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

: IMMZ.D2.DT.TBE.Encepur - JSON Representation

Draft as of 2025-08-08

Raw json | Download

{
  "resourceType" : "PlanDefinition",
  "id" : "IMMZD2DTTBEEncepur",
  "meta" : {
    "profile" : [
      🔗 "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-recommendationdefinition"🔗 ,
      "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareableplandefinition"🔗 ,
      "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-publishableplandefinition"
    ]
  },
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n<div>\n    <table class=\"grid dict\">\n        \n        <tr>\n            <th scope=\"row\"><b>Id: </b></th>\n            <td style=\"padding-left: 4px;\">IMMZD2DTTBEEncepur</td>\n        </tr>\n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Url: </b></th>\n            <td style=\"padding-left: 4px;\"><a href=\"PlanDefinition-IMMZD2DTTBEEncepur.html\">IMMZ.D2.DT.TBE.Encepur</a></td>\n        </tr>\n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Version: </b></th>\n            <td style=\"padding-left: 4px;\">0.2.0</td>\n        </tr>\n        \n\n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Title: </b></th>\n            <td style=\"padding-left: 4px;\">IMMZ.D2.DT.TBE.Encepur</td>\n        </tr>\n        \n\n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Status: </b></th>\n            <td style=\"padding-left: 4px;\">draft</td>\n        </tr>\n        \n\n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Type: </b></th>\n            <td style=\"padding-left: 4px;\">\n                \n                    \n                        \n                        <p style=\"margin-bottom: 5px;\">\n                            <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>\n                        </p>\n                        \n                        \n                        <p style=\"margin-bottom: 5px;\">\n                            <b>code: </b> <span>eca-rule</span>\n                        </p>\n                        \n                        \n                    \n                \n                \n            </td>\n        </tr>\n        \n\n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Date: </b></th>\n            <td style=\"padding-left: 4px;\">2025-08-08 19:12:11+0000</td>\n        </tr>\n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Publisher: </b></th>\n            <td style=\"padding-left: 4px;\">WHO</td>\n        </tr>\n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Description: </b></th>\n            <td style=\"padding-left: 4px;\"><div><p>IMMZ.D2.DT.TBE.Encepur\nEncepur schedule\n(In areas where the disease is highly endemic, implying that there is a high individual risk of infection, WHO recommends that vaccination be offered to all age groups, including children\t\t)</p>\n</div></td>\n        </tr>\n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Knowledge Capability: </b></th>\n            <td style=\"padding-left: 4px;\">\n                \n                computable \n            </td>\n        </tr>\n        \n\n        \n\n        \n\n        \n\n        \n\n        \n\n        \n\n        \n\n        \n\n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Related Artifacts: </b></th>\n            <td style=\"padding-left: 4px;\">\n                \n                \n                <p><b>References</b></p>\n                <ul>\n                    \n                    <li><div><p>WHO recommendations for routine immunization - summary tables (January 2025)</p>\n</div><br/><a href=\"null\"/></li>\n                    \n                </ul>\n                \n                \n                \n                \n                \n                \n            </td>\n        </tr>\n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Libraries: </b></th>\n            <td style=\"padding-left: 4px;\">\n                <table class=\"grid-dict\">\n                    \n                    <tr>\n                        <td><a href=\"Library-IMMZD2DTTBEEncepurLogic.html\">IMMZD2DTTBEEncepurLogic</a></td>\n                    </tr>\n                    \n                </table>\n            </td>\n        </tr>\n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Actions: </b></th>\n            <td style=\"padding-left: 4px;\">\n                <table class=\"grid-dict\">\n                    \n                    <tr>\n                        <td>\n                            \n                            <b> Determine if the client is due for TBE.:</b> Determine if the client is due for TBE vaccine according to the national immunization protocol.\nEncepur schedule (In areas where the disease is highly endemic, implying that there is a high \nindividual risk of infection, WHO recommends that vaccination be offered to all age groups, including children\u0001\u0001)\n                            \n                            <br/>\n                            \n                            \n                            <b>If:</b>\n                            \n                            <i>Applicability:</i>\n                            \n                            Client is due for TBE vaccination\n                            \n                            <i>(Client is due for TBE vaccination)</i>\n                            <br/>\n                            \n                            \n                            \n                            \n                            <b>Then:</b> <i>Definition:</i> <a href=\"ActivityDefinition-IMMZD2DTTBEMR.html\">IMMZ.D2.DT.TBE.MR</a><br/>\n                            \n                            <i>Dynamic Values:</i><br/>\n                            \n                            status: <i>('draft')</i>\n                            <br/>\n                            \n                            intent: <i>('proposal')</i>\n                            <br/>\n                            \n                            \n                            \n                            \n                        </td>\n                    </tr>\n                    \n                    <tr>\n                        <td>\n                            \n                            <b> Determine if the client is due for TBE.:</b> Determine if the client is due for TBE vaccine according to the national immunization protocol.\nEncepur schedule (In areas where the disease is highly endemic, implying that there is a high \nindividual risk of infection, WHO recommends that vaccination be offered to all age groups, including children\u0001\u0001)\n                            \n                            <br/>\n                            \n                            \n                            <b>If:</b>\n                            \n                            <i>Applicability:</i>\n                            \n                            The primary series is complete\n                            \n                            <i>(The primary series is complete)</i>\n                            <br/>\n                            \n                            \n                            \n                            \n                            <b>Then:</b> <i>Definition:</i> <a href=\"ActivityDefinition-IMMZD2DTTBEMR.html\">IMMZ.D2.DT.TBE.MR</a><br/>\n                            \n                            <i>Dynamic Values:</i><br/>\n                            \n                            status: <i>('draft')</i>\n                            <br/>\n                            \n                            intent: <i>('proposal')</i>\n                            <br/>\n                            \n                            \n                            \n                            \n                        </td>\n                    </tr>\n                    \n                    <tr>\n                        <td>\n                            \n                            <b> Check for Guidance for the patient regarding IMMZ.D2.DT.TBE.Encepur.:</b> Show Guidance for the patient regarding IMMZ.D2.DT.TBE.Encepur.\n                            \n                            <br/>\n                            \n                            \n                            <b>If:</b>\n                            \n                            <i>Applicability:</i>\n                            \n                            Has Guidance\n                            \n                            <i>(Has Guidance)</i>\n                            <br/>\n                            \n                            \n                            \n                            \n                            <b>Then:</b> <i>Definition:</i> <a href=\"ActivityDefinition-IMMZD2DTCR.html\">IMMZ.D2.DT.CR</a><br/>\n                            \n                            <i>Dynamic Values:</i><br/>\n                            \n                            status: <i>('active')</i>\n                            <br/>\n                            \n                            payload.contentString: <i>(Guidance)</i>\n                            <br/>\n                            \n                            category.coding: <i>(Code { system: 'http://terminology.hl7.org/CodeSystem/communication-category', code: 'alert' })</i>\n                            <br/>\n                            \n                            priority: <i>(Code { system: 'http://hl7.org/fhir/request-priority', code: 'routine' })</i>\n                            <br/>\n                            \n                            \n                            \n                            \n                        </td>\n                    </tr>\n                    \n                </table>\n            </td>\n        </tr>\n        \n    </table>\n</div>\n</div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeCapability",
      "valueCode" : "computable"
    }
  ],
  "url" : "http://smart.who.int/immunizations/PlanDefinition/IMMZD2DTTBEEncepur",
  "version" : "0.2.0",
  "name" : "IMMZD2DTTBEEncepur",
  "title" : "IMMZ.D2.DT.TBE.Encepur",
  "type" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/plan-definition-type",
        "code" : "eca-rule"
      }
    ]
  },
  "status" : "draft",
  "experimental" : false,
  "date" : "2025-08-08T19:12:11+00:00",
  "publisher" : "WHO",
  "contact" : [
    {
      "name" : "WHO",
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://who.int"
        }
      ]
    }
  ],
  "description" : "IMMZ.D2.DT.TBE.Encepur\nEncepur schedule\n(In areas where the disease is highly endemic, implying that there is a high individual risk of infection, WHO recommends that vaccination be offered to all age groups, including children\t\t)",
  "relatedArtifact" : [
    {
      "type" : "citation",
      "citation" : "WHO recommendations for routine immunization - summary tables (January 2025)"
    }
  ],
  "library" : [
    🔗 "http://smart.who.int/immunizations/Library/IMMZD2DTTBEEncepurLogic"
  ],
  "action" : [
    {
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-rationale",
          "valueMarkdown" : "The vaccines manufactured in Austria and Germany (FSME-Immun and Encepur) can be given from > 1 year of age.\nFor the conventional vaccination schedule the dose interval is 1–3 months between doses 1 and 2. For Encepur, the \naccelerated schedule requires vaccination on days 0 and 14, followed by a third dose delivered 9–12 months later. \nIn addition, Encepur may be used on a rapid schedule, with vaccination on days 0, 7 and 21, followed by a fourth dose delivered 12–18 months later.\nFor the conventional vaccination schedule, the dose interval is 1–3 months between doses 1 and 2.\nFor Encepur, the requirement is 9–12 months between doses 2 and 3."
        }
      ],
      "title" : "Determine if the client is due for TBE.",
      "description" : "Determine if the client is due for TBE vaccine according to the national immunization protocol.\nEncepur schedule (In areas where the disease is highly endemic, implying that there is a high \nindividual risk of infection, WHO recommends that vaccination be offered to all age groups, including children\u0001\u0001)",
      "condition" : [
        {
          "kind" : "applicability",
          "expression" : {
            "description" : "Client is due for TBE vaccination",
            "language" : "text/cql-identifier",
            "expression" : "Client is due for TBE vaccination"
          }
        }
      ],
      "definitionCanonical" : "http://smart.who.int/immunizations/ActivityDefinition/IMMZD2DTTBEMR",
      "dynamicValue" : [
        {
          "path" : "status",
          "expression" : {
            "language" : "text/cql-expression",
            "expression" : "'draft'"
          }
        },
        {
          "path" : "intent",
          "expression" : {
            "language" : "text/cql-expression",
            "expression" : "'proposal'"
          }
        }
      ]
    },
    {
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-rationale",
          "valueMarkdown" : "Vaccination against the disease requires a primary series of 3 doses; those who will continue to be at risk \nshould probably have ≥1 booster doses. For both vaccines (FSME-Immun and Encepur) the manufacturers recommend a booster \ndose to be administered 3 years after completion of the primary series. \nVaccination against the disease requires a primary series of 3 doses; those who will continue to be at risk should \nprobably have ≥1 booster doses. Although there is a strong indication that the spacing of boosters could be expanded \nconsiderably from the intervals currently recommended by the manufacturers (every 3–5 years), the evidence is still\ninsufficient for a definitive recommendation on the optimal frequency and number of booster doses."
        }
      ],
      "title" : "Determine if the client is due for TBE.",
      "description" : "Determine if the client is due for TBE vaccine according to the national immunization protocol.\nEncepur schedule (In areas where the disease is highly endemic, implying that there is a high \nindividual risk of infection, WHO recommends that vaccination be offered to all age groups, including children\u0001\u0001)",
      "condition" : [
        {
          "kind" : "applicability",
          "expression" : {
            "description" : "The primary series is complete",
            "language" : "text/cql-identifier",
            "expression" : "The primary series is complete"
          }
        }
      ],
      "definitionCanonical" : "http://smart.who.int/immunizations/ActivityDefinition/IMMZD2DTTBEMR",
      "dynamicValue" : [
        {
          "path" : "status",
          "expression" : {
            "language" : "text/cql-expression",
            "expression" : "'draft'"
          }
        },
        {
          "path" : "intent",
          "expression" : {
            "language" : "text/cql-expression",
            "expression" : "'proposal'"
          }
        }
      ]
    },
    {
      "title" : "Check for Guidance for the patient regarding IMMZ.D2.DT.TBE.Encepur.",
      "description" : "Show Guidance for the patient regarding IMMZ.D2.DT.TBE.Encepur.",
      "condition" : [
        {
          "kind" : "applicability",
          "expression" : {
            "description" : "Has Guidance",
            "language" : "text/cql-identifier",
            "expression" : "Has Guidance"
          }
        }
      ],
      "definitionCanonical" : "http://smart.who.int/immunizations/ActivityDefinition/IMMZD2DTCR",
      "dynamicValue" : [
        {
          "path" : "status",
          "expression" : {
            "language" : "text/cql-expression",
            "expression" : "'active'"
          }
        },
        {
          "path" : "payload.contentString",
          "expression" : {
            "language" : "text/cql-identifier",
            "expression" : "Guidance"
          }
        },
        {
          "path" : "category.coding",
          "expression" : {
            "description" : "Category of communication",
            "language" : "text/cql-expression",
            "expression" : "Code { system: 'http://terminology.hl7.org/CodeSystem/communication-category', code: 'alert' }"
          }
        },
        {
          "path" : "priority",
          "expression" : {
            "description" : "Alert priority",
            "language" : "text/cql-expression",
            "expression" : "Code { system: 'http://hl7.org/fhir/request-priority', code: 'routine' }"
          }
        }
      ]
    }
  ]
}