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 2026-07-07 |
@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .
# - resource -------------------------------------------------------------------
<http://hl7.org/fhir/ValueSet/IMMZD5DTBCGContraindicationsVS> a fhir:ValueSet ;
fhir:nodeRole fhir:treeRoot ;
fhir:Resource.id [ fhir:value "IMMZD5DTBCGContraindicationsVS"] ;
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ] ;
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ValueSet IMMZD5DTBCGContraindicationsVS</b></p><a name=\"IMMZD5DTBCGContraindicationsVS\"> </a><a name=\"hcIMMZD5DTBCGContraindicationsVS\"> </a><p>This value set expansion contains 9 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=\"IMMZD5DTBCGContraindicationsVS-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>\n</div></td></tr><tr><td><a name=\"IMMZD5DTBCGContraindicationsVS-http://smart.who.int/immunizations/CodeSystem/IMMZDAK-Bacille|20Calmette|2013Gu|e9rin|20(BCG)|20vaccination|20is|20contraindicated-57\"> </a><code>http://smart.who.int/immunizations/CodeSystem/IMMZDAK</code></td><td style=\"white-space:nowrap\"> <a href=\"CodeSystem-IMMZDAK.html#IMMZDAK-BacilleCalmette.8211Gu.233rin.40BCG.41vaccinationiscontraindicated-57\">Bacille Calmette–Guérin (BCG) vaccination is contraindicated-57</a></td><td>Bacille Calmette–Guérin (BCG) vaccination is contraindicated</td><td><div><p>'\"Immunization recommendation status\" = \"Contraindicated\"</p>\n</div></td></tr><tr><td><a name=\"IMMZD5DTBCGContraindicationsVS-http://smart.who.int/immunizations/CodeSystem/IMMZDAK-The|20client|20has|20history|20of|20severe|20allergic|20reactions-60\"> </a><code>http://smart.who.int/immunizations/CodeSystem/IMMZDAK</code></td><td style=\"white-space:nowrap\"> <a href=\"CodeSystem-IMMZDAK.html#IMMZDAK-Theclienthashistoryofsevereallergicreactions-60\">The client has history of severe allergic reactions-60</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=\"IMMZD5DTBCGContraindicationsVS-http://smart.who.int/immunizations/CodeSystem/IMMZDAK-BCG|20vaccination|20could|20be|20contraindicated.|20Clinical|20judgement|20is|20required.|20Create|20a|20clinical|20note.-67\"> </a><code>http://smart.who.int/immunizations/CodeSystem/IMMZDAK</code></td><td style=\"white-space:nowrap\"> <a href=\"CodeSystem-IMMZDAK.html#IMMZDAK-BCGvaccinationcouldbecontraindicated.46Clinicaljudgementisrequired.46Createaclinicalnote.46-67\">BCG vaccination could be contraindicated. Clinical judgement is required. Create a clinical note.-67</a></td><td>BCG vaccination could be contraindicated. Clinical judgement is required. Create a clinical note.</td><td><div><p>'\"Immunization recommendation status\" = \"Further evaluation needed\"</p>\n</div></td></tr><tr><td><a name=\"IMMZD5DTBCGContraindicationsVS-http://smart.who.int/immunizations/CodeSystem/IMMZDAK-The|20client|20has|20immunodeficiency|20syndromes-60\"> </a><code>http://smart.who.int/immunizations/CodeSystem/IMMZDAK</code></td><td style=\"white-space:nowrap\"> <a href=\"CodeSystem-IMMZDAK.html#IMMZDAK-Theclienthasimmunodeficiencysyndromes-60\">The client has immunodeficiency syndromes-60</a></td><td>The client has immunodeficiency syndromes</td><td><div><p>\"Potential contraindications\" = \"Immunodeficiency syndromes\"</p>\n</div></td></tr><tr><td><a name=\"IMMZD5DTBCGContraindicationsVS-http://smart.who.int/immunizations/CodeSystem/IMMZDAK-BCG|20vaccination|20is|20contraindicated-57\"> </a><code>http://smart.who.int/immunizations/CodeSystem/IMMZDAK</code></td><td style=\"white-space:nowrap\"> <a href=\"CodeSystem-IMMZDAK.html#IMMZDAK-BCGvaccinationiscontraindicated-57\">BCG vaccination is contraindicated-57</a></td><td>BCG vaccination is contraindicated</td><td><div><p>'\"Immunization recommendation status\" = \"Contraindicated\"</p>\n</div></td></tr><tr><td><a name=\"IMMZD5DTBCGContraindicationsVS-http://smart.who.int/immunizations/CodeSystem/IMMZDAK-The|20client|20is|20exposed|20to|20immunosuppressive|20treatment-72\"> </a><code>http://smart.who.int/immunizations/CodeSystem/IMMZDAK</code></td><td style=\"white-space:nowrap\"> <a href=\"CodeSystem-IMMZDAK.html#IMMZDAK-Theclientisexposedtoimmunosuppressivetreatment-72\">The client is exposed to immunosuppressive treatment-72</a></td><td>The client is exposed to immunosuppressive treatment</td><td><div><p>\"Potential contraindications\" = \"Exposed to immunosuppressive treatment\"</p>\n</div></td></tr><tr><td><a name=\"IMMZD5DTBCGContraindicationsVS-http://smart.who.int/immunizations/CodeSystem/IMMZDAK-Client's|20age|20is|20less|20than|201|20year-14\"> </a><code>http://smart.who.int/immunizations/CodeSystem/IMMZDAK</code></td><td style=\"white-space:nowrap\"> <a href=\"CodeSystem-IMMZDAK.html#IMMZDAK-Client.39sageislessthan1year-14\">Client's age is less than 1 year-14</a></td><td>Client's age is less than 1 year</td><td><div><p>\"Age\" < 1 year</p>\n</div></td></tr><tr><td><a name=\"IMMZD5DTBCGContraindicationsVS-http://smart.who.int/immunizations/CodeSystem/IMMZDAK-Client's|20age|20is|20more|20than|20or|20equal|20to|201|20year-14\"> </a><code>http://smart.who.int/immunizations/CodeSystem/IMMZDAK</code></td><td style=\"white-space:nowrap\"> <a href=\"CodeSystem-IMMZDAK.html#IMMZDAK-Client.39sageismorethanorequalto1year-14\">Client's age is more than or equal to 1 year-14</a></td><td>Client's age is more than or equal to 1 year</td><td><div><p>\"Age\" ≥ 1 year</p>\n</div></td></tr></table></div>"
] ;
fhir:ValueSet.url [ fhir:value "http://smart.who.int/immunizations/ValueSet/IMMZD5DTBCGContraindicationsVS"] ;
fhir:ValueSet.version [ fhir:value "0.2.0"] ;
fhir:ValueSet.name [ fhir:value "IMMZD5DTBCGContraindicationsVS"] ;
fhir:ValueSet.title [ fhir:value "IMMZD5DTBCGContraindications ValueSet for Decision Table"] ;
fhir:ValueSet.status [ fhir:value "active"] ;
fhir:ValueSet.date [ fhir:value "2026-07-07T22:09:13+00:00"^^xsd:dateTime] ;
fhir:ValueSet.publisher [ fhir:value "WHO"] ;
fhir:ValueSet.contact [
fhir:index 0 ;
fhir:ContactDetail.name [ fhir:value "WHO" ] ;
fhir:ContactDetail.telecom [
fhir:index 0 ;
fhir:ContactPoint.system [ fhir:value "url" ] ;
fhir:ContactPoint.value [ fhir:value "http://who.int" ]
]
] ;
fhir:ValueSet.description [ fhir:value "ValueSet IMMZD5DTBCGContraindications for IMMZ.D5.DT.BCG contraindications.\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.D5.DT.BCG contraindications"] ;
fhir:ValueSet.compose [
fhir:ValueSet.compose.include [
fhir:index 0 ;
fhir:ValueSet.compose.include.system [ fhir:value "http://smart.who.int/immunizations/CodeSystem/IMMZDAK" ] ;
fhir:ValueSet.compose.include.concept [
fhir:index 0 ;
fhir:ValueSet.compose.include.concept.code [ fhir:value "The client is pregnant-52" ] ;
fhir:ValueSet.compose.include.concept.display [ fhir:value "The client is pregnant" ]
], [
fhir:index 1 ;
fhir:ValueSet.compose.include.concept.code [ fhir:value "Bacille Calmette–Guérin (BCG) vaccination is contraindicated-57" ] ;
fhir:ValueSet.compose.include.concept.display [ fhir:value "Bacille Calmette–Guérin (BCG) vaccination is contraindicated" ]
], [
fhir:index 2 ;
fhir:ValueSet.compose.include.concept.code [ fhir:value "The client has history of severe allergic reactions-60" ] ;
fhir:ValueSet.compose.include.concept.display [ fhir:value "The client has history of severe allergic reactions" ]
], [
fhir:index 3 ;
fhir:ValueSet.compose.include.concept.code [ fhir:value "BCG vaccination could be contraindicated. Clinical judgement is required. Create a clinical note.-67" ] ;
fhir:ValueSet.compose.include.concept.display [ fhir:value "BCG vaccination could be contraindicated. Clinical judgement is required. Create a clinical note." ]
], [
fhir:index 4 ;
fhir:ValueSet.compose.include.concept.code [ fhir:value "The client has immunodeficiency syndromes-60" ] ;
fhir:ValueSet.compose.include.concept.display [ fhir:value "The client has immunodeficiency syndromes" ]
], [
fhir:index 5 ;
fhir:ValueSet.compose.include.concept.code [ fhir:value "BCG vaccination is contraindicated-57" ] ;
fhir:ValueSet.compose.include.concept.display [ fhir:value "BCG vaccination is contraindicated" ]
], [
fhir:index 6 ;
fhir:ValueSet.compose.include.concept.code [ fhir:value "The client is exposed to immunosuppressive treatment-72" ] ;
fhir:ValueSet.compose.include.concept.display [ fhir:value "The client is exposed to immunosuppressive treatment" ]
], [
fhir:index 7 ;
fhir:ValueSet.compose.include.concept.code [ fhir:value "Client's age is less than 1 year-14" ] ;
fhir:ValueSet.compose.include.concept.display [ fhir:value "Client's age is less than 1 year" ]
], [
fhir:index 8 ;
fhir:ValueSet.compose.include.concept.code [ fhir:value "Client's age is more than or equal to 1 year-14" ] ;
fhir:ValueSet.compose.include.concept.display [ fhir:value "Client's age is more than or equal to 1 year" ]
]
]
] ;
fhir:ValueSet.expansion [
fhir:ValueSet.expansion.timestamp [ fhir:value "2025-09-29T20:59:26.458Z"^^xsd:dateTime ] ;
fhir:ValueSet.expansion.contains [
fhir:index 0 ;
fhir:ValueSet.expansion.contains.system [ fhir:value "http://smart.who.int/immunizations/CodeSystem/IMMZDAK" ] ;
fhir:ValueSet.expansion.contains.code [ fhir:value "The client is pregnant-52" ] ;
fhir:ValueSet.expansion.contains.display [ fhir:value "The client is pregnant" ]
], [
fhir:index 1 ;
fhir:ValueSet.expansion.contains.system [ fhir:value "http://smart.who.int/immunizations/CodeSystem/IMMZDAK" ] ;
fhir:ValueSet.expansion.contains.code [ fhir:value "Bacille Calmette–Guérin (BCG) vaccination is contraindicated-57" ] ;
fhir:ValueSet.expansion.contains.display [ fhir:value "Bacille Calmette–Guérin (BCG) vaccination is contraindicated" ]
], [
fhir:index 2 ;
fhir:ValueSet.expansion.contains.system [ fhir:value "http://smart.who.int/immunizations/CodeSystem/IMMZDAK" ] ;
fhir:ValueSet.expansion.contains.code [ fhir:value "The client has history of severe allergic reactions-60" ] ;
fhir:ValueSet.expansion.contains.display [ fhir:value "The client has history of severe allergic reactions" ]
], [
fhir:index 3 ;
fhir:ValueSet.expansion.contains.system [ fhir:value "http://smart.who.int/immunizations/CodeSystem/IMMZDAK" ] ;
fhir:ValueSet.expansion.contains.code [ fhir:value "BCG vaccination could be contraindicated. Clinical judgement is required. Create a clinical note.-67" ] ;
fhir:ValueSet.expansion.contains.display [ fhir:value "BCG vaccination could be contraindicated. Clinical judgement is required. Create a clinical note." ]
], [
fhir:index 4 ;
fhir:ValueSet.expansion.contains.system [ fhir:value "http://smart.who.int/immunizations/CodeSystem/IMMZDAK" ] ;
fhir:ValueSet.expansion.contains.code [ fhir:value "The client has immunodeficiency syndromes-60" ] ;
fhir:ValueSet.expansion.contains.display [ fhir:value "The client has immunodeficiency syndromes" ]
], [
fhir:index 5 ;
fhir:ValueSet.expansion.contains.system [ fhir:value "http://smart.who.int/immunizations/CodeSystem/IMMZDAK" ] ;
fhir:ValueSet.expansion.contains.code [ fhir:value "BCG vaccination is contraindicated-57" ] ;
fhir:ValueSet.expansion.contains.display [ fhir:value "BCG vaccination is contraindicated" ]
], [
fhir:index 6 ;
fhir:ValueSet.expansion.contains.system [ fhir:value "http://smart.who.int/immunizations/CodeSystem/IMMZDAK" ] ;
fhir:ValueSet.expansion.contains.code [ fhir:value "The client is exposed to immunosuppressive treatment-72" ] ;
fhir:ValueSet.expansion.contains.display [ fhir:value "The client is exposed to immunosuppressive treatment" ]
], [
fhir:index 7 ;
fhir:ValueSet.expansion.contains.system [ fhir:value "http://smart.who.int/immunizations/CodeSystem/IMMZDAK" ] ;
fhir:ValueSet.expansion.contains.code [ fhir:value "Client's age is less than 1 year-14" ] ;
fhir:ValueSet.expansion.contains.display [ fhir:value "Client's age is less than 1 year" ]
], [
fhir:index 8 ;
fhir:ValueSet.expansion.contains.system [ fhir:value "http://smart.who.int/immunizations/CodeSystem/IMMZDAK" ] ;
fhir:ValueSet.expansion.contains.code [ fhir:value "Client's age is more than or equal to 1 year-14" ] ;
fhir:ValueSet.expansion.contains.display [ fhir:value "Client's age is more than or equal to 1 year" ]
]
] .
# - ontology header ------------------------------------------------------------
<http://hl7.org/fhir/ValueSet/IMMZD5DTBCGContraindicationsVS.ttl> a owl:Ontology ;
owl:imports fhir:fhir.ttl ;
owl:versionIRI <http://build.fhir.org/ValueSet/IMMZD5DTBCGContraindicationsVS.ttl> .
IG © 2023+ WHO. Package smart.who.int.immunizations#0.2.0 based on FHIR 4.0.1. Generated 2026-07-07
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