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/tree/123/merge and changes regularly. See the Directory of published versions
| Draft as of 2026-03-03 |
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"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n<div>\n <table class=\"grid dict\">\n \n <tr>\n <th scope=\"row\"><b>Id: </b></th>\n <td style=\"padding-left: 4px;\">IMMZD18SHPVSingleDose</td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Url: </b></th>\n <td style=\"padding-left: 4px;\"><a href=\"PlanDefinition-IMMZD18SHPVSingleDose.html\">IMMZ.D18.S.Single-dose schedule</a></td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Version: </b></th>\n <td style=\"padding-left: 4px;\">0.2.0</td>\n </tr>\n \n\n \n\n \n <tr>\n <th scope=\"row\"><b>Title: </b></th>\n <td style=\"padding-left: 4px;\">IMMZ.D18.S.Single-dose schedule</td>\n </tr>\n \n\n \n\n \n <tr>\n <th scope=\"row\"><b>Status: </b></th>\n <td style=\"padding-left: 4px;\">draft</td>\n </tr>\n \n\n \n\n \n <tr>\n <th scope=\"row\"><b>Type: </b></th>\n <td style=\"padding-left: 4px;\">\n \n \n \n <p style=\"margin-bottom: 5px;\">\n <b>system: </b> <span><a href=\"http://terminology.hl7.org/7.0.1/CodeSystem-plan-definition-type.html\">http://terminology.hl7.org/CodeSystem/plan-definition-type</a></span>\n </p>\n \n \n <p style=\"margin-bottom: 5px;\">\n <b>code: </b> <span>eca-rule</span>\n </p>\n \n \n \n \n \n </td>\n </tr>\n \n\n \n\n \n <tr>\n <th scope=\"row\"><b>Date: </b></th>\n <td style=\"padding-left: 4px;\">2026-03-03 13:07:11+0000</td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Publisher: </b></th>\n <td style=\"padding-left: 4px;\">WHO</td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Description: </b></th>\n <td style=\"padding-left: 4px;\"><div><p>IMMZ.D18.S.Single-dose schedule\nAlternative single-dose schedule</p>\n</div></td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Knowledge Capability: </b></th>\n <td style=\"padding-left: 4px;\">\n \n computable \n </td>\n </tr>\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n <tr>\n <th scope=\"row\"><b>Related Artifacts: </b></th>\n <td style=\"padding-left: 4px;\">\n \n \n <p><b>References</b></p>\n <ul>\n \n <li><div><p>WHO recommendations for routine immunization - summary tables (January 2025)</p>\n</div><br/><a href=\"null\"/></li>\n \n </ul>\n \n \n \n \n \n \n </td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Libraries: </b></th>\n <td style=\"padding-left: 4px;\">\n <table class=\"grid-dict\">\n \n <tr>\n <td><a href=\"Library-IMMZD18SHPVSingleDoseLogic.html\">IMMZD18SHPVSingleDoseLogic</a></td>\n </tr>\n \n </table>\n </td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Actions: </b></th>\n <td style=\"padding-left: 4px;\">\n <table class=\"grid-dict\">\n \n <tr>\n <td>\n \n <b> Human papillomavirus (HPV) dose 1:</b> Provision of the HPV dose 1\nTrigger event: Child's birth\nTrigger pseudo: \nTrigger date: "Date of birth"\nCreate condition: HPV dose 1 should be provided if the client is older than 9 years of age.\n \n <br/>\n \n \n <b>If:</b>\n \n <i>Applicability:</i>\n \n Human papillomavirus (HPV) dose 1\n \n <i>(Human papillomavirus (HPV) dose 1)</i>\n <br/>\n \n \n \n \n <b>Then:</b> <i>Definition:</i> <a href=\"ActivityDefinition-IMMZD2DTCR.html\">IMMZ.D2.DT.CR</a><br/>\n \n <i>Dynamic Values:</i><br/>\n \n status: <i>('active')</i>\n <br/>\n \n payload.contentString: <i>(Human papillomavirus (HPV) dose 1 Create)</i>\n <br/>\n \n category.coding: <i>(Code { system: 'http://terminology.hl7.org/CodeSystem/communication-category', code: 'alert' })</i>\n <br/>\n \n priority: <i>(Code { system: 'http://hl7.org/fhir/request-priority', code: 'routine' })</i>\n <br/>\n \n \n \n \n </td>\n </tr>\n \n <tr>\n <td>\n \n <b> HPV dose 2 (Immunocompromised or HIV-positive):</b> Provision of the HPV dose 2 for individuals immunocompromised or infected with HIV\nTrigger event: First HPV dose from the primary series was administered and client's HIV status is positive or client is immunocompromised\nTrigger pseudo: Count of vaccines administered (where "Vaccine type" = "HPV vaccines") = 1 AND ("HIV status" = "HIV-positive" OR "Immunocompromised" = TRUE)\nTrigger date: "Date and time of vaccination" (where "Vaccine type" = "HPV vaccines")\nCreate condition: Individuals known to be immunocompromised or infected with HIV should receive at least two HPV vaccine doses.\n \n <br/>\n \n \n <b>If:</b>\n \n <i>Applicability:</i>\n \n HPV dose 2 (Immunocompromised or HIV-positive)\n \n <i>(HPV dose 2 (Immunocompromised or HIV-positive))</i>\n <br/>\n \n \n \n \n <b>Then:</b> <i>Definition:</i> <a href=\"ActivityDefinition-IMMZD2DTCR.html\">IMMZ.D2.DT.CR</a><br/>\n \n <i>Dynamic Values:</i><br/>\n \n status: <i>('active')</i>\n <br/>\n \n payload.contentString: <i>(HPV dose 2 (Immunocompromised or HIV-positive) Create)</i>\n <br/>\n \n category.coding: <i>(Code { system: 'http://terminology.hl7.org/CodeSystem/communication-category', code: 'alert' })</i>\n <br/>\n \n priority: <i>(Code { system: 'http://hl7.org/fhir/request-priority', code: 'routine' })</i>\n <br/>\n \n \n \n \n </td>\n </tr>\n \n <tr>\n <td>\n \n <b> HPV dose 3 (Immunocompromised or HIV-positive):</b> Provision of the HPV dose 3 for individuals immunocompromised or infected with HIV\nTrigger event: Second HPV dose from the primary series was administered and client's HIV status is positive or client is immunocompromised\nTrigger pseudo: Count of vaccines administered (where "Vaccine type" = "HPV vaccines") = 2 AND ("HIV status" = "HIV-positive" OR "Immunocompromised" = TRUE)\nTrigger date: Latest "Date and time of vaccination" (where "Vaccine type" = "HPV vaccines")\nCreate condition: Where possible, three HPV doses should be provided to individuals known to be immunocompromised or infected with HIV.\n \n <br/>\n \n \n <b>If:</b>\n \n <i>Applicability:</i>\n \n HPV dose 3 (Immunocompromised or HIV-positive)\n \n <i>(HPV dose 3 (Immunocompromised or HIV-positive))</i>\n <br/>\n \n \n \n \n <b>Then:</b> <i>Definition:</i> <a href=\"ActivityDefinition-IMMZD2DTCR.html\">IMMZ.D2.DT.CR</a><br/>\n \n <i>Dynamic Values:</i><br/>\n \n status: <i>('active')</i>\n <br/>\n \n payload.contentString: <i>(HPV dose 3 (Immunocompromised or HIV-positive) Create)</i>\n <br/>\n \n category.coding: <i>(Code { system: 'http://terminology.hl7.org/CodeSystem/communication-category', code: 'alert' })</i>\n <br/>\n \n priority: <i>(Code { system: 'http://hl7.org/fhir/request-priority', code: 'routine' })</i>\n <br/>\n \n \n \n \n </td>\n </tr>\n \n </table>\n </td>\n </tr>\n \n </table>\n</div>\n</div>"
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"valueString" : "/**\n * @dataElement All Doses Administered to Patient\n */\ndefine \"Doses Administered to Patient\":\n [Immunization] I\n where I.status = 'completed'\n and I.isSubpotent is not true"
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"valueString" : "/*\n@internal: HPV containing Doses Administered to Patient that are in the Primary series\n*/\ndefine \"HPV Primary Series Doses Administered to Patient\":\n \"HPV Doses Administered to Patient\".seriesPrimary()"
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"valueString" : "/*\n@input: Two HPV primary series doses were administered\n@pseudocode: Count of vaccines administered (where \"Vaccine type\" = \"HPV vaccines\" and \"Type of dose\" = \"Primary series\") = 2\n@code: Two HPV primary series doses were administered-112\n@decision: IMMZ.D2.DT.HPV.2 doses: 2-dose schedule\n@decision: IMMZ.D2.DT.HPV.Single dose: Alternative single-dose schedule\n*/\ndefine \"Two HPV primary series doses were administered\":\n \"Number of HPV Primary Series Doses Administered\" = 2"
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"valueString" : "/*\n@complete: Second HPV dose from the primary series was administered\n@pseudocode: Count of vaccines administered (where \"Vaccine type\" = \"HPV vaccines\") = 2\n*/\ndefine \"Second HPV dose from the primary series was administered\":\n Encounter.\"Two HPV primary series doses were administered\""
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"valueString" : "HIV status Observation"
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"valueString" : "/*\n@internal: HIV Status Observation\n*/\ndefine \"HIV status Observation\":\n ([Observation: Concepts.\"HIV status\"]).complete()"
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"valueInteger" : 7
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"valueString" : "IMMZEncounterElements"
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"valueString" : "Client's HIV status is positive"
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"valueString" : "/*\n@input: Client's HIV status is positive\n@pseudocode: \"HIV status\" = \"HIV-positive\"\n*/\ndefine \"Client's HIV status is positive\":\n exists( (Elements.\"HIV status Observation\".encounterOrOnBefore(EncounterId, Today)) O\n where O.value ~ Concepts.\"HIV-positive\" )"
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"valueString" : "Client's HIV status is positive"
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"valueString" : "/*\n@input: Client's HIV status is positive\n@pseudocode: \"HIV status\" = \"HIV-positive\"\n@code: Client's HIV status is positive-29\n@decision: IMMZ.D2.DT.HPV.2 doses: 2-dose schedule\n@decision: IMMZ.D2.DT.HPV.Single dose: Alternative single-dose schedule\n*/\ndefine \"Client's HIV status is positive\":\n Encounter.\"Client's HIV status is positive\""
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"valueString" : "Immunocompromised Observation"
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"url" : "statement",
"valueString" : "/*\n@internal: Immunocompromised Observation\n*/\ndefine \"Immunocompromised Observation\":\n ([Observation: Concepts.\"Immunocompromised\"] O\n sort by end of effective.toInterval() desc).complete()"
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"valueString" : "/*\n@input: Client is immunocompromised\n@pseudocode: \"Immunocompromised\" = TRUE\n@code: Client is immunocompromised-26\n@decision: IMMZ.D2.DT.HPV.2 doses: 2-dose schedule\n@decision: IMMZ.D2.DT.HPV.Single dose: Alternative single-dose schedule\n*/\ndefine \"Client is immunocompromised\":\n Encounter.\"Client is immunocompromised\""
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"valueString" : "/*\n@input: Three HPV primary series doses were administered\n@pseudocode: Count of vaccines administered (where \"Vaccine type\" = \"HPV vaccines\" and \"Type of dose\" = \"Primary series\") = 3\n@code: Three HPV primary series doses were administered-112\n@decision: IMMZ.D2.DT.HPV.2 doses: 2-dose schedule\n@decision: IMMZ.D2.DT.HPV.Single dose: Alternative single-dose schedule\n*/\ndefine \"Three HPV primary series doses were administered\":\n \"Number of HPV Primary Series Doses Administered\" = 3"
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"valueString" : "IMMZD18SHPVSingleDoseLogic"
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"valueString" : "Third HPV dose from the primary series was administered"
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"url" : "statement",
"valueString" : "/*\n@complete: Third HPV dose from the primary series was administered\n@pseudocode: Count of vaccines administered (where \"Vaccine type\" = \"HPV vaccines\") = 3\n*/\ndefine \"Third HPV dose from the primary series was administered\":\n Encounter.\"Three HPV primary series doses were administered\""
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"url" : "libraryName",
"valueString" : "IMMZD18SHPVSingleDoseLogic"
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"valueString" : "HPV dose 3 (Immunocompromised or HIV-positive)"
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"valueString" : "/*\n@output: HPV dose 3 (Immunocompromised or HIV-positive)\n@description: Provision of the HPV dose 3 for individuals immunocompromised or infected with HIV\n@trigger: Second HPV dose from the primary series was administered and client's HIV status is positive or client is immunocompromised\n@pseudo: Count of vaccines administered (where \"Vaccine type\" = \"HPV vaccines\") = 2 AND (\"HIV status\" = \"HIV-positive\" OR \"Immunocompromised\" = TRUE)\n@triggerDate: Latest \"Date and time of vaccination\" (where \"Vaccine type\" = \"HPV vaccines\")\n*/\ndefine \"HPV dose 3 (Immunocompromised or HIV-positive)\":\n \"Second HPV dose from the primary series was administered\"\n and (\n Encounter.\"Client's HIV status is positive\"\n or Encounter.\"Client is immunocompromised\"\n )\n and not \"Third HPV dose from the primary series was administered\""
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"url" : "libraryName",
"valueString" : "IMMZD2DTHPVEncounterElements"
},
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"url" : "name",
"valueString" : "Date of Latest HPV Dose"
},
{
"url" : "statement",
"valueString" : "/*\n@internal: Date of Latest HPV Dose\n*/\ndefine \"Date of Latest HPV Dose\":\n date from start of \"HPV Doses Administered to Patient\".mostRecent().occurrence.toInterval()"
},
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"extension" : [
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"url" : "libraryName",
"valueString" : "IMMZD18SHPVSingleDoseLogic"
},
{
"url" : "name",
"valueString" : "HPV dose 3 (Immunocompromised or HIV-positive) Due Date"
},
{
"url" : "statement",
"valueString" : "/*\n@dynamicValue: HPV dose 3 (Immunocompromised or HIV-positive) Due Date\n@pseudocode: Latest \"Date and time of vaccination\" (where \"Vaccine type\" = \"HPV vaccines\") + 6 months\n*/\ndefine \"HPV dose 3 (Immunocompromised or HIV-positive) Due Date\":\n if \"HPV dose 3 (Immunocompromised or HIV-positive)\" then Encounter.\"Date of Latest HPV Dose\" + 6 months\n else null"
},
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"valueString" : "IMMZD18SHPVSingleDoseLogic"
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"url" : "name",
"valueString" : "HPV dose 3 (Immunocompromised or HIV-positive) Create"
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"url" : "statement",
"valueString" : "/*\n@output: HPV dose 3 (Immunocompromised or HIV-positive) Create\n@create: Where possible, three HPV doses should be provided to individuals known to be immunocompromised or infected with HIV.\n*/\ndefine \"HPV dose 3 (Immunocompromised or HIV-positive) Create\":\n if \"HPV dose 3 (Immunocompromised or HIV-positive)\"\n then 'Where possible, three HPV doses should be provided to individuals known to be immunocompromised or infected with HIV.' + '\nDue Date: ' + ToString(\"HPV dose 3 (Immunocompromised or HIV-positive) Due Date\")\n else ''"
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"extension" : [
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"url" : "libraryName",
"valueString" : "IMMZD2DTHPVEncounterElements"
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"url" : "name",
"valueString" : "No HPV primary series doses were administered"
},
{
"url" : "statement",
"valueString" : "/*\n@input: No HPV primary series doses were administered\n@pseudocode: Count of vaccines administered (where \"Vaccine type\" = \"HPV vaccines\" and \"Type of dose\" = \"Primary series\") = 0\n@code: No HPV primary series doses were administered-112\n@decision: IMMZ.D2.DT.HPV.2 doses: 2-dose schedule\n@decision: IMMZ.D2.DT.HPV.Single dose: Alternative single-dose schedule\n*/\ndefine \"No HPV primary series doses were administered\":\n \"Number of HPV Primary Series Doses Administered\" = 0"
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{
"url" : "name",
"valueString" : "One HPV primary series dose was administered"
},
{
"url" : "statement",
"valueString" : "/*\n@input: One HPV primary series dose was administered\n@pseudocode: Count of vaccines administered (where \"Vaccine type\" = \"HPV vaccines\" and \"Type of dose\" = \"Primary series\") = 1\n@code: One HPV primary series dose was administered-112\n@decision: IMMZ.D2.DT.HPV.2 doses: 2-dose schedule\n@decision: IMMZ.D2.DT.HPV.Single dose: Alternative single-dose schedule\n*/\ndefine \"One HPV primary series dose was administered\":\n \"Number of HPV Primary Series Doses Administered\" = 1"
},
{
"url" : "displaySequence",
"valueInteger" : 20
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD18SHPVSingleDoseLogic"
},
{
"url" : "name",
"valueString" : "First HPV dose from the primary series was administered"
},
{
"url" : "statement",
"valueString" : "/*\n@complete: First HPV dose from the primary series was administered\n@pseudocode: Count of vaccines administered (where \"Vaccine type\" = \"HPV vaccines\") = 1\n*/\ndefine \"First HPV dose from the primary series was administered\":\n Encounter.\"One HPV primary series dose was administered\""
},
{
"url" : "displaySequence",
"valueInteger" : 21
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD18SHPVSingleDoseLogic"
},
{
"url" : "name",
"valueString" : "Human papillomavirus (HPV) dose 1"
},
{
"url" : "statement",
"valueString" : "/*\n@output: Human papillomavirus (HPV) dose 1\n@description: Provision of the HPV dose 1\n@trigger: Child's birth\n@pseudo: \n@triggerDate: \"Date of birth\"\n*/\ndefine \"Human papillomavirus (HPV) dose 1\":\n Encounter.\"No HPV primary series doses were administered\"\n and not \"First HPV dose from the primary series was administered\""
},
{
"url" : "displaySequence",
"valueInteger" : 22
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD18SHPVSingleDoseLogic"
},
{
"url" : "name",
"valueString" : "Human papillomavirus (HPV) dose 1 Due Date"
},
{
"url" : "statement",
"valueString" : "/*\n@dynamicValue: Human papillomavirus (HPV) dose 1 Due Date\n@pseudocode: \"Date of birth\" + 9 years\n*/\ndefine \"Human papillomavirus (HPV) dose 1 Due Date\":\n if \"Human papillomavirus (HPV) dose 1\" then Patient.birthDate + 9 years\n else null"
},
{
"url" : "displaySequence",
"valueInteger" : 23
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD18SHPVSingleDoseLogic"
},
{
"url" : "name",
"valueString" : "Human papillomavirus (HPV) dose 1 Overdue"
},
{
"url" : "statement",
"valueString" : "/*\n@dynamicValue: Human papillomavirus (HPV) dose 1 Overdue\n@pseudocode: \"Date of birth\" + 20 years\n*/\ndefine \"Human papillomavirus (HPV) dose 1 Overdue\":\n if \"Human papillomavirus (HPV) dose 1\" then Patient.birthDate + 20 years\n else null"
},
{
"url" : "displaySequence",
"valueInteger" : 24
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD18SHPVSingleDoseLogic"
},
{
"url" : "name",
"valueString" : "Human papillomavirus (HPV) dose 1 Create"
},
{
"url" : "statement",
"valueString" : "/*\n@output: Human papillomavirus (HPV) dose 1 Create\n@create: HPV dose 1 should be provided if the client is older than 9 years of age.\n*/\ndefine \"Human papillomavirus (HPV) dose 1 Create\":\n if \"Human papillomavirus (HPV) dose 1\"\n then 'HPV dose 1 should be provided if the client is older than 9 years of age.' + '\nDue Date: ' + ToString(\"Human papillomavirus (HPV) dose 1 Due Date\") + '\nOverdue: ' + ToString(\"Human papillomavirus (HPV) dose 1 Overdue\")\n else ''"
},
{
"url" : "displaySequence",
"valueInteger" : 25
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD18SHPVSingleDoseLogic"
},
{
"url" : "name",
"valueString" : "HPV dose 2 (Immunocompromised or HIV-positive)"
},
{
"url" : "statement",
"valueString" : "/*\n@output: HPV dose 2 (Immunocompromised or HIV-positive)\n@description: Provision of the HPV dose 2 for individuals immunocompromised or infected with HIV\n@trigger: First HPV dose from the primary series was administered and client's HIV status is positive or client is immunocompromised\n@pseudo: Count of vaccines administered (where \"Vaccine type\" = \"HPV vaccines\") = 1 AND (\"HIV status\" = \"HIV-positive\" OR \"Immunocompromised\" = TRUE)\n@triggerDate: \"Date and time of vaccination\" (where \"Vaccine type\" = \"HPV vaccines\")\n*/\ndefine \"HPV dose 2 (Immunocompromised or HIV-positive)\":\n \"First HPV dose from the primary series was administered\"\n and (\n Encounter.\"Client's HIV status is positive\"\n or Encounter.\"Client is immunocompromised\"\n )\n and not \"Second HPV dose from the primary series was administered\""
},
{
"url" : "displaySequence",
"valueInteger" : 26
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD18SHPVSingleDoseLogic"
},
{
"url" : "name",
"valueString" : "HPV dose 2 (Immunocompromised or HIV-positive) Due Date"
},
{
"url" : "statement",
"valueString" : "/*\n@dynamicValue: HPV dose 2 (Immunocompromised or HIV-positive) Due Date\n@pseudocode: \"Date and time of vaccination\" (where \"Vaccine type\" = \"HPV vaccines\") + 6 months\n*/\ndefine \"HPV dose 2 (Immunocompromised or HIV-positive) Due Date\":\n if \"HPV dose 2 (Immunocompromised or HIV-positive)\" then Encounter.\"Date of Latest HPV Dose\" + 6 months\n else null"
},
{
"url" : "displaySequence",
"valueInteger" : 27
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD18SHPVSingleDoseLogic"
},
{
"url" : "name",
"valueString" : "HPV dose 2 (Immunocompromised or HIV-positive) Create"
},
{
"url" : "statement",
"valueString" : "/*\n@output: HPV dose 2 (Immunocompromised or HIV-positive) Create\n@create: Individuals known to be immunocompromised or infected with HIV should receive at least two HPV vaccine doses.\n*/\ndefine \"HPV dose 2 (Immunocompromised or HIV-positive) Create\":\n if \"HPV dose 2 (Immunocompromised or HIV-positive)\"\n then 'Individuals known to be immunocompromised or infected with HIV should receive at least two HPV vaccine doses.' + '\nDue Date: ' + ToString(\"HPV dose 2 (Immunocompromised or HIV-positive) Due Date\")\n else ''"
},
{
"url" : "displaySequence",
"valueInteger" : 28
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZCommon"
},
{
"url" : "name",
"valueString" : "seriesPrimary"
},
{
"url" : "statement",
"valueString" : "/**\n * @description: Gets the doses from the primary series\n */\ndefine fluent function seriesPrimary(immunizations List<Immunization>):\n immunizations I where\n exists( I.protocolApplied pa where pa.series = 'Primary series' )"
},
{
"url" : "displaySequence",
"valueInteger" : 29
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "FHIRHelpers"
},
{
"url" : "name",
"valueString" : "ToString"
},
{
"url" : "statement",
"valueString" : "define function ToString(value string): value.value"
},
{
"url" : "displaySequence",
"valueInteger" : 30
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "FHIRHelpers"
},
{
"url" : "name",
"valueString" : "ToString"
},
{
"url" : "statement",
"valueString" : "define function ToString(value ImmunizationStatus): value.value"
},
{
"url" : "displaySequence",
"valueInteger" : 31
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "FHIRHelpers"
},
{
"url" : "name",
"valueString" : "ToBoolean"
},
{
"url" : "statement",
"valueString" : "define function ToBoolean(value boolean): value.value"
},
{
"url" : "displaySequence",
"valueInteger" : 32
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "FHIRHelpers"
},
{
"url" : "name",
"valueString" : "ToConcept"
},
{
"url" : "statement",
"valueString" : "define function ToConcept(concept FHIR.CodeableConcept):\n if concept is null then\n null\n else\n System.Concept {\n codes: concept.coding C return ToCode(C),\n display: concept.text.value\n }"
},
{
"url" : "displaySequence",
"valueInteger" : 33
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "FHIRHelpers"
},
{
"url" : "name",
"valueString" : "ToCode"
},
{
"url" : "statement",
"valueString" : "define function ToCode(coding FHIR.Coding):\n if coding is null then\n null\n else\n System.Code {\n code: coding.code.value,\n system: coding.system.value,\n version: coding.version.value,\n display: coding.display.value\n }"
},
{
"url" : "displaySequence",
"valueInteger" : 34
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZCommon"
},
{
"url" : "name",
"valueString" : "encounterOrOnBefore"
},
{
"url" : "statement",
"valueString" : "/**\n * @description: Gets observation from an encounter or on or before a date\n */\ndefine fluent function encounterOrOnBefore(observations List<Observation>, EncounterId String, beforeDate Date):\n observations O where\n (O.encounter.references(EncounterId)\n or O.effective.toInterval() starts same day or before beforeDate)"
},
{
"url" : "displaySequence",
"valueInteger" : 35
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "WHOCommon"
},
{
"url" : "name",
"valueString" : "references"
},
{
"url" : "statement",
"valueString" : "/*\n@description: Returns true if the given reference is to the given resourceId\n@comment: Returns true if the `resourceId` parameter exactly equals the tail of the given reference.\nNOTE: This function assumes resources from the same source server.\n*/\ndefine fluent function references(reference FHIR.Reference, resourceId String):\n resourceId = Last(Split(reference.reference, '/'))"
},
{
"url" : "displaySequence",
"valueInteger" : 36
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "WHOCommon"
},
{
"url" : "name",
"valueString" : "complete"
},
{
"url" : "statement",
"valueString" : "define fluent function complete(observations List<Observation>):\n observations O where O.status in { 'final', 'amended', 'corrected' }"
},
{
"url" : "displaySequence",
"valueInteger" : 37
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "FHIRHelpers"
},
{
"url" : "name",
"valueString" : "ToString"
},
{
"url" : "statement",
"valueString" : "define function ToString(value ObservationStatus): value.value"
},
{
"url" : "displaySequence",
"valueInteger" : 38
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "WHOCommon"
},
{
"url" : "name",
"valueString" : "mostRecent"
},
{
"url" : "statement",
"valueString" : "define fluent function mostRecent(immunizations List<Immunization>):\n Last(\n immunizations I\n sort by start of occurrence.toInterval()\n )"
},
{
"url" : "displaySequence",
"valueInteger" : 39
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "FHIRHelpers"
},
{
"url" : "name",
"valueString" : "ToDate"
},
{
"url" : "statement",
"valueString" : "define function ToDate(value date): value.value"
},
{
"url" : "displaySequence",
"valueInteger" : 40
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
}
],
"name" : "EffectiveDataRequirements",
"status" : "active",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/library-type",
"code" : "module-definition"
}
]
},
"relatedArtifact" : [
{
"type" : "depends-on",
"display" : "FHIR model information",
"resource" : "http://fhir.org/guides/cqf/common/Library/FHIR-ModelInfo|4.0.1"
},
{
"type" : "depends-on",
"display" : "Library Encounter",
"resource" : "http://smart.who.int/immunizations/Library/IMMZD2DTHPVEncounterElements"
},
{
"type" : "depends-on",
"display" : "Library Common",
"resource" : "http://smart.who.int/immunizations/Library/IMMZCommon"
},
{
"type" : "depends-on",
"display" : "Library FHIRHelpers",
"resource" : "http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1"
},
{
"type" : "depends-on",
"display" : "Library Encounter",
"resource" : "http://smart.who.int/immunizations/Library/IMMZEncounterElements"
},
{
"type" : "depends-on",
"display" : "Library Elements",
"resource" : "http://smart.who.int/immunizations/Library/IMMZElements"
},
{
"type" : "depends-on",
"display" : "Library WC",
"resource" : "http://smart.who.int/immunizations/Library/WHOCommon"
},
{
"type" : "depends-on",
"display" : "Library FHIRHelpers",
"resource" : "http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1"
},
{
"type" : "depends-on",
"display" : "Library Concepts",
"resource" : "http://smart.who.int/immunizations/Library/IMMZConcepts"
},
{
"type" : "depends-on",
"display" : "Library Common",
"resource" : "http://smart.who.int/immunizations/Library/IMMZCommon"
},
{
"type" : "depends-on",
"display" : "Library WC",
"resource" : "http://smart.who.int/immunizations/Library/WHOCommon"
},
{
"type" : "depends-on",
"display" : "Library Concepts",
"resource" : "http://smart.who.int/immunizations/Library/IMMZConcepts"
},
{
"type" : "depends-on",
"display" : "Library WC",
"resource" : "http://smart.who.int/immunizations/Library/WHOCommon"
},
{
"type" : "depends-on",
"display" : "Code system IMMZD",
"resource" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D"
},
{
"type" : "depends-on",
"display" : "Value set HPV vaccines",
"resource" : "http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE7"
}
],
"parameter" : [
{
"name" : "Today",
"use" : "in",
"min" : 0,
"max" : "1",
"type" : "date"
},
{
"name" : "EncounterId",
"use" : "in",
"min" : 0,
"max" : "1",
"type" : "string"
},
{
"name" : "HPV dose 3 (Immunocompromised or HIV-positive) Create",
"use" : "out",
"min" : 0,
"max" : "1",
"type" : "string"
},
{
"name" : "Human papillomavirus (HPV) dose 1 Create",
"use" : "out",
"min" : 0,
"max" : "1",
"type" : "string"
},
{
"name" : "HPV dose 2 (Immunocompromised or HIV-positive)",
"use" : "out",
"min" : 0,
"max" : "1",
"type" : "boolean"
},
{
"name" : "HPV dose 3 (Immunocompromised or HIV-positive)",
"use" : "out",
"min" : 0,
"max" : "1",
"type" : "boolean"
},
{
"name" : "HPV dose 2 (Immunocompromised or HIV-positive) Create",
"use" : "out",
"min" : 0,
"max" : "1",
"type" : "string"
},
{
"name" : "Human papillomavirus (HPV) dose 1",
"use" : "out",
"min" : 0,
"max" : "1",
"type" : "boolean"
}
],
"dataRequirement" : [
{
"type" : "Immunization",
"profile" : [
🔗 "http://hl7.org/fhir/StructureDefinition/Immunization"
],
"mustSupport" : [
"status",
"isSubpotent"
]
},
{
"type" : "Immunization",
"profile" : [
🔗 "http://hl7.org/fhir/StructureDefinition/Immunization"
],
"mustSupport" : [
"status",
"isSubpotent",
"occurrence"
]
},
{
"type" : "Immunization",
"profile" : [
🔗 "http://hl7.org/fhir/StructureDefinition/Immunization"
],
"mustSupport" : [
"status",
"isSubpotent",
"occurrence",
"vaccineCode"
]
},
{
"type" : "Observation",
"profile" : [
🔗 "http://hl7.org/fhir/StructureDefinition/Observation"
],
"mustSupport" : [
"code"
],
"codeFilter" : [
{
"path" : "code",
"code" : [
{
"system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code" : "DE204",
"display" : "HIV status"
}
]
}
]
},
{
"type" : "Observation",
"profile" : [
🔗 "http://hl7.org/fhir/StructureDefinition/Observation"
],
"mustSupport" : [
"code"
],
"codeFilter" : [
{
"path" : "code",
"code" : [
{
"system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code" : "DE209",
"display" : "Immunocompromised"
}
]
}
]
},
{
"type" : "Patient",
"profile" : [
🔗 "http://hl7.org/fhir/StructureDefinition/Patient"
]
},
{
"type" : "Immunization",
"profile" : [
🔗 "http://hl7.org/fhir/StructureDefinition/Immunization"
],
"mustSupport" : [
"status",
"isSubpotent",
"occurrence",
"vaccineCode"
]
},
{
"type" : "Immunization",
"profile" : [
🔗 "http://hl7.org/fhir/StructureDefinition/Immunization"
],
"mustSupport" : [
"status",
"isSubpotent",
"occurrence",
"vaccineCode"
]
}
]
}
],
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeCapability",
"valueCode" : "computable"
},
{
"url" : "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-effectiveDataRequirements",
"valueCanonical" : "#effective-data-requirements"
}
],
"url" : "http://smart.who.int/immunizations/PlanDefinition/IMMZD18SHPVSingleDose",
"version" : "0.2.0",
"name" : "IMMZD18SHPVSingleDose",
"title" : "IMMZ.D18.S.Single-dose schedule",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/plan-definition-type",
"code" : "eca-rule"
}
]
},
"status" : "draft",
"experimental" : false,
"date" : "2026-03-03T13:07:11+00:00",
"publisher" : "WHO",
"contact" : [
{
"name" : "WHO",
"telecom" : [
{
"system" : "url",
"value" : "http://who.int"
}
]
}
],
"description" : "IMMZ.D18.S.Single-dose schedule\nAlternative single-dose schedule",
"relatedArtifact" : [
{
"type" : "citation",
"citation" : "WHO recommendations for routine immunization - summary tables (January 2025)"
}
],
"library" : [
🔗 "http://smart.who.int/immunizations/Library/IMMZD18SHPVSingleDoseLogic"
],
"action" : [
{
"title" : "Human papillomavirus (HPV) dose 1",
"description" : "Provision of the HPV dose 1\nTrigger event: Child's birth\nTrigger pseudo: \nTrigger date: \"Date of birth\"\nCreate condition: HPV dose 1 should be provided if the client is older than 9 years of age.",
"condition" : [
{
"kind" : "applicability",
"expression" : {
"description" : "Human papillomavirus (HPV) dose 1",
"language" : "text/cql-identifier",
"expression" : "Human papillomavirus (HPV) dose 1"
}
}
],
"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" : "Human papillomavirus (HPV) dose 1 Create"
}
},
{
"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' }"
}
}
]
},
{
"title" : "HPV dose 2 (Immunocompromised or HIV-positive)",
"description" : "Provision of the HPV dose 2 for individuals immunocompromised or infected with HIV\nTrigger event: First HPV dose from the primary series was administered and client's HIV status is positive or client is immunocompromised\nTrigger pseudo: Count of vaccines administered (where \"Vaccine type\" = \"HPV vaccines\") = 1 AND (\"HIV status\" = \"HIV-positive\" OR \"Immunocompromised\" = TRUE)\nTrigger date: \"Date and time of vaccination\" (where \"Vaccine type\" = \"HPV vaccines\")\nCreate condition: Individuals known to be immunocompromised or infected with HIV should receive at least two HPV vaccine doses.",
"condition" : [
{
"kind" : "applicability",
"expression" : {
"description" : "HPV dose 2 (Immunocompromised or HIV-positive)",
"language" : "text/cql-identifier",
"expression" : "HPV dose 2 (Immunocompromised or HIV-positive)"
}
}
],
"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" : "HPV dose 2 (Immunocompromised or HIV-positive) Create"
}
},
{
"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' }"
}
}
]
},
{
"title" : "HPV dose 3 (Immunocompromised or HIV-positive)",
"description" : "Provision of the HPV dose 3 for individuals immunocompromised or infected with HIV\nTrigger event: Second HPV dose from the primary series was administered and client's HIV status is positive or client is immunocompromised\nTrigger pseudo: Count of vaccines administered (where \"Vaccine type\" = \"HPV vaccines\") = 2 AND (\"HIV status\" = \"HIV-positive\" OR \"Immunocompromised\" = TRUE)\nTrigger date: Latest \"Date and time of vaccination\" (where \"Vaccine type\" = \"HPV vaccines\")\nCreate condition: Where possible, three HPV doses should be provided to individuals known to be immunocompromised or infected with HIV.",
"condition" : [
{
"kind" : "applicability",
"expression" : {
"description" : "HPV dose 3 (Immunocompromised or HIV-positive)",
"language" : "text/cql-identifier",
"expression" : "HPV dose 3 (Immunocompromised or HIV-positive)"
}
}
],
"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" : "HPV dose 3 (Immunocompromised or HIV-positive) Create"
}
},
{
"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' }"
}
}
]
}
]
}