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.DTP.Pregnancy starting with 4 doses schedule

Official URL: http://smart.who.int/immunizations/PlanDefinition/IMMZD18SDTPPregnant4 Version: 0.2.0
Draft as of 2025-10-17 Computable Name: IMMZD18SDTPPregnant4

IMMZ.D18.S.DTP.Pregnancy starting with 4 doses schedule Diphtheria and tetanus vaccination schedule in pregnant women who received 4 childhood diphtheria–tetanus–pertussis (DTP) doses

Id: IMMZD18SDTPPregnant4
Url: IMMZ.D18.S.DTP.Pregnancy starting with 4 doses schedule
Version: 0.2.0
Title: IMMZ.D18.S.DTP.Pregnancy starting with 4 doses schedule
Status: draft
Type:

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

code: eca-rule

Date: 2025-10-17 22:33:23+0000
Publisher: WHO
Description:

IMMZ.D18.S.DTP.Pregnancy starting with 4 doses schedule Diphtheria and tetanus vaccination schedule in pregnant women who received 4 childhood diphtheria–tetanus–pertussis (DTP) doses
Knowledge Capability: computable
Related Artifacts:

References

  • ​

    WHO recommendations for routine immunization - summary tables (January 2025)
Libraries:
IMMZD18SDTPPregnant4Logic
Actions:
Tetanus and diphtheria-containing vaccine booster dose 2 (during pregnancy): Provision of tetanus and diphtheria booster dose 2 for pregnant women who received 4 tetanus-containing vaccines doses during childhood or pre-adulthood Trigger event: The primary DTP series has been completed, first tetanus and diphtheria booster dose was administered and client is currently pregnant "Completed the primary vaccination series" = TRUE (where "Vaccine type" = "DTP-containing vaccines") AND Count of vaccines administered where "Vaccine type" = "Tetanus and diphtheria-containing vaccines" and "Type of dose" = "Booster dose") = 1 AND "Currently pregnant" = TRUE Trigger date: First ANC contact date "Contact date" WHEN "ANC contact number" = 1 Create condition: Women who received 4 tetanus-containing vaccine doses during childhood or pre-adulthood need only 1 booster dose, which should be given at the first opportunity.
If: Applicability: Tetanus and diphtheria-containing vaccine booster dose 2 (during pregnancy) (Tetanus and diphtheria-containing vaccine booster dose 2 (during pregnancy))
Then: Definition: IMMZ.D2.DT.CR
Dynamic Values:
status: ('active')
payload.contentString: (Tetanus and diphtheria-containing vaccine booster dose 2 (during pregnancy) 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' })
Tetanus and diphtheria-containing vaccine booster dose 3: Provision of tetanus and diphtheria booster dose 3 for pregnant women who received 4 tetanus-containing vaccines doses during childhood or pre-adulthood Trigger event: Second tetanus and diphtheria booster dose was administered Count of vaccines administered (where "Vaccine type" = "Tetanus and diphtheria-containing vaccines" and "Type of dose" = "Booster dose") = 2 Trigger date: Latest "Date and time of vaccination" where "Vaccine type" = "Tetanus and diphtheria-containing vaccines" Create condition: To provide lifelong protection for tetanus, a sixth dose should be provided at least 1 year after the fifth dose, or in next pregnancy.
If: Applicability: Tetanus and diphtheria-containing vaccine booster dose 3 (Tetanus and diphtheria-containing vaccine booster dose 3)
Then: Definition: IMMZ.D2.DT.CR
Dynamic Values:
status: ('active')
payload.contentString: (Tetanus and diphtheria-containing vaccine booster 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' })