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="IMMZD2DTDengue3DosesWithPreVaccinationScreening"/>
<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;">IMMZD2DTDengue3DosesWithPreVaccinationScreening</td>
</tr>
<tr>
<th scope="row"><b>Url: </b></th>
<td style="padding-left: 4px;"><a href="PlanDefinition-IMMZD2DTDengue3DosesWithPreVaccinationScreening.html">IMMZ.D2.DT.Dengue.3 doses with pre-vaccination screening</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.Dengue.3 doses with pre-vaccination screening</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.Dengue.3 doses with pre-vaccination screening
CYD-TDV (Dengvaxia), 3-dose schedule with pre-vaccination screening, the recommended strategy where feasible (pre-vaccination screening whereby only those tested seropositive would be vaccinated)</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-IMMZD2DTDengue3DosesWithPreVaccinationScreeningLogic.html">IMMZD2DTDengue3DosesWithPreVaccinationScreeningLogic</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 Dengue.:</b> Determine if the client is due for Dengue vaccine according to the national immunization protocol.
CYD-TDV (Dengvaxia), 3-dose schedule with pre-vaccination screening, the recommended strategy where
feasible (pre-vaccination screening whereby only those tested seropositive would be vaccinated)
<br/>
<b>If:</b>
<i>Applicability:</i>
Client is due for dengue vaccination
<i>(Client is due for dengue 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: 'DE25', display: 'Dengue vaccines' } }, display: 'Dengue vaccines' })</i>
<br/>
</td>
</tr>
<tr>
<td>
<b> Check for Guidance for the patient regarding IMMZ.D2.DT.Dengue.3 doses with pre-vaccination screening.:</b> Show Guidance for the patient regarding IMMZ.D2.DT.Dengue.3 doses with pre-vaccination screening.
<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="DE241"/>
<display value="Dengue serostatus"/>
</valueCoding>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
<valueCoding>
<system
value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
<code value="DE265"/>
<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="DE264"/>
<display value="Positive"/>
</valueCoding>
</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="0"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTDengueEncounterElements"/>
</extension>
<extension url="name">
<valueString value="Client's age is less than 9 years"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: Client's age is less than 9 years
@pseudocode: Today's date − "Date of birth" < 9 years
@code: Client's age is less than 9 years-40
@decision: IMMZ.D2.DT.Dengue.3 doses with pre-vaccination screening: CYD-TDV (Dengvaxia), 3-dose schedule with pre-vaccination screening, the recommended strategy where feasible (pre-vaccination screening whereby only those tested seropositive would be vaccinated)
@decision: IMMZ.D2.DT.Dengue.3 doses without pre-vaccination screening: CYD-TDV (Dengvaxia), 3-dose schedule without pre-vaccination screening [when pre-vaccination screening is not feasible and in areas with recent documentation of seroprevalence rates of at least 80% by age 9 years]
*/
define "Client's age is less than 9 years":
Encounter."Current Patient Age In Years" < 9"/>
</extension>
<extension url="displaySequence">
<valueInteger value="1"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString
value="IMMZD2DTDengue3DosesWithPreVaccinationScreeningLogic"/>
</extension>
<extension url="name">
<valueString
value="Client is not due for dengue vaccination Case 1"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Client is not due for dengue vaccination Case 1
@pseudocode: "Immunization recommendation status" = "Not due"
*/
define "Client is not due for dengue vaccination Case 1":
Encounter."Client's age is less than 9 years""/>
</extension>
<extension url="displaySequence">
<valueInteger value="2"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTDengueEncounterElements"/>
</extension>
<extension url="name">
<valueString value="Client's age is more than 45 years"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: Client's age is more than 45 years
@pseudocode: Today's date − "Date of birth" > 45 years
@code: Client's age is more than 45 years-41
@decision: IMMZ.D2.DT.Dengue.3 doses with pre-vaccination screening: CYD-TDV (Dengvaxia), 3-dose schedule with pre-vaccination screening, the recommended strategy where feasible (pre-vaccination screening whereby only those tested seropositive would be vaccinated)
@decision: IMMZ.D2.DT.Dengue.3 doses without pre-vaccination screening: CYD-TDV (Dengvaxia), 3-dose schedule without pre-vaccination screening [when pre-vaccination screening is not feasible and in areas with recent documentation of seroprevalence rates of at least 80% by age 9 years]
*/
define "Client's age is more than 45 years":
Encounter."Current Patient Age In Years" > 45"/>
</extension>
<extension url="displaySequence">
<valueInteger value="3"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString
value="IMMZD2DTDengue3DosesWithPreVaccinationScreeningLogic"/>
</extension>
<extension url="name">
<valueString
value="Client is not due for dengue vaccination Case 2"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Client is not due for dengue vaccination Case 2
@pseudocode: "Immunization recommendation status" = "Not due"
*/
define "Client is not due for dengue vaccination Case 2":
Encounter."Client's age is more than 45 years""/>
</extension>
<extension url="displaySequence">
<valueInteger value="4"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTDengueElements"/>
</extension>
<extension url="name">
<valueString value="Dengue serostatus Observation"/>
</extension>
<extension url="statement">
<valueString
value="/*
@internal: Dengue serostatus Observation
*/
define "Dengue serostatus Observation":
([Observation: Concepts."Dengue serostatus"] O
sort by end of effective.toInterval() desc).complete()"/>
</extension>
<extension url="displaySequence">
<valueInteger value="5"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTDengueEncounterElements"/>
</extension>
<extension url="name">
<valueString value="Dengue serostatus Observation"/>
</extension>
<extension url="statement">
<valueString
value="/*
@internal: Dengue serostatus Observation
*/
define "Dengue serostatus Observation":
DengueElements."Dengue serostatus Observation".encounterOrOnBefore(EncounterId, Today)"/>
</extension>
<extension url="displaySequence">
<valueInteger value="6"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTDengueEncounterElements"/>
</extension>
<extension url="name">
<valueString value="Client's dengue serostatus is negative"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: Client's dengue serostatus is negative
@pseudocode: "Dengue serostatus" = "Negative"
@code: Client's dengue serostatus is negative-32
@decision: IMMZ.D2.DT.Dengue.3 doses with pre-vaccination screening: CYD-TDV (Dengvaxia), 3-dose schedule with pre-vaccination screening, the recommended strategy where feasible (pre-vaccination screening whereby only those tested seropositive would be vaccinated)
*/
define "Client's dengue serostatus is negative":
First( "Dengue serostatus Observation" ).value ~ Concepts."Dengue-Negative""/>
</extension>
<extension url="displaySequence">
<valueInteger value="7"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString
value="IMMZD2DTDengue3DosesWithPreVaccinationScreeningLogic"/>
</extension>
<extension url="name">
<valueString
value="Client is not due for dengue vaccination Case 3"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Client is not due for dengue vaccination Case 3
@pseudocode: "Immunization recommendation status" = "Not due"
*/
define "Client is not due for dengue vaccination Case 3":
Encounter."Client's dengue serostatus is negative""/>
</extension>
<extension url="displaySequence">
<valueInteger value="8"/>
</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="9"/>
</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="10"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTDengueEncounterElements"/>
</extension>
<extension url="name">
<valueString value="Dengue Doses Administered to Patient"/>
</extension>
<extension url="statement">
<valueString
value="/*
@internal: Dengue containing Doses Administered to Patient
*/
define "Dengue Doses Administered to Patient":
Encounter."Doses Administered to Patient" I
where
I.vaccineCode in Concepts."Dengue vaccines""/>
</extension>
<extension url="displaySequence">
<valueInteger value="11"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTDengueEncounterElements"/>
</extension>
<extension url="name">
<valueString
value="Dengue Primary Series Doses Administered to Patient"/>
</extension>
<extension url="statement">
<valueString
value="/*
@internal: Dengue containing Doses Administered to Patient that are in the Primary series
*/
define "Dengue Primary Series Doses Administered to Patient":
"Dengue Doses Administered to Patient".seriesPrimary()"/>
</extension>
<extension url="displaySequence">
<valueInteger value="12"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTDengueEncounterElements"/>
</extension>
<extension url="name">
<valueString
value="Number of Dengue Primary Series Doses Administered"/>
</extension>
<extension url="statement">
<valueString
value="/*
@internal: Number of Dengue Primary Series doses
*/
define "Number of Dengue Primary Series Doses Administered":
Count("Dengue Primary Series Doses Administered to Patient")"/>
</extension>
<extension url="displaySequence">
<valueInteger value="13"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTDengueEncounterElements"/>
</extension>
<extension url="name">
<valueString
value="One dengue primary series dose was administered"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: One dengue primary series dose was administered
@pseudocode: Count of vaccines administered (where "Vaccine type" = "Dengue vaccines" and "Type of dose" = "Primary series") = 1
@code: One dengue primary series dose was administered-115
@decision: IMMZ.D2.DT.Dengue.3 doses with pre-vaccination screening: CYD-TDV (Dengvaxia), 3-dose schedule with pre-vaccination screening, the recommended strategy where feasible (pre-vaccination screening whereby only those tested seropositive would be vaccinated)
@decision: IMMZ.D2.DT.Dengue.3 doses without pre-vaccination screening: CYD-TDV (Dengvaxia), 3-dose schedule without pre-vaccination screening [when pre-vaccination screening is not feasible and in areas with recent documentation of seroprevalence rates of at least 80% by age 9 years]
*/
define "One dengue primary series dose was administered":
"Number of Dengue Primary Series Doses Administered" = 1"/>
</extension>
<extension url="displaySequence">
<valueInteger value="14"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTDengueEncounterElements"/>
</extension>
<extension url="name">
<valueString value="Client's age is between 9 years and 45 years"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: Client's age is between 9 years and 45 years
@pseudocode: 9 years ≤ Today's date − "Date of birth" ≤ 45 years
@code: Client's age is between 9 years and 45 years-51
@decision: IMMZ.D2.DT.Dengue.3 doses with pre-vaccination screening: CYD-TDV (Dengvaxia), 3-dose schedule with pre-vaccination screening, the recommended strategy where feasible (pre-vaccination screening whereby only those tested seropositive would be vaccinated)
@decision: IMMZ.D2.DT.Dengue.3 doses without pre-vaccination screening: CYD-TDV (Dengvaxia), 3-dose schedule without pre-vaccination screening [when pre-vaccination screening is not feasible and in areas with recent documentation of seroprevalence rates of at least 80% by age 9 years]
*/
define "Client's age is between 9 years and 45 years":
Encounter."Current Patient Age In Years" >= 9
and Encounter."Current Patient Age In Years" <= 45"/>
</extension>
<extension url="displaySequence">
<valueInteger value="15"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTDengueEncounterElements"/>
</extension>
<extension url="name">
<valueString value="Client's dengue serostatus is positive"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: Client's dengue serostatus is positive
@pseudocode: "Dengue serostatus" = "Positive"
@code: Client's dengue serostatus is positive-32
@decision: IMMZ.D2.DT.Dengue.3 doses with pre-vaccination screening: CYD-TDV (Dengvaxia), 3-dose schedule with pre-vaccination screening, the recommended strategy where feasible (pre-vaccination screening whereby only those tested seropositive would be vaccinated)
*/
define "Client's dengue serostatus is positive":
First( "Dengue serostatus Observation" ).value ~ Concepts."Dengue-Positive""/>
</extension>
<extension url="displaySequence">
<valueInteger value="16"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTDengueEncounterElements"/>
</extension>
<extension url="name">
<valueString value="Date of Latest Dengue Dose"/>
</extension>
<extension url="statement">
<valueString
value="/*
@internal: Date of Latest Dengue Dose
*/
define "Date of Latest Dengue Dose":
date from start of "Dengue Doses Administered to Patient".mostRecent().occurrence.toInterval()"/>
</extension>
<extension url="displaySequence">
<valueInteger value="17"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTDengueEncounterElements"/>
</extension>
<extension url="name">
<valueString
value="The latest dengue dose was administered less than 6 months ago"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: The latest dengue dose was administered less than 6 months ago
@pseudocode: Today's date - Latest "Date and time of vaccination" (where "Vaccine type" = "Dengue vaccines") < 6 months
@code: The latest dengue dose was administered less than 6 months ago-106
@decision: IMMZ.D2.DT.Dengue.3 doses with pre-vaccination screening: CYD-TDV (Dengvaxia), 3-dose schedule with pre-vaccination screening, the recommended strategy where feasible (pre-vaccination screening whereby only those tested seropositive would be vaccinated)
@decision: IMMZ.D2.DT.Dengue.3 doses without pre-vaccination screening: CYD-TDV (Dengvaxia), 3-dose schedule without pre-vaccination screening [when pre-vaccination screening is not feasible and in areas with recent documentation of seroprevalence rates of at least 80% by age 9 years]
*/
define "The latest dengue dose was administered less than 6 months ago":
"Date of Latest Dengue Dose" is not null
and duration in months between "Date of Latest Dengue Dose" and Today < 6"/>
</extension>
<extension url="displaySequence">
<valueInteger value="18"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString
value="IMMZD2DTDengue3DosesWithPreVaccinationScreeningLogic"/>
</extension>
<extension url="name">
<valueString
value="Client is not due for dengue vaccination Case 4"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Client is not due for dengue vaccination Case 4
@pseudocode: "Immunization recommendation status" = "Not due"
*/
define "Client is not due for dengue vaccination Case 4":
Encounter."One dengue primary series dose was administered"
and Encounter."Client's age is between 9 years and 45 years"
and Encounter."Client's dengue serostatus is positive"
and Encounter."The latest dengue dose was administered less than 6 months ago""/>
</extension>
<extension url="displaySequence">
<valueInteger value="19"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTDengueEncounterElements"/>
</extension>
<extension url="name">
<valueString
value="Two dengue primary series doses were administered"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: Two dengue primary series doses were administered
@pseudocode: Count of vaccines administered (where "Vaccine type" = "Dengue vaccines" and "Type of dose" = "Primary series") = 2
@code: Two dengue primary series doses were administered-115
@decision: IMMZ.D2.DT.Dengue.3 doses with pre-vaccination screening: CYD-TDV (Dengvaxia), 3-dose schedule with pre-vaccination screening, the recommended strategy where feasible (pre-vaccination screening whereby only those tested seropositive would be vaccinated)
@decision: IMMZ.D2.DT.Dengue.3 doses without pre-vaccination screening: CYD-TDV (Dengvaxia), 3-dose schedule without pre-vaccination screening [when pre-vaccination screening is not feasible and in areas with recent documentation of seroprevalence rates of at least 80% by age 9 years]
*/
define "Two dengue primary series doses were administered":
"Number of Dengue Primary Series Doses Administered" = 2"/>
</extension>
<extension url="displaySequence">
<valueInteger value="20"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString
value="IMMZD2DTDengue3DosesWithPreVaccinationScreeningLogic"/>
</extension>
<extension url="name">
<valueString
value="Client is not due for dengue vaccination Case 5"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Client is not due for dengue vaccination Case 5
@pseudocode: "Immunization recommendation status" = "Not due"
*/
define "Client is not due for dengue vaccination Case 5":
Encounter."Two dengue primary series doses were administered"
and Encounter."Client's age is between 9 years and 45 years"
and Encounter."Client's dengue serostatus is positive"
and Encounter."The latest dengue dose was administered less than 6 months ago""/>
</extension>
<extension url="displaySequence">
<valueInteger value="21"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString
value="IMMZD2DTDengue3DosesWithPreVaccinationScreeningLogic"/>
</extension>
<extension url="name">
<valueString value="Client is not due for dengue vaccination"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Client is not due for dengue vaccination
@pseudocode: "Immunization recommendation status" = "Not due"
*/
define "Client is not due for dengue vaccination":
"Client is not due for dengue vaccination Case 1"
or "Client is not due for dengue vaccination Case 2"
or "Client is not due for dengue vaccination Case 3"
or "Client is not due for dengue vaccination Case 4"
or "Client is not due for dengue vaccination Case 5""/>
</extension>
<extension url="displaySequence">
<valueInteger value="22"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString
value="IMMZD2DTDengue3DosesWithPreVaccinationScreeningLogic"/>
</extension>
<extension url="name">
<valueString
value="Client is not due for dengue vaccination Guidance"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Client is not due for dengue vaccination Guidance
@guidance = Should not vaccinate client with first dengue dose as client's age is less than 9 years.
Check for any other vaccines due and inform the caregiver of when to come back for first dose.
@guidance = Should not vaccinate client with first dengue dose as client's age is more than 45 years.
Check for any vaccines due.
@guidance = Should not vaccinate client with first dengue dose as client does not have evidence of past dengue infection.
Check for any other vaccines due.
@guidance = Should not vaccinate client with second dengue dose as latest dengue dose was administered less than 6 months ago.
Check for any other vaccines due and inform the caregiver of when to come back for the second dose.
@guidance = Should not vaccinate client with third dengue dose as latest dengue vaccine was administered less than 6 months ago.
Check for any other vaccines due and inform the caregiver of when to come back for the third dose.
*/
define "Client is not due for dengue vaccination Guidance":
case
when "Client is not due for dengue vaccination Case 1" then 'Should not vaccinate client with first dengue dose as client\'s age is less than 9 years.
Check for any other vaccines due and inform the caregiver of when to come back for first dose.'
when "Client is not due for dengue vaccination Case 2" then 'Should not vaccinate client with first dengue dose as client\'s age is more than 45 years.
Check for any vaccines due.'
when "Client is not due for dengue vaccination Case 3" then 'Should not vaccinate client with first dengue dose as client does not have evidence of past dengue infection.
Check for any other vaccines due.'
when "Client is not due for dengue vaccination Case 4" then 'Should not vaccinate client with second dengue dose as latest dengue dose was administered less than 6 months ago.
Check for any other vaccines due and inform the caregiver of when to come back for the second dose.'
when "Client is not due for dengue vaccination Case 5" then 'Should not vaccinate client with third dengue dose as latest dengue vaccine was administered less than 6 months ago.
Check for any other vaccines due and inform the caregiver of when to come back for the third dose.'
else ''
end"/>
</extension>
<extension url="displaySequence">
<valueInteger value="23"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTDengueEncounterElements"/>
</extension>
<extension url="name">
<valueString
value="No dengue primary series doses were administered"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: No dengue primary series doses were administered
@pseudocode: Count of vaccines administered (where "Vaccine type" = "Dengue vaccines" and "Type of dose" = "Primary series") = 0
@code: No dengue primary series doses were administered-115
@decision: IMMZ.D2.DT.Dengue.3 doses with pre-vaccination screening: CYD-TDV (Dengvaxia), 3-dose schedule with pre-vaccination screening, the recommended strategy where feasible (pre-vaccination screening whereby only those tested seropositive would be vaccinated)
@decision: IMMZ.D2.DT.Dengue.3 doses without pre-vaccination screening: CYD-TDV (Dengvaxia), 3-dose schedule without pre-vaccination screening [when pre-vaccination screening is not feasible and in areas with recent documentation of seroprevalence rates of at least 80% by age 9 years]
*/
define "No dengue primary series doses were administered":
"Number of Dengue Primary Series Doses Administered" = 0"/>
</extension>
<extension url="displaySequence">
<valueInteger value="24"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString
value="IMMZD2DTDengue3DosesWithPreVaccinationScreeningLogic"/>
</extension>
<extension url="name">
<valueString value="Client is due for dengue vaccination Case 1"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Client is due for dengue vaccination Case 1
@pseudocode: "Immunization recommendation status" = "Due"
*/
define "Client is due for dengue vaccination Case 1":
Encounter."No dengue primary series doses were administered"
and Encounter."Client's age is between 9 years and 45 years"
and Encounter."Client's dengue serostatus is positive""/>
</extension>
<extension url="displaySequence">
<valueInteger value="25"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTDengueEncounterElements"/>
</extension>
<extension url="name">
<valueString
value="The latest dengue dose was administered more than 6 months ago"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: The latest dengue dose was administered more than 6 months ago
@pseudocode: Today's date - Latest "Date and time of vaccination" (where "Vaccine type" = "Dengue vaccines") ≥ 6 months
@code: The latest dengue dose was administered more than 6 months ago-106
@decision: IMMZ.D2.DT.Dengue.3 doses with pre-vaccination screening: CYD-TDV (Dengvaxia), 3-dose schedule with pre-vaccination screening, the recommended strategy where feasible (pre-vaccination screening whereby only those tested seropositive would be vaccinated)
@decision: IMMZ.D2.DT.Dengue.3 doses without pre-vaccination screening: CYD-TDV (Dengvaxia), 3-dose schedule without pre-vaccination screening [when pre-vaccination screening is not feasible and in areas with recent documentation of seroprevalence rates of at least 80% by age 9 years]
*/
define "The latest dengue dose was administered more than 6 months ago":
"Date of Latest Dengue Dose" is not null
and duration in months between "Date of Latest Dengue Dose" and Today >= 6"/>
</extension>
<extension url="displaySequence">
<valueInteger value="26"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString
value="IMMZD2DTDengue3DosesWithPreVaccinationScreeningLogic"/>
</extension>
<extension url="name">
<valueString value="Client is due for dengue vaccination Case 2"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Client is due for dengue vaccination Case 2
@pseudocode: "Immunization recommendation status" = "Due"
*/
define "Client is due for dengue vaccination Case 2":
Encounter."One dengue primary series dose was administered"
and Encounter."Client's age is between 9 years and 45 years"
and Encounter."Client's dengue serostatus is positive"
and Encounter."The latest dengue dose was administered more than 6 months ago""/>
</extension>
<extension url="displaySequence">
<valueInteger value="27"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString
value="IMMZD2DTDengue3DosesWithPreVaccinationScreeningLogic"/>
</extension>
<extension url="name">
<valueString value="Client is due for dengue vaccination Case 3"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Client is due for dengue vaccination Case 3
@pseudocode: "Immunization recommendation status" = "Due"
*/
define "Client is due for dengue vaccination Case 3":
Encounter."Two dengue primary series doses were administered"
and Encounter."Client's age is between 9 years and 45 years"
and Encounter."Client's dengue serostatus is positive"
and Encounter."The latest dengue dose was administered more than 6 months ago""/>
</extension>
<extension url="displaySequence">
<valueInteger value="28"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString
value="IMMZD2DTDengue3DosesWithPreVaccinationScreeningLogic"/>
</extension>
<extension url="name">
<valueString value="Client is due for dengue vaccination"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Client is due for dengue vaccination
@pseudocode: "Immunization recommendation status" = "Due"
*/
define "Client is due for dengue vaccination":
"Client is due for dengue vaccination Case 1"
or "Client is due for dengue vaccination Case 2"
or "Client is due for dengue vaccination Case 3""/>
</extension>
<extension url="displaySequence">
<valueInteger value="29"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString
value="IMMZD2DTDengue3DosesWithPreVaccinationScreeningLogic"/>
</extension>
<extension url="name">
<valueString value="Client is due for dengue vaccination Guidance"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Client is due for dengue vaccination Guidance
@guidance = Should vaccinate client with first dengue dose as no dengue doses were administered, client is within appropriate age range and has evidence of past dengue infection.
Check for contraindications.
@guidance = Should vaccinate client with second dengue dose as the latest dengue dose was administered more than 6 months ago and client has evidence of past dengue infection.
Check for contraindications.
@guidance = Should vaccinate client with third dengue dose as latest dengue dose was administered more than 6 months ago and client has evidence of past dengue infection.
Check for contraindications.
*/
define "Client is due for dengue vaccination Guidance":
case
when "Client is due for dengue vaccination Case 1" then 'Should vaccinate client with first dengue dose as no dengue doses were administered, client is within appropriate age range and has evidence of past dengue infection.
Check for contraindications.'
when "Client is due for dengue vaccination Case 2" then 'Should vaccinate client with second dengue dose as the latest dengue dose was administered more than 6 months ago and client has evidence of past dengue infection.
Check for contraindications.'
when "Client is due for dengue vaccination Case 3" then 'Should vaccinate client with third dengue dose as latest dengue dose was administered more than 6 months ago and client has evidence of past dengue infection.
Check for contraindications.'
else ''
end"/>
</extension>
<extension url="displaySequence">
<valueInteger value="30"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTDengueEncounterElements"/>
</extension>
<extension url="name">
<valueString
value="Three dengue primary series doses were administered"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: Three dengue primary series doses were administered
@pseudocode: Count of vaccines administered (where "Vaccine type" = "Dengue vaccines" and "Type of dose" = "Primary series") = 3
@code: Three dengue primary series doses were administered-115
@decision: IMMZ.D2.DT.Dengue.3 doses with pre-vaccination screening: CYD-TDV (Dengvaxia), 3-dose schedule with pre-vaccination screening, the recommended strategy where feasible (pre-vaccination screening whereby only those tested seropositive would be vaccinated)
@decision: IMMZ.D2.DT.Dengue.3 doses without pre-vaccination screening: CYD-TDV (Dengvaxia), 3-dose schedule without pre-vaccination screening [when pre-vaccination screening is not feasible and in areas with recent documentation of seroprevalence rates of at least 80% by age 9 years]
*/
define "Three dengue primary series doses were administered":
"Number of Dengue Primary Series Doses Administered" = 3"/>
</extension>
<extension url="displaySequence">
<valueInteger value="31"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString
value="IMMZD2DTDengue3DosesWithPreVaccinationScreeningLogic"/>
</extension>
<extension url="name">
<valueString value="Dengue immunization schedule is complete"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Dengue immunization schedule is complete
@pseudocode: "Immunization recommendation status" = "Complete"
"Completed the primary vaccination series" = TRUE (where "Vaccine type" = "Dengue vaccines")"
*/
define "Dengue immunization schedule is complete":
Encounter."Three dengue primary series doses were administered"
and Encounter."Client's age is between 9 years and 45 years""/>
</extension>
<extension url="displaySequence">
<valueInteger value="32"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString
value="IMMZD2DTDengue3DosesWithPreVaccinationScreeningLogic"/>
</extension>
<extension url="name">
<valueString
value="Dengue immunization schedule is complete Guidance"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Dengue immunization schedule is complete Guidance
@guidance: Dengue immunization schedule is complete. Three dengue primary series doses were administered.
Check for any other vaccines due.
*/
define "Dengue immunization schedule is complete Guidance":
'Dengue immunization schedule is complete. Three dengue primary series doses were administered.
Check for any other vaccines due.'"/>
</extension>
<extension url="displaySequence">
<valueInteger value="33"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString
value="IMMZD2DTDengue3DosesWithPreVaccinationScreeningLogic"/>
</extension>
<extension url="name">
<valueString value="Guidance"/>
</extension>
<extension url="statement">
<valueString
value="/*
@dynamicValue: Guidance
*/
define "Guidance":
case
when "Client is not due for dengue vaccination" then "Client is not due for dengue vaccination Guidance"
when "Client is due for dengue vaccination" then "Client is due for dengue vaccination Guidance"
when "Dengue immunization schedule is complete" then "Dengue immunization schedule is complete Guidance"
else ''
end"/>
</extension>
<extension url="displaySequence">
<valueInteger value="34"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString
value="IMMZD2DTDengue3DosesWithPreVaccinationScreeningLogic"/>
</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="35"/>
</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="36"/>
</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="37"/>
</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="38"/>
</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="39"/>
</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="40"/>
</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="41"/>
</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="42"/>
</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="43"/>
</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="44"/>
</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="45"/>
</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="46"/>
</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/IMMZD2DTDengueEncounterElements"/>
</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 FHIRHelpers"/>
<resource
value="http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1"/>
</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 FHIRHelpers"/>
<resource
value="http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Library DengueElements"/>
<resource
value="http://smart.who.int/immunizations/Library/IMMZD2DTDengueElements"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Library WC"/>
<resource
value="http://smart.who.int/immunizations/Library/WHOCommon"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Library Concepts"/>
<resource
value="http://smart.who.int/immunizations/Library/IMMZConcepts"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Library 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="Code system IMMZD"/>
<resource
value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Value set Dengue vaccines"/>
<resource
value="http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE25"/>
</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 dengue 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="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="DE241"/>
<display value="Dengue serostatus"/>
</code>
</codeFilter>
</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="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="DE241"/>
<display value="Dengue serostatus"/>
</code>
</codeFilter>
</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/IMMZD2DTDengue3DosesWithPreVaccinationScreening"/>
<version value="0.2.0"/>
<name value="IMMZD2DTDengue3DosesWithPreVaccinationScreening"/>
<title value="IMMZ.D2.DT.Dengue.3 doses with pre-vaccination screening"/>
<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.Dengue.3 doses with pre-vaccination screening
CYD-TDV (Dengvaxia), 3-dose schedule with pre-vaccination screening, the recommended strategy where feasible (pre-vaccination screening whereby only those tested seropositive would be vaccinated)"/>
<relatedArtifact>
<type value="citation"/>
<citation
value="WHO recommendations for routine immunization - summary tables (January 2025)"/>
</relatedArtifact>
<library
value="http://smart.who.int/immunizations/Library/IMMZD2DTDengue3DosesWithPreVaccinationScreeningLogic"/>
<action>
<extension
url="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-rationale">
<valueMarkdown
value="Currently, the dengue vaccine should be used within the indicated age range, which in most countries is 9–45 years.
Because of the excess risk of hospitalized dengue identified among seronegative trial
participants who became infected after vaccination, the WHO Global Advisory Committee on Vaccine
Safety (GACVS) concluded that individuals who have not been infected with the wild dengue virus
(i.e. who are seronegative) should not be vaccinated with CYD-TDV (Dengvaxia).
If pre-vaccination screening is not feasible, vaccination without individual screening could be
considered in areas with recent documentation of seroprevalence rates of at least 80% by age 9 years.
Communication needs to ensure appropriate and full disclosure of the risks of vaccination of persons
with unknown serostatus.
Pre-vaccination screening is necessary to avoid vaccinating truly seronegative persons.
CYD-TDV is recommended as a 3-dose series given 6 months apart. Should a vaccine dose be delayed for any reason, it is not
necessary to restart the course and the next dose in the series should be administered as soon as possible."/>
</extension>
<title value="Determine if the client is due for Dengue."/>
<description
value="Determine if the client is due for Dengue vaccine according to the national immunization protocol.
CYD-TDV (Dengvaxia), 3-dose schedule with pre-vaccination screening, the recommended strategy where
feasible (pre-vaccination screening whereby only those tested seropositive would be vaccinated)"/>
<condition>
<kind value="applicability"/>
<expression>
<description value="Client is due for dengue vaccination"/>
<language value="text/cql-identifier"/>
<expression value="Client is due for dengue 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: 'DE25', display: 'Dengue vaccines' } }, display: 'Dengue vaccines' }"/>
</expression>
</dynamicValue>
</action>
<action>
<title
value="Check for Guidance for the patient regarding IMMZ.D2.DT.Dengue.3 doses with pre-vaccination screening."/>
<description
value="Show Guidance for the patient regarding IMMZ.D2.DT.Dengue.3 doses with pre-vaccination screening."/>
<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>