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

: IMMZD5DTDengueContraindications ValueSet for Decision Table - TTL Representation

Active as of 2026-07-07

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@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/IMMZD5DTDengueContraindicationsVS> a fhir:ValueSet ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "IMMZD5DTDengueContraindicationsVS"] ;
  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 IMMZD5DTDengueContraindicationsVS</b></p><a name=\"IMMZD5DTDengueContraindicationsVS\"> </a><a name=\"hcIMMZD5DTDengueContraindicationsVS\"> </a><p>This value set expansion contains 11 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=\"IMMZD5DTDengueContraindicationsVS-http://smart.who.int/immunizations/CodeSystem/IMMZDAK-The|20client|20is|20immunocompromised-51\"> </a><code>http://smart.who.int/immunizations/CodeSystem/IMMZDAK</code></td><td style=\"white-space:nowrap\">  <a href=\"CodeSystem-IMMZDAK.html#IMMZDAK-Theclientisimmunocompromised-51\">The client is immunocompromised-51</a></td><td>The client is immunocompromised</td><td><div><p>\"Potential contraindications\" = \"Immunocompromised\"</p>\n</div></td></tr><tr><td><a name=\"IMMZD5DTDengueContraindicationsVS-http://smart.who.int/immunizations/CodeSystem/IMMZDAK-Dengue|20vaccination|20is|20contraindicated-56\"> </a><code>http://smart.who.int/immunizations/CodeSystem/IMMZDAK</code></td><td style=\"white-space:nowrap\">  <a href=\"CodeSystem-IMMZDAK.html#IMMZDAK-Denguevaccinationiscontraindicated-56\">Dengue vaccination is contraindicated-56</a></td><td>Dengue vaccination is contraindicated</td><td><div><p>\"Immunization recommendation status\" = \"Contraindicated\"</p>\n</div></td></tr><tr><td><a name=\"IMMZD5DTDengueContraindicationsVS-http://smart.who.int/immunizations/CodeSystem/IMMZDAK-The|20client|20is|20severely|20immunocompromised-60\"> </a><code>http://smart.who.int/immunizations/CodeSystem/IMMZDAK</code></td><td style=\"white-space:nowrap\">  <a href=\"CodeSystem-IMMZDAK.html#IMMZDAK-Theclientisseverelyimmunocompromised-60\">The client is severely immunocompromised-60</a></td><td>The client is severely immunocompromised</td><td><div><p>\"Potential contraindications\" = \"Severely immunocompromised\"</p>\n</div></td></tr><tr><td><a name=\"IMMZD5DTDengueContraindicationsVS-http://smart.who.int/immunizations/CodeSystem/IMMZDAK-The|20client|20is|20currently|20pregnant-52\"> </a><code>http://smart.who.int/immunizations/CodeSystem/IMMZDAK</code></td><td style=\"white-space:nowrap\">  <a href=\"CodeSystem-IMMZDAK.html#IMMZDAK-Theclientiscurrentlypregnant-52\">The client is currently pregnant-52</a></td><td>The client is currently pregnant</td><td><div><p>\"Potential contraindications\" = \"Currently pregnant\"</p>\n</div></td></tr><tr><td><a name=\"IMMZD5DTDengueContraindicationsVS-http://smart.who.int/immunizations/CodeSystem/IMMZDAK-The|20client|20is|20currently|20lactating-48\"> </a><code>http://smart.who.int/immunizations/CodeSystem/IMMZDAK</code></td><td style=\"white-space:nowrap\">  <a href=\"CodeSystem-IMMZDAK.html#IMMZDAK-Theclientiscurrentlylactating-48\">The client is currently lactating-48</a></td><td>The client is currently lactating</td><td><div><p>'\"Potential contraindications\" = \"Breastfeeding\"</p>\n</div></td></tr><tr><td><a name=\"IMMZD5DTDengueContraindicationsVS-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>\n</div></td></tr><tr><td><a name=\"IMMZD5DTDengueContraindicationsVS-http://smart.who.int/immunizations/CodeSystem/IMMZDAK-Dengue|20vaccination|20could|20be|20contraindicated.|20Clinical|20judgement|20is|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-Denguevaccinationcouldbecontraindicated.46Clinicaljudgementisrequired.46Createaclinicalnote.46-66\">Dengue vaccination could be contraindicated. Clinical judgement is required. Create a clinical note.-66</a></td><td>Dengue 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=\"IMMZD5DTDengueContraindicationsVS-http://smart.who.int/immunizations/CodeSystem/IMMZDAK-The|20client|20has|20history|20of|20anaphylactic|20reactions-66\"> </a><code>http://smart.who.int/immunizations/CodeSystem/IMMZDAK</code></td><td style=\"white-space:nowrap\">  <a href=\"CodeSystem-IMMZDAK.html#IMMZDAK-Theclienthashistoryofanaphylacticreactions-66\">The client has history of anaphylactic reactions-66</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=\"IMMZD5DTDengueContraindicationsVS-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=\"IMMZD5DTDengueContraindicationsVS-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>\n</div></td></tr><tr><td><a name=\"IMMZD5DTDengueContraindicationsVS-http://smart.who.int/immunizations/CodeSystem/IMMZDAK-The|20client|20has|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-TheclienthassymptomaticHIVinfection-59\">The client has symptomatic HIV infection-59</a></td><td>The client has symptomatic HIV infection</td><td><div><p>\"Potential contraindications\" = \"Symptomatic HIV infection\"</p>\n</div></td></tr></table></div>"
  ] ;
  fhir:ValueSet.url [ fhir:value "http://smart.who.int/immunizations/ValueSet/IMMZD5DTDengueContraindicationsVS"] ;
  fhir:ValueSet.version [ fhir:value "0.2.0"] ;
  fhir:ValueSet.name [ fhir:value "IMMZD5DTDengueContraindicationsVS"] ;
  fhir:ValueSet.title [ fhir:value "IMMZD5DTDengueContraindications 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 IMMZD5DTDengueContraindications for IMMZ.D5.DT.Dengue 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.Dengue 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 immunocompromised-51" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "The client is immunocompromised" ]
       ], [
         fhir:index 1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "Dengue vaccination is contraindicated-56" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Dengue vaccination is contraindicated" ]
       ], [
         fhir:index 2 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "The client is severely immunocompromised-60" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "The client is severely immunocompromised" ]
       ], [
         fhir:index 3 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "The client is currently pregnant-52" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "The client is currently pregnant" ]
       ], [
         fhir:index 4 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "The client is currently lactating-48" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "The client is currently lactating" ]
       ], [
         fhir:index 5 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "The client has history of severe allergic reactions-59" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "The client has history of severe allergic reactions" ]
       ], [
         fhir:index 6 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "Dengue vaccination could be contraindicated. Clinical judgement is required. Create a clinical note.-66" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Dengue vaccination could be contraindicated. Clinical judgement is required. Create a clinical note." ]
       ], [
         fhir:index 7 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "The client has history of anaphylactic reactions-66" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "The client has history of anaphylactic reactions" ]
       ], [
         fhir:index 8 ;
         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 9 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "The client is severely immunosuppressed-59" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "The client is severely immunosuppressed" ]
       ], [
         fhir:index 10 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "The client has symptomatic HIV infection-59" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "The client has symptomatic HIV infection" ]
       ]
     ]
  ] ;
  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 immunocompromised-51" ] ;
       fhir:ValueSet.expansion.contains.display [ fhir:value "The client is immunocompromised" ]
     ], [
       fhir:index 1 ;
       fhir:ValueSet.expansion.contains.system [ fhir:value "http://smart.who.int/immunizations/CodeSystem/IMMZDAK" ] ;
       fhir:ValueSet.expansion.contains.code [ fhir:value "Dengue vaccination is contraindicated-56" ] ;
       fhir:ValueSet.expansion.contains.display [ fhir:value "Dengue 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 is severely immunocompromised-60" ] ;
       fhir:ValueSet.expansion.contains.display [ fhir:value "The client is severely immunocompromised" ]
     ], [
       fhir:index 3 ;
       fhir:ValueSet.expansion.contains.system [ fhir:value "http://smart.who.int/immunizations/CodeSystem/IMMZDAK" ] ;
       fhir:ValueSet.expansion.contains.code [ fhir:value "The client is currently pregnant-52" ] ;
       fhir:ValueSet.expansion.contains.display [ fhir:value "The client is currently pregnant" ]
     ], [
       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 is currently lactating-48" ] ;
       fhir:ValueSet.expansion.contains.display [ fhir:value "The client is currently lactating" ]
     ], [
       fhir:index 5 ;
       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-59" ] ;
       fhir:ValueSet.expansion.contains.display [ fhir:value "The client has history of severe allergic reactions" ]
     ], [
       fhir:index 6 ;
       fhir:ValueSet.expansion.contains.system [ fhir:value "http://smart.who.int/immunizations/CodeSystem/IMMZDAK" ] ;
       fhir:ValueSet.expansion.contains.code [ fhir:value "Dengue vaccination could be contraindicated. Clinical judgement is required. Create a clinical note.-66" ] ;
       fhir:ValueSet.expansion.contains.display [ fhir:value "Dengue vaccination could be contraindicated. Clinical judgement is required. Create a clinical note." ]
     ], [
       fhir:index 7 ;
       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 anaphylactic reactions-66" ] ;
       fhir:ValueSet.expansion.contains.display [ fhir:value "The client has history of anaphylactic reactions" ]
     ], [
       fhir:index 8 ;
       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 9 ;
       fhir:ValueSet.expansion.contains.system [ fhir:value "http://smart.who.int/immunizations/CodeSystem/IMMZDAK" ] ;
       fhir:ValueSet.expansion.contains.code [ fhir:value "The client is severely immunosuppressed-59" ] ;
       fhir:ValueSet.expansion.contains.display [ fhir:value "The client is severely immunosuppressed" ]
     ], [
       fhir:index 10 ;
       fhir:ValueSet.expansion.contains.system [ fhir:value "http://smart.who.int/immunizations/CodeSystem/IMMZDAK" ] ;
       fhir:ValueSet.expansion.contains.code [ fhir:value "The client has symptomatic HIV infection-59" ] ;
       fhir:ValueSet.expansion.contains.display [ fhir:value "The client has symptomatic HIV infection" ]
     ]
  ] .

# - ontology header ------------------------------------------------------------

<http://hl7.org/fhir/ValueSet/IMMZD5DTDengueContraindicationsVS.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl ;
  owl:versionIRI <http://build.fhir.org/ValueSet/IMMZD5DTDengueContraindicationsVS.ttl> .