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FHIR IG Statistics: PlanDefinition/ANCDT32

Packagesmart.who.int.anc
TypePlanDefinition
IdANCDT32
FHIR VersionR4
Sourcehttp://smart.who.int/anc/https://build.fhir.org/ig/WorldHealthOrganization/smart-anc/PlanDefinition-ANCDT32.html
URLhttp://smart.who.int/anc/PlanDefinition/ANCDT32
Version0.3.0
Statusactive
Date2025-06-24T13:58:48-06:00
NameANCDT32
TitleANC.DT.32 Tetanus toxoid-containing vaccination
Realmuv
Authoritywho
DescriptionIf the woman has not yet been fully immunized against tetanus, she should be immunized

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Narrative

Note: links and images are rebased to the (stated) source

Id: ANCDT32
Url: ANC.DT.32 Tetanus toxoid-containing vaccination
Version: 0.3.0
Official

ANC.DT.32

Title: ANC.DT.32 Tetanus toxoid-containing vaccination
Type:

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

code: eca-rule

Date: 2025-06-24 13:58:48-0600
Publisher: World Health Organization (WHO)
Description:

If the woman has not yet been fully immunized against tetanus, she should be immunized

Use Context:
code value
task
Jurisdiction: 001
Libraries:
ANC.DT.32 Tetanus toxoid-containing vaccination
Actions:
ANC.DT.32 Tetanus toxoid-containing vaccination:
When: Named Event: ANC.B10.7. Immunizations
Then:
Tetanus toxoid (TT) vaccination is recommended for all pregnant women who are not fully immunised against TT to prevent neonatal mortality from tetanus
If: Applicability: (("Tetanus toxoid-containing vaccine (TTCV) immunization history" = "Under-immunized") OR ("Tetanus toxoid-containing vaccine (TTCV) immunization history" = "No doses")) OR ("Tetanus toxoid-containing vaccine (TTCV) immunization history" = "Unknown") (Should Provide tetanus toxoid immunizations – using the \"Tetanus toxoid-containing vaccine (TTCV) immunization – NO PREVIOUS\" schedule (3 dose scheme))
1–4 doses of TTCV in the past: – 1 dose scheme: Woman should receive one dose of TTCV during each subsequent pregnancy to a total of five doses (five doses protects throughout the childbearing years)
If: Applicability: (((("Tetanus toxoid-containing vaccine (TTCV) 1 immunization provided" = TRUE) AND ("Tetanus toxoid-containing vaccine (TTCV) 2 immunization provided" = TRUE) AND ("Tetanus toxoid-containing vaccine (TTCV) 3 immunization provided" = TRUE) AND ("Tetanus toxoid-containing vaccine (TTCV) 4 immunization provided" = TRUE)) OR (("Tetanus toxoid-containing vaccine (TTCV) 1 immunization provided" = TRUE) AND ("Tetanus toxoid-containing vaccine (TTCV) 2 immunization provided" = TRUE) AND ("Tetanus toxoid-containing vaccine (TTCV) 3 immunization provided" = TRUE))) OR (("Tetanus toxoid-containing vaccine (TTCV) 1 immunization provided" = TRUE) AND ("Tetanus toxoid-containing vaccine (TTCV) 2 immunization provided" = TRUE))) OR ("Tetanus toxoid-containing vaccine (TTCV) 1 immunization provided" = TRUE) (Should Provide tetanus toxoid immunizations – using the \"Tetanus toxoid-containing vaccine (TTCV) immunization – WITH PREVIOUS\" schedule (1 dose scheme))

Source

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  "id": "ANCDT32",
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "contained": [
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      "resourceType": "Library",
      "id": "effective-data-requirements",
      "name": "EffectiveDataRequirements",
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      "valueReference": {
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  ],
  "url": "http://smart.who.int/anc/PlanDefinition/ANCDT32",
  "identifier": [
    {
      "use": "official",
      "value": "ANC.DT.32"
    }
  ],
  "version": "0.3.0",
  "name": "ANCDT32",
  "title": "ANC.DT.32 Tetanus toxoid-containing vaccination",
  "type": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/plan-definition-type",
        "code": "eca-rule"
      }
    ]
  },
  "status": "active",
  "experimental": false,
  "date": "2025-06-24T13:58:48-06:00",
  "publisher": "World Health Organization (WHO)",
  "contact": [
    {
      "telecom": [
        {
          "system": "url",
          "value": "https://www.who.int"
        }
      ]
    }
  ],
  "description": "If the woman has not yet been fully immunized against tetanus, she should be immunized\t\t\t",
  "useContext": [
    {
      "code": {
        "system": "http://terminology.hl7.org/CodeSystem/usage-context-type",
        "code": "task",
        "display": "Workflow Task"
      },
      "valueCodeableConcept": {
        "coding": [
          {
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            "code": "ANC.B10.7.",
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          }
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  "library": [
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  "action": [
    {
      "title": "ANC.DT.32 Tetanus toxoid-containing vaccination",
      "trigger": [
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        }
      ],
      "action": [
        {
          "id": "1",
          "title": "Provide tetanus toxoid immunizations – using the \"Tetanus toxoid-containing vaccine (TTCV) immunization – NO PREVIOUS\" schedule (3 dose scheme)",
          "description": "Provide tetanus toxoid immunizations – using the \"Tetanus toxoid-containing vaccine (TTCV) immunization – NO PREVIOUS\" schedule (3 dose scheme)",
          "textEquivalent": "Tetanus toxoid (TT) vaccination is recommended for all pregnant women who are not fully immunised against TT to prevent neonatal mortality from tetanus",
          "documentation": [
            {
              "type": "citation",
              "label": "WHO ANC recommendations (2016): C.5. Tetanus toxoid vaccination (3)\n\nMaternal immunization against tetanus (IMPAC) (2006) (11)"
            }
          ],
          "condition": [
            {
              "kind": "applicability",
              "expression": {
                "description": "((\"Tetanus toxoid-containing vaccine (TTCV) immunization history\" = \"Under-immunized\")\n  OR (\"Tetanus toxoid-containing vaccine (TTCV) immunization history\" = \"No doses\"))\n  OR (\"Tetanus toxoid-containing vaccine (TTCV) immunization history\" = \"Unknown\")",
                "language": "text/cql-identifier",
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              }
            }
          ]
        },
        {
          "id": "2",
          "title": "Provide tetanus toxoid immunizations – using the \"Tetanus toxoid-containing vaccine (TTCV) immunization – WITH PREVIOUS\" schedule (1 dose scheme)",
          "description": "Provide tetanus toxoid immunizations – using the \"Tetanus toxoid-containing vaccine (TTCV) immunization – WITH PREVIOUS\" schedule (1 dose scheme)",
          "textEquivalent": "1–4 doses of TTCV in the past:\n– 1 dose scheme: Woman should receive one dose of TTCV during each subsequent pregnancy to a total of five doses (five doses protects throughout the childbearing years)",
          "documentation": [
            {
              "type": "citation",
              "label": "WHO ANC recommendations (2016): C.5. Tetanus toxoid vaccination (3)\n\nMaternal immunization against tetanus (IMPAC) (2006) (11)"
            }
          ],
          "condition": [
            {
              "kind": "applicability",
              "expression": {
                "description": "((((\"Tetanus toxoid-containing vaccine (TTCV) 1 immunization provided\" = TRUE)\n  AND (\"Tetanus toxoid-containing vaccine (TTCV) 2 immunization provided\" = TRUE)\n  AND (\"Tetanus toxoid-containing vaccine (TTCV) 3 immunization provided\" = TRUE)\n  AND (\"Tetanus toxoid-containing vaccine (TTCV) 4 immunization provided\" =  TRUE))\n  OR ((\"Tetanus toxoid-containing vaccine (TTCV) 1 immunization provided\" = TRUE)\n  AND (\"Tetanus toxoid-containing vaccine (TTCV) 2 immunization provided\" = TRUE)\n  AND (\"Tetanus toxoid-containing vaccine (TTCV) 3 immunization provided\" = TRUE)))\n  OR ((\"Tetanus toxoid-containing vaccine (TTCV) 1 immunization provided\" = TRUE)\n  AND (\"Tetanus toxoid-containing vaccine (TTCV) 2 immunization provided\" = TRUE)))\n  OR (\"Tetanus toxoid-containing vaccine (TTCV) 1 immunization provided\" = TRUE)",
                "language": "text/cql-identifier",
                "expression": "Should Provide tetanus toxoid immunizations – using the \\\"Tetanus toxoid-containing vaccine (TTCV) immunization – WITH PREVIOUS\\\" schedule (1 dose scheme)"
              }
            }
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      ]
    }
  ]
}