http://smart.who.int/immunizations/PlanDefinition/IMMZD2DTMeningococcalPolysaccharideVaccines
type: PlanDefinition
node role: treeRoot
meta:
  profile:
    v: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-recommendationdefinition
    l: cpg-recommendationdefinition
  profile:
    v: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareableplandefinition
    l: crmi-shareableplandefinition
  profile:
    v: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-publishableplandefinition
    l: crmi-publishableplandefinition
text:
  status:
    v: extensions
  div:
    v: Id: IMMZD2DTMeningococcalPolysaccharideVaccines Url: IMMZ.D2.DT.Meningococcal.Polysaccharide vaccines Version: 0.2.0 Title: IMMZ.D2.DT.Meningococcal.Polysaccharide vaccines Status: draft Type: system: http://terminology.hl7.org/CodeSystem/plan-definition-type code: eca-rule Date: 2026-03-03 13:07:11+0000 Publisher: WHO Description: IMMZ.D2.DT.Meningococcal.Polysaccharide vaccines Polysaccharide vaccines schedule (Polysaccharide vaccines can be used to control outbreaks in countries where limited economic resources or insufficient supply restrict the use of meningococcal conjugate vaccines) Knowledge Capability: computable Related Artifacts: References WHO recommendations for routine immunization - summary tables (January 2025) Libraries: IMMZD2DTMeningococcalPolysaccharideVaccinesLogic Actions: Determine if the client is due for Meningococcal.: Determine if the client is due for Meningococcal vaccine according to the national immunization protocol. Polysaccharide vaccines schedule (Polysaccharide vaccines can be used to control outbreaks in countries where limited economic resources or insufficient supply restrict the use of meningococcal conjugate vaccines) If: Applicability: Client is due for meningococcal vaccination (Client is due for meningococcal vaccination) Then: Definition: IMMZD2DTMR Dynamic Values: status: ('draft') intent: ('proposal') medication: (Concept { codes: { Code { system: 'http://smart.who.int/immunizations/CodeSystem/IMMZ.Z', code: 'DE10', display: 'Meningococcal vaccines' } }, display: 'Meningococcal vaccines' }) Check for Guidance for the patient regarding IMMZ.D2.DT.Meningococcal.Polysaccharide vaccines.: Show Guidance for the patient regarding IMMZ.D2.DT.Meningococcal.Polysaccharide vaccines. If: Applicability: Has Guidance (Has Guidance) Then: Definition: IMMZ.D2.DT.CR Dynamic Values: status: ('active') payload.contentString: (Guidance) category.coding: (Code { system: 'http://terminology.hl7.org/CodeSystem/communication-category', code: …
contained: Library
  id:
    v: effective-data-requirements
  extension:
    extension:
      url:
        v: libraryName
        l: libraryName
      value: String
        v: IMMZEncounterElements
    extension:
      url:
        v: name
        l: name
      value: String
        v: Current Patient Age In Years
    extension:
      url:
        v: statement
        l: statement
      value: String
        v: /** * @dataElement Patient age in years */ define "Current Patient Age In Years": AgeInYearsAt(Today)
    extension:
      url:
        v: displaySequence
        l: displaySequence
      value: Integer
        v: 0
    url:
      v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
      l: cqf-logicDefinition
  extension:
    extension:
      url:
        v: libraryName
        l: libraryName
      value: String
        v: IMMZD2DTMeningococcalEncounterElements
    extension:
      url:
        v: name
        l: name
      value: String
        v: Client's age is less than 2 years
    extension:
      url:
        v: statement
        l: statement
      value: String
        v: /* @input: Client's age is less than 2 years @pseudocode: Today's date − "Date of birth" < 2 years @code: Client's age is less than 2 years-40 @decision: IMMZ.D2.DT.Meningococcal.Quadrivalent conjugate vaccines 1 dose: Quadrivalent conjugate vaccines (A,C,W135,Y-CRM), 1-dose schedule @decision: IMMZ.D2.DT.Meningococcal.Polysaccharide vaccines: Polysaccharide vaccines schedule (Polysaccharide vaccines can be used to control outbreaks in countries where limited economic resources or insufficient supply restrict the use of meningococcal conjugate vaccines) */ define "Client's age is less than 2 years": Encounter."Current Patient Age In Years" < 2
    extension:
      url:
        v: displaySequence
        l: displaySequence
      value: Integer
        v: 1
    url:
      v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
      l: cqf-logicDefinition
  extension:
    extension:
      url:
        v: libraryName
        l: libraryName
      value: String
    extension:
      url:
        v: name
        l: name
      value: String
        v: Client is not due for meningococcal vaccination
    extension:
      url:
        v: statement
        l: statement
      value: String
        v: /* @output: Client is not due for meningococcal vaccination @pseudocode: "Immunization recommendation status" = "Not due" */ define "Client is not due for meningococcal vaccination": Encounter."Client's age is less than 2 years"
    extension:
      url:
        v: displaySequence
        l: displaySequence
      value: Integer
        v: 2
    url:
      v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
      l: cqf-logicDefinition
  extension:
    extension:
      url:
        v: libraryName
        l: libraryName
      value: String
    extension:
      url:
        v: name
        l: name
      value: String
        v: Client is not due for meningococcal vaccination Guidance
    extension:
      url:
        v: statement
        l: statement
      value: String
        v: /* @output: Client is not due for meningococcal vaccination Guidance @guidance: Should not vaccinate client with first meningococcal dose as client's age is less than 2 years. Check for any other vaccines due and inform the caregiver of when to come back for the first dose. */ define "Client is not due for meningococcal vaccination Guidance": 'Should not vaccinate client with first meningococcal dose as client\'s age is less than 2 years. Check for any other vaccines due and inform the caregiver of when to come back for the first dose.'
    extension:
      url:
        v: displaySequence
        l: displaySequence
      value: Integer
        v: 3
    url:
      v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
      l: cqf-logicDefinition
  extension:
    extension:
      url:
        v: libraryName
        l: libraryName
      value: String
        v: IMMZElements
    extension:
      url:
        v: name
        l: name
      value: String
        v: Doses Administered to Patient
    extension:
      url:
        v: statement
        l: statement
      value: String
        v: /** * @dataElement All Doses Administered to Patient */ define "Doses Administered to Patient": [Immunization] I where I.status = 'completed' and I.isSubpotent is not true
    extension:
      url:
        v: displaySequence
        l: displaySequence
      value: Integer
        v: 4
    url:
      v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
      l: cqf-logicDefinition
  extension:
    extension:
      url:
        v: libraryName
        l: libraryName
      value: String
        v: IMMZEncounterElements
    extension:
      url:
        v: name
        l: name
      value: String
        v: Doses Administered to Patient
    extension:
      url:
        v: statement
        l: statement
      value: String
        v: /** * @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:
      url:
        v: displaySequence
        l: displaySequence
      value: Integer
        v: 5
    url:
      v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
      l: cqf-logicDefinition
  extension:
    extension:
      url:
        v: libraryName
        l: libraryName
      value: String
        v: IMMZD2DTMeningococcalEncounterElements
    extension:
      url:
        v: name
        l: name
      value: String
        v: Meningococcal Doses Administered to Patient
    extension:
      url:
        v: statement
        l: statement
      value: String

String
v: /* @internal: Meningococcal containing Doses Administered to Patient */ define "Meningococcal Doses Administered to Patient": Encounter."Doses Administered to Patient" I where I.vaccineCode in Concepts."Meningococcal vaccines"

url:
  v: displaySequence
  l: displaySequence
value: Integer
  v: 6

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTMeningococcalEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: Meningococcal Primary Series Doses Administered to Patient
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @internal: Meningococcal containing Doses Administered to Patient that are in the Primary series */ define "Meningococcal Primary Series Doses Administered to Patient": "Meningococcal Doses Administered to Patient".seriesPrimary()
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 7
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTMeningococcalEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: Number of Meningococcal Primary Series Doses Administered
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @internal: Number of Meningococcal Primary Series doses */ define "Number of Meningococcal Primary Series Doses Administered": Count("Meningococcal Primary Series Doses Administered to Patient")
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 8
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTMeningococcalEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: No meningococcal primary series dose was administered
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @input: No meningococcal primary series dose was administered @pseudocode: Count of vaccines administered (where "Vaccine type" = "Meningococcal vaccines" and "Type of dose" = "Primary series") = 0 @code: No meningococcal primary series dose was administered-122 @decision: IMMZ.D2.DT.Meningococcal.MenA conjugate vaccine 1 dose: MenA conjugate vaccine, 1-dose schedule @decision: IMMZ.D2.DT.Meningococcal.MenA conjugate vaccine 2 doses: MenA conjugate vaccine, 2-dose schedule (specific context where there is a compelling reason to vaccinate infants aged under 9 months) @decision: IMMZ.D2.DT.Meningococcal.Monovalent MenC conjugate vaccine: Monovalent MenC conjugate vaccine schedule @decision: IMMZ.D2.DT.Meningococcal.Quadrivalent conjugate vaccines 1 dose: Quadrivalent conjugate vaccines (A,C,W135,Y-CRM), 1-dose schedule @decision: IMMZ.D2.DT.Meningococcal.Quadrivalent conjugate vaccines 2 doses: Quadrivalent conjugate vaccines (A,C,W135,Y-D), 2-dose schedule @decision: IMMZ.D2.DT.Meningococcal.Polysaccharide vaccines: Polysaccharide vaccines schedule (Polysaccharide vaccines can be used to control outbreaks in countries where limited economic resources or insufficient supply restrict the use of meningococcal conjugate vaccines) */ define "No meningococcal primary series dose was administered": "Number of Meningococcal Primary Series Doses Administered" = 0
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 9
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTMeningococcalEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: Client's age is more than or equal to 2 years
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @input: Client's age is more than or equal to 2 years @pseudocode: Today's date − "Date of birth" ≥ 2 years @code: Client's age is more than or equal to 2 years-40 @decision: IMMZ.D2.DT.Meningococcal.Quadrivalent conjugate vaccines 1 dose: Quadrivalent conjugate vaccines (A,C,W135,Y-CRM), 1-dose schedule */ define "Client's age is more than or equal to 2 years": Encounter."Current Patient Age In Years" >= 2
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 10
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTMeningococcalEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: Client's age is more than 2 years
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @input: Client's age is more than 2 years @pseudocode: Today's date − "Date of birth" ≥ 2 years @code: Client's age is more than 2 years-40 @decision: IMMZ.D2.DT.Meningococcal.Polysaccharide vaccines: Polysaccharide vaccines schedule (Polysaccharide vaccines can be used to control outbreaks in countries where limited economic resources or insufficient supply restrict the use of meningococcal conjugate vaccines) */ define "Client's age is more than 2 years": "Client's age is more than or equal to 2 years"
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 11
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
extension:
  url:
    v: name
    l: name
  value: String
    v: Client is due for meningococcal vaccination
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @output: Client is due for meningococcal vaccination @pseudocode: "Immunization recommendation status" = "Due" */ define "Client is due for meningococcal vaccination": Encounter."No meningococcal primary series dose was administered" and Encounter."Client's age is more than 2 years"
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 12
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
extension:
  url:
    v: name
    l: name
  value: String
    v: Client is due for meningococcal vaccination Guidance
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @output: Client is due for meningococcal vaccination Guidance @guidance: Should vaccinate client with first meningococcal dose as no meningococcal doses were administered and client is within appropriate age range. Check for contraindications. */ define "Client is due for meningococcal vaccination Guidance": 'Should vaccinate client with first meningococcal dose as no meningococcal doses were administered and client is within appropriate age range. Check for contraindications.'
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 13
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTMeningococcalEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: One meningococcal primary series dose was administered
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @input: One meningococcal primary series dose was administered @pseudocode: Count of vaccines administered (where "Vaccine type" = "Meningococcal vaccines" and "Type of dose" = "Primary series") = 1 @code: One meningococcal primary series dose was administered-122 @decision: IMMZ.D2.DT.Meningococcal.MenA conjugate vaccine 1 dose: MenA conjugate vaccine, 1-dose schedule @decision: IMMZ.D2.DT.Meningococcal.MenA conjugate vaccine 2 doses: MenA conjugate vaccine, 2-dose schedule (specific context where there is a compelling reason to vaccinate infants aged under 9 months) @decision: IMMZ.D2.DT.Meningococcal.Monovalent MenC conjugate vaccine: Monovalent MenC conjugate vaccine schedule @decision: IMMZ.D2.DT.Meningococcal.Quadrivalent conjugate vaccines 1 dose: Quadrivalent conjugate vaccines (A,C,W135,Y-CRM), 1-dose schedule @decision: IMMZ.D2.DT.Meningococcal.Quadrivalent conjugate vaccines 2 doses: Quadrivalent conjugate vaccines (A,C,W135,Y-D), 2-dose schedule @decision: IMMZ.D2.DT.Meningococcal.Polysaccharide vaccines: Polysaccharide vaccines schedule (Polysaccharide vaccines can be used to control outbreaks in countries where limited economic resources or insufficient supply restrict the use of meningococcal conjugate vaccines) */ define "One meningococcal primary series dose was administered": "Number of Meningococcal Primary Series Doses Administered" = 1
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 14
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTMeningococcalEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: Date of Latest Primary Meningococcal Dose
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @internal: Date of Latest Primary Meningococcal Dose */ define "Date of Latest Primary Meningococcal Dose": date from start of "Meningococcal Primary Series Doses Administered to Patient".mostRecent().occurrence.toInterval()
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 15
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTMeningococcalEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: The latest meningococcal dose was administered less than 3 years ago
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @input: The latest meningococcal dose was administered less than 3 years ago @pseudocode: Today's date − "Date and time of vaccination" (where "Vaccine type" = "Meningococcal vaccines") < 3 years @code: The latest meningococcal dose was administered less than 3 years ago-105 @decision: IMMZ.D2.DT.Meningococcal.Polysaccharide vaccines: Polysaccharide vaccines schedule (Polysaccharide vaccines can be used to control outbreaks in countries where limited economic resources or insufficient supply restrict the use of meningococcal conjugate vaccines) */ define "The latest meningococcal dose was administered less than 3 years ago": "Date of Latest Primary Meningococcal Dose" is not null and duration in years between "Date of Latest Primary Meningococcal Dose" and Today < 3
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 16
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
extension:
  url:
    v: name
    l: name
  value: String
    v: The primary series is complete. Client is not due for meningococcal booster dose.
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @output: The primary series is complete. Client is not due for meningococcal booster dose. @pseudocode: "Immunization recommendation status" = "Not due" "Completed the primary vaccination series" (where "Vaccine type" = "Meningococcal vaccines") = TRUE */ define "The primary series is complete. Client is not due for meningococcal booster dose.": Encounter."One meningococcal primary series dose was administered" and Encounter."The latest meningococcal dose was administered less than 3 years ago"
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 17
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
extension:
  url:
    v: name
    l: name
  value: String
    v: The primary series is complete. Client is not due for meningococcal booster dose. Guidance
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @output: The primary series is complete. Client is not due for meningococcal booster dose. Guidance @guidance: Should not vaccinate client with meningococcal booster dose as the latest meningococcal dose was administered less than 3 years ago. Check for any other vaccines due and inform the caregiver of when to come back for the booster dose. */ define "The primary series is complete. Client is not due for meningococcal booster dose. Guidance": 'Should not vaccinate client with meningococcal booster dose as the latest meningococcal dose was administered less than 3 years ago. Check for any other vaccines due and inform the caregiver of when to come back for the booster dose.'
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 18
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTMeningococcalEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: The latest meningococcal dose was administered more than 3 years ago
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @input: The latest meningococcal dose was administered more than 3 years ago @pseudocode: Today's date − "Date and time of vaccination" (where "Vaccine type" = "Meningococcal vaccines") ≥ 3 years @code: The latest meningococcal dose was administered more than 3 years ago-105 @decision: IMMZ.D2.DT.Meningococcal.Polysaccharide vaccines: Polysaccharide vaccines schedule (Polysaccharide vaccines can be used to control outbreaks in countries where limited economic resources or insufficient supply restrict the use of meningococcal conjugate vaccines) */ define "The latest meningococcal dose was administered more than 3 years ago": not "The latest meningococcal dose was administered less than 3 years ago"
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 19
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTMeningococcalEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: Meningococcal Booster Series Doses Administered to Patient
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @internal: Meningococcal Booster Series Doses Administered to Patient */ define "Meningococcal Booster Series Doses Administered to Patient": "Meningococcal Doses Administered to Patient".seriesBooster()
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 20
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTMeningococcalEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: Number of Meningococcal Booster Series Doses Administered
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @internal: Number of Meningococcal Booster Series Doses Administered */ define "Number of Meningococcal Booster Series Doses Administered": Count("Meningococcal Booster Series Doses Administered to Patient")
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 21
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTMeningococcalEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: No meningococcal booster dose was administered
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @input: No meningococcal booster dose was administered @pseudocode: Count of vaccines administered (where "Vaccine type" = "Meningococcal vaccines" and "Type of dose" = "Booster dose") = 0 @code: No meningococcal booster dose was administered-120 @decision: IMMZ.D2.DT.Meningococcal.Monovalent MenC conjugate vaccine: Monovalent MenC conjugate vaccine schedule @decision: IMMZ.D2.DT.Meningococcal.Polysaccharide vaccines: Polysaccharide vaccines schedule (Polysaccharide vaccines can be used to control outbreaks in countries where limited economic resources or insufficient supply restrict the use of meningococcal conjugate vaccines) */ define "No meningococcal booster dose was administered": "Number of Meningococcal Booster Series Doses Administered" = 0
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 22
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
extension:
  url:
    v: name
    l: name
  value: String
    v: The primary series is complete. Clinical judgement is required for meningococcal booster dose. Create a clinical note
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @output: The primary series is complete. Clinical judgement is required for meningococcal booster dose. Create a clinical note @pseudocode: "Immunization recommendation status" = "Further evaluation needed" "Completed the primary vaccination series" (where "Vaccine type" = "Meningococcal vaccines") = TRUE */ define "The primary series is complete. Clinical judgement is required for meningococcal booster dose. Create a clinical note": Encounter."One meningococcal primary series dose was administered" and Encounter."The latest meningococcal dose was administered more than 3 years ago" and Encounter."No meningococcal booster dose was administered"
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 23
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
extension:
  url:
    v: name
    l: name
  value: String
    v: The primary series is complete. Clinical judgement is required for meningococcal booster dose. Create a clinical note Guidance
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @output: The primary series is complete. Clinical judgement is required for meningococcal booster dose. Create a clinical note Guidance @guidance: May administer meningococcal booster dose if the client is considered to be at continued high risk of exposure. Evaluate the client and use clinical judgement. */ define "The primary series is complete. Clinical judgement is required for meningococcal booster dose. Create a clinical note Guidance": 'May administer meningococcal booster dose if the client is considered to be at continued high risk of exposure. Evaluate the client and use clinical judgement.'
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 24
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTMeningococcalEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: Meningococcal booster dose was administered
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @input: Meningococcal booster dose was administered @pseudocode: Count of vaccines administered (where "Vaccine type" = "Meningococcal vaccines" and "Type of dose" = "Booster dose") = 1 @code: Meningococcal booster dose was administered-120 @decision: IMMZ.D2.DT.Meningococcal.Monovalent MenC conjugate vaccine: Monovalent MenC conjugate vaccine schedule @decision: IMMZ.D2.DT.Meningococcal.Polysaccharide vaccines: Polysaccharide vaccines schedule (Polysaccharide vaccines can be used to control outbreaks in countries where limited economic resources or insufficient supply restrict the use of meningococcal conjugate vaccines) */ define "Meningococcal booster dose was administered": "Number of Meningococcal Booster Series Doses Administered" = 1
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 25
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
extension:
  url:
    v: name
    l: name
  value: String
    v: Meningococcal immunization schedule is complete
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @output: Meningococcal immunization schedule is complete @pseudocode: "Immunization recommendation status" = "Complete" */ define "Meningococcal immunization schedule is complete": Encounter."One meningococcal primary series dose was administered" and Encounter."The latest meningococcal dose was administered more than 3 years ago" and Encounter."Meningococcal booster dose was administered"
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 26
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
extension:
  url:
    v: name
    l: name
  value: String
    v: Meningococcal immunization schedule is complete Guidance
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @output: Meningococcal immunization schedule is complete Guidance @guidance: Meningococcal immunization schedule is complete. One primary series dose and one booster dose have been administered. Check for any other vaccines due. */ define "Meningococcal immunization schedule is complete Guidance": 'Meningococcal immunization schedule is complete. One primary series dose and one booster dose have been administered. Check for any other vaccines due.'
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 27
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
extension:
  url:
    v: name
    l: name
  value: String
    v: Guidance
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @dynamicValue: Guidance */ define "Guidance": case when "Client is not due for meningococcal vaccination" then "Client is not due for meningococcal vaccination Guidance" when "Client is due for meningococcal vaccination" then "Client is due for meningococcal vaccination Guidance" when "The primary series is complete. Client is not due for meningococcal booster dose." then "The primary series is complete. Client is not due for meningococcal booster dose. Guidance" when "The primary series is complete. Clinical judgement is required for meningococcal booster dose. Create a clinical note" then "The primary series is complete. Clinical judgement is required for meningococcal booster dose. Create a clinical note Guidance" when "Meningococcal immunization schedule is complete" then "Meningococcal immunization schedule is complete Guidance" else '' end
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 28
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
extension:
  url:
    v: name
    l: name
  value: String
    v: Has Guidance
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define "Has Guidance": "Guidance" is not null and "Guidance" != ''
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 29
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZCommon
extension:
  url:
    v: name
    l: name
  value: String
    v: seriesPrimary
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /** * @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:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 30
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: FHIRHelpers
extension:
  url:
    v: name
    l: name
  value: String
    v: ToString
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define function ToString(value string): value.value
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 31
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: FHIRHelpers
extension:
  url:
    v: name
    l: name
  value: String
    v: ToString
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define function ToString(value ImmunizationStatus): value.value
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 32
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: FHIRHelpers
extension:
  url:
    v: name
    l: name
  value: String
    v: ToBoolean
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define function ToBoolean(value boolean): value.value
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 33
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: FHIRHelpers
extension:
  url:
    v: name
    l: name
  value: String
    v: ToConcept
extension:
  url:
    v: statement
    l: statement
  value: String
    v: 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:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 34
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: FHIRHelpers
extension:
  url:
    v: name
    l: name
  value: String
    v: ToCode
extension:
  url:
    v: statement
    l: statement
  value: String
    v: 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:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 35
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: WHOCommon
extension:
  url:
    v: name
    l: name
  value: String
    v: mostRecent
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define fluent function mostRecent(immunizations List<Immunization>): Last( immunizations I sort by start of occurrence.toInterval() )
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 36
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZCommon
extension:
  url:
    v: name
    l: name
  value: String
    v: seriesBooster
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /** * @description: Gets the doses from the Booster series */ define fluent function seriesBooster(immunizations List<Immunization>): immunizations I where exists( I.protocolApplied pa where pa.series = 'Booster dose' )
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 37
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

v: EffectiveDataRequirements

v: active

coding:
  system:
    v: http://terminology.hl7.org/CodeSystem/library-type
    l: library-type
  code:
    v: module-definition

type:
  v: depends-on
display:
  v: FHIR model information
resource:
  v: http://fhir.org/guides/cqf/common/Library/FHIR-ModelInfo|4.0.1
  l: http://fhir.org/guides/cqf/common/Library/FHIR-ModelInfo

type:
  v: depends-on
display:
  v: Library Encounter
resource:
  v: http://smart.who.int/immunizations/Library/IMMZD2DTMeningococcalEncounterElements
  l: IMMZD2DTMeningococcalEncounterElements

type:
  v: depends-on
display:
  v: Library Encounter
resource:
  v: http://smart.who.int/immunizations/Library/IMMZEncounterElements
  l: IMMZEncounterElements

type:
  v: depends-on
display:
  v: Library Common
resource:
  v: http://smart.who.int/immunizations/Library/IMMZCommon
  l: IMMZCommon

type:
  v: depends-on
display:
  v: Library FHIRHelpers
resource:
  v: http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1
  l: http://fhir.org/guides/cqf/common/Library/FHIRHelpers

type:
  v: depends-on
display:
  v: Library Elements
resource:
  v: http://smart.who.int/immunizations/Library/IMMZElements
  l: IMMZElements

type:
  v: depends-on
display:
  v: Library WC
resource:
  v: http://smart.who.int/immunizations/Library/WHOCommon
  l: WHOCommon

type:
  v: depends-on
display:
  v: Library FHIRHelpers
resource:
  v: http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1
  l: http://fhir.org/guides/cqf/common/Library/FHIRHelpers

type:
  v: depends-on
display:
  v: Library Concepts
resource:
  v: http://smart.who.int/immunizations/Library/IMMZConcepts
  l: IMMZConcepts

type:
  v: depends-on
display:
  v: Library WC
resource:
  v: http://smart.who.int/immunizations/Library/WHOCommon
  l: WHOCommon

type:
  v: depends-on
display:
  v: Value set Meningococcal vaccines
resource:
  v: http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE10
  l: IMMZ.Z.DE10

name:
  v: Today
use:
  v: in
min:
  v: 0
max:
  v: 1
type:
  v: date

name:
  v: Guidance
use:
  v: out
min:
  v: 0
max:
  v: 1
type:
  v: string

name:
  v: Client is due for meningococcal vaccination
use:
  v: out
min:
  v: 0
max:
  v: 1
type:
  v: boolean

name:
  v: Has Guidance
use:
  v: out
min:
  v: 0
max:
  v: 1
type:
  v: boolean

type:
  v: Patient
profile:
  v: http://hl7.org/fhir/StructureDefinition/Patient
  l: Patient

type:
  v: Immunization
profile:
  v: http://hl7.org/fhir/StructureDefinition/Immunization
  l: Immunization
must support:
  v: status
must support:
  v: isSubpotent

type:
  v: Immunization
profile:
  v: http://hl7.org/fhir/StructureDefinition/Immunization
  l: Immunization
must support:
  v: status
must support:
  v: isSubpotent
must support:
  v: occurrence

type:
  v: Immunization
profile:
  v: http://hl7.org/fhir/StructureDefinition/Immunization
  l: Immunization
must support:
  v: status
must support:
  v: isSubpotent
must support:
  v: occurrence
must support:
  v: vaccineCode

type:
  v: Immunization
profile:
  v: http://hl7.org/fhir/StructureDefinition/Immunization
  l: Immunization
must support:
  v: status
must support:
  v: isSubpotent
must support:
  v: occurrence
must support:
  v: vaccineCode

type:
  v: Immunization
profile:
  v: http://hl7.org/fhir/StructureDefinition/Immunization
  l: Immunization
must support:
  v: status
must support:
  v: isSubpotent
must support:
  v: occurrence
must support:
  v: vaccineCode

type:
  v: Immunization
profile:
  v: http://hl7.org/fhir/StructureDefinition/Immunization
  l: Immunization
must support:
  v: status
must support:
  v: isSubpotent
must support:
  v: occurrence
must support:
  v: vaccineCode

type:
  v: Immunization
profile:
  v: http://hl7.org/fhir/StructureDefinition/Immunization
  l: Immunization
must support:
  v: status
must support:
  v: isSubpotent
must support:
  v: occurrence
must support:
  v: vaccineCode

url:
  v: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeCapability
  l: cpg-knowledgeCapability
value: Code
  v: computable

url:
  v: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-effectiveDataRequirements
  l: crmi-effectiveDataRequirements
value: Canonical
  v: #effective-data-requirements
  l: effective-data-requirements

v: 0.2.0

v: IMMZ.D2.DT.Meningococcal.Polysaccharide vaccines

coding:
  system:
    v: http://terminology.hl7.org/CodeSystem/plan-definition-type
    l: plan-definition-type
  code:
    v: eca-rule

v: draft

v: false

v: 2026-03-03T13:07:11+00:00

v: WHO

name:
  v: WHO
telecom:
  system:
    v: url
  value:
    v: http://who.int

v: IMMZ.D2.DT.Meningococcal.Polysaccharide vaccines Polysaccharide vaccines schedule (Polysaccharide vaccines can be used to control outbreaks in countries where limited economic resources or insufficient supply restrict the use of meningococcal conjugate vaccines)

type:
  v: citation
citation:
  v: WHO recommendations for routine immunization - summary tables (January 2025)

extension:
  url:
    v: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-rationale
    l: cpg-rationale
  value: Markdown
    v: Polysaccharide vaccines should be administered to individuals aged ≥ 2 years as one single dose. One booster 3–5 years after the primary dose may be given to persons considered to be a continued high risk of exposure, including some health workers.
title:
  v: Determine if the client is due for Meningococcal.
description:
  v: Determine if the client is due for Meningococcal vaccine according to the national immunization protocol. Polysaccharide vaccines schedule (Polysaccharide vaccines can be used to control outbreaks in countries where limited economic resources or insufficient supply restrict the use of meningococcal conjugate vaccines)
condition:
  kind:
    v: applicability
  expression:
    description:
      v: Client is due for meningococcal vaccination
    language:
      v: text/cql-identifier
    expression:
      v: Client is due for meningococcal vaccination
definition: Canonical
  v: http://smart.who.int/immunizations/ActivityDefinition/IMMZD2DTMR
  l: IMMZD2DTMR
dynamic value:
  path:
    v: status
  expression:
    language:
      v: text/cql-expression
    expression:
      v: 'draft'
dynamic value:
  path:
    v: intent
  expression:
    language:
      v: text/cql-expression
    expression:
      v: 'proposal'
dynamic value:
  path:
    v: medication
  expression:
    language:
      v: text/cql-expression
    expression:
      v: Concept { codes: { Code { system: 'http://smart.who.int/immunizations/CodeSystem/IMMZ.Z', code: 'DE10', display: 'Meningococcal vaccines' } }, display: 'Meningococcal vaccines' }

title:
  v: Check for Guidance for the patient regarding IMMZ.D2.DT.Meningococcal.Polysaccharide vaccines.
description:
  v: Show Guidance for the patient regarding IMMZ.D2.DT.Meningococcal.Polysaccharide vaccines.
condition:
  kind:
    v: applicability
  expression:
    description:
      v: Has Guidance
    language:
      v: text/cql-identifier
    expression:
      v: Has Guidance
definition: Canonical
  v: http://smart.who.int/immunizations/ActivityDefinition/IMMZD2DTCR
  l: IMMZD2DTCR
dynamic value:
  path:
    v: status
  expression:
    language:
      v: text/cql-expression
    expression:
      v: 'active'
dynamic value:
  path:
    v: payload.contentString
  expression:
    language:
      v: text/cql-identifier
    expression:
      v: Guidance
dynamic value:
  path:
    v: category.coding
  expression:
    description:
      v: Category of communication
    language:
      v: text/cql-expression
    expression:
      v: Code { system: 'http://terminology.hl7.org/CodeSystem/communication-category', code: 'alert' }
dynamic value:
  path:
    v: priority
  expression:
    description:
      v: Alert priority
    language:
      v: text/cql-expression
    expression:
      v: Code { system: 'http://hl7.org/fhir/request-priority', code: 'routine' }