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="IMMZD2DTMalaria"/>
<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;">IMMZD2DTMalaria</td>
</tr>
<tr>
<th scope="row"><b>Url: </b></th>
<td style="padding-left: 4px;"><a href="PlanDefinition-IMMZD2DTMalaria.html">IMMZ.D2.DT.Malaria</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.Malaria</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.Malaria
4-dose schedule (The RTS,S/AS01 malaria vaccine should be used for the prevention of Plasmodium falciparum malaria in children living in regions with moderate to high malaria transmission, as defined by WHO)</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-IMMZD2DTMalariaLogic.html">IMMZD2DTMalariaLogic</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 Malaria.:</b> Determine if the client is due for Malaria vaccine according to the national immunization protocol.
4-dose schedule (The RTS,S/AS01 malaria vaccine should be used for the prevention of Plasmodium
falciparum malaria in children living in regions with moderate to high malaria transmission, as
defined by WHO)
<br/>
<b>If:</b>
<i>Applicability:</i>
Client is due for malaria vaccination
<i>(Client is due for malaria 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: 'DE27', display: 'Malaria vaccines' } }, display: 'Malaria vaccines' })</i>
<br/>
</td>
</tr>
<tr>
<td>
<b> Check for Guidance for the patient regarding IMMZ.D2.DT.Malaria.:</b> Show Guidance for the patient regarding IMMZ.D2.DT.Malaria.
<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 Months"/>
</extension>
<extension url="statement">
<valueString
value="/**
* @dataElement Patient age in months
*/
define "Current Patient Age In Months":
AgeInMonthsAt(Today)"/>
</extension>
<extension url="displaySequence">
<valueInteger value="0"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTMalariaEncounterElements"/>
</extension>
<extension url="name">
<valueString value="Client's age is less than 5 months"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: Client's age is less than 5 months
@pseudocode: Today's date − "Date of birth" < 5 months
@code: Client's age is less than 5 months-41
@decision: IMMZ.D2.DT.Malaria: 4-dose schedule (The RTS,S/AS01 malaria vaccine should be used for the prevention of Plasmodium falciparum malaria in children living in regions with moderate to high malaria transmission, as defined by WHO)
*/
define "Client's age is less than 5 months":
Encounter."Current Patient Age In Months" < 5"/>
</extension>
<extension url="displaySequence">
<valueInteger value="1"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTMalariaLogic"/>
</extension>
<extension url="name">
<valueString
value="Client is not due for malaria vaccination Case 1"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Client is not due for malaria vaccination Case 1
@pseudocode: "Immunization recommendation status" = "Not due"
*/
define "Client is not due for malaria vaccination Case 1":
Encounter."Client's age is less than 5 months""/>
</extension>
<extension url="displaySequence">
<valueInteger value="2"/>
</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="3"/>
</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="4"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTMalariaEncounterElements"/>
</extension>
<extension url="name">
<valueString value="Malaria Doses Administered to Patient"/>
</extension>
<extension url="statement">
<valueString
value="/*
@internal: Malaria containing Doses Administered to Patient
*/
define "Malaria Doses Administered to Patient":
Encounter."Doses Administered to Patient" I
where
I.vaccineCode in Concepts."Malaria vaccines""/>
</extension>
<extension url="displaySequence">
<valueInteger value="5"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTMalariaEncounterElements"/>
</extension>
<extension url="name">
<valueString
value="Malaria Primary Series Doses Administered to Patient"/>
</extension>
<extension url="statement">
<valueString
value="/*
@internal: Malaria containing Doses Administered to Patient that are in the Primary series
*/
define "Malaria Primary Series Doses Administered to Patient":
"Malaria Doses Administered to Patient".seriesPrimary()"/>
</extension>
<extension url="displaySequence">
<valueInteger value="6"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTMalariaEncounterElements"/>
</extension>
<extension url="name">
<valueString
value="Number of Malaria Primary Series Doses Administered"/>
</extension>
<extension url="statement">
<valueString
value="/*
@internal: Number of Malaria Primary Series doses
*/
define "Number of Malaria Primary Series Doses Administered":
Count("Malaria Primary Series Doses Administered to Patient")"/>
</extension>
<extension url="displaySequence">
<valueInteger value="7"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTMalariaEncounterElements"/>
</extension>
<extension url="name">
<valueString
value="One malaria primary series dose was administered"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: One malaria primary series dose was administered
@pseudocode: Count of vaccines administered (where "Vaccine type" = "Malaria vaccines" and "Type of dose" = "Primary series") = 1
@code: One malaria primary series dose was administered-116
@decision: IMMZ.D2.DT.Malaria: 4-dose schedule (The RTS,S/AS01 malaria vaccine should be used for the prevention of Plasmodium falciparum malaria in children living in regions with moderate to high malaria transmission, as defined by WHO)
*/
define "One malaria primary series dose was administered":
"Number of Malaria Primary Series Doses Administered" = 1"/>
</extension>
<extension url="displaySequence">
<valueInteger value="8"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTMalariaEncounterElements"/>
</extension>
<extension url="name">
<valueString value="Date of Latest Malaria Dose"/>
</extension>
<extension url="statement">
<valueString
value="/*
@internal: Date of Latest Malaria Dose
*/
define "Date of Latest Malaria Dose":
date from start of "Malaria Doses Administered to Patient".mostRecent().occurrence.toInterval()"/>
</extension>
<extension url="displaySequence">
<valueInteger value="9"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTMalariaEncounterElements"/>
</extension>
<extension url="name">
<valueString
value="The latest malaria dose was administered less than 4 weeks ago"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: The latest malaria dose was administered less than 4 weeks ago
@pseudocode: Today's date − "Date and time of vaccination" (where "Vaccine type" = "Malaria vaccines") < 4 weeks
@code: The latest malaria dose was administered less than 4 weeks ago-99
@decision: IMMZ.D2.DT.Malaria: 4-dose schedule (The RTS,S/AS01 malaria vaccine should be used for the prevention of Plasmodium falciparum malaria in children living in regions with moderate to high malaria transmission, as defined by WHO)
*/
define "The latest malaria dose was administered less than 4 weeks ago":
"Date of Latest Malaria Dose" is not null
and duration in weeks between "Date of Latest Malaria Dose" and Today < 4"/>
</extension>
<extension url="displaySequence">
<valueInteger value="10"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTMalariaLogic"/>
</extension>
<extension url="name">
<valueString
value="Client is not due for malaria vaccination Case 2"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Client is not due for malaria vaccination Case 2
@pseudocode: "Immunization recommendation status" = "Not due"
*/
define "Client is not due for malaria vaccination Case 2":
Encounter."One malaria primary series dose was administered"
and Encounter."The latest malaria dose was administered less than 4 weeks ago""/>
</extension>
<extension url="displaySequence">
<valueInteger value="11"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTMalariaEncounterElements"/>
</extension>
<extension url="name">
<valueString
value="Two malaria primary series doses were administered"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: Two malaria primary series doses were administered
@pseudocode: Count of vaccines administered (where "Vaccine type" = "Malaria vaccines" and "Type of dose" = "Primary series") = 2
@code: Two malaria primary series doses were administered-116
@decision: IMMZ.D2.DT.Malaria: 4-dose schedule (The RTS,S/AS01 malaria vaccine should be used for the prevention of Plasmodium falciparum malaria in children living in regions with moderate to high malaria transmission, as defined by WHO)
*/
define "Two malaria primary series doses were administered":
"Number of Malaria Primary Series Doses Administered" = 2"/>
</extension>
<extension url="displaySequence">
<valueInteger value="12"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTMalariaLogic"/>
</extension>
<extension url="name">
<valueString
value="Client is not due for malaria vaccination Case 3"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Client is not due for malaria vaccination Case 3
@pseudocode: "Immunization recommendation status" = "Not due"
*/
define "Client is not due for malaria vaccination Case 3":
Encounter."Two malaria primary series doses were administered"
and Encounter."The latest malaria dose was administered less than 4 weeks ago""/>
</extension>
<extension url="displaySequence">
<valueInteger value="13"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTMalariaEncounterElements"/>
</extension>
<extension url="name">
<valueString
value="Three malaria primary series doses were administered"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: Three malaria primary series doses were administered
@pseudocode: Count of vaccines administered (where "Vaccine type" = "Malaria vaccines" and "Type of dose" = "Primary series") = 3
@code: Three malaria primary series doses were administered-116
@decision: IMMZ.D2.DT.Malaria: 4-dose schedule (The RTS,S/AS01 malaria vaccine should be used for the prevention of Plasmodium falciparum malaria in children living in regions with moderate to high malaria transmission, as defined by WHO)
*/
define "Three malaria primary series doses were administered":
"Number of Malaria Primary Series Doses Administered" = 3"/>
</extension>
<extension url="displaySequence">
<valueInteger value="14"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTMalariaLogic"/>
</extension>
<extension url="name">
<valueString
value="Client is not due for malaria vaccination Case 4"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Client is not due for malaria vaccination Case 4
@pseudocode: "Immunization recommendation status" = "Not due"
*/
define "Client is not due for malaria vaccination Case 4":
Encounter."Three malaria primary series doses were administered"
and Encounter."The latest malaria dose was administered less than 4 weeks ago""/>
</extension>
<extension url="displaySequence">
<valueInteger value="15"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTMalariaLogic"/>
</extension>
<extension url="name">
<valueString value="Client is not due for malaria vaccination"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Client is not due for malaria vaccination
@pseudocode: "Immunization recommendation status" = "Not due"
*/
define "Client is not due for malaria vaccination":
"Client is not due for malaria vaccination Case 1"
or "Client is not due for malaria vaccination Case 2"
or "Client is not due for malaria vaccination Case 3"
or "Client is not due for malaria vaccination Case 4""/>
</extension>
<extension url="displaySequence">
<valueInteger value="16"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTMalariaLogic"/>
</extension>
<extension url="name">
<valueString
value="Client is not due for malaria vaccination Guidance"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Client is not due for malaria vaccination Guidance
@guidance = Should not vaccinate client with first malaria dose as client's age is less than 5 months.
Check for any other vaccines due and inform the caregiver of when to come back for first dose.
@guidance = Should not vaccinate client with second malaria dose as the latest malaria dose was administered less than 4 weeks 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 malaria dose as the latest malaria dose was administered less than 4 weeks ago.
Check for any other vaccines due and inform the caregiver of when to come back for the third dose.
@guidance = Should not vaccinate client with fourth malaria dose as the latest malaria dose was administered less than 4 weeks ago.
Check for any other vaccines due and inform the caregiver of when to come back for the fourth dose.
*/
define "Client is not due for malaria vaccination Guidance":
case
when "Client is not due for malaria vaccination Case 1" then 'Should not vaccinate client with first malaria dose as client\'s age is less than 5 months.
Check for any other vaccines due and inform the caregiver of when to come back for first dose.'
when "Client is not due for malaria vaccination Case 2" then 'Should not vaccinate client with second malaria dose as the latest malaria dose was administered less than 4 weeks 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 malaria vaccination Case 3" then 'Should not vaccinate client with third malaria dose as the latest malaria dose was administered less than 4 weeks ago.
Check for any other vaccines due and inform the caregiver of when to come back for the third dose.'
when "Client is not due for malaria vaccination Case 4" then 'Should not vaccinate client with fourth malaria dose as the latest malaria dose was administered less than 4 weeks ago.
Check for any other vaccines due and inform the caregiver of when to come back for the fourth dose.'
else ''
end"/>
</extension>
<extension url="displaySequence">
<valueInteger value="17"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTMalariaEncounterElements"/>
</extension>
<extension url="name">
<valueString
value="No malaria primary series doses were administered"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: No malaria primary series doses were administered
@pseudocode: Count of vaccines administered (where "Vaccine type" = "Malaria vaccines" and "Type of dose" = "Primary series") = 0
@code: No malaria primary series doses were administered-116
@decision: IMMZ.D2.DT.Malaria: 4-dose schedule (The RTS,S/AS01 malaria vaccine should be used for the prevention of Plasmodium falciparum malaria in children living in regions with moderate to high malaria transmission, as defined by WHO)
*/
define "No malaria primary series doses were administered":
"Number of Malaria Primary Series Doses Administered" = 0"/>
</extension>
<extension url="displaySequence">
<valueInteger value="18"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTMalariaEncounterElements"/>
</extension>
<extension url="name">
<valueString
value="Client's age is more than or equal to 5 months"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: Client's age is more than or equal to 5 months
@pseudocode: Today's date − "Date of birth" ≥ 5 months
@code: Client's age is more than or equal to 5 months-41
@decision: IMMZ.D2.DT.Malaria: 4-dose schedule (The RTS,S/AS01 malaria vaccine should be used for the prevention of Plasmodium falciparum malaria in children living in regions with moderate to high malaria transmission, as defined by WHO)
*/
define "Client's age is more than or equal to 5 months":
Encounter."Current Patient Age In Months" >= 5"/>
</extension>
<extension url="displaySequence">
<valueInteger value="19"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTMalariaLogic"/>
</extension>
<extension url="name">
<valueString value="Client is due for malaria vaccination Case 1"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Client is due for malaria vaccination Case 1
@pseudocode: "Immunization recommendation status" = "Due"
*/
define "Client is due for malaria vaccination Case 1":
Encounter."No malaria primary series doses were administered"
and Encounter."Client's age is more than or equal to 5 months""/>
</extension>
<extension url="displaySequence">
<valueInteger value="20"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTMalariaEncounterElements"/>
</extension>
<extension url="name">
<valueString
value="The latest malaria dose was administered more than 4 weeks ago"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: The latest malaria dose was administered more than 4 weeks ago
@pseudocode: Today's date − latest "Date and time of vaccination" (where "Vaccine type" = "Malaria vaccines") ≥ 4 weeks
@code: The latest malaria dose was administered more than 4 weeks ago-106
@decision: IMMZ.D2.DT.Malaria: 4-dose schedule (The RTS,S/AS01 malaria vaccine should be used for the prevention of Plasmodium falciparum malaria in children living in regions with moderate to high malaria transmission, as defined by WHO)
*/
define "The latest malaria dose was administered more than 4 weeks ago":
not "The latest malaria dose was administered less than 4 weeks ago""/>
</extension>
<extension url="displaySequence">
<valueInteger value="21"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTMalariaLogic"/>
</extension>
<extension url="name">
<valueString value="Client is due for malaria vaccination Case 2"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Client is due for malaria vaccination Case 2
@pseudocode: "Immunization recommendation status" = "Due"
*/
define "Client is due for malaria vaccination Case 2":
Encounter."One malaria primary series dose was administered"
and Encounter."The latest malaria dose was administered more than 4 weeks ago""/>
</extension>
<extension url="displaySequence">
<valueInteger value="22"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTMalariaLogic"/>
</extension>
<extension url="name">
<valueString value="Client is due for malaria vaccination Case 3"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Client is due for malaria vaccination Case 3
@pseudocode: "Immunization recommendation status" = "Due"
*/
define "Client is due for malaria vaccination Case 3":
Encounter."Two malaria primary series doses were administered"
and Encounter."The latest malaria dose was administered more than 4 weeks ago""/>
</extension>
<extension url="displaySequence">
<valueInteger value="23"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTMalariaLogic"/>
</extension>
<extension url="name">
<valueString value="Client is due for malaria vaccination Case 4"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Client is due for malaria vaccination Case 4
@pseudocode: "Immunization recommendation status" = "Due"
*/
define "Client is due for malaria vaccination Case 4":
Encounter."Three malaria primary series doses were administered"
and Encounter."The latest malaria dose was administered more than 4 weeks ago""/>
</extension>
<extension url="displaySequence">
<valueInteger value="24"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTMalariaLogic"/>
</extension>
<extension url="name">
<valueString value="Client is due for malaria vaccination"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Client is due for malaria vaccination
@pseudocode: "Immunization recommendation status" = "Due"
*/
define "Client is due for malaria vaccination":
"Client is due for malaria vaccination Case 1"
or "Client is due for malaria vaccination Case 2"
or "Client is due for malaria vaccination Case 3"
or "Client is due for malaria vaccination Case 4""/>
</extension>
<extension url="displaySequence">
<valueInteger value="25"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTMalariaLogic"/>
</extension>
<extension url="name">
<valueString
value="Client is due for malaria vaccination Guidance"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Client is due for malaria vaccination Guidance
@guidance = Should vaccinate client with first malaria dose as no malaria doses were administered and client is within appropriate age range.
Check for contraindications.
@guidance = Should vaccinate client with second malaria dose as the latest malaria dose was administered more than 4 weeks ago.
Check for contraindications.
@guidance = Should vaccinate client with third malaria dose as the latest malaria dose was administered more than 4 weeks ago.
Check for contraindications.
@guidance = Should vaccinate client with fourth malaria dose as the latest malaria dose was administered more than 4 weeks ago.
Check for contraindications.
*/
define "Client is due for malaria vaccination Guidance":
case
when "Client is due for malaria vaccination Case 1" then 'Should vaccinate client with first malaria dose as no malaria doses were administered and client is within appropriate age range.
Check for contraindications.'
when "Client is due for malaria vaccination Case 2" then 'Should vaccinate client with second malaria dose as the latest malaria dose was administered more than 4 weeks ago.
Check for contraindications.'
when "Client is due for malaria vaccination Case 3" then 'Should vaccinate client with third malaria dose as the latest malaria dose was administered more than 4 weeks ago.
Check for contraindications.'
when "Client is due for malaria vaccination Case 4" then 'Should vaccinate client with fourth malaria dose as the latest malaria dose was administered more than 4 weeks ago.
Check for contraindications.'
else ''
end"/>
</extension>
<extension url="displaySequence">
<valueInteger value="26"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTMalariaEncounterElements"/>
</extension>
<extension url="name">
<valueString
value="Four malaria primary series doses were administered"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: Four malaria primary series doses were administered
@pseudocode: Count of vaccines administered (where "Vaccine type" = "Malaria vaccines" and "Type of dose" = "Primary series") = 4
@code: Four malaria primary series doses were administered-116
@decision: IMMZ.D2.DT.Malaria: 4-dose schedule (The RTS,S/AS01 malaria vaccine should be used for the prevention of Plasmodium falciparum malaria in children living in regions with moderate to high malaria transmission, as defined by WHO)
*/
define "Four malaria primary series doses were administered":
"Number of Malaria Primary Series Doses Administered" = 4"/>
</extension>
<extension url="displaySequence">
<valueInteger value="27"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTMalariaLogic"/>
</extension>
<extension url="name">
<valueString value="Malaria immunization schedule is complete"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Malaria immunization schedule is complete
@pseudocode: "Immunization recommendation status" = "Complete"
"Completed the primary vaccination series" = TRUE (where "Vaccine type" = "Malaria vaccines")"
*/
define "Malaria immunization schedule is complete":
Encounter."Four malaria primary series doses were administered""/>
</extension>
<extension url="displaySequence">
<valueInteger value="28"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTMalariaLogic"/>
</extension>
<extension url="name">
<valueString
value="Malaria immunization schedule is complete Guidance"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Malaria immunization schedule is complete Guidance
@guidance: Malaria immunization schedule is complete. Four malaria primary series doses were administered.
Check for any other vaccines due.
*/
define "Malaria immunization schedule is complete Guidance":
'Malaria immunization schedule is complete. Four malaria primary series doses were administered.
Check for any other vaccines due.'"/>
</extension>
<extension url="displaySequence">
<valueInteger value="29"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTMalariaLogic"/>
</extension>
<extension url="name">
<valueString value="Guidance"/>
</extension>
<extension url="statement">
<valueString
value="/*
@dynamicValue: Guidance
*/
define "Guidance":
case
when "Client is not due for malaria vaccination" then "Client is not due for malaria vaccination Guidance"
when "Client is due for malaria vaccination" then "Client is due for malaria vaccination Guidance"
when "Malaria immunization schedule is complete" then "Malaria immunization schedule is complete Guidance"
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="IMMZD2DTMalariaLogic"/>
</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="31"/>
</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="32"/>
</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="33"/>
</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="34"/>
</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="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="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="38"/>
</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/IMMZD2DTMalariaEncounterElements"/>
</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 Malaria vaccines"/>
<resource
value="http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE27"/>
</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 malaria vaccination"/>
<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>
<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>
</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/IMMZD2DTMalaria"/>
<version value="0.2.0"/>
<name value="IMMZD2DTMalaria"/>
<title value="IMMZ.D2.DT.Malaria"/>
<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.Malaria
4-dose schedule (The RTS,S/AS01 malaria vaccine should be used for the prevention of Plasmodium falciparum malaria in children living in regions with moderate to high malaria transmission, as defined by WHO)"/>
<relatedArtifact>
<type value="citation"/>
<citation
value="WHO recommendations for routine immunization - summary tables (January 2025)"/>
</relatedArtifact>
<library
value="http://smart.who.int/immunizations/Library/IMMZD2DTMalariaLogic"/>
<action>
<extension
url="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-rationale">
<valueMarkdown
value="The vaccine should be administered in a 3-dose primary schedule, with a fourth dose
provided approximately 12–18 months after the third dose to prolong the duration of protection.
There should be a minimum interval of 4 weeks between doses."/>
</extension>
<title value="Determine if the client is due for Malaria."/>
<description
value="Determine if the client is due for Malaria vaccine according to the national immunization protocol.
4-dose schedule (The RTS,S/AS01 malaria vaccine should be used for the prevention of Plasmodium
falciparum malaria in children living in regions with moderate to high malaria transmission, as
defined by WHO)"/>
<condition>
<kind value="applicability"/>
<expression>
<description value="Client is due for malaria vaccination"/>
<language value="text/cql-identifier"/>
<expression value="Client is due for malaria 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: 'DE27', display: 'Malaria vaccines' } }, display: 'Malaria vaccines' }"/>
</expression>
</dynamicValue>
</action>
<action>
<title
value="Check for Guidance for the patient regarding IMMZ.D2.DT.Malaria."/>
<description
value="Show Guidance for the patient regarding IMMZ.D2.DT.Malaria."/>
<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>