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="IMMZD2DTBCG"/>
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value="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-recommendationdefinition"/>
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<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;">IMMZD2DTBCG</td>
</tr>
<tr>
<th scope="row"><b>Url: </b></th>
<td style="padding-left: 4px;"><a href="PlanDefinition-IMMZD2DTBCG.html">IMMZ.D2.DT.BCG</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.D2.DT.BCG</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.D2.DT.BCG
IMMZ.D2.DT.BCG</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-IMMZD2DTBCGLogic.html">IMMZD2DTBCGLogic</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> Determine if the client is due for BCG.:</b> Determine if the client is due for BCG vaccine according to the national immunization protocol.
<br/>
<b>If:</b>
<i>Applicability:</i>
Client is due for BCG vaccination
<i>(Client is due for BCG vaccination)</i>
<br/>
<b>Then:</b> <i>Definition:</i> <a href="ActivityDefinition-IMMZD2DTMR.html">IMMZD2DTMR</a><br/>
<i>Dynamic Values:</i><br/>
status: <i>('draft')</i>
<br/>
intent: <i>('proposal')</i>
<br/>
medication: <i>(Concept { codes: { Code { system: 'http://smart.who.int/immunizations/CodeSystem/IMMZ.Z', code: 'DE1', display: 'BCG vaccines' } }, display: 'BCG vaccines' })</i>
<br/>
</td>
</tr>
<tr>
<td>
<b> Check for Guidance for the patient regarding IMMZ.D2.DT.BCG.:</b> Show Guidance for the patient regarding IMMZ.D2.DT.BCG.
<br/>
<b>If:</b>
<i>Applicability:</i>
Has Guidance
<i>(Has Guidance)</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>(Guidance)</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="DE210"/>
<display value="Currently on ART"/>
</valueCoding>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
<valueCoding>
<system
value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
<code value="DE249"/>
<display value="Immunologically stable"/>
</valueCoding>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
<valueCoding>
<system
value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
<code value="DE246"/>
<display value="TB infection test result"/>
</valueCoding>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
<valueCoding>
<system
value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
<code value="DE248"/>
<display value="Negative"/>
</valueCoding>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
<valueCoding>
<system
value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
<code value="DE250"/>
<display value="Clinically well"/>
</valueCoding>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
<valueCoding>
<system
value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
<code value="DE247"/>
<display value="Positive"/>
</valueCoding>
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<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="IMMZD2DTBCGElements"/>
</extension>
<extension url="name">
<valueString value="BCG Doses Administered to Patient"/>
</extension>
<extension url="statement">
<valueString
value="/*
@internal: BCG containing Doses Administered to Patient
*/
define "BCG Doses Administered to Patient":
Elements."Doses Administered to Patient" I
where
I.vaccineCode in Concepts."BCG vaccines""/>
</extension>
<extension url="displaySequence">
<valueInteger value="1"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTBCGElements"/>
</extension>
<extension url="name">
<valueString
value="BCG Primary Series Doses Administered to Patient"/>
</extension>
<extension url="statement">
<valueString
value="/*
@internal: BCG containing Doses Administered to Patient that are in the Primary series
*/
define "BCG Primary Series Doses Administered to Patient":
"BCG Doses Administered to Patient".seriesPrimary()"/>
</extension>
<extension url="displaySequence">
<valueInteger value="2"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTBCGEncounterElements"/>
</extension>
<extension url="name">
<valueString
value="BCG Primary Series Doses Administered to Patient"/>
</extension>
<extension url="statement">
<valueString
value="/*
@internal: BCG containing Doses Administered to Patient that are in the Primary series
*/
define "BCG Primary Series Doses Administered to Patient":
BCGElements."BCG Primary Series Doses Administered to Patient".onOrBefore(Today)"/>
</extension>
<extension url="displaySequence">
<valueInteger value="3"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTBCGEncounterElements"/>
</extension>
<extension url="name">
<valueString
value="Number of BCG Primary Series Doses Administered"/>
</extension>
<extension url="statement">
<valueString
value="/*
@internal: Number of BCG Primary Series doses
*/
define "Number of BCG Primary Series Doses Administered":
Count("BCG 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="IMMZD2DTBCGEncounterElements"/>
</extension>
<extension url="name">
<valueString value="No BCG primary series dose was administered"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: No BCG primary series dose was administered
@pseudocode: Count of vaccines administered (where "Vaccine type" = "BCG vaccines" and "Type of dose" = "Primary series") = 0
@code: No BCG primary series dose was administered-112
@decision: IMMZ.D2.DT.BCG
*/
define "No BCG primary series dose was administered":
"Number of BCG Primary Series Doses Administered" = 0"/>
</extension>
<extension url="displaySequence">
<valueInteger value="5"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZEncounterElements"/>
</extension>
<extension url="name">
<valueString value="Current Patient Age In Days"/>
</extension>
<extension url="statement">
<valueString
value="/**
* @dataElement Patient age in days
*/
define "Current Patient Age In Days":
AgeInDaysAt(Today)"/>
</extension>
<extension url="displaySequence">
<valueInteger value="6"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTBCGEncounterElements"/>
</extension>
<extension url="name">
<valueString value="Client's age is less than or equal to 28 days"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: Client's age is less than or equal to 28 days
@pseudocode: Today's date − "Date of birth" ≤ 28 days
@code: Client's age is less than or equal to 28 days-40
@decision: IMMZ.D2.DT.BCG
*/
define "Client's age is less than or equal to 28 days":
Encounter."Current Patient Age In Days" <= 28"/>
</extension>
<extension url="displaySequence">
<valueInteger value="7"/>
</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="8"/>
</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="9"/>
</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 negative or unknown"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: Client's HIV status is negative or unknown
@pseudocode: "HIV status" ≠ "HIV-positive"
*/
define "Client's HIV status is negative or unknown":
not "Client's HIV status is positive""/>
</extension>
<extension url="displaySequence">
<valueInteger value="10"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTBCGEncounterElements"/>
</extension>
<extension url="name">
<valueString value="Client's HIV status is negative or unknown"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: Client's HIV status is negative or unknown
@pseudocode: "HIV status" ≠ "HIV-positive"
@code: Client's HIV status is negative or unknown-29
@decision: IMMZ.D2.DT.BCG
*/
define "Client's HIV status is negative or unknown":
Encounter."Client's HIV status is negative or unknown""/>
</extension>
<extension url="displaySequence">
<valueInteger value="11"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZElements"/>
</extension>
<extension url="name">
<valueString value="Live Attenuated Vaccines"/>
</extension>
<extension url="statement">
<valueString
value="/*
@dataElement: Live attenuated vaccines
*/
define "Live Attenuated Vaccines":
"Doses Administered to Patient" I
where I.vaccineCode in Concepts."Live Attenuated""/>
</extension>
<extension url="displaySequence">
<valueInteger value="12"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZEncounterElements"/>
</extension>
<extension url="name">
<valueString value="Live Attenuated Vaccines"/>
</extension>
<extension url="statement">
<valueString
value="/*
@dataElement Live attenuated vaccines
*/
define "Live Attenuated Vaccines":
Elements."Live Attenuated Vaccines" I
where I.occurrence.toInterval() same day or before Today"/>
</extension>
<extension url="displaySequence">
<valueInteger value="13"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZEncounterElements"/>
</extension>
<extension url="name">
<valueString value="No live vaccine was administered"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: No live vaccine was administered
@pseudocode: Today's date − latest "Date and time of vaccination" (where "Live vaccine" = TRUE) IS NULL
*/
define "No live vaccine was administered":
not exists("Live Attenuated Vaccines")"/>
</extension>
<extension url="displaySequence">
<valueInteger value="14"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTBCGEncounterElements"/>
</extension>
<extension url="name">
<valueString value="No live vaccine was administered"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: No live vaccine was administered
@pseudocode: Today's date − latest "Date and time of vaccination" (where "Live vaccine" = TRUE) IS NULL
@code: No live vaccine was administered-90
@decision: IMMZ.D2.DT.BCG
*/
define "No live vaccine was administered":
Encounter."No live vaccine 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="IMMZD2DTBCGLogic"/>
</extension>
<extension url="name">
<valueString value="Client is due for BCG vaccination Case 1"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Client is due for BCG vaccination Case 1
@pseudocode: "Immunization recommendation status" = "Due"
*/
define "Client is due for BCG vaccination Case 1":
Encounter."No BCG primary series dose was administered"
and Encounter."Client's age is less than or equal to 28 days"
and Encounter."Client's HIV status is negative or unknown"
and Encounter."No live vaccine was administered""/>
</extension>
<extension url="displaySequence">
<valueInteger value="16"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTBCGEncounterElements"/>
</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.BCG
*/
define "Client's HIV status is positive":
Encounter."Client's HIV status is positive""/>
</extension>
<extension url="displaySequence">
<valueInteger value="17"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZElements"/>
</extension>
<extension url="name">
<valueString value="Currently on ART Observation"/>
</extension>
<extension url="statement">
<valueString
value="/*
@internal: Currently on ART Observation
*/
define "Currently on ART Observation":
([Observation: Concepts."Currently on ART"] O
sort by end of effective.toInterval() desc).complete()"/>
</extension>
<extension url="displaySequence">
<valueInteger value="18"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZEncounterElements"/>
</extension>
<extension url="name">
<valueString value="Currently on ART Observation"/>
</extension>
<extension url="statement">
<valueString
value="/*
@internal: Currently on ART Observation
*/
define "Currently on ART Observation":
Elements."Currently on ART Observation".encounterOrOnBefore(EncounterId, Today).mostRecent()"/>
</extension>
<extension url="displaySequence">
<valueInteger value="19"/>
</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 currently receiving antiretroviral therapy"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: Client is currently receiving antiretroviral therapy
@pseudocode: "Currently on ART" = TRUE
*/
define "Client is currently receiving antiretroviral therapy":
"Currently on ART Observation" is not null
and "Currently on ART Observation".value = true"/>
</extension>
<extension url="displaySequence">
<valueInteger value="20"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTBCGEncounterElements"/>
</extension>
<extension url="name">
<valueString
value="Client is currently receiving antiretroviral therapy"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: Client is currently receiving antiretroviral therapy
@pseudocode: "Currently on ART" = TRUE
@code: Client is currently receiving antiretroviral therapy-25
@decision: IMMZ.D2.DT.BCG
*/
define "Client is currently receiving antiretroviral therapy":
Encounter."Client is currently receiving antiretroviral therapy""/>
</extension>
<extension url="displaySequence">
<valueInteger value="21"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZElements"/>
</extension>
<extension url="name">
<valueString value="Immunologically stable Observation"/>
</extension>
<extension url="statement">
<valueString
value="/*
@internal: Immunologically stable Observation
*/
define "Immunologically stable Observation":
([Observation: Concepts."Immunologically stable"] O
sort by end of effective.toInterval() desc).complete()"/>
</extension>
<extension url="displaySequence">
<valueInteger value="22"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZEncounterElements"/>
</extension>
<extension url="name">
<valueString value="Immunologically stable Observation"/>
</extension>
<extension url="statement">
<valueString
value="/*
@internal: Immunologically stable Observation
*/
define "Immunologically stable Observation":
Elements."Immunologically stable Observation".encounterOrOnBefore(EncounterId, Today)"/>
</extension>
<extension url="displaySequence">
<valueInteger value="23"/>
</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 immunologically stable"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: Client is immunologically stable
@pseudocode: "Immunologically stable" = TRUE
*/
define "Client is immunologically stable":
exists("Immunologically stable Observation")
and First("Immunologically stable Observation").value = true"/>
</extension>
<extension url="displaySequence">
<valueInteger value="24"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTBCGEncounterElements"/>
</extension>
<extension url="name">
<valueString value="Client is immunologically stable"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: Client is immunologically stable
@pseudocode: "Immunologically stable" = TRUE
@code: Client is immunologically stable-31
@decision: IMMZ.D2.DT.BCG
*/
define "Client is immunologically stable":
Encounter."Client is immunologically stable""/>
</extension>
<extension url="displaySequence">
<valueInteger value="25"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTBCGLogic"/>
</extension>
<extension url="name">
<valueString value="Client is due for BCG vaccination Case 2"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Client is due for BCG vaccination Case 2
@pseudocode: "Immunization recommendation status" = "Due"
*/
define "Client is due for BCG vaccination Case 2":
Encounter."No BCG primary series dose was administered"
and Encounter."Client's age is less than or equal to 28 days"
and Encounter."Client's HIV status is positive"
and Encounter."Client is currently receiving antiretroviral therapy"
and Encounter."Client is immunologically stable"
and Encounter."No live vaccine 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="IMMZEncounterElements"/>
</extension>
<extension url="name">
<valueString value="Current Patient Age In Years"/>
</extension>
<extension url="statement">
<valueString
value="/**
* @dataElement Patient age in years
*/
define "Current Patient Age In Years":
AgeInYearsAt(Today)"/>
</extension>
<extension url="displaySequence">
<valueInteger value="27"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTBCGEncounterElements"/>
</extension>
<extension url="name">
<valueString value="Client's age is between 28 days and 5 years"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: Client's age is between 28 days and 5 years
@pseudocode: 28 days < Today's date − "Date of birth" < 5 years
@code: Client's age is between 28 days and 5 years-50
@decision: IMMZ.D2.DT.BCG
*/
define "Client's age is between 28 days and 5 years":
28 < Encounter."Current Patient Age In Days"
and Encounter."Current Patient Age In Years" < 5"/>
</extension>
<extension url="displaySequence">
<valueInteger value="28"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZElements"/>
</extension>
<extension url="name">
<valueString value="TB infection test result Observation"/>
</extension>
<extension url="statement">
<valueString
value="/*
@internal: TB infection test result Observation
*/
define "TB infection test result Observation":
([Observation: Concepts."TB infection test result"] O
sort by end of effective.toInterval() desc).complete()"/>
</extension>
<extension url="displaySequence">
<valueInteger value="29"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZEncounterElements"/>
</extension>
<extension url="name">
<valueString value="TB infection test result Observation"/>
</extension>
<extension url="statement">
<valueString
value="/*
@internal: Immunologically stable Observation
*/
define "TB infection test result Observation":
Elements."TB infection test result Observation".encounterOrOnBefore(EncounterId, Today)"/>
</extension>
<extension url="displaySequence">
<valueInteger value="30"/>
</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 TB infection test result is negative"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: Client's TB infection test result is negative
@pseudocode: "TB infection test result" = "Negative"
*/
define "Client's TB infection test result is negative":
exists("TB infection test result Observation")
and First( "TB infection test result Observation" ).value ~ Concepts."TB-Negative""/>
</extension>
<extension url="displaySequence">
<valueInteger value="31"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTBCGEncounterElements"/>
</extension>
<extension url="name">
<valueString value="Client's TB infection test result is negative"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: Client's TB infection test result is negative
@pseudocode: "TB infection test result" = "Negative"
@code: Client's TB infection test result is negative-39
@decision: IMMZ.D2.DT.BCG
*/
define "Client's TB infection test result is negative":
Encounter."Client's TB infection test result is negative""/>
</extension>
<extension url="displaySequence">
<valueInteger value="32"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZEncounterElements"/>
</extension>
<extension url="name">
<valueString value="Date of Latest Live Attenuated Vaccine"/>
</extension>
<extension url="statement">
<valueString
value="/*
@dataElement Date and time of last live attenuated vaccine
*/
define "Date of Latest Live Attenuated Vaccine":
date from start of "Live Attenuated Vaccines".mostRecent().occurrence.toInterval()"/>
</extension>
<extension url="displaySequence">
<valueInteger value="33"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZEncounterElements"/>
</extension>
<extension url="name">
<valueString
value="Live vaccine was administered in the last 4 weeks"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: Live vaccine was administered in the last 4 weeks
@pseudocode: Today's date − latest "Date and time of vaccination" (where "Live vaccine" = TRUE) < 4 weeks
*/
define "Live vaccine was administered in the last 4 weeks":
"Date of Latest Live Attenuated Vaccine" is not null
and duration in weeks between "Date of Latest Live Attenuated Vaccine" and Today < 4"/>
</extension>
<extension url="displaySequence">
<valueInteger value="34"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZEncounterElements"/>
</extension>
<extension url="name">
<valueString
value="No live vaccine was administered in the last 4 weeks"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: No live vaccine was administered in the last 4 weeks
@pseudocode: Today's date − latest "Date and time of vaccination" (where "Live vaccine" = TRUE) ≥ 4 weeks
*/
define "No live vaccine was administered in the last 4 weeks":
not("Live vaccine was administered in the last 4 weeks")"/>
</extension>
<extension url="displaySequence">
<valueInteger value="35"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTBCGEncounterElements"/>
</extension>
<extension url="name">
<valueString
value="No live vaccine was administered in the last four weeks"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: No live vaccine was administered in the last four weeks
@pseudocode: Today's date − latest "Date and time of vaccination" (where "Live vaccine" = TRUE) ≥ 4 weeks
@code: No live vaccine was administered in the last four weeks-92
@decision: IMMZ.D2.DT.BCG
*/
define "No live vaccine was administered in the last four weeks":
Encounter."No live vaccine was administered in the last 4 weeks""/>
</extension>
<extension url="displaySequence">
<valueInteger value="36"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTBCGLogic"/>
</extension>
<extension url="name">
<valueString value="Client is due for BCG vaccination Case 3"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Client is due for BCG vaccination Case 3
@pseudocode: "Immunization recommendation status" = "Due"
*/
define "Client is due for BCG vaccination Case 3":
Encounter."No BCG primary series dose was administered"
and Encounter."Client's age is between 28 days and 5 years"
and Encounter."Client's HIV status is negative or unknown"
and Encounter."Client's TB infection test result is negative"
and Encounter."No live vaccine was administered in the last four weeks""/>
</extension>
<extension url="displaySequence">
<valueInteger value="37"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZElements"/>
</extension>
<extension url="name">
<valueString value="Clinically well Observation"/>
</extension>
<extension url="statement">
<valueString
value="/*
@internal: Clinically well Observation
*/
define "Clinically well Observation":
([Observation: Concepts."Clinically well"] O
sort by end of effective.toInterval() desc).complete()"/>
</extension>
<extension url="displaySequence">
<valueInteger value="38"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZEncounterElements"/>
</extension>
<extension url="name">
<valueString value="Clinically well Observation"/>
</extension>
<extension url="statement">
<valueString
value="/*
@internal: Clinically well Observation
*/
define "Clinically well Observation":
Elements."Clinically well Observation".encounterOrOnBefore(EncounterId, Today)"/>
</extension>
<extension url="displaySequence">
<valueInteger value="39"/>
</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 clinically well"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: Client is clinically well
@pseudocode: "Clinically well" = TRUE
*/
define "Client is clinically well":
exists("Clinically well Observation")
and First( "Clinically well Observation" ).value = true"/>
</extension>
<extension url="displaySequence">
<valueInteger value="40"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTBCGEncounterElements"/>
</extension>
<extension url="name">
<valueString value="Client is clinically well"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: Client is clinically well
@pseudocode: "Clinically well" = TRUE
@code: Client is clinically well-24
@decision: IMMZ.D2.DT.BCG
*/
define "Client is clinically well":
Encounter."Client is clinically well""/>
</extension>
<extension url="displaySequence">
<valueInteger value="41"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTBCGLogic"/>
</extension>
<extension url="name">
<valueString value="Client is due for BCG vaccination Case 4"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Client is due for BCG vaccination Case 4
@pseudocode: "Immunization recommendation status" = "Due"
*/
define "Client is due for BCG vaccination Case 4":
Encounter."No BCG primary series dose was administered"
and Encounter."Client's age is between 28 days and 5 years"
and Encounter."Client's HIV status is positive"
and Encounter."Client is currently receiving antiretroviral therapy"
and Encounter."Client is immunologically stable"
and Encounter."No live vaccine was administered in the last four weeks"
and Encounter."Client is clinically well""/>
</extension>
<extension url="displaySequence">
<valueInteger value="42"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTBCGEncounterElements"/>
</extension>
<extension url="name">
<valueString value="Client's age is more than 5 years"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: Client's age is more than 5 years
@pseudocode: Today's date − "Date of birth" ≥ 5 years
@code: Client's age is more than 5 years-40
@decision: IMMZ.D2.DT.BCG
*/
define "Client's age is more than 5 years":
Encounter."Current Patient Age In Years" >= 5"/>
</extension>
<extension url="displaySequence">
<valueInteger value="43"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTBCGLogic"/>
</extension>
<extension url="name">
<valueString value="Client is due for BCG vaccination Case 5"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Client is due for BCG vaccination Case 5
@pseudocode: "Immunization recommendation status" = "Due"
*/
define "Client is due for BCG vaccination Case 5":
Encounter."No BCG primary series dose was administered"
and Encounter."Client's age is more than 5 years"
and Encounter."Client's HIV status is negative or unknown"
and Encounter."Client's TB infection test result is negative"
and Encounter."No live vaccine was administered in the last four weeks""/>
</extension>
<extension url="displaySequence">
<valueInteger value="44"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTBCGLogic"/>
</extension>
<extension url="name">
<valueString value="Client is due for BCG vaccination Case 6"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Client is due for BCG vaccination Case 6
@pseudocode: "Immunization recommendation status" = "Due"
*/
define "Client is due for BCG vaccination Case 6":
Encounter."No BCG primary series dose was administered"
and Encounter."Client's age is more than 5 years"
and Encounter."Client's HIV status is positive"
and Encounter."Client is currently receiving antiretroviral therapy"
and Encounter."Client is immunologically stable"
and Encounter."No live vaccine was administered in the last four weeks"
and Encounter."Client is clinically well""/>
</extension>
<extension url="displaySequence">
<valueInteger value="45"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTBCGLogic"/>
</extension>
<extension url="name">
<valueString value="Client is due for BCG vaccination"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Client is due for BCG vaccination
@pseudocode: "Immunization recommendation status" = "Due"
*/
define "Client is due for BCG vaccination":
"Client is due for BCG vaccination Case 1"
or "Client is due for BCG vaccination Case 2"
or "Client is due for BCG vaccination Case 3"
or "Client is due for BCG vaccination Case 4"
or "Client is due for BCG vaccination Case 5"
or "Client is due for BCG vaccination Case 6""/>
</extension>
<extension url="displaySequence">
<valueInteger value="46"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTBCGLogic"/>
</extension>
<extension url="name">
<valueString value="Client is due for BCG vaccination Guidance"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Client is due for BCG vaccination Guidance
@guidance = Should vaccinate client with first BCG dose as no BCG dose was administered, client is within age range, HIV status is not positive and no live vaccine was administered.
Check for contraindications.
@guidance = Should vaccinate client with first BCG dose as no BCG dose was administered, client is immunologically stable and no live vaccine was administered.
Check for contraindications.
@guidance = Should vaccinate client with first BCG dose as no BCG dose was administered, client's TB test result is negative and no live vaccine was administered in the past 4 weeks.
Check for contraindications.
@guidance = Should vaccinate client with first BCG dose as no BCG dose was administered, client is receiving ART, clinically well and immunologically stable. No live vaccine was administered in the last 4 weeks.
Check for contraindications.
@guidance = Should vaccinate client with first BCG dose as no BCG dose was administered, client's TB test result is negative and no live vaccine was administered in the past 4 weeks.
Check for contraindications.
@guidance = Should vaccinate client with first BCG dose as no BCG dose was administered, client is receiving ART, clinically well and immunologically stable. No live vaccine was administered in the past 4 weeks.
Check for contraindications
*/
define "Client is due for BCG vaccination Guidance":
case
when "Client is due for BCG vaccination Case 1" then 'Should vaccinate client with first BCG dose as no BCG dose was administered, client is within age range, HIV status is not positive and no live vaccine was administered.
Check for contraindications.'
when "Client is due for BCG vaccination Case 2" then 'Should vaccinate client with first BCG dose as no BCG dose was administered, client is immunologically stable and no live vaccine was administered.
Check for contraindications.'
when "Client is due for BCG vaccination Case 3" then 'Should vaccinate client with first BCG dose as no BCG dose was administered, client\'s TB test result is negative and no live vaccine was administered in the past 4 weeks.
Check for contraindications.'
when "Client is due for BCG vaccination Case 4" then 'Should vaccinate client with first BCG dose as no BCG dose was administered, client is receiving ART, clinically well and immunologically stable. No live vaccine was administered in the last 4 weeks.
Check for contraindications.'
when "Client is due for BCG vaccination Case 5" then 'Should vaccinate client with first BCG dose as no BCG dose was administered, client\'s TB test result is negative and no live vaccine was administered in the past 4 weeks.
Check for contraindications.'
when "Client is due for BCG vaccination Case 6" then 'Should vaccinate client with first BCG dose as no BCG dose was administered, client is receiving ART, clinically well and immunologically stable. No live vaccine was administered in the past 4 weeks.
Check for contraindications'
else ''
end"/>
</extension>
<extension url="displaySequence">
<valueInteger value="47"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTBCGEncounterElements"/>
</extension>
<extension url="name">
<valueString
value="Live vaccine was administered in the last four weeks"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: Live vaccine was administered in the last four weeks
@pseudocode: Today's date − latest "Date and time of vaccination" (where "Live vaccine" = TRUE) < 4 weeks
@code: Live vaccine was administered in the last four weeks-92
@decision: IMMZ.D2.DT.BCG
*/
define "Live vaccine was administered in the last four weeks":
Encounter."Live vaccine was administered in the last 4 weeks""/>
</extension>
<extension url="displaySequence">
<valueInteger value="48"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTBCGLogic"/>
</extension>
<extension url="name">
<valueString value="Client is not due for BCG vaccination Case 1"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Client is not due for BCG vaccination Case 1
@pseudocode: "Immunization recommendation status" = "Not due"
*/
define "Client is not due for BCG vaccination Case 1":
Encounter."No BCG primary series dose was administered"
and Encounter."Client's age is less than or equal to 28 days"
and Encounter."Client's HIV status is negative or unknown"
and Encounter."Live vaccine was administered in the last four weeks""/>
</extension>
<extension url="displaySequence">
<valueInteger value="49"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTBCGLogic"/>
</extension>
<extension url="name">
<valueString value="Client is not due for BCG vaccination Case 2"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Client is not due for BCG vaccination Case 2
@pseudocode: "Immunization recommendation status" = "Not due"
*/
define "Client is not due for BCG vaccination Case 2":
Encounter."No BCG primary series dose was administered"
and Encounter."Client's age is less than or equal to 28 days"
and Encounter."Client's HIV status is positive"
and Encounter."Client is currently receiving antiretroviral therapy"
and Encounter."Client is immunologically stable"
and Encounter."Live vaccine was administered in the last four weeks""/>
</extension>
<extension url="displaySequence">
<valueInteger value="50"/>
</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 not immunologically stable"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: Client is not immunologically stable
@pseudocode: "Immunologically stable" = FALSE
*/
define "Client is not immunologically stable":
exists("Immunologically stable Observation")
and First("Immunologically stable Observation").value = false"/>
</extension>
<extension url="displaySequence">
<valueInteger value="51"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTBCGEncounterElements"/>
</extension>
<extension url="name">
<valueString value="Client is not immunologically stable"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: Client is not immunologically stable
@pseudocode: "Immunologically stable" = FALSE
@code: Client is not immunologically stable-32
@decision: IMMZ.D2.DT.BCG
*/
define "Client is not immunologically stable":
Encounter."Client is not immunologically stable""/>
</extension>
<extension url="displaySequence">
<valueInteger value="52"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTBCGLogic"/>
</extension>
<extension url="name">
<valueString value="Client is not due for BCG vaccination Case 3"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Client is not due for BCG vaccination Case 3
@pseudocode: "Immunization recommendation status" = "Not due"
*/
define "Client is not due for BCG vaccination Case 3":
Encounter."No BCG primary series dose was administered"
and Encounter."Client's age is less than or equal to 28 days"
and Encounter."Client's HIV status is positive"
and Encounter."Client is currently receiving antiretroviral therapy"
and Encounter."Client is not immunologically stable""/>
</extension>
<extension url="displaySequence">
<valueInteger value="53"/>
</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 currently not receiving antiretroviral therapy"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: Client is currently not receiving antiretroviral therapy
@pseudocode: "Currently on ART" = FALSE
*/
define "Client is currently not receiving antiretroviral therapy":
"Currently on ART Observation" is null
or "Currently on ART Observation".value = false"/>
</extension>
<extension url="displaySequence">
<valueInteger value="54"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTBCGEncounterElements"/>
</extension>
<extension url="name">
<valueString
value="Client is currently not receiving antiretroviral therapy"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: Client is currently not receiving antiretroviral therapy
@pseudocode: "Currently on ART" = FALSE
@code: Client is currently not receiving antiretroviral therapy-26
@decision: IMMZ.D2.DT.BCG
*/
define "Client is currently not receiving antiretroviral therapy":
Encounter."Client is currently not receiving antiretroviral therapy""/>
</extension>
<extension url="displaySequence">
<valueInteger value="55"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTBCGLogic"/>
</extension>
<extension url="name">
<valueString value="Client is not due for BCG vaccination Case 4"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Client is not due for BCG vaccination Case 4
@pseudocode: "Immunization recommendation status" = "Not due"
*/
define "Client is not due for BCG vaccination Case 4":
Encounter."No BCG primary series dose was administered"
and Encounter."Client's age is less than or equal to 28 days"
and Encounter."Client's HIV status is positive"
and Encounter."Client is currently not receiving antiretroviral therapy""/>
</extension>
<extension url="displaySequence">
<valueInteger value="56"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTBCGLogic"/>
</extension>
<extension url="name">
<valueString value="Client is not due for BCG vaccination Case 5"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Client is not due for BCG vaccination Case 5
@pseudocode: "Immunization recommendation status" = "Not due"
*/
define "Client is not due for BCG vaccination Case 5":
Encounter."No BCG primary series dose was administered"
and Encounter."Client's age is between 28 days and 5 years"
and Encounter."Client's HIV status is negative or unknown"
and Encounter."Client's TB infection test result is negative"
and Encounter."Live vaccine was administered in the last four weeks""/>
</extension>
<extension url="displaySequence">
<valueInteger value="57"/>
</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 TB infection test result is positive"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: Client's TB infection test result is positive
@pseudocode: "TB infection test result" = "Positive"
*/
define "Client's TB infection test result is positive":
exists("TB infection test result Observation")
and First( "TB infection test result Observation" ).value ~ Concepts."TB-Positive""/>
</extension>
<extension url="displaySequence">
<valueInteger value="58"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTBCGEncounterElements"/>
</extension>
<extension url="name">
<valueString value="Client's TB infection test result is positive"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: Client's TB infection test result is positive
@pseudocode: "TB infection test result" = "Positive"
@code: Client's TB infection test result is positive-39
@decision: IMMZ.D2.DT.BCG
*/
define "Client's TB infection test result is positive":
Encounter."Client's TB infection test result is positive""/>
</extension>
<extension url="displaySequence">
<valueInteger value="59"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTBCGLogic"/>
</extension>
<extension url="name">
<valueString value="Client is not due for BCG vaccination Case 6"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Client is not due for BCG vaccination Case 6
@pseudocode: "Immunization recommendation status" = "Not due"
*/
define "Client is not due for BCG vaccination Case 6":
Encounter."No BCG primary series dose was administered"
and Encounter."Client's age is between 28 days and 5 years"
and Encounter."Client's HIV status is negative or unknown"
and Encounter."Client's TB infection test result is positive""/>
</extension>
<extension url="displaySequence">
<valueInteger value="60"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTBCGLogic"/>
</extension>
<extension url="name">
<valueString value="Client is not due for BCG vaccination Case 7"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Client is not due for BCG vaccination Case 7
@pseudocode: "Immunization recommendation status" = "Not due"
*/
define "Client is not due for BCG vaccination Case 7":
Encounter."No BCG primary series dose was administered"
and Encounter."Client's age is between 28 days and 5 years"
and Encounter."Client's HIV status is positive"
and Encounter."Client is currently receiving antiretroviral therapy"
and Encounter."Client is not immunologically stable""/>
</extension>
<extension url="displaySequence">
<valueInteger value="61"/>
</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 not clinically well"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: Client is not clinically well
@pseudocode: "Clinically well" = FALSE
*/
define "Client is not clinically well":
exists("Clinically well Observation")
and First( "Clinically well Observation" ).value = false"/>
</extension>
<extension url="displaySequence">
<valueInteger value="62"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTBCGEncounterElements"/>
</extension>
<extension url="name">
<valueString value="Client is not clinically well"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: Client is not clinically well
@pseudocode: "Clinically well" = FALSE
@code: Client is not clinically well-25
@decision: IMMZ.D2.DT.BCG
*/
define "Client is not clinically well":
Encounter."Client is not clinically well""/>
</extension>
<extension url="displaySequence">
<valueInteger value="63"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTBCGLogic"/>
</extension>
<extension url="name">
<valueString value="Client is not due for BCG vaccination Case 8"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Client is not due for BCG vaccination Case 8
@pseudocode: "Immunization recommendation status" = "Not due"
*/
define "Client is not due for BCG vaccination Case 8":
Encounter."No BCG primary series dose was administered"
and Encounter."Client's age is between 28 days and 5 years"
and Encounter."Client's HIV status is positive"
and Encounter."Client is currently receiving antiretroviral therapy"
and Encounter."Client is not clinically well""/>
</extension>
<extension url="displaySequence">
<valueInteger value="64"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTBCGLogic"/>
</extension>
<extension url="name">
<valueString value="Client is not due for BCG vaccination Case 9"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Client is not due for BCG vaccination Case 9
@pseudocode: "Immunization recommendation status" = "Not due"
*/
define "Client is not due for BCG vaccination Case 9":
Encounter."No BCG primary series dose was administered"
and Encounter."Client's age is between 28 days and 5 years"
and Encounter."Client's HIV status is positive"
and Encounter."Client is currently receiving antiretroviral therapy"
and Encounter."Client is immunologically stable"
and Encounter."Live vaccine was administered in the last four weeks"
and Encounter."Client is clinically well""/>
</extension>
<extension url="displaySequence">
<valueInteger value="65"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTBCGLogic"/>
</extension>
<extension url="name">
<valueString value="Client is not due for BCG vaccination Case 10"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Client is not due for BCG vaccination Case 10
@pseudocode: "Immunization recommendation status" = "Not due"
*/
define "Client is not due for BCG vaccination Case 10":
Encounter."No BCG primary series dose was administered"
and Encounter."Client's age is between 28 days and 5 years"
and Encounter."Client's HIV status is positive"
and Encounter."Client is currently not receiving antiretroviral therapy""/>
</extension>
<extension url="displaySequence">
<valueInteger value="66"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTBCGLogic"/>
</extension>
<extension url="name">
<valueString value="Client is not due for BCG vaccination Case 11"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Client is not due for BCG vaccination Case 11
@pseudocode: "Immunization recommendation status" = "Not due"
*/
define "Client is not due for BCG vaccination Case 11":
Encounter."No BCG primary series dose was administered"
and Encounter."Client's age is more than 5 years"
and Encounter."Client's HIV status is negative or unknown"
and Encounter."Client's TB infection test result is negative"
and Encounter."Live vaccine was administered in the last four weeks""/>
</extension>
<extension url="displaySequence">
<valueInteger value="67"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTBCGLogic"/>
</extension>
<extension url="name">
<valueString value="Client is not due for BCG vaccination Case 12"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Client is not due for BCG vaccination Case 12
@pseudocode: "Immunization recommendation status" = "Not due"
*/
define "Client is not due for BCG vaccination Case 12":
Encounter."No BCG primary series dose was administered"
and Encounter."Client's age is more than 5 years"
and Encounter."Client's HIV status is negative or unknown"
and Encounter."Client's TB infection test result is positive""/>
</extension>
<extension url="displaySequence">
<valueInteger value="68"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTBCGLogic"/>
</extension>
<extension url="name">
<valueString value="Client is not due for BCG vaccination Case 13"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Client is not due for BCG vaccination Case 13
@pseudocode: "Immunization recommendation status" = "Not due"
*/
define "Client is not due for BCG vaccination Case 13":
Encounter."No BCG primary series dose was administered"
and Encounter."Client's age is more than 5 years"
and Encounter."Client's HIV status is positive"
and Encounter."Client is currently receiving antiretroviral therapy"
and Encounter."Client is not immunologically stable""/>
</extension>
<extension url="displaySequence">
<valueInteger value="69"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTBCGLogic"/>
</extension>
<extension url="name">
<valueString value="Client is not due for BCG vaccination Case 14"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Client is not due for BCG vaccination Case 14
@pseudocode: "Immunization recommendation status" = "Not due"
*/
define "Client is not due for BCG vaccination Case 14":
Encounter."No BCG primary series dose was administered"
and Encounter."Client's age is more than 5 years"
and Encounter."Client's HIV status is positive"
and Encounter."Client is currently receiving antiretroviral therapy"
and Encounter."Client is not clinically well""/>
</extension>
<extension url="displaySequence">
<valueInteger value="70"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTBCGLogic"/>
</extension>
<extension url="name">
<valueString value="Client is not due for BCG vaccination Case 15"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Client is not due for BCG vaccination Case 15
@pseudocode: "Immunization recommendation status" = "Not due"
*/
define "Client is not due for BCG vaccination Case 15":
Encounter."No BCG primary series dose was administered"
and Encounter."Client's age is more than 5 years"
and Encounter."Client's HIV status is positive"
and Encounter."Client is currently receiving antiretroviral therapy"
and Encounter."Client is immunologically stable"
and Encounter."Live vaccine was administered in the last four weeks"
and Encounter."Client is clinically well""/>
</extension>
<extension url="displaySequence">
<valueInteger value="71"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTBCGLogic"/>
</extension>
<extension url="name">
<valueString value="Client is not due for BCG vaccination Case 16"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Client is not due for BCG vaccination Case 16
@pseudocode: "Immunization recommendation status" = "Not due"
*/
define "Client is not due for BCG vaccination Case 16":
Encounter."No BCG primary series dose was administered"
and Encounter."Client's age is more than 5 years"
and Encounter."Client's HIV status is positive"
and Encounter."Client is currently not receiving antiretroviral therapy""/>
</extension>
<extension url="displaySequence">
<valueInteger value="72"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTBCGLogic"/>
</extension>
<extension url="name">
<valueString value="Client is not due for BCG vaccination"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Client is not due for BCG vaccination
@pseudocode: "Immunization recommendation status" = "Not due"
*/
define "Client is not due for BCG vaccination":
"Client is not due for BCG vaccination Case 1"
or "Client is not due for BCG vaccination Case 2"
or "Client is not due for BCG vaccination Case 3"
or "Client is not due for BCG vaccination Case 4"
or "Client is not due for BCG vaccination Case 5"
or "Client is not due for BCG vaccination Case 6"
or "Client is not due for BCG vaccination Case 7"
or "Client is not due for BCG vaccination Case 8"
or "Client is not due for BCG vaccination Case 9"
or "Client is not due for BCG vaccination Case 10"
or "Client is not due for BCG vaccination Case 11"
or "Client is not due for BCG vaccination Case 12"
or "Client is not due for BCG vaccination Case 13"
or "Client is not due for BCG vaccination Case 14"
or "Client is not due for BCG vaccination Case 15"
or "Client is not due for BCG vaccination Case 16""/>
</extension>
<extension url="displaySequence">
<valueInteger value="73"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTBCGLogic"/>
</extension>
<extension url="name">
<valueString
value="Client is not due for BCG vaccination Guidance"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Client is not due for BCG vaccination Guidance
@guidance = Should not vaccinate client with first BCG dose as live vaccine was administered in the last 4 weeks.
Check for any vaccines due and inform the caregiver of when to come back for the first BCG dose.
@guidance = Should not vaccinate client with first BCG dose as live vaccine was administered in the last 4 weeks.
Check for any vaccines due and inform the caregiver of when to come back for the first BCG dose.
@guidance = Should not vaccinate client with first BCG dose as client is not immunologically stable.
Check for any vaccines due and inform the caregiver of when to come back for the first BCG dose.
@guidance = Should not vaccinate client with first BCG dose as ART has not been started.
Check for any vaccines due and inform the caregiver of when to come back for the first BCG dose.
@guidance = Should not vaccinate client with first BCG dose as live vaccine was administered in the past 4 weeks.
Check for any vaccines due and inform the caregiver of when to come back for the first dose.
@guidance = Should not vaccinate client with first BCG dose as client's TB infection test result is positive. Consider evaluating for TB disease or for TB preventive treatment (TPT) eligibility (once TB disease is ruled out).
@guidance = Should not vaccinate client with first BCG dose as client is not immunologically stable.
Check for any vaccines due, and inform the caregiver of when to come back for the first BCG dose.
@guidance = Should not vaccinate client with first BCG dose as client is not clinically well.
Check for any vaccines due, and inform the caregiver of when to come back for the first BCG dose.
@guidance = Should not vaccinate client with first BCG dose as live vaccine was administered in the past 4 weeks.
Check for any vaccines due and inform the caregiver of when to come back for the first BCG dose.
@guidance = Should not vaccinate client with first BCG dose as client is not currently receiving ART.
Check for any vaccines due and inform the caregiver of when to come back for the first BCG dose.
@guidance = Should not vaccinate client with first BCG dose as live vaccine was administered in the last 4 weeks.
Check for any vaccines due, and inform the caregiver of when to come back for the first BCG dose.
@guidance = Should not vaccinate client with first BCG dose as client's TB infection test result is positive. Consider evaluating for TB disease or for TB preventive treatment (TPT) eligibility (once TB disease is ruled out).
@guidance = Should not vaccinate client with first BCG dose as client is not immnologically stable.
Check for any vaccines due, and inform the caregiver of when to come back for the first BCG dose.
@guidance = Should not vaccinate client with first BCG dose as client is not clinically well.
Check for any vaccines due and inform the caregiver of when to come back for the first BCG dose.
@guidance = Should not vaccinate client with first BCG dose as live vaccine was administered in the past 4 weeks.
Check for any vaccines due, and inform the caregiver of when to come back for the first BCG dose.
@guidance = Should not vaccinate client with first BCG dose as client is not currently receiving ART.
Check for any vaccines due and inform the caregiver of when to come back for the first BCG dose.
*/
define "Client is not due for BCG vaccination Guidance":
case
when "Client is not due for BCG vaccination Case 1" then 'Should not vaccinate client with first BCG dose as live vaccine was administered in the last 4 weeks.
Check for any vaccines due and inform the caregiver of when to come back for the first BCG dose.'
when "Client is not due for BCG vaccination Case 2" then 'Should not vaccinate client with first BCG dose as live vaccine was administered in the last 4 weeks.
Check for any vaccines due and inform the caregiver of when to come back for the first BCG dose.'
when "Client is not due for BCG vaccination Case 3" then 'Should not vaccinate client with first BCG dose as client is not immunologically stable.
Check for any vaccines due and inform the caregiver of when to come back for the first BCG dose.'
when "Client is not due for BCG vaccination Case 4" then 'Should not vaccinate client with first BCG dose as ART has not been started.
Check for any vaccines due and inform the caregiver of when to come back for the first BCG dose.'
when "Client is not due for BCG vaccination Case 5" then 'Should not vaccinate client with first BCG dose as live vaccine was administered in the past 4 weeks.
Check for any vaccines due and inform the caregiver of when to come back for the first dose.'
when "Client is not due for BCG vaccination Case 6" then 'Should not vaccinate client with first BCG dose as client\'s TB infection test result is positive. Consider evaluating for TB disease or for TB preventive treatment (TPT) eligibility (once TB disease is ruled out).'
when "Client is not due for BCG vaccination Case 7" then 'Should not vaccinate client with first BCG dose as client is not immunologically stable.
Check for any vaccines due, and inform the caregiver of when to come back for the first BCG dose.'
when "Client is not due for BCG vaccination Case 8" then 'Should not vaccinate client with first BCG dose as client is not clinically well.
Check for any vaccines due, and inform the caregiver of when to come back for the first BCG dose.'
when "Client is not due for BCG vaccination Case 9" then 'Should not vaccinate client with first BCG dose as live vaccine was administered in the past 4 weeks.
Check for any vaccines due and inform the caregiver of when to come back for the first BCG dose.'
when "Client is not due for BCG vaccination Case 10" then 'Should not vaccinate client with first BCG dose as client is not currently receiving ART.
Check for any vaccines due and inform the caregiver of when to come back for the first BCG dose.'
when "Client is not due for BCG vaccination Case 11" then 'Should not vaccinate client with first BCG dose as live vaccine was administered in the last 4 weeks.
Check for any vaccines due, and inform the caregiver of when to come back for the first BCG dose.'
when "Client is not due for BCG vaccination Case 12" then 'Should not vaccinate client with first BCG dose as client\'s TB infection test result is positive. Consider evaluating for TB disease or for TB preventive treatment (TPT) eligibility (once TB disease is ruled out).'
when "Client is not due for BCG vaccination Case 13" then 'Should not vaccinate client with first BCG dose as client is not immnologically stable.
Check for any vaccines due, and inform the caregiver of when to come back for the first BCG dose.'
when "Client is not due for BCG vaccination Case 14" then 'Should not vaccinate client with first BCG dose as client is not clinically well.
Check for any vaccines due and inform the caregiver of when to come back for the first BCG dose.'
when "Client is not due for BCG vaccination Case 15" then 'Should not vaccinate client with first BCG dose as live vaccine was administered in the past 4 weeks.
Check for any vaccines due, and inform the caregiver of when to come back for the first BCG dose.'
when "Client is not due for BCG vaccination Case 16" then 'Should not vaccinate client with first BCG dose as client is not currently receiving ART.
Check for any vaccines due and inform the caregiver of when to come back for the first BCG dose.'
else ''
end"/>
</extension>
<extension url="displaySequence">
<valueInteger value="74"/>
</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 TB infection test result is unknown (test not done or no result yet)"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: Client's TB infection test result is unknown (test not done or no result yet)
@pseudocode: "TB infection test result" IS NULL
*/
define "Client's TB infection test result is unknown (test not done or no result yet)":
not exists( "TB infection test result Observation" ) or (
not ("Client's TB infection test result is negative") and not ("Client's TB infection test result is positive")
)"/>
</extension>
<extension url="displaySequence">
<valueInteger value="75"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTBCGEncounterElements"/>
</extension>
<extension url="name">
<valueString
value="Client's TB infection test result is unknown (test not done or no result yet)"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: Client's TB infection test result is unknown (test not done or no result yet)
@pseudocode: "TB infection test result" IS NULL
@code: Client's TB infection test result is unknown (test not done or no result yet)-34
@decision: IMMZ.D2.DT.BCG
*/
define "Client's TB infection test result is unknown (test not done or no result yet)":
Encounter."Client's TB infection test result is unknown (test not done or no result yet)""/>
</extension>
<extension url="displaySequence">
<valueInteger value="76"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTBCGLogic"/>
</extension>
<extension url="name">
<valueString
value="Clinical judgement is required. Create clinical note. Case 1"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Clinical judgement is required. Create clinical note. Case 1
@pseudocode: "Immunization recommendation status" = "Further evaluation needed"
*/
define "Clinical judgement is required. Create clinical note. Case 1":
Encounter."No BCG primary series dose was administered"
and Encounter."Client's age is between 28 days and 5 years"
and Encounter."Client's HIV status is negative or unknown"
and Encounter."Client's TB infection test result is unknown (test not done or no result yet)""/>
</extension>
<extension url="displaySequence">
<valueInteger value="77"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTBCGLogic"/>
</extension>
<extension url="name">
<valueString
value="Clinical judgement is required. Create clinical note. Case 2"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Clinical judgement is required. Create clinical note. Case 2
@pseudocode: '"Immunization recommendation status" = "Further evaluation needed"
*/
define "Clinical judgement is required. Create clinical note. Case 2":
Encounter."No BCG primary series dose was administered"
and Encounter."Client's age is more than 5 years"
and Encounter."Client's HIV status is negative or unknown"
and Encounter."Client's TB infection test result is unknown (test not done or no result yet)""/>
</extension>
<extension url="displaySequence">
<valueInteger value="78"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTBCGLogic"/>
</extension>
<extension url="name">
<valueString
value="Clinical judgement is required. Create clinical note."/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Clinical judgement is required. Create clinical note.
@pseudocode: "Immunization recommendation status" = "Further evaluation needed"
*/
define "Clinical judgement is required. Create clinical note.":
"Clinical judgement is required. Create clinical note. Case 1"
or "Clinical judgement is required. Create clinical note. Case 2""/>
</extension>
<extension url="displaySequence">
<valueInteger value="79"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTBCGLogic"/>
</extension>
<extension url="name">
<valueString
value="Clinical judgement is required. Create clinical note. Guidance"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Clinical judgement is required. Create clinical note. Guidance
@guidance = Recommend the client to perform TB infection testing.
Re-evaluate client once the test result is available.
@guidance = Recommend the client to perform TB infection testing.
Re-evaluate client once the test result is available.
*/
define "Clinical judgement is required. Create clinical note. Guidance":
case
when "Clinical judgement is required. Create clinical note. Case 1" then 'Recommend the client to perform TB infection testing.
Re-evaluate client once the test result is available.'
when "Clinical judgement is required. Create clinical note. Case 2" then 'Recommend the client to perform TB infection testing.
Re-evaluate client once the test result is available.'
else ''
end"/>
</extension>
<extension url="displaySequence">
<valueInteger value="80"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTBCGEncounterElements"/>
</extension>
<extension url="name">
<valueString value="One BCG primary series dose was administered"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: One BCG primary series dose was administered
@pseudocode: Count of vaccines administered (where "Vaccine type" = "BCG vaccines" and "Type of dose" = "Primary series") = 1
@code: One BCG primary series dose was administered-112
@decision: IMMZ.D2.DT.BCG
*/
define "One BCG primary series dose was administered":
"Number of BCG Primary Series Doses Administered" = 1"/>
</extension>
<extension url="displaySequence">
<valueInteger value="81"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTBCGLogic"/>
</extension>
<extension url="name">
<valueString value="BCG immunization schedule is complete"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: BCG immunization schedule is complete
@pseudocode: '"Immunization recommendation status" = "Complete"
"Completed the primary vaccination series" = TRUE (where "Vaccine type" = "BCG vaccines")
*/
define "BCG immunization schedule is complete":
Encounter."One BCG primary series dose was administered""/>
</extension>
<extension url="displaySequence">
<valueInteger value="82"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTBCGLogic"/>
</extension>
<extension url="name">
<valueString
value="BCG immunization schedule is complete Guidance"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: BCG immunization schedule is complete Guidance
@guidance: BCG immunization schedule is complete. One BCG primary series dose was administered.
Check for any vaccines due.
*/
define "BCG immunization schedule is complete Guidance":
'BCG immunization schedule is complete. One BCG primary series dose was administered.
Check for any vaccines due.'"/>
</extension>
<extension url="displaySequence">
<valueInteger value="83"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTBCGLogic"/>
</extension>
<extension url="name">
<valueString value="Guidance"/>
</extension>
<extension url="statement">
<valueString
value="/*
@dynamicValue: Guidance
*/
define "Guidance":
case
when "Client is due for BCG vaccination" then "Client is due for BCG vaccination Guidance"
when "Client is not due for BCG vaccination" then "Client is not due for BCG vaccination Guidance"
when "Clinical judgement is required. Create clinical note." then "Clinical judgement is required. Create clinical note. Guidance"
when "BCG immunization schedule is complete" then "BCG immunization schedule is complete Guidance"
else ''
end"/>
</extension>
<extension url="displaySequence">
<valueInteger value="84"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTBCGLogic"/>
</extension>
<extension url="name">
<valueString value="Has Guidance"/>
</extension>
<extension url="statement">
<valueString
value="define "Has Guidance":
"Guidance" is not null and "Guidance" != ''"/>
</extension>
<extension url="displaySequence">
<valueInteger value="85"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZCommon"/>
</extension>
<extension url="name">
<valueString value="onOrBefore"/>
</extension>
<extension url="statement">
<valueString
value="/**
* @description: Gets immunizations on or before a date
*/
define fluent function onOrBefore(immunizations List<Immunization>, beforeDate Date):
immunizations I where
I.occurrence.toInterval() same day or before beforeDate"/>
</extension>
<extension url="displaySequence">
<valueInteger value="86"/>
</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="87"/>
</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="88"/>
</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="89"/>
</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="90"/>
</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="91"/>
</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="92"/>
</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="93"/>
</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="94"/>
</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="95"/>
</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="96"/>
</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(observations List<Observation>):
Last(
observations O
sort by issued
)"/>
</extension>
<extension url="displaySequence">
<valueInteger value="97"/>
</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="98"/>
</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/IMMZD2DTBCGEncounterElements"/>
</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 BCGElements"/>
<resource
value="http://smart.who.int/immunizations/Library/IMMZD2DTBCGElements"/>
</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 Elements"/>
<resource
value="http://smart.who.int/immunizations/Library/IMMZElements"/>
</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 Encounter"/>
<resource
value="http://smart.who.int/immunizations/Library/IMMZEncounterElements"/>
</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 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 Concepts"/>
<resource
value="http://smart.who.int/immunizations/Library/IMMZConcepts"/>
</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 BCG vaccines"/>
<resource
value="http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE1"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Value set Live Attenuated"/>
<resource
value="http://smart.who.int/immunizations/ValueSet/IMMZ.Z.LiveAttenuated"/>
</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="Guidance"/>
<use value="out"/>
<min value="0"/>
<max value="1"/>
<type value="string"/>
</parameter>
<parameter>
<name value="Has Guidance"/>
<use value="out"/>
<min value="0"/>
<max value="1"/>
<type value="boolean"/>
</parameter>
<parameter>
<name value="Client is due for BCG vaccination"/>
<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="vaccineCode"/>
</dataRequirement>
<dataRequirement>
<type value="Patient"/>
<profile value="http://hl7.org/fhir/StructureDefinition/Patient"/>
</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="Immunization"/>
<profile
value="http://hl7.org/fhir/StructureDefinition/Immunization"/>
<mustSupport value="status"/>
<mustSupport value="isSubpotent"/>
<mustSupport value="vaccineCode"/>
</dataRequirement>
<dataRequirement>
<type value="Immunization"/>
<profile
value="http://hl7.org/fhir/StructureDefinition/Immunization"/>
<mustSupport value="status"/>
<mustSupport value="isSubpotent"/>
<mustSupport value="vaccineCode"/>
<mustSupport value="occurrence"/>
</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="DE210"/>
<display value="Currently on ART"/>
</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="DE249"/>
<display value="Immunologically stable"/>
</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="DE246"/>
<display value="TB infection test result"/>
</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="DE250"/>
<display value="Clinically well"/>
</code>
</codeFilter>
</dataRequirement>
<dataRequirement>
<type value="Immunization"/>
<profile
value="http://hl7.org/fhir/StructureDefinition/Immunization"/>
<mustSupport value="status"/>
<mustSupport value="isSubpotent"/>
<mustSupport value="vaccineCode"/>
</dataRequirement>
<dataRequirement>
<type value="Immunization"/>
<profile
value="http://hl7.org/fhir/StructureDefinition/Immunization"/>
<mustSupport value="status"/>
<mustSupport value="isSubpotent"/>
<mustSupport value="vaccineCode"/>
</dataRequirement>
<dataRequirement>
<type value="Immunization"/>
<profile
value="http://hl7.org/fhir/StructureDefinition/Immunization"/>
<mustSupport value="status"/>
<mustSupport value="isSubpotent"/>
<mustSupport value="vaccineCode"/>
<mustSupport value="occurrence"/>
</dataRequirement>
<dataRequirement>
<type value="Immunization"/>
<profile
value="http://hl7.org/fhir/StructureDefinition/Immunization"/>
<mustSupport value="status"/>
<mustSupport value="isSubpotent"/>
<mustSupport value="vaccineCode"/>
<mustSupport value="occurrence"/>
</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="DE210"/>
<display value="Currently on ART"/>
</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="DE249"/>
<display value="Immunologically stable"/>
</code>
</codeFilter>
</dataRequirement>
<dataRequirement>
<type value="Immunization"/>
<profile
value="http://hl7.org/fhir/StructureDefinition/Immunization"/>
<mustSupport value="status"/>
<mustSupport value="isSubpotent"/>
<mustSupport value="vaccineCode"/>
<mustSupport value="occurrence"/>
</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="DE246"/>
<display value="TB infection test result"/>
</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="DE250"/>
<display value="Clinically well"/>
</code>
</codeFilter>
</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/IMMZD2DTBCG"/>
<version value="0.2.0"/>
<name value="IMMZD2DTBCG"/>
<title value="IMMZ.D2.DT.BCG"/>
<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.D2.DT.BCG
IMMZ.D2.DT.BCG"/>
<relatedArtifact>
<type value="citation"/>
<citation
value="WHO recommendations for routine immunization - summary tables (January 2025)"/>
</relatedArtifact>
<library
value="http://smart.who.int/immunizations/Library/IMMZD2DTBCGLogic"/>
<action>
<extension
url="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-rationale">
<valueMarkdown
value="Neonates born to women of unknown HIV status should be vaccinated as the benefits of BCG
vaccination outweigh the risks. Neonates of unknown HIV status born to HIV-infected women should be
vaccinated if they have no clinical evidence suggestive of HIV infection."/>
</extension>
<title value="Determine if the client is due for BCG."/>
<description
value="Determine if the client is due for BCG vaccine according to the national immunization protocol."/>
<condition>
<kind value="applicability"/>
<expression>
<description value="Client is due for BCG vaccination"/>
<language value="text/cql-identifier"/>
<expression value="Client is due for BCG vaccination"/>
</expression>
</condition>
<definitionCanonical
value="http://smart.who.int/immunizations/ActivityDefinition/IMMZD2DTMR"/>
<dynamicValue>
<path value="status"/>
<expression>
<language value="text/cql-expression"/>
<expression value="'draft'"/>
</expression>
</dynamicValue>
<dynamicValue>
<path value="intent"/>
<expression>
<language value="text/cql-expression"/>
<expression value="'proposal'"/>
</expression>
</dynamicValue>
<dynamicValue>
<path value="medication"/>
<expression>
<language value="text/cql-expression"/>
<expression
value="Concept { codes: { Code { system: 'http://smart.who.int/immunizations/CodeSystem/IMMZ.Z', code: 'DE1', display: 'BCG vaccines' } }, display: 'BCG vaccines' }"/>
</expression>
</dynamicValue>
</action>
<action>
<title
value="Check for Guidance for the patient regarding IMMZ.D2.DT.BCG."/>
<description
value="Show Guidance for the patient regarding IMMZ.D2.DT.BCG."/>
<condition>
<kind value="applicability"/>
<expression>
<description value="Has Guidance"/>
<language value="text/cql-identifier"/>
<expression value="Has Guidance"/>
</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="Guidance"/>
</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>