IMMZD2DTMeaslesOngoingTransmission
type: PlanDefinition
node role: treeRoot
id:
  v: IMMZD2DTMeaslesOngoingTransmission
meta:
  profile:
    v: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-recommendationdefinition
    l: cpg-recommendationdefinition
  profile:
    v: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareableplandefinition
    l: crmi-shareableplandefinition
  profile:
    v: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-publishableplandefinition
    l: crmi-publishableplandefinition
text:
  status:
    v: extensions
  div:
    v: Id: IMMZD2DTMeaslesOngoingTransmission Url: IMMZ.D2.DT.Measles.Ongoing transmission Version: 1.0.0 Title: IMMZ.D2.DT.Measles.Ongoing transmission Status: draft Type: system: http://terminology.hl7.org/CodeSystem/plan-definition-type code: eca-rule Date: 2026-03-31 13:54:17+0000 Publisher: WHO Description: 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) Knowledge Capability: computable Related Artifacts: References WHO recommendations for routine immunization - summary tables (January 2025) Libraries: IMMZD2DTMeaslesOngoingTransmissionLogic Actions: Determine if the client is due for MCV1 in countries with ongoing transmission.: Determine if the client is due for measles vaccination MCV1 according to the national immunization protocol. Countries with ongoing transmission in which the risk of measles mortality remains high. If: Applicability: Client is due for MCV1 (Client is due for MCV1) Then: Definition: IMMZD2DTMR Dynamic Values: status: ('draft') intent: ('proposal') medication: (Concept { codes: { Code { system: 'http://smart.who.int/immunizations/CodeSystem/IMMZ.Z', code: 'DE9', display: 'Measles-containing vaccines' } }, display: 'Measles-containing vaccines' }) Determine if the client is due for MCV2 in countries with ongoing transmission.: Determine if the client is due for measles vaccination MCV2 according to the national immunization protocol. Countries with ongoing transmission in which the risk of measles mortality remains high. If: Applicability: Client is due for MCV2 (Client is due for MCV2) Then: Definition: IMMZD2DTMR Dynamic Values: status: ('draft') intent: ('proposal') medication: (Concept { codes: { Code { system: 'http://smart.who.int/immunizations/CodeSystem/IMMZ.Z', code: 'DE9', display: 'Measles-containing vaccines' } }, display: 'Measles-conta…
contained: Library
  id:
    v: effective-data-requirements
  extension:
    extension:
      url:
        v: libraryName
        l: libraryName
      value: String
        v: IMMZEncounterElements
    extension:
      url:
        v: name
        l: name
      value: String
        v: Current Patient Age In Months
    extension:
      url:
        v: statement
        l: statement
      value: String
        v: /** * @dataElement Patient age in months */ define "Current Patient Age In Months": AgeInMonthsAt(Today)
    extension:
      url:
        v: displaySequence
        l: displaySequence
      value: Integer
        v: 0
    url:
      v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
      l: cqf-logicDefinition
  extension:
    extension:
      url:
        v: libraryName
        l: libraryName
      value: String
        v: IMMZD2DTMeaslesEncounterElements
    extension:
      url:
        v: name
        l: name
      value: String
        v: Client's age is less than 9 months
    extension:
      url:
        v: statement
        l: statement
      value: String
        v: /* @input: Client's age is less than 9 months @pseudocode: Today's date − "Date of birth" < 9 months @code: Client's age is less than 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) */ define "Client's age is less than 9 months": Encounter."Current Patient Age In Months" < 9
    extension:
      url:
        v: displaySequence
        l: displaySequence
      value: Integer
        v: 1
    url:
      v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
      l: cqf-logicDefinition
  extension:
    extension:
      url:
        v: libraryName
        l: libraryName
      value: String
        v: IMMZD2DTMeaslesOngoingTransmissionLogic
    extension:
      url:
        v: name
        l: name
      value: String
        v: Client is not due for first dose of measles-containing vaccine (MCV1)
    extension:
      url:
        v: statement
        l: statement
      value: String
        v: /* @output: Client is not due for first dose of measles-containing vaccine (MCV1) @pseudocode: "Immunization recommendation status" = "Not due" */ define "Client is not due for first dose of measles-containing vaccine (MCV1)": Encounter."Client's age is less than 9 months"
    extension:
      url:
        v: displaySequence
        l: displaySequence
      value: Integer
        v: 2
    url:
      v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
      l: cqf-logicDefinition
  extension:
    extension:
      url:
        v: libraryName
        l: libraryName
      value: String
        v: IMMZD2DTMeaslesOngoingTransmissionLogic
    extension:
      url:
        v: name
        l: name
      value: String
        v: Client is not due for first dose of measles-containing vaccine (MCV1) Guidance
    extension:
      url:
        v: statement
        l: statement
      value: String
        v: /* @output: Client is not due for first dose of measles-containing vaccine (MCV1) Guidance @guidance: Should not vaccinate client as client's age is less than 9 months. Check for any vaccines due and inform the caregiver of when to come back for MCV1. */ define "Client is not due for first dose of measles-containing vaccine (MCV1) Guidance": 'Should not vaccinate client as client\'s age is less than 9 months. Check for any vaccines due and inform the caregiver of when to come back for MCV1.'
    extension:
      url:
        v: displaySequence
        l: displaySequence
      value: Integer
        v: 3
    url:
      v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
      l: cqf-logicDefinition
  extension:
    extension:
      url:
        v: libraryName
        l: libraryName
      value: String
        v: IMMZElements
    extension:
      url:
        v: name
        l: name
      value: String
        v: Doses Administered to Patient
    extension:
      url:
        v: statement
        l: statement
      value: String
        v: /** * @dataElement All Doses Administered to Patient */ define "Doses Administered to Patient": [Immunization] I where I.status = 'completed' and I.isSubpotent is not true
    extension:
      url:
        v: displaySequence
        l: displaySequence
      value: Integer
        v: 4
    url:
      v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
      l: cqf-logicDefinition
  extension:
    extension:
      url:
        v: libraryName
        l: libraryName
      value: String
        v: IMMZD2DTMeaslesElements
    extension:
      url:
        v: name
        l: name
      value: String
        v: MCV Doses Administered to Patient
    extension:
      url:
        v: statement
        l: statement
      value: String
        v: /* @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:
      url:
        v: displaySequence
        l: displaySequence
      value: Integer
        v: 5
    url:
      v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
      l: cqf-logicDefinition
  extension:
    extension:
      url:
        v: libraryName
        l: libraryName
      value: String
        v: IMMZD2DTMeaslesElements
    extension:
      url:
        v: name
        l: name
      value: String
        v: MCV Primary Series Doses Administered to Patient

url:
  v: statement
  l: statement
value: String
  v: /* @internal: MCV Primary Series Doses Administered to Patient */ define "MCV Primary Series Doses Administered to Patient": "MCV Doses Administered to Patient".seriesPrimary()

url:
  v: displaySequence
  l: displaySequence
value: Integer
  v: 6

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTMeaslesEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: MCV Primary Series Doses Administered to Patient
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @internal: MCV Primary Series Doses Administered to Patient */ define "MCV Primary Series Doses Administered to Patient": MeaslesElements."MCV Primary Series Doses Administered to Patient".onOrBefore(Today)
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 7
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTMeaslesEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: Number of MCV Primary Series Doses Administered
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @internal: Number of MCV Primary Series Doses Administered */ define "Number of MCV Primary Series Doses Administered": Count("MCV Primary Series Doses Administered to Patient")
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 8
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTMeaslesEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: No measles primary series doses were administered
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @input: No measles primary series doses were administered @pseudocode: Count of vaccines administered (where "Vaccine type" = "Measles-containing vaccines" and "Type of dose" = "Primary series") = 0 @code: No measles primary series doses were administered-127 @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) */ define "No measles primary series doses were administered": "Number of MCV Primary Series Doses Administered" = 0
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 9
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTMeaslesEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: Client's age is more than or equal to 9 months
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @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:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 10
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZElements
extension:
  url:
    v: name
    l: name
  value: String
    v: Live Attenuated Vaccines
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @dataElement: Live attenuated vaccines */ define "Live Attenuated Vaccines": "Doses Administered to Patient" I where I.vaccineCode in Concepts."Live Attenuated"
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 11
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: Live Attenuated Vaccines
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @dataElement Live attenuated vaccines */ define "Live Attenuated Vaccines": Elements."Live Attenuated Vaccines" I where I.occurrence.toInterval() same day or before Today
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 12
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: Date of Latest Live Attenuated Vaccine
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @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:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 13
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: Live vaccine was administered in the last 4 weeks
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @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:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 14
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: No live vaccine was administered in the last 4 weeks
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @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:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 15
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTMeaslesEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: No live vaccine was administered in the last 4 weeks
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @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:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 16
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTMeaslesOngoingTransmissionLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: Client is due for MCV1
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @output: Client is due for MCV1 @pseudocode: "Immunization recommendation status" = "Due" */ define "Client is due for MCV1": Encounter."No measles primary series doses were administered" and Encounter."Client's age is more than or equal to 9 months" and Encounter."No live vaccine was administered in the last 4 weeks"
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 17
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTMeaslesOngoingTransmissionLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: Client is due for MCV1 Guidance
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @output: Client is due for MCV1 Guidance @guidance: Should vaccinate client with MCV1 as no measles doses were administered, client is within appropriate age range and no live vaccine administered in the past 4 weeks. Check for contraindications. */ define "Client is due for MCV1 Guidance": 'Should vaccinate client with MCV1 as no measles doses were administered, client is within appropriate age range and no live vaccine administered in the past 4 weeks. Check for contraindications.'
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 18
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTMeaslesEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: Live vaccine was administered in the last 4 weeks
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @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:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 19
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTMeaslesOngoingTransmissionLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: Client is not due for MCV1
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @output: Client is not due for MCV1 @pseudocode: "Immunization recommendation status" = "Not due" */ define "Client is not due for MCV1": Encounter."No measles primary series doses were administered" and Encounter."Client's age is more than or equal to 9 months" and Encounter."Live vaccine was administered in the last 4 weeks"
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 20
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTMeaslesOngoingTransmissionLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: Client is not due for MCV1 Guidance
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @output: Client is not due for MCV1 Guidance @guidance: Should not vaccinate client with MCV1 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 MCV1. */ define "Client is not due for MCV1 Guidance": 'Should not vaccinate client with MCV1 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 MCV1.'
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 21
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTMeaslesEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: MCV1 was administered
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @input: MCV1 was administered @pseudocode: Count of vaccines administered (where "Vaccine type" = "Measles-containing vaccines" and "Type of dose" = "Primary series") = 1 @code: MCV1 was administered-127 @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) */ define "MCV1 was administered": "Number of MCV Primary Series Doses Administered" = 1
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 22
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTMeaslesEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: Client's age is less than 15 months
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @input: Client's age is less than 15 months @pseudocode: Today's date − "Date of birth" < 15 months @code: Client's age is less than 15 months-42 @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) */ define "Client's age is less than 15 months": Encounter."Current Patient Age In Months" < 15
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 23
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTMeaslesOngoingTransmissionLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: Client is not due for second dose of measles-containing vaccine (MCV2)
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @output: Client is not due for second dose of measles-containing vaccine (MCV2) @pseudocode: "Immunization recommendation status" = "Not due" */ define "Client is not due for second dose of measles-containing vaccine (MCV2)": Encounter."MCV1 was administered" and Encounter."Client's age is less than 15 months"
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 24
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTMeaslesOngoingTransmissionLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: Client is not due for second dose of measles-containing vaccine (MCV2) Guidance
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @output: Client is not due for second dose of measles-containing vaccine (MCV2) Guidance @guidance: Should not vaccinate client with MCV2 as client's age is less than 15 months. Check for any vaccines due and inform the caregiver of when to come back for MCV2. */ define "Client is not due for second dose of measles-containing vaccine (MCV2) Guidance": 'Should not vaccinate client with MCV2 as client\'s age is less than 15 months. Check for any vaccines due and inform the caregiver of when to come back for MCV2.'
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 25
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTMeaslesEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: Client's age is more than or equal to 15 months
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @input: Client's age is more than or equal to 15 months @pseudocode: Today's date − "Date of birth" ≥ 15 months @code: Client's age is more than or equal to 15 months-42 @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) */ define "Client's age is more than or equal to 15 months": Encounter."Current Patient Age In Months" >= 15
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 26
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTMeaslesOngoingTransmissionLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: Client is due for MCV2
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @output: Client is due for MCV2 @pseudocode: "Immunization recommendation status" = "Due" */ define "Client is due for MCV2": Encounter."MCV1 was administered" and Encounter."Client's age is more than or equal to 15 months" and Encounter."No live vaccine was administered in the last 4 weeks"
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 27
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTMeaslesOngoingTransmissionLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: Client is due for MCV2 Guidance
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @output: Client is due for MCV2 Guidance @guidance: Should vaccinate client with MCV2 as client is within appropriate age range and no live vaccine administered in the past 4 weeks. Check for contraindications. */ define "Client is due for MCV2 Guidance": 'Should vaccinate client with MCV2 as client is within appropriate age range and no live vaccine administered in the past 4 weeks. Check for contraindications.'
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 28
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTMeaslesOngoingTransmissionLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: Client is not due for MCV2
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @output: Client is not due for MCV2 @pseudocode: "Immunization recommendation status" = "Not due" */ define "Client is not due for MCV2": Encounter."MCV1 was administered" and Encounter."Client's age is more than or equal to 15 months" and Encounter."Live vaccine was administered in the last 4 weeks"
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 29
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTMeaslesOngoingTransmissionLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: Client is not due for MCV2 Guidance
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @output: Client is not due for MCV2 Guidance @guidance: Should not vaccinate client with MCV2 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 MCV2. */ define "Client is not due for MCV2 Guidance": 'Should not vaccinate client with MCV2 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 MCV2.'
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 30
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTMeaslesEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: MCV2 was administered
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @input: MCV2 was administered @pseudocode: Count of vaccines administered (where "Vaccine type" = "Measles-containing vaccines" and "Type of dose" = "Primary series") = 2 @code: MCV2 was administered-127 @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) */ define "MCV2 was administered": "Number of MCV Primary Series Doses Administered" = 2
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 31
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTMeaslesOngoingTransmissionLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: Measles primary series is complete
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @output: Measles primary series is complete @pseudocode: "Completed the primary vaccination series" = TRUE (where "Vaccine type" = "Measles-containing vaccines") */ define "Measles primary series is complete": Encounter."MCV2 was administered"
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 32
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTMeaslesOngoingTransmissionLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: Measles primary series is complete Guidance
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @output: Measles primary series is complete Guidance @guidance: Measles primary series is complete. Two measles primary series doses were administered. Check if a measles supplementary dose is appropriate for the client. */ define "Measles primary series is complete Guidance": 'Measles primary series is complete. Two measles primary series doses were administered. Check if a measles supplementary dose is appropriate for the client.'
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 33
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTMeaslesOngoingTransmissionLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: Guidance
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @dynamicValue: Guidance */ define "Guidance": case when "Client is not due for first dose of measles-containing vaccine (MCV1)" then "Client is not due for first dose of measles-containing vaccine (MCV1) Guidance" when "Client is due for MCV1" then "Client is due for MCV1 Guidance" when "Client is not due for MCV1" then "Client is not due for MCV1 Guidance" when "Client is not due for second dose of measles-containing vaccine (MCV2)" then "Client is not due for second dose of measles-containing vaccine (MCV2) Guidance" when "Client is due for MCV2" then "Client is due for MCV2 Guidance" when "Client is not due for MCV2" then "Client is not due for MCV2 Guidance" when "Measles primary series is complete" then "Measles primary series is complete Guidance" else '' end
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 34
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTMeaslesOngoingTransmissionLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: Has Guidance
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define "Has Guidance": "Guidance" is not null and "Guidance" != ''
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 35
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZCommon
extension:
  url:
    v: name
    l: name
  value: String
    v: onOrBefore
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /** * @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:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 36
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: WHOCommon
extension:
  url:
    v: name
    l: name
  value: String
    v: toInterval
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* From FHIRCommon 4.1.0: */ /* @description: Normalizes a value that is a choice of timing-valued types to an equivalent interval @comment: Normalizes a choice type of FHIR.dateTime, FHIR.Period, FHIR.Timing, FHIR.instance, FHIR.string, FHIR.Age, or FHIR.Range types to an equivalent interval. This selection of choice types is a superset of the majority of choice types that are used as possible representations for timing-valued elements in FHIR, allowing this function to be used across any resource. The input can be provided as a dateTime, Period, Timing, instant, string, Age, or Range. The intent of this function is to provide a clear and concise mechanism to treat single elements that have multiple possible representations as intervals so that logic doesn't have to account for the variability. More complex calculations (such as medication request period or dispense period calculation) need specific guidance and consideration. That guidance may make use of this function, but the focus of this function is on single element calculations where the semantics are unambiguous. If the input is a dateTime, the result a DateTime Interval beginning and ending on that dateTime. If the input is a Period, the result is a DateTime Interval. If the input is a Timing, an error is raised indicating a single interval cannot be computed from a Timing. If the input is an instant, the result is a DateTime Interval beginning and ending on that instant. If the input is a string, an error is raised indicating a single interval cannot be computed from a string. If the input is an Age, the result is a DateTime Interval beginning when the patient was the given Age, and ending immediately prior to when the patient was the given Age plus one year. If the input is a Range, the result is a DateTime Interval beginning when the patient was the Age given by the low end of the Range, and ending immediately prior to when the patient was the Age given by the high end of the Range plus one year. NOTE: …
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 37
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: FHIRHelpers
extension:
  url:
    v: name
    l: name
  value: String
    v: ToDateTime
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define function ToDateTime(value dateTime): value.value
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 38
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: FHIRHelpers
extension:
  url:
    v: name
    l: name
  value: String
    v: ToInterval
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define function ToInterval(period FHIR.Period): if period is null then null else if period."start" is null then Interval(period."start".value, period."end".value] else Interval[period."start".value, period."end".value]
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 39
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: FHIRHelpers
extension:
  url:
    v: name
    l: name
  value: String
    v: ToDateTime
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define function ToDateTime(value instant): value.value
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 40
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: FHIRHelpers
extension:
  url:
    v: name
    l: name
  value: String
    v: ToDate
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define function ToDate(value date): value.value
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 41
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: FHIRHelpers
extension:
  url:
    v: name
    l: name
  value: String
    v: ToQuantity
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define function ToQuantity(quantity FHIR.Quantity): case when quantity is null then null when quantity.value is null then null when quantity.comparator is not null then Message(null, true, 'FHIRHelpers.ToQuantity.ComparatorQuantityNotSupported', 'Error', 'FHIR Quantity value has a comparator and cannot be converted to a System.Quantity value.') when quantity.system is null or quantity.system.value = 'http://unitsofmeasure.org' or quantity.system.value = 'http://hl7.org/fhirpath/CodeSystem/calendar-units' then System.Quantity { value: quantity.value.value, unit: ToCalendarUnit(Coalesce(quantity.code.value, quantity.unit.value, '1')) } else Message(null, true, 'FHIRHelpers.ToQuantity.InvalidFHIRQuantity', 'Error', 'Invalid FHIR Quantity code: ' & quantity.unit.value & ' (' & quantity.system.value & '|' & quantity.code.value & ')') end
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 42
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: FHIRHelpers
extension:
  url:
    v: name
    l: name
  value: String
    v: ToCalendarUnit
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define function ToCalendarUnit(unit System.String): case unit when 'ms' then 'millisecond' when 's' then 'second' when 'min' then 'minute' when 'h' then 'hour' when 'd' then 'day' when 'wk' then 'week' when 'mo' then 'month' when 'a' then 'year' else unit end
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 43
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZCommon
extension:
  url:
    v: name
    l: name
  value: String
    v: seriesPrimary
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /** * @description: Gets the doses from the primary series */ define fluent function seriesPrimary(immunizations List<Immunization>): immunizations I where exists( I.protocolApplied pa where pa.series = 'Primary series' )
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 44
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: FHIRHelpers
extension:
  url:
    v: name
    l: name
  value: String
    v: ToString
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define function ToString(value string): value.value
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 45
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: FHIRHelpers
extension:
  url:
    v: name
    l: name
  value: String
    v: ToString
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define function ToString(value ImmunizationStatus): value.value
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 46
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: FHIRHelpers
extension:
  url:
    v: name
    l: name
  value: String
    v: ToBoolean
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define function ToBoolean(value boolean): value.value
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 47
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: FHIRHelpers
extension:
  url:
    v: name
    l: name
  value: String
    v: ToConcept
extension:
  url:
    v: statement
    l: statement
  value: String
    v: 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:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 48
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: FHIRHelpers
extension:
  url:
    v: name
    l: name
  value: String
    v: ToCode
extension:
  url:
    v: statement
    l: statement
  value: String
    v: 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:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 49
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: WHOCommon
extension:
  url:
    v: name
    l: name
  value: String
    v: mostRecent
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define fluent function mostRecent(immunizations List<Immunization>): Last( immunizations I sort by start of occurrence.toInterval() )
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 50
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

v: EffectiveDataRequirements

v: active

coding:
  system:
    v: http://terminology.hl7.org/CodeSystem/library-type
    l: library-type
  code:
    v: module-definition

type:
  v: depends-on
display:
  v: FHIR model information
resource:
  v: http://fhir.org/guides/cqf/common/Library/FHIR-ModelInfo|4.0.1
  l: http://fhir.org/guides/cqf/common/Library/FHIR-ModelInfo

type:
  v: depends-on
display:
  v: Library Encounter
resource:
  v: http://smart.who.int/immunizations/Library/IMMZD2DTMeaslesEncounterElements
  l: IMMZD2DTMeaslesEncounterElements

type:
  v: depends-on
display:
  v: Library Encounter
resource:
  v: http://smart.who.int/immunizations/Library/IMMZEncounterElements
  l: IMMZEncounterElements

type:
  v: depends-on
display:
  v: Library Common
resource:
  v: http://smart.who.int/immunizations/Library/IMMZCommon
  l: IMMZCommon

type:
  v: depends-on
display:
  v: Library WC
resource:
  v: http://smart.who.int/immunizations/Library/WHOCommon
  l: WHOCommon

type:
  v: depends-on
display:
  v: Library FHIRHelpers
resource:
  v: http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1
  l: http://fhir.org/guides/cqf/common/Library/FHIRHelpers

type:
  v: depends-on
display:
  v: Library MeaslesElements
resource:
  v: http://smart.who.int/immunizations/Library/IMMZD2DTMeaslesElements
  l: IMMZD2DTMeaslesElements

type:
  v: depends-on
display:
  v: Library Elements
resource:
  v: http://smart.who.int/immunizations/Library/IMMZElements
  l: IMMZElements

type:
  v: depends-on
display:
  v: Library Concepts
resource:
  v: http://smart.who.int/immunizations/Library/IMMZConcepts
  l: IMMZConcepts

type:
  v: depends-on
display:
  v: Value set Measles-containing vaccines
resource:
  v: http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE9
  l: IMMZ.Z.DE9

type:
  v: depends-on
display:
  v: Value set Live Attenuated
resource:
  v: http://smart.who.int/immunizations/ValueSet/IMMZ.Z.LiveAttenuated
  l: IMMZ.Z.LiveAttenuated

name:
  v: Today
use:
  v: in
min:
  v: 0
max:
  v: 1
type:
  v: date

name:
  v: Guidance
use:
  v: out
min:
  v: 0
max:
  v: 1
type:
  v: string

name:
  v: Client is due for MCV2
use:
  v: out
min:
  v: 0
max:
  v: 1
type:
  v: boolean

name:
  v: Client is due for MCV1
use:
  v: out
min:
  v: 0
max:
  v: 1
type:
  v: boolean

name:
  v: Has Guidance
use:
  v: out
min:
  v: 0
max:
  v: 1
type:
  v: boolean

type:
  v: Patient
profile:
  v: http://hl7.org/fhir/StructureDefinition/Patient
  l: Patient
must support:
  v: birthDate

type:
  v: Immunization
profile:
  v: http://hl7.org/fhir/StructureDefinition/Immunization
  l: Immunization
must support:
  v: status
must support:
  v: isSubpotent
must support:
  v: occurrence
must support:
  v: protocolApplied
code filter:
  path:
    v: status
  code:
    code:
      v: completed

type:
  v: Immunization
profile:
  v: http://hl7.org/fhir/StructureDefinition/Immunization
  l: Immunization
must support:
  v: status
must support:
  v: isSubpotent
must support:
  v: vaccineCode
must support:
  v: occurrence
must support:
  v: protocolApplied
code filter:
  path:
    v: status
  code:
    code:
      v: completed
code filter:
  path:
    v: vaccineCode
  value set:
    v: http://smart.who.int/immunizations/ValueSet/IMMZ.Z.LiveAttenuated
    l: IMMZ.Z.LiveAttenuated

type:
  v: Immunization
profile:
  v: http://hl7.org/fhir/StructureDefinition/Immunization
  l: Immunization
must support:
  v: occurrence
must support:
  v: protocolApplied

type:
  v: Immunization
profile:
  v: http://hl7.org/fhir/StructureDefinition/Immunization
  l: Immunization
must support:
  v: status
must support:
  v: isSubpotent
must support:
  v: vaccineCode
must support:
  v: occurrence
must support:
  v: protocolApplied
code filter:
  path:
    v: status
  code:
    code:
      v: completed
code filter:
  path:
    v: vaccineCode
  value set:
    v: http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE9
    l: IMMZ.Z.DE9

url:
  v: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeCapability
  l: cpg-knowledgeCapability
value: Code
  v: computable

url:
  v: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-effectiveDataRequirements
  l: crmi-effectiveDataRequirements
value: Canonical
  v: #effective-data-requirements
  l: effective-data-requirements

v: 1.0.0

v: IMMZD2DTMeaslesOngoingTransmission

v: IMMZ.D2.DT.Measles.Ongoing transmission

coding:
  system:
    v: http://terminology.hl7.org/CodeSystem/plan-definition-type
    l: plan-definition-type
  code:
    v: eca-rule

v: draft

v: false

v: 2026-03-31T13:54:17+00:00

v: WHO

name:
  v: WHO
telecom:
  system:
    v: url
  value:
    v: http://who.int

v: 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)

type:
  v: citation
citation:
  v: WHO recommendations for routine immunization - summary tables (January 2025)

extension:
  url:
    v: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-rationale
    l: cpg-rationale
  value: Markdown
    v: In countries with ongoing transmission in which the risk of measles mortality remains high, MCV1 should be given at 9 months of age. As a general rule, live vaccines should be given either simultaneously or at intervals of 4 weeks. An exception to this rule is oral poliovirus vaccine (OPV), which can be given at any time before or after measles vaccination without interference in the response to either vaccine.
title:
  v: Determine if the client is due for MCV1 in countries with ongoing transmission.
description:
  v: Determine if the client is due for measles vaccination MCV1 according to the national immunization protocol. Countries with ongoing transmission in which the risk of measles mortality remains high.
condition:
  kind:
    v: applicability
  expression:
    description:
      v: Client is due for MCV1
    language:
      v: text/cql-identifier
    expression:
      v: Client is due for MCV1
definition: Canonical
  v: http://smart.who.int/immunizations/ActivityDefinition/IMMZD2DTMR
  l: IMMZD2DTMR
dynamic value:
  path:
    v: status
  expression:
    language:
      v: text/cql-expression
    expression:
      v: 'draft'
dynamic value:
  path:
    v: intent
  expression:
    language:
      v: text/cql-expression
    expression:
      v: 'proposal'
dynamic value:
  path:
    v: medication
  expression:
    language:
      v: text/cql-expression
    expression:
      v: Concept { codes: { Code { system: 'http://smart.who.int/immunizations/CodeSystem/IMMZ.Z', code: 'DE9', display: 'Measles-containing vaccines' } }, display: 'Measles-containing vaccines' }

extension:
  url:
    v: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-rationale
    l: cpg-rationale
  value: Markdown
    v: In countries with ongoing transmission in which the risk of measles mortality remains high, MCV2 should be given at 15–18 months. The minimum interval between MCV1 and MCV2 is 4 weeks. As a general rule, live vaccines should be given either simultaneously or at intervals of 4 weeks. An exception to this rule is OPV, which can be given at any time before or after measles vaccination without interference in the response to either vaccine.
title:
  v: Determine if the client is due for MCV2 in countries with ongoing transmission.
description:
  v: Determine if the client is due for measles vaccination MCV2 according to the national immunization protocol. Countries with ongoing transmission in which the risk of measles mortality remains high.
condition:
  kind:
    v: applicability
  expression:
    description:
      v: Client is due for MCV2
    language:
      v: text/cql-identifier
    expression:
      v: Client is due for MCV2
definition: Canonical
  v: http://smart.who.int/immunizations/ActivityDefinition/IMMZD2DTMR
  l: IMMZD2DTMR
dynamic value:
  path:
    v: status
  expression:
    language:
      v: text/cql-expression
    expression:
      v: 'draft'
dynamic value:
  path:
    v: intent
  expression:
    language:
      v: text/cql-expression
    expression:
      v: 'proposal'
dynamic value:
  path:
    v: medication
  expression:
    language:
      v: text/cql-expression
    expression:
      v: Concept { codes: { Code { system: 'http://smart.who.int/immunizations/CodeSystem/IMMZ.Z', code: 'DE9', display: 'Measles-containing vaccines' } }, display: 'Measles-containing vaccines' }

title:
  v: Check for Guidance for the patient regarding IMMZ.D2.DT.Measles.Ongoing transmission.
description:
  v: Show Guidance for the patient regarding IMMZ.D2.DT.Measles.Ongoing transmission.
condition:
  kind:
    v: applicability
  expression:
    description:
      v: Has Guidance
    language:
      v: text/cql-identifier
    expression:
      v: Has Guidance
definition: Canonical
  v: http://smart.who.int/immunizations/ActivityDefinition/IMMZD2DTCR
  l: IMMZD2DTCR
dynamic value:
  path:
    v: status
  expression:
    language:
      v: text/cql-expression
    expression:
      v: 'active'
dynamic value:
  path:
    v: payload.contentString
  expression:
    language:
      v: text/cql-identifier
    expression:
      v: Guidance
dynamic value:
  path:
    v: category.coding
  expression:
    description:
      v: Category of communication
    language:
      v: text/cql-expression
    expression:
      v: Code { system: 'http://terminology.hl7.org/CodeSystem/communication-category', code: 'alert' }
dynamic value:
  path:
    v: priority
  expression:
    description:
      v: Alert priority
    language:
      v: text/cql-expression
    expression:
      v: Code { system: 'http://hl7.org/fhir/request-priority', code: 'routine' }