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 2025-11-12 |
<ValueSet xmlns="http://hl7.org/fhir">
<id value="IMMZD18SPneumococcal3DosesVS"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: ValueSet IMMZD18SPneumococcal3DosesVS</b></p><a name="IMMZD18SPneumococcal3DosesVS"> </a><a name="hcIMMZD18SPneumococcal3DosesVS"> </a><p>This value set expansion contains 9 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="IMMZD18SPneumococcal3DosesVS-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="IMMZD18SPneumococcal3DosesVS-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="IMMZD18SPneumococcal3DosesVS-http://smart.who.int/immunizations/CodeSystem/IMMZDAK-First|20pneumococcal|20dose|20from|20the|20primary|20series|20was|20administered|20to|20client,|20who|20is|20less|20than|20or|20equal|20to|205|20years|20of|20age,|20within|2024|20months|20post|20birth-280"> </a><code>http://smart.who.int/immunizations/CodeSystem/IMMZDAK</code></td><td style="white-space:nowrap"> <a href="CodeSystem-IMMZDAK.html#IMMZDAK-Firstpneumococcaldosefromtheprimaryserieswasadministeredtoclient.44whoislessthanorequalto5yearsofage.44within24monthspostbirth-280">First pneumococcal dose from the primary series was administered to client, who is less than or equal to 5 years of age, within 24 months post birth-280</a></td><td>First pneumococcal dose from the primary series was administered to client, who is less than or equal to 5 years of age, within 24 months post birth</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</p>
</div></td></tr><tr><td><a name="IMMZD18SPneumococcal3DosesVS-http://smart.who.int/immunizations/CodeSystem/IMMZDAK-Second|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-Secondpneumococcaldosefromtheprimaryserieswasadministered-121">Second pneumococcal dose from the primary series was administered-121</a></td><td>Second 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") = 2</p>
</div></td></tr><tr><td><a name="IMMZD18SPneumococcal3DosesVS-http://smart.who.int/immunizations/CodeSystem/IMMZDAK-First|20pneumococcal|20dose|20from|20the|20primary|20series|20was|20administered|20to|20client,|20who|20is|20less|20than|20or|20equal|20to|205|20years|20of|20age.|20Pneumococcal|20dose|20was|20not|20administered|20within|2024|20months|20post|20birth.|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-Firstpneumococcaldosefromtheprimaryserieswasadministeredtoclient.44whoislessthanorequalto5yearsofage.46Pneumococcaldosewasnotadministeredwithin24monthspostbirth.46Clientisathighriskforpneumococcalinfection.46-333">First pneumococcal dose from the primary series was administered to client, who is less than or equal to 5 years of age. Pneumococcal dose was not administered within 24 months post birth. Client is at high risk for pneumococcal infection.-333</a></td><td>First pneumococcal dose from the primary series was administered to client, who is less than or equal to 5 years of age. Pneumococcal dose was not administered within 24 months post birth. 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 AND "At high risk for pneumococcal infection" = TRUE</p>
</div></td></tr><tr><td><a name="IMMZD18SPneumococcal3DosesVS-http://smart.who.int/immunizations/CodeSystem/IMMZDAK-Second|20pneumococcal|20dose|20from|20the|20primary|20series|20was|20administered|20to|20client,|20who|20is|20less|20than|20or|20equal|20to|205|20years|20of|20age.|20First|20pneumococcal|20dose|20was|20administered|20within|2012|20months|20post|20birth.-302"> </a><code>http://smart.who.int/immunizations/CodeSystem/IMMZDAK</code></td><td style="white-space:nowrap"> <a href="CodeSystem-IMMZDAK.html#IMMZDAK-Secondpneumococcaldosefromtheprimaryserieswasadministeredtoclient.44whoislessthanorequalto5yearsofage.46Firstpneumococcaldosewasadministeredwithin12monthspostbirth.46-302">Second pneumococcal dose from the primary series was administered to client, who is less than or equal to 5 years of age. First pneumococcal dose was administered within 12 months post birth.-302</a></td><td>Second pneumococcal dose from the primary series was administered to client, who is less than or equal to 5 years of age. First pneumococcal dose was administered within 12 months post birth.</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") = 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="IMMZD18SPneumococcal3DosesVS-http://smart.who.int/immunizations/CodeSystem/IMMZDAK-Third|20pneumococcal|20dose|20from|20the|20primary|20series|20was|20administered.|20The|20primary|20series|20has|20been|20completed.-98"> </a><code>http://smart.who.int/immunizations/CodeSystem/IMMZDAK</code></td><td style="white-space:nowrap"> <a href="CodeSystem-IMMZDAK.html#IMMZDAK-Thirdpneumococcaldosefromtheprimaryserieswasadministered.46Theprimaryserieshasbeencompleted.46-98">Third pneumococcal dose from the primary series was administered. The primary series has been completed.-98</a></td><td>Third 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="IMMZD18SPneumococcal3DosesVS-http://smart.who.int/immunizations/CodeSystem/IMMZDAK-Third|20pneumococcal|20dose|20from|20the|20primary|20series|20was|20administered|20to|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|20preterm|20birth.-351"> </a><code>http://smart.who.int/immunizations/CodeSystem/IMMZDAK</code></td><td style="white-space:nowrap"> <a href="CodeSystem-IMMZDAK.html#IMMZDAK-Thirdpneumococcaldosefromtheprimaryserieswasadministeredtoclient.44whoismorethan12monthsofage.46Thelatestpneumococcaldosewasadministeredwithin12monthspostbirth.46ClientiseitherHIVpositiveorhadpretermbirth.46-351">Third pneumococcal dose from the primary series was administered to 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 preterm birth.-351</a></td><td>Third pneumococcal dose from the primary series was administered to 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 preterm birth.</td><td><div><p>Today's date − "Date of birth" > 12 months AND Count of vaccines administered (where "Vaccine type" = "Pneumococcal vaccines" and "Type of dose" = "Primary series") = 3 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="IMMZD18SPneumococcal3DosesVS-http://smart.who.int/immunizations/CodeSystem/IMMZDAK-One|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-Onepneumococcalboosterdosewasadministered.46-119">One pneumococcal booster dose was administered.-119</a></td><td>One 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></table></div>
</text>
<url
value="http://smart.who.int/immunizations/ValueSet/IMMZD18SPneumococcal3DosesVS"/>
<version value="0.2.0"/>
<name value="IMMZD18SPneumococcal3DosesVS"/>
<title value="IMMZD18SPneumococcal3Doses ValueSet for Decision Table"/>
<status value="active"/>
<date value="2025-11-12T23:19:58+00:00"/>
<publisher value="WHO"/>
<contact>
<name value="WHO"/>
<telecom>
<system value="url"/>
<value value="http://who.int"/>
</telecom>
</contact>
<description
value="ValueSet IMMZD18SPneumococcal3Doses for IMMZ.D18.S.Pneumococcal.3 doses 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: 3 primary doses (3p+0) schedule"/>
<compose>
<include>
<system value="http://smart.who.int/immunizations/CodeSystem/IMMZDAK"/>
<concept>
<code value="Child's birth-0"/>
<display value="Child's birth"/>
</concept>
<concept>
<code
value="First pneumococcal dose from the primary series was administered-121"/>
<display
value="First pneumococcal dose from the primary series was administered"/>
</concept>
<concept>
<code
value="First pneumococcal dose from the primary series was administered to client, who is less than or equal to 5 years of age, within 24 months post birth-280"/>
<display
value="First pneumococcal dose from the primary series was administered to client, who is less than or equal to 5 years of age, within 24 months post birth"/>
</concept>
<concept>
<code
value="Second pneumococcal dose from the primary series was administered-121"/>
<display
value="Second pneumococcal dose from the primary series was administered"/>
</concept>
<concept>
<code
value="First pneumococcal dose from the primary series was administered to client, who is less than or equal to 5 years of age. Pneumococcal dose was not administered within 24 months post birth. Client is at high risk for pneumococcal infection.-333"/>
<display
value="First pneumococcal dose from the primary series was administered to client, who is less than or equal to 5 years of age. Pneumococcal dose was not administered within 24 months post birth. Client is at high risk for pneumococcal infection."/>
</concept>
<concept>
<code
value="Second pneumococcal dose from the primary series was administered to client, who is less than or equal to 5 years of age. First pneumococcal dose was administered within 12 months post birth.-302"/>
<display
value="Second pneumococcal dose from the primary series was administered to client, who is less than or equal to 5 years of age. First pneumococcal dose was administered within 12 months post birth."/>
</concept>
<concept>
<code
value="Third pneumococcal dose from the primary series was administered. The primary series has been completed.-98"/>
<display
value="Third pneumococcal dose from the primary series was administered. The primary series has been completed."/>
</concept>
<concept>
<code
value="Third pneumococcal dose from the primary series was administered to 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 preterm birth.-351"/>
<display
value="Third pneumococcal dose from the primary series was administered to 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 preterm birth."/>
</concept>
<concept>
<code value="One pneumococcal booster dose was administered.-119"/>
<display value="One pneumococcal booster dose was administered."/>
</concept>
</include>
</compose>
<expansion>
<timestamp value="2025-09-29T20:59:26.458Z"/>
<contains>
<system value="http://smart.who.int/immunizations/CodeSystem/IMMZDAK"/>
<code value="Child's birth-0"/>
<display value="Child's birth"/>
</contains>
<contains>
<system value="http://smart.who.int/immunizations/CodeSystem/IMMZDAK"/>
<code
value="First pneumococcal dose from the primary series was administered-121"/>
<display
value="First pneumococcal dose from the primary series was administered"/>
</contains>
<contains>
<system value="http://smart.who.int/immunizations/CodeSystem/IMMZDAK"/>
<code
value="First pneumococcal dose from the primary series was administered to client, who is less than or equal to 5 years of age, within 24 months post birth-280"/>
<display
value="First pneumococcal dose from the primary series was administered to client, who is less than or equal to 5 years of age, within 24 months post birth"/>
</contains>
<contains>
<system value="http://smart.who.int/immunizations/CodeSystem/IMMZDAK"/>
<code
value="Second pneumococcal dose from the primary series was administered-121"/>
<display
value="Second pneumococcal dose from the primary series was administered"/>
</contains>
<contains>
<system value="http://smart.who.int/immunizations/CodeSystem/IMMZDAK"/>
<code
value="First pneumococcal dose from the primary series was administered to client, who is less than or equal to 5 years of age. Pneumococcal dose was not administered within 24 months post birth. Client is at high risk for pneumococcal infection.-333"/>
<display
value="First pneumococcal dose from the primary series was administered to client, who is less than or equal to 5 years of age. Pneumococcal dose was not administered within 24 months post birth. Client is at high risk for pneumococcal infection."/>
</contains>
<contains>
<system value="http://smart.who.int/immunizations/CodeSystem/IMMZDAK"/>
<code
value="Second pneumococcal dose from the primary series was administered to client, who is less than or equal to 5 years of age. First pneumococcal dose was administered within 12 months post birth.-302"/>
<display
value="Second pneumococcal dose from the primary series was administered to client, who is less than or equal to 5 years of age. First pneumococcal dose was administered within 12 months post birth."/>
</contains>
<contains>
<system value="http://smart.who.int/immunizations/CodeSystem/IMMZDAK"/>
<code
value="Third pneumococcal dose from the primary series was administered. The primary series has been completed.-98"/>
<display
value="Third pneumococcal dose from the primary series was administered. The primary series has been completed."/>
</contains>
<contains>
<system value="http://smart.who.int/immunizations/CodeSystem/IMMZDAK"/>
<code
value="Third pneumococcal dose from the primary series was administered to 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 preterm birth.-351"/>
<display
value="Third pneumococcal dose from the primary series was administered to 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 preterm birth."/>
</contains>
<contains>
<system value="http://smart.who.int/immunizations/CodeSystem/IMMZDAK"/>
<code value="One pneumococcal booster dose was administered.-119"/>
<display value="One pneumococcal booster dose was administered."/>
</contains>
</expansion>
</ValueSet>