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/ and changes regularly. See the Directory of published versions
| Active as of 2025-08-08 |
<ValueSet xmlns="http://hl7.org/fhir">
<id value="IMMZ.D2.DT.Meningococcal.Quad2"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: ValueSet IMMZ.D2.DT.Meningococcal.Quad2</b></p><a name="IMMZ.D2.DT.Meningococcal.Quad2"> </a><a name="hcIMMZ.D2.DT.Meningococcal.Quad2"> </a><p>This value set expansion contains 12 concepts.</p><table class="codes"><tr><td style="white-space:nowrap"><b>Code</b></td><td><b>System</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style="white-space:nowrap"><a name="IMMZ.D2.DT.Meningococcal.Quad2-http://smart.who.int/immunizations/CodeSystem/IMMZ.D2.DT.Inputs-csailt9m-34.43"> </a> <a href="CodeSystem-IMMZ.D2.DT.Inputs.html#IMMZ.D2.DT.Inputs-csailt9m-34.4643">csailt9m-34.43</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D2.DT.Inputs</td><td>Client's age is less than 9 months</td><td>Today's date − "Date of birth" < 9 months</td></tr><tr><td style="white-space:nowrap"><a name="IMMZ.D2.DT.Meningococcal.Quad2-http://smart.who.int/immunizations/CodeSystem/IMMZ.D2.DT.Inputs-nmpsdwa-53.130"> </a> <a href="CodeSystem-IMMZ.D2.DT.Inputs.html#IMMZ.D2.DT.Inputs-nmpsdwa-53.46130">nmpsdwa-53.130</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D2.DT.Inputs</td><td>No meningococcal primary series dose was administered</td><td>Count of vaccines administered (where "Vaccine type" = "Meningococcal vaccines" and "Type of dose" = "Primary series") = 0</td></tr><tr><td style="white-space:nowrap"><a name="IMMZ.D2.DT.Meningococcal.Quad2-http://smart.who.int/immunizations/CodeSystem/IMMZ.D2.DT.Inputs-ompsdwa-54.130"> </a> <a href="CodeSystem-IMMZ.D2.DT.Inputs.html#IMMZ.D2.DT.Inputs-ompsdwa-54.46130">ompsdwa-54.130</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D2.DT.Inputs</td><td>One meningococcal primary series dose was administered</td><td>Count of vaccines administered (where "Vaccine type" = "Meningococcal vaccines" and "Type of dose" = "Primary series") = 1</td></tr><tr><td style="white-space:nowrap"><a name="IMMZ.D2.DT.Meningococcal.Quad2-http://smart.who.int/immunizations/CodeSystem/IMMZ.D2.DT.Inputs-tmpsdwa-56.130"> </a> <a href="CodeSystem-IMMZ.D2.DT.Inputs.html#IMMZ.D2.DT.Inputs-tmpsdwa-56.46130">tmpsdwa-56.130</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D2.DT.Inputs</td><td>Two meningococcal primary series doses were administered</td><td>Count of vaccines administered (where "Vaccine type" = "Meningococcal vaccines" and "Type of dose" = "Primary series") = 2</td></tr><tr><td style="white-space:nowrap"><a name="IMMZ.D2.DT.Meningococcal.Quad2-http://smart.who.int/immunizations/CodeSystem/IMMZ.D2.DT.Inputs-csaimtoet9m-46.43"> </a> <a href="CodeSystem-IMMZ.D2.DT.Inputs.html#IMMZ.D2.DT.Inputs-csaimtoet9m-46.4643">csaimtoet9m-46.43</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D2.DT.Inputs</td><td>Client's age is more than or equal to 9 months</td><td>Today's date − "Date of birth" ≥ 9 months</td></tr><tr><td style="white-space:nowrap"><a name="IMMZ.D2.DT.Meningococcal.Quad2-http://smart.who.int/immunizations/CodeSystem/IMMZ.D2.DT.Inputs-csawltoet23mwtpsws-84.118"> </a> <a href="CodeSystem-IMMZ.D2.DT.Inputs.html#IMMZ.D2.DT.Inputs-csawltoet23mwtpsws-84.46118">csawltoet23mwtpsws-84.118</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D2.DT.Inputs</td><td>Client's age was less than or equal to 23 months when the primary series was started</td><td>"Date and time of vaccination" (where "Vaccine type" = "Meningococcal vaccines") - "Date of birth" ≤ 23 months</td></tr><tr><td style="white-space:nowrap"><a name="IMMZ.D2.DT.Meningococcal.Quad2-http://smart.who.int/immunizations/CodeSystem/IMMZ.D2.DT.Inputs-tlmdwalt3ma-69.112"> </a> <a href="CodeSystem-IMMZ.D2.DT.Inputs.html#IMMZ.D2.DT.Inputs-tlmdwalt3ma-69.46112">tlmdwalt3ma-69.112</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D2.DT.Inputs</td><td>The latest meningococcal dose was administered less than 3 months ago</td><td>Today's date − "Date and time of vaccination" (where "Vaccine type" = "Meningococcal vaccines") < 3 months</td></tr><tr><td style="white-space:nowrap"><a name="IMMZ.D2.DT.Meningococcal.Quad2-http://smart.who.int/immunizations/CodeSystem/IMMZ.D2.DT.Inputs-tlmdwamt3ma-69.112"> </a> <a href="CodeSystem-IMMZ.D2.DT.Inputs.html#IMMZ.D2.DT.Inputs-tlmdwamt3ma-69.46112">tlmdwamt3ma-69.112</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D2.DT.Inputs</td><td>The latest meningococcal dose was administered more than 3 months ago</td><td>Today's date − "Date and time of vaccination" (where "Vaccine type" = "Meningococcal vaccines") ≥ 3 months</td></tr><tr><td style="white-space:nowrap"><a name="IMMZ.D2.DT.Meningococcal.Quad2-http://smart.who.int/immunizations/CodeSystem/IMMZ.D2.DT.Inputs-csawmt23mwtpsws-72.118"> </a> <a href="CodeSystem-IMMZ.D2.DT.Inputs.html#IMMZ.D2.DT.Inputs-csawmt23mwtpsws-72.46118">csawmt23mwtpsws-72.118</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D2.DT.Inputs</td><td>Client's age was more than 23 months when the primary series was started</td><td>"Date and time of vaccination" (where "Vaccine type" = "Meningococcal vaccines") - "Date of birth" > 23 months</td></tr><tr><td style="white-space:nowrap"><a name="IMMZ.D2.DT.Meningococcal.Quad2-http://smart.who.int/immunizations/CodeSystem/IMMZ.D2.DT.Outputs-cindfmv-47.52"> </a> <a href="CodeSystem-IMMZ.D2.DT.Outputs.html#IMMZ.D2.DT.Outputs-cindfmv-47.4652">cindfmv-47.52</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D2.DT.Outputs</td><td>Client is not due for meningococcal vaccination</td><td>"Immunization recommendation status" = "Not due"</td></tr><tr><td style="white-space:nowrap"><a name="IMMZ.D2.DT.Meningococcal.Quad2-http://smart.who.int/immunizations/CodeSystem/IMMZ.D2.DT.Outputs-cidfmv-43.48"> </a> <a href="CodeSystem-IMMZ.D2.DT.Outputs.html#IMMZ.D2.DT.Outputs-cidfmv-43.4648">cidfmv-43.48</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D2.DT.Outputs</td><td>Client is due for meningococcal vaccination</td><td>"Immunization recommendation status" = "Due"</td></tr><tr><td style="white-space:nowrap"><a name="IMMZ.D2.DT.Meningococcal.Quad2-http://smart.who.int/immunizations/CodeSystem/IMMZ.D2.DT.Outputs-misic-47.53"> </a> <a href="CodeSystem-IMMZ.D2.DT.Outputs.html#IMMZ.D2.DT.Outputs-misic-47.4653">misic-47.53</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D2.DT.Outputs</td><td>Meningococcal immunization schedule is complete</td><td>"Immunization recommendation status" = "Complete"</td></tr></table></div>
</text>
<url
value="http://smart.who.int/immunizations/ValueSet/IMMZ.D2.DT.Meningococcal.Quad2"/>
<version value="0.2.0"/>
<name
value="IMMZ_D2_DT_Meningococcal_Quadrivalent_conjugate_vaccines_2_doses"/>
<title value="IMMZ.D2.DT.Meningococcal.Quad2 ValueSet for Decision Table"/>
<status value="active"/>
<date value="2025-08-08T19:12:11+00:00"/>
<publisher value="WHO"/>
<contact>
<name value="WHO"/>
<telecom>
<system value="url"/>
<value value="http://who.int"/>
</telecom>
</contact>
<description
value="ValueSet IMMZ.D2.DT.Meningococcal.Quad2 for IMMZ.D2.DT.Meningococcal.Quadrivalent conjugate vaccines 2 doses.
Business rule: Determine if the client is due for a meningococcal vaccination according to the national immunization schedule
Trigger: IMMZ.D2 Determine required vaccination(s) if any
Table: Quadrivalent conjugate vaccines (A,C,W135,Y-D), 2-dose schedule"/>
<compose>
<include>
<system
value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D2.DT.Inputs"/>
<concept>
<code value="csailt9m-34.43"/>
<display value="Client's age is less than 9 months"/>
</concept>
<concept>
<code value="nmpsdwa-53.130"/>
<display
value="No meningococcal primary series dose was administered"/>
</concept>
<concept>
<code value="ompsdwa-54.130"/>
<display
value="One meningococcal primary series dose was administered"/>
</concept>
<concept>
<code value="tmpsdwa-56.130"/>
<display
value="Two meningococcal primary series doses were administered"/>
</concept>
<concept>
<code value="csaimtoet9m-46.43"/>
<display value="Client's age is more than or equal to 9 months"/>
</concept>
<concept>
<code value="csawltoet23mwtpsws-84.118"/>
<display
value="Client's age was less than or equal to 23 months when the primary series was started"/>
</concept>
<concept>
<code value="tlmdwalt3ma-69.112"/>
<display
value="The latest meningococcal dose was administered less than 3 months ago"/>
</concept>
<concept>
<code value="tlmdwamt3ma-69.112"/>
<display
value="The latest meningococcal dose was administered more than 3 months ago"/>
</concept>
<concept>
<code value="csawmt23mwtpsws-72.118"/>
<display
value="Client's age was more than 23 months when the primary series was started"/>
</concept>
</include>
<include>
<system
value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D2.DT.Outputs"/>
<concept>
<code value="cindfmv-47.52"/>
<display value="Client is not due for meningococcal vaccination"/>
</concept>
<concept>
<code value="cidfmv-43.48"/>
<display value="Client is due for meningococcal vaccination"/>
</concept>
<concept>
<code value="misic-47.53"/>
<display value="Meningococcal immunization schedule is complete"/>
</concept>
</include>
</compose>
<expansion>
<timestamp value="2025-06-25T16:39:07.092Z"/>
<contains>
<system
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<code value="nmpsdwa-53.130"/>
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<code value="tmpsdwa-56.130"/>
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<contains>
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<code value="tlmdwalt3ma-69.112"/>
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<contains>
<system
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<display
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<contains>
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<contains>
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<code value="cindfmv-47.52"/>
<display value="Client is not due for meningococcal vaccination"/>
</contains>
<contains>
<system
value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D2.DT.Outputs"/>
<code value="cidfmv-43.48"/>
<display value="Client is due for meningococcal vaccination"/>
</contains>
<contains>
<system
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<code value="misic-47.53"/>
<display value="Meningococcal immunization schedule is complete"/>
</contains>
</expansion>
</ValueSet>