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/123/merge and changes regularly. See the Directory of published versions
| Draft as of 2026-03-03 |
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"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n<div>\n <table class=\"grid dict\">\n \n <tr>\n <th scope=\"row\"><b>Id: </b></th>\n <td style=\"padding-left: 4px;\">IMMZD18SMalaria</td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Url: </b></th>\n <td style=\"padding-left: 4px;\"><a href=\"PlanDefinition-IMMZD18SMalaria.html\">IMMZ.D18.S.Malaria schedule</a></td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Version: </b></th>\n <td style=\"padding-left: 4px;\">0.2.0</td>\n </tr>\n \n\n \n\n \n <tr>\n <th scope=\"row\"><b>Title: </b></th>\n <td style=\"padding-left: 4px;\">IMMZ.D18.S.Malaria schedule</td>\n </tr>\n \n\n \n\n \n <tr>\n <th scope=\"row\"><b>Status: </b></th>\n <td style=\"padding-left: 4px;\">draft</td>\n </tr>\n \n\n \n\n \n <tr>\n <th scope=\"row\"><b>Type: </b></th>\n <td style=\"padding-left: 4px;\">\n \n \n \n <p style=\"margin-bottom: 5px;\">\n <b>system: </b> <span><a href=\"http://terminology.hl7.org/7.0.1/CodeSystem-plan-definition-type.html\">http://terminology.hl7.org/CodeSystem/plan-definition-type</a></span>\n </p>\n \n \n <p style=\"margin-bottom: 5px;\">\n <b>code: </b> <span>eca-rule</span>\n </p>\n \n \n \n \n \n </td>\n </tr>\n \n\n \n\n \n <tr>\n <th scope=\"row\"><b>Date: </b></th>\n <td style=\"padding-left: 4px;\">2026-03-03 13:07:11+0000</td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Publisher: </b></th>\n <td style=\"padding-left: 4px;\">WHO</td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Description: </b></th>\n <td style=\"padding-left: 4px;\"><div><p>IMMZ.D18.S.Malaria schedule\n4-dose schedule</p>\n</div></td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Knowledge Capability: </b></th>\n <td style=\"padding-left: 4px;\">\n \n computable \n </td>\n </tr>\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n <tr>\n <th scope=\"row\"><b>Related Artifacts: </b></th>\n <td style=\"padding-left: 4px;\">\n \n \n <p><b>References</b></p>\n <ul>\n \n <li><div><p>WHO recommendations for routine immunization - summary tables (January 2025)</p>\n</div><br/><a href=\"null\"/></li>\n \n </ul>\n \n \n \n \n \n \n </td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Libraries: </b></th>\n <td style=\"padding-left: 4px;\">\n <table class=\"grid-dict\">\n \n <tr>\n <td><a href=\"Library-IMMZD18SMalariaLogic.html\">IMMZD18SMalariaLogic</a></td>\n </tr>\n \n </table>\n </td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Actions: </b></th>\n <td style=\"padding-left: 4px;\">\n <table class=\"grid-dict\">\n \n <tr>\n <td>\n \n <b> Malaria dose 1:</b> Provision of the malaria dose 1\nTrigger event: Child's birth\nTrigger pseudo: \nTrigger date: "Date of birth"\nCreate condition: WHO recommends that the first dose of vaccine be administered from 5 months of age.\n \n <br/>\n \n \n <b>If:</b>\n \n <i>Applicability:</i>\n \n Malaria dose 1\n \n <i>(Malaria dose 1)</i>\n <br/>\n \n \n \n \n <b>Then:</b> <i>Definition:</i> <a href=\"ActivityDefinition-IMMZD2DTCR.html\">IMMZ.D2.DT.CR</a><br/>\n \n <i>Dynamic Values:</i><br/>\n \n status: <i>('active')</i>\n <br/>\n \n payload.contentString: <i>(Malaria dose 1 Create)</i>\n <br/>\n \n category.coding: <i>(Code { system: 'http://terminology.hl7.org/CodeSystem/communication-category', code: 'alert' })</i>\n <br/>\n \n priority: <i>(Code { system: 'http://hl7.org/fhir/request-priority', code: 'routine' })</i>\n <br/>\n \n \n \n \n </td>\n </tr>\n \n <tr>\n <td>\n \n <b> Malaria dose 2:</b> Provision of the malaria dose 2\nTrigger event: First malaria dose from the primary series was administered\nTrigger pseudo: Count of vaccines administered (where "Vaccine type" = "Malaria vaccines" and "Type of dose" = "Primary series") = 1\nTrigger date: "Date and time of vaccination" (where "Vaccine type" = "Malaria vaccines")\nCreate condition: There should be a minimum interval of 4 weeks between doses.\n \n <br/>\n \n \n <b>If:</b>\n \n <i>Applicability:</i>\n \n Malaria dose 2\n \n <i>(Malaria dose 2)</i>\n <br/>\n \n \n \n \n <b>Then:</b> <i>Definition:</i> <a href=\"ActivityDefinition-IMMZD2DTCR.html\">IMMZ.D2.DT.CR</a><br/>\n \n <i>Dynamic Values:</i><br/>\n \n status: <i>('active')</i>\n <br/>\n \n payload.contentString: <i>(Malaria dose 2 Create)</i>\n <br/>\n \n category.coding: <i>(Code { system: 'http://terminology.hl7.org/CodeSystem/communication-category', code: 'alert' })</i>\n <br/>\n \n priority: <i>(Code { system: 'http://hl7.org/fhir/request-priority', code: 'routine' })</i>\n <br/>\n \n \n \n \n </td>\n </tr>\n \n <tr>\n <td>\n \n <b> Malaria dose 3:</b> Provision of the malaria dose 3\nTrigger event: Second malaria dose from the primary series was administered\nTrigger pseudo: Count of vaccines administered (where "Vaccine type" = "Malaria vaccines" and "Type of dose" = "Primary series") = 2\nTrigger date: Latest "Date and time of vaccination" (where "Vaccine type" = "Malaria vaccines")\nCreate condition: There should be a minimum interval of 4 weeks between doses.\n \n <br/>\n \n \n <b>If:</b>\n \n <i>Applicability:</i>\n \n Malaria dose 3\n \n <i>(Malaria dose 3)</i>\n <br/>\n \n \n \n \n <b>Then:</b> <i>Definition:</i> <a href=\"ActivityDefinition-IMMZD2DTCR.html\">IMMZ.D2.DT.CR</a><br/>\n \n <i>Dynamic Values:</i><br/>\n \n status: <i>('active')</i>\n <br/>\n \n payload.contentString: <i>(Malaria dose 3 Create)</i>\n <br/>\n \n category.coding: <i>(Code { system: 'http://terminology.hl7.org/CodeSystem/communication-category', code: 'alert' })</i>\n <br/>\n \n priority: <i>(Code { system: 'http://hl7.org/fhir/request-priority', code: 'routine' })</i>\n <br/>\n \n \n \n \n </td>\n </tr>\n \n <tr>\n <td>\n \n <b> Malaria dose 4:</b> Provision of the malaria dose 4\nTrigger event: Third malaria dose from the primary series was administered\nTrigger pseudo: Count of vaccines administered (where "Vaccine type" = "Malaria vaccines" and "Type of dose" = "Primary series") = 3\nTrigger date: Latest "Date and time of vaccination" (where "Vaccine type" = "Malaria vaccines")\nCreate condition: There should be a minimum interval of 4 weeks between doses. The fourth dose should be provided approximately 12–18 months after the third dose to prolong the duration of protection.\n \n <br/>\n \n \n <b>If:</b>\n \n <i>Applicability:</i>\n \n Malaria dose 4\n \n <i>(Malaria dose 4)</i>\n <br/>\n \n \n \n \n <b>Then:</b> <i>Definition:</i> <a href=\"ActivityDefinition-IMMZD2DTCR.html\">IMMZ.D2.DT.CR</a><br/>\n \n <i>Dynamic Values:</i><br/>\n \n status: <i>('active')</i>\n <br/>\n \n payload.contentString: <i>(Malaria dose 4 Create)</i>\n <br/>\n \n category.coding: <i>(Code { system: 'http://terminology.hl7.org/CodeSystem/communication-category', code: 'alert' })</i>\n <br/>\n \n priority: <i>(Code { system: 'http://hl7.org/fhir/request-priority', code: 'routine' })</i>\n <br/>\n \n \n \n \n </td>\n </tr>\n \n </table>\n </td>\n </tr>\n \n </table>\n</div>\n</div>"
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"valueString" : "/*\n@input: Four malaria primary series doses were administered\n@pseudocode: Count of vaccines administered (where \"Vaccine type\" = \"Malaria vaccines\" and \"Type of dose\" = \"Primary series\") = 4\n@code: Four malaria primary series doses were administered-116\n@decision: IMMZ.D2.DT.Malaria: 4-dose schedule (The RTS,S/AS01 malaria vaccine should be used for the prevention of Plasmodium falciparum malaria in children living in regions with moderate to high malaria transmission, as defined by WHO)\n*/\ndefine \"Four malaria primary series doses were administered\":\n \"Number of Malaria Primary Series Doses Administered\" = 4"
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}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD18SMalariaLogic"
},
{
"url" : "name",
"valueString" : "Malaria dose 4 Overdue"
},
{
"url" : "statement",
"valueString" : "/*\n@dynamicValue: Malaria dose 4 Overdue\n@pseudocode: Latest \"Date and time of vaccination\" (where \"Vaccine type\" = \"Malaria vaccines\") + 18 months\n*/\ndefine \"Malaria dose 4 Overdue\":\n if \"Malaria dose 4\" then Encounter.\"Date of Latest Malaria Dose\" + 18 months\n else null"
},
{
"url" : "displaySequence",
"valueInteger" : 20
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD18SMalariaLogic"
},
{
"url" : "name",
"valueString" : "Malaria dose 4 Create"
},
{
"url" : "statement",
"valueString" : "/*\n@output: Malaria dose 4 Create\n@create: There should be a minimum interval of 4 weeks between doses. The fourth dose should be provided approximately 12–18 months after the third dose to prolong the duration of protection.\n*/\ndefine \"Malaria dose 4 Create\":\n if \"Malaria dose 4\"\n then 'There should be a minimum interval of 4 weeks between doses. The fourth dose should be provided approximately 12–18 months after the third dose to prolong the duration of protection.' + '\nDue Date: ' + ToString(\"Malaria dose 4 Due Date\") + '\nOverdue: ' + ToString(\"Malaria dose 4 Overdue\")\n else ''"
},
{
"url" : "displaySequence",
"valueInteger" : 21
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD2DTMalariaEncounterElements"
},
{
"url" : "name",
"valueString" : "No malaria primary series doses were administered"
},
{
"url" : "statement",
"valueString" : "/*\n@input: No malaria primary series doses were administered\n@pseudocode: Count of vaccines administered (where \"Vaccine type\" = \"Malaria vaccines\" and \"Type of dose\" = \"Primary series\") = 0\n@code: No malaria primary series doses were administered-116\n@decision: IMMZ.D2.DT.Malaria: 4-dose schedule (The RTS,S/AS01 malaria vaccine should be used for the prevention of Plasmodium falciparum malaria in children living in regions with moderate to high malaria transmission, as defined by WHO)\n*/\ndefine \"No malaria primary series doses were administered\":\n \"Number of Malaria Primary Series Doses Administered\" = 0"
},
{
"url" : "displaySequence",
"valueInteger" : 22
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD18SMalariaLogic"
},
{
"url" : "name",
"valueString" : "Malaria dose 1"
},
{
"url" : "statement",
"valueString" : "/*\n@output: Malaria dose 1\n@description: Provision of the malaria dose 1\n@trigger: Child's birth\n@pseudo: \n@triggerDate: \"Date of birth\"\n*/\ndefine \"Malaria dose 1\":\n Encounter.\"No malaria primary series doses were administered\"\n and not \"First malaria dose from the primary series was administered\""
},
{
"url" : "displaySequence",
"valueInteger" : 23
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD18SMalariaLogic"
},
{
"url" : "name",
"valueString" : "Malaria dose 2 Due Date"
},
{
"url" : "statement",
"valueString" : "/*\n@dynamicValue: Malaria dose 2 Due Date\n@pseudocode: \"Date and time of vaccination\" (where \"Vaccine type\" = \"Malaria vaccines\") + 4 weeks\n*/\ndefine \"Malaria dose 2 Due Date\":\n if \"Malaria dose 2\" then Encounter.\"Date of Latest Malaria Dose\" + 4 weeks\n else null"
},
{
"url" : "displaySequence",
"valueInteger" : 24
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD18SMalariaLogic"
},
{
"url" : "name",
"valueString" : "Malaria dose 2 Create"
},
{
"url" : "statement",
"valueString" : "/*\n@output: Malaria dose 2 Create\n@create: There should be a minimum interval of 4 weeks between doses.\n*/\ndefine \"Malaria dose 2 Create\":\n if \"Malaria dose 2\"\n then 'There should be a minimum interval of 4 weeks between doses.' + '\nDue Date: ' + ToString(\"Malaria dose 2 Due Date\")\n else ''"
},
{
"url" : "displaySequence",
"valueInteger" : 25
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD18SMalariaLogic"
},
{
"url" : "name",
"valueString" : "Malaria dose 1 Due Date"
},
{
"url" : "statement",
"valueString" : "/*\n@dynamicValue: Malaria dose 1 Due Date\n@pseudocode: \"Date of birth\" + 5 months\n*/\ndefine \"Malaria dose 1 Due Date\":\n if \"Malaria dose 1\" then Patient.birthDate + 5 months\n else null"
},
{
"url" : "displaySequence",
"valueInteger" : 26
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD18SMalariaLogic"
},
{
"url" : "name",
"valueString" : "Malaria dose 1 Create"
},
{
"url" : "statement",
"valueString" : "/*\n@output: Malaria dose 1 Create\n@create: WHO recommends that the first dose of vaccine be administered from 5 months of age.\n*/\ndefine \"Malaria dose 1 Create\":\n if \"Malaria dose 1\"\n then 'WHO recommends that the first dose of vaccine be administered from 5 months of age.' + '\nDue Date: ' + ToString(\"Malaria dose 1 Due Date\")\n else ''"
},
{
"url" : "displaySequence",
"valueInteger" : 27
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZCommon"
},
{
"url" : "name",
"valueString" : "seriesPrimary"
},
{
"url" : "statement",
"valueString" : "/**\n * @description: Gets the doses from the primary series\n */\ndefine fluent function seriesPrimary(immunizations List<Immunization>):\n immunizations I where\n exists( I.protocolApplied pa where pa.series = 'Primary series' )"
},
{
"url" : "displaySequence",
"valueInteger" : 28
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "FHIRHelpers"
},
{
"url" : "name",
"valueString" : "ToString"
},
{
"url" : "statement",
"valueString" : "define function ToString(value string): value.value"
},
{
"url" : "displaySequence",
"valueInteger" : 29
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "FHIRHelpers"
},
{
"url" : "name",
"valueString" : "ToString"
},
{
"url" : "statement",
"valueString" : "define function ToString(value ImmunizationStatus): value.value"
},
{
"url" : "displaySequence",
"valueInteger" : 30
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "FHIRHelpers"
},
{
"url" : "name",
"valueString" : "ToBoolean"
},
{
"url" : "statement",
"valueString" : "define function ToBoolean(value boolean): value.value"
},
{
"url" : "displaySequence",
"valueInteger" : 31
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "FHIRHelpers"
},
{
"url" : "name",
"valueString" : "ToConcept"
},
{
"url" : "statement",
"valueString" : "define function ToConcept(concept FHIR.CodeableConcept):\n if concept is null then\n null\n else\n System.Concept {\n codes: concept.coding C return ToCode(C),\n display: concept.text.value\n }"
},
{
"url" : "displaySequence",
"valueInteger" : 32
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "FHIRHelpers"
},
{
"url" : "name",
"valueString" : "ToCode"
},
{
"url" : "statement",
"valueString" : "define function ToCode(coding FHIR.Coding):\n if coding is null then\n null\n else\n System.Code {\n code: coding.code.value,\n system: coding.system.value,\n version: coding.version.value,\n display: coding.display.value\n }"
},
{
"url" : "displaySequence",
"valueInteger" : 33
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "WHOCommon"
},
{
"url" : "name",
"valueString" : "mostRecent"
},
{
"url" : "statement",
"valueString" : "define fluent function mostRecent(immunizations List<Immunization>):\n Last(\n immunizations I\n sort by start of occurrence.toInterval()\n )"
},
{
"url" : "displaySequence",
"valueInteger" : 34
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "FHIRHelpers"
},
{
"url" : "name",
"valueString" : "ToDate"
},
{
"url" : "statement",
"valueString" : "define function ToDate(value date): value.value"
},
{
"url" : "displaySequence",
"valueInteger" : 35
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
}
],
"name" : "EffectiveDataRequirements",
"status" : "active",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/library-type",
"code" : "module-definition"
}
]
},
"relatedArtifact" : [
{
"type" : "depends-on",
"display" : "FHIR model information",
"resource" : "http://fhir.org/guides/cqf/common/Library/FHIR-ModelInfo|4.0.1"
},
{
"type" : "depends-on",
"display" : "Library Encounter",
"resource" : "http://smart.who.int/immunizations/Library/IMMZD2DTMalariaEncounterElements"
},
{
"type" : "depends-on",
"display" : "Library Common",
"resource" : "http://smart.who.int/immunizations/Library/IMMZCommon"
},
{
"type" : "depends-on",
"display" : "Library FHIRHelpers",
"resource" : "http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1"
},
{
"type" : "depends-on",
"display" : "Library Encounter",
"resource" : "http://smart.who.int/immunizations/Library/IMMZEncounterElements"
},
{
"type" : "depends-on",
"display" : "Library Elements",
"resource" : "http://smart.who.int/immunizations/Library/IMMZElements"
},
{
"type" : "depends-on",
"display" : "Library WC",
"resource" : "http://smart.who.int/immunizations/Library/WHOCommon"
},
{
"type" : "depends-on",
"display" : "Library FHIRHelpers",
"resource" : "http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1"
},
{
"type" : "depends-on",
"display" : "Library Concepts",
"resource" : "http://smart.who.int/immunizations/Library/IMMZConcepts"
},
{
"type" : "depends-on",
"display" : "Library WC",
"resource" : "http://smart.who.int/immunizations/Library/WHOCommon"
},
{
"type" : "depends-on",
"display" : "Value set Malaria vaccines",
"resource" : "http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE27"
}
],
"parameter" : [
{
"name" : "Today",
"use" : "in",
"min" : 0,
"max" : "1",
"type" : "date"
},
{
"name" : "Malaria dose 2",
"use" : "out",
"min" : 0,
"max" : "1",
"type" : "boolean"
},
{
"name" : "Malaria dose 3",
"use" : "out",
"min" : 0,
"max" : "1",
"type" : "boolean"
},
{
"name" : "Malaria dose 3 Create",
"use" : "out",
"min" : 0,
"max" : "1",
"type" : "string"
},
{
"name" : "Malaria dose 4 Create",
"use" : "out",
"min" : 0,
"max" : "1",
"type" : "string"
},
{
"name" : "Malaria dose 1",
"use" : "out",
"min" : 0,
"max" : "1",
"type" : "boolean"
},
{
"name" : "Malaria dose 2 Create",
"use" : "out",
"min" : 0,
"max" : "1",
"type" : "string"
},
{
"name" : "Malaria dose 1 Create",
"use" : "out",
"min" : 0,
"max" : "1",
"type" : "string"
},
{
"name" : "Malaria dose 4",
"use" : "out",
"min" : 0,
"max" : "1",
"type" : "boolean"
}
],
"dataRequirement" : [
{
"type" : "Immunization",
"profile" : [
🔗 "http://hl7.org/fhir/StructureDefinition/Immunization"
],
"mustSupport" : [
"status",
"isSubpotent"
]
},
{
"type" : "Immunization",
"profile" : [
🔗 "http://hl7.org/fhir/StructureDefinition/Immunization"
],
"mustSupport" : [
"status",
"isSubpotent",
"occurrence"
]
},
{
"type" : "Immunization",
"profile" : [
🔗 "http://hl7.org/fhir/StructureDefinition/Immunization"
],
"mustSupport" : [
"status",
"isSubpotent",
"occurrence",
"vaccineCode"
]
},
{
"type" : "Patient",
"profile" : [
🔗 "http://hl7.org/fhir/StructureDefinition/Patient"
]
},
{
"type" : "Immunization",
"profile" : [
🔗 "http://hl7.org/fhir/StructureDefinition/Immunization"
],
"mustSupport" : [
"status",
"isSubpotent",
"occurrence",
"vaccineCode"
]
},
{
"type" : "Immunization",
"profile" : [
🔗 "http://hl7.org/fhir/StructureDefinition/Immunization"
],
"mustSupport" : [
"status",
"isSubpotent",
"occurrence",
"vaccineCode"
]
}
]
}
],
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeCapability",
"valueCode" : "computable"
},
{
"url" : "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-effectiveDataRequirements",
"valueCanonical" : "#effective-data-requirements"
}
],
"url" : "http://smart.who.int/immunizations/PlanDefinition/IMMZD18SMalaria",
"version" : "0.2.0",
"name" : "IMMZD18SMalaria",
"title" : "IMMZ.D18.S.Malaria schedule",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/plan-definition-type",
"code" : "eca-rule"
}
]
},
"status" : "draft",
"experimental" : false,
"date" : "2026-03-03T13:07:11+00:00",
"publisher" : "WHO",
"contact" : [
{
"name" : "WHO",
"telecom" : [
{
"system" : "url",
"value" : "http://who.int"
}
]
}
],
"description" : "IMMZ.D18.S.Malaria schedule\n4-dose schedule",
"relatedArtifact" : [
{
"type" : "citation",
"citation" : "WHO recommendations for routine immunization - summary tables (January 2025)"
}
],
"library" : [
🔗 "http://smart.who.int/immunizations/Library/IMMZD18SMalariaLogic"
],
"action" : [
{
"title" : "Malaria dose 1",
"description" : "Provision of the malaria dose 1\nTrigger event: Child's birth\nTrigger pseudo: \nTrigger date: \"Date of birth\"\nCreate condition: WHO recommends that the first dose of vaccine be administered from 5 months of age.",
"condition" : [
{
"kind" : "applicability",
"expression" : {
"description" : "Malaria dose 1",
"language" : "text/cql-identifier",
"expression" : "Malaria dose 1"
}
}
],
"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" : "Malaria dose 1 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" : "Malaria dose 2",
"description" : "Provision of the malaria dose 2\nTrigger event: First malaria dose from the primary series was administered\nTrigger pseudo: Count of vaccines administered (where \"Vaccine type\" = \"Malaria vaccines\" and \"Type of dose\" = \"Primary series\") = 1\nTrigger date: \"Date and time of vaccination\" (where \"Vaccine type\" = \"Malaria vaccines\")\nCreate condition: There should be a minimum interval of 4 weeks between doses.",
"condition" : [
{
"kind" : "applicability",
"expression" : {
"description" : "Malaria dose 2",
"language" : "text/cql-identifier",
"expression" : "Malaria dose 2"
}
}
],
"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" : "Malaria dose 2 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" : "Malaria dose 3",
"description" : "Provision of the malaria dose 3\nTrigger event: Second malaria dose from the primary series was administered\nTrigger pseudo: Count of vaccines administered (where \"Vaccine type\" = \"Malaria vaccines\" and \"Type of dose\" = \"Primary series\") = 2\nTrigger date: Latest \"Date and time of vaccination\" (where \"Vaccine type\" = \"Malaria vaccines\")\nCreate condition: There should be a minimum interval of 4 weeks between doses.",
"condition" : [
{
"kind" : "applicability",
"expression" : {
"description" : "Malaria dose 3",
"language" : "text/cql-identifier",
"expression" : "Malaria 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" : "Malaria 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' }"
}
}
]
},
{
"title" : "Malaria dose 4",
"description" : "Provision of the malaria dose 4\nTrigger event: Third malaria dose from the primary series was administered\nTrigger pseudo: Count of vaccines administered (where \"Vaccine type\" = \"Malaria vaccines\" and \"Type of dose\" = \"Primary series\") = 3\nTrigger date: Latest \"Date and time of vaccination\" (where \"Vaccine type\" = \"Malaria vaccines\")\nCreate condition: There should be a minimum interval of 4 weeks between doses. The fourth dose should be provided approximately 12–18 months after the third dose to prolong the duration of protection.",
"condition" : [
{
"kind" : "applicability",
"expression" : {
"description" : "Malaria dose 4",
"language" : "text/cql-identifier",
"expression" : "Malaria dose 4"
}
}
],
"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" : "Malaria dose 4 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' }"
}
}
]
}
]
}