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/tree/main and changes regularly. See the Directory of published versions
| Official URL: http://smart.who.int/immunizations/ValueSet/IMMZD5DTDTPContraindicationsVS | Version: 0.2.0 | |||
| Active as of 2025-11-25 | Computable Name: IMMZD5DTDTPContraindicationsVS | |||
ValueSet IMMZD5DTDTPContraindications for IMMZ.D5.DT.DTP contraindications. Business rule: Check for contraindications before administering the vaccine(s) due Trigger: IMMZ.D5 Determine vaccine(s) to be administered based on contraindications Table: IMMZ.D5.DT.DTP contraindications
References
This value set is not used here; it may be used elsewhere (e.g. specifications and/or implementations that use this content)
http://smart.who.int/immunizations/CodeSystem/IMMZDAK version 📦0.2.0| Code | Display | Definition |
| The client has a history of anaphylactic reactions-67 | The client has a history of anaphylactic reactions | "Potential contraindications" = "History of anaphylactic reactions" |
| Tetanus and pertussis vaccination could be contraindicated. Clinical judgement is required. Create a clinical note-250 | Tetanus and pertussis vaccination could be contraindicated. Clinical judgement is required. Create a clinical note | "Immunization recommendation status" = "Further evaluation needed" (where "Vaccine type" = "Pertussis-containing vaccines") AND "Immunization recommendation status" = "Further evaluation needed" (where "Vaccine type" = "Tetanus-containing vaccines") |
| The client currently has a severe acute illness-54 | The client currently has a severe acute illness | "Potential contraindications" = "Severe acute illness" |
| Tetanus vaccination is contraindicated-112 | Tetanus vaccination is contraindicated | "Immunization recommendation status" = "Contraindicated" (where "Vaccine type" = "Tetanus -containing vaccines") |
This value set expansion contains 4 concepts.
| System | Code | Display | JSON | XML |
http://smart.who.int/immunizations/CodeSystem/IMMZDAK | The client has a history of anaphylactic reactions-67 | The client has a history of anaphylactic reactions | ||
http://smart.who.int/immunizations/CodeSystem/IMMZDAK | Tetanus and pertussis vaccination could be contraindicated. Clinical judgement is required. Create a clinical note-250 | Tetanus and pertussis vaccination could be contraindicated. Clinical judgement is required. Create a clinical note | ||
http://smart.who.int/immunizations/CodeSystem/IMMZDAK | The client currently has a severe acute illness-54 | The client currently has a severe acute illness | ||
http://smart.who.int/immunizations/CodeSystem/IMMZDAK | Tetanus vaccination is contraindicated-112 | Tetanus vaccination is contraindicated |
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 |
JSON Schema for IMMZD5DTDTPContraindications ValueSet for Decision Table ValueSet codes. Generated from FHIR expansions using IRI format.
Version: 1.0.0
This endpoint serves the JSON Schema definition for the enumeration ValueSet-IMMZD5DTDTPContraindicationsVS.
Description: JSON Schema for IMMZD5DTDTPContraindications ValueSet for Decision Table ValueSet codes. Generated from FHIR expansions using IRI format.
Type: string
Schema ID: http://smart.who.int/immunizations/ValueSet-IMMZD5DTDTPContraindicationsVS.schema.json
{
"$schema": "https://json-schema.org/draft/2020-12/schema",
"$id": "http://smart.who.int/immunizations/ValueSet-IMMZD5DTDTPContraindicationsVS.schema.json",
"title": "IMMZD5DTDTPContraindications ValueSet for Decision Table Schema",
"description": "JSON Schema for IMMZD5DTDTPContraindications ValueSet for Decision Table ValueSet codes. Generated from FHIR expansions using IRI format.",
"type": "string",
"enum": [
"http://smart.who.int/immunizations/CodeSystem/IMMZDAK#The client has a history of anaphylactic reactions-67",
"http://smart.who.int/immunizations/CodeSystem/IMMZDAK#Tetanus and pertussis vaccination could be contraindicated. Clinical judgement is required. Create a clinical note-250",
"http://smart.who.int/immunizations/CodeSystem/IMMZDAK#The client currently has a severe acute illness-54",
"http://smart.who.int/immunizations/CodeSystem/IMMZDAK#Tetanus vaccination is contraindicated-112"
],
"narrative": "This schema validates IRI-formatted codes for the IMMZD5DTDTPContraindications ValueSet for Decision Table ValueSet. Each enum value includes the system URI in the format {systemuri}#{code} to match JSON-LD enumeration IRIs. Display values are available at http://smart.who.int/immunizations/ValueSet-IMMZD5DTDTPContraindicationsVS.displays.json. For a complete listing of all ValueSets, see artifacts.html#terminology-value-sets.",
"fhir:displays": "http://smart.who.int/immunizations/ValueSet-IMMZD5DTDTPContraindicationsVS.displays.json",
"fhir:valueSet": "http://smart.who.int/immunizations/ValueSet/IMMZD5DTDTPContraindicationsVS",
"fhir:version": "0.2.0",
"fhir:expansionTimestamp": "2025-09-29T20:59:26.458Z"
}
This documentation is automatically generated from the OpenAPI specification.