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/dhes/smart-immunizations/ and changes regularly. See the Directory of published versions

ValueSet: IMMZD2DTPneumococcal3Doses ValueSet for Decision Table

Official URL: http://smart.who.int/immunizations/ValueSet/IMMZD2DTPneumococcal3DosesVS Version: 0.2.0
Active as of 2025-12-05 Computable Name: IMMZD2DTPneumococcal3DosesVS

ValueSet IMMZD2DTPneumococcal3Doses for IMMZ.D2.DT.Pneumococcal.3 doses. 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)

References

This value set is not used here; it may be used elsewhere (e.g. specifications and/or implementations that use this content)

Logical Definition (CLD)

 

Expansion

This value set expansion contains 40 concepts.

SystemCodeDisplayDefinitionJSONXML
http://smart.who.int/immunizations/CodeSystem/IMMZDAK  The client's age is less than 6 weeks-40The client's age is less than 6 weeks

Today's date − "Date of birth" < 6 weeks

http://smart.who.int/immunizations/CodeSystem/IMMZDAK  Client is not due for pneumococcal vaccination-48Client is not due for pneumococcal vaccination

"Immunization recommendation status" = "Not due"

http://smart.who.int/immunizations/CodeSystem/IMMZDAK  No pneumococcal primary series doses were administered-121No pneumococcal primary series doses were administered

Count of vaccines administered (where "Vaccine type" = "Pneumococcal vaccines" and "Type of dose" = "Primary series") = 0

http://smart.who.int/immunizations/CodeSystem/IMMZDAK  The client's age is between 6 weeks and 5 years-50The client's age is between 6 weeks and 5 years

6 weeks ≤ Today's date − "Date of birth" ≤ 5 years

http://smart.who.int/immunizations/CodeSystem/IMMZDAK  Client is due for pneumococcal vaccination-44Client is due for pneumococcal vaccination

"Immunization recommendation status" = "Due"

http://smart.who.int/immunizations/CodeSystem/IMMZDAK  One pneumococcal primary series dose was administered-121One pneumococcal primary series dose was administered

Count of vaccines administered (where "Vaccine type" = "Pneumococcal vaccines" and "Type of dose" = "Primary series") = 1

http://smart.who.int/immunizations/CodeSystem/IMMZDAK  The client's age is less than or equal to five years-40The client's age is less than or equal to five years

Today's date − "Date of birth" ≤ 5 years

http://smart.who.int/immunizations/CodeSystem/IMMZDAK  The first pneumococcal dose was administered within 12 months post birth-109The first pneumococcal dose was administered within 12 months post birth

"Date and time of vaccination" (where "Vaccine type" = "Pneumococcal vaccines") − "Date of birth" < 12 months

http://smart.who.int/immunizations/CodeSystem/IMMZDAK  The latest pneumococcal dose was administered less than 4 weeks ago-104The latest pneumococcal dose was administered less than 4 weeks ago

Today's date − "Date and time of vaccination" (where "Vaccine type" = "Pneumococcal vaccines") < 4 weeks

http://smart.who.int/immunizations/CodeSystem/IMMZDAK  The latest pneumococcal dose was administered more than 4 weeks ago-104The latest pneumococcal dose was administered more than 4 weeks ago

Today's date − "Date and time of vaccination" (where "Vaccine type" = "Pneumococcal vaccines") ≥ 4 weeks

http://smart.who.int/immunizations/CodeSystem/IMMZDAK  The first pneumococcal dose was administered at 12–24 months post birth-121The first pneumococcal dose was administered at 12–24 months post birth

12 months ≤ "Date and time of vaccination" (where "Vaccine type" = "Pneumococcal vaccines") − "Date of birth" < 24 months

http://smart.who.int/immunizations/CodeSystem/IMMZDAK  Client is not at high risk for pneumococcal infection-49Client is not at high risk for pneumococcal infection

"At high risk for pneumococcal infection" = FALSE

http://smart.who.int/immunizations/CodeSystem/IMMZDAK  The latest pneumococcal dose was administered less than 8 weeks ago-104The latest pneumococcal dose was administered less than 8 weeks ago

Today's date − "Date and time of vaccination" (where "Vaccine type" = "Pneumococcal vaccines") < 8 weeks

http://smart.who.int/immunizations/CodeSystem/IMMZDAK  Client is at high risk for pneumococcal infection-48Client is at high risk for pneumococcal infection

"At high risk for pneumococcal infection" = TRUE

http://smart.who.int/immunizations/CodeSystem/IMMZDAK  The latest pneumococcal dose was administered more than 8 weeks ago-104The latest pneumococcal dose was administered more than 8 weeks ago

Today's date − "Date and time of vaccination" (where "Vaccine type" = "Pneumococcal vaccines") ≥ 8 weeks

http://smart.who.int/immunizations/CodeSystem/IMMZDAK  The first pneumococcal dose was administered after 24 months post birth-109The first pneumococcal dose was administered after 24 months post birth

"Date and time of vaccination" (where "Vaccine type" = "Pneumococcal vaccines") − "Date of birth" ≥ 24 months

http://smart.who.int/immunizations/CodeSystem/IMMZDAK  Pneumococcal immunization schedule is complete-148Pneumococcal immunization schedule is complete

"Immunization recommendation status" = "Complete" "Completed the primary vaccination series" = TRUE (where "Vaccine type" = "Pneumococcal vaccines")

http://smart.who.int/immunizations/CodeSystem/IMMZDAK  Two pneumococcal primary series doses were administered-121Two pneumococcal primary series doses were administered

Count of vaccines administered (where "Vaccine type" = "Pneumococcal vaccines" and "Type of dose" = "Primary series") = 2

http://smart.who.int/immunizations/CodeSystem/IMMZDAK  The first pneumococcal dose was administered within 12 months post birth-131The first pneumococcal dose was administered within 12 months post birth

"Date and time of vaccination" (where "Vaccine type" = "Pneumococcal vaccines" AND "Dose number" = 1) − "Date of birth" < 12 months

http://smart.who.int/immunizations/CodeSystem/IMMZDAK  The latest pneumococcal dose was administered less than 4 weeks ago-111The latest pneumococcal dose was administered less than 4 weeks ago

Today's date - Latest "Date and time of vaccination" (where "Vaccine type" = "Pneumococcal vaccines") < 4 weeks

http://smart.who.int/immunizations/CodeSystem/IMMZDAK  The latest pneumococcal dose was administered more than 4 weeks ago-111The latest pneumococcal dose was administered more than 4 weeks ago

Today's date - Latest "Date and time of vaccination" (where "Vaccine type" = "Pneumococcal vaccines") ≥ 4 weeks

http://smart.who.int/immunizations/CodeSystem/IMMZDAK  The first pneumococcal dose was administered after 12 months post birth-131The first pneumococcal dose was administered after 12 months post birth

"Date and time of vaccination" (where "Vaccine type" = "Pneumococcal vaccines" AND "Dose number" = 1) − "Date of birth" ≥ 12 months

http://smart.who.int/immunizations/CodeSystem/IMMZDAK  Three pneumococcal primary series doses were administered-121Three pneumococcal primary series doses were administered

Count of vaccines administered (where "Vaccine type" = "Pneumococcal vaccines" and "Type of dose" = "Primary series") = 3

http://smart.who.int/immunizations/CodeSystem/IMMZDAK  No pneumococcal booster dose was administered-119No pneumococcal booster dose was administered

Count of vaccines administered (where "Vaccine type" = "Pneumococcal vaccines" and "Type of dose" = "Booster dose") = 0

http://smart.who.int/immunizations/CodeSystem/IMMZDAK  The client's age is less than 24 months-42The client's age is less than 24 months

Today's date − "Date of birth" < 24 months

http://smart.who.int/immunizations/CodeSystem/IMMZDAK  The latest pneumococcal dose was administered within 12 months post birth-116The latest pneumococcal dose was administered within 12 months post birth

Latest "Date and time of vaccination" (where "Vaccine type" = "Pneumococcal vaccines") − "Date of birth" < 12 months

http://smart.who.int/immunizations/CodeSystem/IMMZDAK  The latest pneumococcal dose was administered less than 8 weeks ago-111The latest pneumococcal dose was administered less than 8 weeks ago

Today's date - latest "Date and time of vaccination" (where "Vaccine type" = "Pneumococcal vaccines") < 8 weeks

http://smart.who.int/immunizations/CodeSystem/IMMZDAK  Client's HIV status is positive-29Client's HIV status is positive

"HIV status" = "HIV-positive"

http://smart.who.int/immunizations/CodeSystem/IMMZDAK  Client is not due for pneumococcal booster dose-48Client is not due for pneumococcal booster dose

"Immunization recommendation status" = "Not due"

http://smart.who.int/immunizations/CodeSystem/IMMZDAK  Client had preterm birth-22Client had preterm birth

"Preterm birth" = TRUE

http://smart.who.int/immunizations/CodeSystem/IMMZDAK  The latest pneumococcal dose was administered more than 8 weeks ago-111The latest pneumococcal dose was administered more than 8 weeks ago

Today's date - latest "Date and time of vaccination" (where "Vaccine type" = "Pneumococcal vaccines") ≥ 8 weeks

http://smart.who.int/immunizations/CodeSystem/IMMZDAK  Client is due for pneumococcal booster dose-44Client is due for pneumococcal booster dose

"Immunization recommendation status" = "Due"

http://smart.who.int/immunizations/CodeSystem/IMMZDAK  The latest pneumococcal dose was administered after 12 months post birth-116The latest pneumococcal dose was administered after 12 months post birth

Latest "Date and time of vaccination" (where "Vaccine type" = "Pneumococcal vaccines") − "Date of birth" ≥ 12 months

http://smart.who.int/immunizations/CodeSystem/IMMZDAK  Client's HIV status is negative or unknown-29Client's HIV status is negative or unknown

"HIV status" ≠ "HIV-positive"

http://smart.who.int/immunizations/CodeSystem/IMMZDAK  Client did not have preterm birth-22Client did not have preterm birth

"Preterm birth" ≠ TRUE

http://smart.who.int/immunizations/CodeSystem/IMMZDAK  The client's age is more than or equal to 24 months-42The client's age is more than or equal to 24 months

Today's date − "Date of birth" ≥ 24 months

http://smart.who.int/immunizations/CodeSystem/IMMZDAK  One pneumococcal booster dose was administered-119One pneumococcal booster dose was administered

Count of vaccines administered (where "Vaccine type" = "Pneumococcal vaccines" and "Type of dose" = "Booster dose") = 1

http://smart.who.int/immunizations/CodeSystem/IMMZDAK  Pneumococcal immunization schedule is complete-49Pneumococcal immunization schedule is complete

"Immunization recommendation status" = "Complete"

http://smart.who.int/immunizations/CodeSystem/IMMZDAK  The client's age is more than 5 years-40The client's age is more than 5 years

Today's date − "Date of birth" > 5 years

http://smart.who.int/immunizations/CodeSystem/IMMZDAK  Clinical judgement is required. Create a clinical note.-66Clinical judgement is required. Create a clinical note.

"Immunization recommendation status" = "Further evaluation needed"


Explanation of the columns that may appear on this page:

Level A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes are under other codes, and imply that the code they are under also applies
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Code The code (used as the code in the resource instance)
Display The display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application
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