http://smart.who.int/immunizations/PlanDefinition/IMMZD18SDengue3DosesWithPreVaccinationScreening
type: PlanDefinition
node role: treeRoot
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: IMMZD18SDengue3DosesWithPreVaccinationScreening Url: IMMZ.D18.S.Dengue schedule Version: 0.2.0 Title: IMMZ.D18.S.Dengue schedule Status: draft Type: system: http://terminology.hl7.org/CodeSystem/plan-definition-type code: eca-rule Date: 2026-03-03 13:07:11+0000 Publisher: WHO Description: IMMZ.D18.S.Dengue schedule CYD-TDV (Dengvaxia), 3-dose schedule Knowledge Capability: computable Related Artifacts: References WHO recommendations for routine immunization - summary tables (January 2025) Libraries: IMMZD18SDengue3DosesWithPreVaccinationScreeningLogic Actions: Dengue dose 1: Provision of dengue dose 1 Trigger event: No dengue doses from primary series were administered Trigger pseudo: Count of vaccines administered (where "Vaccine type" = "Dengue vaccines" and "Type of dose" = "Primary series") = 0 Trigger date: To be determined by Member States based on vaccination strategy Create condition: Dengue dose 1 should be provided based on vaccination strategy If: Applicability: Dengue dose 1 (Dengue dose 1) Then: Definition: IMMZ.D2.DT.CR Dynamic Values: status: ('active') payload.contentString: (Dengue dose 1 Create) category.coding: (Code { system: 'http://terminology.hl7.org/CodeSystem/communication-category', code: 'alert' }) priority: (Code { system: 'http://hl7.org/fhir/request-priority', code: 'routine' }) Dengue dose 2: Provision of the dengue dose 2 Trigger event: First dengue dose from the primary series was administered Trigger pseudo: Count of vaccines administered (where "Vaccine type" = "Dengue vaccines" and "Type of dose" = "Primary series") = 1 Trigger date: "Date and time of vaccination" (where "Vaccine type" = "Dengue vaccines") Create condition: Dengue dose 2 should be provided if the previous dose was provide more than 6 months ago If: Applicability: Dengue dose 2 (Dengue dose 2) Then: Definition: IMMZ.D2.DT.CR Dynamic Values: status: ('active') payload.contentString: (Dengue dose 2 Create) category.coding: (Code { system: 'http://terminology.hl7.…
contained: Library
  id:
    v: effective-data-requirements
  extension:
    extension:
      url:
        v: libraryName
        l: libraryName
      value: String
    extension:
      url:
        v: name
        l: name
      value: String
        v: Dengue dose 2 Expiration
    extension:
      url:
        v: statement
        l: statement
      value: String
        v: /* @dynamicValue: Dengue dose 2 Expiration @pseudocode: "Date of birth" + 46 years */ define "Dengue dose 2 Expiration": Patient.birthDate + 46 years
    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: 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: 1
    url:
      v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
      l: cqf-logicDefinition
  extension:
    extension:
      url:
        v: libraryName
        l: libraryName
      value: String
        v: IMMZEncounterElements
    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": Elements."Doses Administered to Patient" I where I.occurrence.toInterval() same day or before Today
    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: IMMZD2DTDengueEncounterElements
    extension:
      url:
        v: name
        l: name
      value: String
        v: Dengue Doses Administered to Patient
    extension:
      url:
        v: statement
        l: statement
      value: String
        v: /* @internal: Dengue containing Doses Administered to Patient */ define "Dengue Doses Administered to Patient": Encounter."Doses Administered to Patient" I where I.vaccineCode in Concepts."Dengue vaccines"
    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: IMMZD2DTDengueEncounterElements
    extension:
      url:
        v: name
        l: name
      value: String
        v: Dengue Primary Series Doses Administered to Patient
    extension:
      url:
        v: statement
        l: statement
      value: String
        v: /* @internal: Dengue containing Doses Administered to Patient that are in the Primary series */ define "Dengue Primary Series Doses Administered to Patient": "Dengue Doses Administered to Patient".seriesPrimary()
    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: IMMZD2DTDengueEncounterElements
    extension:
      url:
        v: name
        l: name
      value: String
        v: Number of Dengue Primary Series Doses Administered
    extension:
      url:
        v: statement
        l: statement
      value: String
        v: /* @internal: Number of Dengue Primary Series doses */ define "Number of Dengue Primary Series Doses Administered": Count("Dengue Primary Series Doses Administered to Patient")
    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: IMMZD2DTDengueEncounterElements
    extension:
      url:
        v: name
        l: name
      value: String
        v: One dengue primary series dose was administered
    extension:
      url:
        v: statement
        l: statement
      value: String

String
v: /* @input: One dengue primary series dose was administered @pseudocode: Count of vaccines administered (where "Vaccine type" = "Dengue vaccines" and "Type of dose" = "Primary series") = 1 @code: One dengue primary series dose was administered-115 @decision: IMMZ.D2.DT.Dengue.3 doses with pre-vaccination screening: CYD-TDV (Dengvaxia), 3-dose schedule with pre-vaccination screening, the recommended strategy where feasible (pre-vaccination screening whereby only those tested seropositive would be vaccinated) @decision: IMMZ.D2.DT.Dengue.3 doses without pre-vaccination screening: CYD-TDV (Dengvaxia), 3-dose schedule without pre-vaccination screening [when pre-vaccination screening is not feasible and in areas with recent documentation of seroprevalence rates of at least 80% by age 9 years] */ define "One dengue primary series dose was administered": "Number of Dengue Primary Series Doses Administered" = 1

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

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
extension:
  url:
    v: name
    l: name
  value: String
    v: First dengue dose from the primary series was administered
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @complete: First dengue dose from the primary series was administered @pseudocode: Count of vaccines administered (where "Vaccine type" = "Dengue vaccines" and "Type of dose" = "Primary series") = 1 */ define "First dengue dose from the primary series was administered": Encounter."One dengue primary series dose was administered"
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: IMMZD2DTDengueEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: Two dengue primary series doses were administered
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @input: Two dengue primary series doses were administered @pseudocode: Count of vaccines administered (where "Vaccine type" = "Dengue vaccines" and "Type of dose" = "Primary series") = 2 @code: Two dengue primary series doses were administered-115 @decision: IMMZ.D2.DT.Dengue.3 doses with pre-vaccination screening: CYD-TDV (Dengvaxia), 3-dose schedule with pre-vaccination screening, the recommended strategy where feasible (pre-vaccination screening whereby only those tested seropositive would be vaccinated) @decision: IMMZ.D2.DT.Dengue.3 doses without pre-vaccination screening: CYD-TDV (Dengvaxia), 3-dose schedule without pre-vaccination screening [when pre-vaccination screening is not feasible and in areas with recent documentation of seroprevalence rates of at least 80% by age 9 years] */ define "Two dengue primary series doses were administered": "Number of Dengue Primary Series Doses Administered" = 2
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
extension:
  url:
    v: name
    l: name
  value: String
    v: Second dengue dose from the primary series was administered
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @complete: Second dengue dose from the primary series was administered @pseudocode: Count of vaccines administered (where "Vaccine type" = "Dengue vaccines" and "Type of dose" = "Primary series") = 2 */ define "Second dengue dose from the primary series was administered": Encounter."Two dengue primary series doses were administered"
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
extension:
  url:
    v: name
    l: name
  value: String
    v: Dengue dose 2
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @output: Dengue dose 2 @description: Provision of the dengue dose 2 @trigger: First dengue dose from the primary series was administered @pseudo: Count of vaccines administered (where "Vaccine type" = "Dengue vaccines" and "Type of dose" = "Primary series") = 1 @triggerDate: "Date and time of vaccination" (where "Vaccine type" = "Dengue vaccines") */ define "Dengue dose 2": "Dengue dose 2 Expiration" > Today and "First dengue dose from the primary series was administered" and not "Second dengue dose from the primary series was administered"
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: IMMZD2DTDengueEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: Date of Latest Dengue Dose
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @internal: Date of Latest Dengue Dose */ define "Date of Latest Dengue Dose": date from start of "Dengue Doses Administered to Patient".mostRecent().occurrence.toInterval()
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
extension:
  url:
    v: name
    l: name
  value: String
    v: Dengue dose 2 Due Date
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @dynamicValue: Dengue dose 2 Due Date @pseudocode: "Date and time of vaccination" (where "Vaccine type" = "Dengue vaccines") + 6 months */ define "Dengue dose 2 Due Date": if "Dengue dose 2" then Encounter."Date of Latest Dengue Dose" + 6 months else null
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
extension:
  url:
    v: name
    l: name
  value: String
    v: Dengue dose 2 Create
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @output: Dengue dose 2 Create @create: Dengue dose 2 should be provided if the previous dose was provide more than 6 months ago */ define "Dengue dose 2 Create": if "Dengue dose 2" then 'Dengue dose 2 should be provided if the previous dose was provide more than 6 months ago' + ' Due Date: ' + ToString("Dengue dose 2 Due Date") + ' Expiration: ' + ToString("Dengue dose 2 Expiration") else ''
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: Current Patient Age In Years
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /** * @dataElement Patient age in years */ define "Current Patient Age In Years": AgeInYearsAt(Today)
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: IMMZD2DTDengueEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: Client's age is more than 45 years
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @input: Client's age is more than 45 years @pseudocode: Today's date − "Date of birth" > 45 years @code: Client's age is more than 45 years-41 @decision: IMMZ.D2.DT.Dengue.3 doses with pre-vaccination screening: CYD-TDV (Dengvaxia), 3-dose schedule with pre-vaccination screening, the recommended strategy where feasible (pre-vaccination screening whereby only those tested seropositive would be vaccinated) @decision: IMMZ.D2.DT.Dengue.3 doses without pre-vaccination screening: CYD-TDV (Dengvaxia), 3-dose schedule without pre-vaccination screening [when pre-vaccination screening is not feasible and in areas with recent documentation of seroprevalence rates of at least 80% by age 9 years] */ define "Client's age is more than 45 years": Encounter."Current Patient Age In Years" > 45
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
extension:
  url:
    v: name
    l: name
  value: String
    v: Dengue dose 1 Expiration
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @dynamicValue: Dengue dose 1 Expiration @pseudocode: "Date of birth" + 46 years */ define "Dengue dose 1 Expiration": Patient.birthDate + 46 years
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: IMMZD2DTDengueEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: No dengue primary series doses were administered
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @input: No dengue primary series doses were administered @pseudocode: Count of vaccines administered (where "Vaccine type" = "Dengue vaccines" and "Type of dose" = "Primary series") = 0 @code: No dengue primary series doses were administered-115 @decision: IMMZ.D2.DT.Dengue.3 doses with pre-vaccination screening: CYD-TDV (Dengvaxia), 3-dose schedule with pre-vaccination screening, the recommended strategy where feasible (pre-vaccination screening whereby only those tested seropositive would be vaccinated) @decision: IMMZ.D2.DT.Dengue.3 doses without pre-vaccination screening: CYD-TDV (Dengvaxia), 3-dose schedule without pre-vaccination screening [when pre-vaccination screening is not feasible and in areas with recent documentation of seroprevalence rates of at least 80% by age 9 years] */ define "No dengue primary series doses were administered": "Number of Dengue Primary Series Doses Administered" = 0
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
extension:
  url:
    v: name
    l: name
  value: String
    v: Dengue dose 1
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @output: Dengue dose 1 @description: Provision of dengue dose 1 @trigger: No dengue doses from primary series were administered @pseudo: Count of vaccines administered (where "Vaccine type" = "Dengue vaccines" and "Type of dose" = "Primary series") = 0 @triggerDate: To be determined by Member States based on vaccination strategy */ define "Dengue dose 1": not Encounter."Client's age is more than 45 years" and "Dengue dose 1 Expiration" > Today and Encounter."No dengue primary series doses were administered" and not "First dengue dose from the primary series was administered"
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: IMMZD2DTDengueEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: Three dengue primary series doses were administered
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @input: Three dengue primary series doses were administered @pseudocode: Count of vaccines administered (where "Vaccine type" = "Dengue vaccines" and "Type of dose" = "Primary series") = 3 @code: Three dengue primary series doses were administered-115 @decision: IMMZ.D2.DT.Dengue.3 doses with pre-vaccination screening: CYD-TDV (Dengvaxia), 3-dose schedule with pre-vaccination screening, the recommended strategy where feasible (pre-vaccination screening whereby only those tested seropositive would be vaccinated) @decision: IMMZ.D2.DT.Dengue.3 doses without pre-vaccination screening: CYD-TDV (Dengvaxia), 3-dose schedule without pre-vaccination screening [when pre-vaccination screening is not feasible and in areas with recent documentation of seroprevalence rates of at least 80% by age 9 years] */ define "Three dengue primary series doses were administered": "Number of Dengue Primary Series Doses Administered" = 3
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
extension:
  url:
    v: name
    l: name
  value: String
    v: Third dengue dose from the primary series was administered. The primary series has been completed
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @complete: Third dengue dose from the primary series was administered. The primary series has been completed @pseudocode: "Completed the primary vaccination series" = TRUE (where "Vaccine type" = "Dengue vaccines")" */ define "Third dengue dose from the primary series was administered. The primary series has been completed": Encounter."Three dengue primary series doses were administered"
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
extension:
  url:
    v: name
    l: name
  value: String
    v: Dengue dose 3
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @output: Dengue dose 3 @description: Provision of dengue dose 3 @trigger: Second dengue dose from the primary series was administered @pseudo: Count of vaccines administered (where "Vaccine type" = "Dengue vaccines" and "Type of dose" = "Primary series") = 2 @triggerDate: "Date and time of vaccination" (where "Vaccine type" = "Dengue vaccines") */ define "Dengue dose 3": "Dengue dose 2 Expiration" > Today and "Second dengue dose from the primary series was administered" and not "Third dengue dose from the primary series was administered. The primary series has been completed"
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
extension:
  url:
    v: name
    l: name
  value: String
    v: Dengue dose 1 Due Date
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @dynamicValue: Dengue dose 1 Due Date @pseudocode: "Date of birth" + 9 years */ define "Dengue dose 1 Due Date": if "Dengue dose 1" then Patient.birthDate + 9 years else null
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
extension:
  url:
    v: name
    l: name
  value: String
    v: Dengue dose 1 Create
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @output: Dengue dose 1 Create @create: Dengue dose 1 should be provided based on vaccination strategy */ define "Dengue dose 1 Create": if "Dengue dose 1" then 'Dengue dose 1 should be provided based on vaccination strategy' + ' Due Date: ' + ToString("Dengue dose 1 Due Date") + ' Expiration: ' + ToString("Dengue dose 1 Expiration") else ''
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
extension:
  url:
    v: name
    l: name
  value: String
    v: Dengue dose 3 Due Date
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @dynamicValue: Dengue dose 3 Due Date @pseudocode: "Date and time of vaccination" (where "Vaccine type" = "Dengue vaccines") + 6 months */ define "Dengue dose 3 Due Date": if "Dengue dose 3" then Encounter."Date of Latest Dengue Dose" + 6 months else null
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
extension:
  url:
    v: name
    l: name
  value: String
    v: Dengue dose 3 Expiration
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @dynamicValue: Dengue dose 3 Expiration @pseudocode: "Date of birth" + 46 years */ define "Dengue dose 3 Expiration": Patient.birthDate + 46 years
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
extension:
  url:
    v: name
    l: name
  value: String
    v: Dengue dose 3 Create
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @output: Dengue dose 3 Create @create: Dengue dose 3 should be provided if the previous dose was provide more than 6 months ago */ define "Dengue dose 3 Create": if "Dengue dose 3" then 'Dengue dose 3 should be provided if the previous dose was provide more than 6 months ago' + ' Due Date: ' + ToString("Dengue dose 3 Due Date") + ' Expiration: ' + ToString("Dengue dose 3 Expiration") else ''
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: 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: 27
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: 28
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: 29
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: 30
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: 31
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: 32
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: 33
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: 34
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 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 Encounter
resource:
  v: http://smart.who.int/immunizations/Library/IMMZD2DTDengueEncounterElements
  l: IMMZD2DTDengueEncounterElements

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 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 Encounter
resource:
  v: http://smart.who.int/immunizations/Library/IMMZEncounterElements
  l: IMMZEncounterElements

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 WC
resource:
  v: http://smart.who.int/immunizations/Library/WHOCommon
  l: WHOCommon

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: Library WC
resource:
  v: http://smart.who.int/immunizations/Library/WHOCommon
  l: WHOCommon

type:
  v: depends-on
display:
  v: Value set Dengue vaccines
resource:
  v: http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE25
  l: IMMZ.Z.DE25

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

name:
  v: Dengue dose 2 Create
use:
  v: out
min:
  v: 0
max:
  v: 1
type:
  v: string

name:
  v: Dengue dose 1
use:
  v: out
min:
  v: 0
max:
  v: 1
type:
  v: boolean

name:
  v: Dengue dose 2
use:
  v: out
min:
  v: 0
max:
  v: 1
type:
  v: boolean

name:
  v: Dengue dose 3
use:
  v: out
min:
  v: 0
max:
  v: 1
type:
  v: boolean

name:
  v: Dengue dose 1 Create
use:
  v: out
min:
  v: 0
max:
  v: 1
type:
  v: string

name:
  v: Dengue dose 3 Create
use:
  v: out
min:
  v: 0
max:
  v: 1
type:
  v: string

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

type:
  v: Immunization
profile:
  v: http://hl7.org/fhir/StructureDefinition/Immunization
  l: Immunization
must support:
  v: status
must support:
  v: isSubpotent

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

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: vaccineCode

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

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: vaccineCode

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: vaccineCode

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: 0.2.0

v: IMMZ.D18.S.Dengue schedule

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

v: draft

v: false

v: 2026-03-03T13:07:11+00:00

v: WHO

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

v: IMMZ.D18.S.Dengue schedule CYD-TDV (Dengvaxia), 3-dose schedule

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

title:
  v: Dengue dose 1
description:
  v: Provision of dengue dose 1 Trigger event: No dengue doses from primary series were administered Trigger pseudo: Count of vaccines administered (where "Vaccine type" = "Dengue vaccines" and "Type of dose" = "Primary series") = 0 Trigger date: To be determined by Member States based on vaccination strategy Create condition: Dengue dose 1 should be provided based on vaccination strategy
condition:
  kind:
    v: applicability
  expression:
    description:
      v: Dengue dose 1
    language:
      v: text/cql-identifier
    expression:
      v: Dengue dose 1
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: Dengue dose 1 Create
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' }

title:
  v: Dengue dose 2
description:
  v: Provision of the dengue dose 2 Trigger event: First dengue dose from the primary series was administered Trigger pseudo: Count of vaccines administered (where "Vaccine type" = "Dengue vaccines" and "Type of dose" = "Primary series") = 1 Trigger date: "Date and time of vaccination" (where "Vaccine type" = "Dengue vaccines") Create condition: Dengue dose 2 should be provided if the previous dose was provide more than 6 months ago
condition:
  kind:
    v: applicability
  expression:
    description:
      v: Dengue dose 2
    language:
      v: text/cql-identifier
    expression:
      v: Dengue dose 2
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: Dengue dose 2 Create
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' }

title:
  v: Dengue dose 3
description:
  v: Provision of dengue dose 3 Trigger event: Second dengue dose from the primary series was administered Trigger pseudo: Count of vaccines administered (where "Vaccine type" = "Dengue vaccines" and "Type of dose" = "Primary series") = 2 Trigger date: "Date and time of vaccination" (where "Vaccine type" = "Dengue vaccines") Create condition: Dengue dose 3 should be provided if the previous dose was provide more than 6 months ago
condition:
  kind:
    v: applicability
  expression:
    description:
      v: Dengue dose 3
    language:
      v: text/cql-identifier
    expression:
      v: Dengue dose 3
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: Dengue dose 3 Create
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' }