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/123/merge and changes regularly. See the Directory of published versions
| Official URL: http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE5 | Version: 0.2.0 | |||
| Active as of 2026-03-03 | Computable Name: IMMZ_D_DE5 | |||
ValueSet for Reason vaccine was not administered for IMMZ.D.DE5
References
http://smart.who.int/immunizations/CodeSystem/IMMZ.D version 📦0.2.0| Code | Display | Definition |
| 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 |
This value set expansion contains 12 concepts.
| System | Code | Display | Definition | JSON | XML |
http://smart.who.int/immunizations/CodeSystem/IMMZ.D | DE6 | Immunity | Testing has shown that the client already has immunity to the agent targeted by the immunization | ||
http://smart.who.int/immunizations/CodeSystem/IMMZ.D | DE7 | Medical precaution | The client currently has a medical condition for which the vaccine is contraindicated or for which precaution is warranted | ||
http://smart.who.int/immunizations/CodeSystem/IMMZ.D | DE8 | Product out of stock | There was no supply of the product on hand to perform the service | ||
http://smart.who.int/immunizations/CodeSystem/IMMZ.D | DE9 | Client objection | The client or their guardian objects to receiving the vaccine | ||
http://smart.who.int/immunizations/CodeSystem/IMMZ.D | DE10 | Caregiver refusal | The client's caregiver refused the vaccine | ||
http://smart.who.int/immunizations/CodeSystem/IMMZ.D | DE11 | Unspecified reason | The immunization event was not carried out for an unspecified reason | ||
http://smart.who.int/immunizations/CodeSystem/IMMZ.D | DE12 | Client allergy to vaccine or component | The immunization event was not carried out because of client allergy to vaccine or component | ||
http://smart.who.int/immunizations/CodeSystem/IMMZ.D | DE13 | Immunocompromised | The immunization event was not carried out because the client is immunocompromised | ||
http://smart.who.int/immunizations/CodeSystem/IMMZ.D | DE14 | Chronic illness or condition | The immunization event was not carried out due a chronic illness or condition of the client | ||
http://smart.who.int/immunizations/CodeSystem/IMMZ.D | DE15 | Acute illness | The immunization event was not carried out due to an acute illness present in the client | ||
http://smart.who.int/immunizations/CodeSystem/IMMZ.D | DE16 | Had the disease | The immunization event was not carried out due to the client having had the disease | ||
http://smart.who.int/immunizations/CodeSystem/IMMZ.D | DE17 | Immunization not carried out for other reasons | The immunization event was not carried out for other reasons |
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 IMMZ.D.DE5 ValueSet for Reason vaccine was not administered ValueSet codes. Generated from FHIR expansions using IRI format.
Version: 1.0.0
This endpoint serves the JSON Schema definition for the enumeration ValueSet-IMMZ.D.DE5.
Description: JSON Schema for IMMZ.D.DE5 ValueSet for Reason vaccine was not administered ValueSet codes. Generated from FHIR expansions using IRI format.
Type: string
Schema ID: http://smart.who.int/immunizations/ValueSet-IMMZ.D.DE5.schema.json
This documentation is automatically generated from the OpenAPI specification.
JSON Schema for IMMZ.D.DE5 ValueSet for Reason vaccine was not administered ValueSet codes. Generated from FHIR expansions using IRI format.
Version: 1.0.0
This endpoint serves the JSON Schema definition for the enumeration ValueSet-IMMZ.D.DE5.
Description: JSON Schema for IMMZ.D.DE5 ValueSet for Reason vaccine was not administered ValueSet codes. Generated from FHIR expansions using IRI format.
Type: string
{
"$schema": "https://json-schema.org/draft/2020-12/schema",
"$id": "http://smart.who.int/immunizations/ValueSet-IMMZ.D.DE5.schema.json",
"title": "IMMZ.D.DE5 ValueSet for Reason vaccine was not administered Schema",
"description": "JSON Schema for IMMZ.D.DE5 ValueSet for Reason vaccine was not administered ValueSet codes. Generated from FHIR expansions using IRI format.",
"type": "string",
"enum": [
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE19",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE20",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE201",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE202",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE124",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE156",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE157",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE158",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE189",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE159",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE160",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE161",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE162",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE163",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE200",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE164",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE165",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE187",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE166",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE167",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE168",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE169",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE170",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE188",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE190",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE191",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE192",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE193",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE194",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE195",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE196",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE197",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE198",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE199",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE86",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE87",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE88",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE89",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE90",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE91",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE1",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE2",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE3",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE4",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE5",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE6",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE7",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE8",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE9",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE10",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE11",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE12",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE13",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE14",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE15",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE16",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE17",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE18",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE173",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE21",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE22",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE23",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE24",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE25",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE26",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE34",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE35",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE125",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE126",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE127",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE128",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE129",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE133",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE135",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE136",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE137",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE139",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE140",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE141",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE142",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE143",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE144",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE175",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE146",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE176",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE177",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE178",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE179",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE180",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE181",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE182",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE183",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE184",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE148",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE149",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE92",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE93",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE95",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE96",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE98",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE99",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE100",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE101",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE102",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE103",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE104",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE105",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE107",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE174",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE108",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE109",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE110",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE111",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE112",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE113",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE115",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE116",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE117",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE118",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE119",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE120",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE121",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE185",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE186",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE150",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE151",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE152",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE153",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE154",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE155",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE263",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE258",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE259",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE260",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE261",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE262",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE203",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE257",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE242",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE204",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE205",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE206",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE207",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE208",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE209",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE210",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE243",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE244",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE245",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE246",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE247",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE248",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE249",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE250",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE211",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE212",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE213",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE214",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE215",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE251",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE216",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE217",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE218",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE219",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE220",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE221",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE222",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE223",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE224",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE225",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE226",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE227",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE228",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE229",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE230",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE231",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE232",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE233",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE234",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE235",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE252",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE236",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE237",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE238",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE239",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE254",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE255",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE256",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE240",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE253",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE241",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE264",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE265",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE266",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE6",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE7",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE8",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE9",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE10",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE11",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE12",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE13",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE14",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE15",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE16",
"http://smart.who.int/immunizations/CodeSystem/IMMZ.D#DE17"
],
"narrative": "This schema validates IRI-formatted codes for the IMMZ.D.DE5 ValueSet for Reason vaccine was not administered 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-IMMZ.D.DE5.displays.json. For a complete listing of all ValueSets, see artifacts.html#terminology-value-sets.",
"fhir:displays": "http://smart.who.int/immunizations/ValueSet-IMMZ.D.DE5.displays.json",
"fhir:valueSet": "http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE5",
"fhir:version": "0.2.0",
"fhir:expansionTimestamp": "2026-03-03T13:20:14.551146"
}
This documentation is automatically generated from the OpenAPI specification.