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

: IMMZD2DTDTPPregnancyStartingWith4Doses ValueSet for Decision Table - JSON Representation

Active as of 2025-11-11

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{
  "resourceType" : "ValueSet",
  "id" : "IMMZD2DTDTPPregnancyStartingWith4DosesVS",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ValueSet IMMZD2DTDTPPregnancyStartingWith4DosesVS</b></p><a name=\"IMMZD2DTDTPPregnancyStartingWith4DosesVS\"> </a><a name=\"hcIMMZD2DTDTPPregnancyStartingWith4DosesVS\"> </a><p>This value set expansion contains 10 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></tr><tr><td><a name=\"IMMZD2DTDTPPregnancyStartingWith4DosesVS-http://smart.who.int/immunizations/CodeSystem/IMMZDAK-Three|20DTP|20primary|20series|20doses|20were|20administered-124\"> </a><code>http://smart.who.int/immunizations/CodeSystem/IMMZDAK</code></td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-IMMZDAK.html#IMMZDAK-ThreeDTPprimaryseriesdoseswereadministered-124\">Three DTP primary series doses were administered-124</a></td><td>Three DTP primary series doses were administered</td></tr><tr><td><a name=\"IMMZD2DTDTPPregnancyStartingWith4DosesVS-http://smart.who.int/immunizations/CodeSystem/IMMZDAK-One|20tetanus|20and|20diphtheria|20booster|20dose|20was|20administered-141\"> </a><code>http://smart.who.int/immunizations/CodeSystem/IMMZDAK</code></td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-IMMZDAK.html#IMMZDAK-Onetetanusanddiphtheriaboosterdosewasadministered-141\">One tetanus and diphtheria booster dose was administered-141</a></td><td>One tetanus and diphtheria booster dose was administered</td></tr><tr><td><a name=\"IMMZD2DTDTPPregnancyStartingWith4DosesVS-http://smart.who.int/immunizations/CodeSystem/IMMZDAK-Client|20is|20currently|20pregnant-27\"> </a><code>http://smart.who.int/immunizations/CodeSystem/IMMZDAK</code></td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-IMMZDAK.html#IMMZDAK-Clientiscurrentlypregnant-27\">Client is currently pregnant-27</a></td><td>Client is currently pregnant</td></tr><tr><td><a name=\"IMMZD2DTDTPPregnancyStartingWith4DosesVS-http://smart.who.int/immunizations/CodeSystem/IMMZDAK-Client|20is|20due|20for|20tetanus|20and|20diphtheria|20booster|20dose-114\"> </a><code>http://smart.who.int/immunizations/CodeSystem/IMMZDAK</code></td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-IMMZDAK.html#IMMZDAK-Clientisduefortetanusanddiphtheriaboosterdose-114\">Client is due for tetanus and diphtheria booster dose-114</a></td><td>Client is due for tetanus and diphtheria booster dose</td></tr><tr><td><a name=\"IMMZD2DTDTPPregnancyStartingWith4DosesVS-http://smart.who.int/immunizations/CodeSystem/IMMZDAK-Two|20tetanus|20and|20diphtheria|20booster|20doses|20were|20administered-140\"> </a><code>http://smart.who.int/immunizations/CodeSystem/IMMZDAK</code></td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-IMMZDAK.html#IMMZDAK-Twotetanusanddiphtheriaboosterdoseswereadministered-140\">Two tetanus and diphtheria booster doses were administered-140</a></td><td>Two tetanus and diphtheria booster doses were administered</td></tr><tr><td><a name=\"IMMZD2DTDTPPregnancyStartingWith4DosesVS-http://smart.who.int/immunizations/CodeSystem/IMMZDAK-The|20latest|20tetanus|20and|20diphtheria|20dose|20was|20administered|20less|20than|201|20year|20ago-131\"> </a><code>http://smart.who.int/immunizations/CodeSystem/IMMZDAK</code></td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-IMMZDAK.html#IMMZDAK-Thelatesttetanusanddiphtheriadosewasadministeredlessthan1yearago-131\">The latest tetanus and diphtheria dose was administered less than 1 year ago-131</a></td><td>The latest tetanus and diphtheria dose was administered less than 1 year ago</td></tr><tr><td><a name=\"IMMZD2DTDTPPregnancyStartingWith4DosesVS-http://smart.who.int/immunizations/CodeSystem/IMMZDAK-Client|20is|20not|20due|20for|20tetanus|20and|20diphtheria|20booster|20dose-118\"> </a><code>http://smart.who.int/immunizations/CodeSystem/IMMZDAK</code></td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-IMMZDAK.html#IMMZDAK-Clientisnotduefortetanusanddiphtheriaboosterdose-118\">Client is not due for tetanus and diphtheria booster dose-118</a></td><td>Client is not due for tetanus and diphtheria booster dose</td></tr><tr><td><a name=\"IMMZD2DTDTPPregnancyStartingWith4DosesVS-http://smart.who.int/immunizations/CodeSystem/IMMZDAK-The|20latest|20tetanus|20and|20diphtheria|20dose|20was|20administered|20more|20than|201|20year|20ago-131\"> </a><code>http://smart.who.int/immunizations/CodeSystem/IMMZDAK</code></td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-IMMZDAK.html#IMMZDAK-Thelatesttetanusanddiphtheriadosewasadministeredmorethan1yearago-131\">The latest tetanus and diphtheria dose was administered more than 1 year ago-131</a></td><td>The latest tetanus and diphtheria dose was administered more than 1 year ago</td></tr><tr><td><a name=\"IMMZD2DTDTPPregnancyStartingWith4DosesVS-http://smart.who.int/immunizations/CodeSystem/IMMZDAK-Three|20tetanus|20and|20diphtheria|20booster|20doses|20were|20administered-140\"> </a><code>http://smart.who.int/immunizations/CodeSystem/IMMZDAK</code></td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-IMMZDAK.html#IMMZDAK-Threetetanusanddiphtheriaboosterdoseswereadministered-140\">Three tetanus and diphtheria booster doses were administered-140</a></td><td>Three tetanus and diphtheria booster doses were administered</td></tr><tr><td><a name=\"IMMZD2DTDTPPregnancyStartingWith4DosesVS-http://smart.who.int/immunizations/CodeSystem/IMMZDAK-Tetanus|20and|20diphtheria|20immunization|20schedule|20is|20complete-119\"> </a><code>http://smart.who.int/immunizations/CodeSystem/IMMZDAK</code></td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-IMMZDAK.html#IMMZDAK-Tetanusanddiphtheriaimmunizationscheduleiscomplete-119\">Tetanus and diphtheria immunization schedule is complete-119</a></td><td>Tetanus and diphtheria immunization schedule is complete</td></tr></table></div>"
  },
  "url" : "http://smart.who.int/immunizations/ValueSet/IMMZD2DTDTPPregnancyStartingWith4DosesVS",
  "version" : "0.2.0",
  "name" : "IMMZD2DTDTPPregnancyStartingWith4DosesVS",
  "title" : "IMMZD2DTDTPPregnancyStartingWith4Doses ValueSet for Decision Table",
  "status" : "active",
  "date" : "2025-11-11T19:50:47+00:00",
  "publisher" : "WHO",
  "contact" : [
    {
      "name" : "WHO",
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://who.int"
        }
      ]
    }
  ],
  "description" : "ValueSet IMMZD2DTDTPPregnancyStartingWith4Doses for IMMZ.D2.DT.DTP.Pregnancy starting with 4 doses.\nBusiness rule: Determine if the client is due for a diphtheria–tetanus–pertussis (DTP) vaccination according to the national immunization schedule\nTrigger: IMMZ.D2 Determine required vaccination(s) if any\nTable: Diphtheria and tetanus vaccination schedule in pregnant women who received 4 childhood DTP doses",
  "compose" : {
    "include" : [
      {
        "system" : "http://smart.who.int/immunizations/CodeSystem/IMMZDAK",
        "concept" : [
          {
            "code" : "Three DTP primary series doses were administered-124",
            "display" : "Three DTP primary series doses were administered"
          },
          {
            "code" : "One tetanus and diphtheria booster dose was administered-141",
            "display" : "One tetanus and diphtheria booster dose was administered"
          },
          {
            "code" : "Client is currently pregnant-27",
            "display" : "Client is currently pregnant"
          },
          {
            "code" : "Client is due for tetanus and diphtheria booster dose-114",
            "display" : "Client is due for tetanus and diphtheria booster dose"
          },
          {
            "code" : "Two tetanus and diphtheria booster doses were administered-140",
            "display" : "Two tetanus and diphtheria booster doses were administered"
          },
          {
            "code" : "The latest tetanus and diphtheria dose was administered less than 1 year ago-131",
            "display" : "The latest tetanus and diphtheria dose was administered less than 1 year ago"
          },
          {
            "code" : "Client is not due for tetanus and diphtheria booster dose-118",
            "display" : "Client is not due for tetanus and diphtheria booster dose"
          },
          {
            "code" : "The latest tetanus and diphtheria dose was administered more than 1 year ago-131",
            "display" : "The latest tetanus and diphtheria dose was administered more than 1 year ago"
          },
          {
            "code" : "Three tetanus and diphtheria booster doses were administered-140",
            "display" : "Three tetanus and diphtheria booster doses were administered"
          },
          {
            "code" : "Tetanus and diphtheria immunization schedule is complete-119",
            "display" : "Tetanus and diphtheria immunization schedule is complete"
          }
        ]
      }
    ]
  },
  "expansion" : {
    "timestamp" : "2025-09-29T20:59:26.458Z",
    "contains" : [
      {
        "system" : "http://smart.who.int/immunizations/CodeSystem/IMMZDAK",
        "code" : "Three DTP primary series doses were administered-124",
        "display" : "Three DTP primary series doses were administered"
      },
      {
        "system" : "http://smart.who.int/immunizations/CodeSystem/IMMZDAK",
        "code" : "One tetanus and diphtheria booster dose was administered-141",
        "display" : "One tetanus and diphtheria booster dose was administered"
      },
      {
        "system" : "http://smart.who.int/immunizations/CodeSystem/IMMZDAK",
        "code" : "Client is currently pregnant-27",
        "display" : "Client is currently pregnant"
      },
      {
        "system" : "http://smart.who.int/immunizations/CodeSystem/IMMZDAK",
        "code" : "Client is due for tetanus and diphtheria booster dose-114",
        "display" : "Client is due for tetanus and diphtheria booster dose"
      },
      {
        "system" : "http://smart.who.int/immunizations/CodeSystem/IMMZDAK",
        "code" : "Two tetanus and diphtheria booster doses were administered-140",
        "display" : "Two tetanus and diphtheria booster doses were administered"
      },
      {
        "system" : "http://smart.who.int/immunizations/CodeSystem/IMMZDAK",
        "code" : "The latest tetanus and diphtheria dose was administered less than 1 year ago-131",
        "display" : "The latest tetanus and diphtheria dose was administered less than 1 year ago"
      },
      {
        "system" : "http://smart.who.int/immunizations/CodeSystem/IMMZDAK",
        "code" : "Client is not due for tetanus and diphtheria booster dose-118",
        "display" : "Client is not due for tetanus and diphtheria booster dose"
      },
      {
        "system" : "http://smart.who.int/immunizations/CodeSystem/IMMZDAK",
        "code" : "The latest tetanus and diphtheria dose was administered more than 1 year ago-131",
        "display" : "The latest tetanus and diphtheria dose was administered more than 1 year ago"
      },
      {
        "system" : "http://smart.who.int/immunizations/CodeSystem/IMMZDAK",
        "code" : "Three tetanus and diphtheria booster doses were administered-140",
        "display" : "Three tetanus and diphtheria booster doses were administered"
      },
      {
        "system" : "http://smart.who.int/immunizations/CodeSystem/IMMZDAK",
        "code" : "Tetanus and diphtheria immunization schedule is complete-119",
        "display" : "Tetanus and diphtheria immunization schedule is complete"
      }
    ]
  }
}