{
  "resourceType" : "ValueSet",
  "id" : "IMMZD5DTPneumococcalContraindicationsVS",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ValueSet IMMZD5DTPneumococcalContraindicationsVS</b></p><a name=\"IMMZD5DTPneumococcalContraindicationsVS\"> </a><a name=\"hcIMMZD5DTPneumococcalContraindicationsVS\"> </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><td><b>Definition</b></td></tr><tr><td><a name=\"IMMZD5DTPneumococcalContraindicationsVS-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\">\u00a0\u00a0<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><td><div><p>&quot;Potential contraindications&quot; = &quot;History of anaphylactic reactions&quot;</p>\n</div></td></tr><tr><td><a name=\"IMMZD5DTPneumococcalContraindicationsVS-http://smart.who.int/immunizations/CodeSystem/IMMZDAK-Pneumococcal|20vaccination|20could|20be|20contraindicated.|20Clinical|20judgement|20is|20required.|20Create|20a|20clinical|20note-66\"> </a><code>http://smart.who.int/immunizations/CodeSystem/IMMZDAK</code></td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-IMMZDAK.html#IMMZDAK-Pneumococcalvaccinationcouldbecontraindicated.46Clinicaljudgementisrequired.46Createaclinicalnote-66\">Pneumococcal vaccination could be contraindicated. Clinical judgement is required. Create a clinical note-66</a></td><td>Pneumococcal vaccination could be contraindicated. Clinical judgement is required. Create a clinical note</td><td><div><p>&quot;Immunization recommendation status&quot; = &quot;Further evaluation needed&quot;</p>\n</div></td></tr><tr><td><a name=\"IMMZD5DTPneumococcalContraindicationsVS-http://smart.who.int/immunizations/CodeSystem/IMMZDAK-The|20client|20has|20a|20history|20of|20severe|20allergic|20reactions-59\"> </a><code>http://smart.who.int/immunizations/CodeSystem/IMMZDAK</code></td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-IMMZDAK.html#IMMZDAK-Theclienthasahistoryofsevereallergicreactions-59\">The client has a history of severe allergic reactions-59</a></td><td>The client has a history of severe allergic reactions</td><td><div><p>&quot;Potential contraindications&quot; = &quot;Severe allergic reactions&quot;</p>\n</div></td></tr><tr><td><a name=\"IMMZD5DTPneumococcalContraindicationsVS-http://smart.who.int/immunizations/CodeSystem/IMMZDAK-Pneumococcal|20vaccination|20could|20be|20contraindicated.|20Clinical|20judgement|20is|20required.|20Create|20a|20clinical|20note.-66\"> </a><code>http://smart.who.int/immunizations/CodeSystem/IMMZDAK</code></td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-IMMZDAK.html#IMMZDAK-Pneumococcalvaccinationcouldbecontraindicated.46Clinicaljudgementisrequired.46Createaclinicalnote.46-66\">Pneumococcal vaccination could be contraindicated. Clinical judgement is required. Create a clinical note.-66</a></td><td>Pneumococcal vaccination could be contraindicated. Clinical judgement is required. Create a clinical note.</td><td><div><p>&quot;Immunization recommendation status&quot; = &quot;Further evaluation needed&quot;</p>\n</div></td></tr></table></div>"
  },
  "url" : "http://smart.who.int/immunizations/ValueSet/IMMZD5DTPneumococcalContraindicationsVS",
  "version" : "1.0.0",
  "name" : "IMMZD5DTPneumococcalContraindicationsVS",
  "title" : "IMMZD5DTPneumococcalContraindications ValueSet for Decision Table",
  "status" : "active",
  "date" : "2026-03-31T13:54:17+00:00",
  "publisher" : "WHO",
  "contact" : [{
    "name" : "WHO",
    "telecom" : [{
      "system" : "url",
      "value" : "http://who.int"
    }]
  }],
  "description" : "ValueSet IMMZD5DTPneumococcalContraindications for IMMZ.D5.DT.Pneumococcal contraindications.\nBusiness rule: Check for contraindications before administering the vaccine(s) due\nTrigger: IMMZ.D5 Determine vaccine(s) to be administered based on contraindications\nTable: IMMZ.D5.DT.Pneumococcal contraindications",
  "compose" : {
    "include" : [{
      "system" : "http://smart.who.int/immunizations/CodeSystem/IMMZDAK",
      "concept" : [{
        "code" : "The client has a history of anaphylactic reactions-67",
        "display" : "The client has a history of anaphylactic reactions"
      },
      {
        "code" : "Pneumococcal vaccination could be contraindicated. Clinical judgement is required. Create a clinical note-66",
        "display" : "Pneumococcal vaccination could be contraindicated. Clinical judgement is required. Create a clinical note"
      },
      {
        "code" : "The client has a history of severe allergic reactions-59",
        "display" : "The client has a history of severe allergic reactions"
      },
      {
        "code" : "Pneumococcal vaccination could be contraindicated. Clinical judgement is required. Create a clinical note.-66",
        "display" : "Pneumococcal vaccination could be contraindicated. Clinical judgement is required. Create a clinical note."
      }]
    }]
  },
  "expansion" : {
    "timestamp" : "2025-09-29T20:59:26.458Z",
    "contains" : [{
      "system" : "http://smart.who.int/immunizations/CodeSystem/IMMZDAK",
      "code" : "The client has a history of anaphylactic reactions-67",
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      "code" : "Pneumococcal vaccination could be contraindicated. Clinical judgement is required. Create a clinical note.-66",
      "display" : "Pneumococcal vaccination could be contraindicated. Clinical judgement is required. Create a clinical note."
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}