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="IMMZD2DTRabiesPrEP"/>
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<text>
<status value="extensions"/>
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<div>
<table class="grid dict">
<tr>
<th scope="row"><b>Id: </b></th>
<td style="padding-left: 4px;">IMMZD2DTRabiesPrEP</td>
</tr>
<tr>
<th scope="row"><b>Url: </b></th>
<td style="padding-left: 4px;"><a href="PlanDefinition-IMMZD2DTRabiesPrEP.html">IMMZ.D2.DT.Rabies</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.Rabies</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.Rabies
Pre-exposure prophylaxis (PrEP), 2-dose scheme; high risk of rabies virus exposure</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-IMMZD2DTRabiesPrEPLogic.html">IMMZD2DTRabiesPrEPLogic</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 Rabies.:</b> Determine if the client is due for Rabies vaccine according to the national immunization protocol.
Pre-exposure prophylaxis (PrEP), 2-dose scheme; high risk of rabies virus exposure
<br/>
<b>If:</b>
<i>Applicability:</i>
Client is due for rabies vaccination
<i>(Client is due for rabies vaccination)</i>
<br/>
<b>Then:</b> <i>Definition:</i> <a href="ActivityDefinition-IMMZD2DTRabiesMR.html">IMMZ.D2.DT.Rabies.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.Rabies.:</b> Show Guidance for the patient regarding IMMZ.D2.DT.Rabies.
<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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<url
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<name value="IMMZD2DTRabiesPrEP"/>
<title value="IMMZ.D2.DT.Rabies"/>
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<experimental value="false"/>
<date value="2025-08-08T19:12:11+00:00"/>
<publisher value="WHO"/>
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<description
value="IMMZ.D2.DT.Rabies
Pre-exposure prophylaxis (PrEP), 2-dose scheme; high risk of rabies virus exposure"/>
<relatedArtifact>
<type value="citation"/>
<citation
value="WHO recommendations for routine immunization - summary tables (January 2025)"/>
</relatedArtifact>
<library
value="http://smart.who.int/immunizations/Library/IMMZD2DTRabiesPrEPLogic"/>
<action>
<extension
url="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-rationale">
<valueMarkdown
value="The schedule is for a 2-site intradermal vaccine administered on days 0 and 7.
If intramuscular administration is used, WHO recommends a 1-site intramuscular vaccine administration on days 0 and 7.
Note: This PrEP dose is recommended for individuals at high risk of rabies virus exposure. These include subpopulations
in highly endemic settings with limited access to timely and adequate PrEP, individuals at occupational risk and travellers
who may be at risk of exposure. WHO recommendations apply only to inactivated modern, concentrated, purified cell culture and
embryonated egg-based rabies vaccines (CCEEVs).
PrEP schedule: 2-site intradermal vaccine administered on days 0 and 7. If intramuscular administration is used, WHO
recommends a 1-site intramuscular vaccine administration on days 0 and 7.
If any doses are delayed, vaccination should be resumed, not restarted. A change in the route of administration or in
vaccine product during a course is acceptable if such a change is unavoidable.
The schedule is for a 2-site intradermal vaccine administered on days 0 and 7. If intramuscular administration is used,
WHO recommends a 1-site intramuscular vaccine administration on days 0 and 7."/>
</extension>
<title value="Determine if the client is due for Rabies."/>
<description
value="Determine if the client is due for Rabies vaccine according to the national immunization protocol.
Pre-exposure prophylaxis (PrEP), 2-dose scheme; high risk of rabies virus exposure"/>
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<description value="Client is due for rabies vaccination"/>
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<expression value="Client is due for rabies vaccination"/>
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<title
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<description
value="Show Guidance for the patient regarding IMMZ.D2.DT.Rabies."/>
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