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/dhes/smart-immunizations/ and changes regularly. See the Directory of published versions

ValueSet: IMMZD2DTBCG ValueSet for Decision Table

Official URL: http://smart.who.int/immunizations/ValueSet/IMMZD2DTBCGVS Version: 0.2.0
Active as of 2025-12-05 Computable Name: IMMZD2DTBCGVS

ValueSet IMMZD2DTBCG for IMMZ.D2.DT.BCG. Business rule: Determine if the client is due for a bacille Calmette–Guérin (BCG) vaccination according to the national immunization schedule Trigger: IMMZ.D2 Determine required vaccination(s) if any Table: IMMZ.D2.DT.BCG

References

This value set is not used here; it may be used elsewhere (e.g. specifications and/or implementations that use this content)

Logical Definition (CLD)

 

Expansion

This value set expansion contains 24 concepts.

SystemCodeDisplayDefinitionJSONXML
http://smart.who.int/immunizations/CodeSystem/IMMZDAK  No BCG primary series dose was administered-112No BCG primary series dose was administered

Count of vaccines administered (where "Vaccine type" = "BCG vaccines" and "Type of dose" = "Primary series") = 0

http://smart.who.int/immunizations/CodeSystem/IMMZDAK  Client's age is less than or equal to 28 days-40Client's age is less than or equal to 28 days

Today's date − "Date of birth" ≤ 28 days

http://smart.who.int/immunizations/CodeSystem/IMMZDAK  Client's HIV status is negative or unknown-29Client's HIV status is negative or unknown

"HIV status" ≠ "HIV-positive"

http://smart.who.int/immunizations/CodeSystem/IMMZDAK  No live vaccine was administered-90No live vaccine was administered

Today's date − latest "Date and time of vaccination" (where "Live vaccine" = TRUE) IS NULL

http://smart.who.int/immunizations/CodeSystem/IMMZDAK  Client is due for BCG vaccination-44Client is due for BCG vaccination

"Immunization recommendation status" = "Due"

http://smart.who.int/immunizations/CodeSystem/IMMZDAK  Live vaccine was administered in the last four weeks-92Live vaccine was administered in the last four weeks

Today's date − latest "Date and time of vaccination" (where "Live vaccine" = TRUE) < 4 weeks

http://smart.who.int/immunizations/CodeSystem/IMMZDAK  Client is not due for BCG vaccination-48Client is not due for BCG vaccination

"Immunization recommendation status" = "Not due"

http://smart.who.int/immunizations/CodeSystem/IMMZDAK  Client's HIV status is positive-29Client's HIV status is positive

"HIV status" = "HIV-positive"

http://smart.who.int/immunizations/CodeSystem/IMMZDAK  Client is currently receiving antiretroviral therapy-25Client is currently receiving antiretroviral therapy

"Currently on ART" = TRUE

http://smart.who.int/immunizations/CodeSystem/IMMZDAK  Client is immunologically stable-31Client is immunologically stable

"Immunologically stable" = TRUE

http://smart.who.int/immunizations/CodeSystem/IMMZDAK  Client is not immunologically stable-32Client is not immunologically stable

"Immunologically stable" = FALSE

http://smart.who.int/immunizations/CodeSystem/IMMZDAK  Client is currently not receiving antiretroviral therapy-26Client is currently not receiving antiretroviral therapy

"Currently on ART" = FALSE

http://smart.who.int/immunizations/CodeSystem/IMMZDAK  Client's age is between 28 days and 5 years-50Client's age is between 28 days and 5 years

28 days < Today's date − "Date of birth" < 5 years

http://smart.who.int/immunizations/CodeSystem/IMMZDAK  Client's TB infection test result is negative-39Client's TB infection test result is negative

"TB infection test result" = "Negative"

http://smart.who.int/immunizations/CodeSystem/IMMZDAK  No live vaccine was administered in the last four weeks-92No live vaccine was administered in the last four weeks

Today's date − latest "Date and time of vaccination" (where "Live vaccine" = TRUE) ≥ 4 weeks

http://smart.who.int/immunizations/CodeSystem/IMMZDAK  Client's TB infection test result is unknown (test not done or no result yet)-34Client's TB infection test result is unknown (test not done or no result yet)

"TB infection test result" IS NULL

http://smart.who.int/immunizations/CodeSystem/IMMZDAK  Clinical judgement is required. Create clinical note.-66Clinical judgement is required. Create clinical note.

"Immunization recommendation status" = "Further evaluation needed"

http://smart.who.int/immunizations/CodeSystem/IMMZDAK  Client's TB infection test result is positive-39Client's TB infection test result is positive

"TB infection test result" = "Positive"

http://smart.who.int/immunizations/CodeSystem/IMMZDAK  Client is not clinically well-25Client is not clinically well

"Clinically well" = FALSE

http://smart.who.int/immunizations/CodeSystem/IMMZDAK  Client is clinically well-24Client is clinically well

"Clinically well" = TRUE

http://smart.who.int/immunizations/CodeSystem/IMMZDAK  Client's age is more than 5 years-40Client's age is more than 5 years

Today's date − "Date of birth" ≥ 5 years

http://smart.who.int/immunizations/CodeSystem/IMMZDAK  Clinical judgement is required. Create clinical note.-67Clinical judgement is required. Create clinical note.

'"Immunization recommendation status" = "Further evaluation needed"

http://smart.who.int/immunizations/CodeSystem/IMMZDAK  One BCG primary series dose was administered-112One BCG primary series dose was administered

Count of vaccines administered (where "Vaccine type" = "BCG vaccines" and "Type of dose" = "Primary series") = 1

http://smart.who.int/immunizations/CodeSystem/IMMZDAK  BCG immunization schedule is complete-140BCG immunization schedule is complete

'"Immunization recommendation status" = "Complete" "Completed the primary vaccination series" = TRUE (where "Vaccine type" = "BCG vaccines")


Explanation of the columns that may appear on this page:

Level A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes are under other codes, and imply that the code they are under also applies
System The source of the definition of the code (when the value set draws in codes defined elsewhere)
Code The code (used as the code in the resource instance)
Display The display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application
Definition An explanation of the meaning of the concept
Comments Additional notes about how to use the code