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="IMMZD2DTCholeraWCVaccines"/>
<meta>
<profile
value="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-recommendationdefinition"/>
<profile
value="http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareableplandefinition"/>
<profile
value="http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-publishableplandefinition"/>
</meta>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<div>
<table class="grid dict">
<tr>
<th scope="row"><b>Id: </b></th>
<td style="padding-left: 4px;">IMMZD2DTCholeraWCVaccines</td>
</tr>
<tr>
<th scope="row"><b>Url: </b></th>
<td style="padding-left: 4px;"><a href="PlanDefinition-IMMZD2DTCholeraWCVaccines.html">IMMZ.D2.DT.Cholera.WC vaccines</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.Cholera.WC vaccines</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.Cholera.WC vaccines
Whole-cell (WC) vaccines schedule</p>
</div></td>
</tr>
<tr>
<th scope="row"><b>Knowledge Capability: </b></th>
<td style="padding-left: 4px;">
computable
</td>
</tr>
<tr>
<th scope="row"><b>Related Artifacts: </b></th>
<td style="padding-left: 4px;">
<p><b>References</b></p>
<ul>
<li><div><p>WHO recommendations for routine immunization - summary tables (January 2025)</p>
</div><br/><a href="null"/></li>
</ul>
</td>
</tr>
<tr>
<th scope="row"><b>Libraries: </b></th>
<td style="padding-left: 4px;">
<table class="grid-dict">
<tr>
<td><a href="Library-IMMZD2DTCholeraWCVaccinesLogic.html">IMMZD2DTCholeraWCVaccinesLogic</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 Cholera.:</b> Determine if the client is due for Cholera vaccine according to the national immunization protocol.
Whole-cell (WC) vaccines schedule
<br/>
<b>If:</b>
<i>Applicability:</i>
Client is due for cholera vaccination
<i>(Client is due for cholera 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: 'DE2', display: 'Cholera vaccines' } }, display: 'Cholera vaccines' })</i>
<br/>
</td>
</tr>
<tr>
<td>
<b> Determine if the client is due for Cholera.:</b> Determine if the client is due for Cholera vaccine according to the national immunization protocol.
Whole-cell (WC) vaccines schedule
<br/>
<b>If:</b>
<i>Applicability:</i>
Primary series is complete. Client is due for cholera booster dose
<i>(Primary series is complete. Client is due for cholera booster dose)</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: 'DE2', display: 'Cholera vaccines' } }, display: 'Cholera vaccines' })</i>
<br/>
</td>
</tr>
<tr>
<td>
<b> Determine if the client is due for Cholera.:</b> Determine if the client is due for Cholera vaccine according to the national immunization protocol.
Whole-cell (WC) vaccines schedule
<br/>
<b>If:</b>
<i>Applicability:</i>
Client is due for cholera booster dose
<i>(Client is due for cholera booster dose)</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: 'DE2', display: 'Cholera vaccines' } }, display: 'Cholera vaccines' })</i>
<br/>
</td>
</tr>
<tr>
<td>
<b> Check for Guidance for the patient regarding IMMZ.D2.DT.Cholera.WC vaccines.:</b> Show Guidance for the patient regarding IMMZ.D2.DT.Cholera.WC vaccines.
<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-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="0"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTCholeraEncounterElements"/>
</extension>
<extension url="name">
<valueString value="Client's age is less than 1 year"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: Client's age is less than 1 year
@pseudocode: Today's date − "Date of birth" < 1 year
@code: Client's age is less than 1 year-39
@decision: IMMZ.D2.DT.Cholera.WC vaccines: Whole-cell (WC) vaccines schedule
*/
define "Client's age is less than 1 year":
Encounter."Current Patient Age In Years" < 1"/>
</extension>
<extension url="displaySequence">
<valueInteger value="1"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTCholeraWCVaccinesLogic"/>
</extension>
<extension url="name">
<valueString
value="Client is not due for cholera vaccination Case 1"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Client is not due for cholera vaccination Case 1
@pseudocode: "Immunization recommendation status" = "Not due"
*/
define "Client is not due for cholera vaccination Case 1":
Encounter."Client's age is less than 1 year""/>
</extension>
<extension url="displaySequence">
<valueInteger value="2"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTCholeraEncounterElements"/>
</extension>
<extension url="name">
<valueString value="Client's age is more than or equal to 1 year"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: Client's age is more than or equal to 1 year
@pseudocode: Today's date − "Date of birth" ≥ 1 year
@code: Client's age is more than or equal to 1 year-39
@decision: IMMZ.D2.DT.Cholera.WC vaccines: Whole-cell (WC) vaccines schedule
*/
define "Client's age is more than or equal to 1 year":
Encounter."Current Patient Age In Years" >= 1"/>
</extension>
<extension url="displaySequence">
<valueInteger value="3"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZElements"/>
</extension>
<extension url="name">
<valueString value="Doses Administered to Patient"/>
</extension>
<extension url="statement">
<valueString
value="/**
* @dataElement All Doses Administered to Patient
*/
define "Doses Administered to Patient":
[Immunization] I
where I.status = 'completed'
and I.isSubpotent is not true"/>
</extension>
<extension url="displaySequence">
<valueInteger value="4"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZEncounterElements"/>
</extension>
<extension url="name">
<valueString value="Doses Administered to Patient"/>
</extension>
<extension url="statement">
<valueString
value="/**
* @dataElement All Doses Administered to Patient
*/
define "Doses Administered to Patient":
Elements."Doses Administered to Patient" I
where I.occurrence.toInterval() same day or before Today"/>
</extension>
<extension url="displaySequence">
<valueInteger value="5"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTCholeraEncounterElements"/>
</extension>
<extension url="name">
<valueString value="Cholera Doses Administered to Patient"/>
</extension>
<extension url="statement">
<valueString
value="/*
@internal: Cholera containing Doses Administered to Patient
*/
define "Cholera Doses Administered to Patient":
Encounter."Doses Administered to Patient" I
where
I.vaccineCode in Concepts."Cholera vaccines""/>
</extension>
<extension url="displaySequence">
<valueInteger value="6"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTCholeraEncounterElements"/>
</extension>
<extension url="name">
<valueString
value="Cholera Primary Series Doses Administered to Patient"/>
</extension>
<extension url="statement">
<valueString
value="/*
@internal: Cholera containing Doses Administered to Patient that are in the Primary series
*/
define "Cholera Primary Series Doses Administered to Patient":
"Cholera Doses Administered to Patient".seriesPrimary()"/>
</extension>
<extension url="displaySequence">
<valueInteger value="7"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTCholeraEncounterElements"/>
</extension>
<extension url="name">
<valueString
value="Number of Cholera Primary Series Doses Administered"/>
</extension>
<extension url="statement">
<valueString
value="/*
@internal: Number of Cholera Primary Series doses
*/
define "Number of Cholera Primary Series Doses Administered":
Count("Cholera Primary Series Doses Administered to Patient")"/>
</extension>
<extension url="displaySequence">
<valueInteger value="8"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTCholeraEncounterElements"/>
</extension>
<extension url="name">
<valueString
value="One cholera primary series dose was administered"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: One cholera primary series dose was administered
@pseudocode: Count of vaccines administered (where "Vaccine type" = "Cholera vaccines" and "Type of dose" = "Primary series") = 1
@code: One cholera primary series dose was administered-116
@decision: IMMZ.D2.DT.Cholera.WC vaccines: Whole-cell (WC) vaccines schedule
*/
define "One cholera primary series dose was administered":
"Number of Cholera Primary Series Doses Administered" = 1"/>
</extension>
<extension url="displaySequence">
<valueInteger value="9"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTCholeraEncounterElements"/>
</extension>
<extension url="name">
<valueString value="Date of Latest Cholera Dose"/>
</extension>
<extension url="statement">
<valueString
value="/*
@internal: Date of Latest Cholera Dose
*/
define "Date of Latest Cholera Dose":
date from start of "Cholera Doses Administered to Patient".mostRecent().occurrence.toInterval()"/>
</extension>
<extension url="displaySequence">
<valueInteger value="10"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTCholeraEncounterElements"/>
</extension>
<extension url="name">
<valueString
value="The latest cholera dose was administered less than 14 days ago"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: The latest cholera dose was administered less than 14 days ago
@pseudocode: Today's date − latest "Date and time of vaccination" (where "Vaccine type" = "Cholera vaccines") < 14 days
@code: The latest cholera dose was administered less than 14 days ago-106
@decision: IMMZ.D2.DT.Cholera.WC vaccines: Whole-cell (WC) vaccines schedule
*/
define "The latest cholera dose was administered less than 14 days ago":
"Date of Latest Cholera Dose" is not null
and duration in days between "Date of Latest Cholera Dose" and Today < 14"/>
</extension>
<extension url="displaySequence">
<valueInteger value="11"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTCholeraWCVaccinesLogic"/>
</extension>
<extension url="name">
<valueString
value="Client is not due for cholera vaccination Case 2"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Client is not due for cholera vaccination Case 2
@pseudocode: "Immunization recommendation status" = "Not due"
*/
define "Client is not due for cholera vaccination Case 2":
Encounter."Client's age is more than or equal to 1 year"
and Encounter."One cholera primary series dose was administered"
and Encounter."The latest cholera dose was administered less than 14 days ago""/>
</extension>
<extension url="displaySequence">
<valueInteger value="12"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTCholeraWCVaccinesLogic"/>
</extension>
<extension url="name">
<valueString value="Client is not due for cholera vaccination"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Client is not due for cholera vaccination
@pseudocode: "Immunization recommendation status" = "Not due"
*/
define "Client is not due for cholera vaccination":
"Client is not due for cholera vaccination Case 1"
or "Client is not due for cholera vaccination Case 2""/>
</extension>
<extension url="displaySequence">
<valueInteger value="13"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTCholeraWCVaccinesLogic"/>
</extension>
<extension url="name">
<valueString
value="Client is not due for cholera vaccination Guidance"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Client is not due for cholera vaccination Guidance
@guidance = Should not vaccinate client with cholera dose as client's age is under 1 year.
Check for any vaccines due and inform the caregiver of when to come back for the first cholera dose.
@guidance = Should not vaccinate client with cholera dose as the latest cholera dose was administered less than 14 days ago.
Check for any vaccines due and inform the caregiver of when to come back for the next dose.
*/
define "Client is not due for cholera vaccination Guidance":
case
when "Client is not due for cholera vaccination Case 1" then 'Should not vaccinate client with cholera dose as client\'s age is under 1 year.
Check for any vaccines due and inform the caregiver of when to come back for the first cholera dose.'
when "Client is not due for cholera vaccination Case 2" then 'Should not vaccinate client with cholera dose as the latest cholera dose was administered less than 14 days ago.
Check for any vaccines due and inform the caregiver of when to come back for the next dose.'
else ''
end"/>
</extension>
<extension url="displaySequence">
<valueInteger value="14"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTCholeraEncounterElements"/>
</extension>
<extension url="name">
<valueString
value="No cholera primary series dose was administered"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: No cholera primary series dose was administered
@pseudocode: Count of vaccines administered (where "Vaccine type" = "Cholera vaccines" and "Type of dose" = "Primary series") = 0
@code: No cholera primary series dose was administered-116
@decision: IMMZ.D2.DT.Cholera.WC vaccines: Whole-cell (WC) vaccines schedule
@decision: IMMZ.D2.DT.Cholera.WC-rBS vaccine 3 doses: Whole cell-recombinant B subunit (WC-rBS) vaccine, 3-dose schedule for clients aged 2–5 years
@decision: IMMZ.D2.DT.Cholera.WC-rBS vaccine 2 doses: Whole cell-recombinant B subunit (WC-rBS) vaccine, 2-dose schedule for clients aged over 5 years
*/
define "No cholera primary series dose was administered":
"Number of Cholera Primary Series Doses Administered" = 0"/>
</extension>
<extension url="displaySequence">
<valueInteger value="15"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTCholeraWCVaccinesLogic"/>
</extension>
<extension url="name">
<valueString value="Client is due for cholera vaccination Case 1"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Client is due for cholera vaccination Case 1
@pseudocode: "Immunization recommendation status" = "Due"
*/
define "Client is due for cholera vaccination Case 1":
Encounter."Client's age is more than or equal to 1 year"
and Encounter."No cholera primary series dose 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="IMMZD2DTCholeraEncounterElements"/>
</extension>
<extension url="name">
<valueString
value="The latest cholera dose was administered more than 14 days ago"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: The latest cholera dose was administered more than 14 days ago
@pseudocode: Today's date − latest "Date and time of vaccination" (where "Vaccine type" = "Cholera vaccines") ≥ 14 days
@code: The latest cholera dose was administered more than 14 days ago-106
@decision: IMMZ.D2.DT.Cholera.WC vaccines: Whole-cell (WC) vaccines schedule
*/
define "The latest cholera dose was administered more than 14 days ago":
not "The latest cholera dose was administered less than 14 days ago""/>
</extension>
<extension url="displaySequence">
<valueInteger value="17"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTCholeraWCVaccinesLogic"/>
</extension>
<extension url="name">
<valueString value="Client is due for cholera vaccination Case 2"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Client is due for cholera vaccination Case 2
@pseudocode: "Immunization recommendation status" = "Due"
*/
define "Client is due for cholera vaccination Case 2":
Encounter."Client's age is more than or equal to 1 year"
and Encounter."One cholera primary series dose was administered"
and Encounter."The latest cholera dose was administered more than 14 days ago""/>
</extension>
<extension url="displaySequence">
<valueInteger value="18"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTCholeraEncounterElements"/>
</extension>
<extension url="name">
<valueString
value="Two cholera primary series doses were administered"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: Two cholera primary series doses were administered
@pseudocode: Count of vaccines administered (where "Vaccine type" = "Cholera vaccines" and "Type of dose" = "Primary series") = 2
@code: Two cholera primary series doses were administered-116
@decision: IMMZ.D2.DT.Cholera.WC vaccines: Whole-cell (WC) vaccines schedule
*/
define "Two cholera primary series doses were administered":
"Number of Cholera Primary Series Doses Administered" = 2"/>
</extension>
<extension url="displaySequence">
<valueInteger value="19"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTCholeraEncounterElements"/>
</extension>
<extension url="name">
<valueString
value="Cholera Booster Series Doses Administered to Patient"/>
</extension>
<extension url="statement">
<valueString
value="/*
@internal: Cholera Booster Series Doses Administered to Patient
*/
define "Cholera Booster Series Doses Administered to Patient":
"Cholera Doses Administered to Patient".seriesBooster()"/>
</extension>
<extension url="displaySequence">
<valueInteger value="20"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTCholeraEncounterElements"/>
</extension>
<extension url="name">
<valueString
value="Number of Cholera Booster Series Doses Administered"/>
</extension>
<extension url="statement">
<valueString
value="/*
@internal: Number of Cholera Booster Series Doses Administered
*/
define "Number of Cholera Booster Series Doses Administered":
Count("Cholera Booster Series Doses Administered to Patient")"/>
</extension>
<extension url="displaySequence">
<valueInteger value="21"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTCholeraEncounterElements"/>
</extension>
<extension url="name">
<valueString
value="At least one booster series dose was administered"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: At least one booster series dose was administered
@pseudocode: Count of vaccines administered (where "Vaccine type" = "Cholera vaccines" and "Type of dose" = "Booster dose") >= 1
@code: At least one booster series dose was administered-115
@decision: IMMZ.D2.DT.Cholera.WC vaccines: Whole-cell (WC) vaccines schedule
*/
define "At least one booster series dose was administered":
"Number of Cholera Booster Series Doses Administered" >= 1"/>
</extension>
<extension url="displaySequence">
<valueInteger value="22"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTCholeraEncounterElements"/>
</extension>
<extension url="name">
<valueString
value="The latest cholera dose was administered less than 3 years ago"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: The latest cholera dose was administered less than 3 years ago
@pseudocode: Today's date − latest "Date and time of vaccination" (where "Vaccine type" = "Cholera vaccines") < 3 years
@code: The latest cholera dose was administered less than 3 years ago-106
@decision: IMMZ.D2.DT.Cholera.WC vaccines: Whole-cell (WC) vaccines schedule
*/
define "The latest cholera dose was administered less than 3 years ago":
"Date of Latest Cholera Dose" is not null
and duration in years between "Date of Latest Cholera Dose" and Today < 3"/>
</extension>
<extension url="displaySequence">
<valueInteger value="23"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTCholeraEncounterElements"/>
</extension>
<extension url="name">
<valueString
value="The latest cholera dose was administered more than 3 years ago"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: The latest cholera dose was administered more than 3 years ago
@pseudocode: Today's date − latest "Date and time of vaccination" (where "Vaccine type" = "Cholera vaccines") ≥ 3 years
@code: The latest cholera dose was administered more than 3 years ago-106
@decision: IMMZ.D2.DT.Cholera.WC vaccines: Whole-cell (WC) vaccines schedule
*/
define "The latest cholera dose was administered more than 3 years ago":
not "The latest cholera dose was administered less than 3 years ago""/>
</extension>
<extension url="displaySequence">
<valueInteger value="24"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTCholeraWCVaccinesLogic"/>
</extension>
<extension url="name">
<valueString value="Client is due for cholera vaccination Case 3"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Client is due for cholera vaccination Case 3
@pseudocode: "Immunization recommendation status" = "Due"
"Completed the booster series" (where "Vaccine type" = "Cholera vaccines") = FALSE when dose 1 is administered
*/
define "Client is due for cholera vaccination Case 3":
Encounter."Client's age is more than or equal to 1 year"
and Encounter."Two cholera primary series doses were administered"
and Encounter."At least one booster series dose was administered"
and Encounter."The latest cholera dose was administered more than 3 years ago""/>
</extension>
<extension url="displaySequence">
<valueInteger value="25"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTCholeraWCVaccinesLogic"/>
</extension>
<extension url="name">
<valueString value="Client is due for cholera vaccination"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Client is due for cholera vaccination
@pseudocode: "Immunization recommendation status" = "Due"
*/
define "Client is due for cholera vaccination":
"Client is due for cholera vaccination Case 1"
or "Client is due for cholera vaccination Case 2"
or "Client is due for cholera vaccination Case 3""/>
</extension>
<extension url="displaySequence">
<valueInteger value="26"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTCholeraWCVaccinesLogic"/>
</extension>
<extension url="name">
<valueString
value="Client is due for cholera vaccination Guidance"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Client is due for cholera vaccination Guidance
@guidance = Should vaccinate client with cholera dose as no doses have been given.
@guidance = Should vaccinate client with cholera dose as the latest cholera dose was administered more than 14 days ago.
Check for contraindications.
@guidance = Should vaccinate client with cholera dose as the booster series for cholera was completed more than 3 years ago.
Check for contraindications.
*/
define "Client is due for cholera vaccination Guidance":
case
when "Client is due for cholera vaccination Case 1" then 'Should vaccinate client with cholera dose as no doses have been given.'
when "Client is due for cholera vaccination Case 2" then 'Should vaccinate client with cholera dose as the latest cholera dose was administered more than 14 days ago.
Check for contraindications.'
when "Client is due for cholera vaccination Case 3" then 'Should vaccinate client with cholera dose as the booster series for cholera was completed more than 3 years ago.
Check for contraindications.'
else ''
end"/>
</extension>
<extension url="displaySequence">
<valueInteger value="27"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTCholeraEncounterElements"/>
</extension>
<extension url="name">
<valueString
value="No cholera booster series dose was administered"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: No cholera booster series dose was administered
@pseudocode: Count of vaccines administered (where "Vaccine type" = "Cholera vaccines" and "Type of dose" = "Booster dose") = 0
@code: No cholera booster series dose was administered-114
@decision: IMMZ.D2.DT.Cholera.WC vaccines: Whole-cell (WC) vaccines schedule
*/
define "No cholera booster series dose was administered":
"Number of Cholera Booster Series Doses Administered" = 0"/>
</extension>
<extension url="displaySequence">
<valueInteger value="28"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTCholeraWCVaccinesLogic"/>
</extension>
<extension url="name">
<valueString
value="Primary series is complete. Client is not due for cholera booster dose"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Primary series is complete. Client is not due for cholera booster dose
@pseudocode: "Immunization recommendation status" = "Not due"
"Completed the primary vaccination series" (where "Vaccine type" = "Cholera vaccines") = TRUE
*/
define "Primary series is complete. Client is not due for cholera booster dose":
Encounter."Client's age is more than or equal to 1 year"
and Encounter."Two cholera primary series doses were administered"
and Encounter."No cholera booster series dose was administered"
and Encounter."The latest cholera dose was administered less than 3 years ago""/>
</extension>
<extension url="displaySequence">
<valueInteger value="29"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTCholeraWCVaccinesLogic"/>
</extension>
<extension url="name">
<valueString
value="Primary series is complete. Client is not due for cholera booster dose Guidance"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Primary series is complete. Client is not due for cholera booster dose Guidance
@guidance: Should not vaccinate client with cholera booster dose as primary series was completed less than 3 years ago.
Check for any vaccines due and inform the caregiver of when to come back for the first booster dose.
*/
define "Primary series is complete. Client is not due for cholera booster dose Guidance":
'Should not vaccinate client with cholera booster dose as primary series was completed less than 3 years ago.
Check for any vaccines due and inform the caregiver of when to come back for the first booster dose.'"/>
</extension>
<extension url="displaySequence">
<valueInteger value="30"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTCholeraWCVaccinesLogic"/>
</extension>
<extension url="name">
<valueString
value="Primary series is complete. Client is due for cholera booster dose"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Primary series is complete. Client is due for cholera booster dose
@pseudocode: "Immunization recommendation status" = "Due"
"Completed the primary vaccination series" (where "Vaccine type" = "Cholera vaccines") = TRUE
*/
define "Primary series is complete. Client is due for cholera booster dose":
Encounter."Client's age is more than or equal to 1 year"
and Encounter."Two cholera primary series doses were administered"
and Encounter."No cholera booster series dose was administered"
and Encounter."The latest cholera dose was administered more than 3 years ago""/>
</extension>
<extension url="displaySequence">
<valueInteger value="31"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTCholeraWCVaccinesLogic"/>
</extension>
<extension url="name">
<valueString
value="Primary series is complete. Client is due for cholera booster dose Guidance"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Primary series is complete. Client is due for cholera booster dose Guidance
@guidance: Should vaccinate client with cholera dose as the primary series for cholera was completed more than 3 years ago.
Check for contraindications.
*/
define "Primary series is complete. Client is due for cholera booster dose Guidance":
'Should vaccinate client with cholera dose as the primary series for cholera was completed more than 3 years ago.
Check for contraindications.'"/>
</extension>
<extension url="displaySequence">
<valueInteger value="32"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTCholeraEncounterElements"/>
</extension>
<extension url="name">
<valueString value="Dose number of the latest dose is one"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: Dose number of the latest dose is one
@pseudocode: Latest "Dose number" (where "Vaccine type" = "Cholera vaccines") = 1
@code: Dose number of the latest dose is one-68
@decision: IMMZ.D2.DT.Cholera.WC vaccines: Whole-cell (WC) vaccines schedule
*/
define "Dose number of the latest dose is one":
"Cholera Doses Administered to Patient".mostRecent().getDose('1') is not null"/>
</extension>
<extension url="displaySequence">
<valueInteger value="33"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTCholeraWCVaccinesLogic"/>
</extension>
<extension url="name">
<valueString value="Client is not due for cholera booster dose"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Client is not due for cholera booster dose
@pseudocode: "Immunization recommendation status" = "Not due"
*/
define "Client is not due for cholera booster dose":
Encounter."Client's age is more than or equal to 1 year"
and Encounter."Two cholera primary series doses were administered"
and Encounter."At least one booster series dose was administered"
and Encounter."Dose number of the latest dose is one"
and Encounter."The latest cholera dose was administered less than 14 days ago""/>
</extension>
<extension url="displaySequence">
<valueInteger value="34"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTCholeraWCVaccinesLogic"/>
</extension>
<extension url="name">
<valueString
value="Client is not due for cholera booster dose Guidance"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Client is not due for cholera booster dose Guidance
@guidance: Should not vaccinate client with cholera booster dose as the latest dose was administered less than 14 days ago.
Check for any vaccines due and inform the caregiver of when to come back for the next dose.
*/
define "Client is not due for cholera booster dose Guidance":
'Should not vaccinate client with cholera booster dose as the latest dose was administered less than 14 days ago.
Check for any vaccines due and inform the caregiver of when to come back for the next dose.'"/>
</extension>
<extension url="displaySequence">
<valueInteger value="35"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTCholeraEncounterElements"/>
</extension>
<extension url="name">
<valueString
value="The latest cholera dose was administered more than 14 days ago and less than 3 years ago"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: The latest cholera dose was administered more than 14 days ago and less than 3 years ago
@pseudocode: 14 days <= Today's date − latest "Date and time of vaccination" (where "Vaccine type" = "Cholera vaccines") <= 3 years
@code: The latest cholera dose was administered more than 14 days ago and less than 3 years ago-118
@decision: IMMZ.D2.DT.Cholera.WC vaccines: Whole-cell (WC) vaccines schedule
*/
define "The latest cholera dose was administered more than 14 days ago and less than 3 years ago":
"The latest cholera dose was administered more than 14 days ago"
and "The latest cholera dose was administered less than 3 years ago""/>
</extension>
<extension url="displaySequence">
<valueInteger value="36"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTCholeraWCVaccinesLogic"/>
</extension>
<extension url="name">
<valueString value="Client is due for cholera booster dose"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Client is due for cholera booster dose
@pseudocode: "Immunization recommendation status" = "Due"
*/
define "Client is due for cholera booster dose":
Encounter."Client's age is more than or equal to 1 year"
and Encounter."Two cholera primary series doses were administered"
and Encounter."At least one booster series dose was administered"
and Encounter."Dose number of the latest dose is one"
and Encounter."The latest cholera dose was administered more than 14 days ago and less than 3 years ago""/>
</extension>
<extension url="displaySequence">
<valueInteger value="37"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTCholeraWCVaccinesLogic"/>
</extension>
<extension url="name">
<valueString
value="Client is due for cholera booster dose Guidance"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Client is due for cholera booster dose Guidance
@guidance: Should vaccinate client with cholera booster dose as the booster series is not completed and the latest cholera dose was administered more than 14 days ago.
Check for contraindications.
*/
define "Client is due for cholera booster dose Guidance":
'Should vaccinate client with cholera booster dose as the booster series is not completed and the latest cholera dose was administered more than 14 days ago.
Check for contraindications.'"/>
</extension>
<extension url="displaySequence">
<valueInteger value="38"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTCholeraEncounterElements"/>
</extension>
<extension url="name">
<valueString value="Dose number of the latest dose is two"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: Dose number of the latest dose is two
@pseudocode: Latest "Dose number" (where "Vaccine type" = "Cholera vaccines") = 2
@code: Dose number of the latest dose is two-68
@decision: IMMZ.D2.DT.Cholera.WC vaccines: Whole-cell (WC) vaccines schedule
*/
define "Dose number of the latest dose is two":
"Cholera Doses Administered to Patient".mostRecent().getDose('2') is not null"/>
</extension>
<extension url="displaySequence">
<valueInteger value="39"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTCholeraWCVaccinesLogic"/>
</extension>
<extension url="name">
<valueString value="Booster series is complete"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Booster series is complete
@pseudocode: "Completed the booster series" (where "Vaccine type" = "Cholera vaccines") = TRUE
*/
define "Booster series is complete":
Encounter."Client's age is more than or equal to 1 year"
and Encounter."Two cholera primary series doses were administered"
and Encounter."At least one booster series dose was administered"
and Encounter."Dose number of the latest dose is two"
and Encounter."The latest cholera dose was administered less than 3 years ago""/>
</extension>
<extension url="displaySequence">
<valueInteger value="40"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTCholeraWCVaccinesLogic"/>
</extension>
<extension url="name">
<valueString value="Booster series is complete Guidance"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Booster series is complete Guidance
@guidance: Should not vaccinate client with cholera dose as the booster series for cholera was completed less than 3 years ago.
Check for any vaccines due and inform the caregiver of when to come back for the next booster series.
*/
define "Booster series is complete Guidance":
'Should not vaccinate client with cholera dose as the booster series for cholera was completed less than 3 years ago.
Check for any vaccines due and inform the caregiver of when to come back for the next booster series.'"/>
</extension>
<extension url="displaySequence">
<valueInteger value="41"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTCholeraWCVaccinesLogic"/>
</extension>
<extension url="name">
<valueString value="Guidance"/>
</extension>
<extension url="statement">
<valueString
value="/*
@dynamicValue: Guidance
*/
define "Guidance":
case
when "Client is not due for cholera vaccination" then "Client is not due for cholera vaccination Guidance"
when "Client is due for cholera vaccination" then "Client is due for cholera vaccination Guidance"
when "Primary series is complete. Client is not due for cholera booster dose" then "Primary series is complete. Client is not due for cholera booster dose Guidance"
when "Primary series is complete. Client is due for cholera booster dose" then "Primary series is complete. Client is due for cholera booster dose Guidance"
when "Client is not due for cholera booster dose" then "Client is not due for cholera booster dose Guidance"
when "Client is due for cholera booster dose" then "Client is due for cholera booster dose Guidance"
when "Booster series is complete" then "Booster series is complete Guidance"
else ''
end"/>
</extension>
<extension url="displaySequence">
<valueInteger value="42"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTCholeraWCVaccinesLogic"/>
</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="43"/>
</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="44"/>
</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="45"/>
</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="46"/>
</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="47"/>
</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="48"/>
</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="49"/>
</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="50"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZCommon"/>
</extension>
<extension url="name">
<valueString value="seriesBooster"/>
</extension>
<extension url="statement">
<valueString
value="/**
* @description: Gets the doses from the Booster series
*/
define fluent function seriesBooster(immunizations List<Immunization>):
immunizations I where
exists( I.protocolApplied pa where pa.series = 'Booster dose' )"/>
</extension>
<extension url="displaySequence">
<valueInteger value="51"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZCommon"/>
</extension>
<extension url="name">
<valueString value="getDose"/>
</extension>
<extension url="statement">
<valueString
value="/**
* @description: Gets a given immunization from a list that matches the dose number
*/
define fluent function getDose(immunization Immunization, doseNumber String):
immunization I where
exists( I.protocolApplied pa where pa.doseNumber = doseNumber )"/>
</extension>
<extension url="displaySequence">
<valueInteger value="52"/>
</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/IMMZD2DTCholeraEncounterElements"/>
</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 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 WC"/>
<resource
value="http://smart.who.int/immunizations/Library/WHOCommon"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Library FHIRHelpers"/>
<resource
value="http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Library Concepts"/>
<resource
value="http://smart.who.int/immunizations/Library/IMMZConcepts"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Library WC"/>
<resource
value="http://smart.who.int/immunizations/Library/WHOCommon"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Value set Cholera vaccines"/>
<resource
value="http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE2"/>
</relatedArtifact>
<parameter>
<name value="Today"/>
<use value="in"/>
<min value="0"/>
<max value="1"/>
<type value="date"/>
</parameter>
<parameter>
<name value="Guidance"/>
<use value="out"/>
<min value="0"/>
<max value="1"/>
<type value="string"/>
</parameter>
<parameter>
<name value="Client is due for cholera booster dose"/>
<use value="out"/>
<min value="0"/>
<max value="1"/>
<type value="boolean"/>
</parameter>
<parameter>
<name value="Has Guidance"/>
<use value="out"/>
<min value="0"/>
<max value="1"/>
<type value="boolean"/>
</parameter>
<parameter>
<name
value="Primary series is complete. Client is due for cholera booster dose"/>
<use value="out"/>
<min value="0"/>
<max value="1"/>
<type value="boolean"/>
</parameter>
<parameter>
<name value="Client is due for cholera vaccination"/>
<use value="out"/>
<min value="0"/>
<max value="1"/>
<type value="boolean"/>
</parameter>
<dataRequirement>
<type value="Patient"/>
<profile value="http://hl7.org/fhir/StructureDefinition/Patient"/>
</dataRequirement>
<dataRequirement>
<type value="Immunization"/>
<profile
value="http://hl7.org/fhir/StructureDefinition/Immunization"/>
<mustSupport value="status"/>
<mustSupport value="isSubpotent"/>
</dataRequirement>
<dataRequirement>
<type value="Immunization"/>
<profile
value="http://hl7.org/fhir/StructureDefinition/Immunization"/>
<mustSupport value="status"/>
<mustSupport value="isSubpotent"/>
<mustSupport value="occurrence"/>
</dataRequirement>
<dataRequirement>
<type value="Immunization"/>
<profile
value="http://hl7.org/fhir/StructureDefinition/Immunization"/>
<mustSupport value="status"/>
<mustSupport value="isSubpotent"/>
<mustSupport value="occurrence"/>
<mustSupport value="vaccineCode"/>
</dataRequirement>
<dataRequirement>
<type value="Immunization"/>
<profile
value="http://hl7.org/fhir/StructureDefinition/Immunization"/>
<mustSupport value="status"/>
<mustSupport value="isSubpotent"/>
<mustSupport value="occurrence"/>
<mustSupport value="vaccineCode"/>
</dataRequirement>
<dataRequirement>
<type value="Immunization"/>
<profile
value="http://hl7.org/fhir/StructureDefinition/Immunization"/>
<mustSupport value="status"/>
<mustSupport value="isSubpotent"/>
<mustSupport value="occurrence"/>
<mustSupport value="vaccineCode"/>
</dataRequirement>
<dataRequirement>
<type value="Immunization"/>
<profile
value="http://hl7.org/fhir/StructureDefinition/Immunization"/>
<mustSupport value="status"/>
<mustSupport value="isSubpotent"/>
<mustSupport value="occurrence"/>
<mustSupport value="vaccineCode"/>
</dataRequirement>
<dataRequirement>
<type value="Immunization"/>
<profile
value="http://hl7.org/fhir/StructureDefinition/Immunization"/>
<mustSupport value="status"/>
<mustSupport value="isSubpotent"/>
<mustSupport value="occurrence"/>
<mustSupport value="vaccineCode"/>
</dataRequirement>
</Library>
</contained>
<extension
url="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeCapability">
<valueCode value="computable"/>
</extension>
<extension
url="http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-effectiveDataRequirements">
<valueCanonical value="#effective-data-requirements"/>
</extension>
<url
value="http://smart.who.int/immunizations/PlanDefinition/IMMZD2DTCholeraWCVaccines"/>
<version value="0.2.0"/>
<name value="IMMZD2DTCholeraWCVaccines"/>
<title value="IMMZ.D2.DT.Cholera.WC vaccines"/>
<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.Cholera.WC vaccines
Whole-cell (WC) vaccines schedule"/>
<relatedArtifact>
<type value="citation"/>
<citation
value="WHO recommendations for routine immunization - summary tables (January 2025)"/>
</relatedArtifact>
<library
value="http://smart.who.int/immunizations/Library/IMMZD2DTCholeraWCVaccinesLogic"/>
<action>
<extension
url="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-rationale">
<valueMarkdown
value="For WC vaccines (Shanchol, Euvchol and mORCVAX), 2 doses should be given 14 days apart to individuals aged ≥ 1 year."/>
</extension>
<title value="Determine if the client is due for Cholera."/>
<description
value="Determine if the client is due for Cholera vaccine according to the national immunization protocol.
Whole-cell (WC) vaccines schedule"/>
<condition>
<kind value="applicability"/>
<expression>
<description value="Client is due for cholera vaccination"/>
<language value="text/cql-identifier"/>
<expression value="Client is due for cholera 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: 'DE2', display: 'Cholera vaccines' } }, display: 'Cholera vaccines' }"/>
</expression>
</dynamicValue>
</action>
<action>
<extension
url="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-rationale">
<valueMarkdown
value="Revaccination is recommended where there is continued risk of Vibrio cholerae infection. For WC vaccines, revaccination is recommended after 3 years."/>
</extension>
<title value="Determine if the client is due for Cholera."/>
<description
value="Determine if the client is due for Cholera vaccine according to the national immunization protocol.
Whole-cell (WC) vaccines schedule"/>
<condition>
<kind value="applicability"/>
<expression>
<description
value="Primary series is complete. Client is due for cholera booster dose"/>
<language value="text/cql-identifier"/>
<expression
value="Primary series is complete. Client is due for cholera booster dose"/>
</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: 'DE2', display: 'Cholera vaccines' } }, display: 'Cholera vaccines' }"/>
</expression>
</dynamicValue>
</action>
<action>
<extension
url="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-rationale">
<valueMarkdown
value="Revaccination is recommended where there is continued risk of Vibrio cholerae infection. For WC vaccines, revaccination is recommended after 3 years."/>
</extension>
<title value="Determine if the client is due for Cholera."/>
<description
value="Determine if the client is due for Cholera vaccine according to the national immunization protocol.
Whole-cell (WC) vaccines schedule"/>
<condition>
<kind value="applicability"/>
<expression>
<description value="Client is due for cholera booster dose"/>
<language value="text/cql-identifier"/>
<expression value="Client is due for cholera booster dose"/>
</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: 'DE2', display: 'Cholera vaccines' } }, display: 'Cholera vaccines' }"/>
</expression>
</dynamicValue>
</action>
<action>
<title
value="Check for Guidance for the patient regarding IMMZ.D2.DT.Cholera.WC vaccines."/>
<description
value="Show Guidance for the patient regarding IMMZ.D2.DT.Cholera.WC vaccines."/>
<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>