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
Draft as of 2025-09-17 |
<PlanDefinition xmlns="http://hl7.org/fhir">
<id value="IMMZD18STBEFSME"/>
<meta>
<profile
value="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-recommendationdefinition"/>
<profile
value="http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareableplandefinition"/>
<profile
value="http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-publishableplandefinition"/>
</meta>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<div>
<table class="grid dict">
<tr>
<th scope="row"><b>Id: </b></th>
<td style="padding-left: 4px;">IMMZD18STBEFSME</td>
</tr>
<tr>
<th scope="row"><b>Url: </b></th>
<td style="padding-left: 4px;"><a href="PlanDefinition-IMMZD18STBEFSME.html">IMMZ.D18.S.TBE.FSME-Immun schedule</a></td>
</tr>
<tr>
<th scope="row"><b>Version: </b></th>
<td style="padding-left: 4px;">0.2.0</td>
</tr>
<tr>
<th scope="row"><b>Title: </b></th>
<td style="padding-left: 4px;">IMMZ.D18.S.TBE.FSME-Immun schedule</td>
</tr>
<tr>
<th scope="row"><b>Status: </b></th>
<td style="padding-left: 4px;">draft</td>
</tr>
<tr>
<th scope="row"><b>Type: </b></th>
<td style="padding-left: 4px;">
<p style="margin-bottom: 5px;">
<b>system: </b> <span><a href="http://terminology.hl7.org/6.5.0/CodeSystem-plan-definition-type.html">http://terminology.hl7.org/CodeSystem/plan-definition-type</a></span>
</p>
<p style="margin-bottom: 5px;">
<b>code: </b> <span>eca-rule</span>
</p>
</td>
</tr>
<tr>
<th scope="row"><b>Date: </b></th>
<td style="padding-left: 4px;">2025-09-17 23:03:28+0000</td>
</tr>
<tr>
<th scope="row"><b>Publisher: </b></th>
<td style="padding-left: 4px;">WHO</td>
</tr>
<tr>
<th scope="row"><b>Description: </b></th>
<td style="padding-left: 4px;"><div><p>IMMZ.D18.S.TBE.FSME-Immun schedule
FSME-Immun, 3-dose schedule</p>
</div></td>
</tr>
<tr>
<th scope="row"><b>Knowledge Capability: </b></th>
<td style="padding-left: 4px;">
computable
</td>
</tr>
<tr>
<th scope="row"><b>Related Artifacts: </b></th>
<td style="padding-left: 4px;">
<p><b>References</b></p>
<ul>
<li><div><p>WHO recommendations for routine immunization - summary tables (January 2025)</p>
</div><br/><a href="null"/></li>
</ul>
</td>
</tr>
<tr>
<th scope="row"><b>Libraries: </b></th>
<td style="padding-left: 4px;">
<table class="grid-dict">
<tr>
<td><a href="Library-IMMZD18STBEFSMELogic.html">IMMZD18STBEFSMELogic</a></td>
</tr>
</table>
</td>
</tr>
<tr>
<th scope="row"><b>Actions: </b></th>
<td style="padding-left: 4px;">
<table class="grid-dict">
<tr>
<td>
<b> Tick-borne encephalitis (TBE) FSME-Immun dose 1:</b> Provision of the TBE FSME-Immun dose 1
Trigger event: Child's birth
Trigger date: "Date of birth"
Create condition: The vaccine can be given from > 1 year of age
<br/>
<b>If:</b>
<i>Applicability:</i>
Tick-borne encephalitis (TBE) FSME-Immun dose 1
<i>(Tick-borne encephalitis (TBE) FSME-Immun dose 1)</i>
<br/>
<b>Then:</b> <i>Definition:</i> <a href="ActivityDefinition-IMMZD2DTCR.html">IMMZ.D2.DT.CR</a><br/>
<i>Dynamic Values:</i><br/>
status: <i>('active')</i>
<br/>
payload.contentString: <i>(Tick-borne encephalitis (TBE) FSME-Immun dose 1 Create)</i>
<br/>
category.coding: <i>(Code { system: 'http://terminology.hl7.org/CodeSystem/communication-category', code: 'alert' })</i>
<br/>
priority: <i>(Code { system: 'http://hl7.org/fhir/request-priority', code: 'routine' })</i>
<br/>
</td>
</tr>
<tr>
<td>
<b> TBE FSME-Immun dose 2:</b> Provision of the TBE FSME-Immun dose 2
Trigger event: First TBE dose from the primary series was administered
Count of vaccines administered (where "Vaccine type" = "TBE vaccines" and "Type of dose" = "Primary series") = 1
Trigger date: "Date and time of vaccination" (where "Vaccine type" = "TBE vaccines")
Create condition: An interval of 1–3 months is recommended between the first 2 doses
<br/>
<b>If:</b>
<i>Applicability:</i>
TBE FSME-Immun dose 2
<i>(TBE FSME-Immun dose 2)</i>
<br/>
<b>Then:</b> <i>Definition:</i> <a href="ActivityDefinition-IMMZD2DTCR.html">IMMZ.D2.DT.CR</a><br/>
<i>Dynamic Values:</i><br/>
status: <i>('active')</i>
<br/>
payload.contentString: <i>(TBE FSME-Immun dose 2 Create)</i>
<br/>
category.coding: <i>(Code { system: 'http://terminology.hl7.org/CodeSystem/communication-category', code: 'alert' })</i>
<br/>
priority: <i>(Code { system: 'http://hl7.org/fhir/request-priority', code: 'routine' })</i>
<br/>
</td>
</tr>
<tr>
<td>
<b> TBE FSME-Immun dose 3:</b> Provision of the TBE FSME-Immun dose 3
Trigger event: Second TBE dose from the primary series was administered
Count of vaccines administered (where "Vaccine type" = "TBE vaccines" and "Type of dose" = "Primary series") = 2
Trigger date: Latest "Date and time of vaccination" (where "Vaccine type" = "TBE vaccines")
Create condition: An interval of 5–12 months is recommended between the second and third doses
<br/>
<b>If:</b>
<i>Applicability:</i>
TBE FSME-Immun dose 3
<i>(TBE FSME-Immun dose 3)</i>
<br/>
<b>Then:</b> <i>Definition:</i> <a href="ActivityDefinition-IMMZD2DTCR.html">IMMZ.D2.DT.CR</a><br/>
<i>Dynamic Values:</i><br/>
status: <i>('active')</i>
<br/>
payload.contentString: <i>(TBE FSME-Immun dose 3 Create)</i>
<br/>
category.coding: <i>(Code { system: 'http://terminology.hl7.org/CodeSystem/communication-category', code: 'alert' })</i>
<br/>
priority: <i>(Code { system: 'http://hl7.org/fhir/request-priority', code: 'routine' })</i>
<br/>
</td>
</tr>
<tr>
<td>
<b> TBE FSME-Immun booster dose:</b> Provision of the TBE FSME-Immun booster dose
Trigger event: The primary series has been completed
"Completed the primary vaccination series" = TRUE (where "Vaccine type" = "TBE vaccines")
Trigger date: "Date when primary vaccination series was completed"
Create condition: The manufacturer recommends a booster dose to be administered 3 years after completion of the primary series
<br/>
<b>If:</b>
<i>Applicability:</i>
TBE FSME-Immun booster dose
<i>(TBE FSME-Immun booster dose)</i>
<br/>
<b>Then:</b> <i>Definition:</i> <a href="ActivityDefinition-IMMZD2DTCR.html">IMMZ.D2.DT.CR</a><br/>
<i>Dynamic Values:</i><br/>
status: <i>('active')</i>
<br/>
payload.contentString: <i>(TBE FSME-Immun booster dose Create)</i>
<br/>
category.coding: <i>(Code { system: 'http://terminology.hl7.org/CodeSystem/communication-category', code: 'alert' })</i>
<br/>
priority: <i>(Code { system: 'http://hl7.org/fhir/request-priority', code: 'routine' })</i>
<br/>
</td>
</tr>
</table>
</td>
</tr>
</table>
</div>
</div>
</text>
<extension
url="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeCapability">
<valueCode value="computable"/>
</extension>
<url
value="http://smart.who.int/immunizations/PlanDefinition/IMMZD18STBEFSME"/>
<version value="0.2.0"/>
<name value="IMMZD18STBEFSME"/>
<title value="IMMZ.D18.S.TBE.FSME-Immun schedule"/>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/plan-definition-type"/>
<code value="eca-rule"/>
</coding>
</type>
<status value="draft"/>
<experimental value="false"/>
<date value="2025-09-17T23:03:28+00:00"/>
<publisher value="WHO"/>
<contact>
<name value="WHO"/>
<telecom>
<system value="url"/>
<value value="http://who.int"/>
</telecom>
</contact>
<description
value="IMMZ.D18.S.TBE.FSME-Immun schedule
FSME-Immun, 3-dose schedule"/>
<relatedArtifact>
<type value="citation"/>
<citation
value="WHO recommendations for routine immunization - summary tables (January 2025)"/>
</relatedArtifact>
<library
value="http://smart.who.int/immunizations/Library/IMMZD18STBEFSMELogic"/>
<action>
<title value="Tick-borne encephalitis (TBE) FSME-Immun dose 1"/>
<description
value="Provision of the TBE FSME-Immun dose 1
Trigger event: Child's birth
Trigger date: "Date of birth"
Create condition: The vaccine can be given from > 1 year of age"/>
<condition>
<kind value="applicability"/>
<expression>
<description value="Tick-borne encephalitis (TBE) FSME-Immun dose 1"/>
<language value="text/cql-identifier"/>
<expression value="Tick-borne encephalitis (TBE) FSME-Immun dose 1"/>
</expression>
</condition>
<definitionCanonical
value="http://smart.who.int/immunizations/ActivityDefinition/IMMZD2DTCR"/>
<dynamicValue>
<path value="status"/>
<expression>
<language value="text/cql-expression"/>
<expression value="'active'"/>
</expression>
</dynamicValue>
<dynamicValue>
<path value="payload.contentString"/>
<expression>
<language value="text/cql-identifier"/>
<expression
value="Tick-borne encephalitis (TBE) FSME-Immun dose 1 Create"/>
</expression>
</dynamicValue>
<dynamicValue>
<path value="category.coding"/>
<expression>
<description value="Category of communication"/>
<language value="text/cql-expression"/>
<expression
value="Code { system: 'http://terminology.hl7.org/CodeSystem/communication-category', code: 'alert' }"/>
</expression>
</dynamicValue>
<dynamicValue>
<path value="priority"/>
<expression>
<description value="Alert priority"/>
<language value="text/cql-expression"/>
<expression
value="Code { system: 'http://hl7.org/fhir/request-priority', code: 'routine' }"/>
</expression>
</dynamicValue>
</action>
<action>
<title value="TBE FSME-Immun dose 2"/>
<description
value="Provision of the TBE FSME-Immun dose 2
Trigger event: First TBE dose from the primary series was administered
Count of vaccines administered (where "Vaccine type" = "TBE vaccines" and "Type of dose" = "Primary series") = 1
Trigger date: "Date and time of vaccination" (where "Vaccine type" = "TBE vaccines")
Create condition: An interval of 1–3 months is recommended between the first 2 doses"/>
<condition>
<kind value="applicability"/>
<expression>
<description value="TBE FSME-Immun dose 2"/>
<language value="text/cql-identifier"/>
<expression value="TBE FSME-Immun dose 2"/>
</expression>
</condition>
<definitionCanonical
value="http://smart.who.int/immunizations/ActivityDefinition/IMMZD2DTCR"/>
<dynamicValue>
<path value="status"/>
<expression>
<language value="text/cql-expression"/>
<expression value="'active'"/>
</expression>
</dynamicValue>
<dynamicValue>
<path value="payload.contentString"/>
<expression>
<language value="text/cql-identifier"/>
<expression value="TBE FSME-Immun dose 2 Create"/>
</expression>
</dynamicValue>
<dynamicValue>
<path value="category.coding"/>
<expression>
<description value="Category of communication"/>
<language value="text/cql-expression"/>
<expression
value="Code { system: 'http://terminology.hl7.org/CodeSystem/communication-category', code: 'alert' }"/>
</expression>
</dynamicValue>
<dynamicValue>
<path value="priority"/>
<expression>
<description value="Alert priority"/>
<language value="text/cql-expression"/>
<expression
value="Code { system: 'http://hl7.org/fhir/request-priority', code: 'routine' }"/>
</expression>
</dynamicValue>
</action>
<action>
<title value="TBE FSME-Immun dose 3"/>
<description
value="Provision of the TBE FSME-Immun dose 3
Trigger event: Second TBE dose from the primary series was administered
Count of vaccines administered (where "Vaccine type" = "TBE vaccines" and "Type of dose" = "Primary series") = 2
Trigger date: Latest "Date and time of vaccination" (where "Vaccine type" = "TBE vaccines")
Create condition: An interval of 5–12 months is recommended between the second and third doses"/>
<condition>
<kind value="applicability"/>
<expression>
<description value="TBE FSME-Immun dose 3"/>
<language value="text/cql-identifier"/>
<expression value="TBE FSME-Immun dose 3"/>
</expression>
</condition>
<definitionCanonical
value="http://smart.who.int/immunizations/ActivityDefinition/IMMZD2DTCR"/>
<dynamicValue>
<path value="status"/>
<expression>
<language value="text/cql-expression"/>
<expression value="'active'"/>
</expression>
</dynamicValue>
<dynamicValue>
<path value="payload.contentString"/>
<expression>
<language value="text/cql-identifier"/>
<expression value="TBE FSME-Immun dose 3 Create"/>
</expression>
</dynamicValue>
<dynamicValue>
<path value="category.coding"/>
<expression>
<description value="Category of communication"/>
<language value="text/cql-expression"/>
<expression
value="Code { system: 'http://terminology.hl7.org/CodeSystem/communication-category', code: 'alert' }"/>
</expression>
</dynamicValue>
<dynamicValue>
<path value="priority"/>
<expression>
<description value="Alert priority"/>
<language value="text/cql-expression"/>
<expression
value="Code { system: 'http://hl7.org/fhir/request-priority', code: 'routine' }"/>
</expression>
</dynamicValue>
</action>
<action>
<title value="TBE FSME-Immun booster dose"/>
<description
value="Provision of the TBE FSME-Immun booster dose
Trigger event: The primary series has been completed
"Completed the primary vaccination series" = TRUE (where "Vaccine type" = "TBE vaccines")
Trigger date: "Date when primary vaccination series was completed"
Create condition: The manufacturer recommends a booster dose to be administered 3 years after completion of the primary series"/>
<condition>
<kind value="applicability"/>
<expression>
<description value="TBE FSME-Immun booster dose"/>
<language value="text/cql-identifier"/>
<expression value="TBE FSME-Immun booster dose"/>
</expression>
</condition>
<definitionCanonical
value="http://smart.who.int/immunizations/ActivityDefinition/IMMZD2DTCR"/>
<dynamicValue>
<path value="status"/>
<expression>
<language value="text/cql-expression"/>
<expression value="'active'"/>
</expression>
</dynamicValue>
<dynamicValue>
<path value="payload.contentString"/>
<expression>
<language value="text/cql-identifier"/>
<expression value="TBE FSME-Immun booster dose Create"/>
</expression>
</dynamicValue>
<dynamicValue>
<path value="category.coding"/>
<expression>
<description value="Category of communication"/>
<language value="text/cql-expression"/>
<expression
value="Code { system: 'http://terminology.hl7.org/CodeSystem/communication-category', code: 'alert' }"/>
</expression>
</dynamicValue>
<dynamicValue>
<path value="priority"/>
<expression>
<description value="Alert priority"/>
<language value="text/cql-expression"/>
<expression
value="Code { system: 'http://hl7.org/fhir/request-priority', code: 'routine' }"/>
</expression>
</dynamicValue>
</action>
</PlanDefinition>