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FHIR IG Statistics: PlanDefinition/IMMZD18SDTPPregnant3

Packagesmart.who.int.immunizations
Resource TypePlanDefinition
IdIMMZD18SDTPPregnant3
FHIR VersionR4
Sourcehttp://smart.who.int/immunizations/https://build.fhir.org/ig/WorldHealthOrganization/smart-immunizations/PlanDefinition-IMMZD18SDTPPregnant3.html
URLhttp://smart.who.int/immunizations/PlanDefinition/IMMZD18SDTPPregnant3
Version0.2.0
Statusdraft
Date2025-07-25T21:56:21+00:00
NameIMMZD18SDTPPregnant3
TitleIMMZ.D18.S.DTP.Pregnancy starting with 3 doses schedule
Authoritywho
DescriptionIMMZ.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

Resources that use this resource

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Resources that this resource uses

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Narrative

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

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: 2025-07-25 21:56:21+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' })

Source

{
  "resourceType": "PlanDefinition",
  "id": "IMMZD18SDTPPregnant3",
  "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": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeCapability",
      "valueCode": "computable"
    }
  ],
  "url": "http://smart.who.int/immunizations/PlanDefinition/IMMZD18SDTPPregnant3",
  "version": "0.2.0",
  "name": "IMMZD18SDTPPregnant3",
  "title": "IMMZ.D18.S.DTP.Pregnancy starting with 3 doses schedule",
  "type": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/plan-definition-type",
        "code": "eca-rule"
      }
    ]
  },
  "status": "draft",
  "experimental": false,
  "date": "2025-07-25T21:56:21+00:00",
  "publisher": "WHO",
  "contact": [
    {
      "name": "WHO",
      "telecom": [
        {
          "system": "url",
          "value": "http://who.int"
        }
      ]
    }
  ],
  "description": "IMMZ.D18.S.DTP.Pregnancy starting with 3 doses schedule\nDiphtheria and tetanus vaccination schedule in pregnant women who received 3 childhood diphtheria–tetanus–pertussis (DTP) doses",
  "relatedArtifact": [
    {
      "type": "citation",
      "citation": "WHO recommendations for routine immunization - summary tables (January 2025)"
    }
  ],
  "library": [
    "http://smart.who.int/immunizations/Library/IMMZD18SDTPPregnant3Logic"
  ],
  "action": [
    {
      "title": "Tetanus and diphtheria-containing vaccine booster dose 1 (during pregnancy)",
      "description": "Provision of tetanus and diphtheria booster dose 1 for pregnant women who received only 3 doses of DTP during childhood without booster doses\nTrigger event: The primary DTP series has been completed and client is currently pregnant\n\"Completed the primary vaccination series\" = TRUE (where \"Vaccine type\" = \"DTP-containing vaccines\") AND \"Currently pregnant\" = TRUE\nTrigger date: \"Contact date\" WHEN \"ANC contact number\" = 1\nCreate 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.",
      "condition": [
        {
          "kind": "applicability",
          "expression": {
            "description": "Tetanus and diphtheria-containing vaccine booster dose 1 (during pregnancy)",
            "language": "text/cql-identifier",
            "expression": "Tetanus and diphtheria-containing vaccine booster dose 1 (during pregnancy)"
          }
        }
      ],
      "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": "Tetanus and diphtheria-containing vaccine booster dose 1 (during pregnancy) 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": "Tetanus and diphtheria-containing vaccine booster dose 2 (during pregnancy)",
      "description": "Provision of tetanus and diphtheria booster dose 2 for pregnant women who received only 3 doses of DTP during childhood without booster doses\nTrigger event: First tetanus and diphtheria booster dose was administered \nCount of vaccines administered (where \"Vaccine type\" = \"Tetanus and diphtheria-containing vaccines\" and \"Type of dose\" = \"Booster dose\") = 1\nTrigger date: Latest \"Date and time of vaccination\" where \"Vaccine type\" = \"Tetanus and diphtheria-containing vaccines\"\nCreate 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.",
      "condition": [
        {
          "kind": "applicability",
          "expression": {
            "description": "Tetanus and diphtheria-containing vaccine booster dose 2 (during pregnancy)",
            "language": "text/cql-identifier",
            "expression": "Tetanus and diphtheria-containing vaccine booster dose 2 (during pregnancy)"
          }
        }
      ],
      "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": "Tetanus and diphtheria-containing vaccine booster dose 2 (during pregnancy) 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": "Tetanus and diphtheria-containing vaccine booster dose 3",
      "description": "Provision of tetanus and diphtheria booster dose 3 for pregnant women who received only 3 doses of DTP during childhood without booster doses\nTrigger event: Second tetanus and diphtheria booster dose was administered \nCount of vaccines administered (where \"Vaccine type\" = \"Tetanus and diphtheria-containing vaccines\" and \"Type of dose\" = \"Booster dose\") = 2\nTrigger date: Latest \"Date and time of vaccination\" where \"Vaccine type\" = \"Tetanus and diphtheria-containing vaccines\"\nCreate condition: A sixth dose would be needed at least 1 year after the fifth dose, or during the next pregnancy.",
      "condition": [
        {
          "kind": "applicability",
          "expression": {
            "description": "Tetanus and diphtheria-containing vaccine booster dose 3",
            "language": "text/cql-identifier",
            "expression": "Tetanus and diphtheria-containing vaccine booster dose 3"
          }
        }
      ],
      "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": "Tetanus and diphtheria-containing vaccine booster dose 3 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' }"
          }
        }
      ]
    }
  ]
}