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/ and changes regularly. See the Directory of published versions

PlanDefinition: IMMZ.D18.S.Cholera.WC-rBS vaccine 3-dose schedule

Official URL: http://smart.who.int/immunizations/PlanDefinition/IMMZD18SCholerarBS2to5 Version: 0.2.0
Draft as of 2025-09-17 Computable Name: IMMZD18SCholerarBS2to5

IMMZ.D18.S.Cholera.WC-rBS vaccine 3-dose schedule Whole cell-recombinant B subunit (WC-rBS) vaccine (Dukoral), 3-dose schedule for clients aged 2–5 years

Id: IMMZD18SCholerarBS2to5
Url: IMMZ.D18.S.Cholera.WC-rBS vaccine 3-dose schedule
Version: 0.2.0
Title: IMMZ.D18.S.Cholera.WC-rBS vaccine 3-dose schedule
Status: draft
Type:

system: http://terminology.hl7.org/CodeSystem/plan-definition-type

code: eca-rule

Date: 2025-09-17 23:03:28+0000
Publisher: WHO
Description:

IMMZ.D18.S.Cholera.WC-rBS vaccine 3-dose schedule Whole cell-recombinant B subunit (WC-rBS) vaccine (Dukoral), 3-dose schedule for clients aged 2–5 years

Knowledge Capability: computable
Related Artifacts:

References

  • WHO recommendations for routine immunization - summary tables (January 2025)


Libraries:
IMMZD18SCholerarBS2to5Logic
Actions:
Cholera dose 1: Provision of the cholera dose 1 Trigger event: Child's birth Count of vaccines administered (where "Vaccine type" = "Cholera vaccines") = 0 AND (2 years ≤ Today's date − "Date of birth" ≤ 5 years) OR Primary series interrupted for 6 or more weeks "Completed the primary vaccination series" (where "Vaccine type" = "Cholera vaccines") = FALSE AND Today's date − latest "Date and time of vaccination" (where "Vaccine type" = "Cholera vaccines") ≥ 6 weeks AND (2 years ≤ Today's date − "Date of birth" ≤ 5 years) OR more than 6 months have passed since completion of primary vaccination series "Completed the primary vaccination series" (where "Vaccine type" = "Cholera vaccines") = TRUE AND Today's date − latest "Date and time of vaccination" (where "Vaccine type" = "Cholera vaccines") > 6 months AND (2 years ≤ Today's date − "Date of birth" ≤ 5 years) Trigger date: "Date of birth" OR Latest "Date and time of vaccination" (where "Vaccine type" = "Cholera vaccines") Create condition: For WC-rBS vaccine (Dukoral), 3 doses should be given to children 2–5 years of age, with an interval of 1-6 weeks between doses. If the interval since the last dose ≥ 6 weeks, restart the primary series. Revaccination for children aged 2–5 years: If more than 6 months have passed since completion of primary vaccination series, the primary series of 3 doses should be repeated.
If: Applicability: Cholera dose 1 (Cholera dose 1)
Then: Definition: IMMZ.D2.DT.CR
Dynamic Values:
status: ('active')
payload.contentString: (Cholera dose 1 Create)
category.coding: (Code { system: 'http://terminology.hl7.org/CodeSystem/communication-category', code: 'alert' })
priority: (Code { system: 'http://hl7.org/fhir/request-priority', code: 'routine' })
Cholera dose 2: Provision of the cholera dose 2 Trigger event: First cholera dose was administered Latest "Dose number" (where "Vaccine type" = "Cholera vaccines") = 1 AND (2 years ≤ Today's date − "Date of birth" ≤ 5 years) Trigger date: Latest "Date and time of vaccination" (where "Vaccine type" = "Cholera vaccines") Create condition: For WC-rBS vaccine (Dukoral), 3 doses should be given to children aged 2–5 years, with an interval of 1–6 weeks between doses.
If: Applicability: Cholera dose 2 (Cholera dose 2)
Then: Definition: IMMZ.D2.DT.CR
Dynamic Values:
status: ('active')
payload.contentString: (Cholera dose 2 Create)
category.coding: (Code { system: 'http://terminology.hl7.org/CodeSystem/communication-category', code: 'alert' })
priority: (Code { system: 'http://hl7.org/fhir/request-priority', code: 'routine' })
Cholera dose 3: Provision of the cholera dose 3 Trigger event: Second cholera dose was administered Latest "Dose number" (where "Vaccine type" = "Cholera vaccines") = 2 AND (2 years ≤ Today's date − "Date of birth" ≤ 5 years) Trigger date: Latest "Date and time of vaccination" (where "Vaccine type" = "Cholera vaccines") Create condition: For WC-rBS vaccine (Dukoral), 3 doses should be given to children aged 2–5 years, with an interval of 1–6 weeks between doses.
If: Applicability: Cholera dose 3 (Cholera dose 3)
Then: Definition: IMMZ.D2.DT.CR
Dynamic Values:
status: ('active')
payload.contentString: (Cholera dose 3 Create)
category.coding: (Code { system: 'http://terminology.hl7.org/CodeSystem/communication-category', code: 'alert' })
priority: (Code { system: 'http://hl7.org/fhir/request-priority', code: 'routine' })
Cholera booster dose: Provision of the cholera booster dose Trigger event: Primary series for cholera has been completed and latest cholera dose was administered approximately less than 6 months ago "Completed the primary vaccination series" (where "Vaccine type" = "Cholera vaccines") = TRUE AND Today's date − latest "Date and time of vaccination" (where "Vaccine type" = "Cholera vaccines") ≤ 6 months ± Member States defined interval AND (2 years ≤ Today's date − "Date of birth" ≤ 5 years) Trigger date: Latest "Date and time of vaccination" (where "Vaccine type" = "Cholera vaccines") Create condition: For WC-rBS vaccine, for children aged 2–5 years, if less than 6 months have passed since completion of primary vaccination series, 1 dose for revaccination.
If: Applicability: Cholera booster dose (Cholera booster dose)
Then: Definition: IMMZ.D2.DT.CR
Dynamic Values:
status: ('active')
payload.contentString: (Cholera booster dose Create)
category.coding: (Code { system: 'http://terminology.hl7.org/CodeSystem/communication-category', code: 'alert' })
priority: (Code { system: 'http://hl7.org/fhir/request-priority', code: 'routine' })