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

: IMMZD5DTDTPContraindications ValueSet for Decision Table - XML Representation

Active as of 2025-11-25

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<ValueSet xmlns="http://hl7.org/fhir">
  <id value="IMMZD5DTDTPContraindicationsVS"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: ValueSet IMMZD5DTDTPContraindicationsVS</b></p><a name="IMMZD5DTDTPContraindicationsVS"> </a><a name="hcIMMZD5DTDTPContraindicationsVS"> </a><p>This value set expansion contains 4 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></tr><tr><td><a name="IMMZD5DTDTPContraindicationsVS-http://smart.who.int/immunizations/CodeSystem/IMMZDAK-The|20client|20has|20a|20history|20of|20anaphylactic|20reactions-67"> </a><code>http://smart.who.int/immunizations/CodeSystem/IMMZDAK</code></td><td style="white-space:nowrap">  <a href="CodeSystem-IMMZDAK.html#IMMZDAK-Theclienthasahistoryofanaphylacticreactions-67">The client has a history of anaphylactic reactions-67</a></td><td>The client has a history of anaphylactic reactions</td></tr><tr><td><a name="IMMZD5DTDTPContraindicationsVS-http://smart.who.int/immunizations/CodeSystem/IMMZDAK-Tetanus|20and|20pertussis|20vaccination|20could|20be|20contraindicated.|20Clinical|20judgement|20is|20required.|20Create|20a|20clinical|20note-250"> </a><code>http://smart.who.int/immunizations/CodeSystem/IMMZDAK</code></td><td style="white-space:nowrap">  <a href="CodeSystem-IMMZDAK.html#IMMZDAK-Tetanusandpertussisvaccinationcouldbecontraindicated.46Clinicaljudgementisrequired.46Createaclinicalnote-250">Tetanus and pertussis vaccination could be contraindicated. Clinical judgement is required. Create a clinical note-250</a></td><td>Tetanus and pertussis vaccination could be contraindicated. Clinical judgement is required. Create a clinical note</td></tr><tr><td><a name="IMMZD5DTDTPContraindicationsVS-http://smart.who.int/immunizations/CodeSystem/IMMZDAK-The|20client|20currently|20has|20a|20severe|20acute|20illness-54"> </a><code>http://smart.who.int/immunizations/CodeSystem/IMMZDAK</code></td><td style="white-space:nowrap">  <a href="CodeSystem-IMMZDAK.html#IMMZDAK-Theclientcurrentlyhasasevereacuteillness-54">The client currently has a severe acute illness-54</a></td><td>The client currently has a severe acute illness</td></tr><tr><td><a name="IMMZD5DTDTPContraindicationsVS-http://smart.who.int/immunizations/CodeSystem/IMMZDAK-Tetanus|20vaccination|20is|20contraindicated-112"> </a><code>http://smart.who.int/immunizations/CodeSystem/IMMZDAK</code></td><td style="white-space:nowrap">  <a href="CodeSystem-IMMZDAK.html#IMMZDAK-Tetanusvaccinationiscontraindicated-112">Tetanus vaccination is contraindicated-112</a></td><td>Tetanus vaccination is contraindicated</td></tr></table></div>
  </text>
  <url
       value="http://smart.who.int/immunizations/ValueSet/IMMZD5DTDTPContraindicationsVS"/>
  <version value="0.2.0"/>
  <name value="IMMZD5DTDTPContraindicationsVS"/>
  <title value="IMMZD5DTDTPContraindications ValueSet for Decision Table"/>
  <status value="active"/>
  <date value="2025-11-25T19:41:02+00:00"/>
  <publisher value="WHO"/>
  <contact>
    <name value="WHO"/>
    <telecom>
      <system value="url"/>
      <value value="http://who.int"/>
    </telecom>
  </contact>
  <description
               value="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"/>
  <compose>
    <include>
      <system value="http://smart.who.int/immunizations/CodeSystem/IMMZDAK"/>
      <concept>
        <code value="The client has a history of anaphylactic reactions-67"/>
        <display value="The client has a history of anaphylactic reactions"/>
      </concept>
      <concept>
        <code
              value="Tetanus and pertussis vaccination could be contraindicated. Clinical judgement is required. Create a clinical note-250"/>
        <display
                 value="Tetanus and pertussis vaccination could be contraindicated. Clinical judgement is required. Create a clinical note"/>
      </concept>
      <concept>
        <code value="The client currently has a severe acute illness-54"/>
        <display value="The client currently has a severe acute illness"/>
      </concept>
      <concept>
        <code value="Tetanus vaccination is contraindicated-112"/>
        <display value="Tetanus vaccination is contraindicated"/>
      </concept>
    </include>
  </compose>
  <expansion>
    <timestamp value="2025-09-29T20:59:26.458Z"/>
    <contains>
      <system value="http://smart.who.int/immunizations/CodeSystem/IMMZDAK"/>
      <code value="The client has a history of anaphylactic reactions-67"/>
      <display value="The client has a history of anaphylactic reactions"/>
    </contains>
    <contains>
      <system value="http://smart.who.int/immunizations/CodeSystem/IMMZDAK"/>
      <code
            value="Tetanus and pertussis vaccination could be contraindicated. Clinical judgement is required. Create a clinical note-250"/>
      <display
               value="Tetanus and pertussis vaccination could be contraindicated. Clinical judgement is required. Create a clinical note"/>
    </contains>
    <contains>
      <system value="http://smart.who.int/immunizations/CodeSystem/IMMZDAK"/>
      <code value="The client currently has a severe acute illness-54"/>
      <display value="The client currently has a severe acute illness"/>
    </contains>
    <contains>
      <system value="http://smart.who.int/immunizations/CodeSystem/IMMZDAK"/>
      <code value="Tetanus vaccination is contraindicated-112"/>
      <display value="Tetanus vaccination is contraindicated"/>
    </contains>
  </expansion>
</ValueSet>