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

: IMMZ.D18.S.Measles.MCV dose 0 schedule - XML Representation

Draft as of 2026-03-03

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<PlanDefinition xmlns="http://hl7.org/fhir">
  <id value="IMMZD18SMeaslesMCVDose0"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-recommendationdefinition"/>
    <profile
             value="http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareableplandefinition"/>
    <profile
             value="http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-publishableplandefinition"/>
  </meta>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
<div>
    <table class="grid dict">
        
        <tr>
            <th scope="row"><b>Id: </b></th>
            <td style="padding-left: 4px;">IMMZD18SMeaslesMCVDose0</td>
        </tr>
        

        
        <tr>
            <th scope="row"><b>Url: </b></th>
            <td style="padding-left: 4px;"><a href="PlanDefinition-IMMZD18SMeaslesMCVDose0.html">IMMZ.D18.S.Measles.MCV dose 0 schedule</a></td>
        </tr>
        

        
        <tr>
            <th scope="row"><b>Version: </b></th>
            <td style="padding-left: 4px;">0.2.0</td>
        </tr>
        

        

        
        <tr>
            <th scope="row"><b>Title: </b></th>
            <td style="padding-left: 4px;">IMMZ.D18.S.Measles.MCV dose 0 schedule</td>
        </tr>
        

        

        
        <tr>
            <th scope="row"><b>Status: </b></th>
            <td style="padding-left: 4px;">draft</td>
        </tr>
        

        

        
        <tr>
            <th scope="row"><b>Type: </b></th>
            <td style="padding-left: 4px;">
                
                    
                        
                        <p style="margin-bottom: 5px;">
                            <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>
                        </p>
                        
                        
                        <p style="margin-bottom: 5px;">
                            <b>code: </b> <span>eca-rule</span>
                        </p>
                        
                        
                    
                
                
            </td>
        </tr>
        

        

        
        <tr>
            <th scope="row"><b>Date: </b></th>
            <td style="padding-left: 4px;">2026-03-03 13:07:11+0000</td>
        </tr>
        

        
        <tr>
            <th scope="row"><b>Publisher: </b></th>
            <td style="padding-left: 4px;">WHO</td>
        </tr>
        

        
        <tr>
            <th scope="row"><b>Description: </b></th>
            <td style="padding-left: 4px;"><div><p>IMMZ.D18.S.Measles.MCV dose 0 schedule
Measles-containing vaccine dose 0 (MCV0) schedule</p>
</div></td>
        </tr>
        

        
        <tr>
            <th scope="row"><b>Knowledge Capability: </b></th>
            <td style="padding-left: 4px;">
                
                computable 
            </td>
        </tr>
        

        

        

        

        

        

        

        

        

        

        
        <tr>
            <th scope="row"><b>Related Artifacts: </b></th>
            <td style="padding-left: 4px;">
                
                
                <p><b>References</b></p>
                <ul>
                    
                    <li><div><p>WHO recommendations for routine immunization - summary tables (January 2025)</p>
</div><br/><a href="null"/></li>
                    
                </ul>
                
                
                
                
                
                
            </td>
        </tr>
        

        
        <tr>
            <th scope="row"><b>Libraries: </b></th>
            <td style="padding-left: 4px;">
                <table class="grid-dict">
                    
                    <tr>
                        <td><a href="Library-IMMZD18SMeaslesMCVDose0Logic.html">IMMZD18SMeaslesMCVDose0Logic</a></td>
                    </tr>
                    
                </table>
            </td>
        </tr>
        

        
        <tr>
            <th scope="row"><b>Actions: </b></th>
            <td style="padding-left: 4px;">
                <table class="grid-dict">
                    
                    <tr>
                        <td>
                            
                            <b> MCV0:</b> Provision of the MCV0
Trigger event: Child's birth
Trigger pseudo: 
Trigger date: &quot;Date of birth&quot;
Create condition: In the following situations, a supplementary dose of MCV should be given to infants from 6 months of age: 
• during a measles outbreak as part of intensified service delivery;
• during campaigns in settings where the risk of measles among infants aged under 9 months remains high (e.g. in endemic countries experiencing regular outbreaks);
• for internally displaced populations and refugees, and populations in conflict zones;
• for individual infants at high risk of contracting measles (e.g. contacts of known measles cases or in settings with increased risk of exposure during outbreaks such as day-care facilities);
• for infants travelling to countries experiencing measles outbreaks;
• for infants known to be HIV-infected or exposed (i.e. born to a woman infected with HIV).
                            
                            <br/>
                            
                            
                            <b>If:</b>
                            
                            <i>Applicability:</i>
                            
                            MCV0
                            
                            <i>(MCV0)</i>
                            <br/>
                            
                            
                            
                            
                            <b>Then:</b> <i>Definition:</i> <a href="ActivityDefinition-IMMZD2DTCR.html">IMMZ.D2.DT.CR</a><br/>
                            
                            <i>Dynamic Values:</i><br/>
                            
                            status: <i>('active')</i>
                            <br/>
                            
                            payload.contentString: <i>(MCV0 Create)</i>
                            <br/>
                            
                            category.coding: <i>(Code { system: 'http://terminology.hl7.org/CodeSystem/communication-category', code: 'alert' })</i>
                            <br/>
                            
                            priority: <i>(Code { system: 'http://hl7.org/fhir/request-priority', code: 'routine' })</i>
                            <br/>
                            
                            
                            
                            
                        </td>
                    </tr>
                    
                </table>
            </td>
        </tr>
        
    </table>
</div>
</div>
  </text>
  <contained>
    <Library>
      <id value="effective-data-requirements"/>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZElements"/>
        </extension>
        <extension url="name">
          <valueString value="Doses Administered to Patient"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/**
 * @dataElement All Doses Administered to Patient
 */
define &quot;Doses Administered to Patient&quot;:
  [Immunization] I
    where I.status = 'completed'
    and I.isSubpotent is not true"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="0"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZD2DTMeaslesElements"/>
        </extension>
        <extension url="name">
          <valueString value="MCV Doses Administered to Patient"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/*
@internal: MCV Doses Administered to Patient
*/
define &quot;MCV Doses Administered to Patient&quot;:
  Elements.&quot;Doses Administered to Patient&quot; I
  where
    I.vaccineCode in Concepts.&quot;Measles-containing vaccines&quot;"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="1"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZD2DTMeaslesElements"/>
        </extension>
        <extension url="name">
          <valueString value="MCV Dose 0 Doses Administered to Patient"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/*
@internal: MCV Dose 0 Doses Administered to Patient
*/
define &quot;MCV Dose 0 Doses Administered to Patient&quot;:
  &quot;MCV Doses Administered to Patient&quot;.seriesDose0()"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="2"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZD2DTMeaslesEncounterElements"/>
        </extension>
        <extension url="name">
          <valueString value="MCV Dose 0 Doses Administered to Patient"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/*
@internal: MCV Dose 0 Doses Administered to Patient
*/
define &quot;MCV Dose 0 Doses Administered to Patient&quot;:
  MeaslesElements.&quot;MCV Dose 0 Doses Administered to Patient&quot;.onOrBefore(Today)"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="3"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZD2DTMeaslesEncounterElements"/>
        </extension>
        <extension url="name">
          <valueString value="Number of MCV Dose 0 Doses Administered"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/*
@internal: Number of MCV Dose 0 Doses Administered
*/
define &quot;Number of MCV Dose 0 Doses Administered&quot;:
  Count(&quot;MCV Dose 0 Doses Administered to Patient&quot;)"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="4"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZD2DTMeaslesEncounterElements"/>
        </extension>
        <extension url="name">
          <valueString value="MCV0 was administered"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/*
@input: MCV0 was administered
@pseudocode: Count of vaccines administered (where &quot;Vaccine type&quot; = &quot;Measles-containing vaccines&quot; and &quot;Type of dose&quot; = &quot;Dose 0&quot;) = 1
@code: MCV0 was administered-119
@decision: IMMZ.D2.DT.Measles.MCV dose 0: Measles-containing vaccine dose 0 (MCV0) administration
*/
define &quot;MCV0 was administered&quot;:
  &quot;Number of MCV Dose 0 Doses Administered&quot; = 1"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="5"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZD18SMeaslesMCVDose0Logic"/>
        </extension>
        <extension url="name">
          <valueString value="MCV0 was administered"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/*
@complete: MCV0 was administered
@pseudocode: Count of vaccines administered (where &quot;Vaccine type&quot; = &quot;Measles-containing vaccines&quot; and &quot;Type of dose&quot; = &quot;Dose 0&quot;) = 1
*/
define &quot;MCV0 was administered&quot;:
  Encounter.&quot;MCV0 was administered&quot;"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="6"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZD18SMeaslesMCVDose0Logic"/>
        </extension>
        <extension url="name">
          <valueString value="MCV0 Expiration"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/*
@dynamicValue: MCV0 Expiration
@pseudocode: &quot;Date of birth&quot; + 9 months for countries with ongoing transmission in which the risk of measles mortality remains high
OR
&quot;Date of birth&quot; + 12 months for countries with low levels of measles transmission
*/
define &quot;MCV0 Expiration&quot;:
  Patient.birthDate + 12 months"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="7"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZD18SMeaslesMCVDose0Logic"/>
        </extension>
        <extension url="name">
          <valueString value="MCV0"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/*
@output: MCV0
@description: Provision of the MCV0
@trigger: Child's birth
@pseudo: 
@triggerDate: &quot;Date of birth&quot;
*/
define &quot;MCV0&quot;:
  not &quot;MCV0 was administered&quot; and &quot;MCV0 Expiration&quot; after Today"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="8"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZD18SMeaslesMCVDose0Logic"/>
        </extension>
        <extension url="name">
          <valueString value="MCV0 Due Date"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/*
@dynamicValue: MCV0 Due Date
@pseudocode: &quot;Date of birth&quot; + 6 months
*/
define &quot;MCV0 Due Date&quot;:
  if &quot;MCV0&quot; then Patient.birthDate + 6 months
  else null"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="9"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZD18SMeaslesMCVDose0Logic"/>
        </extension>
        <extension url="name">
          <valueString value="MCV0 Create"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/*
@output: MCV0 Create
@create: In the following situations, a supplementary dose of MCV should be given to infants from 6 months of age: 
• during a measles outbreak as part of intensified service delivery;
• during campaigns in settings where the risk of measles among infants aged under 9 months remains high (e.g. in endemic countries experiencing regular outbreaks);
• for internally displaced populations and refugees, and populations in conflict zones;
• for individual infants at high risk of contracting measles (e.g. contacts of known measles cases or in settings with increased risk of exposure during outbreaks such as day-care facilities);
• for infants travelling to countries experiencing measles outbreaks;
• for infants known to be HIV-infected or exposed (i.e. born to a woman infected with HIV).
*/
define &quot;MCV0 Create&quot;:
  if &quot;MCV0&quot;
  then 'In the following situations, a supplementary dose of MCV should be given to infants from 6 months of age:
• during a measles outbreak as part of intensified service delivery;
• during campaigns in settings where the risk of measles among infants aged under 9 months remains high (e.g. in endemic countries experiencing regular outbreaks);
• for internally displaced populations and refugees, and populations in conflict zones;
• for individual infants at high risk of contracting measles (e.g. contacts of known measles cases or in settings with increased risk of exposure during outbreaks such as day-care facilities);
• for infants travelling to countries experiencing measles outbreaks;
• for infants known to be HIV-infected or exposed (i.e. born to a woman infected with HIV).' + '
Due Date: ' + ToString(&quot;MCV0 Due Date&quot;) + '
Expiration: ' + ToString(&quot;MCV0 Expiration&quot;)
  else ''"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="10"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZCommon"/>
        </extension>
        <extension url="name">
          <valueString value="onOrBefore"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/**
 * @description: Gets immunizations on or before a date
 */
define fluent function onOrBefore(immunizations List&lt;Immunization&gt;, beforeDate Date):
  immunizations I where
    I.occurrence.toInterval() same day or before beforeDate"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="11"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZCommon"/>
        </extension>
        <extension url="name">
          <valueString value="seriesDose0"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/**
 * @description: Gets the doses from the dose 0 series
 */
define fluent function seriesDose0(immunizations List&lt;Immunization&gt;):
  immunizations I where
    exists( I.protocolApplied pa where pa.series = 'Dose 0' )"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="12"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="FHIRHelpers"/>
        </extension>
        <extension url="name">
          <valueString value="ToString"/>
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        <extension url="statement">
          <valueString
                       value="define function ToString(value string): value.value"/>
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          <valueInteger value="13"/>
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      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="FHIRHelpers"/>
        </extension>
        <extension url="name">
          <valueString value="ToString"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="define function ToString(value ImmunizationStatus): value.value"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="14"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="FHIRHelpers"/>
        </extension>
        <extension url="name">
          <valueString value="ToBoolean"/>
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        <extension url="statement">
          <valueString
                       value="define function ToBoolean(value boolean): value.value"/>
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          <valueInteger value="15"/>
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                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="FHIRHelpers"/>
        </extension>
        <extension url="name">
          <valueString value="ToConcept"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="define function ToConcept(concept FHIR.CodeableConcept):
    if concept is null then
        null
    else
        System.Concept {
            codes: concept.coding C return ToCode(C),
            display: concept.text.value
        }"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="16"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="FHIRHelpers"/>
        </extension>
        <extension url="name">
          <valueString value="ToCode"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="define function ToCode(coding FHIR.Coding):
    if coding is null then
        null
    else
        System.Code {
          code: coding.code.value,
          system: coding.system.value,
          version: coding.version.value,
          display: coding.display.value
        }"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="17"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="FHIRHelpers"/>
        </extension>
        <extension url="name">
          <valueString value="ToDate"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="define function ToDate(value date): value.value"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="18"/>
        </extension>
      </extension>
      <name value="EffectiveDataRequirements"/>
      <status value="active"/>
      <type>
        <coding>
          <system value="http://terminology.hl7.org/CodeSystem/library-type"/>
          <code value="module-definition"/>
        </coding>
      </type>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="FHIR model information"/>
        <resource
                  value="http://fhir.org/guides/cqf/common/Library/FHIR-ModelInfo|4.0.1"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Library Encounter"/>
        <resource
                  value="http://smart.who.int/immunizations/Library/IMMZD2DTMeaslesEncounterElements"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Library Common"/>
        <resource
                  value="http://smart.who.int/immunizations/Library/IMMZCommon"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Library WC"/>
        <resource
                  value="http://smart.who.int/immunizations/Library/WHOCommon"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Library MeaslesElements"/>
        <resource
                  value="http://smart.who.int/immunizations/Library/IMMZD2DTMeaslesElements"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Library FHIRHelpers"/>
        <resource
                  value="http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Library Elements"/>
        <resource
                  value="http://smart.who.int/immunizations/Library/IMMZElements"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Library FHIRHelpers"/>
        <resource
                  value="http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Library Concepts"/>
        <resource
                  value="http://smart.who.int/immunizations/Library/IMMZConcepts"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Value set Measles-containing vaccines"/>
        <resource
                  value="http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE9"/>
      </relatedArtifact>
      <parameter>
        <name value="Today"/>
        <use value="in"/>
        <min value="0"/>
        <max value="1"/>
        <type value="date"/>
      </parameter>
      <parameter>
        <name value="MCV0"/>
        <use value="out"/>
        <min value="0"/>
        <max value="1"/>
        <type value="boolean"/>
      </parameter>
      <parameter>
        <name value="MCV0 Create"/>
        <use value="out"/>
        <min value="0"/>
        <max value="1"/>
        <type value="string"/>
      </parameter>
      <dataRequirement>
        <type value="Immunization"/>
        <profile
                 value="http://hl7.org/fhir/StructureDefinition/Immunization"/>
        <mustSupport value="status"/>
        <mustSupport value="isSubpotent"/>
      </dataRequirement>
      <dataRequirement>
        <type value="Immunization"/>
        <profile
                 value="http://hl7.org/fhir/StructureDefinition/Immunization"/>
        <mustSupport value="status"/>
        <mustSupport value="isSubpotent"/>
        <mustSupport value="vaccineCode"/>
      </dataRequirement>
      <dataRequirement>
        <type value="Patient"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Patient"/>
      </dataRequirement>
      <dataRequirement>
        <type value="Immunization"/>
        <profile
                 value="http://hl7.org/fhir/StructureDefinition/Immunization"/>
        <mustSupport value="status"/>
        <mustSupport value="isSubpotent"/>
        <mustSupport value="vaccineCode"/>
      </dataRequirement>
      <dataRequirement>
        <type value="Immunization"/>
        <profile
                 value="http://hl7.org/fhir/StructureDefinition/Immunization"/>
        <mustSupport value="status"/>
        <mustSupport value="isSubpotent"/>
        <mustSupport value="vaccineCode"/>
      </dataRequirement>
    </Library>
  </contained>
  <extension
             url="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeCapability">
    <valueCode value="computable"/>
  </extension>
  <extension
             url="http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-effectiveDataRequirements">
    <valueCanonical value="#effective-data-requirements"/>
  </extension>
  <url
       value="http://smart.who.int/immunizations/PlanDefinition/IMMZD18SMeaslesMCVDose0"/>
  <version value="0.2.0"/>
  <name value="IMMZD18SMeaslesMCVDose0"/>
  <title value="IMMZ.D18.S.Measles.MCV dose 0 schedule"/>
  <type>
    <coding>
      <system
              value="http://terminology.hl7.org/CodeSystem/plan-definition-type"/>
      <code value="eca-rule"/>
    </coding>
  </type>
  <status value="draft"/>
  <experimental value="false"/>
  <date value="2026-03-03T13:07:11+00:00"/>
  <publisher value="WHO"/>
  <contact>
    <name value="WHO"/>
    <telecom>
      <system value="url"/>
      <value value="http://who.int"/>
    </telecom>
  </contact>
  <description
               value="IMMZ.D18.S.Measles.MCV dose 0 schedule
Measles-containing vaccine dose 0 (MCV0) schedule"/>
  <relatedArtifact>
    <type value="citation"/>
    <citation
              value="WHO recommendations for routine immunization - summary tables (January 2025)"/>
  </relatedArtifact>
  <library
           value="http://smart.who.int/immunizations/Library/IMMZD18SMeaslesMCVDose0Logic"/>
  <action>
    <title value="MCV0"/>
    <description
                 value="Provision of the MCV0
Trigger event: Child's birth
Trigger pseudo: 
Trigger date: &quot;Date of birth&quot;
Create condition: In the following situations, a supplementary dose of MCV should be given to infants from 6 months of age: 
• during a measles outbreak as part of intensified service delivery;
• during campaigns in settings where the risk of measles among infants aged under 9 months remains high (e.g. in endemic countries experiencing regular outbreaks);
• for internally displaced populations and refugees, and populations in conflict zones;
• for individual infants at high risk of contracting measles (e.g. contacts of known measles cases or in settings with increased risk of exposure during outbreaks such as day-care facilities);
• for infants travelling to countries experiencing measles outbreaks;
• for infants known to be HIV-infected or exposed (i.e. born to a woman infected with HIV)."/>
    <condition>
      <kind value="applicability"/>
      <expression>
        <description value="MCV0"/>
        <language value="text/cql-identifier"/>
        <expression value="MCV0"/>
      </expression>
    </condition>
    <definitionCanonical
                         value="http://smart.who.int/immunizations/ActivityDefinition/IMMZD2DTCR"/>
    <dynamicValue>
      <path value="status"/>
      <expression>
        <language value="text/cql-expression"/>
        <expression value="'active'"/>
      </expression>
    </dynamicValue>
    <dynamicValue>
      <path value="payload.contentString"/>
      <expression>
        <language value="text/cql-identifier"/>
        <expression value="MCV0 Create"/>
      </expression>
    </dynamicValue>
    <dynamicValue>
      <path value="category.coding"/>
      <expression>
        <description value="Category of communication"/>
        <language value="text/cql-expression"/>
        <expression
                    value="Code { system: 'http://terminology.hl7.org/CodeSystem/communication-category', code: 'alert' }"/>
      </expression>
    </dynamicValue>
    <dynamicValue>
      <path value="priority"/>
      <expression>
        <description value="Alert priority"/>
        <language value="text/cql-expression"/>
        <expression
                    value="Code { system: 'http://hl7.org/fhir/request-priority', code: 'routine' }"/>
      </expression>
    </dynamicValue>
  </action>
</PlanDefinition>