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
| Active as of 2025-11-25 |
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<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: ValueSet IMMZD18SPneumococcal2DosesWithBoosterDoseVS</b></p><a name="IMMZD18SPneumococcal2DosesWithBoosterDoseVS"> </a><a name="hcIMMZD18SPneumococcal2DosesWithBoosterDoseVS"> </a><p>This value set expansion contains 8 concepts.</p><table class="codes"><tr><td><b>System</b></td><td style="white-space:nowrap"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td><a name="IMMZD18SPneumococcal2DosesWithBoosterDoseVS-http://smart.who.int/immunizations/CodeSystem/IMMZDAK-Child's|20birth-0"> </a><code>http://smart.who.int/immunizations/CodeSystem/IMMZDAK</code></td><td style="white-space:nowrap"> <a href="CodeSystem-IMMZDAK.html#IMMZDAK-Child.39sbirth-0">Child's birth-0</a></td><td>Child's birth</td><td><div/></td></tr><tr><td><a name="IMMZD18SPneumococcal2DosesWithBoosterDoseVS-http://smart.who.int/immunizations/CodeSystem/IMMZDAK-First|20pneumococcal|20dose|20from|20the|20primary|20series|20was|20administered-121"> </a><code>http://smart.who.int/immunizations/CodeSystem/IMMZDAK</code></td><td style="white-space:nowrap"> <a href="CodeSystem-IMMZDAK.html#IMMZDAK-Firstpneumococcaldosefromtheprimaryserieswasadministered-121">First pneumococcal dose from the primary series was administered-121</a></td><td>First pneumococcal dose from the primary series was administered</td><td><div><p>Count of vaccines administered (where "Vaccine type" = "Pneumococcal vaccines" and "Type of dose" = "Primary series") = 1</p>
</div></td></tr><tr><td><a name="IMMZD18SPneumococcal2DosesWithBoosterDoseVS-http://smart.who.int/immunizations/CodeSystem/IMMZDAK-First|20pneumococcal|20dose|20from|20the|20primary|20series|20was|20administered|20to|20the|20client,|20who|20is|20less|20than|20or|20equal|20to|205|20years|20of|20age,|20either|20within|2024|20months|20of|20birth|20or|20if|20client|20is|20at|20high|20risk|20for|20pneumococcal|20infection-333"> </a><code>http://smart.who.int/immunizations/CodeSystem/IMMZDAK</code></td><td style="white-space:nowrap"> <a href="CodeSystem-IMMZDAK.html#IMMZDAK-Firstpneumococcaldosefromtheprimaryserieswasadministeredtotheclient.44whoislessthanorequalto5yearsofage.44eitherwithin24monthsofbirthorifclientisathighriskforpneumococcalinfection-333">First pneumococcal dose from the primary series was administered to the client, who is less than or equal to 5 years of age, either within 24 months of birth or if client is at high risk for pneumococcal infection-333</a></td><td>First pneumococcal dose from the primary series was administered to the client, who is less than or equal to 5 years of age, either within 24 months of birth or if client is at high risk for pneumococcal infection</td><td><div><p>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 OR "At high risk for pneumococcal infection" = TRUE</p>
</div></td></tr><tr><td><a name="IMMZD18SPneumococcal2DosesWithBoosterDoseVS-http://smart.who.int/immunizations/CodeSystem/IMMZDAK-Second|20pneumococcal|20dose|20from|20the|20primary|20series|20was|20administered.|20The|20primary|20series|20has|20been|20completed.-99"> </a><code>http://smart.who.int/immunizations/CodeSystem/IMMZDAK</code></td><td style="white-space:nowrap"> <a href="CodeSystem-IMMZDAK.html#IMMZDAK-Secondpneumococcaldosefromtheprimaryserieswasadministered.46Theprimaryserieshasbeencompleted.46-99">Second pneumococcal dose from the primary series was administered. The primary series has been completed.-99</a></td><td>Second pneumococcal dose from the primary series was administered. The primary series has been completed.</td><td><div><p>"Completed the primary vaccination series" = TRUE (where "Vaccine type" = "Pneumococcal vaccines")"</p>
</div></td></tr><tr><td><a name="IMMZD18SPneumococcal2DosesWithBoosterDoseVS-http://smart.who.int/immunizations/CodeSystem/IMMZDAK-Second|20pneumococcal|20dose|20from|20the|20primary|20series|20was|20administered|20and|20first|20pneumococcal|20dose|20was|20administered|20within|2012|20months|20post|20birth-276"> </a><code>http://smart.who.int/immunizations/CodeSystem/IMMZDAK</code></td><td style="white-space:nowrap"> <a href="CodeSystem-IMMZDAK.html#IMMZDAK-Secondpneumococcaldosefromtheprimaryserieswasadministeredandfirstpneumococcaldosewasadministeredwithin12monthspostbirth-276">Second pneumococcal dose from the primary series was administered and first pneumococcal dose was administered within 12 months post birth-276</a></td><td>Second pneumococcal dose from the primary series was administered and first pneumococcal dose was administered within 12 months post birth</td><td><div><p>Child's birth 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</p>
</div></td></tr><tr><td><a name="IMMZD18SPneumococcal2DosesWithBoosterDoseVS-http://smart.who.int/immunizations/CodeSystem/IMMZDAK-Pneumococcal|20booster|20dose|20was|20administered-119"> </a><code>http://smart.who.int/immunizations/CodeSystem/IMMZDAK</code></td><td style="white-space:nowrap"> <a href="CodeSystem-IMMZDAK.html#IMMZDAK-Pneumococcalboosterdosewasadministered-119">Pneumococcal booster dose was administered-119</a></td><td>Pneumococcal booster dose was administered</td><td><div><p>Count of vaccines administered (where "Vaccine type" = "Pneumococcal vaccines" and "Type of dose" = "Booster dose") = 1</p>
</div></td></tr><tr><td><a name="IMMZD18SPneumococcal2DosesWithBoosterDoseVS-http://smart.who.int/immunizations/CodeSystem/IMMZDAK-The|20primary|20series|20has|20been|20completed|20and|20one|20booster|20dose|20was|20administered|20to|20the|20client,|20who|20is|20more|20than|2012|20months|20of|20age.|20The|20latest|20pneumococcal|20dose|20was|20administered|20within|2012|20months|20post|20birth.|20Client|20is|20either|20HIV|20positive|20or|20had|20a|20preterm|20birth-453"> </a><code>http://smart.who.int/immunizations/CodeSystem/IMMZDAK</code></td><td style="white-space:nowrap"> <a href="CodeSystem-IMMZDAK.html#IMMZDAK-Theprimaryserieshasbeencompletedandoneboosterdosewasadministeredtotheclient.44whoismorethan12monthsofage.46Thelatestpneumococcaldosewasadministeredwithin12monthspostbirth.46ClientiseitherHIVpositiveorhadapretermbirth-453">The primary series has been completed and one booster dose was administered to the 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 a preterm birth-453</a></td><td>The primary series has been completed and one booster dose was administered to the 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 a preterm birth</td><td><div><p>'Today's date − "Date of birth" > 12 months AND "Completed the primary vaccination series" = TRUE (where "Vaccine type" = "Pneumococcal vaccines") AND Count of vaccines administered (where "Vaccine type" = "Pneumococcal vaccines" and "Type of dose" = "Booster dose") = 1 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)</p>
</div></td></tr><tr><td><a name="IMMZD18SPneumococcal2DosesWithBoosterDoseVS-http://smart.who.int/immunizations/CodeSystem/IMMZDAK-Second|20pneumococcal|20booster|20dose|20was|20administered-119"> </a><code>http://smart.who.int/immunizations/CodeSystem/IMMZDAK</code></td><td style="white-space:nowrap"> <a href="CodeSystem-IMMZDAK.html#IMMZDAK-Secondpneumococcalboosterdosewasadministered-119">Second pneumococcal booster dose was administered-119</a></td><td>Second pneumococcal booster dose was administered</td><td><div><p>Count of vaccines administered (where "Vaccine type" = "Pneumococcal vaccines" and "Type of dose" = "Booster dose") = 2</p>
</div></td></tr></table></div>
</text>
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<name value="IMMZD18SPneumococcal2DosesWithBoosterDoseVS"/>
<title
value="IMMZD18SPneumococcal2DosesWithBoosterDose ValueSet for Decision Table"/>
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<date value="2025-11-25T20:07:03+00:00"/>
<publisher value="WHO"/>
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<description
value="ValueSet IMMZD18SPneumococcal2DosesWithBoosterDose for IMMZ.D18.S.Pneumococcal.2 doses with booster dose schedule.
Business rule: Determine if the client is due for a pneumococcal vaccination according to the national immunization schedule
Trigger: IMMZ.D2 Determine required vaccination(s) if any
Table: 2 primary doses with a booster dose (2p+1) schedule"/>
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<timestamp value="2025-09-29T20:59:26.458Z"/>
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