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 2024-03-22 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 statusThe current status or recommendation for a specific immunization for an client
DE157 Not dueThe client is not currently eligible or scheduled for the specified immunization
DE158 DueThe client is currently eligible and should receive the specified immunization based on the recommended schedule
DE189 CompleteThe client has received the specified immunization(s) based on the recommended schedule
DE159 ContraindicatedThe specified immunization is not recommended for the client due to contraindications
DE160 Further evaluation neededAdditional assessment is necessary before making a recommendation regarding the specified immunization
DE161 Potential contraindicationsSpecific situations or medical conditions in which it is advised or recommended to avoid or delay administering a particular vaccine
DE162 Currently pregnantThe client is currently pregnant
DE163 ImmunocompromisedThe client is known to be immunocompromised
DE200 Severely immunocompromisedThe client is known to be severely immunocompromised
DE164 Exposed to immunosuppressive treatmentThe client is undergoing immunosuppressive treatment or was exposed to immunosuppressive treatment in utero or via breastfeeding.
DE165 Severely immunosuppressedThe client is known to be severely immunosuppressed
DE187 Immunodeficiency syndromesThe client has immunodeficiency syndromes (e.g. HIV/AIDS, known or suspected congenital immunodeficiency, leukaemia, lymphoma or other malignant disease)
DE166 History of anaphylactic reactionsThe client is known to have history of anaphylaxis in the past
DE167 Severe allergic reactionsThe client is known to have severe allergic reaction
DE168 Symptomatic HIV infectionThe client is experiencing HIV-related symptoms
DE169 Planning to get pregnant in the next monthThe client's intention or desire is to become pregnant in the next month
DE170 Receiving blood productsThe client is receiving blood or blood-related products as part of a medical treatment.
DE188 Severe acute illnessThe client has a severe acute illness
DE190 TB diseaseThe client has been diagnosed with Tuberculosis
DE191 BreastfeedingThe client is currently breastfeeding
DE192 Spina bifidaThe client has Spina bifida
DE193 Bladder exstrophyThe client has Exstrophy of urinary bladder
DE194 Acute gastroenteritisThe client has acute gastroenteritis
DE195 Moderate to severe feverThe client has moderate to severe fever
DE196 Prior history of intussusceptionThe client has prior history of intussusception
DE197 Altered immunocompetenceThe client's immune system is not functioning at its typical capacity
DE198 Hypersensitivity to vaccine componentsThe client has heightened sensitivity or allergic reactions to specific components found in vaccines
DE199 Taking antibioticsThe client is currently taking antibiotics to treat certain infections
DE1 Immunization event statusThe current status of the individual immunization event
DE2 CompletedThe immunization event was successfully carried out as intended
DE3 Entered in errorImmunization 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 donePlanned immunization event was not carried out for some reason
DE5 Reason vaccine was not administeredThe reason this immunization event was not performed
DE6 ImmunityTesting has shown that the client already has immunity to the agent targeted by the immunization
DE7 Medical precautionThe client currently has a medical condition for which the vaccine is contraindicated or for which precaution is warranted
DE8 Product out of stockThere was no supply of the product on hand to perform the service
DE9 Client objectionThe client or their guardian objects to receiving the vaccine
DE10 Caregiver refusalThe client's caregiver refused the vaccine
DE11 Unspecified reasonThe immunization event was not carried out for an unspecified reason
DE12 Client allergy to vaccine or componentThe immunization event was not carried out because of client allergy to vaccine or component
DE13 ImmunocompromisedThe immunization event was not carried out because the client is immunocompromised
DE14 Chronic illness or conditionThe immunization event was not carried out due a chronic illness or condition of the client
DE15 Acute illnessThe immunization event was not carried out due to an acute illness present in the client
DE16 Had the diseaseThe immunization event was not carried out due to the client having had the disease
DE17 Immunization not carried out for other reasonsThe immunization event was not carried out for other reasons
DE18 Vaccine brandThe brand or trade name used to refer to the vaccine received
DE173 Live vaccineUses a living but weakened version of the virus or one that’s very similar
DE19 Vaccine typeVaccine 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 vaccinationRepresents the visit/encounter date, which is the date and time when the vaccine was administered to the client
DE21 Country of vaccinationThe service delivery country where the vaccine administration occurred
DE22 Vaccination locationThe service delivery location where the vaccine administration occurred
DE23 Vaccine manufacturerThe manufacturer of the vaccine product
DE24 Vaccine batch numberBatch number or lot number of vaccine
DE25 Vaccine market authorization holderName of the market authorization holder of the vaccine received. If market authorization holder is unknown, vaccine manufacturer is REQUIRED
DE26 Expiration dateThe expiration date of the vaccine
DE34 Dose quantityThe quantity of vaccine product that was administered
DE35 Health worker identifierThe 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 dateThe date and time of the client's contact
DE202 ANC contact numberThe ANC contact or visit number
DE203 Currently pregnantClient's pregnancy status
DE86 Client education and counselling on immunizationProviding information, guidance, and support to client or caretakers (such as parents or legal guardians) regarding immunization practices
DE87 Counselling on functions of the immunological systemExplaining 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 systemExplaining to the client or caregiver how the vaccines work by triggering the body to produce an immune response
DE89 Education to influence immunization behavioursPublic health interventions to improve general and accurate understanding and impacts of vaccines, and their role in preventing various diseases
DE90 Advising about immunization behavioursPublic 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 behavioursPublic health interventions to improve general and accurate understanding and impacts of vaccines, and their role in preventing various diseases
DE92 Reaction reportedIndicates observation of an adverse event/ reaction
DE93 Reaction dateWhen adverse event/ reaction started
DE95 Reaction manifestationThe manifestation of the reaction (e.g. infected abscess, swelling, rash, hives, diarrhea, etc.) which was observed after administering the vaccine
DE96 Severe local reactionThe client's reaction manifested in severe local reaction
DE98 SeizuresThe client's reaction manifested in seizures
DE99 AbscessThe client's reaction manifested in an abscess
DE100 SepsisThe client's reaction manifested in sepsis
DE101 EncephalopathyThe client's reaction manifested in encephalopathy
DE102 Toxic shock syndromeThe client's reaction manifested in toxic shock syndrome
DE103 AnaphylaxisThe client's reaction manifested in anaphylaxis
DE104 FeverThe client's reaction manifested as a fever
DE105 OtherThe client's reaction manifested in another way
DE107 Type of reactionIf the event resulted in a reaction, the type of reaction
DE174 Non seriousThe reaction resulted in a mild or minor response and did not pose a significant threat to client's health
DE108 DeathThe reaction resulted in the client's death
DE109 Life threateningThe reaction threatened the client's life
DE110 DisabilityThe reaction resulted in a disability
DE111 HospitalizationThe reaction resulted in a hospitalization
DE112 Congenital anomalyThe reaction was a congenital anomaly or birth defect
DE113 Other important medical event (specify)There was another important reaction or medical event
DE115 Reaction outcomeThe outcome of the reaction (e.g. death, recovered, recovering)
DE116 DiedThe adverse event resulted in the client's death
DE117 RecoveredThe client fully recovered
DE118 Recovered with sequelaeThe client is recovered with sequelae as a consequence of the reaction/vaccination
DE119 RecoveringThe client is recovering
DE120 Not recoveredThe client has not recovered
DE121 UnknownThe client's reaction outcome is unknown
DE124 Dose numberVaccine dose number including dose number within series
DE125 Total doses in seriesThe recommended number of doses for immunity according to the national protocol (which may be based on product, age, etc)
DE126 Disease targetedVaccine preventable disease being targeted
DE127 TyphoidThe vaccine preventable disease being targeted is typhoid
DE128 InfluenzaThe vaccine preventable disease being targeted is influenza
DE129 MeaslesThe vaccine preventable disease being targeted is measles
DE133 PertussisThe vaccine preventable disease being targeted is pertussis
DE135 MumpsThe vaccine preventable disease being targeted is mumps
DE136 VaricellaThe vaccine preventable disease being targeted is varicella
DE137 Viral hepatitis AThe vaccine preventable disease being targeted is viral hepatitis A
DE139 TuberculosisThe vaccine preventable disease being targeted is tuberculosis
DE140 Viral hepatitis BThe vaccine preventable disease being targeted is viral hepatitis B
DE141 Haemophilus influenzae type BThe vaccine preventable disease being targeted is Haemophilus influenzae type B (Hib)
DE142 TetanusThe vaccine preventable disease being targeted is tetanus
DE143 RotavirusThe vaccine preventable disease being targeted is rotavirus
DE144 Human papillomavirusThe vaccine preventable disease being targeted is Human papillomavirus (HPV) infection
DE175 Japanese encephalitisThe vaccine preventable disease being targeted is japanese encephalitis
DE146 PoliomyelitisThe vaccine preventable disease being targeted is poliomyelitis
DE176 DiphtheriaThe vaccine preventable disease being targeted is diphtheria
DE177 Pneumococcal diseaseThe vaccine preventable disease being targeted is pneumococcal
DE178 RubellaThe vaccine preventable disease being targeted is rubella
DE179 DengueThe vaccine preventable disease being targeted is dengue
DE180 RabiesThe vaccine preventable disease being targeted is rabies
DE181 MeningococcalThe vaccine preventable disease being targeted is meningococcal
DE182 CholeraThe vaccine preventable disease being targeted is cholera
DE183 Tick-borne encephalitisThe vaccine preventable disease being targeted is Tick-Borne encephalitis
DE184 Yellow feverThe vaccine preventable disease being targeted is yellow fever
DE148 COVID-19The vaccine preventable disease being targeted is coronovirus disease (COVID-19)
DE149 Due date of next doseDate on which the next vaccination should be administered, if a next dose is required
DE185 Date/time of follow-up appointmentDate the patient is to return for next vaccination
DE186 Recommended follow-up dateDate when follow-up is recommended based on vaccination schedule
DE150 Digital certificate neededIndicates if a digital certificate is required
DE151 Certificate issuerThe 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 fromDate in which the certificate for an immunization event became valid. No health or clinical inferences should be made from this date
DE154 Certificate valid untilLast 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 versionVersion of the core data set and HL7 Fast Health Interoperability Resrouces (FHIR) Implementation Guide that the certificate is using