{
  "resourceType" : "ValueSet",
  "id" : "IMMZD5DTRubellaContraindicationsVS",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ValueSet IMMZD5DTRubellaContraindicationsVS</b></p><a name=\"IMMZD5DTRubellaContraindicationsVS\"> </a><a name=\"hcIMMZD5DTRubellaContraindicationsVS\"> </a><p>This value set expansion contains 11 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=\"IMMZD5DTRubellaContraindicationsVS-http://smart.who.int/immunizations/CodeSystem/IMMZDAK-The|20client|20is|20currently|20pregnant-52\"> </a><code>http://smart.who.int/immunizations/CodeSystem/IMMZDAK</code></td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-IMMZDAK.html#IMMZDAK-Theclientiscurrentlypregnant-52\">The client is currently pregnant-52</a></td><td>The client is currently pregnant</td><td><div><p>&quot;Potential contraindications&quot; = &quot;Currently pregnant&quot;</p>\n</div></td></tr><tr><td><a name=\"IMMZD5DTRubellaContraindicationsVS-http://smart.who.int/immunizations/CodeSystem/IMMZDAK-Rubella|20vaccination|20is|20contraindicated-56\"> </a><code>http://smart.who.int/immunizations/CodeSystem/IMMZDAK</code></td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-IMMZDAK.html#IMMZDAK-Rubellavaccinationiscontraindicated-56\">Rubella vaccination is contraindicated-56</a></td><td>Rubella vaccination is contraindicated</td><td><div><p>&quot;Immunization recommendation status&quot; = &quot;Contraindicated&quot;</p>\n</div></td></tr><tr><td><a name=\"IMMZD5DTRubellaContraindicationsVS-http://smart.who.int/immunizations/CodeSystem/IMMZDAK-The|20client|20is|20planning|20to|20get|20pregnant|20in|20next|20month-76\"> </a><code>http://smart.who.int/immunizations/CodeSystem/IMMZDAK</code></td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-IMMZDAK.html#IMMZDAK-Theclientisplanningtogetpregnantinnextmonth-76\">The client is planning to get pregnant in next month-76</a></td><td>The client is planning to get pregnant in next month</td><td><div><p>&quot;Potential contraindications&quot; = &quot;Planning to get pregnant in the next month&quot;</p>\n</div></td></tr><tr><td><a name=\"IMMZD5DTRubellaContraindicationsVS-http://smart.who.int/immunizations/CodeSystem/IMMZDAK-Clinical|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-Clinicaljudgementisrequired.46Createaclinicalnote-66\">Clinical judgement is required. Create a clinical note-66</a></td><td>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=\"IMMZD5DTRubellaContraindicationsVS-http://smart.who.int/immunizations/CodeSystem/IMMZDAK-The|20client|20is|20receiving|20blood|20products-58\"> </a><code>http://smart.who.int/immunizations/CodeSystem/IMMZDAK</code></td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-IMMZDAK.html#IMMZDAK-Theclientisreceivingbloodproducts-58\">The client is receiving blood products-58</a></td><td>The client is receiving blood products</td><td><div><p>&quot;Potential contraindications&quot; = &quot;Receiving blood products&quot;</p>\n</div></td></tr><tr><td><a name=\"IMMZD5DTRubellaContraindicationsVS-http://smart.who.int/immunizations/CodeSystem/IMMZDAK-The|20client|20has|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-Theclienthashistoryofsevereallergicreactions-59\">The client has history of severe allergic reactions-59</a></td><td>The client has 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=\"IMMZD5DTRubellaContraindicationsVS-http://smart.who.int/immunizations/CodeSystem/IMMZDAK-Rubella|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-Rubellavaccinationcouldbecontraindicated.46Clinicaljudgementisrequired.46Createaclinicalnote-66\">Rubella vaccination could be contraindicated. Clinical judgement is required. Create a clinical note-66</a></td><td>Rubella 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=\"IMMZD5DTRubellaContraindicationsVS-http://smart.who.int/immunizations/CodeSystem/IMMZDAK-The|20client|20has|20symptomatic|20HIV|20infection-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-TheclienthassymptomaticHIVinfection-59\">The client has symptomatic HIV infection-59</a></td><td>The client has symptomatic HIV infection</td><td><div><p>&quot;Potential contraindications&quot; = &quot;Symptomatic HIV infection&quot;</p>\n</div></td></tr><tr><td><a name=\"IMMZD5DTRubellaContraindicationsVS-http://smart.who.int/immunizations/CodeSystem/IMMZDAK-The|20client|20has|20TB|20disease-44\"> </a><code>http://smart.who.int/immunizations/CodeSystem/IMMZDAK</code></td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-IMMZDAK.html#IMMZDAK-TheclienthasTBdisease-44\">The client has TB disease-44</a></td><td>The client has TB disease</td><td><div><p>&quot;Potential contraindications&quot; = &quot;TB disease&quot;</p>\n</div></td></tr><tr><td><a name=\"IMMZD5DTRubellaContraindicationsVS-http://smart.who.int/immunizations/CodeSystem/IMMZDAK-The|20client|20has|20immunodeficiency|20syndromes-60\"> </a><code>http://smart.who.int/immunizations/CodeSystem/IMMZDAK</code></td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-IMMZDAK.html#IMMZDAK-Theclienthasimmunodeficiencysyndromes-60\">The client has immunodeficiency syndromes-60</a></td><td>The client has immunodeficiency syndromes</td><td><div><p>&quot;Potential contraindications&quot; = &quot;Immunodeficiency syndromes&quot;</p>\n</div></td></tr><tr><td><a name=\"IMMZD5DTRubellaContraindicationsVS-http://smart.who.int/immunizations/CodeSystem/IMMZDAK-The|20client|20is|20exposed|20to|20immunosuppressive|20treatment-72\"> </a><code>http://smart.who.int/immunizations/CodeSystem/IMMZDAK</code></td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-IMMZDAK.html#IMMZDAK-Theclientisexposedtoimmunosuppressivetreatment-72\">The client is exposed to immunosuppressive treatment-72</a></td><td>The client is exposed to immunosuppressive treatment</td><td><div><p>&quot;Potential contraindications&quot; = &quot;Exposed to immunosuppressive treatment&quot;</p>\n</div></td></tr></table></div>"
  },
  "url" : "http://smart.who.int/immunizations/ValueSet/IMMZD5DTRubellaContraindicationsVS",
  "version" : "1.0.0",
  "name" : "IMMZD5DTRubellaContraindicationsVS",
  "title" : "IMMZD5DTRubellaContraindications 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 IMMZD5DTRubellaContraindications for IMMZ.D5.DT.Rubella 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.Rubella contraindications",
  "compose" : {
    "include" : [{
      "system" : "http://smart.who.int/immunizations/CodeSystem/IMMZDAK",
      "concept" : [{
        "code" : "The client is currently pregnant-52",
        "display" : "The client is currently pregnant"
      },
      {
        "code" : "Rubella vaccination is contraindicated-56",
        "display" : "Rubella vaccination is contraindicated"
      },
      {
        "code" : "The client is planning to get pregnant in next month-76",
        "display" : "The client is planning to get pregnant in next month"
      },
      {
        "code" : "Clinical judgement is required. Create a clinical note-66",
        "display" : "Clinical judgement is required. Create a clinical note"
      },
      {
        "code" : "The client is receiving blood products-58",
        "display" : "The client is receiving blood products"
      },
      {
        "code" : "The client has history of severe allergic reactions-59",
        "display" : "The client has history of severe allergic reactions"
      },
      {
        "code" : "Rubella vaccination could be contraindicated. Clinical judgement is required. Create a clinical note-66",
        "display" : "Rubella vaccination could be contraindicated. Clinical judgement is required. Create a clinical note"
      },
      {
        "code" : "The client has symptomatic HIV infection-59",
        "display" : "The client has symptomatic HIV infection"
      },
      {
        "code" : "The client has TB disease-44",
        "display" : "The client has TB disease"
      },
      {
        "code" : "The client has immunodeficiency syndromes-60",
        "display" : "The client has immunodeficiency syndromes"
      },
      {
        "code" : "The client is exposed to immunosuppressive treatment-72",
        "display" : "The client is exposed to immunosuppressive treatment"
      }]
    }]
  },
  "expansion" : {
    "timestamp" : "2025-09-29T20:59:26.458Z",
    "contains" : [{
      "system" : "http://smart.who.int/immunizations/CodeSystem/IMMZDAK",
      "code" : "The client is currently pregnant-52",
      "display" : "The client is currently pregnant"
    },
    {
      "system" : "http://smart.who.int/immunizations/CodeSystem/IMMZDAK",
      "code" : "Rubella vaccination is contraindicated-56",
      "display" : "Rubella vaccination is contraindicated"
    },
    {
      "system" : "http://smart.who.int/immunizations/CodeSystem/IMMZDAK",
      "code" : "The client is planning to get pregnant in next month-76",
      "display" : "The client is planning to get pregnant in next month"
    },
    {
      "system" : "http://smart.who.int/immunizations/CodeSystem/IMMZDAK",
      "code" : "Clinical judgement is required. Create a clinical note-66",
      "display" : "Clinical judgement is required. Create a clinical note"
    },
    {
      "system" : "http://smart.who.int/immunizations/CodeSystem/IMMZDAK",
      "code" : "The client is receiving blood products-58",
      "display" : "The client is receiving blood products"
    },
    {
      "system" : "http://smart.who.int/immunizations/CodeSystem/IMMZDAK",
      "code" : "The client has history of severe allergic reactions-59",
      "display" : "The client has history of severe allergic reactions"
    },
    {
      "system" : "http://smart.who.int/immunizations/CodeSystem/IMMZDAK",
      "code" : "Rubella vaccination could be contraindicated. Clinical judgement is required. Create a clinical note-66",
      "display" : "Rubella vaccination could be contraindicated. Clinical judgement is required. Create a clinical note"
    },
    {
      "system" : "http://smart.who.int/immunizations/CodeSystem/IMMZDAK",
      "code" : "The client has symptomatic HIV infection-59",
      "display" : "The client has symptomatic HIV infection"
    },
    {
      "system" : "http://smart.who.int/immunizations/CodeSystem/IMMZDAK",
      "code" : "The client has TB disease-44",
      "display" : "The client has TB disease"
    },
    {
      "system" : "http://smart.who.int/immunizations/CodeSystem/IMMZDAK",
      "code" : "The client has immunodeficiency syndromes-60",
      "display" : "The client has immunodeficiency syndromes"
    },
    {
      "system" : "http://smart.who.int/immunizations/CodeSystem/IMMZDAK",
      "code" : "The client is exposed to immunosuppressive treatment-72",
      "display" : "The client is exposed to immunosuppressive treatment"
    }]
  }
}