WHO Immunization Implementation Guide
0.1.0 - CI Build International flag

WHO Immunization Implementation Guide, published by World Health Organization (WHO). This guide is not an authorized publication; it is the continuous build for version 0.1.0 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

CodeSystem: IMMZ.D CodeSystem for Data Elements

Official URL: http://smart.who.int/ig/smart-immunizations/CodeSystem/IMMZ.D Version: 0.1.0
Draft as of 2024-05-30 Computable Name: IMMZ_D

CodeSystem for IMMZ.D Data Elements

This Code system is referenced in the content logical definition of the following value sets:

This case-insensitive code system http://smart.who.int/ig/smart-immunizations/CodeSystem/IMMZ.D defines the following codes:

CodeDisplayDefinition
DE156 Immunization recommendation status The current status or recommendation for a specific immunization for an client
DE157 Not due The client is not currently eligible or scheduled for the specified immunization
DE158 Due The client is currently eligible and should receive the specified immunization based on the recommended schedule
DE189 Complete The client has received the specified immunization(s) based on the recommended schedule
DE159 Contraindicated The specified immunization is not recommended for the client due to contraindications
DE160 Further evaluation needed Additional assessment is necessary before making a recommendation regarding the specified immunization
DE161 Potential contraindications Specific situations or medical conditions in which it is advised or recommended to avoid or delay administering a particular vaccine
DE162 Currently pregnant The client is currently pregnant
DE163 Immunocompromised The client is known to be immunocompromised
DE200 Severely immunocompromised The client is known to be severely immunocompromised
DE164 Exposed to immunosuppressive treatment The client is undergoing immunosuppressive treatment or was exposed to immunosuppressive treatment in utero or via breastfeeding.
DE165 Severely immunosuppressed The client is known to be severely immunosuppressed
DE187 Immunodeficiency syndromes The client has immunodeficiency syndromes (e.g. HIV/AIDS, known or suspected congenital immunodeficiency, leukaemia, lymphoma or other malignant disease)
DE166 History of anaphylactic reactions The client is known to have history of anaphylaxis in the past
DE167 Severe allergic reactions The client is known to have severe allergic reaction
DE168 Symptomatic HIV infection The client is experiencing HIV-related symptoms
DE169 Planning to get pregnant in the next month The client's intention or desire is to become pregnant in the next month
DE170 Receiving blood products The client is receiving blood or blood-related products as part of a medical treatment.
DE188 Severe acute illness The client has a severe acute illness
DE190 TB disease The client has been diagnosed with Tuberculosis
DE191 Breastfeeding The client is currently breastfeeding
DE192 Spina bifida The client has Spina bifida
DE193 Bladder exstrophy The client has Exstrophy of urinary bladder
DE194 Acute gastroenteritis The client has acute gastroenteritis
DE195 Moderate to severe fever The client has moderate to severe fever
DE196 Prior history of intussusception The client has prior history of intussusception
DE197 Altered immunocompetence The client's immune system is not functioning at its typical capacity
DE198 Hypersensitivity to vaccine components The client has heightened sensitivity or allergic reactions to specific components found in vaccines
DE199 Taking antibiotics The client is currently taking antibiotics to treat certain infections
DE1 Immunization event status The current status of the individual immunization event
DE2 Completed The immunization event was successfully carried out as intended
DE3 Entered in error Immunization event record has been mistakenly created or entered into system. Recorded information is incorrect or should not have been documented, though it is possible that real-world decisions were based on it
DE4 Not done Planned immunization event was not carried out for some reason
DE5 Reason vaccine was not administered The reason this immunization event was not performed
DE6 Immunity Testing has shown that the client already has immunity to the agent targeted by the immunization
DE7 Medical precaution The client currently has a medical condition for which the vaccine is contraindicated or for which precaution is warranted
DE8 Product out of stock There was no supply of the product on hand to perform the service
DE9 Client objection The client or their guardian objects to receiving the vaccine
DE10 Caregiver refusal The client's caregiver refused the vaccine
DE11 Unspecified reason The immunization event was not carried out for an unspecified reason
DE12 Client allergy to vaccine or component The immunization event was not carried out because of client allergy to vaccine or component
DE13 Immunocompromised The immunization event was not carried out because the client is immunocompromised
DE14 Chronic illness or condition The immunization event was not carried out due a chronic illness or condition of the client
DE15 Acute illness The immunization event was not carried out due to an acute illness present in the client
DE16 Had the disease The immunization event was not carried out due to the client having had the disease
DE17 Immunization not carried out for other reasons The immunization event was not carried out for other reasons
DE18 Vaccine brand The brand or trade name used to refer to the vaccine received
DE173 Live vaccine Uses a living but weakened version of the virus or one that’s very similar
DE19 Vaccine type Vaccine type/category that was administered or was to be administered. Any vaccine code available in the IMMZ.Z Vaccine Library list of codes applies in this data element
DE20 Date and time of vaccination Represents the visit/encounter date, which is the date and time when the vaccine was administered to the client
DE21 Country of vaccination The service delivery country where the vaccine administration occurred
DE22 Vaccination location The service delivery location where the vaccine administration occurred
DE23 Vaccine manufacturer The manufacturer of the vaccine product
DE24 Vaccine batch number Batch number or lot number of vaccine
DE25 Vaccine market authorization holder Name of the market authorization holder of the vaccine received. If market authorization holder is unknown, vaccine manufacturer is REQUIRED
DE26 Expiration date The expiration date of the vaccine
DE34 Dose quantity The quantity of vaccine product that was administered
DE35 Health worker identifier The person, organization, or role of the entity that performed the act of giving the vaccine to the client. The implementing system can choose to populate this field using data from a health worker registry or health facility registry
DE201 Contact date The date and time of the client's contact
DE202 ANC contact number The ANC contact or visit number
DE203 Currently pregnant Client's pregnancy status
DE86 Client education and counselling on immunization Providing information, guidance, and support to client or caretakers (such as parents or legal guardians) regarding immunization practices
DE87 Counselling on functions of the immunological system Explaining to the client or caregiver how the vaccines work by triggering the body to produce an immune response
DE88 Advising about functions of the immunological system Explaining to the client or caregiver how the vaccines work by triggering the body to produce an immune response
DE89 Education to influence immunization behaviours Public health interventions to improve general and accurate understanding and impacts of vaccines, and their role in preventing various diseases
DE90 Advising about immunization behaviours Public health interventions to improve general and accurate understanding and impacts of vaccines, and their role in preventing various diseases
DE91 Awareness raising to influence immunization behaviours Public health interventions to improve general and accurate understanding and impacts of vaccines, and their role in preventing various diseases
DE92 Reaction reported Indicates observation of an adverse event/ reaction
DE93 Reaction date When adverse event/ reaction started
DE95 Reaction manifestation The manifestation of the reaction (e.g. infected abscess, swelling, rash, hives, diarrhea, etc.) which was observed after administering the vaccine
DE96 Severe local reaction The client's reaction manifested in severe local reaction
DE98 Seizures The client's reaction manifested in seizures
DE99 Abscess The client's reaction manifested in an abscess
DE100 Sepsis The client's reaction manifested in sepsis
DE101 Encephalopathy The client's reaction manifested in encephalopathy
DE102 Toxic shock syndrome The client's reaction manifested in toxic shock syndrome
DE103 Anaphylaxis The client's reaction manifested in anaphylaxis
DE104 Fever The client's reaction manifested as a fever
DE105 Other The client's reaction manifested in another way
DE107 Type of reaction If the event resulted in a reaction, the type of reaction
DE174 Non serious The reaction resulted in a mild or minor response and did not pose a significant threat to client's health
DE108 Death The reaction resulted in the client's death
DE109 Life threatening The reaction threatened the client's life
DE110 Disability The reaction resulted in a disability
DE111 Hospitalization The reaction resulted in a hospitalization
DE112 Congenital anomaly The reaction was a congenital anomaly or birth defect
DE113 Other important medical event (specify) There was another important reaction or medical event
DE115 Reaction outcome The outcome of the reaction (e.g. death, recovered, recovering)
DE116 Died The adverse event resulted in the client's death
DE117 Recovered The client fully recovered
DE118 Recovered with sequelae The client is recovered with sequelae as a consequence of the reaction/vaccination
DE119 Recovering The client is recovering
DE120 Not recovered The client has not recovered
DE121 Unknown The client's reaction outcome is unknown
DE124 Dose number Vaccine dose number including dose number within series
DE125 Total doses in series The recommended number of doses for immunity according to the national protocol (which may be based on product, age, etc)
DE126 Disease targeted Vaccine preventable disease being targeted
DE127 Typhoid The vaccine preventable disease being targeted is typhoid
DE128 Influenza The vaccine preventable disease being targeted is influenza
DE129 Measles The vaccine preventable disease being targeted is measles
DE133 Pertussis The vaccine preventable disease being targeted is pertussis
DE135 Mumps The vaccine preventable disease being targeted is mumps
DE136 Varicella The vaccine preventable disease being targeted is varicella
DE137 Viral hepatitis A The vaccine preventable disease being targeted is viral hepatitis A
DE139 Tuberculosis The vaccine preventable disease being targeted is tuberculosis
DE140 Viral hepatitis B The vaccine preventable disease being targeted is viral hepatitis B
DE141 Haemophilus influenzae type B The vaccine preventable disease being targeted is Haemophilus influenzae type B (Hib)
DE142 Tetanus The vaccine preventable disease being targeted is tetanus
DE143 Rotavirus The vaccine preventable disease being targeted is rotavirus
DE144 Human papillomavirus The vaccine preventable disease being targeted is Human papillomavirus (HPV) infection
DE175 Japanese encephalitis The vaccine preventable disease being targeted is japanese encephalitis
DE146 Poliomyelitis The vaccine preventable disease being targeted is poliomyelitis
DE176 Diphtheria The vaccine preventable disease being targeted is diphtheria
DE177 Pneumococcal disease The vaccine preventable disease being targeted is pneumococcal
DE178 Rubella The vaccine preventable disease being targeted is rubella
DE179 Dengue The vaccine preventable disease being targeted is dengue
DE180 Rabies The vaccine preventable disease being targeted is rabies
DE181 Meningococcal The vaccine preventable disease being targeted is meningococcal
DE182 Cholera The vaccine preventable disease being targeted is cholera
DE183 Tick-borne encephalitis The vaccine preventable disease being targeted is Tick-Borne encephalitis
DE184 Yellow fever The vaccine preventable disease being targeted is yellow fever
DE148 COVID-19 The vaccine preventable disease being targeted is coronovirus disease (COVID-19)
DE149 Due date of next dose Date on which the next vaccination should be administered, if a next dose is required
DE185 Date/time of follow-up appointment Date the patient is to return for next vaccination
DE186 Recommended follow-up date Date when follow-up is recommended based on vaccination schedule
DE150 Digital certificate needed Indicates if a digital certificate is required
DE151 Certificate issuer The authority or authorized organization that issued the vaccination certificate
DE152 Health Certificate Identifier (HCID) Unique identifier used to associate the immunization event represented in a paper vaccination card to its digital representation(s)
DE153 Certificate valid from Date in which the certificate for an immunization event became valid. No health or clinical inferences should be made from this date
DE154 Certificate valid until Last date in which the certificate for an immunization event is valid. No health or clinical inferences should be made from this date
DE155 Certificate schema version Version of the core data set and HL7 Fast Health Interoperability Resrouces (FHIR) Implementation Guide that the certificate is using