FHIR © HL7.org  |  FHIRsmith 4.0.1  |  Server Home  |  XIG Home  |  XIG Stats  | 

FHIR IG analytics

Packagesmart.who.int.immunizations
Resource TypeValueSet
IdValueSet-IMMZD2DTPneumococcal3DosesVS.json
FHIR VersionR4
Sourcehttps://build.fhir.org/ig/dhes/smart-immunizations/ValueSet-IMMZD2DTPneumococcal3DosesVS.html
URLhttp://smart.who.int/immunizations/ValueSet/IMMZD2DTPneumococcal3DosesVS
Version0.2.0
Statusactive
Date2025-12-05T23:35:21+00:00
NameIMMZD2DTPneumococcal3DosesVS
TitleIMMZD2DTPneumococcal3Doses ValueSet for Decision Table
Authoritywho
DescriptionValueSet 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)

Resources that use this resource

No resources found


Resources that this resource uses

CodeSystem
IMMZDAKIMMZDAK CodeSystem for Decision Tables

Narrative

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

Generated Narrative: ValueSet IMMZD2DTPneumococcal3DosesVS

This value set expansion contains 40 concepts.

SystemCodeDisplayDefinition
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"


Source1

{
  "resourceType": "ValueSet",
  "id": "IMMZD2DTPneumococcal3DosesVS",
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "url": "http://smart.who.int/immunizations/ValueSet/IMMZD2DTPneumococcal3DosesVS",
  "version": "0.2.0",
  "name": "IMMZD2DTPneumococcal3DosesVS",
  "title": "IMMZD2DTPneumococcal3Doses ValueSet for Decision Table",
  "status": "active",
  "date": "2025-12-05T23:35:21+00:00",
  "publisher": "WHO",
  "contact": [
    {
      "name": "WHO",
      "telecom": [
        {
          "system": "url",
          "value": "http://who.int"
        }
      ]
    }
  ],
  "description": "ValueSet IMMZD2DTPneumococcal3Doses for IMMZ.D2.DT.Pneumococcal.3 doses.\nBusiness rule: Determine if the client is due for a pneumococcal vaccination according to the national immunization schedule\nTrigger: IMMZ.D2 Determine required vaccination(s) if any\nTable: 3 primary doses (3p+0)",
  "compose": {
    "include": [
      {
        "system": "http://smart.who.int/immunizations/CodeSystem/IMMZDAK",
        "concept": [
          {
            "code": "The client's age is less than 6 weeks-40",
            "display": "The client's age is less than 6 weeks"
          },
          {
            "code": "Client is not due for pneumococcal vaccination-48",
            "display": "Client is not due for pneumococcal vaccination"
          },
          {
            "code": "No pneumococcal primary series doses were administered-121",
            "display": "No pneumococcal primary series doses were administered"
          },
          {
            "code": "The client's age is between 6 weeks and 5 years-50",
            "display": "The client's age is between 6 weeks and 5 years"
          },
          {
            "code": "Client is due for pneumococcal vaccination-44",
            "display": "Client is due for pneumococcal vaccination"
          },
          {
            "code": "One pneumococcal primary series dose was administered-121",
            "display": "One pneumococcal primary series dose was administered"
          },
          {
            "code": "The client's age is less than or equal to five years-40",
            "display": "The client's age is less than or equal to five years"
          },
          {
            "code": "The first pneumococcal dose was administered within 12 months post birth-109",
            "display": "The first pneumococcal dose was administered within 12 months post birth"
          },
          {
            "code": "The latest pneumococcal dose was administered less than 4 weeks ago-104",
            "display": "The latest pneumococcal dose was administered less than 4 weeks ago"
          },
          {
            "code": "The latest pneumococcal dose was administered more than 4 weeks ago-104",
            "display": "The latest pneumococcal dose was administered more than 4 weeks ago"
          },
          {
            "code": "The first pneumococcal dose was administered at 12–24 months post birth-121",
            "display": "The first pneumococcal dose was administered at 12–24 months post birth"
          },
          {
            "code": "Client is not at high risk for pneumococcal infection-49",
            "display": "Client is not at high risk for pneumococcal infection"
          },
          {
            "code": "The latest pneumococcal dose was administered less than 8 weeks ago-104",
            "display": "The latest pneumococcal dose was administered less than 8 weeks ago"
          },
          {
            "code": "Client is at high risk for pneumococcal infection-48",
            "display": "Client is at high risk for pneumococcal infection"
          },
          {
            "code": "The latest pneumococcal dose was administered more than 8 weeks ago-104",
            "display": "The latest pneumococcal dose was administered more than 8 weeks ago"
          },
          {
            "code": "The first pneumococcal dose was administered after 24 months post birth-109",
            "display": "The first pneumococcal dose was administered after 24 months post birth"
          },
          {
            "code": "Pneumococcal immunization schedule is complete-148",
            "display": "Pneumococcal immunization schedule is complete"
          },
          {
            "code": "Two pneumococcal primary series doses were administered-121",
            "display": "Two pneumococcal primary series doses were administered"
          },
          {
            "code": "The first pneumococcal dose was administered within 12 months post birth-131",
            "display": "The first pneumococcal dose was administered within 12 months post birth"
          },
          {
            "code": "The latest pneumococcal dose was administered less than 4 weeks ago-111",
            "display": "The latest pneumococcal dose was administered less than 4 weeks ago"
          },
          {
            "code": "The latest pneumococcal dose was administered more than 4 weeks ago-111",
            "display": "The latest pneumococcal dose was administered more than 4 weeks ago"
          },
          {
            "code": "The first pneumococcal dose was administered after 12 months post birth-131",
            "display": "The first pneumococcal dose was administered after 12 months post birth"
          },
          {
            "code": "Three pneumococcal primary series doses were administered-121",
            "display": "Three pneumococcal primary series doses were administered"
          },
          {
            "code": "No pneumococcal booster dose was administered-119",
            "display": "No pneumococcal booster dose was administered"
          },
          {
            "code": "The client's age is less than 24 months-42",
            "display": "The client's age is less than 24 months"
          },
          {
            "code": "The latest pneumococcal dose was administered within 12 months post birth-116",
            "display": "The latest pneumococcal dose was administered within 12 months post birth"
          },
          {
            "code": "The latest pneumococcal dose was administered less than 8 weeks ago-111",
            "display": "The latest pneumococcal dose was administered less than 8 weeks ago"
          },
          {
            "code": "Client's HIV status is positive-29",
            "display": "Client's HIV status is positive"
          },
          {
            "code": "Client is not due for pneumococcal booster dose-48",
            "display": "Client is not due for pneumococcal booster dose"
          },
          {
            "code": "Client had preterm birth-22",
            "display": "Client had preterm birth"
          },
          {
            "code": "The latest pneumococcal dose was administered more than 8 weeks ago-111",
            "display": "The latest pneumococcal dose was administered more than 8 weeks ago"
          },
          {
            "code": "Client is due for pneumococcal booster dose-44",
            "display": "Client is due for pneumococcal booster dose"
          },
          {
            "code": "The latest pneumococcal dose was administered after 12 months post birth-116",
            "display": "The latest pneumococcal dose was administered after 12 months post birth"
          },
          {
            "code": "Client's HIV status is negative or unknown-29",
            "display": "Client's HIV status is negative or unknown"
          },
          {
            "code": "Client did not have preterm birth-22",
            "display": "Client did not have preterm birth"
          },
          {
            "code": "The client's age is more than or equal to 24 months-42",
            "display": "The client's age is more than or equal to 24 months"
          },
          {
            "code": "One pneumococcal booster dose was administered-119",
            "display": "One pneumococcal booster dose was administered"
          },
          {
            "code": "Pneumococcal immunization schedule is complete-49",
            "display": "Pneumococcal immunization schedule is complete"
          },
          {
            "code": "The client's age is more than 5 years-40",
            "display": "The client's age is more than 5 years"
          },
          {
            "code": "Clinical judgement is required. Create a clinical note.-66",
            "display": "Clinical judgement is required. Create a clinical note."
          }
        ]
      }
    ]
  },
  "expansion": {
    "timestamp": "2025-09-29T20:59:26.458Z",
    "contains": [
      {
        "system": "http://smart.who.int/immunizations/CodeSystem/IMMZDAK",
        "code": "The client's age is less than 6 weeks-40",
        "display": "The client's age is less than 6 weeks"
      },
      {
        "system": "http://smart.who.int/immunizations/CodeSystem/IMMZDAK",
        "code": "Client is not due for pneumococcal vaccination-48",
        "display": "Client is not due for pneumococcal vaccination"
      },
      {
        "system": "http://smart.who.int/immunizations/CodeSystem/IMMZDAK",
        "code": "No pneumococcal primary series doses were administered-121",
        "display": "No pneumococcal primary series doses were administered"
      },
      {
        "system": "http://smart.who.int/immunizations/CodeSystem/IMMZDAK",
        "code": "The client's age is between 6 weeks and 5 years-50",
        "display": "The client's age is between 6 weeks and 5 years"
      },
      {
        "system": "http://smart.who.int/immunizations/CodeSystem/IMMZDAK",
        "code": "Client is due for pneumococcal vaccination-44",
        "display": "Client is due for pneumococcal vaccination"
      },
      {
        "system": "http://smart.who.int/immunizations/CodeSystem/IMMZDAK",
        "code": "One pneumococcal primary series dose was administered-121",
        "display": "One pneumococcal primary series dose was administered"
      },
      {
        "system": "http://smart.who.int/immunizations/CodeSystem/IMMZDAK",
        "code": "The client's age is less than or equal to five years-40",
        "display": "The client's age is less than or equal to five years"
      },
      {
        "system": "http://smart.who.int/immunizations/CodeSystem/IMMZDAK",
        "code": "The first pneumococcal dose was administered within 12 months post birth-109",
        "display": "The first pneumococcal dose was administered within 12 months post birth"
      },
      {
        "system": "http://smart.who.int/immunizations/CodeSystem/IMMZDAK",
        "code": "The latest pneumococcal dose was administered less than 4 weeks ago-104",
        "display": "The latest pneumococcal dose was administered less than 4 weeks ago"
      },
      {
        "system": "http://smart.who.int/immunizations/CodeSystem/IMMZDAK",
        "code": "The latest pneumococcal dose was administered more than 4 weeks ago-104",
        "display": "The latest pneumococcal dose was administered more than 4 weeks ago"
      },
      {
        "system": "http://smart.who.int/immunizations/CodeSystem/IMMZDAK",
        "code": "The first pneumococcal dose was administered at 12–24 months post birth-121",
        "display": "The first pneumococcal dose was administered at 12–24 months post birth"
      },
      {
        "system": "http://smart.who.int/immunizations/CodeSystem/IMMZDAK",
        "code": "Client is not at high risk for pneumococcal infection-49",
        "display": "Client is not at high risk for pneumococcal infection"
      },
      {
        "system": "http://smart.who.int/immunizations/CodeSystem/IMMZDAK",
        "code": "The latest pneumococcal dose was administered less than 8 weeks ago-104",
        "display": "The latest pneumococcal dose was administered less than 8 weeks ago"
      },
      {
        "system": "http://smart.who.int/immunizations/CodeSystem/IMMZDAK",
        "code": "Client is at high risk for pneumococcal infection-48",
        "display": "Client is at high risk for pneumococcal infection"
      },
      {
        "system": "http://smart.who.int/immunizations/CodeSystem/IMMZDAK",
        "code": "The latest pneumococcal dose was administered more than 8 weeks ago-104",
        "display": "The latest pneumococcal dose was administered more than 8 weeks ago"
      },
      {
        "system": "http://smart.who.int/immunizations/CodeSystem/IMMZDAK",
        "code": "The first pneumococcal dose was administered after 24 months post birth-109",
        "display": "The first pneumococcal dose was administered after 24 months post birth"
      },
      {
        "system": "http://smart.who.int/immunizations/CodeSystem/IMMZDAK",
        "code": "Pneumococcal immunization schedule is complete-148",
        "display": "Pneumococcal immunization schedule is complete"
      },
      {
        "system": "http://smart.who.int/immunizations/CodeSystem/IMMZDAK",
        "code": "Two pneumococcal primary series doses were administered-121",
        "display": "Two pneumococcal primary series doses were administered"
      },
      {
        "system": "http://smart.who.int/immunizations/CodeSystem/IMMZDAK",
        "code": "The first pneumococcal dose was administered within 12 months post birth-131",
        "display": "The first pneumococcal dose was administered within 12 months post birth"
      },
      {
        "system": "http://smart.who.int/immunizations/CodeSystem/IMMZDAK",
        "code": "The latest pneumococcal dose was administered less than 4 weeks ago-111",
        "display": "The latest pneumococcal dose was administered less than 4 weeks ago"
      },
      {
        "system": "http://smart.who.int/immunizations/CodeSystem/IMMZDAK",
        "code": "The latest pneumococcal dose was administered more than 4 weeks ago-111",
        "display": "The latest pneumococcal dose was administered more than 4 weeks ago"
      },
      {
        "system": "http://smart.who.int/immunizations/CodeSystem/IMMZDAK",
        "code": "The first pneumococcal dose was administered after 12 months post birth-131",
        "display": "The first pneumococcal dose was administered after 12 months post birth"
      },
      {
        "system": "http://smart.who.int/immunizations/CodeSystem/IMMZDAK",
        "code": "Three pneumococcal primary series doses were administered-121",
        "display": "Three pneumococcal primary series doses were administered"
      },
      {
        "system": "http://smart.who.int/immunizations/CodeSystem/IMMZDAK",
        "code": "No pneumococcal booster dose was administered-119",
        "display": "No pneumococcal booster dose was administered"
      },
      {
        "system": "http://smart.who.int/immunizations/CodeSystem/IMMZDAK",
        "code": "The client's age is less than 24 months-42",
        "display": "The client's age is less than 24 months"
      },
      {
        "system": "http://smart.who.int/immunizations/CodeSystem/IMMZDAK",
        "code": "The latest pneumococcal dose was administered within 12 months post birth-116",
        "display": "The latest pneumococcal dose was administered within 12 months post birth"
      },
      {
        "system": "http://smart.who.int/immunizations/CodeSystem/IMMZDAK",
        "code": "The latest pneumococcal dose was administered less than 8 weeks ago-111",
        "display": "The latest pneumococcal dose was administered less than 8 weeks ago"
      },
      {
        "system": "http://smart.who.int/immunizations/CodeSystem/IMMZDAK",
        "code": "Client's HIV status is positive-29",
        "display": "Client's HIV status is positive"
      },
      {
        "system": "http://smart.who.int/immunizations/CodeSystem/IMMZDAK",
        "code": "Client is not due for pneumococcal booster dose-48",
        "display": "Client is not due for pneumococcal booster dose"
      },
      {
        "system": "http://smart.who.int/immunizations/CodeSystem/IMMZDAK",
        "code": "Client had preterm birth-22",
        "display": "Client had preterm birth"
      },
      {
        "system": "http://smart.who.int/immunizations/CodeSystem/IMMZDAK",
        "code": "The latest pneumococcal dose was administered more than 8 weeks ago-111",
        "display": "The latest pneumococcal dose was administered more than 8 weeks ago"
      },
      {
        "system": "http://smart.who.int/immunizations/CodeSystem/IMMZDAK",
        "code": "Client is due for pneumococcal booster dose-44",
        "display": "Client is due for pneumococcal booster dose"
      },
      {
        "system": "http://smart.who.int/immunizations/CodeSystem/IMMZDAK",
        "code": "The latest pneumococcal dose was administered after 12 months post birth-116",
        "display": "The latest pneumococcal dose was administered after 12 months post birth"
      },
      {
        "system": "http://smart.who.int/immunizations/CodeSystem/IMMZDAK",
        "code": "Client's HIV status is negative or unknown-29",
        "display": "Client's HIV status is negative or unknown"
      },
      {
        "system": "http://smart.who.int/immunizations/CodeSystem/IMMZDAK",
        "code": "Client did not have preterm birth-22",
        "display": "Client did not have preterm birth"
      },
      {
        "system": "http://smart.who.int/immunizations/CodeSystem/IMMZDAK",
        "code": "The client's age is more than or equal to 24 months-42",
        "display": "The client's age is more than or equal to 24 months"
      },
      {
        "system": "http://smart.who.int/immunizations/CodeSystem/IMMZDAK",
        "code": "One pneumococcal booster dose was administered-119",
        "display": "One pneumococcal booster dose was administered"
      },
      {
        "system": "http://smart.who.int/immunizations/CodeSystem/IMMZDAK",
        "code": "Pneumococcal immunization schedule is complete-49",
        "display": "Pneumococcal immunization schedule is complete"
      },
      {
        "system": "http://smart.who.int/immunizations/CodeSystem/IMMZDAK",
        "code": "The client's age is more than 5 years-40",
        "display": "The client's age is more than 5 years"
      },
      {
        "system": "http://smart.who.int/immunizations/CodeSystem/IMMZDAK",
        "code": "Clinical judgement is required. Create a clinical note.-66",
        "display": "Clinical judgement is required. Create a clinical note."
      }
    ]
  }
}