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 |
<PlanDefinition xmlns="http://hl7.org/fhir">
<id value="IMMZD18SHPVSingleDose"/>
<meta>
<profile
value="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-recommendationdefinition"/>
<profile
value="http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareableplandefinition"/>
<profile
value="http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-publishableplandefinition"/>
</meta>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<div>
<table class="grid dict">
<tr>
<th scope="row"><b>Id: </b></th>
<td style="padding-left: 4px;">IMMZD18SHPVSingleDose</td>
</tr>
<tr>
<th scope="row"><b>Url: </b></th>
<td style="padding-left: 4px;"><a href="PlanDefinition-IMMZD18SHPVSingleDose.html">IMMZ.D18.S.Single-dose schedule</a></td>
</tr>
<tr>
<th scope="row"><b>Version: </b></th>
<td style="padding-left: 4px;">0.2.0</td>
</tr>
<tr>
<th scope="row"><b>Title: </b></th>
<td style="padding-left: 4px;">IMMZ.D18.S.Single-dose schedule</td>
</tr>
<tr>
<th scope="row"><b>Status: </b></th>
<td style="padding-left: 4px;">draft</td>
</tr>
<tr>
<th scope="row"><b>Type: </b></th>
<td style="padding-left: 4px;">
<p style="margin-bottom: 5px;">
<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>
</p>
<p style="margin-bottom: 5px;">
<b>code: </b> <span>eca-rule</span>
</p>
</td>
</tr>
<tr>
<th scope="row"><b>Date: </b></th>
<td style="padding-left: 4px;">2026-03-03 13:07:11+0000</td>
</tr>
<tr>
<th scope="row"><b>Publisher: </b></th>
<td style="padding-left: 4px;">WHO</td>
</tr>
<tr>
<th scope="row"><b>Description: </b></th>
<td style="padding-left: 4px;"><div><p>IMMZ.D18.S.Single-dose schedule
Alternative single-dose schedule</p>
</div></td>
</tr>
<tr>
<th scope="row"><b>Knowledge Capability: </b></th>
<td style="padding-left: 4px;">
computable
</td>
</tr>
<tr>
<th scope="row"><b>Related Artifacts: </b></th>
<td style="padding-left: 4px;">
<p><b>References</b></p>
<ul>
<li><div><p>WHO recommendations for routine immunization - summary tables (January 2025)</p>
</div><br/><a href="null"/></li>
</ul>
</td>
</tr>
<tr>
<th scope="row"><b>Libraries: </b></th>
<td style="padding-left: 4px;">
<table class="grid-dict">
<tr>
<td><a href="Library-IMMZD18SHPVSingleDoseLogic.html">IMMZD18SHPVSingleDoseLogic</a></td>
</tr>
</table>
</td>
</tr>
<tr>
<th scope="row"><b>Actions: </b></th>
<td style="padding-left: 4px;">
<table class="grid-dict">
<tr>
<td>
<b> Human papillomavirus (HPV) dose 1:</b> Provision of the HPV dose 1
Trigger event: Child's birth
Trigger pseudo:
Trigger date: "Date of birth"
Create condition: HPV dose 1 should be provided if the client is older than 9 years of age.
<br/>
<b>If:</b>
<i>Applicability:</i>
Human papillomavirus (HPV) dose 1
<i>(Human papillomavirus (HPV) dose 1)</i>
<br/>
<b>Then:</b> <i>Definition:</i> <a href="ActivityDefinition-IMMZD2DTCR.html">IMMZ.D2.DT.CR</a><br/>
<i>Dynamic Values:</i><br/>
status: <i>('active')</i>
<br/>
payload.contentString: <i>(Human papillomavirus (HPV) dose 1 Create)</i>
<br/>
category.coding: <i>(Code { system: 'http://terminology.hl7.org/CodeSystem/communication-category', code: 'alert' })</i>
<br/>
priority: <i>(Code { system: 'http://hl7.org/fhir/request-priority', code: 'routine' })</i>
<br/>
</td>
</tr>
<tr>
<td>
<b> HPV dose 2 (Immunocompromised or HIV-positive):</b> Provision of the HPV dose 2 for individuals immunocompromised or infected with HIV
Trigger event: First HPV dose from the primary series was administered and client's HIV status is positive or client is immunocompromised
Trigger pseudo: Count of vaccines administered (where "Vaccine type" = "HPV vaccines") = 1 AND ("HIV status" = "HIV-positive" OR "Immunocompromised" = TRUE)
Trigger date: "Date and time of vaccination" (where "Vaccine type" = "HPV vaccines")
Create condition: Individuals known to be immunocompromised or infected with HIV should receive at least two HPV vaccine doses.
<br/>
<b>If:</b>
<i>Applicability:</i>
HPV dose 2 (Immunocompromised or HIV-positive)
<i>(HPV dose 2 (Immunocompromised or HIV-positive))</i>
<br/>
<b>Then:</b> <i>Definition:</i> <a href="ActivityDefinition-IMMZD2DTCR.html">IMMZ.D2.DT.CR</a><br/>
<i>Dynamic Values:</i><br/>
status: <i>('active')</i>
<br/>
payload.contentString: <i>(HPV dose 2 (Immunocompromised or HIV-positive) Create)</i>
<br/>
category.coding: <i>(Code { system: 'http://terminology.hl7.org/CodeSystem/communication-category', code: 'alert' })</i>
<br/>
priority: <i>(Code { system: 'http://hl7.org/fhir/request-priority', code: 'routine' })</i>
<br/>
</td>
</tr>
<tr>
<td>
<b> HPV dose 3 (Immunocompromised or HIV-positive):</b> Provision of the HPV dose 3 for individuals immunocompromised or infected with HIV
Trigger event: Second HPV dose from the primary series was administered and client's HIV status is positive or client is immunocompromised
Trigger pseudo: Count of vaccines administered (where "Vaccine type" = "HPV vaccines") = 2 AND ("HIV status" = "HIV-positive" OR "Immunocompromised" = TRUE)
Trigger date: Latest "Date and time of vaccination" (where "Vaccine type" = "HPV vaccines")
Create condition: Where possible, three HPV doses should be provided to individuals known to be immunocompromised or infected with HIV.
<br/>
<b>If:</b>
<i>Applicability:</i>
HPV dose 3 (Immunocompromised or HIV-positive)
<i>(HPV dose 3 (Immunocompromised or HIV-positive))</i>
<br/>
<b>Then:</b> <i>Definition:</i> <a href="ActivityDefinition-IMMZD2DTCR.html">IMMZ.D2.DT.CR</a><br/>
<i>Dynamic Values:</i><br/>
status: <i>('active')</i>
<br/>
payload.contentString: <i>(HPV dose 3 (Immunocompromised or HIV-positive) Create)</i>
<br/>
category.coding: <i>(Code { system: 'http://terminology.hl7.org/CodeSystem/communication-category', code: 'alert' })</i>
<br/>
priority: <i>(Code { system: 'http://hl7.org/fhir/request-priority', code: 'routine' })</i>
<br/>
</td>
</tr>
</table>
</td>
</tr>
</table>
</div>
</div>
</text>
<contained>
<Library>
<id value="effective-data-requirements"/>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
<valueCoding>
<system
value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
<code value="DE204"/>
<display value="HIV status"/>
</valueCoding>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
<valueCoding>
<system
value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
<code value="DE205"/>
<display value="HIV-positive"/>
</valueCoding>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
<valueCoding>
<system
value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
<code value="DE209"/>
<display value="Immunocompromised"/>
</valueCoding>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZElements"/>
</extension>
<extension url="name">
<valueString value="Doses Administered to Patient"/>
</extension>
<extension url="statement">
<valueString
value="/**
* @dataElement All Doses Administered to Patient
*/
define "Doses Administered to Patient":
[Immunization] I
where I.status = 'completed'
and I.isSubpotent is not true"/>
</extension>
<extension url="displaySequence">
<valueInteger value="0"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZEncounterElements"/>
</extension>
<extension url="name">
<valueString value="Doses Administered to Patient"/>
</extension>
<extension url="statement">
<valueString
value="/**
* @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>
<extension url="displaySequence">
<valueInteger value="1"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTHPVEncounterElements"/>
</extension>
<extension url="name">
<valueString value="HPV Doses Administered to Patient"/>
</extension>
<extension url="statement">
<valueString
value="/*
@internal: HPV containing Doses Administered to Patient
*/
define "HPV Doses Administered to Patient":
Encounter."Doses Administered to Patient" I
where
I.vaccineCode in Concepts."HPV vaccines""/>
</extension>
<extension url="displaySequence">
<valueInteger value="2"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTHPVEncounterElements"/>
</extension>
<extension url="name">
<valueString
value="HPV Primary Series Doses Administered to Patient"/>
</extension>
<extension url="statement">
<valueString
value="/*
@internal: HPV containing Doses Administered to Patient that are in the Primary series
*/
define "HPV Primary Series Doses Administered to Patient":
"HPV Doses Administered to Patient".seriesPrimary()"/>
</extension>
<extension url="displaySequence">
<valueInteger value="3"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTHPVEncounterElements"/>
</extension>
<extension url="name">
<valueString
value="Number of HPV Primary Series Doses Administered"/>
</extension>
<extension url="statement">
<valueString
value="/*
@internal: Number of HPV Primary Series doses
*/
define "Number of HPV Primary Series Doses Administered":
Count("HPV Primary Series Doses Administered to Patient")"/>
</extension>
<extension url="displaySequence">
<valueInteger value="4"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTHPVEncounterElements"/>
</extension>
<extension url="name">
<valueString
value="Two HPV primary series doses were administered"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: Two HPV primary series doses were administered
@pseudocode: Count of vaccines administered (where "Vaccine type" = "HPV vaccines" and "Type of dose" = "Primary series") = 2
@code: Two HPV primary series doses were administered-112
@decision: IMMZ.D2.DT.HPV.2 doses: 2-dose schedule
@decision: IMMZ.D2.DT.HPV.Single dose: Alternative single-dose schedule
*/
define "Two HPV primary series doses were administered":
"Number of HPV Primary Series Doses Administered" = 2"/>
</extension>
<extension url="displaySequence">
<valueInteger value="5"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD18SHPVSingleDoseLogic"/>
</extension>
<extension url="name">
<valueString
value="Second HPV dose from the primary series was administered"/>
</extension>
<extension url="statement">
<valueString
value="/*
@complete: Second HPV dose from the primary series was administered
@pseudocode: Count of vaccines administered (where "Vaccine type" = "HPV vaccines") = 2
*/
define "Second HPV dose from the primary series was administered":
Encounter."Two HPV primary series doses were administered""/>
</extension>
<extension url="displaySequence">
<valueInteger value="6"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZElements"/>
</extension>
<extension url="name">
<valueString value="HIV status Observation"/>
</extension>
<extension url="statement">
<valueString
value="/*
@internal: HIV Status Observation
*/
define "HIV status Observation":
([Observation: Concepts."HIV status"]).complete()"/>
</extension>
<extension url="displaySequence">
<valueInteger value="7"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZEncounterElements"/>
</extension>
<extension url="name">
<valueString value="Client's HIV status is positive"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: Client's HIV status is positive
@pseudocode: "HIV status" = "HIV-positive"
*/
define "Client's HIV status is positive":
exists( (Elements."HIV status Observation".encounterOrOnBefore(EncounterId, Today)) O
where O.value ~ Concepts."HIV-positive" )"/>
</extension>
<extension url="displaySequence">
<valueInteger value="8"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTHPVEncounterElements"/>
</extension>
<extension url="name">
<valueString value="Client's HIV status is positive"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: Client's HIV status is positive
@pseudocode: "HIV status" = "HIV-positive"
@code: Client's HIV status is positive-29
@decision: IMMZ.D2.DT.HPV.2 doses: 2-dose schedule
@decision: IMMZ.D2.DT.HPV.Single dose: Alternative single-dose schedule
*/
define "Client's HIV status is positive":
Encounter."Client's HIV status is positive""/>
</extension>
<extension url="displaySequence">
<valueInteger value="9"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZEncounterElements"/>
</extension>
<extension url="name">
<valueString value="Immunocompromised Observation"/>
</extension>
<extension url="statement">
<valueString
value="/*
@internal: Immunocompromised Observation
*/
define "Immunocompromised Observation":
([Observation: Concepts."Immunocompromised"] O
sort by end of effective.toInterval() desc).complete()"/>
</extension>
<extension url="displaySequence">
<valueInteger value="10"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZEncounterElements"/>
</extension>
<extension url="name">
<valueString value="Client is immunocompromised"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: Client is immunocompromised
@pseudocode: "Immunocompromised" = TRUE
*/
define "Client is immunocompromised":
exists( "Immunocompromised Observation" ) and
First( "Immunocompromised Observation" ).value = true"/>
</extension>
<extension url="displaySequence">
<valueInteger value="11"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTHPVEncounterElements"/>
</extension>
<extension url="name">
<valueString value="Client is immunocompromised"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: Client is immunocompromised
@pseudocode: "Immunocompromised" = TRUE
@code: Client is immunocompromised-26
@decision: IMMZ.D2.DT.HPV.2 doses: 2-dose schedule
@decision: IMMZ.D2.DT.HPV.Single dose: Alternative single-dose schedule
*/
define "Client is immunocompromised":
Encounter."Client is immunocompromised""/>
</extension>
<extension url="displaySequence">
<valueInteger value="12"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTHPVEncounterElements"/>
</extension>
<extension url="name">
<valueString
value="Three HPV primary series doses were administered"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: Three HPV primary series doses were administered
@pseudocode: Count of vaccines administered (where "Vaccine type" = "HPV vaccines" and "Type of dose" = "Primary series") = 3
@code: Three HPV primary series doses were administered-112
@decision: IMMZ.D2.DT.HPV.2 doses: 2-dose schedule
@decision: IMMZ.D2.DT.HPV.Single dose: Alternative single-dose schedule
*/
define "Three HPV primary series doses were administered":
"Number of HPV Primary Series Doses Administered" = 3"/>
</extension>
<extension url="displaySequence">
<valueInteger value="13"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD18SHPVSingleDoseLogic"/>
</extension>
<extension url="name">
<valueString
value="Third HPV dose from the primary series was administered"/>
</extension>
<extension url="statement">
<valueString
value="/*
@complete: Third HPV dose from the primary series was administered
@pseudocode: Count of vaccines administered (where "Vaccine type" = "HPV vaccines") = 3
*/
define "Third HPV dose from the primary series was administered":
Encounter."Three HPV primary series doses were administered""/>
</extension>
<extension url="displaySequence">
<valueInteger value="14"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD18SHPVSingleDoseLogic"/>
</extension>
<extension url="name">
<valueString
value="HPV dose 3 (Immunocompromised or HIV-positive)"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: HPV dose 3 (Immunocompromised or HIV-positive)
@description: Provision of the HPV dose 3 for individuals immunocompromised or infected with HIV
@trigger: Second HPV dose from the primary series was administered and client's HIV status is positive or client is immunocompromised
@pseudo: Count of vaccines administered (where "Vaccine type" = "HPV vaccines") = 2 AND ("HIV status" = "HIV-positive" OR "Immunocompromised" = TRUE)
@triggerDate: Latest "Date and time of vaccination" (where "Vaccine type" = "HPV vaccines")
*/
define "HPV dose 3 (Immunocompromised or HIV-positive)":
"Second HPV dose from the primary series was administered"
and (
Encounter."Client's HIV status is positive"
or Encounter."Client is immunocompromised"
)
and not "Third HPV dose from the primary series was administered""/>
</extension>
<extension url="displaySequence">
<valueInteger value="15"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTHPVEncounterElements"/>
</extension>
<extension url="name">
<valueString value="Date of Latest HPV Dose"/>
</extension>
<extension url="statement">
<valueString
value="/*
@internal: Date of Latest HPV Dose
*/
define "Date of Latest HPV Dose":
date from start of "HPV Doses Administered to Patient".mostRecent().occurrence.toInterval()"/>
</extension>
<extension url="displaySequence">
<valueInteger value="16"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD18SHPVSingleDoseLogic"/>
</extension>
<extension url="name">
<valueString
value="HPV dose 3 (Immunocompromised or HIV-positive) Due Date"/>
</extension>
<extension url="statement">
<valueString
value="/*
@dynamicValue: HPV dose 3 (Immunocompromised or HIV-positive) Due Date
@pseudocode: Latest "Date and time of vaccination" (where "Vaccine type" = "HPV vaccines") + 6 months
*/
define "HPV dose 3 (Immunocompromised or HIV-positive) Due Date":
if "HPV dose 3 (Immunocompromised or HIV-positive)" then Encounter."Date of Latest HPV Dose" + 6 months
else null"/>
</extension>
<extension url="displaySequence">
<valueInteger value="17"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD18SHPVSingleDoseLogic"/>
</extension>
<extension url="name">
<valueString
value="HPV dose 3 (Immunocompromised or HIV-positive) Create"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: HPV dose 3 (Immunocompromised or HIV-positive) Create
@create: Where possible, three HPV doses should be provided to individuals known to be immunocompromised or infected with HIV.
*/
define "HPV dose 3 (Immunocompromised or HIV-positive) Create":
if "HPV dose 3 (Immunocompromised or HIV-positive)"
then 'Where possible, three HPV doses should be provided to individuals known to be immunocompromised or infected with HIV.' + '
Due Date: ' + ToString("HPV dose 3 (Immunocompromised or HIV-positive) Due Date")
else ''"/>
</extension>
<extension url="displaySequence">
<valueInteger value="18"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTHPVEncounterElements"/>
</extension>
<extension url="name">
<valueString value="No HPV primary series doses were administered"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: No HPV primary series doses were administered
@pseudocode: Count of vaccines administered (where "Vaccine type" = "HPV vaccines" and "Type of dose" = "Primary series") = 0
@code: No HPV primary series doses were administered-112
@decision: IMMZ.D2.DT.HPV.2 doses: 2-dose schedule
@decision: IMMZ.D2.DT.HPV.Single dose: Alternative single-dose schedule
*/
define "No HPV primary series doses were administered":
"Number of HPV Primary Series Doses Administered" = 0"/>
</extension>
<extension url="displaySequence">
<valueInteger value="19"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTHPVEncounterElements"/>
</extension>
<extension url="name">
<valueString value="One HPV primary series dose was administered"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: One HPV primary series dose was administered
@pseudocode: Count of vaccines administered (where "Vaccine type" = "HPV vaccines" and "Type of dose" = "Primary series") = 1
@code: One HPV primary series dose was administered-112
@decision: IMMZ.D2.DT.HPV.2 doses: 2-dose schedule
@decision: IMMZ.D2.DT.HPV.Single dose: Alternative single-dose schedule
*/
define "One HPV primary series dose was administered":
"Number of HPV Primary Series Doses Administered" = 1"/>
</extension>
<extension url="displaySequence">
<valueInteger value="20"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD18SHPVSingleDoseLogic"/>
</extension>
<extension url="name">
<valueString
value="First HPV dose from the primary series was administered"/>
</extension>
<extension url="statement">
<valueString
value="/*
@complete: First HPV dose from the primary series was administered
@pseudocode: Count of vaccines administered (where "Vaccine type" = "HPV vaccines") = 1
*/
define "First HPV dose from the primary series was administered":
Encounter."One HPV primary series dose was administered""/>
</extension>
<extension url="displaySequence">
<valueInteger value="21"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD18SHPVSingleDoseLogic"/>
</extension>
<extension url="name">
<valueString value="Human papillomavirus (HPV) dose 1"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Human papillomavirus (HPV) dose 1
@description: Provision of the HPV dose 1
@trigger: Child's birth
@pseudo:
@triggerDate: "Date of birth"
*/
define "Human papillomavirus (HPV) dose 1":
Encounter."No HPV primary series doses were administered"
and not "First HPV dose from the primary series was administered""/>
</extension>
<extension url="displaySequence">
<valueInteger value="22"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD18SHPVSingleDoseLogic"/>
</extension>
<extension url="name">
<valueString value="Human papillomavirus (HPV) dose 1 Due Date"/>
</extension>
<extension url="statement">
<valueString
value="/*
@dynamicValue: Human papillomavirus (HPV) dose 1 Due Date
@pseudocode: "Date of birth" + 9 years
*/
define "Human papillomavirus (HPV) dose 1 Due Date":
if "Human papillomavirus (HPV) dose 1" then Patient.birthDate + 9 years
else null"/>
</extension>
<extension url="displaySequence">
<valueInteger value="23"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD18SHPVSingleDoseLogic"/>
</extension>
<extension url="name">
<valueString value="Human papillomavirus (HPV) dose 1 Overdue"/>
</extension>
<extension url="statement">
<valueString
value="/*
@dynamicValue: Human papillomavirus (HPV) dose 1 Overdue
@pseudocode: "Date of birth" + 20 years
*/
define "Human papillomavirus (HPV) dose 1 Overdue":
if "Human papillomavirus (HPV) dose 1" then Patient.birthDate + 20 years
else null"/>
</extension>
<extension url="displaySequence">
<valueInteger value="24"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD18SHPVSingleDoseLogic"/>
</extension>
<extension url="name">
<valueString value="Human papillomavirus (HPV) dose 1 Create"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Human papillomavirus (HPV) dose 1 Create
@create: HPV dose 1 should be provided if the client is older than 9 years of age.
*/
define "Human papillomavirus (HPV) dose 1 Create":
if "Human papillomavirus (HPV) dose 1"
then 'HPV dose 1 should be provided if the client is older than 9 years of age.' + '
Due Date: ' + ToString("Human papillomavirus (HPV) dose 1 Due Date") + '
Overdue: ' + ToString("Human papillomavirus (HPV) dose 1 Overdue")
else ''"/>
</extension>
<extension url="displaySequence">
<valueInteger value="25"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD18SHPVSingleDoseLogic"/>
</extension>
<extension url="name">
<valueString
value="HPV dose 2 (Immunocompromised or HIV-positive)"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: HPV dose 2 (Immunocompromised or HIV-positive)
@description: Provision of the HPV dose 2 for individuals immunocompromised or infected with HIV
@trigger: First HPV dose from the primary series was administered and client's HIV status is positive or client is immunocompromised
@pseudo: Count of vaccines administered (where "Vaccine type" = "HPV vaccines") = 1 AND ("HIV status" = "HIV-positive" OR "Immunocompromised" = TRUE)
@triggerDate: "Date and time of vaccination" (where "Vaccine type" = "HPV vaccines")
*/
define "HPV dose 2 (Immunocompromised or HIV-positive)":
"First HPV dose from the primary series was administered"
and (
Encounter."Client's HIV status is positive"
or Encounter."Client is immunocompromised"
)
and not "Second HPV dose from the primary series was administered""/>
</extension>
<extension url="displaySequence">
<valueInteger value="26"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD18SHPVSingleDoseLogic"/>
</extension>
<extension url="name">
<valueString
value="HPV dose 2 (Immunocompromised or HIV-positive) Due Date"/>
</extension>
<extension url="statement">
<valueString
value="/*
@dynamicValue: HPV dose 2 (Immunocompromised or HIV-positive) Due Date
@pseudocode: "Date and time of vaccination" (where "Vaccine type" = "HPV vaccines") + 6 months
*/
define "HPV dose 2 (Immunocompromised or HIV-positive) Due Date":
if "HPV dose 2 (Immunocompromised or HIV-positive)" then Encounter."Date of Latest HPV Dose" + 6 months
else null"/>
</extension>
<extension url="displaySequence">
<valueInteger value="27"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD18SHPVSingleDoseLogic"/>
</extension>
<extension url="name">
<valueString
value="HPV dose 2 (Immunocompromised or HIV-positive) Create"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: HPV dose 2 (Immunocompromised or HIV-positive) Create
@create: Individuals known to be immunocompromised or infected with HIV should receive at least two HPV vaccine doses.
*/
define "HPV dose 2 (Immunocompromised or HIV-positive) Create":
if "HPV dose 2 (Immunocompromised or HIV-positive)"
then 'Individuals known to be immunocompromised or infected with HIV should receive at least two HPV vaccine doses.' + '
Due Date: ' + ToString("HPV dose 2 (Immunocompromised or HIV-positive) Due Date")
else ''"/>
</extension>
<extension url="displaySequence">
<valueInteger value="28"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZCommon"/>
</extension>
<extension url="name">
<valueString value="seriesPrimary"/>
</extension>
<extension url="statement">
<valueString
value="/**
* @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>
<extension url="displaySequence">
<valueInteger value="29"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="FHIRHelpers"/>
</extension>
<extension url="name">
<valueString value="ToString"/>
</extension>
<extension url="statement">
<valueString
value="define function ToString(value string): value.value"/>
</extension>
<extension url="displaySequence">
<valueInteger value="30"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="FHIRHelpers"/>
</extension>
<extension url="name">
<valueString value="ToString"/>
</extension>
<extension url="statement">
<valueString
value="define function ToString(value ImmunizationStatus): value.value"/>
</extension>
<extension url="displaySequence">
<valueInteger value="31"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="FHIRHelpers"/>
</extension>
<extension url="name">
<valueString value="ToBoolean"/>
</extension>
<extension url="statement">
<valueString
value="define function ToBoolean(value boolean): value.value"/>
</extension>
<extension url="displaySequence">
<valueInteger value="32"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="FHIRHelpers"/>
</extension>
<extension url="name">
<valueString value="ToConcept"/>
</extension>
<extension url="statement">
<valueString
value="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>
<extension url="displaySequence">
<valueInteger value="33"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="FHIRHelpers"/>
</extension>
<extension url="name">
<valueString value="ToCode"/>
</extension>
<extension url="statement">
<valueString
value="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>
<extension url="displaySequence">
<valueInteger value="34"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZCommon"/>
</extension>
<extension url="name">
<valueString value="encounterOrOnBefore"/>
</extension>
<extension url="statement">
<valueString
value="/**
* @description: Gets observation from an encounter or on or before a date
*/
define fluent function encounterOrOnBefore(observations List<Observation>, EncounterId String, beforeDate Date):
observations O where
(O.encounter.references(EncounterId)
or O.effective.toInterval() starts same day or before beforeDate)"/>
</extension>
<extension url="displaySequence">
<valueInteger value="35"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="WHOCommon"/>
</extension>
<extension url="name">
<valueString value="references"/>
</extension>
<extension url="statement">
<valueString
value="/*
@description: Returns true if the given reference is to the given resourceId
@comment: Returns true if the `resourceId` parameter exactly equals the tail of the given reference.
NOTE: This function assumes resources from the same source server.
*/
define fluent function references(reference FHIR.Reference, resourceId String):
resourceId = Last(Split(reference.reference, '/'))"/>
</extension>
<extension url="displaySequence">
<valueInteger value="36"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="WHOCommon"/>
</extension>
<extension url="name">
<valueString value="complete"/>
</extension>
<extension url="statement">
<valueString
value="define fluent function complete(observations List<Observation>):
observations O where O.status in { 'final', 'amended', 'corrected' }"/>
</extension>
<extension url="displaySequence">
<valueInteger value="37"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="FHIRHelpers"/>
</extension>
<extension url="name">
<valueString value="ToString"/>
</extension>
<extension url="statement">
<valueString
value="define function ToString(value ObservationStatus): value.value"/>
</extension>
<extension url="displaySequence">
<valueInteger value="38"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="WHOCommon"/>
</extension>
<extension url="name">
<valueString value="mostRecent"/>
</extension>
<extension url="statement">
<valueString
value="define fluent function mostRecent(immunizations List<Immunization>):
Last(
immunizations I
sort by start of occurrence.toInterval()
)"/>
</extension>
<extension url="displaySequence">
<valueInteger value="39"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="FHIRHelpers"/>
</extension>
<extension url="name">
<valueString value="ToDate"/>
</extension>
<extension url="statement">
<valueString
value="define function ToDate(value date): value.value"/>
</extension>
<extension url="displaySequence">
<valueInteger value="40"/>
</extension>
</extension>
<name value="EffectiveDataRequirements"/>
<status value="active"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/library-type"/>
<code value="module-definition"/>
</coding>
</type>
<relatedArtifact>
<type value="depends-on"/>
<display value="FHIR model information"/>
<resource
value="http://fhir.org/guides/cqf/common/Library/FHIR-ModelInfo|4.0.1"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Library Encounter"/>
<resource
value="http://smart.who.int/immunizations/Library/IMMZD2DTHPVEncounterElements"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Library Common"/>
<resource
value="http://smart.who.int/immunizations/Library/IMMZCommon"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Library FHIRHelpers"/>
<resource
value="http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Library Encounter"/>
<resource
value="http://smart.who.int/immunizations/Library/IMMZEncounterElements"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Library Elements"/>
<resource
value="http://smart.who.int/immunizations/Library/IMMZElements"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Library WC"/>
<resource
value="http://smart.who.int/immunizations/Library/WHOCommon"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Library FHIRHelpers"/>
<resource
value="http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Library Concepts"/>
<resource
value="http://smart.who.int/immunizations/Library/IMMZConcepts"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Library Common"/>
<resource
value="http://smart.who.int/immunizations/Library/IMMZCommon"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Library WC"/>
<resource
value="http://smart.who.int/immunizations/Library/WHOCommon"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Library Concepts"/>
<resource
value="http://smart.who.int/immunizations/Library/IMMZConcepts"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Library WC"/>
<resource
value="http://smart.who.int/immunizations/Library/WHOCommon"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Code system IMMZD"/>
<resource
value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Value set HPV vaccines"/>
<resource
value="http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE7"/>
</relatedArtifact>
<parameter>
<name value="Today"/>
<use value="in"/>
<min value="0"/>
<max value="1"/>
<type value="date"/>
</parameter>
<parameter>
<name value="EncounterId"/>
<use value="in"/>
<min value="0"/>
<max value="1"/>
<type value="string"/>
</parameter>
<parameter>
<name value="HPV dose 3 (Immunocompromised or HIV-positive) Create"/>
<use value="out"/>
<min value="0"/>
<max value="1"/>
<type value="string"/>
</parameter>
<parameter>
<name value="Human papillomavirus (HPV) dose 1 Create"/>
<use value="out"/>
<min value="0"/>
<max value="1"/>
<type value="string"/>
</parameter>
<parameter>
<name value="HPV dose 2 (Immunocompromised or HIV-positive)"/>
<use value="out"/>
<min value="0"/>
<max value="1"/>
<type value="boolean"/>
</parameter>
<parameter>
<name value="HPV dose 3 (Immunocompromised or HIV-positive)"/>
<use value="out"/>
<min value="0"/>
<max value="1"/>
<type value="boolean"/>
</parameter>
<parameter>
<name value="HPV dose 2 (Immunocompromised or HIV-positive) Create"/>
<use value="out"/>
<min value="0"/>
<max value="1"/>
<type value="string"/>
</parameter>
<parameter>
<name value="Human papillomavirus (HPV) dose 1"/>
<use value="out"/>
<min value="0"/>
<max value="1"/>
<type value="boolean"/>
</parameter>
<dataRequirement>
<type value="Immunization"/>
<profile
value="http://hl7.org/fhir/StructureDefinition/Immunization"/>
<mustSupport value="status"/>
<mustSupport value="isSubpotent"/>
</dataRequirement>
<dataRequirement>
<type value="Immunization"/>
<profile
value="http://hl7.org/fhir/StructureDefinition/Immunization"/>
<mustSupport value="status"/>
<mustSupport value="isSubpotent"/>
<mustSupport value="occurrence"/>
</dataRequirement>
<dataRequirement>
<type value="Immunization"/>
<profile
value="http://hl7.org/fhir/StructureDefinition/Immunization"/>
<mustSupport value="status"/>
<mustSupport value="isSubpotent"/>
<mustSupport value="occurrence"/>
<mustSupport value="vaccineCode"/>
</dataRequirement>
<dataRequirement>
<type value="Observation"/>
<profile value="http://hl7.org/fhir/StructureDefinition/Observation"/>
<mustSupport value="code"/>
<codeFilter>
<path value="code"/>
<code>
<system
value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
<code value="DE204"/>
<display value="HIV status"/>
</code>
</codeFilter>
</dataRequirement>
<dataRequirement>
<type value="Observation"/>
<profile value="http://hl7.org/fhir/StructureDefinition/Observation"/>
<mustSupport value="code"/>
<codeFilter>
<path value="code"/>
<code>
<system
value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
<code value="DE209"/>
<display value="Immunocompromised"/>
</code>
</codeFilter>
</dataRequirement>
<dataRequirement>
<type value="Patient"/>
<profile value="http://hl7.org/fhir/StructureDefinition/Patient"/>
</dataRequirement>
<dataRequirement>
<type value="Immunization"/>
<profile
value="http://hl7.org/fhir/StructureDefinition/Immunization"/>
<mustSupport value="status"/>
<mustSupport value="isSubpotent"/>
<mustSupport value="occurrence"/>
<mustSupport value="vaccineCode"/>
</dataRequirement>
<dataRequirement>
<type value="Immunization"/>
<profile
value="http://hl7.org/fhir/StructureDefinition/Immunization"/>
<mustSupport value="status"/>
<mustSupport value="isSubpotent"/>
<mustSupport value="occurrence"/>
<mustSupport value="vaccineCode"/>
</dataRequirement>
</Library>
</contained>
<extension
url="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeCapability">
<valueCode value="computable"/>
</extension>
<extension
url="http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-effectiveDataRequirements">
<valueCanonical value="#effective-data-requirements"/>
</extension>
<url
value="http://smart.who.int/immunizations/PlanDefinition/IMMZD18SHPVSingleDose"/>
<version value="0.2.0"/>
<name value="IMMZD18SHPVSingleDose"/>
<title value="IMMZ.D18.S.Single-dose schedule"/>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/plan-definition-type"/>
<code value="eca-rule"/>
</coding>
</type>
<status value="draft"/>
<experimental value="false"/>
<date value="2026-03-03T13:07:11+00:00"/>
<publisher value="WHO"/>
<contact>
<name value="WHO"/>
<telecom>
<system value="url"/>
<value value="http://who.int"/>
</telecom>
</contact>
<description
value="IMMZ.D18.S.Single-dose schedule
Alternative single-dose schedule"/>
<relatedArtifact>
<type value="citation"/>
<citation
value="WHO recommendations for routine immunization - summary tables (January 2025)"/>
</relatedArtifact>
<library
value="http://smart.who.int/immunizations/Library/IMMZD18SHPVSingleDoseLogic"/>
<action>
<title value="Human papillomavirus (HPV) dose 1"/>
<description
value="Provision of the HPV dose 1
Trigger event: Child's birth
Trigger pseudo:
Trigger date: "Date of birth"
Create condition: HPV dose 1 should be provided if the client is older than 9 years of age."/>
<condition>
<kind value="applicability"/>
<expression>
<description value="Human papillomavirus (HPV) dose 1"/>
<language value="text/cql-identifier"/>
<expression value="Human papillomavirus (HPV) dose 1"/>
</expression>
</condition>
<definitionCanonical
value="http://smart.who.int/immunizations/ActivityDefinition/IMMZD2DTCR"/>
<dynamicValue>
<path value="status"/>
<expression>
<language value="text/cql-expression"/>
<expression value="'active'"/>
</expression>
</dynamicValue>
<dynamicValue>
<path value="payload.contentString"/>
<expression>
<language value="text/cql-identifier"/>
<expression value="Human papillomavirus (HPV) dose 1 Create"/>
</expression>
</dynamicValue>
<dynamicValue>
<path value="category.coding"/>
<expression>
<description value="Category of communication"/>
<language value="text/cql-expression"/>
<expression
value="Code { system: 'http://terminology.hl7.org/CodeSystem/communication-category', code: 'alert' }"/>
</expression>
</dynamicValue>
<dynamicValue>
<path value="priority"/>
<expression>
<description value="Alert priority"/>
<language value="text/cql-expression"/>
<expression
value="Code { system: 'http://hl7.org/fhir/request-priority', code: 'routine' }"/>
</expression>
</dynamicValue>
</action>
<action>
<title value="HPV dose 2 (Immunocompromised or HIV-positive)"/>
<description
value="Provision of the HPV dose 2 for individuals immunocompromised or infected with HIV
Trigger event: First HPV dose from the primary series was administered and client's HIV status is positive or client is immunocompromised
Trigger pseudo: Count of vaccines administered (where "Vaccine type" = "HPV vaccines") = 1 AND ("HIV status" = "HIV-positive" OR "Immunocompromised" = TRUE)
Trigger date: "Date and time of vaccination" (where "Vaccine type" = "HPV vaccines")
Create condition: Individuals known to be immunocompromised or infected with HIV should receive at least two HPV vaccine doses."/>
<condition>
<kind value="applicability"/>
<expression>
<description value="HPV dose 2 (Immunocompromised or HIV-positive)"/>
<language value="text/cql-identifier"/>
<expression value="HPV dose 2 (Immunocompromised or HIV-positive)"/>
</expression>
</condition>
<definitionCanonical
value="http://smart.who.int/immunizations/ActivityDefinition/IMMZD2DTCR"/>
<dynamicValue>
<path value="status"/>
<expression>
<language value="text/cql-expression"/>
<expression value="'active'"/>
</expression>
</dynamicValue>
<dynamicValue>
<path value="payload.contentString"/>
<expression>
<language value="text/cql-identifier"/>
<expression
value="HPV dose 2 (Immunocompromised or HIV-positive) Create"/>
</expression>
</dynamicValue>
<dynamicValue>
<path value="category.coding"/>
<expression>
<description value="Category of communication"/>
<language value="text/cql-expression"/>
<expression
value="Code { system: 'http://terminology.hl7.org/CodeSystem/communication-category', code: 'alert' }"/>
</expression>
</dynamicValue>
<dynamicValue>
<path value="priority"/>
<expression>
<description value="Alert priority"/>
<language value="text/cql-expression"/>
<expression
value="Code { system: 'http://hl7.org/fhir/request-priority', code: 'routine' }"/>
</expression>
</dynamicValue>
</action>
<action>
<title value="HPV dose 3 (Immunocompromised or HIV-positive)"/>
<description
value="Provision of the HPV dose 3 for individuals immunocompromised or infected with HIV
Trigger event: Second HPV dose from the primary series was administered and client's HIV status is positive or client is immunocompromised
Trigger pseudo: Count of vaccines administered (where "Vaccine type" = "HPV vaccines") = 2 AND ("HIV status" = "HIV-positive" OR "Immunocompromised" = TRUE)
Trigger date: Latest "Date and time of vaccination" (where "Vaccine type" = "HPV vaccines")
Create condition: Where possible, three HPV doses should be provided to individuals known to be immunocompromised or infected with HIV."/>
<condition>
<kind value="applicability"/>
<expression>
<description value="HPV dose 3 (Immunocompromised or HIV-positive)"/>
<language value="text/cql-identifier"/>
<expression value="HPV dose 3 (Immunocompromised or HIV-positive)"/>
</expression>
</condition>
<definitionCanonical
value="http://smart.who.int/immunizations/ActivityDefinition/IMMZD2DTCR"/>
<dynamicValue>
<path value="status"/>
<expression>
<language value="text/cql-expression"/>
<expression value="'active'"/>
</expression>
</dynamicValue>
<dynamicValue>
<path value="payload.contentString"/>
<expression>
<language value="text/cql-identifier"/>
<expression
value="HPV dose 3 (Immunocompromised or HIV-positive) Create"/>
</expression>
</dynamicValue>
<dynamicValue>
<path value="category.coding"/>
<expression>
<description value="Category of communication"/>
<language value="text/cql-expression"/>
<expression
value="Code { system: 'http://terminology.hl7.org/CodeSystem/communication-category', code: 'alert' }"/>
</expression>
</dynamicValue>
<dynamicValue>
<path value="priority"/>
<expression>
<description value="Alert priority"/>
<language value="text/cql-expression"/>
<expression
value="Code { system: 'http://hl7.org/fhir/request-priority', code: 'routine' }"/>
</expression>
</dynamicValue>
</action>
</PlanDefinition>