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

: IMMZ.D2.DT.Rotavirus - XML Representation

Draft as of 2026-03-03

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<PlanDefinition xmlns="http://hl7.org/fhir">
  <id value="IMMZD2DTRotavirus"/>
  <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;">IMMZD2DTRotavirus</td>
        </tr>
        

        
        <tr>
            <th scope="row"><b>Url: </b></th>
            <td style="padding-left: 4px;"><a href="PlanDefinition-IMMZD2DTRotavirus.html">IMMZ.D2.DT.Rotavirus</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.Rotavirus</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.Rotavirus
IMMZ.D2.DT.Rotavirus</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-IMMZD2DTRotavirusLogic.html">IMMZD2DTRotavirusLogic</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 Rotavirus.:</b> Determine if the client is due for Rotavirus vaccine according to the national immunization protocol.
                            
                            <br/>
                            
                            
                            <b>If:</b>
                            
                            <i>Applicability:</i>
                            
                            Client is due for rotavirus vaccination
                            
                            <i>(Client is due for rotavirus 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: 'DE16', display: 'Rotavirus vaccines' } }, display: 'Rotavirus vaccines' })</i>
                            <br/>
                            
                            
                            
                            
                        </td>
                    </tr>
                    
                    <tr>
                        <td>
                            
                            <b> Check for Guidance for the patient regarding IMMZ.D2.DT.Rotavirus.:</b> Show Guidance for the patient regarding IMMZ.D2.DT.Rotavirus.
                            
                            <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 Weeks"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/** 
 * @dataElement Patient age in weeks
 */
define &quot;Current Patient Age In Weeks&quot;:
  AgeInWeeksAt(Today)"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="0"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZD2DTRotavirusEncounterElements"/>
        </extension>
        <extension url="name">
          <valueString value="Client's age is less than 6 weeks"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/*
@input: Client's age is less than 6 weeks
@pseudocode: 'Today's date – &quot;Date of birth&quot; &lt; 6 weeks
@code: Client's age is less than 6 weeks-41
@decision: IMMZ.D2.DT.Rotavirus
*/
define &quot;Client's age is less than 6 weeks&quot;:
  Encounter.&quot;Current Patient Age In Weeks&quot; &lt; 6"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="1"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZD2DTRotavirusLogic"/>
        </extension>
        <extension url="name">
          <valueString
                       value="Client is not due for rotavirus vaccination Case 1"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/*
@output: Client is not due for rotavirus vaccination Case 1
@pseudocode: &quot;Immunization recommendation status&quot; = &quot;Not due&quot;
*/
define &quot;Client is not due for rotavirus vaccination Case 1&quot;:
  Encounter.&quot;Client's age is less than 6 weeks&quot;"/>
        </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 &quot;Doses Administered to Patient&quot;:
  [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 &quot;Doses Administered to Patient&quot;:
  Elements.&quot;Doses Administered to Patient&quot; 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="IMMZD2DTRotavirusEncounterElements"/>
        </extension>
        <extension url="name">
          <valueString value="Rotavirus Doses Administered to Patient"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/*
@internal: Rotavirus containing Doses Administered to Patient
*/
define &quot;Rotavirus Doses Administered to Patient&quot;:
  Encounter.&quot;Doses Administered to Patient&quot; I
  where
    I.vaccineCode in Concepts.&quot;Rotavirus vaccines&quot;"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="5"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZD2DTRotavirusEncounterElements"/>
        </extension>
        <extension url="name">
          <valueString
                       value="Rotavirus Primary Series Doses Administered to Patient"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/*
@internal: Rotavirus containing Doses Administered to Patient that are in the Primary series
*/
define &quot;Rotavirus Primary Series Doses Administered to Patient&quot;:
  &quot;Rotavirus Doses Administered to Patient&quot;.seriesPrimary()"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="6"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZD2DTRotavirusEncounterElements"/>
        </extension>
        <extension url="name">
          <valueString
                       value="Number of Rotavirus Primary Series Doses Administered"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/*
@internal: Number of Rotavirus Primary Series doses
*/
define &quot;Number of Rotavirus Primary Series Doses Administered&quot;:
  Count(&quot;Rotavirus Primary Series Doses Administered to Patient&quot;)"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="7"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZD2DTRotavirusEncounterElements"/>
        </extension>
        <extension url="name">
          <valueString
                       value="No rotavirus primary series doses were administered"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/*
@input: No rotavirus primary series doses were administered
@pseudocode: Count of vaccines administered (where &quot;Vaccine type&quot; = &quot;Rotavirus vaccines&quot; and &quot;Type of dose&quot; = &quot;Primary series&quot;) = 0
@code: No rotavirus primary series doses were administered-118
@decision: IMMZ.D2.DT.Rotavirus
*/
define &quot;No rotavirus primary series doses were administered&quot;:
  &quot;Number of Rotavirus Primary Series Doses Administered&quot; = 0"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="8"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZEncounterElements"/>
        </extension>
        <extension url="name">
          <valueString value="Current Patient Age In Months"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/** 
 * @dataElement Patient age in months
 */
define &quot;Current Patient Age In Months&quot;:
  AgeInMonthsAt(Today)"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="9"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZD2DTRotavirusEncounterElements"/>
        </extension>
        <extension url="name">
          <valueString value="Client's age is between 6 weeks and 24 months"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/*
@input: Client's age is between 6 weeks and 24 months
@pseudocode: 6 weeks ≤ Today's date – &quot;Date of birth&quot; &lt; 24 months
@code: Client's age is between 6 weeks and 24 months-52
@decision: IMMZ.D2.DT.Rotavirus
*/
define &quot;Client's age is between 6 weeks and 24 months&quot;:
  6 &lt;= Encounter.&quot;Current Patient Age In Weeks&quot;
  and Encounter.&quot;Current Patient Age In Months&quot; &lt; 24"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="10"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZElements"/>
        </extension>
        <extension url="name">
          <valueString value="Live Attenuated Vaccines"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/*
  @dataElement: Live attenuated vaccines
*/
define &quot;Live Attenuated Vaccines&quot;:
  &quot;Doses Administered to Patient&quot; I 
    where I.vaccineCode in Concepts.&quot;Live Attenuated&quot;"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="11"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZEncounterElements"/>
        </extension>
        <extension url="name">
          <valueString value="Live Attenuated Vaccines"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/*
@dataElement Live attenuated vaccines
*/
define &quot;Live Attenuated Vaccines&quot;:
  Elements.&quot;Live Attenuated Vaccines&quot; I
    where I.occurrence.toInterval() same day or before Today"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="12"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZEncounterElements"/>
        </extension>
        <extension url="name">
          <valueString value="Date of Latest Live Attenuated Vaccine"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/*
@dataElement Date and time of last live attenuated vaccine
*/
define &quot;Date of Latest Live Attenuated Vaccine&quot;:
  date from start of &quot;Live Attenuated Vaccines&quot;.mostRecent().occurrence.toInterval()"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="13"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZEncounterElements"/>
        </extension>
        <extension url="name">
          <valueString
                       value="Live vaccine was administered in the last 4 weeks"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/*
@input: Live vaccine was administered in the last 4 weeks
@pseudocode: Today's date − latest &quot;Date and time of vaccination&quot; (where &quot;Live vaccine&quot; = TRUE) &lt; 4 weeks
*/
define &quot;Live vaccine was administered in the last 4 weeks&quot;:
	&quot;Date of Latest Live Attenuated Vaccine&quot; is not null 
    and duration in weeks between &quot;Date of Latest Live Attenuated Vaccine&quot; and Today &lt; 4"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="14"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZD2DTRotavirusEncounterElements"/>
        </extension>
        <extension url="name">
          <valueString
                       value="Live vaccine was administered in the last 4 weeks"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/*
@input: Live vaccine was administered in the last 4 weeks
@pseudocode: Today's date - latest &quot;Date and time of vaccination&quot; (where &quot;Live vaccine&quot; = TRUE) &lt; 4 weeks
@code: Live vaccine was administered in the last 4 weeks-92
@decision: IMMZ.D2.DT.Rotavirus
*/
define &quot;Live vaccine was administered in the last 4 weeks&quot;:
  Encounter.&quot;Live vaccine was administered in the last 4 weeks&quot;"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="15"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZD2DTRotavirusLogic"/>
        </extension>
        <extension url="name">
          <valueString
                       value="Client is not due for rotavirus vaccination Case 2"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/*
@output: Client is not due for rotavirus vaccination Case 2
@pseudocode: &quot;Immunization recommendation status&quot; = &quot;Not due&quot;
*/
define &quot;Client is not due for rotavirus vaccination Case 2&quot;:
  Encounter.&quot;No rotavirus primary series doses were administered&quot;
    and Encounter.&quot;Client's age is between 6 weeks and 24 months&quot;
    and Encounter.&quot;Live vaccine was administered in the last 4 weeks&quot;"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="16"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZD2DTRotavirusEncounterElements"/>
        </extension>
        <extension url="name">
          <valueString
                       value="One rotavirus primary series dose was administered"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/*
@input: One rotavirus primary series dose was administered
@pseudocode: Count of vaccines administered (where &quot;Vaccine type&quot; = &quot;Rotavirus vaccines&quot; and &quot;Type of dose&quot; = &quot;Primary series&quot;) = 1
@code: One rotavirus primary series dose was administered-118
@decision: IMMZ.D2.DT.Rotavirus
*/
define &quot;One rotavirus primary series dose was administered&quot;:
  &quot;Number of Rotavirus Primary Series Doses Administered&quot; = 1"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="17"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZD2DTRotavirusLogic"/>
        </extension>
        <extension url="name">
          <valueString
                       value="Client is not due for rotavirus vaccination Case 3"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/*
@output: Client is not due for rotavirus vaccination Case 3
@pseudocode: &quot;Immunization recommendation status&quot; = &quot;Not due&quot;
*/
define &quot;Client is not due for rotavirus vaccination Case 3&quot;:
  Encounter.&quot;One rotavirus primary series dose was administered&quot;
    and Encounter.&quot;Client's age is between 6 weeks and 24 months&quot;
    and Encounter.&quot;Live vaccine was administered in the last 4 weeks&quot;"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="18"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZD2DTRotavirusEncounterElements"/>
        </extension>
        <extension url="name">
          <valueString
                       value="Two rotavirus primary series doses were administered"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/*
@input: Two rotavirus primary series doses were administered
@pseudocode: Count of vaccines administered (where &quot;Vaccine type&quot; = &quot;Rotavirus vaccines&quot; and &quot;Type of dose&quot; = &quot;Primary series&quot;) = 2
@code: Two rotavirus primary series doses were administered-118
@decision: IMMZ.D2.DT.Rotavirus
*/
define &quot;Two rotavirus primary series doses were administered&quot;:
  &quot;Number of Rotavirus Primary Series Doses Administered&quot; = 2"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="19"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZD2DTRotavirusEncounterElements"/>
        </extension>
        <extension url="name">
          <valueString
                       value="Live vaccines was administered in the last 4 weeks"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/*
@input: Live vaccines was administered in the last 4 weeks
@pseudocode: Today's date - latest &quot;Date and time of vaccination&quot; (where &quot;Live vaccine&quot; = TRUE) &lt; 4 weeks
@code: Live vaccines was administered in the last 4 weeks-92
@decision: IMMZ.D2.DT.Rotavirus
*/
define &quot;Live vaccines was administered in the last 4 weeks&quot;:
  Encounter.&quot;Live vaccine was administered in the last 4 weeks&quot;"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="20"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZD2DTRotavirusEncounterElements"/>
        </extension>
        <extension url="name">
          <valueString value="Brand of First Dose"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/*
@internal: Brand of First Dose
*/
define &quot;Brand of First Dose&quot;:
  First(&quot;Rotavirus Doses Administered to Patient&quot;.getDose('1')).brand()"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="21"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZD2DTRotavirusEncounterElements"/>
        </extension>
        <extension url="name">
          <valueString value="Brand of Second Dose"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/*
@internal: Brand of Second Dose
*/
define &quot;Brand of Second Dose&quot;:
  First(&quot;Rotavirus Doses Administered to Patient&quot;.getDose('2')).brand()"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="22"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZD2DTRotavirusEncounterElements"/>
        </extension>
        <extension url="name">
          <valueString
                       value="The series administered to the client contains the same product"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/*
@input: The series administered to the client contains the same product
@pseudocode: &quot;Vaccine brand&quot; (where &quot;Vaccine type&quot; = &quot;Rotavirus vaccines&quot; AND &quot;Dose number&quot; = 1) = &quot;Vaccine brand&quot; (where &quot;Vaccine type&quot; = &quot;Rotavirus vaccines&quot; AND &quot;Dose number&quot; = 2)
@code: The series administered to the client contains the same product-169
@decision: IMMZ.D2.DT.Rotavirus
*/
define &quot;The series administered to the client contains the same product&quot;:
  &quot;Brand of First Dose&quot; is not null and
  &quot;Brand of First Dose&quot; ~ &quot;Brand of Second Dose&quot;"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="23"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZD2DTRotavirusEncounterElements"/>
        </extension>
        <extension url="name">
          <valueString
                       value="The series administered to the client is a mixed series or a series with unknown vaccine products"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/*
@input: The series administered to the client is a mixed series or a series with unknown vaccine products
@pseudocode: &quot;Vaccine brand&quot; (where &quot;Vaccine type&quot; = &quot;Rotavirus vaccines&quot; AND &quot;Dose number&quot; = 1) ≠ &quot;Vaccine brand&quot; (where &quot;Vaccine type&quot; = &quot;Rotavirus vaccines&quot; AND &quot;Dose number&quot; = 2)
@code: The series administered to the client is a mixed series or a series with unknown vaccine products-169
@decision: IMMZ.D2.DT.Rotavirus
*/
define &quot;The series administered to the client is a mixed series or a series with unknown vaccine products&quot;:
  not &quot;The series administered to the client contains the same product&quot;"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="24"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZD2DTRotavirusLogic"/>
        </extension>
        <extension url="name">
          <valueString
                       value="Client is not due for rotavirus vaccination Case 4"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/*
@output: Client is not due for rotavirus vaccination Case 4
@pseudocode: &quot;Immunization recommendation status&quot; = &quot;Not due&quot;
*/
define &quot;Client is not due for rotavirus vaccination Case 4&quot;:
  Encounter.&quot;Two rotavirus primary series doses were administered&quot;
    and Encounter.&quot;Client's age is between 6 weeks and 24 months&quot;
    and Encounter.&quot;Live vaccines was administered in the last 4 weeks&quot;
    and Encounter.&quot;The series administered to the client is a mixed series or a series with unknown vaccine products&quot;"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="25"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZD2DTRotavirusEncounterElements"/>
        </extension>
        <extension url="name">
          <valueString value="Live vaccine was administered in last 4 weeks"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/*
@input: Live vaccine was administered in last 4 weeks
@pseudocode: Today's date - latest &quot;Date and time of vaccination&quot; (where &quot;Live vaccine&quot; = TRUE) &lt; 4 weeks
@code: Live vaccine was administered in last 4 weeks-92
@decision: IMMZ.D2.DT.Rotavirus
*/
define &quot;Live vaccine was administered in last 4 weeks&quot;:
  Encounter.&quot;Live vaccine was administered in the last 4 weeks&quot;"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="26"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZD2DTRotavirusEncounterElements"/>
        </extension>
        <extension url="name">
          <valueString value="The series contain more than two doses"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/*
@input: The series contain more than two doses
@pseudocode: &quot;Total doses in series&quot; &gt; 2
@code: The series contain more than two doses-27
@decision: IMMZ.D2.DT.Rotavirus
*/
define &quot;The series contain more than two doses&quot;:
  ToInteger(&quot;Rotavirus Doses Administered to Patient&quot;.mostRecent().seriesDoses()) &gt; 2"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="27"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZD2DTRotavirusLogic"/>
        </extension>
        <extension url="name">
          <valueString
                       value="Client is not due for rotavirus vaccination Case 5"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/*
@output: Client is not due for rotavirus vaccination Case 5
@pseudocode: &quot;Immunization recommendation status&quot; = &quot;Not due&quot;
*/
define &quot;Client is not due for rotavirus vaccination Case 5&quot;:
  Encounter.&quot;Two rotavirus primary series doses were administered&quot;
    and Encounter.&quot;Client's age is between 6 weeks and 24 months&quot;
    and Encounter.&quot;Live vaccine was administered in last 4 weeks&quot;
    and Encounter.&quot;The series administered to the client contains the same product&quot;
    and Encounter.&quot;The series contain more than two doses&quot;"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="28"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZD2DTRotavirusLogic"/>
        </extension>
        <extension url="name">
          <valueString value="Client is not due for rotavirus vaccination"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/*
@output: Client is not due for rotavirus vaccination
@pseudocode: &quot;Immunization recommendation status&quot; = &quot;Not due&quot;
*/
define &quot;Client is not due for rotavirus vaccination&quot;:
  &quot;Client is not due for rotavirus vaccination Case 1&quot;
    or &quot;Client is not due for rotavirus vaccination Case 2&quot;
    or &quot;Client is not due for rotavirus vaccination Case 3&quot;
    or &quot;Client is not due for rotavirus vaccination Case 4&quot;
    or &quot;Client is not due for rotavirus vaccination Case 5&quot;"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="29"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZD2DTRotavirusLogic"/>
        </extension>
        <extension url="name">
          <valueString
                       value="Client is not due for rotavirus vaccination Guidance"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/*
@output: Client is not due for rotavirus vaccination Guidance
@guidance = Should not vaccinate client with first rotavirus dose as client's age is less than 6 weeks. Check for any other vaccines due and inform the caregiver of when to come back for the first dose.
@guidance = Should not vaccinate client with first rotavirus dose as live vaccine was administered in last 4 weeks. Check for any vaccines due and inform the caregiver of when to come back for the first dose.
@guidance = Should not vaccinate client with second rotavirus dose as live vaccine was administered in the last 4 weeks. Check for any other vaccines due and inform the caregiver of when to come back for the next dose
@guidance = Should not vaccinate client with third rotavirus dose as live vaccine was administered in the last 4 weeks and series administered to client is a mixed or unknown series. Check for any other vaccines due and inform the caregiver of when to come back for the next dose
@guidance = Should not vaccinate client with third rotavirus dose as live vaccine was administered in the last 4 weeks. Check for any other vaccines due and inform the caregiver of when to come back for the next dose.
*/
define &quot;Client is not due for rotavirus vaccination Guidance&quot;:
  case
    when &quot;Client is not due for rotavirus vaccination Case 1&quot; then 'Should not vaccinate client with first rotavirus dose as client\'s age is less than 6 weeks. Check for any other vaccines due and inform the caregiver of when to come back for the first dose.'
    when &quot;Client is not due for rotavirus vaccination Case 2&quot; then 'Should not vaccinate client with first rotavirus dose as live vaccine was administered in last 4 weeks. Check for any vaccines due and inform the caregiver of when to come back for the first dose.'
    when &quot;Client is not due for rotavirus vaccination Case 3&quot; then 'Should not vaccinate client with second rotavirus dose as live vaccine was administered in the last 4 weeks. Check for any other vaccines due and inform the caregiver of when to come back for the next dose'
    when &quot;Client is not due for rotavirus vaccination Case 4&quot; then 'Should not vaccinate client with third rotavirus dose as live vaccine was administered in the last 4 weeks and series administered to client is a mixed or unknown series. Check for any other vaccines due and inform the caregiver of when to come back for the next dose'
    when &quot;Client is not due for rotavirus vaccination Case 5&quot; then 'Should not vaccinate client with third rotavirus dose as live vaccine was administered in the last 4 weeks. Check for any other vaccines due and inform the caregiver of when to come back for the next dose.'
    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="IMMZEncounterElements"/>
        </extension>
        <extension url="name">
          <valueString
                       value="No live vaccine was administered in the last 4 weeks"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/*
@input: No live vaccine was administered in the last 4 weeks
@pseudocode: Today's date − latest &quot;Date and time of vaccination&quot; (where &quot;Live vaccine&quot; = TRUE) ≥ 4 weeks
*/
define &quot;No live vaccine was administered in the last 4 weeks&quot;:
  not(&quot;Live vaccine was administered in the last 4 weeks&quot;)"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="31"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZD2DTRotavirusEncounterElements"/>
        </extension>
        <extension url="name">
          <valueString
                       value="No live vaccine was administered in the last 4 weeks"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/*
@input: No live vaccine was administered in the last 4 weeks
@pseudocode: Today's date - latest &quot;Date and time of vaccination&quot; (where &quot;Live vaccine&quot; = TRUE) ≥ 4 weeks
@code: No live vaccine was administered in the last 4 weeks-92
@decision: IMMZ.D2.DT.Rotavirus
*/
define &quot;No live vaccine was administered in the last 4 weeks&quot;:
  Encounter.&quot;No live vaccine was administered in the last 4 weeks&quot;"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="32"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZD2DTRotavirusLogic"/>
        </extension>
        <extension url="name">
          <valueString
                       value="Client is due for rotavirus vaccination Case 1"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/*
@output: Client is due for rotavirus vaccination Case 1
@pseudocode: &quot;Immunization recommendation status&quot; = &quot;Due&quot;
*/
define &quot;Client is due for rotavirus vaccination Case 1&quot;:
  Encounter.&quot;No rotavirus primary series doses were administered&quot;
    and Encounter.&quot;Client's age is between 6 weeks and 24 months&quot;
    and Encounter.&quot;No live vaccine was administered in the last 4 weeks&quot;"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="33"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZD2DTRotavirusLogic"/>
        </extension>
        <extension url="name">
          <valueString
                       value="Client is due for rotavirus vaccination Case 2"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/*
@output: Client is due for rotavirus vaccination Case 2
@pseudocode: &quot;Immunization recommendation status&quot; = &quot;Due&quot;
*/
define &quot;Client is due for rotavirus vaccination Case 2&quot;:
  Encounter.&quot;One rotavirus primary series dose was administered&quot;
    and Encounter.&quot;Client's age is between 6 weeks and 24 months&quot;
    and Encounter.&quot;No live vaccine was administered in the last 4 weeks&quot;"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="34"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZD2DTRotavirusLogic"/>
        </extension>
        <extension url="name">
          <valueString
                       value="Client is due for rotavirus vaccination Case 3"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/*
@output: Client is due for rotavirus vaccination Case 3
@pseudocode: &quot;Immunization recommendation status&quot; = &quot;Due&quot;
*/
define &quot;Client is due for rotavirus vaccination Case 3&quot;:
  Encounter.&quot;Two rotavirus primary series doses were administered&quot;
    and Encounter.&quot;Client's age is between 6 weeks and 24 months&quot;
    and Encounter.&quot;No live vaccine was administered in the last 4 weeks&quot;
    and Encounter.&quot;The series administered to the client is a mixed series or a series with unknown vaccine products&quot;"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="35"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZD2DTRotavirusEncounterElements"/>
        </extension>
        <extension url="name">
          <valueString
                       value="No live vaccine was administered in last 4 weeks"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/*
@input: No live vaccine was administered in last 4 weeks
@pseudocode: Today's date - latest &quot;Date and time of vaccination&quot; (where &quot;Live vaccine&quot; = TRUE) ≥ 4 weeks
@code: No live vaccine was administered in last 4 weeks-92
@decision: IMMZ.D2.DT.Rotavirus
*/
define &quot;No live vaccine was administered in last 4 weeks&quot;:
  Encounter.&quot;No live vaccine was administered in the last 4 weeks&quot;"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="36"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZD2DTRotavirusLogic"/>
        </extension>
        <extension url="name">
          <valueString
                       value="Client is due for rotavirus vaccination Case 4"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/*
@output: Client is due for rotavirus vaccination Case 4
@pseudocode: &quot;Immunization recommendation status&quot; = &quot;Due&quot;
*/
define &quot;Client is due for rotavirus vaccination Case 4&quot;:
  Encounter.&quot;Two rotavirus primary series doses were administered&quot;
    and Encounter.&quot;Client's age is between 6 weeks and 24 months&quot;
    and Encounter.&quot;No live vaccine was administered in last 4 weeks&quot;
    and Encounter.&quot;The series administered to the client contains the same product&quot;
    and Encounter.&quot;The series contain more than two doses&quot;"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="37"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZD2DTRotavirusLogic"/>
        </extension>
        <extension url="name">
          <valueString value="Client is due for rotavirus vaccination"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/*
@output: Client is due for rotavirus vaccination
@pseudocode: &quot;Immunization recommendation status&quot; = &quot;Due&quot;
*/
define &quot;Client is due for rotavirus vaccination&quot;:
  &quot;Client is due for rotavirus vaccination Case 1&quot;
    or &quot;Client is due for rotavirus vaccination Case 2&quot;
    or &quot;Client is due for rotavirus vaccination Case 3&quot;
    or &quot;Client is due for rotavirus vaccination Case 4&quot;"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="38"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZD2DTRotavirusLogic"/>
        </extension>
        <extension url="name">
          <valueString
                       value="Client is due for rotavirus vaccination Guidance"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/*
@output: Client is due for rotavirus vaccination Guidance
@guidance = Should vaccinate client with first rotavirus dose as no rotavirus doses were administered, client's age is within appropriate age range and no live vaccine was administered in last 4 weeks.
Check for contraindications.
@guidance = Should vaccinate client with second rotavirus dose as client's age is within appropriate age range and no live vaccine was administered in the last 4 weeks.
Check for contraindications.
@guidance = Should vaccinate client with third rotavirus dose as no live vaccine was administered in the last 4 weeks and series administered to client is a mixed or unknown series.
Check for contraindications.
@guidance = Should vaccinate client with third rotavirus dose as series contains more than two doses and no live vaccine was administered in the last 4 weeks.
Check for contraindications.
*/
define &quot;Client is due for rotavirus vaccination Guidance&quot;:
  case
    when &quot;Client is due for rotavirus vaccination Case 1&quot; then 'Should vaccinate client with first rotavirus dose as no rotavirus doses were administered, client\'s age is within appropriate age range and no live vaccine was administered in last 4 weeks.
Check for contraindications.'
    when &quot;Client is due for rotavirus vaccination Case 2&quot; then 'Should vaccinate client with second rotavirus dose as client\'s age is within appropriate age range and no live vaccine was administered in the last 4 weeks.
Check for contraindications.'
    when &quot;Client is due for rotavirus vaccination Case 3&quot; then 'Should vaccinate client with third rotavirus dose as no live vaccine was administered in the last 4 weeks and series administered to client is a mixed or unknown series.
Check for contraindications.'
    when &quot;Client is due for rotavirus vaccination Case 4&quot; then 'Should vaccinate client with third rotavirus dose as series contains more than two doses and no live vaccine was administered in the last 4 weeks.
Check for contraindications.'
    else ''
  end"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="39"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZD2DTRotavirusEncounterElements"/>
        </extension>
        <extension url="name">
          <valueString
                       value="The series contain less than or equal to two doses"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/*
@input: The series contain less than or equal to two doses
@pseudocode: &quot;Total doses in series&quot; ≤ 2
@code: The series contain less than or equal to two doses-27
@decision: IMMZ.D2.DT.Rotavirus
*/
define &quot;The series contain less than or equal to two doses&quot;:
  ToInteger(&quot;Rotavirus Doses Administered to Patient&quot;.mostRecent().seriesDoses()) &lt;= 2"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="40"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZD2DTRotavirusLogic"/>
        </extension>
        <extension url="name">
          <valueString
                       value="Rotavirus immunization schedule is complete Case 1"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/*
@output: Rotavirus immunization schedule is complete Case 1
@pseudocode: &quot;Immunization recommendation status&quot; = &quot;Complete&quot;
*/
define &quot;Rotavirus immunization schedule is complete Case 1&quot;:
  Encounter.&quot;Two rotavirus primary series doses were administered&quot;
    and Encounter.&quot;Client's age is between 6 weeks and 24 months&quot;
    and Encounter.&quot;The series administered to the client contains the same product&quot;
    and Encounter.&quot;The series contain less than or equal to two doses&quot;"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="41"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZD2DTRotavirusEncounterElements"/>
        </extension>
        <extension url="name">
          <valueString
                       value="Three rotavirus primary series doses were administered"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/*
@input: Three rotavirus primary series doses were administered
@pseudocode: Count of vaccines administered (where &quot;Vaccine type&quot; = &quot;Rotavirus vaccines&quot; and &quot;Type of dose&quot; = &quot;Primary series&quot;) = 3
@code: Three rotavirus primary series doses were administered-118
@decision: IMMZ.D2.DT.Rotavirus
*/
define &quot;Three rotavirus primary series doses were administered&quot;:
  &quot;Number of Rotavirus Primary Series Doses Administered&quot; = 3"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="42"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZD2DTRotavirusLogic"/>
        </extension>
        <extension url="name">
          <valueString
                       value="Rotavirus immunization schedule is complete Case 2"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/*
@output: Rotavirus immunization schedule is complete Case 2
@pseudocode: '&quot;Immunization recommendation status&quot; = &quot;Complete&quot;
*/
define &quot;Rotavirus immunization schedule is complete Case 2&quot;:
  Encounter.&quot;Three rotavirus primary series doses were administered&quot;"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="43"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZD2DTRotavirusLogic"/>
        </extension>
        <extension url="name">
          <valueString value="Rotavirus immunization schedule is complete"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/*
@output: Rotavirus immunization schedule is complete
@pseudocode: &quot;Immunization recommendation status&quot; = &quot;Complete&quot;
*/
define &quot;Rotavirus immunization schedule is complete&quot;:
  &quot;Rotavirus immunization schedule is complete Case 1&quot;
    or &quot;Rotavirus immunization schedule is complete Case 2&quot;"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="44"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZD2DTRotavirusLogic"/>
        </extension>
        <extension url="name">
          <valueString
                       value="Rotavirus immunization schedule is complete Guidance"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/*
@output: Rotavirus immunization schedule is complete Guidance
@guidance = Rotavirus immunization schedule is complete. Two rotavirus doses were administered. Check for any other vaccines due.
@guidance = Rotavirus immunization schedule is complete. Three rotavirus primary series doses were administered. Check for any other vaccines due.
*/
define &quot;Rotavirus immunization schedule is complete Guidance&quot;:
  case
    when &quot;Rotavirus immunization schedule is complete Case 1&quot; then 'Rotavirus immunization schedule is complete. Two rotavirus doses were administered. Check for any other vaccines due.'
    when &quot;Rotavirus immunization schedule is complete Case 2&quot; then 'Rotavirus immunization schedule is complete. Three rotavirus primary series doses were administered. Check for any other vaccines due.'
    else ''
  end"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="45"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZD2DTRotavirusEncounterElements"/>
        </extension>
        <extension url="name">
          <valueString value="Client's age is more than 24 months"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/*
@input: Client's age is more than 24 months
@pseudocode: &quot;Date of birth&quot; &gt; 24 months
@code: Client's age is more than 24 months-27
@decision: IMMZ.D2.DT.Rotavirus
*/
define &quot;Client's age is more than 24 months&quot;:
  Encounter.&quot;Current Patient Age In Months&quot; &gt;= 24"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="46"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZD2DTRotavirusLogic"/>
        </extension>
        <extension url="name">
          <valueString
                       value="Client is not due for rotavirus vaccination if immunization schedule is not complete."/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/*
@output: Client is not due for rotavirus vaccination if immunization schedule is not complete.
@pseudocode: &quot;Immunization recommendation status&quot; = &quot;Not due&quot; IF current &quot;Immunization recommendation status&quot; ≠ &quot;Complete&quot;
*/
define &quot;Client is not due for rotavirus vaccination if immunization schedule is not complete.&quot;:
  Encounter.&quot;Client's age is more than 24 months&quot;"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="47"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZD2DTRotavirusLogic"/>
        </extension>
        <extension url="name">
          <valueString
                       value="Client is not due for rotavirus vaccination if immunization schedule is not complete. Guidance"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/*
@output: Client is not due for rotavirus vaccination if immunization schedule is not complete. Guidance
@guidance: Should not vaccinate client with rotavirus dose as client's age is more than 24 months. Check for any other vaccines due.
*/
define &quot;Client is not due for rotavirus vaccination if immunization schedule is not complete. Guidance&quot;:
  'Should not vaccinate client with rotavirus dose as client\'s age is more than 24 months. Check for any other vaccines due.'"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="48"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZD2DTRotavirusLogic"/>
        </extension>
        <extension url="name">
          <valueString value="Guidance"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/*
@dynamicValue: Guidance
*/
define &quot;Guidance&quot;:
  case 
    when &quot;Client is not due for rotavirus vaccination&quot; then &quot;Client is not due for rotavirus vaccination Guidance&quot;
    when &quot;Client is due for rotavirus vaccination&quot; then &quot;Client is due for rotavirus vaccination Guidance&quot;
    when &quot;Rotavirus immunization schedule is complete&quot; then &quot;Rotavirus immunization schedule is complete Guidance&quot;
    when &quot;Client is not due for rotavirus vaccination if immunization schedule is not complete.&quot; then &quot;Client is not due for rotavirus vaccination if immunization schedule is not complete. Guidance&quot; 
    else ''
  end"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="49"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZD2DTRotavirusLogic"/>
        </extension>
        <extension url="name">
          <valueString value="Has Guidance"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="define &quot;Has Guidance&quot;:
  &quot;Guidance&quot; is not null and &quot;Guidance&quot; != ''"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="50"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZCommon"/>
        </extension>
        <extension url="name">
          <valueString value="seriesPrimary"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/**
 * @description: Gets the doses from the primary series
 */
define fluent function seriesPrimary(immunizations List&lt;Immunization&gt;):
  immunizations I where
    exists( I.protocolApplied pa where pa.series = 'Primary series' )"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="51"/>
        </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="52"/>
        </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="53"/>
        </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="54"/>
        </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="55"/>
        </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="56"/>
        </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&lt;Immunization&gt;):
  Last(
    immunizations I
      sort by start of occurrence.toInterval()
  )"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="57"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZCommon"/>
        </extension>
        <extension url="name">
          <valueString value="brand"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/**
 * @description: Gets the type of antigen dose extension value from an Immunization
 */
define fluent function brand(immz Immunization):
  (First(
    immz.extension E where E.url = 'http://smart.who.int/immunizations/StructureDefinition/IMMZVaccineBrand'
  )).value as FHIR.CodeableConcept"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="58"/>
        </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 uri): value.value"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="59"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZCommon"/>
        </extension>
        <extension url="name">
          <valueString value="getDose"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/**
 * @description: Gets a given immunization from a list that matches the dose number
 */
define fluent function getDose(immunizations List&lt;Immunization&gt;, doseNumber String):
  immunizations I where
    exists( I.protocolApplied pa where pa.doseNumber = doseNumber )"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="60"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZCommon"/>
        </extension>
        <extension url="name">
          <valueString value="seriesDoses"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/**
 * @description: Gets the series doses from an immunization
 */
define fluent function seriesDoses(immunization Immunization):
  First(immunization.protocolApplied pa where pa.seriesDoses is not null).seriesDoses"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="61"/>
        </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/IMMZD2DTRotavirusEncounterElements"/>
      </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 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 Rotavirus vaccines"/>
        <resource
                  value="http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE16"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Value set Live Attenuated"/>
        <resource
                  value="http://smart.who.int/immunizations/ValueSet/IMMZ.Z.LiveAttenuated"/>
      </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 rotavirus 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="vaccineCode"/>
      </dataRequirement>
      <dataRequirement>
        <type value="Immunization"/>
        <profile
                 value="http://hl7.org/fhir/StructureDefinition/Immunization"/>
        <mustSupport value="status"/>
        <mustSupport value="isSubpotent"/>
        <mustSupport value="vaccineCode"/>
        <mustSupport value="occurrence"/>
      </dataRequirement>
      <dataRequirement>
        <type value="Immunization"/>
        <profile
                 value="http://hl7.org/fhir/StructureDefinition/Immunization"/>
        <mustSupport value="status"/>
        <mustSupport value="isSubpotent"/>
        <mustSupport value="occurrence"/>
        <mustSupport value="vaccineCode"/>
      </dataRequirement>
      <dataRequirement>
        <type value="Immunization"/>
        <profile
                 value="http://hl7.org/fhir/StructureDefinition/Immunization"/>
        <mustSupport value="status"/>
        <mustSupport value="isSubpotent"/>
        <mustSupport value="occurrence"/>
        <mustSupport value="vaccineCode"/>
      </dataRequirement>
      <dataRequirement>
        <type value="Immunization"/>
        <profile
                 value="http://hl7.org/fhir/StructureDefinition/Immunization"/>
        <mustSupport value="status"/>
        <mustSupport value="isSubpotent"/>
        <mustSupport value="occurrence"/>
        <mustSupport value="vaccineCode"/>
      </dataRequirement>
      <dataRequirement>
        <type value="Immunization"/>
        <profile
                 value="http://hl7.org/fhir/StructureDefinition/Immunization"/>
        <mustSupport value="status"/>
        <mustSupport value="isSubpotent"/>
        <mustSupport value="occurrence"/>
        <mustSupport value="vaccineCode"/>
      </dataRequirement>
    </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/IMMZD2DTRotavirus"/>
  <version value="0.2.0"/>
  <name value="IMMZD2DTRotavirus"/>
  <title value="IMMZ.D2.DT.Rotavirus"/>
  <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.Rotavirus
IMMZ.D2.DT.Rotavirus"/>
  <relatedArtifact>
    <type value="citation"/>
    <citation
              value="WHO recommendations for routine immunization - summary tables (January 2025)"/>
  </relatedArtifact>
  <library
           value="http://smart.who.int/immunizations/Library/IMMZD2DTRotavirusLogic"/>
  <action>
    <extension
               url="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-rationale">
      <valueMarkdown
                     value="WHO recommends that the first dose of rotavirus vaccine be administered as soon as possible after 6 weeks of age.
  A minimum interval of 4 weeks should be maintained between doses.  Note: The rotavirus vaccination series for each child should 
  be completed with the same product whenever feasible. However, if the product used for a prior dose is unavailable or unknown, 
  the series should be completed with any available licensed product."/>
    </extension>
    <title value="Determine if the client is due for Rotavirus."/>
    <description
                 value="Determine if the client is due for Rotavirus vaccine according to the national immunization protocol."/>
    <condition>
      <kind value="applicability"/>
      <expression>
        <description value="Client is due for rotavirus vaccination"/>
        <language value="text/cql-identifier"/>
        <expression value="Client is due for rotavirus 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: 'DE16', display: 'Rotavirus vaccines' } }, display: 'Rotavirus vaccines' }"/>
      </expression>
    </dynamicValue>
  </action>
  <action>
    <title
           value="Check for Guidance for the patient regarding IMMZ.D2.DT.Rotavirus."/>
    <description
                 value="Show Guidance for the patient regarding IMMZ.D2.DT.Rotavirus."/>
    <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>