WHO SMART Guidelines - Measles Immunization, published by WHO. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/WorldHealthOrganization/smart-example-immz and changes regularly. See the Directory of published versions
| Draft as of 2024-08-12 |
@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .
# - resource -------------------------------------------------------------------
a fhir:PlanDefinition ;
fhir:nodeRole fhir:treeRoot ;
fhir:id [ fhir:v "IMMZD2DTMeaslesOT"] ; #
fhir:meta [
( fhir:profile [
fhir:v "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-recommendationdefinition"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-recommendationdefinition> ] [
fhir:v "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareableplandefinition"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareableplandefinition> ] [
fhir:v "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-publishableplandefinition"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-publishableplandefinition> ] )
] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: PlanDefinition IMMZD2DTMeaslesOT</b></p><a name=\"IMMZD2DTMeaslesOT\"> </a><a name=\"hcIMMZD2DTMeaslesOT\"> </a><a name=\"IMMZD2DTMeaslesOT-en-US\"> </a><p><b>url</b>: <a href=\"PlanDefinition-IMMZD2DTMeaslesOT.html\">PlanDefinition IMMZ.D2.DT.Measles Ongoing Transmission</a></p><p><b>version</b>: 0.1.0</p><p><b>name</b>: IMMZD2DTMeaslesOT</p><p><b>title</b>: IMMZ.D2.DT.Measles Ongoing Transmission</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/plan-definition-type eca-rule}\">ECA Rule</span></p><p><b>status</b>: Draft</p><p><b>experimental</b>: true</p><p><b>date</b>: 2024-08-12 09:03:21+0000</p><p><b>publisher</b>: WHO</p><p><b>contact</b>: WHO: <a href=\"http://who.int\">http://who.int</a></p><p><b>description</b>: </p><div><p>If the child or patient has not been given MCV1 (at 9 months) and MCV2 (between 15-18 months) vaccination</p>\n</div><h3>RelatedArtifacts</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Citation</b></td></tr><tr><td style=\"display: none\">*</td><td>Citation</td><td><div><p>WHO recommendations for routine immunization - summary tables (March 2023)</p>\n</div></td></tr></table><p><b>library</b>: <a href=\"Library-IMMZD2DTMeaslesOTLogic.html\">IMMZD2DTMeaslesOTLogic</a></p><blockquote><p><b>action</b></p><p><b>title</b>: Immunize patient for Measles</p><blockquote><p><b>condition</b></p><p><b>kind</b>: Applicability</p><h3>Expressions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style=\"display: none\">*</td><td>text/cql-identifier</td><td>Measles Routine Immunization Schedule Incomplete</td></tr></table></blockquote><blockquote><p><b>action</b></p></blockquote><blockquote><p><b>action</b></p></blockquote><blockquote><p><b>action</b></p></blockquote></blockquote></div>"
] ; #
fhir:extension ( [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability"^^xsd:anyURI ] ;
fhir:value [ fhir:v "computable" ]
] ) ; #
fhir:url [ fhir:v "http://smart.who.int/immunizations-measles/PlanDefinition/IMMZD2DTMeaslesOT"^^xsd:anyURI] ; #
fhir:version [ fhir:v "0.1.0"] ; #
fhir:name [ fhir:v "IMMZD2DTMeaslesOT"] ; #
fhir:title [ fhir:v "IMMZ.D2.DT.Measles Ongoing Transmission"] ; #
fhir:type [
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/plan-definition-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "eca-rule" ] ] )
] ; #
fhir:status [ fhir:v "draft"] ; #
fhir:experimental [ fhir:v "true"^^xsd:boolean] ; #
fhir:date [ fhir:v "2024-08-12T09:03:21+00:00"^^xsd:dateTime] ; #
fhir:publisher [ fhir:v "WHO"] ; #
fhir:contact ( [
fhir:name [ fhir:v "WHO" ] ;
( fhir:telecom [
fhir:system [ fhir:v "url" ] ;
fhir:value [ fhir:v "http://who.int" ] ] )
] ) ; #
fhir:description [ fhir:v "If the child or patient has not been given MCV1 (at 9 months) and MCV2 (between 15-18 months) vaccination"] ; #
fhir:relatedArtifact ( [
fhir:type [ fhir:v "citation" ] ;
fhir:citation [ fhir:v "WHO recommendations for routine immunization - summary tables (March 2023)" ]
] ) ; #
fhir:library ( [
fhir:v "http://smart.who.int/immunizations-measles/Library/IMMZD2DTMeaslesOTLogic"^^xsd:anyURI ;
fhir:link <http://smart.who.int/immunizations-measles/Library/IMMZD2DTMeaslesOTLogic>
] ) ; #
fhir:action ( [
fhir:title [ fhir:v "Immunize patient for Measles" ] ;
( fhir:condition [
fhir:kind [ fhir:v "applicability" ] ;
fhir:expression [
fhir:language [ fhir:v "text/cql-identifier" ] ;
fhir:expression [ fhir:v "Measles Routine Immunization Schedule Incomplete" ] ] ] ) ;
( fhir:action [
( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-rationale"^^xsd:anyURI ] ;
fhir:value [ fhir:v "In countries with ongoing transmission in which the risk of measles mortality remains high, MCV1 should be given at age 9 months.<br/>As a general rule, live vaccines should be given either simultaneously or at intervals of 4 weeks. An exception to this rule is OPV, which can be given at any time before or after measles vaccination without interference in the response to either vaccine." ] ] ) ;
fhir:title [ fhir:v "Provide primary series measles vaccination (MCV1)" ] ;
( fhir:condition [
fhir:kind [ fhir:v "applicability" ] ;
fhir:expression [
fhir:language [ fhir:v "text/cql-identifier" ] ;
fhir:expression [ fhir:v "No Primary Series Doses Administered" ] ] ] ) ;
( fhir:action [
fhir:title [ fhir:v "Client Age Less Than 9 Months" ] ;
fhir:description [ fhir:v "Should not vaccinate client as client's age is less than 9 months. Check for any vaccines due, and inform the caregiver of when to come back for MCV1." ] ;
( fhir:condition [
fhir:kind [ fhir:v "applicability" ] ;
fhir:expression [
fhir:language [ fhir:v "text/cql-identifier" ] ;
fhir:expression [ fhir:v "Client Age Less Than 9 Months" ] ] ] ) ] [
fhir:title [ fhir:v "Last Live Vaccine Administered Within 4 Weeks" ] ;
fhir:description [ fhir:v "Should not vaccinate client for MCV1 as live vaccine was administered in the last 4 weeks. Check for any vaccines due and inform the caregiver of when to come back for MCV1." ] ;
( fhir:condition [
fhir:kind [ fhir:v "applicability" ] ;
fhir:expression [
fhir:language [ fhir:v "text/cql-identifier" ] ;
fhir:expression [ fhir:v "Last Live Vaccine Administered Within 4 Weeks" ] ] ] ) ] [
fhir:title [ fhir:v "Provide Measles Vaccine" ] ;
fhir:description [ fhir:v "Should vaccinate client for MCV1 as no measles doses were administered, client is within appropriate age range and no live vaccine administered in the last 4 weeks. Check for contraindications." ] ;
( fhir:condition [
fhir:kind [ fhir:v "applicability" ] ;
fhir:expression [
fhir:language [ fhir:v "text/cql-identifier" ] ;
fhir:expression [ fhir:v "Client Is Due For MCV1" ] ] ] ) ;
fhir:definition [
fhir:v "http://smart.who.int/immunizations-measles/ActivityDefinition/IMMZD2DTMeaslesMR"^^xsd:anyURI ;
fhir:link <http://smart.who.int/immunizations-measles/ActivityDefinition/IMMZD2DTMeaslesMR> ] ;
( fhir:dynamicValue [
fhir:path [ fhir:v "dispenseRequest.validityPeriod.start" ] ;
fhir:expression [
fhir:description [ fhir:v "Due date of the dose" ] ;
fhir:language [ fhir:v "text/cql-identifier" ] ;
fhir:expression [ fhir:v "MCV1 Schedule Date" ] ] ] [
fhir:path [ fhir:v "dispenseRequest.validityPeriod.end" ] ;
fhir:expression [
fhir:description [ fhir:v "Expiration date for MCV dose" ] ;
fhir:language [ fhir:v "text/cql-identifier" ] ;
fhir:expression [ fhir:v "MCV1 Expiration Date" ] ] ] ) ] ) ] [
( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-rationale"^^xsd:anyURI ] ;
fhir:value [ fhir:v "In countries with ongoing transmission in which the risk of measles mortality remains high, MCV2 should be given between 15-18 months. The minimum interval between MCV1 and MCV2 is 4 weeks.<br/>As a general rule, live vaccines should be given either simultaneously or at intervals of 4 weeks. An exception to this rule is OPV, which can be given at any time before or after measles vaccination without interference in the response to either vaccine." ] ] ) ;
fhir:title [ fhir:v "Provide primary series measles vaccination (MCV2)" ] ;
( fhir:condition [
fhir:kind [ fhir:v "applicability" ] ;
fhir:expression [
fhir:language [ fhir:v "text/cql-identifier" ] ;
fhir:expression [ fhir:v "One Primary Series Dose Administered" ] ] ] ) ;
( fhir:action [
fhir:title [ fhir:v "Client Age Less Than 15 Months" ] ;
fhir:description [ fhir:v "Should not vaccinate client for MCV2 as client's age is less than 15 months. Check for any vaccines due, and inform the caregiver of when to come back for MCV2." ] ;
( fhir:condition [
fhir:kind [ fhir:v "applicability" ] ;
fhir:expression [
fhir:language [ fhir:v "text/cql-identifier" ] ;
fhir:expression [ fhir:v "Client Age Less Than 15 Months" ] ] ] ) ] [
fhir:title [ fhir:v "Last Live Vaccine Administered Within 4 Weeks" ] ;
fhir:description [ fhir:v "Should not vaccinate client for MCV2 as live vaccine was administered in the last 4 weeks. Check for any vaccines due, and inform the caregiver of when to come back for MCV2." ] ;
( fhir:condition [
fhir:kind [ fhir:v "applicability" ] ;
fhir:expression [
fhir:language [ fhir:v "text/cql-identifier" ] ;
fhir:expression [ fhir:v "Last Live Vaccine Administered Within 4 Weeks" ] ] ] ) ] [
fhir:title [ fhir:v "Provide Measles Vaccine" ] ;
fhir:description [ fhir:v "Should vaccinate client for MCV2 as client is within appropriate age range and no live vaccine administered in the last 4 weeks. Check for contraindications." ] ;
( fhir:condition [
fhir:kind [ fhir:v "applicability" ] ;
fhir:expression [
fhir:language [ fhir:v "text/cql-identifier" ] ;
fhir:expression [ fhir:v "Client Is Due For MCV2" ] ] ] ) ;
fhir:definition [
fhir:v "http://smart.who.int/immunizations-measles/ActivityDefinition/IMMZD2DTMeaslesMR"^^xsd:anyURI ;
fhir:link <http://smart.who.int/immunizations-measles/ActivityDefinition/IMMZD2DTMeaslesMR> ] ;
( fhir:dynamicValue [
fhir:path [ fhir:v "dispenseRequest.validityPeriod.start" ] ;
fhir:expression [
fhir:description [ fhir:v "Due date of the dose" ] ;
fhir:language [ fhir:v "text/cql-identifier" ] ;
fhir:expression [ fhir:v "MCV2 Schedule Date" ] ] ] [
fhir:path [ fhir:v "dispenseRequest.validityPeriod.end" ] ;
fhir:expression [
fhir:description [ fhir:v "Expiration date for MCV dose" ] ;
fhir:language [ fhir:v "text/cql-identifier" ] ;
fhir:expression [ fhir:v "MCV2 Expiration Date" ] ] ] ) ] ) ] [
( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-rationale"^^xsd:anyURI ] ;
fhir:value [ fhir:v "An additional dose of MCV should be administered to HIV-infected children receiving HAART following immune reconstitution. If CD4+ T lymphocyte counts are monitored, an additional dose of MCV should be administered when immune reconstitution has been achieved, e.g. when the CD4+ T lymphocyte count reaches 20–25%. Where CD4+ T lymphocyte monitoring is not available, children should receive an additional dose of MCV 6–12 months after initiation of HAART." ] ] ) ;
fhir:title [ fhir:v "Measles primary series is complete" ] ;
fhir:description [ fhir:v "Measles primary series is complete. Two measles primary series doses were administered. Check if a measles supplementary dose is appropriate for the client." ] ;
( fhir:condition [
fhir:kind [ fhir:v "applicability" ] ;
fhir:expression [
fhir:language [ fhir:v "text/cql-identifier" ] ;
fhir:expression [ fhir:v "Two Primary Series Doses Administered" ] ] ] ) ] )
] ) . #
IG © 2023+ WHO. Package smart.who.int.immunizations-measles#0.1.0 based on FHIR 4.0.1. Generated 2024-08-12
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