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 |
<PlanDefinition xmlns="http://hl7.org/fhir">
<id value="IMMZD2DTMeaslesMCVDose0"/>
<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;">IMMZD2DTMeaslesMCVDose0</td>
</tr>
<tr>
<th scope="row"><b>Url: </b></th>
<td style="padding-left: 4px;"><a href="PlanDefinition-IMMZD2DTMeaslesMCVDose0.html">IMMZ.D2.DT.Measles.MCV dose 0</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.D2.DT.Measles.MCV dose 0</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.D2.DT.Measles.MCV dose 0
Measles-containing vaccine dose 0 (MCV0) administration</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-IMMZD2DTMeaslesMCVDose0Logic.html">IMMZD2DTMeaslesMCVDose0Logic</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> Check for Guidance for the patient regarding IMMZ.D2.DT.Measles.MCV dose 0.:</b> Show Guidance for the patient regarding IMMZ.D2.DT.Measles.MCV dose 0.
<br/>
<b>If:</b>
<i>Applicability:</i>
Has Guidance
<i>(Has Guidance)</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>(Guidance)</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="IMMZEncounterElements"/>
</extension>
<extension url="name">
<valueString value="Current Patient Age In Months"/>
</extension>
<extension url="statement">
<valueString
value="/**
* @dataElement Patient age in months
*/
define "Current Patient Age In Months":
AgeInMonthsAt(Today)"/>
</extension>
<extension url="displaySequence">
<valueInteger value="0"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTMeaslesEncounterElements"/>
</extension>
<extension url="name">
<valueString value="Client's age is less than 6 months"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: Client's age is less than 6 months
@pseudocode: Today's date − "Date of birth" < 6 months
@code: Client's age is less than 6 months-41
@decision: IMMZ.D2.DT.Measles.MCV dose 0: Measles-containing vaccine dose 0 (MCV0) administration
*/
define "Client's age is less than 6 months":
Encounter."Current Patient Age In Months" < 6"/>
</extension>
<extension url="displaySequence">
<valueInteger value="1"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTMeaslesMCVDose0Logic"/>
</extension>
<extension url="name">
<valueString value="Client is not due for MCV0 Case 1"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Client is not due for MCV0 Case 1
@pseudocode: "Immunization recommendation status" = "Not due"
*/
define "Client is not due for MCV0 Case 1":
Encounter."Client's age is less than 6 months""/>
</extension>
<extension url="displaySequence">
<valueInteger value="2"/>
</extension>
</extension>
<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 "Doses Administered to Patient":
[Immunization] I
where I.status = 'completed'
and I.isSubpotent is not true"/>
</extension>
<extension url="displaySequence">
<valueInteger value="3"/>
</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 "MCV Doses Administered to Patient":
Elements."Doses Administered to Patient" I
where
I.vaccineCode in Concepts."Measles-containing vaccines""/>
</extension>
<extension url="displaySequence">
<valueInteger value="4"/>
</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 "MCV Dose 0 Doses Administered to Patient":
"MCV Doses Administered to Patient".seriesDose0()"/>
</extension>
<extension url="displaySequence">
<valueInteger value="5"/>
</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 "MCV Dose 0 Doses Administered to Patient":
MeaslesElements."MCV Dose 0 Doses Administered to Patient".onOrBefore(Today)"/>
</extension>
<extension url="displaySequence">
<valueInteger value="6"/>
</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 "Number of MCV Dose 0 Doses Administered":
Count("MCV Dose 0 Doses Administered to Patient")"/>
</extension>
<extension url="displaySequence">
<valueInteger value="7"/>
</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 not administered"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: MCV0 was not administered
@pseudocode: Count of vaccines administered (where "Vaccine type" = "Measles-containing vaccines" and "Type of dose" = "Dose 0") = 0
@code: MCV0 was not administered-119
@decision: IMMZ.D2.DT.Measles.MCV dose 0: Measles-containing vaccine dose 0 (MCV0) administration
*/
define "MCV0 was not administered":
"Number of MCV Dose 0 Doses Administered" = 0"/>
</extension>
<extension url="displaySequence">
<valueInteger value="8"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTMeaslesEncounterElements"/>
</extension>
<extension url="name">
<valueString value="Client's age is between 6 months and 9 months"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: Client's age is between 6 months and 9 months
@pseudocode: 6 months ≤ Today's date − "Date of birth" < 9 months
@code: Client's age is between 6 months and 9 months-52
@decision: IMMZ.D2.DT.Measles.MCV dose 0: Measles-containing vaccine dose 0 (MCV0) administration
*/
define "Client's age is between 6 months and 9 months":
6 <= Encounter."Current Patient Age In Months"
and Encounter."Current Patient Age In Months" < 9"/>
</extension>
<extension url="displaySequence">
<valueInteger value="9"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZElements"/>
</extension>
<extension url="name">
<valueString value="Live Attenuated Vaccines"/>
</extension>
<extension url="statement">
<valueString
value="/*
@dataElement: Live attenuated vaccines
*/
define "Live Attenuated Vaccines":
"Doses Administered to Patient" I
where I.vaccineCode in Concepts."Live Attenuated""/>
</extension>
<extension url="displaySequence">
<valueInteger value="10"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZEncounterElements"/>
</extension>
<extension url="name">
<valueString value="Live Attenuated Vaccines"/>
</extension>
<extension url="statement">
<valueString
value="/*
@dataElement Live attenuated vaccines
*/
define "Live Attenuated Vaccines":
Elements."Live Attenuated Vaccines" I
where I.occurrence.toInterval() same day or before Today"/>
</extension>
<extension url="displaySequence">
<valueInteger value="11"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZEncounterElements"/>
</extension>
<extension url="name">
<valueString value="Date of Latest Live Attenuated Vaccine"/>
</extension>
<extension url="statement">
<valueString
value="/*
@dataElement Date and time of last live attenuated vaccine
*/
define "Date of Latest Live Attenuated Vaccine":
date from start of "Live Attenuated Vaccines".mostRecent().occurrence.toInterval()"/>
</extension>
<extension url="displaySequence">
<valueInteger value="12"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZEncounterElements"/>
</extension>
<extension url="name">
<valueString
value="Live vaccine was administered in the last 4 weeks"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: Live vaccine was administered in the last 4 weeks
@pseudocode: Today's date − latest "Date and time of vaccination" (where "Live vaccine" = TRUE) < 4 weeks
*/
define "Live vaccine was administered in the last 4 weeks":
"Date of Latest Live Attenuated Vaccine" is not null
and duration in weeks between "Date of Latest Live Attenuated Vaccine" and Today < 4"/>
</extension>
<extension url="displaySequence">
<valueInteger value="13"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTMeaslesEncounterElements"/>
</extension>
<extension url="name">
<valueString
value="Live vaccine was administered in the last 4 weeks"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: Live vaccine was administered in the last 4 weeks
@pseudocode: Today's date − latest "Date and time of vaccination" (where "Live vaccine" = TRUE) < 4 weeks
@code: Live vaccine was administered in the last 4 weeks-92
@decision: IMMZ.D2.DT.Measles.Ongoing transmission: Countries with ongoing transmission in which the risk of measles mortality remains high (countries that provide first dose of measles-containing vaccine (MCV) at 9 months and second dose of MCV at 15 months)
@decision: IMMZ.D2.DT.Measles.Low transmission: Countries with low levels of measles transmission (countries that provide first dose of measles-containing vaccine (MCV) at 12 months and second dose of MCV at 15 months)
@decision: IMMZ.D2.DT.Measles.MCV dose 0: Measles-containing vaccine dose 0 (MCV0) administration
*/
define "Live vaccine was administered in the last 4 weeks":
Encounter."Live vaccine was administered in the last 4 weeks""/>
</extension>
<extension url="displaySequence">
<valueInteger value="14"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTMeaslesMCVDose0Logic"/>
</extension>
<extension url="name">
<valueString value="Client is not due for MCV0 Case 2"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Client is not due for MCV0 Case 2
@pseudocode: "Immunization recommendation status" = "Not due"
*/
define "Client is not due for MCV0 Case 2":
Encounter."MCV0 was not administered"
and Encounter."Client's age is between 6 months and 9 months"
and Encounter."Live vaccine was administered in the last 4 weeks""/>
</extension>
<extension url="displaySequence">
<valueInteger value="15"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTMeaslesEncounterElements"/>
</extension>
<extension url="name">
<valueString
value="Client's age is more than or equal to 9 months"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: Client's age is more than or equal to 9 months
@pseudocode: Today's date − "Date of birth" ≥ 9 months
@code: Client's age is more than or equal to 9 months-41
@decision: IMMZ.D2.DT.Measles.Ongoing transmission: Countries with ongoing transmission in which the risk of measles mortality remains high (countries that provide first dose of measles-containing vaccine (MCV) at 9 months and second dose of MCV at 15 months)
@decision: IMMZ.D2.DT.Measles.MCV dose 0: Measles-containing vaccine dose 0 (MCV0) administration
*/
define "Client's age is more than or equal to 9 months":
Encounter."Current Patient Age In Months" >= 9"/>
</extension>
<extension url="displaySequence">
<valueInteger value="16"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTMeaslesMCVDose0Logic"/>
</extension>
<extension url="name">
<valueString value="Client is not due for MCV0 Case 3"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Client is not due for MCV0 Case 3
@pseudocode: "Immunization recommendation status" = "Not due"
*/
define "Client is not due for MCV0 Case 3":
Encounter."Client's age is more than or equal to 9 months""/>
</extension>
<extension url="displaySequence">
<valueInteger value="17"/>
</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 "Vaccine type" = "Measles-containing vaccines" and "Type of dose" = "Dose 0") = 1
@code: MCV0 was administered-119
@decision: IMMZ.D2.DT.Measles.MCV dose 0: Measles-containing vaccine dose 0 (MCV0) administration
*/
define "MCV0 was administered":
"Number of MCV Dose 0 Doses Administered" = 1"/>
</extension>
<extension url="displaySequence">
<valueInteger value="18"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTMeaslesMCVDose0Logic"/>
</extension>
<extension url="name">
<valueString value="Client is not due for MCV0 Case 4"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Client is not due for MCV0 Case 4
@pseudocode: "Immunization recommendation status" = "Not due"
*/
define "Client is not due for MCV0 Case 4":
Encounter."MCV0 was administered""/>
</extension>
<extension url="displaySequence">
<valueInteger value="19"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTMeaslesMCVDose0Logic"/>
</extension>
<extension url="name">
<valueString value="Client is not due for MCV0"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Client is not due for MCV0
@pseudocode: "Immunization recommendation status" = "Not due"
*/
define "Client is not due for MCV0":
"Client is not due for MCV0 Case 1"
or "Client is not due for MCV0 Case 2"
or "Client is not due for MCV0 Case 3"
or "Client is not due for MCV0 Case 4""/>
</extension>
<extension url="displaySequence">
<valueInteger value="20"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTMeaslesMCVDose0Logic"/>
</extension>
<extension url="name">
<valueString value="Client is not due for MCV0 Guidance"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Client is not due for MCV0 Guidance
@guidance = Should not vaccinate client with MCV0 as client's age is less than 6 months. Check for any vaccines due and inform the caregiver of when to come back for MCV0.
@guidance = Should not vaccinate client with MCV0 as live vaccine was administered in the past 4 weeks. Check for any vaccines due and inform the caregiver of when to come back for MCV0.
@guidance = Should not vaccinate client with MCV0 as client's age is more than 9 months.
Check measles routine immunization schedule.
@guidance = MCV0 was administered.
Check measles routine immunization schedule.
*/
define "Client is not due for MCV0 Guidance":
case
when "Client is not due for MCV0 Case 1" then 'Should not vaccinate client with MCV0 as client\'s age is less than 6 months. Check for any vaccines due and inform the caregiver of when to come back for MCV0.'
when "Client is not due for MCV0 Case 2" then 'Should not vaccinate client with MCV0 as live vaccine was administered in the past 4 weeks. Check for any vaccines due and inform the caregiver of when to come back for MCV0.'
when "Client is not due for MCV0 Case 3" then 'Should not vaccinate client with MCV0 as client\'s age is more than 9 months.
Check measles routine immunization schedule.'
when "Client is not due for MCV0 Case 4" then 'MCV0 was administered.
Check measles routine immunization schedule.'
else ''
end"/>
</extension>
<extension url="displaySequence">
<valueInteger value="21"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZEncounterElements"/>
</extension>
<extension url="name">
<valueString
value="No live vaccine was administered in the last 4 weeks"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: No live vaccine was administered in the last 4 weeks
@pseudocode: Today's date − latest "Date and time of vaccination" (where "Live vaccine" = TRUE) ≥ 4 weeks
*/
define "No live vaccine was administered in the last 4 weeks":
not("Live vaccine was administered in the last 4 weeks")"/>
</extension>
<extension url="displaySequence">
<valueInteger value="22"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTMeaslesEncounterElements"/>
</extension>
<extension url="name">
<valueString
value="No live vaccine was administered in the last 4 weeks"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: No live vaccine was administered in the last 4 weeks
@pseudocode: Today's date − latest "Date and time of vaccination" (where "Live vaccine" = TRUE) ≥ 4 weeks
@code: No live vaccine was administered in the last 4 weeks-92
@decision: IMMZ.D2.DT.Measles.Ongoing transmission: Countries with ongoing transmission in which the risk of measles mortality remains high (countries that provide first dose of measles-containing vaccine (MCV) at 9 months and second dose of MCV at 15 months)
@decision: IMMZ.D2.DT.Measles.Low transmission: Countries with low levels of measles transmission (countries that provide first dose of measles-containing vaccine (MCV) at 12 months and second dose of MCV at 15 months)
@decision: IMMZ.D2.DT.Measles.MCV dose 0: Measles-containing vaccine dose 0 (MCV0) administration
*/
define "No live vaccine was administered in the last 4 weeks":
Encounter."No live vaccine was administered in the last 4 weeks""/>
</extension>
<extension url="displaySequence">
<valueInteger value="23"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTMeaslesMCVDose0Logic"/>
</extension>
<extension url="name">
<valueString value="Consider MCV0."/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Consider MCV0.
@pseudocode: Create a clinical note.
"Immunization recommendation status" = "Further evaluation needed"
*/
define "Consider MCV0.":
Encounter."MCV0 was not administered"
and Encounter."Client's age is between 6 months and 9 months"
and Encounter."No live vaccine was administered in the last 4 weeks""/>
</extension>
<extension url="displaySequence">
<valueInteger value="24"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTMeaslesMCVDose0Logic"/>
</extension>
<extension url="name">
<valueString value="Consider MCV0. Guidance"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Consider MCV0. Guidance
@guidance: May vaccinate client with MCV0 as client is within appropriate age range, MCV0 was not administered and no live vaccine was administered in the past 4 weeks. Check if one of the MCV0 specific scenarios is applicable.
*/
define "Consider MCV0. Guidance":
'May vaccinate client with MCV0 as client is within appropriate age range, MCV0 was not administered and no live vaccine was administered in the past 4 weeks. Check if one of the MCV0 specific scenarios is applicable.'"/>
</extension>
<extension url="displaySequence">
<valueInteger value="25"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTMeaslesMCVDose0Logic"/>
</extension>
<extension url="name">
<valueString value="Guidance"/>
</extension>
<extension url="statement">
<valueString
value="/*
@dynamicValue: Guidance
*/
define "Guidance":
case
when "Client is not due for MCV0" then "Client is not due for MCV0 Guidance"
when "Consider MCV0." then "Consider MCV0. Guidance"
else ''
end"/>
</extension>
<extension url="displaySequence">
<valueInteger value="26"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTMeaslesMCVDose0Logic"/>
</extension>
<extension url="name">
<valueString value="Has Guidance"/>
</extension>
<extension url="statement">
<valueString
value="define "Has Guidance":
"Guidance" is not null and "Guidance" != ''"/>
</extension>
<extension url="displaySequence">
<valueInteger value="27"/>
</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<Immunization>, beforeDate Date):
immunizations I where
I.occurrence.toInterval() same day or before beforeDate"/>
</extension>
<extension url="displaySequence">
<valueInteger value="28"/>
</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<Immunization>):
immunizations I where
exists( I.protocolApplied pa where pa.series = 'Dose 0' )"/>
</extension>
<extension url="displaySequence">
<valueInteger value="29"/>
</extension>
</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 string): value.value"/>
</extension>
<extension url="displaySequence">
<valueInteger value="30"/>
</extension>
</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="31"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="FHIRHelpers"/>
</extension>
<extension url="name">
<valueString value="ToBoolean"/>
</extension>
<extension url="statement">
<valueString
value="define function ToBoolean(value boolean): value.value"/>
</extension>
<extension url="displaySequence">
<valueInteger value="32"/>
</extension>
</extension>
<extension
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="33"/>
</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="34"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="WHOCommon"/>
</extension>
<extension url="name">
<valueString value="mostRecent"/>
</extension>
<extension url="statement">
<valueString
value="define fluent function mostRecent(immunizations List<Immunization>):
Last(
immunizations I
sort by start of occurrence.toInterval()
)"/>
</extension>
<extension url="displaySequence">
<valueInteger value="35"/>
</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 Encounter"/>
<resource
value="http://smart.who.int/immunizations/Library/IMMZEncounterElements"/>
</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="Library WC"/>
<resource
value="http://smart.who.int/immunizations/Library/WHOCommon"/>
</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 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>
<relatedArtifact>
<type value="depends-on"/>
<display value="Value set Live Attenuated"/>
<resource
value="http://smart.who.int/immunizations/ValueSet/IMMZ.Z.LiveAttenuated"/>
</relatedArtifact>
<parameter>
<name value="Today"/>
<use value="in"/>
<min value="0"/>
<max value="1"/>
<type value="date"/>
</parameter>
<parameter>
<name value="Guidance"/>
<use value="out"/>
<min value="0"/>
<max value="1"/>
<type value="string"/>
</parameter>
<parameter>
<name value="Has Guidance"/>
<use value="out"/>
<min value="0"/>
<max value="1"/>
<type value="boolean"/>
</parameter>
<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"/>
</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>
<dataRequirement>
<type value="Immunization"/>
<profile
value="http://hl7.org/fhir/StructureDefinition/Immunization"/>
<mustSupport value="status"/>
<mustSupport value="isSubpotent"/>
<mustSupport value="vaccineCode"/>
<mustSupport value="occurrence"/>
</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/IMMZD2DTMeaslesMCVDose0"/>
<version value="0.2.0"/>
<name value="IMMZD2DTMeaslesMCVDose0"/>
<title value="IMMZ.D2.DT.Measles.MCV dose 0"/>
<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.D2.DT.Measles.MCV dose 0
Measles-containing vaccine dose 0 (MCV0) administration"/>
<relatedArtifact>
<type value="citation"/>
<citation
value="WHO recommendations for routine immunization - summary tables (January 2025)"/>
</relatedArtifact>
<library
value="http://smart.who.int/immunizations/Library/IMMZD2DTMeaslesMCVDose0Logic"/>
<action>
<title
value="Check for Guidance for the patient regarding IMMZ.D2.DT.Measles.MCV dose 0."/>
<description
value="Show Guidance for the patient regarding IMMZ.D2.DT.Measles.MCV dose 0."/>
<condition>
<kind value="applicability"/>
<expression>
<description value="Has Guidance"/>
<language value="text/cql-identifier"/>
<expression value="Has Guidance"/>
</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="Guidance"/>
</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>