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 2025-08-08 |
<PlanDefinition xmlns="http://hl7.org/fhir">
<id value="IMMZD2DTPolioBirth"/>
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<div>
<table class="grid dict">
<tr>
<th scope="row"><b>Id: </b></th>
<td style="padding-left: 4px;">IMMZD2DTPolioBirth</td>
</tr>
<tr>
<th scope="row"><b>Url: </b></th>
<td style="padding-left: 4px;"><a href="PlanDefinition-IMMZD2DTPolioBirth.html">IMMZ.D2.DT.Polio.Birth dose</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.D2.DT.Polio.Birth dose</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;">2025-08-08 19:12:11+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.D2.DT.Polio.Birth dose
Birth dose administration as part of "bivalent oral polio vaccine (bOPV) plus inactivated polio vaccine (IPV)" schedule (in countries that are poliomyelitis (polio)-endemic countries or at high risk of importation and subsequent spread of polio that follow the combined bOPV–IPV 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-IMMZD2DTPolioBirthLogic.html">IMMZD2DTPolioBirthLogic</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> Determine if the client is due for a poliovirus vaccination according to the national immunization schedule:</b> Determine if the client is due for a poliovirus vaccination according to the national immunization schedule
Birth dose administration as part of "bivalent oral polio vaccine (bOPV) plus inactivated polio vaccine (IPV)" schedule
(in countries that are poliomyelitis (polio)-endemic countries or at high risk of importation and subsequent spread of
polio that follow the combined bOPV–IPV schedule)
<br/>
<b>If:</b>
<i>Applicability:</i>
Client is due for the bOPV birth dose
<i>(Client is due for the bOPV birth dose)</i>
<br/>
<b>Then:</b> <i>Definition:</i> <a href="ActivityDefinition-IMMZD2DTPolioOPVMR.html">IMMZ.D2.DT.Polio.OPV.MR</a><br/>
<i>Dynamic Values:</i><br/>
status: <i>('draft')</i>
<br/>
intent: <i>('proposal')</i>
<br/>
</td>
</tr>
<tr>
<td>
<b> Check for Guidance for the patient regarding IMMZ.D2.DT.Polio.Birth dose.:</b> Show Guidance for the patient regarding IMMZ.D2.DT.Polio.Birth dose.
<br/>
<b>If:</b>
<i>Applicability:</i>
Has Guidance
<i>(Has Guidance)</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>(Guidance)</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>
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<name value="IMMZD2DTPolioBirth"/>
<title value="IMMZ.D2.DT.Polio.Birth dose"/>
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<code value="eca-rule"/>
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<date value="2025-08-08T19:12:11+00:00"/>
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<description
value="IMMZ.D2.DT.Polio.Birth dose
Birth dose administration as part of "bivalent oral polio vaccine (bOPV) plus inactivated polio vaccine (IPV)" schedule (in countries that are poliomyelitis (polio)-endemic countries or at high risk of importation and subsequent spread of polio that follow the combined bOPV–IPV schedule)"/>
<relatedArtifact>
<type value="citation"/>
<citation
value="WHO recommendations for routine immunization - summary tables (January 2025)"/>
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<library
value="http://smart.who.int/immunizations/Library/IMMZD2DTPolioBirthLogic"/>
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<extension
url="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-rationale">
<valueMarkdown
value="In polio-endemic countries and in countries at high risk of importation and subsequent spread of polio, WHO
recommends a bOPV birth dose (zero dose) followed by the primary series of 3 bOPV doses and 2 IPV doses. The zero dose of
bOPV should be administered at birth, or within the first week of life, to maximize seroconversion rates following subsequent
doses and to induce mucosal protection before enteric pathogens may interfere with the immune response. Additionally, a birth
dose of bOPV administered while infants are still protected by maternally-derived antibodies (up to 6 months) may prevent
vaccine-associated paralytic polio (VAPP)."/>
</extension>
<title
value="Determine if the client is due for a poliovirus vaccination according to the national immunization schedule"/>
<description
value="Determine if the client is due for a poliovirus vaccination according to the national immunization schedule
Birth dose administration as part of "bivalent oral polio vaccine (bOPV) plus inactivated polio vaccine (IPV)" schedule
(in countries that are poliomyelitis (polio)-endemic countries or at high risk of importation and subsequent spread of
polio that follow the combined bOPV–IPV schedule)"/>
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<title
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<description
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