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/tree/main and changes regularly. See the Directory of published versions
| Official URL: http://smart.who.int/immunizations/ValueSet/IMMZD2DTPneumococcal2DosesWithBoosterDoseVS | Version: 0.2.0 | |||
| Active as of 2025-11-25 | Computable Name: IMMZD2DTPneumococcal2DosesWithBoosterDoseVS | |||
ValueSet IMMZD2DTPneumococcal2DosesWithBoosterDose for IMMZ.D2.DT.Pneumococcal.2 doses with booster dose. 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: 2 primary doses with a booster dose (2p+1)
References
This value set is not used here; it may be used elsewhere (e.g. specifications and/or implementations that use this content)
http://smart.who.int/immunizations/CodeSystem/IMMZDAK version 📦0.2.0| Code | Display | Definition |
| The client's age is less than 6 weeks-40 | The client's age is less than 6 weeks | Today's date − "Date of birth" < 6 weeks |
| Client is not due for pneumococcal vaccination-48 | Client is not due for pneumococcal vaccination | "Immunization recommendation status" = "Not due" |
| No pneumococcal primary series doses were administered-121 | No pneumococcal primary series doses were administered | Count of vaccines administered (where "Vaccine type" = "Pneumococcal vaccines" and "Type of dose" = "Primary series") = 0 |
| The client's age is between 6 weeks and 5 years-50 | The client's age is between 6 weeks and 5 years | 6 weeks ≤ Today's date − "Date of birth" ≤ 5 years |
| Client is due for pneumococcal vaccination-44 | Client is due for pneumococcal vaccination | "Immunization recommendation status" = "Due" |
| One pneumococcal primary series dose was administered-121 | One pneumococcal primary series dose was administered | Count of vaccines administered (where "Vaccine type" = "Pneumococcal vaccines" and "Type of dose" = "Primary series") = 1 |
| The client's age is less than or equal to 5 years-41 | The client's age is less than or equal to 5 years | 'Today's date − "Date of birth" ≤ 5 years |
| The first pneumococcal dose was administered within 24 months post birth-109 | The first pneumococcal dose was administered within 24 months post birth | "Date and time of vaccination" (where "Vaccine type" = "Pneumococcal vaccines") − "Date of birth" < 24 months |
| The latest pneumococcal dose was administered less than 8 weeks ago-104 | The 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 |
| The latest pneumococcal dose was administered more than 8 weeks ago-104 | The 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 |
| The first pneumococcal dose was administered after 24 months post birth-109 | The 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 |
| Client is at high risk for pneumococcal infection-48 | Client is at high risk for pneumococcal infection | "At high risk for pneumococcal infection" = TRUE |
| Client is not at high risk for pneumococcal infection-49 | Client is not at high risk for pneumococcal infection | "At high risk for pneumococcal infection" = FALSE |
| Pneumococcal immunization schedule is complete-148 | Pneumococcal immunization schedule is complete | "Immunization recommendation status" = "Complete" "Completed the primary vaccination series" = TRUE (where "Vaccine type" = "Pneumococcal vaccines") |
| Two pneumococcal primary series doses were administered-121 | Two pneumococcal primary series doses were administered | Count of vaccines administered (where "Vaccine type" = "Pneumococcal vaccines" and "Type of dose" = "Primary series") = 2 |
| No pneumococcal booster dose was administered-119 | No pneumococcal booster dose was administered | Count of vaccines administered (where "Vaccine type" = "Pneumococcal vaccines" and "Type of dose" = "Booster dose") = 0 |
| The client's age is less than or equal to 5 years-40 | The client's age is less than or equal to 5 years | Today's date − "Date of birth" ≤ 5 years |
| The first pneumococcal dose was administered within 12 months post birth-131 | The 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 |
| Client is due for pneumococcal booster dose-44 | Client is due for pneumococcal booster dose | "Immunization recommendation status" = "Due" |
| The first pneumococcal dose was administered after 12 months post birth-131 | The 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 |
| One pneumococcal booster dose was administered-119 | One pneumococcal booster dose was administered | Count of vaccines administered (where "Vaccine type" = "Pneumococcal vaccines" and "Type of dose" = "Booster dose") = 1 |
| The client's age is less than 12 months-42 | The client's age is less than 12 months | Today's date − "Date of birth" < 12 months |
| Client's HIV status is positive-29 | Client's HIV status is positive | "HIV status" = "HIV-positive" |
| Client is not due for pneumococcal booster dose-48 | Client is not due for pneumococcal booster dose | "Immunization recommendation status" = "Not due" |
| Client had preterm birth-22 | Client had preterm birth | "Preterm birth" = TRUE |
| The client's age is more than or equal to 12 months and less than 24 months-54 | The client's age is more than or equal to 12 months and less than 24 months | 12 months ≤ Today's date − "Date of birth" < 24 months |
| The latest pneumococcal dose was administered within 12 months post birth-116 | The 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 |
| The latest pneumococcal dose was administered after 12 months post birth-116 | The 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 |
| Pneumococcal immunization schedule is complete-49 | Pneumococcal immunization schedule is complete | "Immunization recommendation status" = "Complete" |
| Client's HIV status is negative or unknown-29 | Client's HIV status is negative or unknown | "HIV status" ≠ "HIV-positive" |
| Client did not have preterm birth-22 | Client did not have preterm birth | "Preterm birth" ≠ TRUE |
| The client's age is more than or equal to 24 months-42 | The client's age is more than or equal to 24 months | Today's date − "Date of birth" ≥ 24 months |
| Two pneumococcal booster doses were administered-119 | Two pneumococcal booster doses were administered | Count of vaccines administered (where "Vaccine type" = "Pneumococcal vaccines" and "Type of dose" = "Booster dose") = 2 |
| The client's age is more than 5 years-40 | The client's age is more than 5 years | Today's date − "Date of birth" > 5 years |
| Clinical judgement is required. Create a clinical note-66 | Clinical judgement is required. Create a clinical note | "Immunization recommendation status" = "Further evaluation needed" |
This value set expansion contains 35 concepts.
| System | Code | Display | JSON | XML |
http://smart.who.int/immunizations/CodeSystem/IMMZDAK | The client's age is less than 6 weeks-40 | The client's age is less than 6 weeks | ||
http://smart.who.int/immunizations/CodeSystem/IMMZDAK | Client is not due for pneumococcal vaccination-48 | Client is not due for pneumococcal vaccination | ||
http://smart.who.int/immunizations/CodeSystem/IMMZDAK | No pneumococcal primary series doses were administered-121 | No pneumococcal primary series doses were administered | ||
http://smart.who.int/immunizations/CodeSystem/IMMZDAK | The client's age is between 6 weeks and 5 years-50 | The client's age is between 6 weeks and 5 years | ||
http://smart.who.int/immunizations/CodeSystem/IMMZDAK | Client is due for pneumococcal vaccination-44 | Client is due for pneumococcal vaccination | ||
http://smart.who.int/immunizations/CodeSystem/IMMZDAK | One pneumococcal primary series dose was administered-121 | One pneumococcal primary series dose was administered | ||
http://smart.who.int/immunizations/CodeSystem/IMMZDAK | The client's age is less than or equal to 5 years-41 | The client's age is less than or equal to 5 years | ||
http://smart.who.int/immunizations/CodeSystem/IMMZDAK | The first pneumococcal dose was administered within 24 months post birth-109 | The first pneumococcal dose was administered within 24 months post birth | ||
http://smart.who.int/immunizations/CodeSystem/IMMZDAK | The latest pneumococcal dose was administered less than 8 weeks ago-104 | The latest pneumococcal dose was administered less than 8 weeks ago | ||
http://smart.who.int/immunizations/CodeSystem/IMMZDAK | The latest pneumococcal dose was administered more than 8 weeks ago-104 | The latest pneumococcal dose was administered more than 8 weeks ago | ||
http://smart.who.int/immunizations/CodeSystem/IMMZDAK | The first pneumococcal dose was administered after 24 months post birth-109 | The first pneumococcal dose was administered after 24 months post birth | ||
http://smart.who.int/immunizations/CodeSystem/IMMZDAK | Client is at high risk for pneumococcal infection-48 | Client is at high risk for pneumococcal infection | ||
http://smart.who.int/immunizations/CodeSystem/IMMZDAK | Client is not at high risk for pneumococcal infection-49 | Client is not at high risk for pneumococcal infection | ||
http://smart.who.int/immunizations/CodeSystem/IMMZDAK | Pneumococcal immunization schedule is complete-148 | Pneumococcal immunization schedule is complete | ||
http://smart.who.int/immunizations/CodeSystem/IMMZDAK | Two pneumococcal primary series doses were administered-121 | Two pneumococcal primary series doses were administered | ||
http://smart.who.int/immunizations/CodeSystem/IMMZDAK | No pneumococcal booster dose was administered-119 | No pneumococcal booster dose was administered | ||
http://smart.who.int/immunizations/CodeSystem/IMMZDAK | The client's age is less than or equal to 5 years-40 | The client's age is less than or equal to 5 years | ||
http://smart.who.int/immunizations/CodeSystem/IMMZDAK | The first pneumococcal dose was administered within 12 months post birth-131 | The first pneumococcal dose was administered within 12 months post birth | ||
http://smart.who.int/immunizations/CodeSystem/IMMZDAK | Client is due for pneumococcal booster dose-44 | Client is due for pneumococcal booster dose | ||
http://smart.who.int/immunizations/CodeSystem/IMMZDAK | The first pneumococcal dose was administered after 12 months post birth-131 | The first pneumococcal dose was administered after 12 months post birth | ||
http://smart.who.int/immunizations/CodeSystem/IMMZDAK | One pneumococcal booster dose was administered-119 | One pneumococcal booster dose was administered | ||
http://smart.who.int/immunizations/CodeSystem/IMMZDAK | The client's age is less than 12 months-42 | The client's age is less than 12 months | ||
http://smart.who.int/immunizations/CodeSystem/IMMZDAK | Client's HIV status is positive-29 | Client's HIV status is positive | ||
http://smart.who.int/immunizations/CodeSystem/IMMZDAK | Client is not due for pneumococcal booster dose-48 | Client is not due for pneumococcal booster dose | ||
http://smart.who.int/immunizations/CodeSystem/IMMZDAK | Client had preterm birth-22 | Client had preterm birth | ||
http://smart.who.int/immunizations/CodeSystem/IMMZDAK | The client's age is more than or equal to 12 months and less than 24 months-54 | The client's age is more than or equal to 12 months and less than 24 months | ||
http://smart.who.int/immunizations/CodeSystem/IMMZDAK | The latest pneumococcal dose was administered within 12 months post birth-116 | The latest pneumococcal dose was administered within 12 months post birth | ||
http://smart.who.int/immunizations/CodeSystem/IMMZDAK | The latest pneumococcal dose was administered after 12 months post birth-116 | The latest pneumococcal dose was administered after 12 months post birth | ||
http://smart.who.int/immunizations/CodeSystem/IMMZDAK | Pneumococcal immunization schedule is complete-49 | Pneumococcal immunization schedule is complete | ||
http://smart.who.int/immunizations/CodeSystem/IMMZDAK | Client's HIV status is negative or unknown-29 | Client's HIV status is negative or unknown | ||
http://smart.who.int/immunizations/CodeSystem/IMMZDAK | Client did not have preterm birth-22 | Client did not have preterm birth | ||
http://smart.who.int/immunizations/CodeSystem/IMMZDAK | The client's age is more than or equal to 24 months-42 | The client's age is more than or equal to 24 months | ||
http://smart.who.int/immunizations/CodeSystem/IMMZDAK | Two pneumococcal booster doses were administered-119 | Two pneumococcal booster doses were administered | ||
http://smart.who.int/immunizations/CodeSystem/IMMZDAK | The client's age is more than 5 years-40 | The client's age is more than 5 years | ||
http://smart.who.int/immunizations/CodeSystem/IMMZDAK | Clinical judgement is required. Create a clinical note-66 | Clinical judgement is required. Create a clinical note |
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 |
| System | The source of the definition of the code (when the value set draws in codes defined elsewhere) |
| 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 |
| Definition | An explanation of the meaning of the concept |
| Comments | Additional notes about how to use the code |
JSON Schema for IMMZD2DTPneumococcal2DosesWithBoosterDose ValueSet for Decision Table ValueSet codes. Generated from FHIR expansions using IRI format.
Version: 1.0.0
This endpoint serves the JSON Schema definition for the enumeration ValueSet-IMMZD2DTPneumococcal2DosesWithBoosterDoseVS.
Description: JSON Schema for IMMZD2DTPneumococcal2DosesWithBoosterDose ValueSet for Decision Table ValueSet codes. Generated from FHIR expansions using IRI format.
Type: string
Schema ID: http://smart.who.int/immunizations/ValueSet-IMMZD2DTPneumococcal2DosesWithBoosterDoseVS.schema.json
{
"$schema": "https://json-schema.org/draft/2020-12/schema",
"$id": "http://smart.who.int/immunizations/ValueSet-IMMZD2DTPneumococcal2DosesWithBoosterDoseVS.schema.json",
"title": "IMMZD2DTPneumococcal2DosesWithBoosterDose ValueSet for Decision Table Schema",
"description": "JSON Schema for IMMZD2DTPneumococcal2DosesWithBoosterDose ValueSet for Decision Table ValueSet codes. Generated from FHIR expansions using IRI format.",
"type": "string",
"enum": [
"http://smart.who.int/immunizations/CodeSystem/IMMZDAK#The client's age is less than 6 weeks-40",
"http://smart.who.int/immunizations/CodeSystem/IMMZDAK#Client is not due for pneumococcal vaccination-48",
"http://smart.who.int/immunizations/CodeSystem/IMMZDAK#No pneumococcal primary series doses were administered-121",
"http://smart.who.int/immunizations/CodeSystem/IMMZDAK#The client's age is between 6 weeks and 5 years-50",
"http://smart.who.int/immunizations/CodeSystem/IMMZDAK#Client is due for pneumococcal vaccination-44",
"http://smart.who.int/immunizations/CodeSystem/IMMZDAK#One pneumococcal primary series dose was administered-121",
"http://smart.who.int/immunizations/CodeSystem/IMMZDAK#The client's age is less than or equal to 5 years-41",
"http://smart.who.int/immunizations/CodeSystem/IMMZDAK#The first pneumococcal dose was administered within 24 months post birth-109",
"http://smart.who.int/immunizations/CodeSystem/IMMZDAK#The latest pneumococcal dose was administered less than 8 weeks ago-104",
"http://smart.who.int/immunizations/CodeSystem/IMMZDAK#The latest pneumococcal dose was administered more than 8 weeks ago-104",
"http://smart.who.int/immunizations/CodeSystem/IMMZDAK#The first pneumococcal dose was administered after 24 months post birth-109",
"http://smart.who.int/immunizations/CodeSystem/IMMZDAK#Client is at high risk for pneumococcal infection-48",
"http://smart.who.int/immunizations/CodeSystem/IMMZDAK#Client is not at high risk for pneumococcal infection-49",
"http://smart.who.int/immunizations/CodeSystem/IMMZDAK#Pneumococcal immunization schedule is complete-148",
"http://smart.who.int/immunizations/CodeSystem/IMMZDAK#Two pneumococcal primary series doses were administered-121",
"http://smart.who.int/immunizations/CodeSystem/IMMZDAK#No pneumococcal booster dose was administered-119",
"http://smart.who.int/immunizations/CodeSystem/IMMZDAK#The client's age is less than or equal to 5 years-40",
"http://smart.who.int/immunizations/CodeSystem/IMMZDAK#The first pneumococcal dose was administered within 12 months post birth-131",
"http://smart.who.int/immunizations/CodeSystem/IMMZDAK#Client is due for pneumococcal booster dose-44",
"http://smart.who.int/immunizations/CodeSystem/IMMZDAK#The first pneumococcal dose was administered after 12 months post birth-131",
"http://smart.who.int/immunizations/CodeSystem/IMMZDAK#One pneumococcal booster dose was administered-119",
"http://smart.who.int/immunizations/CodeSystem/IMMZDAK#The client's age is less than 12 months-42",
"http://smart.who.int/immunizations/CodeSystem/IMMZDAK#Client's HIV status is positive-29",
"http://smart.who.int/immunizations/CodeSystem/IMMZDAK#Client is not due for pneumococcal booster dose-48",
"http://smart.who.int/immunizations/CodeSystem/IMMZDAK#Client had preterm birth-22",
"http://smart.who.int/immunizations/CodeSystem/IMMZDAK#The client's age is more than or equal to 12 months and less than 24 months-54",
"http://smart.who.int/immunizations/CodeSystem/IMMZDAK#The latest pneumococcal dose was administered within 12 months post birth-116",
"http://smart.who.int/immunizations/CodeSystem/IMMZDAK#The latest pneumococcal dose was administered after 12 months post birth-116",
"http://smart.who.int/immunizations/CodeSystem/IMMZDAK#Pneumococcal immunization schedule is complete-49",
"http://smart.who.int/immunizations/CodeSystem/IMMZDAK#Client's HIV status is negative or unknown-29",
"http://smart.who.int/immunizations/CodeSystem/IMMZDAK#Client did not have preterm birth-22",
"http://smart.who.int/immunizations/CodeSystem/IMMZDAK#The client's age is more than or equal to 24 months-42",
"http://smart.who.int/immunizations/CodeSystem/IMMZDAK#Two pneumococcal booster doses were administered-119",
"http://smart.who.int/immunizations/CodeSystem/IMMZDAK#The client's age is more than 5 years-40",
"http://smart.who.int/immunizations/CodeSystem/IMMZDAK#Clinical judgement is required. Create a clinical note-66"
],
"narrative": "This schema validates IRI-formatted codes for the IMMZD2DTPneumococcal2DosesWithBoosterDose ValueSet for Decision Table ValueSet. Each enum value includes the system URI in the format {systemuri}#{code} to match JSON-LD enumeration IRIs. Display values are available at http://smart.who.int/immunizations/ValueSet-IMMZD2DTPneumococcal2DosesWithBoosterDoseVS.displays.json. For a complete listing of all ValueSets, see artifacts.html#terminology-value-sets.",
"fhir:displays": "http://smart.who.int/immunizations/ValueSet-IMMZD2DTPneumococcal2DosesWithBoosterDoseVS.displays.json",
"fhir:valueSet": "http://smart.who.int/immunizations/ValueSet/IMMZD2DTPneumococcal2DosesWithBoosterDoseVS",
"fhir:version": "0.2.0",
"fhir:expansionTimestamp": "2025-09-29T20:59:26.458Z"
}This documentation is automatically generated from the OpenAPI specification.