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

: IMMZD2DTMeningococcalQuadrivalentConjugateVaccines2Doses ValueSet for Decision Table - TTL Representation

Active as of 2026-07-07

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

<http://hl7.org/fhir/ValueSet/IMMZD2DTMeningococcalQuadrivalentConjugateVaccines2DosesVS> a fhir:ValueSet ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "IMMZD2DTMeningococcalQuadrivalentConjugateVaccines2DosesVS"] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ] ;
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ValueSet IMMZD2DTMeningococcalQuadrivalentConjugateVaccines2DosesVS</b></p><a name=\"IMMZD2DTMeningococcalQuadrivalentConjugateVaccines2DosesVS\"> </a><a name=\"hcIMMZD2DTMeningococcalQuadrivalentConjugateVaccines2DosesVS\"> </a><p>This value set expansion contains 12 concepts.</p><table class=\"codes\"><tr><td><b>System</b></td><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td><a name=\"IMMZD2DTMeningococcalQuadrivalentConjugateVaccines2DosesVS-http://smart.who.int/immunizations/CodeSystem/IMMZDAK-Client's|20age|20is|20less|20than|209|20months-41\"> </a><code>http://smart.who.int/immunizations/CodeSystem/IMMZDAK</code></td><td style=\"white-space:nowrap\">  <a href=\"CodeSystem-IMMZDAK.html#IMMZDAK-Client.39sageislessthan9months-41\">Client's age is less than 9 months-41</a></td><td>Client's age is less than 9 months</td><td><div><p>Today's date − \"Date of birth\" &lt; 9 months</p>\n</div></td></tr><tr><td><a name=\"IMMZD2DTMeningococcalQuadrivalentConjugateVaccines2DosesVS-http://smart.who.int/immunizations/CodeSystem/IMMZDAK-Client|20is|20not|20due|20for|20meningococcal|20vaccination-48\"> </a><code>http://smart.who.int/immunizations/CodeSystem/IMMZDAK</code></td><td style=\"white-space:nowrap\">  <a href=\"CodeSystem-IMMZDAK.html#IMMZDAK-Clientisnotdueformeningococcalvaccination-48\">Client is not due for meningococcal vaccination-48</a></td><td>Client is not due for meningococcal vaccination</td><td><div><p>\"Immunization recommendation status\" = \"Not due\"</p>\n</div></td></tr><tr><td><a name=\"IMMZD2DTMeningococcalQuadrivalentConjugateVaccines2DosesVS-http://smart.who.int/immunizations/CodeSystem/IMMZDAK-No|20meningococcal|20primary|20series|20dose|20was|20administered-122\"> </a><code>http://smart.who.int/immunizations/CodeSystem/IMMZDAK</code></td><td style=\"white-space:nowrap\">  <a href=\"CodeSystem-IMMZDAK.html#IMMZDAK-Nomeningococcalprimaryseriesdosewasadministered-122\">No meningococcal primary series dose was administered-122</a></td><td>No meningococcal primary series dose was administered</td><td><div><p>Count of vaccines administered (where \"Vaccine type\" = \"Meningococcal vaccines\" and \"Type of dose\" = \"Primary series\") = 0</p>\n</div></td></tr><tr><td><a name=\"IMMZD2DTMeningococcalQuadrivalentConjugateVaccines2DosesVS-http://smart.who.int/immunizations/CodeSystem/IMMZDAK-Client's|20age|20is|20more|20than|20or|20equal|20to|209|20months-41\"> </a><code>http://smart.who.int/immunizations/CodeSystem/IMMZDAK</code></td><td style=\"white-space:nowrap\">  <a href=\"CodeSystem-IMMZDAK.html#IMMZDAK-Client.39sageismorethanorequalto9months-41\">Client's age is more than or equal to 9 months-41</a></td><td>Client's age is more than or equal to 9 months</td><td><div><p>Today's date − \"Date of birth\" ≥ 9 months</p>\n</div></td></tr><tr><td><a name=\"IMMZD2DTMeningococcalQuadrivalentConjugateVaccines2DosesVS-http://smart.who.int/immunizations/CodeSystem/IMMZDAK-Client|20is|20due|20for|20meningococcal|20vaccination-44\"> </a><code>http://smart.who.int/immunizations/CodeSystem/IMMZDAK</code></td><td style=\"white-space:nowrap\">  <a href=\"CodeSystem-IMMZDAK.html#IMMZDAK-Clientisdueformeningococcalvaccination-44\">Client is due for meningococcal vaccination-44</a></td><td>Client is due for meningococcal vaccination</td><td><div><p>\"Immunization recommendation status\" = \"Due\"</p>\n</div></td></tr><tr><td><a name=\"IMMZD2DTMeningococcalQuadrivalentConjugateVaccines2DosesVS-http://smart.who.int/immunizations/CodeSystem/IMMZDAK-One|20meningococcal|20primary|20series|20dose|20was|20administered-122\"> </a><code>http://smart.who.int/immunizations/CodeSystem/IMMZDAK</code></td><td style=\"white-space:nowrap\">  <a href=\"CodeSystem-IMMZDAK.html#IMMZDAK-Onemeningococcalprimaryseriesdosewasadministered-122\">One meningococcal primary series dose was administered-122</a></td><td>One meningococcal primary series dose was administered</td><td><div><p>Count of vaccines administered (where \"Vaccine type\" = \"Meningococcal vaccines\" and \"Type of dose\" = \"Primary series\") = 1</p>\n</div></td></tr><tr><td><a name=\"IMMZD2DTMeningococcalQuadrivalentConjugateVaccines2DosesVS-http://smart.who.int/immunizations/CodeSystem/IMMZDAK-Client's|20age|20was|20less|20than|20or|20equal|20to|2023|20months|20when|20the|20primary|20series|20was|20started-110\"> </a><code>http://smart.who.int/immunizations/CodeSystem/IMMZDAK</code></td><td style=\"white-space:nowrap\">  <a href=\"CodeSystem-IMMZDAK.html#IMMZDAK-Client.39sagewaslessthanorequalto23monthswhentheprimaryserieswasstarted-110\">Client's age was less than or equal to 23 months when the primary series was started-110</a></td><td>Client's age was less than or equal to 23 months when the primary series was started</td><td><div><p>\"Date and time of vaccination\" (where \"Vaccine type\" = \"Meningococcal vaccines\") - \"Date of birth\" ≤ 23 months</p>\n</div></td></tr><tr><td><a name=\"IMMZD2DTMeningococcalQuadrivalentConjugateVaccines2DosesVS-http://smart.who.int/immunizations/CodeSystem/IMMZDAK-The|20latest|20meningococcal|20dose|20was|20administered|20less|20than|203|20months|20ago-106\"> </a><code>http://smart.who.int/immunizations/CodeSystem/IMMZDAK</code></td><td style=\"white-space:nowrap\">  <a href=\"CodeSystem-IMMZDAK.html#IMMZDAK-Thelatestmeningococcaldosewasadministeredlessthan3monthsago-106\">The latest meningococcal dose was administered less than 3 months ago-106</a></td><td>The latest meningococcal dose was administered less than 3 months ago</td><td><div><p>Today's date − \"Date and time of vaccination\" (where \"Vaccine type\" = \"Meningococcal vaccines\") &lt; 3 months</p>\n</div></td></tr><tr><td><a name=\"IMMZD2DTMeningococcalQuadrivalentConjugateVaccines2DosesVS-http://smart.who.int/immunizations/CodeSystem/IMMZDAK-The|20latest|20meningococcal|20dose|20was|20administered|20more|20than|203|20months|20ago-106\"> </a><code>http://smart.who.int/immunizations/CodeSystem/IMMZDAK</code></td><td style=\"white-space:nowrap\">  <a href=\"CodeSystem-IMMZDAK.html#IMMZDAK-Thelatestmeningococcaldosewasadministeredmorethan3monthsago-106\">The latest meningococcal dose was administered more than 3 months ago-106</a></td><td>The latest meningococcal dose was administered more than 3 months ago</td><td><div><p>Today's date − \"Date and time of vaccination\" (where \"Vaccine type\" = \"Meningococcal vaccines\") ≥ 3 months</p>\n</div></td></tr><tr><td><a name=\"IMMZD2DTMeningococcalQuadrivalentConjugateVaccines2DosesVS-http://smart.who.int/immunizations/CodeSystem/IMMZDAK-Client's|20age|20was|20more|20than|2023|20months|20when|20the|20primary|20series|20was|20started-110\"> </a><code>http://smart.who.int/immunizations/CodeSystem/IMMZDAK</code></td><td style=\"white-space:nowrap\">  <a href=\"CodeSystem-IMMZDAK.html#IMMZDAK-Client.39sagewasmorethan23monthswhentheprimaryserieswasstarted-110\">Client's age was more than 23 months when the primary series was started-110</a></td><td>Client's age was more than 23 months when the primary series was started</td><td><div><p>\"Date and time of vaccination\" (where \"Vaccine type\" = \"Meningococcal vaccines\") - \"Date of birth\" &gt; 23 months</p>\n</div></td></tr><tr><td><a name=\"IMMZD2DTMeningococcalQuadrivalentConjugateVaccines2DosesVS-http://smart.who.int/immunizations/CodeSystem/IMMZDAK-Meningococcal|20immunization|20schedule|20is|20complete-149\"> </a><code>http://smart.who.int/immunizations/CodeSystem/IMMZDAK</code></td><td style=\"white-space:nowrap\">  <a href=\"CodeSystem-IMMZDAK.html#IMMZDAK-Meningococcalimmunizationscheduleiscomplete-149\">Meningococcal immunization schedule is complete-149</a></td><td>Meningococcal immunization schedule is complete</td><td><div><p>\"Immunization recommendation status\" = \"Complete\"\n\"Completed the primary vaccination series\" (where \"Vaccine type\" = \"Meningococcal vaccines\") = TRUE</p>\n</div></td></tr><tr><td><a name=\"IMMZD2DTMeningococcalQuadrivalentConjugateVaccines2DosesVS-http://smart.who.int/immunizations/CodeSystem/IMMZDAK-Two|20meningococcal|20primary|20series|20doses|20were|20administered-122\"> </a><code>http://smart.who.int/immunizations/CodeSystem/IMMZDAK</code></td><td style=\"white-space:nowrap\">  <a href=\"CodeSystem-IMMZDAK.html#IMMZDAK-Twomeningococcalprimaryseriesdoseswereadministered-122\">Two meningococcal primary series doses were administered-122</a></td><td>Two meningococcal primary series doses were administered</td><td><div><p>Count of vaccines administered (where \"Vaccine type\" = \"Meningococcal vaccines\" and \"Type of dose\" = \"Primary series\") = 2</p>\n</div></td></tr></table></div>"
  ] ;
  fhir:ValueSet.url [ fhir:value "http://smart.who.int/immunizations/ValueSet/IMMZD2DTMeningococcalQuadrivalentConjugateVaccines2DosesVS"] ;
  fhir:ValueSet.version [ fhir:value "0.2.0"] ;
  fhir:ValueSet.name [ fhir:value "IMMZD2DTMeningococcalQuadrivalentConjugateVaccines2DosesVS"] ;
  fhir:ValueSet.title [ fhir:value "IMMZD2DTMeningococcalQuadrivalentConjugateVaccines2Doses ValueSet for Decision Table"] ;
  fhir:ValueSet.status [ fhir:value "active"] ;
  fhir:ValueSet.date [ fhir:value "2026-07-07T22:09:13+00:00"^^xsd:dateTime] ;
  fhir:ValueSet.publisher [ fhir:value "WHO"] ;
  fhir:ValueSet.contact [
     fhir:index 0 ;
     fhir:ContactDetail.name [ fhir:value "WHO" ] ;
     fhir:ContactDetail.telecom [
       fhir:index 0 ;
       fhir:ContactPoint.system [ fhir:value "url" ] ;
       fhir:ContactPoint.value [ fhir:value "http://who.int" ]
     ]
  ] ;
  fhir:ValueSet.description [ fhir:value "ValueSet IMMZD2DTMeningococcalQuadrivalentConjugateVaccines2Doses for IMMZ.D2.DT.Meningococcal.Quadrivalent conjugate vaccines 2 doses.\nBusiness rule: Determine if the client is due for a meningococcal vaccination according to the national immunization schedule\nTrigger: IMMZ.D2 Determine required vaccination(s) if any\nTable: Quadrivalent conjugate vaccines (A,C,W135,Y-D), 2-dose schedule"] ;
  fhir:ValueSet.compose [
     fhir:ValueSet.compose.include [
       fhir:index 0 ;
       fhir:ValueSet.compose.include.system [ fhir:value "http://smart.who.int/immunizations/CodeSystem/IMMZDAK" ] ;
       fhir:ValueSet.compose.include.concept [
         fhir:index 0 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "Client's age is less than 9 months-41" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Client's age is less than 9 months" ]
       ], [
         fhir:index 1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "Client is not due for meningococcal vaccination-48" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Client is not due for meningococcal vaccination" ]
       ], [
         fhir:index 2 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "No meningococcal primary series dose was administered-122" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "No meningococcal primary series dose was administered" ]
       ], [
         fhir:index 3 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "Client's age is more than or equal to 9 months-41" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Client's age is more than or equal to 9 months" ]
       ], [
         fhir:index 4 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "Client is due for meningococcal vaccination-44" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Client is due for meningococcal vaccination" ]
       ], [
         fhir:index 5 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "One meningococcal primary series dose was administered-122" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "One meningococcal primary series dose was administered" ]
       ], [
         fhir:index 6 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "Client's age was less than or equal to 23 months when the primary series was started-110" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Client's age was less than or equal to 23 months when the primary series was started" ]
       ], [
         fhir:index 7 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "The latest meningococcal dose was administered less than 3 months ago-106" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "The latest meningococcal dose was administered less than 3 months ago" ]
       ], [
         fhir:index 8 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "The latest meningococcal dose was administered more than 3 months ago-106" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "The latest meningococcal dose was administered more than 3 months ago" ]
       ], [
         fhir:index 9 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "Client's age was more than 23 months when the primary series was started-110" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Client's age was more than 23 months when the primary series was started" ]
       ], [
         fhir:index 10 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "Meningococcal immunization schedule is complete-149" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Meningococcal immunization schedule is complete" ]
       ], [
         fhir:index 11 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "Two meningococcal primary series doses were administered-122" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Two meningococcal primary series doses were administered" ]
       ]
     ]
  ] ;
  fhir:ValueSet.expansion [
     fhir:ValueSet.expansion.timestamp [ fhir:value "2025-09-29T20:59:26.458Z"^^xsd:dateTime ] ;
     fhir:ValueSet.expansion.contains [
       fhir:index 0 ;
       fhir:ValueSet.expansion.contains.system [ fhir:value "http://smart.who.int/immunizations/CodeSystem/IMMZDAK" ] ;
       fhir:ValueSet.expansion.contains.code [ fhir:value "Client's age is less than 9 months-41" ] ;
       fhir:ValueSet.expansion.contains.display [ fhir:value "Client's age is less than 9 months" ]
     ], [
       fhir:index 1 ;
       fhir:ValueSet.expansion.contains.system [ fhir:value "http://smart.who.int/immunizations/CodeSystem/IMMZDAK" ] ;
       fhir:ValueSet.expansion.contains.code [ fhir:value "Client is not due for meningococcal vaccination-48" ] ;
       fhir:ValueSet.expansion.contains.display [ fhir:value "Client is not due for meningococcal vaccination" ]
     ], [
       fhir:index 2 ;
       fhir:ValueSet.expansion.contains.system [ fhir:value "http://smart.who.int/immunizations/CodeSystem/IMMZDAK" ] ;
       fhir:ValueSet.expansion.contains.code [ fhir:value "No meningococcal primary series dose was administered-122" ] ;
       fhir:ValueSet.expansion.contains.display [ fhir:value "No meningococcal primary series dose was administered" ]
     ], [
       fhir:index 3 ;
       fhir:ValueSet.expansion.contains.system [ fhir:value "http://smart.who.int/immunizations/CodeSystem/IMMZDAK" ] ;
       fhir:ValueSet.expansion.contains.code [ fhir:value "Client's age is more than or equal to 9 months-41" ] ;
       fhir:ValueSet.expansion.contains.display [ fhir:value "Client's age is more than or equal to 9 months" ]
     ], [
       fhir:index 4 ;
       fhir:ValueSet.expansion.contains.system [ fhir:value "http://smart.who.int/immunizations/CodeSystem/IMMZDAK" ] ;
       fhir:ValueSet.expansion.contains.code [ fhir:value "Client is due for meningococcal vaccination-44" ] ;
       fhir:ValueSet.expansion.contains.display [ fhir:value "Client is due for meningococcal vaccination" ]
     ], [
       fhir:index 5 ;
       fhir:ValueSet.expansion.contains.system [ fhir:value "http://smart.who.int/immunizations/CodeSystem/IMMZDAK" ] ;
       fhir:ValueSet.expansion.contains.code [ fhir:value "One meningococcal primary series dose was administered-122" ] ;
       fhir:ValueSet.expansion.contains.display [ fhir:value "One meningococcal primary series dose was administered" ]
     ], [
       fhir:index 6 ;
       fhir:ValueSet.expansion.contains.system [ fhir:value "http://smart.who.int/immunizations/CodeSystem/IMMZDAK" ] ;
       fhir:ValueSet.expansion.contains.code [ fhir:value "Client's age was less than or equal to 23 months when the primary series was started-110" ] ;
       fhir:ValueSet.expansion.contains.display [ fhir:value "Client's age was less than or equal to 23 months when the primary series was started" ]
     ], [
       fhir:index 7 ;
       fhir:ValueSet.expansion.contains.system [ fhir:value "http://smart.who.int/immunizations/CodeSystem/IMMZDAK" ] ;
       fhir:ValueSet.expansion.contains.code [ fhir:value "The latest meningococcal dose was administered less than 3 months ago-106" ] ;
       fhir:ValueSet.expansion.contains.display [ fhir:value "The latest meningococcal dose was administered less than 3 months ago" ]
     ], [
       fhir:index 8 ;
       fhir:ValueSet.expansion.contains.system [ fhir:value "http://smart.who.int/immunizations/CodeSystem/IMMZDAK" ] ;
       fhir:ValueSet.expansion.contains.code [ fhir:value "The latest meningococcal dose was administered more than 3 months ago-106" ] ;
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     ], [
       fhir:index 9 ;
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       fhir:ValueSet.expansion.contains.code [ fhir:value "Client's age was more than 23 months when the primary series was started-110" ] ;
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     ], [
       fhir:index 10 ;
       fhir:ValueSet.expansion.contains.system [ fhir:value "http://smart.who.int/immunizations/CodeSystem/IMMZDAK" ] ;
       fhir:ValueSet.expansion.contains.code [ fhir:value "Meningococcal immunization schedule is complete-149" ] ;
       fhir:ValueSet.expansion.contains.display [ fhir:value "Meningococcal immunization schedule is complete" ]
     ], [
       fhir:index 11 ;
       fhir:ValueSet.expansion.contains.system [ fhir:value "http://smart.who.int/immunizations/CodeSystem/IMMZDAK" ] ;
       fhir:ValueSet.expansion.contains.code [ fhir:value "Two meningococcal primary series doses were administered-122" ] ;
       fhir:ValueSet.expansion.contains.display [ fhir:value "Two meningococcal primary series doses were administered" ]
     ]
  ] .

# - ontology header ------------------------------------------------------------

<http://hl7.org/fhir/ValueSet/IMMZD2DTMeningococcalQuadrivalentConjugateVaccines2DosesVS.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl ;
  owl:versionIRI <http://build.fhir.org/ValueSet/IMMZD2DTMeningococcalQuadrivalentConjugateVaccines2DosesVS.ttl> .