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="IMMZD2DTPolioBirthDose"/>
<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;">IMMZD2DTPolioBirthDose</td>
</tr>
<tr>
<th scope="row"><b>Url: </b></th>
<td style="padding-left: 4px;"><a href="PlanDefinition-IMMZD2DTPolioBirthDose.html">IMMZ.D2.DT.Polio.Birth dose</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.Polio.Birth dose</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.Polio.Birth dose
Birth dose administration as part of "bivalent oral polio vaccine (bOPV) plus inactivated polio vaccine (IPV)" schedule (in countries that are poliomyelitis (polio)-endemic countries or at high risk of importation and subsequent spread of polio that follow the combined bOPV–IPV 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-IMMZD2DTPolioBirthDoseLogic.html">IMMZD2DTPolioBirthDoseLogic</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> Determine if the client is due for a poliovirus vaccination according to the national immunization schedule:</b> Determine if the client is due for a poliovirus vaccination according to the national immunization schedule
Birth dose administration as part of "bivalent oral polio vaccine (bOPV) plus inactivated polio vaccine (IPV)" schedule
(in countries that are poliomyelitis (polio)-endemic countries or at high risk of importation and subsequent spread of
polio that follow the combined bOPV–IPV schedule)
<br/>
<b>If:</b>
<i>Applicability:</i>
Client is due for the bOPV birth dose
<i>(Client is due for the bOPV birth dose)</i>
<br/>
<b>Then:</b> <i>Definition:</i> <a href="ActivityDefinition-IMMZD2DTMR.html">IMMZD2DTMR</a><br/>
<i>Dynamic Values:</i><br/>
status: <i>('draft')</i>
<br/>
intent: <i>('proposal')</i>
<br/>
medication: <i>(Concept { codes: { Code { system: 'http://smart.who.int/immunizations/CodeSystem/IMMZ.Z', code: 'DE30', display: 'Oral polio vaccines' } }, display: 'Oral polio vaccines' })</i>
<br/>
</td>
</tr>
<tr>
<td>
<b> Check for Guidance for the patient regarding IMMZ.D2.DT.Polio.Birth dose.:</b> Show Guidance for the patient regarding IMMZ.D2.DT.Polio.Birth dose.
<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="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="0"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTPolioElements"/>
</extension>
<extension url="name">
<valueString value="Polio Doses Administered to Patient"/>
</extension>
<extension url="statement">
<valueString
value="/*
@internal: Polio containing Doses Administered to Patient
*/
define "Polio Doses Administered to Patient":
Elements."Doses Administered to Patient" I
where
I.vaccineCode in Concepts."Poliovirus-containing vaccines""/>
</extension>
<extension url="displaySequence">
<valueInteger value="1"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTPolioElements"/>
</extension>
<extension url="name">
<valueString value="Polio Dose 0 Doses Administered to Patient"/>
</extension>
<extension url="statement">
<valueString
value="/*
@internal: Polio Dose 0 Doses Administered to Patient
*/
define "Polio Dose 0 Doses Administered to Patient":
"Polio Doses Administered to Patient".seriesDose0()"/>
</extension>
<extension url="displaySequence">
<valueInteger value="2"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTPolioEncounterElements"/>
</extension>
<extension url="name">
<valueString value="Polio Dose 0 Doses Administered to Patient"/>
</extension>
<extension url="statement">
<valueString
value="/*
@internal: Polio Dose 0 Doses Administered to Patient
*/
define "Polio Dose 0 Doses Administered to Patient":
PolioElements."Polio Dose 0 Doses Administered to Patient".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="IMMZD2DTPolioEncounterElements"/>
</extension>
<extension url="name">
<valueString value="Number of Polio Dose 0 Doses Administered"/>
</extension>
<extension url="statement">
<valueString
value="/*
@internal: Number of Polio Dose 0 Doses Administered
*/
define "Number of Polio Dose 0 Doses Administered":
Count("Polio Dose 0 Doses Administered to Patient")"/>
</extension>
<extension url="displaySequence">
<valueInteger value="4"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTPolioEncounterElements"/>
</extension>
<extension url="name">
<valueString
value="bOPV birth dose (a zero dose) was not administered"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: bOPV birth dose (a zero dose) was not administered
@pseudocode: Count of vaccines administered (where "Vaccine type" = "Poliovirus-containing vaccines" and "Type of dose" = "Dose 0" AND "Birth dose" = TRUE) = 0
@code: bOPV birth dose (a zero dose) was not administered-146
@decision: IMMZ.D2.DT.Polio.Birth dose: Birth dose administration as part of "bivalent oral polio vaccine (bOPV) plus inactivated polio vaccine (IPV)" schedule (in countries that are poliomyelitis (polio)-endemic countries or at high risk of importation and subsequent spread of polio that follow the combined bOPV–IPV schedule)
*/
define "bOPV birth dose (a zero dose) was not administered":
"Number of Polio Dose 0 Doses Administered" = 0"/>
</extension>
<extension url="displaySequence">
<valueInteger value="5"/>
</extension>
</extension>
<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 Weeks"/>
</extension>
<extension url="statement">
<valueString
value="/**
* @dataElement Patient age in weeks
*/
define "Current Patient Age In Weeks":
AgeInWeeksAt(Today)"/>
</extension>
<extension url="displaySequence">
<valueInteger value="6"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTPolioEncounterElements"/>
</extension>
<extension url="name">
<valueString value="Client's age is less than 1 week"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: Client's age is less than 1 week
@pseudocode: Today's date − "Date of birth" < 1 week
@code: Client's age is less than 1 week-39
@decision: IMMZ.D2.DT.Polio.Birth dose: Birth dose administration as part of "bivalent oral polio vaccine (bOPV) plus inactivated polio vaccine (IPV)" schedule (in countries that are poliomyelitis (polio)-endemic countries or at high risk of importation and subsequent spread of polio that follow the combined bOPV–IPV schedule)
*/
define "Client's age is less than 1 week":
Encounter."Current Patient Age In Weeks" < 1"/>
</extension>
<extension url="displaySequence">
<valueInteger value="7"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTPolioBirthDoseLogic"/>
</extension>
<extension url="name">
<valueString value="Client is due for the bOPV birth dose"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Client is due for the bOPV birth dose
@pseudocode: "Immunization recommendation status" = "Due" (where "Type of poliovirus dose" = "bOPV")
*/
define "Client is due for the bOPV birth dose":
Encounter."bOPV birth dose (a zero dose) was not administered"
and Encounter."Client's age is less than 1 week""/>
</extension>
<extension url="displaySequence">
<valueInteger value="8"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTPolioBirthDoseLogic"/>
</extension>
<extension url="name">
<valueString
value="Client is due for the bOPV birth dose Guidance"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Client is due for the bOPV birth dose Guidance
@guidance: Should vaccinate client with bOPV birth dose (a zero dose) as poliovirus birth dose was not administered and client's age is less than 1 week. Check for contraindications.
*/
define "Client is due for the bOPV birth dose Guidance":
'Should vaccinate client with bOPV birth dose (a zero dose) as poliovirus birth dose was not administered and client\'s age is less than 1 week. Check for contraindications.'"/>
</extension>
<extension url="displaySequence">
<valueInteger value="9"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTPolioEncounterElements"/>
</extension>
<extension url="name">
<valueString value="Client's age is more than or equal to 1 week"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: Client's age is more than or equal to 1 week
@pseudocode: Today's date − "Date of birth" ≥ 1 week
@code: Client's age is more than or equal to 1 week-39
@decision: IMMZ.D2.DT.Polio.Birth dose: Birth dose administration as part of "bivalent oral polio vaccine (bOPV) plus inactivated polio vaccine (IPV)" schedule (in countries that are poliomyelitis (polio)-endemic countries or at high risk of importation and subsequent spread of polio that follow the combined bOPV–IPV schedule)
*/
define "Client's age is more than or equal to 1 week":
Encounter."Current Patient Age In Weeks" >= 1"/>
</extension>
<extension url="displaySequence">
<valueInteger value="10"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTPolioBirthDoseLogic"/>
</extension>
<extension url="name">
<valueString
value="Client is not due for the bOPV birth dose Case 1"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Client is not due for the bOPV birth dose Case 1
@pseudocode: "Immunization recommendation status" = "Not due"
*/
define "Client is not due for the bOPV birth dose Case 1":
Encounter."bOPV birth dose (a zero dose) was not administered"
and Encounter."Client's age is more than or equal to 1 week""/>
</extension>
<extension url="displaySequence">
<valueInteger value="11"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTPolioEncounterElements"/>
</extension>
<extension url="name">
<valueString
value="bOPV birth dose (a zero dose) was administered"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: bOPV birth dose (a zero dose) was administered
@pseudocode: Count of vaccines administered (where "Vaccine type" = "Poliovirus-containing vaccines" and "Type of dose" = "Dose 0" AND "Birth dose" = TRUE) = 1
@code: bOPV birth dose (a zero dose) was administered-146
@decision: IMMZ.D2.DT.Polio.Birth dose: Birth dose administration as part of "bivalent oral polio vaccine (bOPV) plus inactivated polio vaccine (IPV)" schedule (in countries that are poliomyelitis (polio)-endemic countries or at high risk of importation and subsequent spread of polio that follow the combined bOPV–IPV schedule)
*/
define "bOPV birth dose (a zero dose) was administered":
"Number of Polio Dose 0 Doses Administered" = 1"/>
</extension>
<extension url="displaySequence">
<valueInteger value="12"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTPolioBirthDoseLogic"/>
</extension>
<extension url="name">
<valueString
value="Client is not due for the bOPV birth dose Case 2"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Client is not due for the bOPV birth dose Case 2
@pseudocode: "Immunization recommendation status" = "Not due"
*/
define "Client is not due for the bOPV birth dose Case 2":
Encounter."bOPV birth dose (a zero dose) was administered""/>
</extension>
<extension url="displaySequence">
<valueInteger value="13"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTPolioBirthDoseLogic"/>
</extension>
<extension url="name">
<valueString value="Client is not due for the bOPV birth dose"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Client is not due for the bOPV birth dose
@pseudocode: "Immunization recommendation status" = "Not due"
*/
define "Client is not due for the bOPV birth dose":
"Client is not due for the bOPV birth dose Case 1"
or "Client is not due for the bOPV birth dose Case 2""/>
</extension>
<extension url="displaySequence">
<valueInteger value="14"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTPolioBirthDoseLogic"/>
</extension>
<extension url="name">
<valueString
value="Client is not due for the bOPV birth dose Guidance"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Client is not due for the bOPV birth dose Guidance
@guidance = Should not vaccinate client with bOPV birth dose (a zero dose) as client's age is more than or equal to 1 week. Check for any other vaccines due and inform the caregiver of when to come back for the next dose.
@guidance = Poliovirus birth dose was already administered. Check poliovirus immunization schedule.
*/
define "Client is not due for the bOPV birth dose Guidance":
case
when "Client is not due for the bOPV birth dose Case 1" then 'Should not vaccinate client with bOPV birth dose (a zero dose) as client\'s age is more than or equal to 1 week. Check for any other vaccines due and inform the caregiver of when to come back for the next dose.'
when "Client is not due for the bOPV birth dose Case 2" then 'Poliovirus birth dose was already administered. Check poliovirus immunization schedule.'
else ''
end"/>
</extension>
<extension url="displaySequence">
<valueInteger value="15"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTPolioBirthDoseLogic"/>
</extension>
<extension url="name">
<valueString value="Guidance"/>
</extension>
<extension url="statement">
<valueString
value="/*
@dynamicValue: Guidance
*/
define "Guidance":
case
when "Client is due for the bOPV birth dose" then "Client is due for the bOPV birth dose Guidance"
when "Client is not due for the bOPV birth dose" then "Client is not due for the bOPV birth dose Guidance"
else ''
end"/>
</extension>
<extension url="displaySequence">
<valueInteger value="16"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTPolioBirthDoseLogic"/>
</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="17"/>
</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="18"/>
</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="19"/>
</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="20"/>
</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="21"/>
</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="22"/>
</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="23"/>
</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="24"/>
</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/IMMZD2DTPolioEncounterElements"/>
</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 PolioElements"/>
<resource
value="http://smart.who.int/immunizations/Library/IMMZD2DTPolioElements"/>
</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 Encounter"/>
<resource
value="http://smart.who.int/immunizations/Library/IMMZEncounterElements"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Value set Poliovirus-containing vaccines"/>
<resource
value="http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE14"/>
</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="Client is due for the bOPV birth dose"/>
<use value="out"/>
<min value="0"/>
<max value="1"/>
<type value="boolean"/>
</parameter>
<parameter>
<name value="Has Guidance"/>
<use value="out"/>
<min value="0"/>
<max value="1"/>
<type value="boolean"/>
</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/IMMZD2DTPolioBirthDose"/>
<version value="0.2.0"/>
<name value="IMMZD2DTPolioBirthDose"/>
<title value="IMMZ.D2.DT.Polio.Birth dose"/>
<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.Polio.Birth dose
Birth dose administration as part of "bivalent oral polio vaccine (bOPV) plus inactivated polio vaccine (IPV)" schedule (in countries that are poliomyelitis (polio)-endemic countries or at high risk of importation and subsequent spread of polio that follow the combined bOPV–IPV 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/IMMZD2DTPolioBirthDoseLogic"/>
<action>
<extension
url="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-rationale">
<valueMarkdown
value="In polio-endemic countries and in countries at high risk of importation and subsequent spread of polio, WHO
recommends a bOPV birth dose (zero dose) followed by the primary series of 3 bOPV doses and 2 IPV doses. The zero dose of
bOPV should be administered at birth, or within the first week of life, to maximize seroconversion rates following subsequent
doses and to induce mucosal protection before enteric pathogens may interfere with the immune response. Additionally, a birth
dose of bOPV administered while infants are still protected by maternally-derived antibodies (up to 6 months) may prevent
vaccine-associated paralytic polio (VAPP)."/>
</extension>
<title
value="Determine if the client is due for a poliovirus vaccination according to the national immunization schedule"/>
<description
value="Determine if the client is due for a poliovirus vaccination according to the national immunization schedule
Birth dose administration as part of "bivalent oral polio vaccine (bOPV) plus inactivated polio vaccine (IPV)" schedule
(in countries that are poliomyelitis (polio)-endemic countries or at high risk of importation and subsequent spread of
polio that follow the combined bOPV–IPV schedule)"/>
<condition>
<kind value="applicability"/>
<expression>
<description value="Client is due for the bOPV birth dose"/>
<language value="text/cql-identifier"/>
<expression value="Client is due for the bOPV birth dose"/>
</expression>
</condition>
<definitionCanonical
value="http://smart.who.int/immunizations/ActivityDefinition/IMMZD2DTMR"/>
<dynamicValue>
<path value="status"/>
<expression>
<language value="text/cql-expression"/>
<expression value="'draft'"/>
</expression>
</dynamicValue>
<dynamicValue>
<path value="intent"/>
<expression>
<language value="text/cql-expression"/>
<expression value="'proposal'"/>
</expression>
</dynamicValue>
<dynamicValue>
<path value="medication"/>
<expression>
<language value="text/cql-expression"/>
<expression
value="Concept { codes: { Code { system: 'http://smart.who.int/immunizations/CodeSystem/IMMZ.Z', code: 'DE30', display: 'Oral polio vaccines' } }, display: 'Oral polio vaccines' }"/>
</expression>
</dynamicValue>
</action>
<action>
<title
value="Check for Guidance for the patient regarding IMMZ.D2.DT.Polio.Birth dose."/>
<description
value="Show Guidance for the patient regarding IMMZ.D2.DT.Polio.Birth dose."/>
<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>