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="IMMZD2DTRabies"/>
<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;">IMMZD2DTRabies</td>
</tr>
<tr>
<th scope="row"><b>Url: </b></th>
<td style="padding-left: 4px;"><a href="PlanDefinition-IMMZD2DTRabies.html">IMMZ.D2.DT.Rabies</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.Rabies</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.Rabies
Pre-exposure prophylaxis (PrEP), 2-dose scheme; high risk of rabies virus exposure</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-IMMZD2DTRabiesLogic.html">IMMZD2DTRabiesLogic</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 Rabies.:</b> Determine if the client is due for Rabies vaccine according to the national immunization protocol.
Pre-exposure prophylaxis (PrEP), 2-dose scheme; high risk of rabies virus exposure
<br/>
<b>If:</b>
<i>Applicability:</i>
Client is due for rabies vaccination
<i>(Client is due for rabies 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: 'DE15', display: 'Rabies vaccines' } }, display: 'Rabies vaccines' })</i>
<br/>
</td>
</tr>
<tr>
<td>
<b> Check for Guidance for the patient regarding IMMZ.D2.DT.Rabies.:</b> Show Guidance for the patient regarding IMMZ.D2.DT.Rabies.
<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="IMMZElements"/>
</extension>
<extension url="name">
<valueString value="Doses Administered to Patient"/>
</extension>
<extension url="statement">
<valueString
value="/**
* @dataElement All Doses Administered to Patient
*/
define "Doses Administered to Patient":
[Immunization] I
where I.status = 'completed'
and I.isSubpotent is not true"/>
</extension>
<extension url="displaySequence">
<valueInteger value="0"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="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="1"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTRabiesEncounterElements"/>
</extension>
<extension url="name">
<valueString value="Rabies Doses Administered to Patient"/>
</extension>
<extension url="statement">
<valueString
value="/*
@internal: Rabies containing Doses Administered to Patient
*/
define "Rabies Doses Administered to Patient":
Encounter."Doses Administered to Patient" I
where
I.vaccineCode in Concepts."Rabies vaccines""/>
</extension>
<extension url="displaySequence">
<valueInteger value="2"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTRabiesEncounterElements"/>
</extension>
<extension url="name">
<valueString
value="Rabies Primary Series Doses Administered to Patient"/>
</extension>
<extension url="statement">
<valueString
value="/*
@internal: Rabies containing Doses Administered to Patient that are in the Primary series
*/
define "Rabies Primary Series Doses Administered to Patient":
"Rabies Doses Administered to Patient".seriesPrimary()"/>
</extension>
<extension url="displaySequence">
<valueInteger value="3"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTRabiesEncounterElements"/>
</extension>
<extension url="name">
<valueString
value="Number of Rabies Primary Series Doses Administered"/>
</extension>
<extension url="statement">
<valueString
value="/*
@internal: Number of Rabies Primary Series doses
*/
define "Number of Rabies Primary Series Doses Administered":
Count("Rabies Primary Series Doses Administered to Patient")"/>
</extension>
<extension url="displaySequence">
<valueInteger value="4"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTRabiesEncounterElements"/>
</extension>
<extension url="name">
<valueString
value="No rabies primary series doses were administered"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: No rabies primary series doses were administered
@pseudocode: Count of vaccines administered (where "Vaccine type" = "Rabies vaccines" and "Type of dose" = "Primary series") = 0
@code: No rabies primary series doses were administered-115
@decision: IMMZ.D2.DT.Rabies: Pre-exposure prophylaxis (PrEP), 2-dose scheme; high risk of rabies virus exposure
*/
define "No rabies primary series doses were administered":
"Number of Rabies Primary Series Doses Administered" = 0"/>
</extension>
<extension url="displaySequence">
<valueInteger value="5"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTRabiesLogic"/>
</extension>
<extension url="name">
<valueString value="Client is due for rabies vaccination Case 1"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Client is due for rabies vaccination Case 1
@pseudocode: "Immunization recommendation status" = "Due"
*/
define "Client is due for rabies vaccination Case 1":
Encounter."No rabies primary series doses were administered""/>
</extension>
<extension url="displaySequence">
<valueInteger value="6"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTRabiesEncounterElements"/>
</extension>
<extension url="name">
<valueString
value="One rabies primary series doses were administered"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: One rabies primary series doses were administered
@pseudocode: Count of vaccines administered (where "Vaccine type" = "Rabies vaccines" and "Type of dose" = "Primary series") = 1
@code: One rabies primary series doses were administered-115
@decision: IMMZ.D2.DT.Rabies: Pre-exposure prophylaxis (PrEP), 2-dose scheme; high risk of rabies virus exposure
*/
define "One rabies primary series doses were administered":
"Number of Rabies Primary Series Doses Administered" = 1"/>
</extension>
<extension url="displaySequence">
<valueInteger value="7"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTRabiesEncounterElements"/>
</extension>
<extension url="name">
<valueString value="Date of Latest Rabies Dose"/>
</extension>
<extension url="statement">
<valueString
value="/*
@internal: Date of Latest Rabies Dose
*/
define "Date of Latest Rabies Dose":
date from start of "Rabies Doses Administered to Patient".mostRecent().occurrence.toInterval()"/>
</extension>
<extension url="displaySequence">
<valueInteger value="8"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTRabiesEncounterElements"/>
</extension>
<extension url="name">
<valueString
value="The latest rabies dose was administered less than 7 days ago"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: The latest rabies dose was administered less than 7 days ago
@pseudocode: ''Today's date - Latest "Date of vaccination" (where "Vaccine type" = "Rabies vaccines") < 7 days
@code: The latest rabies dose was administered less than 7 days ago-97
@decision: IMMZ.D2.DT.Rabies: Pre-exposure prophylaxis (PrEP), 2-dose scheme; high risk of rabies virus exposure
*/
define "The latest rabies dose was administered less than 7 days ago":
"Date of Latest Rabies Dose" is not null
and duration in days between "Date of Latest Rabies Dose" and Today < 7"/>
</extension>
<extension url="displaySequence">
<valueInteger value="9"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTRabiesEncounterElements"/>
</extension>
<extension url="name">
<valueString
value="The latest rabies dose was administered more than 7 days ago"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: The latest rabies dose was administered more than 7 days ago
@pseudocode: ''Today's date - Latest "Date of vaccination" (where "Vaccine type" = "Rabies vaccines") ≥ 7 days
@code: The latest rabies dose was administered more than 7 days ago-97
@decision: IMMZ.D2.DT.Rabies: Pre-exposure prophylaxis (PrEP), 2-dose scheme; high risk of rabies virus exposure
*/
define "The latest rabies dose was administered more than 7 days ago":
not "The latest rabies dose was administered less than 7 days ago""/>
</extension>
<extension url="displaySequence">
<valueInteger value="10"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTRabiesLogic"/>
</extension>
<extension url="name">
<valueString value="Client is due for rabies vaccination Case 2"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Client is due for rabies vaccination Case 2
@pseudocode: "Immunization recommendation status" = "Due"
*/
define "Client is due for rabies vaccination Case 2":
Encounter."One rabies primary series doses were administered"
and Encounter."The latest rabies dose was administered more than 7 days ago""/>
</extension>
<extension url="displaySequence">
<valueInteger value="11"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTRabiesLogic"/>
</extension>
<extension url="name">
<valueString value="Client is due for rabies vaccination"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Client is due for rabies vaccination
@pseudocode: "Immunization recommendation status" = "Due"
*/
define "Client is due for rabies vaccination":
"Client is due for rabies vaccination Case 1"
or "Client is due for rabies vaccination Case 2""/>
</extension>
<extension url="displaySequence">
<valueInteger value="12"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTRabiesLogic"/>
</extension>
<extension url="name">
<valueString value="Client is due for rabies vaccination Guidance"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Client is due for rabies vaccination Guidance
@guidance = Should vaccinate client with first rabies dose as no rabies doses were administered and client is at high risk of exposure.
Check for contraindications.
@guidance = Should vaccinate client with second rabies dose as the latest rabies dose was administerd 7 or more days ago.
Check for contraindications.
*/
define "Client is due for rabies vaccination Guidance":
case
when "Client is due for rabies vaccination Case 1" then 'Should vaccinate client with first rabies dose as no rabies doses were administered and client is at high risk of exposure.
Check for contraindications.'
when "Client is due for rabies vaccination Case 2" then 'Should vaccinate client with second rabies dose as the latest rabies dose was administerd 7 or more days ago.
Check for contraindications.'
else ''
end"/>
</extension>
<extension url="displaySequence">
<valueInteger value="13"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTRabiesLogic"/>
</extension>
<extension url="name">
<valueString value="Client is not due for rabies vaccination"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Client is not due for rabies vaccination
@pseudocode: "Immunization recommendation status" = "Not due"
*/
define "Client is not due for rabies vaccination":
Encounter."One rabies primary series doses were administered"
and Encounter."The latest rabies dose was administered less than 7 days ago""/>
</extension>
<extension url="displaySequence">
<valueInteger value="14"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTRabiesLogic"/>
</extension>
<extension url="name">
<valueString
value="Client is not due for rabies vaccination Guidance"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Client is not due for rabies vaccination Guidance
@guidance: Should not vaccinate client with second rabies dose as the latest rabies dose was administered less than 7 days ago.
Check for any other vaccines due and inform the caregiver of when to come back for the second dose.
*/
define "Client is not due for rabies vaccination Guidance":
'Should not vaccinate client with second rabies dose as the latest rabies dose was administered less than 7 days ago.
Check for any other vaccines due and inform the caregiver of when to come back for the second dose.'"/>
</extension>
<extension url="displaySequence">
<valueInteger value="15"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTRabiesEncounterElements"/>
</extension>
<extension url="name">
<valueString
value="Two rabies primary series doses were administered"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: Two rabies primary series doses were administered
@pseudocode: Count of vaccines administered (where "Vaccine type" = "Rabies vaccines" and "Type of dose" = "Primary series") = 2
@code: Two rabies primary series doses were administered-115
@decision: IMMZ.D2.DT.Rabies: Pre-exposure prophylaxis (PrEP), 2-dose scheme; high risk of rabies virus exposure
*/
define "Two rabies primary series doses were administered":
"Number of Rabies Primary Series Doses Administered" = 2"/>
</extension>
<extension url="displaySequence">
<valueInteger value="16"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTRabiesLogic"/>
</extension>
<extension url="name">
<valueString value="Rabies immunization schedule is complete"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Rabies immunization schedule is complete
@pseudocode: "Immunization recommendation status" = "Complete"
"Completed the primary vaccination series" = TRUE (where "Vaccine type" = "Rabies vaccines")
*/
define "Rabies immunization schedule is complete":
Encounter."Two rabies primary series doses were administered""/>
</extension>
<extension url="displaySequence">
<valueInteger value="17"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTRabiesLogic"/>
</extension>
<extension url="name">
<valueString
value="Rabies immunization schedule is complete Guidance"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Rabies immunization schedule is complete Guidance
@guidance: Rabies immunization schedule is complete. Two rabies primary series doses were administered.
Check for any other vaccines due.
*/
define "Rabies immunization schedule is complete Guidance":
'Rabies immunization schedule is complete. Two rabies primary series doses were administered.
Check for any other vaccines due.'"/>
</extension>
<extension url="displaySequence">
<valueInteger value="18"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTRabiesLogic"/>
</extension>
<extension url="name">
<valueString value="Guidance"/>
</extension>
<extension url="statement">
<valueString
value="/*
@dynamicValue: Guidance
*/
define "Guidance":
case
when "Client is due for rabies vaccination" then "Client is due for rabies vaccination Guidance"
when "Client is not due for rabies vaccination" then "Client is not due for rabies vaccination Guidance"
when "Rabies immunization schedule is complete" then "Rabies immunization schedule is complete Guidance"
else ''
end"/>
</extension>
<extension url="displaySequence">
<valueInteger value="19"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTRabiesLogic"/>
</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="20"/>
</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="21"/>
</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="22"/>
</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="23"/>
</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="24"/>
</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="25"/>
</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="26"/>
</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="27"/>
</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/IMMZD2DTRabiesEncounterElements"/>
</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 Encounter"/>
<resource
value="http://smart.who.int/immunizations/Library/IMMZEncounterElements"/>
</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 Rabies vaccines"/>
<resource
value="http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE15"/>
</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 rabies 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="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/IMMZD2DTRabies"/>
<version value="0.2.0"/>
<name value="IMMZD2DTRabies"/>
<title value="IMMZ.D2.DT.Rabies"/>
<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.Rabies
Pre-exposure prophylaxis (PrEP), 2-dose scheme; high risk of rabies virus exposure"/>
<relatedArtifact>
<type value="citation"/>
<citation
value="WHO recommendations for routine immunization - summary tables (January 2025)"/>
</relatedArtifact>
<library
value="http://smart.who.int/immunizations/Library/IMMZD2DTRabiesLogic"/>
<action>
<extension
url="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-rationale">
<valueMarkdown
value="The schedule is for a 2-site intradermal vaccine administered on days 0 and 7.
If intramuscular administration is used, WHO recommends a 1-site intramuscular vaccine administration on days 0 and 7.
Note: This PrEP dose is recommended for individuals at high risk of rabies virus exposure. These include subpopulations
in highly endemic settings with limited access to timely and adequate PrEP, individuals at occupational risk and travellers
who may be at risk of exposure. WHO recommendations apply only to inactivated modern, concentrated, purified cell culture and
embryonated egg-based rabies vaccines (CCEEVs).
PrEP schedule: 2-site intradermal vaccine administered on days 0 and 7. If intramuscular administration is used, WHO
recommends a 1-site intramuscular vaccine administration on days 0 and 7.
If any doses are delayed, vaccination should be resumed, not restarted. A change in the route of administration or in
vaccine product during a course is acceptable if such a change is unavoidable.
The schedule is for a 2-site intradermal vaccine administered on days 0 and 7. If intramuscular administration is used,
WHO recommends a 1-site intramuscular vaccine administration on days 0 and 7."/>
</extension>
<title value="Determine if the client is due for Rabies."/>
<description
value="Determine if the client is due for Rabies vaccine according to the national immunization protocol.
Pre-exposure prophylaxis (PrEP), 2-dose scheme; high risk of rabies virus exposure"/>
<condition>
<kind value="applicability"/>
<expression>
<description value="Client is due for rabies vaccination"/>
<language value="text/cql-identifier"/>
<expression value="Client is due for rabies 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: 'DE15', display: 'Rabies vaccines' } }, display: 'Rabies vaccines' }"/>
</expression>
</dynamicValue>
</action>
<action>
<title
value="Check for Guidance for the patient regarding IMMZ.D2.DT.Rabies."/>
<description
value="Show Guidance for the patient regarding IMMZ.D2.DT.Rabies."/>
<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>