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/IMMZD5DTRubellaContraindicationsVS> a fhir:ValueSet ;
fhir:nodeRole fhir:treeRoot ;
fhir:Resource.id [ fhir:value "IMMZD5DTRubellaContraindicationsVS"] ;
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 IMMZD5DTRubellaContraindicationsVS</b></p><a name=\"IMMZD5DTRubellaContraindicationsVS\"> </a><a name=\"hcIMMZD5DTRubellaContraindicationsVS\"> </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=\"IMMZD5DTRubellaContraindicationsVS-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=\"IMMZD5DTRubellaContraindicationsVS-http://smart.who.int/immunizations/CodeSystem/IMMZDAK-Rubella|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-Rubellavaccinationiscontraindicated-56\">Rubella vaccination is contraindicated-56</a></td><td>Rubella vaccination is contraindicated</td><td><div><p>\"Immunization recommendation status\" = \"Contraindicated\"</p>\n</div></td></tr><tr><td><a name=\"IMMZD5DTRubellaContraindicationsVS-http://smart.who.int/immunizations/CodeSystem/IMMZDAK-The|20client|20is|20planning|20to|20get|20pregnant|20in|20next|20month-76\"> </a><code>http://smart.who.int/immunizations/CodeSystem/IMMZDAK</code></td><td style=\"white-space:nowrap\"> <a href=\"CodeSystem-IMMZDAK.html#IMMZDAK-Theclientisplanningtogetpregnantinnextmonth-76\">The client is planning to get pregnant in next month-76</a></td><td>The client is planning to get pregnant in next month</td><td><div><p>\"Potential contraindications\" = \"Planning to get pregnant in the next month\"</p>\n</div></td></tr><tr><td><a name=\"IMMZD5DTRubellaContraindicationsVS-http://smart.who.int/immunizations/CodeSystem/IMMZDAK-Clinical|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-Clinicaljudgementisrequired.46Createaclinicalnote-66\">Clinical judgement is required. Create a clinical note-66</a></td><td>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=\"IMMZD5DTRubellaContraindicationsVS-http://smart.who.int/immunizations/CodeSystem/IMMZDAK-The|20client|20is|20receiving|20blood|20products-58\"> </a><code>http://smart.who.int/immunizations/CodeSystem/IMMZDAK</code></td><td style=\"white-space:nowrap\"> <a href=\"CodeSystem-IMMZDAK.html#IMMZDAK-Theclientisreceivingbloodproducts-58\">The client is receiving blood products-58</a></td><td>The client is receiving blood products</td><td><div><p>\"Potential contraindications\" = \"Receiving blood products\"</p>\n</div></td></tr><tr><td><a name=\"IMMZD5DTRubellaContraindicationsVS-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=\"IMMZD5DTRubellaContraindicationsVS-http://smart.who.int/immunizations/CodeSystem/IMMZDAK-Rubella|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-Rubellavaccinationcouldbecontraindicated.46Clinicaljudgementisrequired.46Createaclinicalnote-66\">Rubella vaccination could be contraindicated. Clinical judgement is required. Create a clinical note-66</a></td><td>Rubella 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=\"IMMZD5DTRubellaContraindicationsVS-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><tr><td><a name=\"IMMZD5DTRubellaContraindicationsVS-http://smart.who.int/immunizations/CodeSystem/IMMZDAK-The|20client|20has|20TB|20disease-44\"> </a><code>http://smart.who.int/immunizations/CodeSystem/IMMZDAK</code></td><td style=\"white-space:nowrap\"> <a href=\"CodeSystem-IMMZDAK.html#IMMZDAK-TheclienthasTBdisease-44\">The client has TB disease-44</a></td><td>The client has TB disease</td><td><div><p>\"Potential contraindications\" = \"TB disease\"</p>\n</div></td></tr><tr><td><a name=\"IMMZD5DTRubellaContraindicationsVS-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=\"IMMZD5DTRubellaContraindicationsVS-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></table></div>"
] ;
fhir:ValueSet.url [ fhir:value "http://smart.who.int/immunizations/ValueSet/IMMZD5DTRubellaContraindicationsVS"] ;
fhir:ValueSet.version [ fhir:value "0.2.0"] ;
fhir:ValueSet.name [ fhir:value "IMMZD5DTRubellaContraindicationsVS"] ;
fhir:ValueSet.title [ fhir:value "IMMZD5DTRubellaContraindications 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 IMMZD5DTRubellaContraindications for IMMZ.D5.DT.Rubella 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.Rubella 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 currently pregnant-52" ] ;
fhir:ValueSet.compose.include.concept.display [ fhir:value "The client is currently pregnant" ]
], [
fhir:index 1 ;
fhir:ValueSet.compose.include.concept.code [ fhir:value "Rubella vaccination is contraindicated-56" ] ;
fhir:ValueSet.compose.include.concept.display [ fhir:value "Rubella vaccination is contraindicated" ]
], [
fhir:index 2 ;
fhir:ValueSet.compose.include.concept.code [ fhir:value "The client is planning to get pregnant in next month-76" ] ;
fhir:ValueSet.compose.include.concept.display [ fhir:value "The client is planning to get pregnant in next month" ]
], [
fhir:index 3 ;
fhir:ValueSet.compose.include.concept.code [ fhir:value "Clinical judgement is required. Create a clinical note-66" ] ;
fhir:ValueSet.compose.include.concept.display [ fhir:value "Clinical judgement is required. Create a clinical note" ]
], [
fhir:index 4 ;
fhir:ValueSet.compose.include.concept.code [ fhir:value "The client is receiving blood products-58" ] ;
fhir:ValueSet.compose.include.concept.display [ fhir:value "The client is receiving blood products" ]
], [
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 "Rubella vaccination could be contraindicated. Clinical judgement is required. Create a clinical note-66" ] ;
fhir:ValueSet.compose.include.concept.display [ fhir:value "Rubella 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 symptomatic HIV infection-59" ] ;
fhir:ValueSet.compose.include.concept.display [ fhir:value "The client has symptomatic HIV infection" ]
], [
fhir:index 8 ;
fhir:ValueSet.compose.include.concept.code [ fhir:value "The client has TB disease-44" ] ;
fhir:ValueSet.compose.include.concept.display [ fhir:value "The client has TB disease" ]
], [
fhir:index 9 ;
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 10 ;
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: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 currently pregnant-52" ] ;
fhir:ValueSet.expansion.contains.display [ fhir:value "The client is currently 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 "Rubella vaccination is contraindicated-56" ] ;
fhir:ValueSet.expansion.contains.display [ fhir:value "Rubella 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 planning to get pregnant in next month-76" ] ;
fhir:ValueSet.expansion.contains.display [ fhir:value "The client is planning to get pregnant in next month" ]
], [
fhir:index 3 ;
fhir:ValueSet.expansion.contains.system [ fhir:value "http://smart.who.int/immunizations/CodeSystem/IMMZDAK" ] ;
fhir:ValueSet.expansion.contains.code [ fhir:value "Clinical judgement is required. Create a clinical note-66" ] ;
fhir:ValueSet.expansion.contains.display [ fhir:value "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 is receiving blood products-58" ] ;
fhir:ValueSet.expansion.contains.display [ fhir:value "The client is receiving blood products" ]
], [
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 "Rubella vaccination could be contraindicated. Clinical judgement is required. Create a clinical note-66" ] ;
fhir:ValueSet.expansion.contains.display [ fhir:value "Rubella 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 symptomatic HIV infection-59" ] ;
fhir:ValueSet.expansion.contains.display [ fhir:value "The client has symptomatic HIV infection" ]
], [
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 TB disease-44" ] ;
fhir:ValueSet.expansion.contains.display [ fhir:value "The client has TB disease" ]
], [
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 has immunodeficiency syndromes-60" ] ;
fhir:ValueSet.expansion.contains.display [ fhir:value "The client has immunodeficiency syndromes" ]
], [
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 is exposed to immunosuppressive treatment-72" ] ;
fhir:ValueSet.expansion.contains.display [ fhir:value "The client is exposed to immunosuppressive treatment" ]
]
] .
# - ontology header ------------------------------------------------------------
<http://hl7.org/fhir/ValueSet/IMMZD5DTRubellaContraindicationsVS.ttl> a owl:Ontology ;
owl:imports fhir:fhir.ttl ;
owl:versionIRI <http://build.fhir.org/ValueSet/IMMZD5DTRubellaContraindicationsVS.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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