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.D18.S.HPV.2-dose schedule - JSON Representation

Draft as of 2025-09-17

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{
  "resourceType" : "PlanDefinition",
  "id" : "IMMZD18SHPV2Dose",
  "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;\">IMMZD18SHPV2Dose</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-IMMZD18SHPV2Dose.html\">IMMZ.D18.S.HPV.2-dose schedule</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.D18.S.HPV.2-dose schedule</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;\">2025-09-17 23:03:28+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.D18.S.HPV.2-dose schedule\n2-dose schedule</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-IMMZD18SHPV2DoseLogic.html\">IMMZD18SHPV2DoseLogic</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> HPV dose 1:</b> Provision of the HPV dose 1\nTrigger event: Child's birth when client's biological sex is female\nChild's birth AND &quot;Sex&quot; = &quot;Female&quot;\nTrigger date: &quot;Date of birth&quot;\nCreate condition: HPV dose 1 should be provided if the client is female and older than 9 years of age.\n                            \n                            <br/>\n                            \n                            \n                            <b>If:</b>\n                            \n                            <i>Applicability:</i>\n                            \n                            HPV dose 1\n                            \n                            <i>(HPV dose 1)</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>(HPV dose 1 Create)</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                    <tr>\n                        <td>\n                            \n                            <b> HPV dose 2:</b> Provision of the HPV dose 2\nTrigger event: First HPV dose from the primary series was administered\nCount of vaccines administered (where &quot;Vaccine type&quot; = &quot;HPV vaccines&quot; and &quot;Type of dose&quot; = &quot;Primary series&quot;) = 1\nTrigger date: &quot;Date and time of vaccination&quot; (where &quot;Vaccine type&quot; = &quot;HPV vaccines&quot;)\nCreate condition: HPV dose 2 should be provided if dose 1 was given 6 months ago.\n                            \n                            <br/>\n                            \n                            \n                            <b>If:</b>\n                            \n                            <i>Applicability:</i>\n                            \n                            HPV dose 2\n                            \n                            <i>(HPV dose 2)</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>(HPV dose 2 Create)</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                    <tr>\n                        <td>\n                            \n                            <b> HPV dose 3 (immunocompromised or HIV-positive):</b> Provision of the HPV dose 3 for individuals immunocompromised or infected with HIV\nTrigger event: Second HPV dose from the primary series was administered and client's HIV status is positive or client is immunocompromised\nCount of vaccines administered (where &quot;Vaccine type&quot; = &quot;HPV vaccines&quot; and &quot;Type of dose&quot; = &quot;Primary series&quot;) = 2 AND (&quot;HIV status&quot; = &quot;HIV-positive&quot; OR &quot;Immunocompromised&quot; = TRUE)\nTrigger date: Latest &quot;Date and time of vaccination&quot; (where &quot;Vaccine type&quot; = &quot;HPV vaccines&quot;)\nCreate condition: Where possible, three HPV doses should be provided to individuals known to be immunocompromised or infected with HIV.\n                            \n                            <br/>\n                            \n                            \n                            <b>If:</b>\n                            \n                            <i>Applicability:</i>\n                            \n                            HPV dose 3 (immunocompromised or HIV-positive)\n                            \n                            <i>(HPV dose 3 (immunocompromised or HIV-positive))</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>(HPV dose 3 (immunocompromised or HIV-positive) Create)</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/IMMZD18SHPV2Dose",
  "version" : "0.2.0",
  "name" : "IMMZD18SHPV2Dose",
  "title" : "IMMZ.D18.S.HPV.2-dose schedule",
  "type" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/plan-definition-type",
        "code" : "eca-rule"
      }
    ]
  },
  "status" : "draft",
  "experimental" : false,
  "date" : "2025-09-17T23:03:28+00:00",
  "publisher" : "WHO",
  "contact" : [
    {
      "name" : "WHO",
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://who.int"
        }
      ]
    }
  ],
  "description" : "IMMZ.D18.S.HPV.2-dose schedule\n2-dose schedule",
  "relatedArtifact" : [
    {
      "type" : "citation",
      "citation" : "WHO recommendations for routine immunization - summary tables (January 2025)"
    }
  ],
  "library" : [
    🔗 "http://smart.who.int/immunizations/Library/IMMZD18SHPV2DoseLogic"
  ],
  "action" : [
    {
      "title" : "HPV dose 1",
      "description" : "Provision of the HPV dose 1\nTrigger event: Child's birth when client's biological sex is female\nChild's birth AND \"Sex\" = \"Female\"\nTrigger date: \"Date of birth\"\nCreate condition: HPV dose 1 should be provided if the client is female and older than 9 years of age.",
      "condition" : [
        {
          "kind" : "applicability",
          "expression" : {
            "description" : "HPV dose 1",
            "language" : "text/cql-identifier",
            "expression" : "HPV dose 1"
          }
        }
      ],
      "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" : "HPV dose 1 Create"
          }
        },
        {
          "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' }"
          }
        }
      ]
    },
    {
      "title" : "HPV dose 2",
      "description" : "Provision of the HPV dose 2\nTrigger event: First HPV dose from the primary series was administered\nCount of vaccines administered (where \"Vaccine type\" = \"HPV vaccines\" and \"Type of dose\" = \"Primary series\") = 1\nTrigger date: \"Date and time of vaccination\" (where \"Vaccine type\" = \"HPV vaccines\")\nCreate condition: HPV dose 2 should be provided if dose 1 was given 6 months ago.",
      "condition" : [
        {
          "kind" : "applicability",
          "expression" : {
            "description" : "HPV dose 2",
            "language" : "text/cql-identifier",
            "expression" : "HPV dose 2"
          }
        }
      ],
      "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" : "HPV dose 2 Create"
          }
        },
        {
          "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' }"
          }
        }
      ]
    },
    {
      "title" : "HPV dose 3 (immunocompromised or HIV-positive)",
      "description" : "Provision of the HPV dose 3 for individuals immunocompromised or infected with HIV\nTrigger event: Second HPV dose from the primary series was administered and client's HIV status is positive or client is immunocompromised\nCount of vaccines administered (where \"Vaccine type\" = \"HPV vaccines\" and \"Type of dose\" = \"Primary series\") = 2 AND (\"HIV status\" = \"HIV-positive\" OR \"Immunocompromised\" = TRUE)\nTrigger date: Latest \"Date and time of vaccination\" (where \"Vaccine type\" = \"HPV vaccines\")\nCreate condition: Where possible, three HPV doses should be provided to individuals known to be immunocompromised or infected with HIV.",
      "condition" : [
        {
          "kind" : "applicability",
          "expression" : {
            "description" : "HPV dose 3 (immunocompromised or HIV-positive)",
            "language" : "text/cql-identifier",
            "expression" : "HPV dose 3 (immunocompromised or HIV-positive)"
          }
        }
      ],
      "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" : "HPV dose 3 (immunocompromised or HIV-positive) Create"
          }
        },
        {
          "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' }"
          }
        }
      ]
    }
  ]
}