{
  "resourceType" : "ValueSet",
  "id" : "IMMZ.D5.DT.Dengue.CI",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ValueSet IMMZ.D5.DT.Dengue.CI</b></p><a name=\"IMMZ.D5.DT.Dengue.CI\"> </a><a name=\"hcIMMZ.D5.DT.Dengue.CI\"> </a><p>This value set expansion contains 11 concepts.</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>System</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"IMMZ.D5.DT.Dengue.CI-http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Inputs-tchhosar-51.63\"> </a>\u00a0\u00a0<a href=\"CodeSystem-IMMZ.D5.DT.Inputs.html#IMMZ.D5.DT.Inputs-tchhosar-51.4663\">tchhosar-51.63</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Inputs</td><td>The client has history of severe allergic reactions</td><td>&quot;Potential contraindications&quot; = &quot;Severe allergic reactions&quot;</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"IMMZ.D5.DT.Dengue.CI-http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Inputs-tcicp-32.56\"> </a>\u00a0\u00a0<a href=\"CodeSystem-IMMZ.D5.DT.Inputs.html#IMMZ.D5.DT.Inputs-tcicp-32.4656\">tcicp-32.56</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Inputs</td><td>The client is currently pregnant</td><td>&quot;Potential contraindications&quot; = &quot;Currently pregnant&quot;</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"IMMZ.D5.DT.Dengue.CI-http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Inputs-tcisi-40.64\"> </a>\u00a0\u00a0<a href=\"CodeSystem-IMMZ.D5.DT.Inputs.html#IMMZ.D5.DT.Inputs-tcisi-40.4664\">tcisi-40.64</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Inputs</td><td>The client is severely immunocompromised</td><td>&quot;Potential contraindications&quot; = &quot;Severely immunocompromised&quot;</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"IMMZ.D5.DT.Dengue.CI-http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Inputs-tcii-31.55\"> </a>\u00a0\u00a0<a href=\"CodeSystem-IMMZ.D5.DT.Inputs.html#IMMZ.D5.DT.Inputs-tcii-31.4655\">tcii-31.55</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Inputs</td><td>The client is immunocompromised</td><td>&quot;Potential contraindications&quot; = &quot;Immunocompromised&quot;</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"IMMZ.D5.DT.Dengue.CI-http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Inputs-tcicl-33.52\"> </a>\u00a0\u00a0<a href=\"CodeSystem-IMMZ.D5.DT.Inputs.html#IMMZ.D5.DT.Inputs-tcicl-33.4652\">tcicl-33.52</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Inputs</td><td>The client is currently lactating</td><td>'&quot;Potential contraindications&quot; = &quot;Breastfeeding&quot;</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"IMMZ.D5.DT.Dengue.CI-http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Inputs-tchhoar-48.70\"> </a>\u00a0\u00a0<a href=\"CodeSystem-IMMZ.D5.DT.Inputs.html#IMMZ.D5.DT.Inputs-tchhoar-48.4670\">tchhoar-48.70</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Inputs</td><td>The client has history of anaphylactic reactions</td><td>&quot;Potential contraindications&quot; =&quot;History of anaphylactic reactions&quot;</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"IMMZ.D5.DT.Dengue.CI-http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Inputs-tchis-41.64\"> </a>\u00a0\u00a0<a href=\"CodeSystem-IMMZ.D5.DT.Inputs.html#IMMZ.D5.DT.Inputs-tchis-41.4664\">tchis-41.64</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Inputs</td><td>The client has immunodeficiency syndromes</td><td>&quot;Potential contraindications&quot; = &quot;Immunodeficiency syndromes&quot;</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"IMMZ.D5.DT.Dengue.CI-http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Inputs-tcisi-39.63\"> </a>\u00a0\u00a0<a href=\"CodeSystem-IMMZ.D5.DT.Inputs.html#IMMZ.D5.DT.Inputs-tcisi-39.4663\">tcisi-39.63</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Inputs</td><td>The client is severely immunosuppressed</td><td>&quot;Potential contraindications&quot; = &quot;Severely immunosuppressed&quot;</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"IMMZ.D5.DT.Dengue.CI-http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Inputs-tchshi-40.63\"> </a>\u00a0\u00a0<a href=\"CodeSystem-IMMZ.D5.DT.Inputs.html#IMMZ.D5.DT.Inputs-tchshi-40.4663\">tchshi-40.63</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Inputs</td><td>The client has symptomatic HIV infection</td><td>&quot;Potential contraindications&quot; = &quot;Symptomatic HIV infection&quot;</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"IMMZ.D5.DT.Dengue.CI-http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Outputs-dvic-37.60\"> </a>\u00a0\u00a0<a href=\"CodeSystem-IMMZ.D5.DT.Outputs.html#IMMZ.D5.DT.Outputs-dvic-37.4660\">dvic-37.60</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Outputs</td><td>Dengue vaccination is contraindicated</td><td>&quot;Immunization recommendation status&quot; = &quot;Contraindicated&quot;</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"IMMZ.D5.DT.Dengue.CI-http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Outputs-dvcbccjircacn-100.70\"> </a>\u00a0\u00a0<a href=\"CodeSystem-IMMZ.D5.DT.Outputs.html#IMMZ.D5.DT.Outputs-dvcbccjircacn-100.4670\">dvcbccjircacn-100.70</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Outputs</td><td>Dengue vaccination could be contraindicated. Clinical judgement is required. Create a clinical note.</td><td>&quot;Immunization recommendation status&quot; = &quot;Further evaluation needed&quot;</td></tr></table></div>"
  },
  "url" : "http://smart.who.int/immunizations/ValueSet/IMMZ.D5.DT.Dengue.CI",
  "version" : "0.2.0",
  "name" : "IMMZ_D5_DT_Dengue_contraindications",
  "title" : "IMMZ.D5.DT.Dengue.CI ValueSet for Decision Table",
  "status" : "active",
  "date" : "2025-07-02T07:24:46+00:00",
  "publisher" : "WHO",
  "contact" : [{
    "name" : "WHO",
    "telecom" : [{
      "system" : "url",
      "value" : "http://who.int"
    }]
  }],
  "description" : "ValueSet IMMZ.D5.DT.Dengue.CI for IMMZ.D5.DT.Dengue contraindications.\nBusiness rule: Check for contraindications before administering the vaccine(s) due\t\nTrigger: IMMZ.D5 Determine vaccine(s) to be administered based on contraindications\nTable: Potential contraindications",
  "compose" : {
    "include" : [{
      "system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Inputs",
      "concept" : [{
        "code" : "tchhosar-51.63",
        "display" : "The client has history of severe allergic reactions"
      },
      {
        "code" : "tcicp-32.56",
        "display" : "The client is currently pregnant"
      },
      {
        "code" : "tcisi-40.64",
        "display" : "The client is severely immunocompromised"
      },
      {
        "code" : "tcii-31.55",
        "display" : "The client is immunocompromised"
      },
      {
        "code" : "tcicl-33.52",
        "display" : "The client is currently lactating"
      },
      {
        "code" : "tchhoar-48.70",
        "display" : "The client has history of anaphylactic reactions"
      },
      {
        "code" : "tchis-41.64",
        "display" : "The client has immunodeficiency syndromes"
      },
      {
        "code" : "tcisi-39.63",
        "display" : "The client is severely immunosuppressed"
      },
      {
        "code" : "tchshi-40.63",
        "display" : "The client has symptomatic HIV infection"
      }]
    },
    {
      "system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Outputs",
      "concept" : [{
        "code" : "dvic-37.60",
        "display" : "Dengue vaccination is contraindicated"
      },
      {
        "code" : "dvcbccjircacn-100.70",
        "display" : "Dengue vaccination could be contraindicated. Clinical judgement is required. Create a clinical note."
      }]
    }]
  },
  "expansion" : {
    "timestamp" : "2025-06-25T16:39:07.092Z",
    "contains" : [{
      "system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Inputs",
      "code" : "tchhosar-51.63",
      "display" : "The client has history of severe allergic reactions"
    },
    {
      "system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Inputs",
      "code" : "tcicp-32.56",
      "display" : "The client is currently pregnant"
    },
    {
      "system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Inputs",
      "code" : "tcisi-40.64",
      "display" : "The client is severely immunocompromised"
    },
    {
      "system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Inputs",
      "code" : "tcii-31.55",
      "display" : "The client is immunocompromised"
    },
    {
      "system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Inputs",
      "code" : "tcicl-33.52",
      "display" : "The client is currently lactating"
    },
    {
      "system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Inputs",
      "code" : "tchhoar-48.70",
      "display" : "The client has history of anaphylactic reactions"
    },
    {
      "system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Inputs",
      "code" : "tchis-41.64",
      "display" : "The client has immunodeficiency syndromes"
    },
    {
      "system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Inputs",
      "code" : "tcisi-39.63",
      "display" : "The client is severely immunosuppressed"
    },
    {
      "system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Inputs",
      "code" : "tchshi-40.63",
      "display" : "The client has symptomatic HIV infection"
    },
    {
      "system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Outputs",
      "code" : "dvic-37.60",
      "display" : "Dengue vaccination is contraindicated"
    },
    {
      "system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Outputs",
      "code" : "dvcbccjircacn-100.70",
      "display" : "Dengue vaccination could be contraindicated. Clinical judgement is required. Create a clinical note."
    }]
  }
}