WHO Immunization Implementation Guide
1.0.0 - release
WHO Immunization Implementation Guide
1.0.0 - release
WHO Immunization Implementation Guide, published by WHO. This guide is not an authorized publication; it is the continuous build for version 1.0.0 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/132/merge and changes regularly. See the Directory of published versions
| Draft as of 2026-03-31 |
<Library xmlns="http://hl7.org/fhir">
<id value="IMMZD18SMeaslesMCVDose0Logic"/>
<meta>
<profile
value="http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareablelibrary"/>
<profile
value="http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-publishablelibrary"/>
<profile
value="http://hl7.org/fhir/uv/cql/StructureDefinition/cql-library"/>
<profile
value="http://hl7.org/fhir/uv/cql/StructureDefinition/cql-module"/>
</meta>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<div>
<table class="grid dict">
<tr>
<th scope="row"><b>Title: </b></th>
<td style="padding-left: 4px;">IMMZD18SMeaslesMCVDose0Logic</td>
</tr>
<tr>
<th scope="row"><b>Id: </b></th>
<td style="padding-left: 4px;">IMMZD18SMeaslesMCVDose0Logic</td>
</tr>
<tr>
<th scope="row"><b>Version: </b></th>
<td style="padding-left: 4px;">1.0.0</td>
</tr>
<tr>
<th scope="row"><b>Url: </b></th>
<td style="padding-left: 4px;"><a href="Library-IMMZD18SMeaslesMCVDose0Logic.html">IMMZD18SMeaslesMCVDose0Logic</a></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/7.1.0/CodeSystem-library-type.html">http://terminology.hl7.org/CodeSystem/library-type</a></span>
</p>
<p style="margin-bottom: 5px;">
<b>code: </b> <span>logic-library</span>
</p>
</td>
</tr>
<tr>
<th scope="row"><b>Date: </b></th>
<td style="padding-left: 4px;">2026-03-31 13:54:17+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>This library defines decision support logic for the IMMZ.D18.S.Measles.MCV dose 0 schedule table in the Immunization CPG</p>
</div></td>
</tr>
<tr>
<th scope="row"><b>Related Artifacts: </b></th>
<td style="padding-left: 4px;">
<p><b>Dependencies</b></p>
<ul>
<li><a href="Library-WHOCommon.html">WHOCommon</a></li>
<li><a href="Library-IMMZCommon.html">IMMZCommon</a></li>
<li><a href="Library-IMMZConcepts.html">IMMZConcepts</a></li>
<li><a href="Library-IMMZEncounterElements.html">IMMZEncounterElements</a></li>
<li><a href="Library-IMMZD2DTMeaslesEncounterElements.html">IMMZD2DTMeaslesEncounterElements</a></li>
</ul>
</td>
</tr>
<tr>
<th scope="row"><b>Parameters: </b></th>
<td style="padding-left: 4px;">
<table class="grid-dict">
<tr><th><b>Name</b></th><th><b>Type</b></th><th><b>Min</b></th><th><b>Max</b></th><th><b>In/Out</b></th></tr>
<tr><th>Today</th><th>date</th><th>0</th><th>1</th><th>In</th></tr>
<tr><th>Patient</th><th>Patient</th><th>0</th><th>1</th><th>Out</th></tr>
<tr><th>MCV0 was administered</th><th>boolean</th><th>0</th><th>1</th><th>Out</th></tr>
<tr><th>MCV0 Expiration</th><th>date</th><th>0</th><th>1</th><th>Out</th></tr>
<tr><th>MCV0</th><th>boolean</th><th>0</th><th>1</th><th>Out</th></tr>
<tr><th>MCV0 Due Date</th><th>date</th><th>0</th><th>1</th><th>Out</th></tr>
<tr><th>MCV0 Create</th><th>string</th><th>0</th><th>1</th><th>Out</th></tr>
<tr><th>MCV0 Overdue</th><th>Resource</th><th>0</th><th>1</th><th>Out</th></tr>
<tr><th>Test Validation</th><th>Resource</th><th>0</th><th>1</th><th>Out</th></tr>
</table>
</td>
</tr>
<tr>
<td colspan="2">
<table>
<tr><th><a id="cql-content"><b>Content: </b></a> text/cql</th></tr>
<tr><td><pre><code class="language-cql">/*
* Library: IMMZD18SMeaslesMCVDose0Logic (IMMZ.D18.S.Measles.MCV dose 0 schedule)
* Schedule Table: Measles-containing vaccine dose 0 (MCV0) schedule
*/
library IMMZD18SMeaslesMCVDose0Logic
using FHIR version '4.0.1'
include FHIRHelpers version '4.0.1'
include WHOCommon called WC
include IMMZCommon called Common
include IMMZConcepts called Concepts
include IMMZEncounterElements called IE
include IMMZD2DTMeaslesEncounterElements called Encounter
parameter Today Date default Today()
context Patient
/*
@output: MCV0
@description: Provision of the MCV0
@trigger: Child's birth
@pseudo:
@triggerDate: "Date of birth"
*/
define "MCV0":
not "MCV0 was administered" and "MCV0 Expiration" after Today
/*
@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 "MCV0 Create":
if "MCV0"
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("MCV0 Due Date") + '
Expiration: ' + ToString("MCV0 Expiration")
else ''
/*
@dynamicValue: MCV0 Due Date
@pseudocode: "Date of birth" + 6 months
*/
define "MCV0 Due Date":
if "MCV0" then Patient.birthDate + 6 months
else null
/*
@dynamicValue: MCV0 Overdue
@pseudocode: To be determined by Member States; however, there is no recommended overdue date and individuals are always eligible to be vaccinated.
*/
define "MCV0 Overdue":
null
/*
@dynamicValue: MCV0 Expiration
@pseudocode: "Date of birth" + 9 months for countries with ongoing transmission in which the risk of measles mortality remains high
OR
"Date of birth" + 12 months for countries with low levels of measles transmission
*/
define "MCV0 Expiration":
Patient.birthDate + 12 months
/*
@complete: MCV0 was administered
@pseudocode: Count of vaccines administered (where "Vaccine type" = "Measles-containing vaccines" and "Type of dose" = "Dose 0") = 1
*/
define "MCV0 was administered":
Encounter."MCV0 was administered"
/*
@test: Test expected results based on example patients
*/
define "Test Validation":
case
when Patient.id = 'Measles36.1' then "MCV0"
when Patient.id = 'Measles37.3' then "MCV0"
when Patient.id = 'Measles38.3' then "MCV0"
when Patient.id = 'Measles39.1' then "MCV0"
when Patient.id = 'Measles40.1' then "MCV0 was administered"
else 'No test case set'
end
</code></pre></td></tr>
</table>
</td>
</tr>
</table>
</div>
</div>
</text>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability">
<valueCode value="computable"/>
</extension>
<url
value="http://smart.who.int/immunizations/Library/IMMZD18SMeaslesMCVDose0Logic"/>
<version value="1.0.0"/>
<name value="IMMZD18SMeaslesMCVDose0Logic"/>
<title value="IMMZD18SMeaslesMCVDose0Logic"/>
<status value="draft"/>
<experimental value="false"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/library-type"/>
<code value="logic-library"/>
</coding>
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<date value="2026-03-31T13:54:17+00:00"/>
<publisher value="WHO"/>
<contact>
<name value="WHO"/>
<telecom>
<system value="url"/>
<value value="http://who.int"/>
</telecom>
</contact>
<description
value="This library defines decision support logic for the IMMZ.D18.S.Measles.MCV dose 0 schedule table in the Immunization CPG"/>
<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 Common"/>
<resource value="http://smart.who.int/immunizations/Library/IMMZCommon"/>
</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 IE"/>
<resource
value="http://smart.who.int/immunizations/Library/IMMZEncounterElements"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Library Encounter"/>
<resource
value="http://smart.who.int/immunizations/Library/IMMZD2DTMeaslesEncounterElements"/>
</relatedArtifact>
<parameter>
<name value="Today"/>
<use value="in"/>
<min value="0"/>
<max value="1"/>
<type value="date"/>
</parameter>
<parameter>
<name value="Patient"/>
<use value="out"/>
<min value="0"/>
<max value="1"/>
<type value="Patient"/>
</parameter>
<parameter>
<name value="MCV0 was administered"/>
<use value="out"/>
<min value="0"/>
<max value="1"/>
<type value="boolean"/>
</parameter>
<parameter>
<name value="MCV0 Expiration"/>
<use value="out"/>
<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 Due Date"/>
<use value="out"/>
<min value="0"/>
<max value="1"/>
<type value="date"/>
</parameter>
<parameter>
<name value="MCV0 Create"/>
<use value="out"/>
<min value="0"/>
<max value="1"/>
<type value="string"/>
</parameter>
<parameter>
<name value="MCV0 Overdue"/>
<use value="out"/>
<min value="0"/>
<max value="1"/>
<type value="Resource"/>
</parameter>
<parameter>
<name value="Test Validation"/>
<use value="out"/>
<min value="0"/>
<max value="1"/>
<type value="Resource"/>
</parameter>
<content>
<contentType value="text/cql"/>
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</content>
</Library>