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 2025-11-07 |
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<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"> <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>
</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"> <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>
</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"> <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>
</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"> <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>
</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"> <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>
</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"> <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>
</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"> <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>
</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"> <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>
</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"> <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"> <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"> <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>
</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"> <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>
</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"> <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>
</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"> <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>
</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"> <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>
</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"> <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>
</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"> <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>
</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"> <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>
</div></td></tr></table></div>
</text>
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<name value="IMMZD2DTMeaslesSupplementaryDoseVS"/>
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<date value="2025-11-07T22:20:12+00:00"/>
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Business rule: Check for contraindications before administering the vaccine(s) due
Trigger: IMMZ.D5 Determine vaccine(s) to be administered based on contraindications
Table: IMMZ.D2.DT.Measles.Supplementary dose"/>
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<display value="The client is severely immunosuppressed"/>
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<code value="The client has a symptomatic HIV infection-59"/>
<display value="The client has a symptomatic HIV infection"/>
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