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

PlanDefinition: IMMZ.D18.S.DTP.Pregnancy starting with 3 doses schedule

Official URL: http://smart.who.int/immunizations/PlanDefinition/IMMZD18SDTPPregnant3 Version: 0.2.0
Draft as of 2025-09-17 Computable Name: IMMZD18SDTPPregnant3

IMMZ.D18.S.DTP.Pregnancy starting with 3 doses schedule Diphtheria and tetanus vaccination schedule in pregnant women who received 3 childhood diphtheria–tetanus–pertussis (DTP) doses

Id: IMMZD18SDTPPregnant3
Url: IMMZ.D18.S.DTP.Pregnancy starting with 3 doses schedule
Version: 0.2.0
Title: IMMZ.D18.S.DTP.Pregnancy starting with 3 doses schedule
Status: draft
Type:

system: http://terminology.hl7.org/CodeSystem/plan-definition-type

code: eca-rule

Date: 2025-09-17 23:03:28+0000
Publisher: WHO
Description:

IMMZ.D18.S.DTP.Pregnancy starting with 3 doses schedule Diphtheria and tetanus vaccination schedule in pregnant women who received 3 childhood diphtheria–tetanus–pertussis (DTP) doses
Knowledge Capability: computable
Related Artifacts:

References

  • ​

    WHO recommendations for routine immunization - summary tables (January 2025)
Libraries:
IMMZD18SDTPPregnant3Logic
Actions:
Tetanus and diphtheria-containing vaccine booster dose 1 (during pregnancy): Provision of tetanus and diphtheria booster dose 1 for pregnant women who received only 3 doses of DTP during childhood without booster doses Trigger event: The primary DTP series has been completed and client is currently pregnant "Completed the primary vaccination series" = TRUE (where "Vaccine type" = "DTP-containing vaccines") AND "Currently pregnant" = TRUE Trigger date: "Contact date" WHEN "ANC contact number" = 1 Create condition: Pregnant women who have received only 3 doses of tetanus-containing vaccines during childhood without booster doses should receive 2 doses of tetanus-containing vaccines at the earliest opportunity during pregnancy with a minimal interval of 4 weeks between doses and the second dose at least 2 weeks before giving birth.
If: Applicability: Tetanus and diphtheria-containing vaccine booster dose 1 (during pregnancy) (Tetanus and diphtheria-containing vaccine booster dose 1 (during pregnancy))
Then: Definition: IMMZ.D2.DT.CR
Dynamic Values:
status: ('active')
payload.contentString: (Tetanus and diphtheria-containing vaccine booster dose 1 (during pregnancy) Create)
category.coding: (Code { system: 'http://terminology.hl7.org/CodeSystem/communication-category', code: 'alert' })
priority: (Code { system: 'http://hl7.org/fhir/request-priority', code: 'routine' })
Tetanus and diphtheria-containing vaccine booster dose 2 (during pregnancy): Provision of tetanus and diphtheria booster dose 2 for pregnant women who received only 3 doses of DTP during childhood without booster doses Trigger event: First tetanus and diphtheria booster dose was administered Count of vaccines administered (where "Vaccine type" = "Tetanus and diphtheria-containing vaccines" and "Type of dose" = "Booster dose") = 1 Trigger date: Latest "Date and time of vaccination" where "Vaccine type" = "Tetanus and diphtheria-containing vaccines" Create condition: Pregnant women who have received only 3 doses of tetanus-containing vaccines during childhood without booster doses should receive 2 doses of tetanus-containing vaccines at the earliest opportunity during pregnancy with a minimal interval of 4 weeks between doses and the second dose at least 2 weeks before giving birth.
If: Applicability: Tetanus and diphtheria-containing vaccine booster dose 2 (during pregnancy) (Tetanus and diphtheria-containing vaccine booster dose 2 (during pregnancy))
Then: Definition: IMMZ.D2.DT.CR
Dynamic Values:
status: ('active')
payload.contentString: (Tetanus and diphtheria-containing vaccine booster dose 2 (during pregnancy) Create)
category.coding: (Code { system: 'http://terminology.hl7.org/CodeSystem/communication-category', code: 'alert' })
priority: (Code { system: 'http://hl7.org/fhir/request-priority', code: 'routine' })
Tetanus and diphtheria-containing vaccine booster dose 3: Provision of tetanus and diphtheria booster dose 3 for pregnant women who received only 3 doses of DTP during childhood without booster doses Trigger event: Second tetanus and diphtheria booster dose was administered Count of vaccines administered (where "Vaccine type" = "Tetanus and diphtheria-containing vaccines" and "Type of dose" = "Booster dose") = 2 Trigger date: Latest "Date and time of vaccination" where "Vaccine type" = "Tetanus and diphtheria-containing vaccines" Create condition: A sixth dose would be needed at least 1 year after the fifth dose, or during the next pregnancy.
If: Applicability: Tetanus and diphtheria-containing vaccine booster dose 3 (Tetanus and diphtheria-containing vaccine booster dose 3)
Then: Definition: IMMZ.D2.DT.CR
Dynamic Values:
status: ('active')
payload.contentString: (Tetanus and diphtheria-containing vaccine booster dose 3 Create)
category.coding: (Code { system: 'http://terminology.hl7.org/CodeSystem/communication-category', code: 'alert' })
priority: (Code { system: 'http://hl7.org/fhir/request-priority', code: 'routine' })