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

: IMMZD2DTMeaslesMCVDose0Logic - XML Representation

Draft as of 2026-03-31

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<Library xmlns="http://hl7.org/fhir">
  <id value="IMMZD2DTMeaslesMCVDose0Logic"/>
  <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;">IMMZD2DTMeaslesMCVDose0Logic</td>
        </tr>
        

        
        
        <tr>
            <th scope="row"><b>Id: </b></th>
            <td style="padding-left: 4px;">IMMZD2DTMeaslesMCVDose0Logic</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-IMMZD2DTMeaslesMCVDose0Logic.html">IMMZD2DTMeaslesMCVDose0Logic</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.D2.DT.Measles.MCV dose 0 decision 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-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>Client is not due for MCV0 Case 1</th><th>boolean</th><th>0</th><th>1</th><th>Out</th></tr>
              
                <tr><th>Client is not due for MCV0 Case 2</th><th>boolean</th><th>0</th><th>1</th><th>Out</th></tr>
              
                <tr><th>Client is not due for MCV0 Case 3</th><th>boolean</th><th>0</th><th>1</th><th>Out</th></tr>
              
                <tr><th>Client is not due for MCV0 Case 4</th><th>boolean</th><th>0</th><th>1</th><th>Out</th></tr>
              
                <tr><th>Client is not due for MCV0</th><th>boolean</th><th>0</th><th>1</th><th>Out</th></tr>
              
                <tr><th>Client is not due for MCV0 Guidance</th><th>string</th><th>0</th><th>1</th><th>Out</th></tr>
              
                <tr><th>Consider MCV0.</th><th>boolean</th><th>0</th><th>1</th><th>Out</th></tr>
              
                <tr><th>Consider MCV0. Guidance</th><th>string</th><th>0</th><th>1</th><th>Out</th></tr>
              
                <tr><th>Guidance</th><th>string</th><th>0</th><th>1</th><th>Out</th></tr>
              
                <tr><th>Has Guidance</th><th>boolean</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: IMMZD2DTMeaslesMCVDose0Logic (IMMZ.D2.DT.Measles.MCV dose 0)
 * Rule: Determine if the client is due for a measles vaccination according to the national immunization schedule
 * Decision Table: Measles-containing vaccine dose 0 (MCV0) administration
 * Trigger: IMMZ.D2 Determine required vaccination(s) if any
 */
library IMMZD2DTMeaslesMCVDose0Logic

using FHIR version '4.0.1'
include FHIRHelpers version '4.0.1'

include IMMZD2DTMeaslesEncounterElements called Encounter

parameter Today Date default Today()

context Patient


/*
@dynamicValue: Guidance
*/
define &quot;Guidance&quot;:
  case 
    when &quot;Client is not due for MCV0&quot; then &quot;Client is not due for MCV0 Guidance&quot;
    when &quot;Consider MCV0.&quot; then &quot;Consider MCV0. Guidance&quot; 
    else ''
  end
  
define &quot;Has Guidance&quot;:
  &quot;Guidance&quot; is not null and &quot;Guidance&quot; != ''

/*
@output: Client is not due for MCV0 Case 1
@pseudocode: &quot;Immunization recommendation status&quot; = &quot;Not due&quot;
*/
define &quot;Client is not due for MCV0 Case 1&quot;:
  Encounter.&quot;Client's age is less than 6 months&quot;

/*
@output: Client is not due for MCV0 Case 2
@pseudocode: &quot;Immunization recommendation status&quot; = &quot;Not due&quot;
*/
define &quot;Client is not due for MCV0 Case 2&quot;:
  Encounter.&quot;MCV0 was not administered&quot;
    and Encounter.&quot;Client's age is between 6 months and 9 months&quot;
    and Encounter.&quot;Live vaccine was administered in the last 4 weeks&quot;

/*
@output: Client is not due for MCV0 Case 3
@pseudocode: &quot;Immunization recommendation status&quot; = &quot;Not due&quot;
*/
define &quot;Client is not due for MCV0 Case 3&quot;:
  Encounter.&quot;Client's age is more than or equal to 9 months&quot;

/*
@output: Client is not due for MCV0 Case 4
@pseudocode: &quot;Immunization recommendation status&quot; = &quot;Not due&quot;
*/
define &quot;Client is not due for MCV0 Case 4&quot;:
  Encounter.&quot;MCV0 was administered&quot;

/*
@output: Client is not due for MCV0
@pseudocode: &quot;Immunization recommendation status&quot; = &quot;Not due&quot;
*/
define &quot;Client is not due for MCV0&quot;:
  &quot;Client is not due for MCV0 Case 1&quot;
    or &quot;Client is not due for MCV0 Case 2&quot;
    or &quot;Client is not due for MCV0 Case 3&quot;
    or &quot;Client is not due for MCV0 Case 4&quot;

/*
@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 &quot;Client is not due for MCV0 Guidance&quot;:
  case
    when &quot;Client is not due for MCV0 Case 1&quot; 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 &quot;Client is not due for MCV0 Case 2&quot; 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 &quot;Client is not due for MCV0 Case 3&quot; then 'Should not vaccinate client with MCV0 as client\'s age is more than 9 months.
Check measles routine immunization schedule.'
    when &quot;Client is not due for MCV0 Case 4&quot; then 'MCV0 was administered.
Check measles routine immunization schedule.'
    else ''
  end

/*
@output: Consider MCV0.
@pseudocode: Create a clinical note.
&quot;Immunization recommendation status&quot; = &quot;Further evaluation needed&quot;
*/
define &quot;Consider MCV0.&quot;:
  Encounter.&quot;MCV0 was not administered&quot;
    and Encounter.&quot;Client's age is between 6 months and 9 months&quot;
    and Encounter.&quot;No live vaccine was administered in the last 4 weeks&quot;

/*
@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 &quot;Consider MCV0. Guidance&quot;:
  '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.'


/*
@test: Test expected results based on example patients
*/
define &quot;Test Validation&quot;:
  case
    when Patient.id = 'Measles36.1' then &quot;Client is not due for MCV0 Case 1&quot; and &quot;Guidance&quot; = '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 Patient.id = 'Measles37.3' then &quot;Client is not due for MCV0 Case 2&quot; and &quot;Guidance&quot; = '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 Patient.id = 'Measles38.3' then &quot;Consider MCV0.&quot; and &quot;Guidance&quot; = '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.'
    when Patient.id = 'Measles39.1' then &quot;Client is not due for MCV0 Case 3&quot; and &quot;Guidance&quot; = 'Should not vaccinate client with MCV0 as client\'s age is more than 9 months.
Check measles routine immunization schedule.'
    when Patient.id = 'Measles40.1' then &quot;Client is not due for MCV0 Case 4&quot; and &quot;Guidance&quot; = 'MCV0 was administered.
Check measles routine immunization schedule.'
    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/IMMZD2DTMeaslesMCVDose0Logic"/>
  <version value="1.0.0"/>
  <name value="IMMZD2DTMeaslesMCVDose0Logic"/>
  <title value="IMMZD2DTMeaslesMCVDose0Logic"/>
  <status value="draft"/>
  <experimental value="false"/>
  <type>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/library-type"/>
      <code value="logic-library"/>
    </coding>
  </type>
  <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.D2.DT.Measles.MCV dose 0 decision table in the Immunization CPG"/>
  <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="Client is not due for MCV0 Case 1"/>
    <use value="out"/>
    <min value="0"/>
    <max value="1"/>
    <type value="boolean"/>
  </parameter>
  <parameter>
    <name value="Client is not due for MCV0 Case 2"/>
    <use value="out"/>
    <min value="0"/>
    <max value="1"/>
    <type value="boolean"/>
  </parameter>
  <parameter>
    <name value="Client is not due for MCV0 Case 3"/>
    <use value="out"/>
    <min value="0"/>
    <max value="1"/>
    <type value="boolean"/>
  </parameter>
  <parameter>
    <name value="Client is not due for MCV0 Case 4"/>
    <use value="out"/>
    <min value="0"/>
    <max value="1"/>
    <type value="boolean"/>
  </parameter>
  <parameter>
    <name value="Client is not due for MCV0"/>
    <use value="out"/>
    <min value="0"/>
    <max value="1"/>
    <type value="boolean"/>
  </parameter>
  <parameter>
    <name value="Client is not due for MCV0 Guidance"/>
    <use value="out"/>
    <min value="0"/>
    <max value="1"/>
    <type value="string"/>
  </parameter>
  <parameter>
    <name value="Consider MCV0."/>
    <use value="out"/>
    <min value="0"/>
    <max value="1"/>
    <type value="boolean"/>
  </parameter>
  <parameter>
    <name value="Consider MCV0. Guidance"/>
    <use value="out"/>
    <min value="0"/>
    <max value="1"/>
    <type value="string"/>
  </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>
  <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>