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.Pneumococcal.3 doses schedule

Official URL: http://smart.who.int/immunizations/PlanDefinition/IMMZD18SPneumococcal3p0b Version: 0.2.0
Draft as of 2025-09-17 Computable Name: IMMZD18SPneumococcal3p0b

IMMZ.D18.S.Pneumococcal.3 doses schedule 3 primary doses (3p+0) schedule

Id: IMMZD18SPneumococcal3p0b
Url: IMMZ.D18.S.Pneumococcal.3 doses schedule
Version: 0.2.0
Title: IMMZ.D18.S.Pneumococcal.3 doses 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.Pneumococcal.3 doses schedule 3 primary doses (3p+0) schedule

Knowledge Capability: computable
Related Artifacts:

References

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


Libraries:
IMMZD18SPneumococcal3p0bLogic
Actions:
Pneumococcal dose 1: Provision of the pneumococcal dose 1 Trigger event: Child's birth Trigger date: "Date of birth" Create condition: Pneumococcal dose 1 should be provided if the client is older than 6 weeks
If: Applicability: Pneumococcal dose 1 (Pneumococcal dose 1)
Then: Definition: IMMZ.D2.DT.CR
Dynamic Values:
status: ('active')
payload.contentString: (Pneumococcal 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' })
Pneumococcal dose 2, first within 24m: Provision of the pneumococcal dose 2 Trigger event: First pneumococcal dose from the primary series was administered to client, who is less than or equal to 5 years of age, within 24 months post birth Today's date − "Date of birth" ≤ 5 years AND Count of vaccines administered (where "Vaccine type" = "Pneumococcal vaccines" and "Type of dose" = "Primary series") = 1 AND "Date and time of vaccination" (where "Vaccine type" = "Pneumococcal vaccines") − "Date of birth" < 24 months Trigger date: Latest "Date and time of vaccination" (where "Vaccine type" = "Pneumococcal vaccines") Create condition: Pneumococcal dose 2 should be provided if the client was given the previous dose more than 4 weeks ago
If: Applicability: Pneumococcal dose 2, first within 24m (Pneumococcal dose 2, first within 24m)
Then: Definition: IMMZ.D2.DT.CR
Dynamic Values:
status: ('active')
payload.contentString: (Pneumococcal dose 2, first within 24m 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' })
Pneumococcal dose 2, first after 24m: Provision of the pneumococcal dose 2 Trigger event: First pneumococcal dose from the primary series was administered to client, who is less than or equal to 5 years of age. Pneumococcal dose was not administered within 24 months post birth. Client is at high risk for pneumococcal infection. Today's date − "Date of birth" ≤ 5 years AND Count of vaccines administered (where "Vaccine type" = "Pneumococcal vaccines" and "Type of dose" = "Primary series") = 1 AND "Date and time of vaccination" (where "Vaccine type" = "Pneumococcal vaccines") − "Date of birth" ≥ 24 months AND "At high risk for pneumococcal infection" = TRUE Trigger date: Latest "Date and time of vaccination" (where "Vaccine type" = "Pneumococcal vaccines") Create condition: Pneumococcal dose 2 should be provided if the client was given the previous dose more than 8 weeks ago
If: Applicability: Pneumococcal dose 2, first after 24m (Pneumococcal dose 2, first after 24m)
Then: Definition: IMMZ.D2.DT.CR
Dynamic Values:
status: ('active')
payload.contentString: (Pneumococcal dose 2, first after 24m 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' })
Pneumococcal dose 3: Provision of the pneumococcal dose 3 Trigger event: Second pneumococcal dose from the primary series was administered to client, who is less than or equal to 5 years of age. First pneumococcal dose was administered within 12 months post birth. Today's date − "Date of birth" ≤ 5 years AND Count of vaccines administered (where "Vaccine type" = "Pneumococcal vaccines" and "Type of dose" = "Primary series") = 2 AND "Date and time of vaccination" (where "Vaccine type" = "Pneumococcal vaccines" AND "Dose number" = 1) − "Date of birth" < 12 months Trigger date: Latest "Date and time of vaccination" (where "Vaccine type" = "Pneumococcal vaccines") Create condition: Pneumococcal dose 3 should be provided if the client was given the previous dose more than 4 weeks ago
If: Applicability: Pneumococcal dose 3 (Pneumococcal dose 3)
Then: Definition: IMMZ.D2.DT.CR
Dynamic Values:
status: ('active')
payload.contentString: (Pneumococcal 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' })
Pneumococcal booster dose: Provision of booster dose for HIV-positive infants and preterm neonates Trigger event: Third pneumococcal dose from the primary series was administered to client, who is more than 12 months of age. The latest pneumococcal dose was administered within 12 months post birth. Client is either HIV positive or had preterm birth. Today's date − "Date of birth" > 12 months AND Count of vaccines administered (where "Vaccine type" = "Pneumococcal vaccines" and "Type of dose" = "Primary series") = 3 AND Latest "Date and time of vaccination" (where "Vaccine type" = "Pneumococcal vaccines") − "Date of birth" < 12 months AND ("HIV status" = "HIV-positive" OR "Preterm birth" = TRUE) Trigger date: "Date of birth" Create condition: HIV-positive infants and preterm neonates who have received their 3 primary vaccine doses before 12 months of age may benefit from a booster dose in the second year of life
If: Applicability: Pneumococcal booster dose (Pneumococcal booster dose)
Then: Definition: IMMZ.D2.DT.CR
Dynamic Values:
status: ('active')
payload.contentString: (Pneumococcal 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' })