potential contraindications" = "Symptomatic HIV infection"</p>\n</div></td></tr></table></div>"
},
"url" : "http://smart.who.int/immunizations/ValueSet/IMMZD2DTMeaslesSupplementaryDoseVS",
"version" : "0.2.0",
"name" : "IMMZD2DTMeaslesSupplementaryDoseVS",
"title" : "IMMZD2DTMeaslesSupplementaryDose ValueSet for Decision Table",
"status" : "active",
"date" : "2025-11-10T23:31:43+00:00",
"publisher" : "WHO",
"contact" : [
{
"name" : "WHO",
"telecom" : [
{
"system" : "url",
"value" : "http://who.int"
}
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}
],
"description" : "ValueSet IMMZD2DTMeaslesSupplementaryDose for IMMZ.D2.DT.Measles.Supplementary dose.\nBusiness rule: Check for contraindications before administering the vaccine(s) due\nTrigger: IMMZ.D5 Determine vaccine(s) to be administered based on contraindications\nTable: IMMZ.D2.DT.Measles.Supplementary dose",
"compose" : {
"include" : [
{
"system" : "http://smart.who.int/immunizations/CodeSystem/IMMZDAK",
"concept" : [
{
"code" : "Measles supplementary dose was not administered-131",
"display" : "Measles supplementary dose was not administered"
},
{
"code" : "Measles routine immunization schedule is complete-104",
"display" : "Measles routine immunization schedule is complete"
},
{
"code" : "Live vaccine was administered in the past 4 weeks-92",
"display" : "Live vaccine was administered in the past 4 weeks"
},
{
"code" : "Client is not due for measles supplementary dose-48",
"display" : "Client is not due for measles supplementary dose"
},
{
"code" : "No live vaccine was administered in the past 4 weeks-92",
"display" : "No live vaccine was administered in the past 4 weeks"
},
{
"code" : "Consider measles supplementary dose. Create a clinical note-66",
"display" : "Consider measles supplementary dose. Create a clinical note"
},
{
"code" : "Measles supplementary dose was administered-131",
"display" : "Measles supplementary dose was administered"
},
{
"code" : "Measles immunization schedule is complete-49",
"display" : "Measles immunization schedule is complete"
},
{
"code" : "Decision ID-0",
"display" : "Decision ID"
},
{
"code" : "IMMZ.D5.DT.Measles contraindications-0",
"display" : "IMMZ.D5.DT.Measles contraindications"
},
{
"code" : "The client is pregnant-52",
"display" : "The client is pregnant"
},
{
"code" : "Measles vaccination contraindicated-56",
"display" : "Measles vaccination contraindicated"
},
{
"code" : "The client has history of anaphylactic reactions-67",
"display" : "The client has history of anaphylactic reactions"
},
{
"code" : "Measles vaccination could be contraindicated. Clinical judgement required. Create a clinical note-66",
"display" : "Measles vaccination could be contraindicated. Clinical judgement required. Create a clinical note"
},
{
"code" : "The client has history of severe allergic reactions-59",
"display" : "The client has history of severe allergic reactions"
},
{
"code" : "Clinical judgement required. Create a clinical note-66",
"display" : "Clinical judgement required. Create a clinical note"
},
{
"code" : "The client is severely immunosuppressed-59",
"display" : "The client is severely immunosuppressed"
},
{
"code" : "The client has a symptomatic HIV infection-59",
"display" : "The client has a symptomatic HIV infection"
}
]
}
]
},
"expansion" : {
"timestamp" : "2025-09-29T20:59:26.458Z",
"contains" : [
{
"system" : "http://smart.who.int/immunizations/CodeSystem/IMMZDAK",
"code" : "Measles supplementary dose was not administered-131",
"display" : "Measles supplementary dose was not administered"
},
{
"system" : "http://smart.who.int/immunizations/CodeSystem/IMMZDAK",
"code" : "Measles routine immunization schedule is complete-104",
"display" : "Measles routine immunization schedule is complete"
},
{
"system" : "http://smart.who.int/immunizations/CodeSystem/IMMZDAK",
"code" : "Live vaccine was administered in the past 4 weeks-92",
"display" : "Live vaccine was administered in the past 4 weeks"
},
{
"system" : "http://smart.who.int/immunizations/CodeSystem/IMMZDAK",
"code" : "Client is not due for measles supplementary dose-48",
"display" : "Client is not due for measles supplementary dose"
},
{
"system" : "http://smart.who.int/immunizations/CodeSystem/IMMZDAK",
"code" : "No live vaccine was administered in the past 4 weeks-92",
"display" : "No live vaccine was administered in the past 4 weeks"
},
{
"system" : "http://smart.who.int/immunizations/CodeSystem/IMMZDAK",
"code" : "Consider measles supplementary dose. Create a clinical note-66",
"display" : "Consider measles supplementary dose. Create a clinical note"
},
{
"system" : "http://smart.who.int/immunizations/CodeSystem/IMMZDAK",
"code" : "Measles supplementary dose was administered-131",
"display" : "Measles supplementary dose was administered"
},
{
"system" : "http://smart.who.int/immunizations/CodeSystem/IMMZDAK",
"code" : "Measles immunization schedule is complete-49",
"display" : "Measles immunization schedule is complete"
},
{
"system" : "http://smart.who.int/immunizations/CodeSystem/IMMZDAK",
"code" : "Decision ID-0",
"display" : "Decision ID"
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{
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"display" : "IMMZ.D5.DT.Measles contraindications"
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{
"system" : "http://smart.who.int/immunizations/CodeSystem/IMMZDAK",
"code" : "The client is pregnant-52",
"display" : "The client is pregnant"
},
{
"system" : "http://smart.who.int/immunizations/CodeSystem/IMMZDAK",
"code" : "Measles vaccination contraindicated-56",
"display" : "Measles vaccination contraindicated"
},
{
"system" : "http://smart.who.int/immunizations/CodeSystem/IMMZDAK",
"code" : "The client has history of anaphylactic reactions-67",
"display" : "The client has history of anaphylactic reactions"
},
{
"system" : "http://smart.who.int/immunizations/CodeSystem/IMMZDAK",
"code" : "Measles vaccination could be contraindicated. Clinical judgement required. Create a clinical note-66",
"display" : "Measles vaccination could be contraindicated. Clinical judgement required. Create a clinical note"
},
{
"system" : "http://smart.who.int/immunizations/CodeSystem/IMMZDAK",
"code" : "The client has history of severe allergic reactions-59",
"display" : "The client has history of severe allergic reactions"
},
{
"system" : "http://smart.who.int/immunizations/CodeSystem/IMMZDAK",
"code" : "Clinical judgement required. Create a clinical note-66",
"display" : "Clinical judgement required. Create a clinical note"
},
{
"system" : "http://smart.who.int/immunizations/CodeSystem/IMMZDAK",
"code" : "The client is severely immunosuppressed-59",
"display" : "The client is severely immunosuppressed"
},
{
"system" : "http://smart.who.int/immunizations/CodeSystem/IMMZDAK",
"code" : "The client has a symptomatic HIV infection-59",
"display" : "The client has a symptomatic HIV infection"
}
]
}
}