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Narrative

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Source1

{
  "resourceType": "PlanDefinition",
  "id": "IMMZD2DTMeaslesLowTransmission",
  "meta": {
    "profile": [
      "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-recommendationdefinition",
      "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareableplandefinition",
      "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-publishableplandefinition"
    ]
  },
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeCapability",
      "valueCode": "computable"
    }
  ],
  "url": "http://smart.who.int/immunizations/PlanDefinition/IMMZD2DTMeaslesLowTransmission",
  "version": "0.2.0",
  "name": "IMMZD2DTMeaslesLowTransmission",
  "title": "IMMZ.D2.DT.Measles.Low transmission",
  "type": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/plan-definition-type",
        "code": "eca-rule"
      }
    ]
  },
  "status": "draft",
  "experimental": false,
  "date": "2025-12-05T23:35:21+00:00",
  "publisher": "WHO",
  "contact": [
    {
      "name": "WHO",
      "telecom": [
        {
          "system": "url",
          "value": "http://who.int"
        }
      ]
    }
  ],
  "description": "IMMZ.D2.DT.Measles.Low transmission\nCountries 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)",
  "relatedArtifact": [
    {
      "type": "citation",
      "citation": "WHO recommendations for routine immunization - summary tables (January 2025)"
    }
  ],
  "library": [
    "http://smart.who.int/immunizations/Library/IMMZD2DTMeaslesLowTransmissionLogic"
  ],
  "action": [
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-rationale",
          "valueMarkdown": "In countries with low levels of measles transmission MCV1 may be administered at 12 months of age. As a general rule, \n  live vaccines should be given either simultaneously or at intervals of 4 weeks. An exception to this rule is OPV, which can be \n  given at any time before or after measles vaccination without interference in the response to either vaccine."
        }
      ],
      "title": "Determine if the client is due for MCV1 in countries with low transmission.",
      "description": "Determine if the client is due for measles vaccination MCV1 according to the national immunization protocol.\nCountries with low levels of measles transmission.",
      "condition": [
        {
          "kind": "applicability",
          "expression": {
            "description": "Client is due for MCV1",
            "language": "text/cql-identifier",
            "expression": "Client is due for MCV1"
          }
        }
      ],
      "definitionCanonical": "http://smart.who.int/immunizations/ActivityDefinition/IMMZD2DTMR",
      "dynamicValue": [
        {
          "path": "status",
          "expression": {
            "language": "text/cql-expression",
            "expression": "'draft'"
          }
        },
        {
          "path": "intent",
          "expression": {
            "language": "text/cql-expression",
            "expression": "'proposal'"
          }
        },
        {
          "path": "medication",
          "expression": {
            "language": "text/cql-expression",
            "expression": "Concept { codes: { Code { system: 'http://smart.who.int/immunizations/CodeSystem/IMMZ.Z', code: 'DE9', display: 'Measles-containing vaccines' } }, display: 'Measles-containing vaccines' }"
          }
        }
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-rationale",
          "valueMarkdown": "In countries with low levels of measles transmission, administration of MCV2 at 15-18 months of age ensures early \nprotection of the individual. The minimum interval between MCV1 and MCV2 is 4 weeks. As a general rule, live vaccines should \nbe given either simultaneously or at intervals of 4 weeks. An exception to this rule is OPV, which can be given at any time \nbefore or after measles vaccination without interference in the response to either vaccine."
        }
      ],
      "title": "Determine if the client is due for MCV2 in countries with low transmission.",
      "description": "Determine if the client is due for measles vaccination MCV2 according to the national immunization protocol.\nCountries with low levels of measles transmission.",
      "condition": [
        {
          "kind": "applicability",
          "expression": {
            "description": "Client is due for MCV2",
            "language": "text/cql-identifier",
            "expression": "Client is due for MCV2"
          }
        }
      ],
      "definitionCanonical": "http://smart.who.int/immunizations/ActivityDefinition/IMMZD2DTMR",
      "dynamicValue": [
        {
          "path": "status",
          "expression": {
            "language": "text/cql-expression",
            "expression": "'draft'"
          }
        },
        {
          "path": "intent",
          "expression": {
            "language": "text/cql-expression",
            "expression": "'proposal'"
          }
        },
        {
          "path": "medication",
          "expression": {
            "language": "text/cql-expression",
            "expression": "Concept { codes: { Code { system: 'http://smart.who.int/immunizations/CodeSystem/IMMZ.Z', code: 'DE9', display: 'Measles-containing vaccines' } }, display: 'Measles-containing vaccines' }"
          }
        }
      ]
    },
    {
      "title": "Check for Guidance for the patient regarding IMMZ.D2.DT.Measles.Low transmission.",
      "description": "Show Guidance for the patient regarding IMMZ.D2.DT.Measles.Low transmission.",
      "condition": [
        {
          "kind": "applicability",
          "expression": {
            "description": "Has Guidance",
            "language": "text/cql-identifier",
            "expression": "Has Guidance"
          }
        }
      ],
      "definitionCanonical": "http://smart.who.int/immunizations/ActivityDefinition/IMMZD2DTCR",
      "dynamicValue": [
        {
          "path": "status",
          "expression": {
            "language": "text/cql-expression",
            "expression": "'active'"
          }
        },
        {
          "path": "payload.contentString",
          "expression": {
            "language": "text/cql-identifier",
            "expression": "Guidance"
          }
        },
        {
          "path": "category.coding",
          "expression": {
            "description": "Category of communication",
            "language": "text/cql-expression",
            "expression": "Code { system: 'http://terminology.hl7.org/CodeSystem/communication-category', code: 'alert' }"
          }
        },
        {
          "path": "priority",
          "expression": {
            "description": "Alert priority",
            "language": "text/cql-expression",
            "expression": "Code { system: 'http://hl7.org/fhir/request-priority', code: 'routine' }"
          }
        }
      ]
    }
  ]
}