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 |
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"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n<div>\n <table class=\"grid dict\">\n \n <tr>\n <th scope=\"row\"><b>Id: </b></th>\n <td style=\"padding-left: 4px;\">IMMZD2DTTBEFSMEImmun</td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Url: </b></th>\n <td style=\"padding-left: 4px;\"><a href=\"PlanDefinition-IMMZD2DTTBEFSMEImmun.html\">IMMZ.D2.DT.TBE.FSME-Immun</a></td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Version: </b></th>\n <td style=\"padding-left: 4px;\">0.2.0</td>\n </tr>\n \n\n \n\n \n <tr>\n <th scope=\"row\"><b>Title: </b></th>\n <td style=\"padding-left: 4px;\">IMMZ.D2.DT.TBE.FSME-Immun</td>\n </tr>\n \n\n \n\n \n <tr>\n <th scope=\"row\"><b>Status: </b></th>\n <td style=\"padding-left: 4px;\">draft</td>\n </tr>\n \n\n \n\n \n <tr>\n <th scope=\"row\"><b>Type: </b></th>\n <td style=\"padding-left: 4px;\">\n \n \n \n <p style=\"margin-bottom: 5px;\">\n <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>\n </p>\n \n \n <p style=\"margin-bottom: 5px;\">\n <b>code: </b> <span>eca-rule</span>\n </p>\n \n \n \n \n \n </td>\n </tr>\n \n\n \n\n \n <tr>\n <th scope=\"row\"><b>Date: </b></th>\n <td style=\"padding-left: 4px;\">2026-03-03 13:07:11+0000</td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Publisher: </b></th>\n <td style=\"padding-left: 4px;\">WHO</td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Description: </b></th>\n <td style=\"padding-left: 4px;\"><div><p>IMMZ.D2.DT.TBE.FSME-Immun\nFSME-Immun schedule\n(In areas where the disease is highly endemic, implying that there is a high individual risk of infection, WHO recommends that vaccination be offered to all age groups, including children)</p>\n</div></td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Knowledge Capability: </b></th>\n <td style=\"padding-left: 4px;\">\n \n computable \n </td>\n </tr>\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n <tr>\n <th scope=\"row\"><b>Related Artifacts: </b></th>\n <td style=\"padding-left: 4px;\">\n \n \n <p><b>References</b></p>\n <ul>\n \n <li><div><p>WHO recommendations for routine immunization - summary tables (January 2025)</p>\n</div><br/><a href=\"null\"/></li>\n \n </ul>\n \n \n \n \n \n \n </td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Libraries: </b></th>\n <td style=\"padding-left: 4px;\">\n <table class=\"grid-dict\">\n \n <tr>\n <td><a href=\"Library-IMMZD2DTTBEFSMEImmunLogic.html\">IMMZD2DTTBEFSMEImmunLogic</a></td>\n </tr>\n \n </table>\n </td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Actions: </b></th>\n <td style=\"padding-left: 4px;\">\n <table class=\"grid-dict\">\n \n <tr>\n <td>\n \n <b> Determine if the client is due for TBE.:</b> Determine if the client is due for TBE vaccine according to the national immunization protocol.\nFSME-Immun schedule \n(In areas where the disease is highly endemic, implying that there is a high \nindividual risk of infection, WHO recommends that vaccination be offered to all age groups, including children)\n \n <br/>\n \n \n <b>If:</b>\n \n <i>Applicability:</i>\n \n Client is due for TBE vaccination\n \n <i>(Client is due for TBE vaccination)</i>\n <br/>\n \n \n \n \n <b>Then:</b> <i>Definition:</i> <a href=\"ActivityDefinition-IMMZD2DTMR.html\">IMMZD2DTMR</a><br/>\n \n <i>Dynamic Values:</i><br/>\n \n status: <i>('draft')</i>\n <br/>\n \n intent: <i>('proposal')</i>\n <br/>\n \n medication: <i>(Concept { codes: { Code { system: 'http://smart.who.int/immunizations/CodeSystem/IMMZ.Z', code: 'DE20', display: 'TBE vaccines' } }, display: 'TBE vaccines' })</i>\n <br/>\n \n \n \n \n </td>\n </tr>\n \n <tr>\n <td>\n \n <b> Determine if the client is due for TBE.:</b> Determine if the client is due for TBE vaccine according to the national immunization protocol.\nFSME-Immun schedule \n(In areas where the disease is highly endemic, implying that there is a high \nindividual risk of infection, WHO recommends that vaccination be offered to all age groups, including children)\n \n <br/>\n \n \n <b>If:</b>\n \n <i>Applicability:</i>\n \n Primary series is complete. Client is due for TBE booster dose\n \n <i>(Primary series is complete. Client is due for TBE booster dose)</i>\n <br/>\n \n \n \n \n <b>Then:</b> <i>Definition:</i> <a href=\"ActivityDefinition-IMMZD2DTMR.html\">IMMZD2DTMR</a><br/>\n \n <i>Dynamic Values:</i><br/>\n \n status: <i>('draft')</i>\n <br/>\n \n intent: <i>('proposal')</i>\n <br/>\n \n medication: <i>(Concept { codes: { Code { system: 'http://smart.who.int/immunizations/CodeSystem/IMMZ.Z', code: 'DE20', display: 'TBE vaccines' } }, display: 'TBE vaccines' })</i>\n <br/>\n \n \n \n \n </td>\n </tr>\n \n <tr>\n <td>\n \n <b> Check for Guidance for the patient regarding IMMZ.D2.DT.TBE.FSME-Immun.:</b> Show Guidance for the patient regarding IMMZ.D2.DT.TBE.FSME-Immun.\n \n <br/>\n \n \n <b>If:</b>\n \n <i>Applicability:</i>\n \n Has Guidance\n \n <i>(Has Guidance)</i>\n <br/>\n \n \n \n \n <b>Then:</b> <i>Definition:</i> <a href=\"ActivityDefinition-IMMZD2DTCR.html\">IMMZ.D2.DT.CR</a><br/>\n \n <i>Dynamic Values:</i><br/>\n \n status: <i>('active')</i>\n <br/>\n \n payload.contentString: <i>(Guidance)</i>\n <br/>\n \n category.coding: <i>(Code { system: 'http://terminology.hl7.org/CodeSystem/communication-category', code: 'alert' })</i>\n <br/>\n \n priority: <i>(Code { system: 'http://hl7.org/fhir/request-priority', code: 'routine' })</i>\n <br/>\n \n \n \n \n </td>\n </tr>\n \n </table>\n </td>\n </tr>\n \n </table>\n</div>\n</div>"
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"extension" : [
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"url" : "libraryName",
"valueString" : "IMMZEncounterElements"
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{
"url" : "name",
"valueString" : "Current Patient Age In Years"
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"url" : "statement",
"valueString" : "/** \n * @dataElement Patient age in years\n */\ndefine \"Current Patient Age In Years\":\n AgeInYearsAt(Today)"
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"url" : "libraryName",
"valueString" : "IMMZD2DTTBEEncounterElements"
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"url" : "name",
"valueString" : "Client's age is less than 1 year"
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"url" : "statement",
"valueString" : "/*\n@input: Client's age is less than 1 year\n@pseudocode: Today's date − \"Date of birth\" < 1 year\n@code: Client's age is less than 1 year-39\n@decision: IMMZ.D2.DT.TBE.FSME-Immun: FSME-Immun schedule\n(In areas where the disease is highly endemic, implying that there is a high individual risk of infection, WHO recommends that vaccination be offered to all age groups, including children)\n@decision: IMMZ.D2.DT.TBE.Encepur: Encepur schedule\n(In areas where the disease is highly endemic, implying that there is a high individual risk of infection, WHO recommends that vaccination be offered to all age groups, including children\t\t)\n*/\ndefine \"Client's age is less than 1 year\":\n Encounter.\"Current Patient Age In Years\" < 1"
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"extension" : [
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"url" : "libraryName",
"valueString" : "IMMZD2DTTBEFSMEImmunLogic"
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"url" : "name",
"valueString" : "Client is not due for TBE vaccination Case 1"
},
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"url" : "statement",
"valueString" : "/*\n@output: Client is not due for TBE vaccination Case 1\n@pseudocode: \"Immunization recommendation status\" = \"Not due\"\n*/\ndefine \"Client is not due for TBE vaccination Case 1\":\n Encounter.\"Client's age is less than 1 year\""
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"url" : "name",
"valueString" : "Doses Administered to Patient"
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{
"url" : "statement",
"valueString" : "/**\n * @dataElement All Doses Administered to Patient\n */\ndefine \"Doses Administered to Patient\":\n [Immunization] I\n where I.status = 'completed'\n and I.isSubpotent is not true"
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"url" : "name",
"valueString" : "Doses Administered to Patient"
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"url" : "statement",
"valueString" : "/**\n * @dataElement All Doses Administered to Patient\n */\ndefine \"Doses Administered to Patient\":\n Elements.\"Doses Administered to Patient\" I\n where I.occurrence.toInterval() same day or before Today"
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"url" : "name",
"valueString" : "TBE Doses Administered to Patient"
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"url" : "statement",
"valueString" : "/*\n@internal: TBE containing Doses Administered to Patient\n*/\ndefine \"TBE Doses Administered to Patient\":\n Encounter.\"Doses Administered to Patient\" I\n where\n I.vaccineCode in Concepts.\"TBE vaccines\""
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"extension" : [
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"url" : "libraryName",
"valueString" : "IMMZD2DTTBEEncounterElements"
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{
"url" : "name",
"valueString" : "TBE Primary Series Doses Administered to Patient"
},
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"url" : "statement",
"valueString" : "/*\n@internal: TBE containing Doses Administered to Patient that are in the Primary series\n*/\ndefine \"TBE Primary Series Doses Administered to Patient\":\n \"TBE Doses Administered to Patient\".seriesPrimary()"
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"extension" : [
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"url" : "libraryName",
"valueString" : "IMMZD2DTTBEEncounterElements"
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"url" : "name",
"valueString" : "Number of TBE Primary Series Doses Administered"
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"url" : "statement",
"valueString" : "/*\n@internal: Number of TBE Primary Series doses\n*/\ndefine \"Number of TBE Primary Series Doses Administered\":\n Count(\"TBE Primary Series Doses Administered to Patient\")"
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"url" : "displaySequence",
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"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
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"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD2DTTBEEncounterElements"
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{
"url" : "name",
"valueString" : "One TBE primary series dose was administered"
},
{
"url" : "statement",
"valueString" : "/*\n@input: One TBE primary series dose was administered\n@pseudocode: Count of vaccines administered (where \"Vaccine type\" = \"TBE vaccines\" and \"Type of dose\" = \"Primary series\") = 1\n@code: One TBE primary series dose was administered-112\n@decision: IMMZ.D2.DT.TBE.FSME-Immun: FSME-Immun schedule\n(In areas where the disease is highly endemic, implying that there is a high individual risk of infection, WHO recommends that vaccination be offered to all age groups, including children)\n@decision: IMMZ.D2.DT.TBE.Encepur: Encepur schedule\n(In areas where the disease is highly endemic, implying that there is a high individual risk of infection, WHO recommends that vaccination be offered to all age groups, including children\t\t)\n@decision: IMMZ.D2.DT.TBE.TBE-Moscow: TBE-Moscow schedule\n(In areas where the disease is highly endemic, implying that there is a high individual risk of infection, WHO recommends that vaccination be offered to all age groups, including children\t)\n@decision: IMMZ.D2.DT.TBE.EnceVir: EnceVir schedule\n(In areas where the disease is highly endemic, implying that there is a high individual risk of infection, WHO recommends that vaccination be offered to all age groups, including children\t\t\t\t\t)\n*/\ndefine \"One TBE primary series dose was administered\":\n \"Number of TBE Primary Series Doses Administered\" = 1"
},
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"url" : "displaySequence",
"valueInteger" : 8
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"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
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"extension" : [
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"url" : "libraryName",
"valueString" : "IMMZD2DTTBEEncounterElements"
},
{
"url" : "name",
"valueString" : "Date of Latest TBE Dose"
},
{
"url" : "statement",
"valueString" : "/*\n@internal: Date of Latest TBE Dose\n*/\ndefine \"Date of Latest TBE Dose\":\n date from start of \"TBE Doses Administered to Patient\".mostRecent().occurrence.toInterval()"
},
{
"url" : "displaySequence",
"valueInteger" : 9
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"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
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"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD2DTTBEEncounterElements"
},
{
"url" : "name",
"valueString" : "The latest TBE dose was administered less than 1 month ago"
},
{
"url" : "statement",
"valueString" : "/*\n@input: The latest TBE dose was administered less than 1 month ago\n@pseudocode: Today's date − \"Date and time of vaccination\" (where \"Vaccine type\" = \"TBE vaccines\") < 1 month\n@code: The latest TBE dose was administered less than 1 month ago-95\n@decision: IMMZ.D2.DT.TBE.FSME-Immun: FSME-Immun schedule\n(In areas where the disease is highly endemic, implying that there is a high individual risk of infection, WHO recommends that vaccination be offered to all age groups, including children)\n@decision: IMMZ.D2.DT.TBE.Encepur: Encepur schedule\n(In areas where the disease is highly endemic, implying that there is a high individual risk of infection, WHO recommends that vaccination be offered to all age groups, including children\t\t)\n@decision: IMMZ.D2.DT.TBE.TBE-Moscow: TBE-Moscow schedule\n(In areas where the disease is highly endemic, implying that there is a high individual risk of infection, WHO recommends that vaccination be offered to all age groups, including children\t)\n*/\ndefine \"The latest TBE dose was administered less than 1 month ago\":\n \"Date of Latest TBE Dose\" is not null\n and duration in months between \"Date of Latest TBE Dose\" and Today < 1"
},
{
"url" : "displaySequence",
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"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
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"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD2DTTBEFSMEImmunLogic"
},
{
"url" : "name",
"valueString" : "Client is not due for TBE vaccination Case 2"
},
{
"url" : "statement",
"valueString" : "/*\n@output: Client is not due for TBE vaccination Case 2\n@pseudocode: \"Immunization recommendation status\" = \"Not due\"\n*/\ndefine \"Client is not due for TBE vaccination Case 2\":\n Encounter.\"One TBE primary series dose was administered\"\n and Encounter.\"The latest TBE dose was administered less than 1 month ago\""
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"url" : "displaySequence",
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"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
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"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD2DTTBEEncounterElements"
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"url" : "name",
"valueString" : "Two TBE primary series doses were administered"
},
{
"url" : "statement",
"valueString" : "/*\n@input: Two TBE primary series doses were administered\n@pseudocode: Count of vaccines administered (where \"Vaccine type\" = \"TBE vaccines\" and \"Type of dose\" = \"Primary series\") = 2\n@code: Two TBE primary series doses were administered-112\n@decision: IMMZ.D2.DT.TBE.FSME-Immun: FSME-Immun schedule\n(In areas where the disease is highly endemic, implying that there is a high individual risk of infection, WHO recommends that vaccination be offered to all age groups, including children)\n@decision: IMMZ.D2.DT.TBE.Encepur: Encepur schedule\n(In areas where the disease is highly endemic, implying that there is a high individual risk of infection, WHO recommends that vaccination be offered to all age groups, including children\t\t)\n@decision: IMMZ.D2.DT.TBE.TBE-Moscow: TBE-Moscow schedule\n(In areas where the disease is highly endemic, implying that there is a high individual risk of infection, WHO recommends that vaccination be offered to all age groups, including children\t)\n@decision: IMMZ.D2.DT.TBE.EnceVir: EnceVir schedule\n(In areas where the disease is highly endemic, implying that there is a high individual risk of infection, WHO recommends that vaccination be offered to all age groups, including children\t\t\t\t\t)\n*/\ndefine \"Two TBE primary series doses were administered\":\n \"Number of TBE Primary Series Doses Administered\" = 2"
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"url" : "libraryName",
"valueString" : "IMMZD2DTTBEEncounterElements"
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"url" : "name",
"valueString" : "The latest TBE dose was administered less than 5 months ago"
},
{
"url" : "statement",
"valueString" : "/*\n@input: The latest TBE dose was administered less than 5 months ago\n@pseudocode: Today's date − latest \"Date and time of vaccination\" (where \"Vaccine type\" = \"TBE vaccines\") < 5 months\n@code: The latest TBE dose was administered less than 5 months ago-103\n@decision: IMMZ.D2.DT.TBE.FSME-Immun: FSME-Immun schedule\n(In areas where the disease is highly endemic, implying that there is a high individual risk of infection, WHO recommends that vaccination be offered to all age groups, including children)\n@decision: IMMZ.D2.DT.TBE.EnceVir: EnceVir schedule\n(In areas where the disease is highly endemic, implying that there is a high individual risk of infection, WHO recommends that vaccination be offered to all age groups, including children\t\t\t\t\t)\n*/\ndefine \"The latest TBE dose was administered less than 5 months ago\":\n \"Date of Latest TBE Dose\" is not null\n and duration in months between \"Date of Latest TBE Dose\" and Today < 5"
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"extension" : [
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"url" : "libraryName",
"valueString" : "IMMZD2DTTBEFSMEImmunLogic"
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{
"url" : "name",
"valueString" : "Client is not due for TBE vaccination Case 3"
},
{
"url" : "statement",
"valueString" : "/*\n@output: Client is not due for TBE vaccination Case 3\n@pseudocode: \"Immunization recommendation status\" = \"Not due\"\n*/\ndefine \"Client is not due for TBE vaccination Case 3\":\n Encounter.\"Two TBE primary series doses were administered\"\n and Encounter.\"The latest TBE dose was administered less than 5 months ago\""
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"url" : "displaySequence",
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"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
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"extension" : [
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"url" : "libraryName",
"valueString" : "IMMZD2DTTBEFSMEImmunLogic"
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{
"url" : "name",
"valueString" : "Client is not due for TBE vaccination"
},
{
"url" : "statement",
"valueString" : "/*\n@output: Client is not due for TBE vaccination\n@pseudocode: \"Immunization recommendation status\" = \"Not due\"\n*/\ndefine \"Client is not due for TBE vaccination\":\n \"Client is not due for TBE vaccination Case 1\"\n or \"Client is not due for TBE vaccination Case 2\"\n or \"Client is not due for TBE vaccination Case 3\""
},
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"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
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{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD2DTTBEFSMEImmunLogic"
},
{
"url" : "name",
"valueString" : "Client is not due for TBE vaccination Guidance"
},
{
"url" : "statement",
"valueString" : "/*\n@output: Client is not due for TBE vaccination Guidance\n@guidance = Should not vaccinate client with first TBE dose as client's age is less than 1 year.\nCheck for any vaccines due and inform the caregiver of when to come back for the first dose.\n@guidance = Should not vaccinate client with second TBE dose as the latest dose was administered less than 1 month ago. Check for any vaccines due and inform the caregiver of when to come back for the next dose\n@guidance = Should not vaccinate client with third TBE dose as the latest dose was administered less than 5 months ago.\nCheck for any vaccines due and inform the caregiver of when to come back for the next dose.\n*/\ndefine \"Client is not due for TBE vaccination Guidance\":\n case\n when \"Client is not due for TBE vaccination Case 1\" then 'Should not vaccinate client with first TBE dose as client\\'s age is less than 1 year.\nCheck for any vaccines due and inform the caregiver of when to come back for the first dose.'\n when \"Client is not due for TBE vaccination Case 2\" then 'Should not vaccinate client with second TBE dose as the latest dose was administered less than 1 month ago. Check for any vaccines due and inform the caregiver of when to come back for the next dose'\n when \"Client is not due for TBE vaccination Case 3\" then 'Should not vaccinate client with third TBE dose as the latest dose was administered less than 5 months ago.\nCheck for any vaccines due and inform the caregiver of when to come back for the next dose.'\n else ''\n end"
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"url" : "libraryName",
"valueString" : "IMMZD2DTTBEEncounterElements"
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"url" : "name",
"valueString" : "No TBE primary series doses were administered"
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{
"url" : "statement",
"valueString" : "/*\n@input: No TBE primary series doses were administered\n@pseudocode: Count of vaccines administered (where \"Vaccine type\" = \"TBE vaccines\" and \"Type of dose\" = \"Primary series\") = 0\n@code: No TBE primary series doses were administered-112\n@decision: IMMZ.D2.DT.TBE.FSME-Immun: FSME-Immun schedule\n(In areas where the disease is highly endemic, implying that there is a high individual risk of infection, WHO recommends that vaccination be offered to all age groups, including children)\n@decision: IMMZ.D2.DT.TBE.Encepur: Encepur schedule\n(In areas where the disease is highly endemic, implying that there is a high individual risk of infection, WHO recommends that vaccination be offered to all age groups, including children\t\t)\n@decision: IMMZ.D2.DT.TBE.TBE-Moscow: TBE-Moscow schedule\n(In areas where the disease is highly endemic, implying that there is a high individual risk of infection, WHO recommends that vaccination be offered to all age groups, including children\t)\n@decision: IMMZ.D2.DT.TBE.EnceVir: EnceVir schedule\n(In areas where the disease is highly endemic, implying that there is a high individual risk of infection, WHO recommends that vaccination be offered to all age groups, including children\t\t\t\t\t)\n*/\ndefine \"No TBE primary series doses were administered\":\n \"Number of TBE Primary Series Doses Administered\" = 0"
},
{
"url" : "displaySequence",
"valueInteger" : 17
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD2DTTBEEncounterElements"
},
{
"url" : "name",
"valueString" : "Client's age is more than or equal to 1 year"
},
{
"url" : "statement",
"valueString" : "/*\n@input: Client's age is more than or equal to 1 year\n@pseudocode: Today's date − \"Date of birth\" ≥ 1 year\n@code: Client's age is more than or equal to 1 year-39\n@decision: IMMZ.D2.DT.TBE.FSME-Immun: FSME-Immun schedule\n(In areas where the disease is highly endemic, implying that there is a high individual risk of infection, WHO recommends that vaccination be offered to all age groups, including children)\n@decision: IMMZ.D2.DT.TBE.Encepur: Encepur schedule\n(In areas where the disease is highly endemic, implying that there is a high individual risk of infection, WHO recommends that vaccination be offered to all age groups, including children\t\t)\n*/\ndefine \"Client's age is more than or equal to 1 year\":\n Encounter.\"Current Patient Age In Years\" >= 1"
},
{
"url" : "displaySequence",
"valueInteger" : 18
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD2DTTBEFSMEImmunLogic"
},
{
"url" : "name",
"valueString" : "Client is due for TBE vaccination Case 1"
},
{
"url" : "statement",
"valueString" : "/*\n@output: Client is due for TBE vaccination Case 1\n@pseudocode: \"Immunization recommendation status\" = \"Due\"\n*/\ndefine \"Client is due for TBE vaccination Case 1\":\n Encounter.\"No TBE primary series doses were administered\"\n and Encounter.\"Client's age is more than or equal to 1 year\""
},
{
"url" : "displaySequence",
"valueInteger" : 19
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD2DTTBEEncounterElements"
},
{
"url" : "name",
"valueString" : "The latest TBE dose was administered more than 1 month ago"
},
{
"url" : "statement",
"valueString" : "/*\n@input: The latest TBE dose was administered more than 1 month ago\n@pseudocode: Today's date − \"Date and time of vaccination\" (where \"Vaccine type\" = \"TBE vaccines\") ≥ 1 month\n@code: The latest TBE dose was administered more than 1 month ago-95\n@decision: IMMZ.D2.DT.TBE.FSME-Immun: FSME-Immun schedule\n(In areas where the disease is highly endemic, implying that there is a high individual risk of infection, WHO recommends that vaccination be offered to all age groups, including children)\n@decision: IMMZ.D2.DT.TBE.Encepur: Encepur schedule\n(In areas where the disease is highly endemic, implying that there is a high individual risk of infection, WHO recommends that vaccination be offered to all age groups, including children\t\t)\n@decision: IMMZ.D2.DT.TBE.TBE-Moscow: TBE-Moscow schedule\n(In areas where the disease is highly endemic, implying that there is a high individual risk of infection, WHO recommends that vaccination be offered to all age groups, including children\t)\n*/\ndefine \"The latest TBE dose was administered more than 1 month ago\":\n not \"The latest TBE dose was administered less than 1 month ago\""
},
{
"url" : "displaySequence",
"valueInteger" : 20
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD2DTTBEFSMEImmunLogic"
},
{
"url" : "name",
"valueString" : "Client is due for TBE vaccination Case 2"
},
{
"url" : "statement",
"valueString" : "/*\n@output: Client is due for TBE vaccination Case 2\n@pseudocode: \"Immunization recommendation status\" = \"Due\"\n*/\ndefine \"Client is due for TBE vaccination Case 2\":\n Encounter.\"One TBE primary series dose was administered\"\n and Encounter.\"The latest TBE dose was administered more than 1 month ago\""
},
{
"url" : "displaySequence",
"valueInteger" : 21
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD2DTTBEEncounterElements"
},
{
"url" : "name",
"valueString" : "The latest TBE dose was administered more than 5 months ago"
},
{
"url" : "statement",
"valueString" : "/*\n@input: The latest TBE dose was administered more than 5 months ago\n@pseudocode: Today's date − latest \"Date and time of vaccination\" (where \"Vaccine type\" = \"TBE vaccines\") ≥ 5 months\n@code: The latest TBE dose was administered more than 5 months ago-103\n@decision: IMMZ.D2.DT.TBE.FSME-Immun: FSME-Immun schedule\n(In areas where the disease is highly endemic, implying that there is a high individual risk of infection, WHO recommends that vaccination be offered to all age groups, including children)\n@decision: IMMZ.D2.DT.TBE.EnceVir: EnceVir schedule\n(In areas where the disease is highly endemic, implying that there is a high individual risk of infection, WHO recommends that vaccination be offered to all age groups, including children\t\t\t\t\t)\n*/\ndefine \"The latest TBE dose was administered more than 5 months ago\":\n not \"The latest TBE dose was administered less than 5 months ago\""
},
{
"url" : "displaySequence",
"valueInteger" : 22
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD2DTTBEFSMEImmunLogic"
},
{
"url" : "name",
"valueString" : "Client is due for TBE vaccination Case 3"
},
{
"url" : "statement",
"valueString" : "/*\n@output: Client is due for TBE vaccination Case 3\n@pseudocode: \"Immunization recommendation status\" = \"Due\"\n*/\ndefine \"Client is due for TBE vaccination Case 3\":\n Encounter.\"Two TBE primary series doses were administered\"\n and Encounter.\"The latest TBE dose was administered more than 5 months ago\""
},
{
"url" : "displaySequence",
"valueInteger" : 23
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD2DTTBEFSMEImmunLogic"
},
{
"url" : "name",
"valueString" : "Client is due for TBE vaccination"
},
{
"url" : "statement",
"valueString" : "/*\n@output: Client is due for TBE vaccination\n@pseudocode: \"Immunization recommendation status\" = \"Due\"\n*/\ndefine \"Client is due for TBE vaccination\":\n \"Client is due for TBE vaccination Case 1\"\n or \"Client is due for TBE vaccination Case 2\"\n or \"Client is due for TBE vaccination Case 3\""
},
{
"url" : "displaySequence",
"valueInteger" : 24
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD2DTTBEFSMEImmunLogic"
},
{
"url" : "name",
"valueString" : "Client is due for TBE vaccination Guidance"
},
{
"url" : "statement",
"valueString" : "/*\n@output: Client is due for TBE vaccination Guidance\n@guidance = Should vaccinate client with first TBE dose as no TBE doses have been administered and client's age is more than 1 year.\nCheck for contraindications.\n@guidance = Should vaccinate client with second TBE dose as the latest dose was administered more than 1 month ago.\nCheck for contraindications.\n@guidance = Should vaccinate client with third TBE dose as the latest dose was administered more than 5 months ago.\nCheck for contraindications.\n*/\ndefine \"Client is due for TBE vaccination Guidance\":\n case\n when \"Client is due for TBE vaccination Case 1\" then 'Should vaccinate client with first TBE dose as no TBE doses have been administered and client\\'s age is more than 1 year.\nCheck for contraindications.'\n when \"Client is due for TBE vaccination Case 2\" then 'Should vaccinate client with second TBE dose as the latest dose was administered more than 1 month ago.\nCheck for contraindications.'\n when \"Client is due for TBE vaccination Case 3\" then 'Should vaccinate client with third TBE dose as the latest dose was administered more than 5 months ago.\nCheck for contraindications.'\n else ''\n end"
},
{
"url" : "displaySequence",
"valueInteger" : 25
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD2DTTBEEncounterElements"
},
{
"url" : "name",
"valueString" : "Three TBE primary series doses were administered"
},
{
"url" : "statement",
"valueString" : "/*\n@input: Three TBE primary series doses were administered\n@pseudocode: Count of vaccines administered (where \"Vaccine type\" = \"TBE vaccines\" and \"Type of dose\" = \"Primary series\") = 3\n@code: Three TBE primary series doses were administered-112\n@decision: IMMZ.D2.DT.TBE.FSME-Immun: FSME-Immun schedule\n(In areas where the disease is highly endemic, implying that there is a high individual risk of infection, WHO recommends that vaccination be offered to all age groups, including children)\n@decision: IMMZ.D2.DT.TBE.Encepur: Encepur schedule\n(In areas where the disease is highly endemic, implying that there is a high individual risk of infection, WHO recommends that vaccination be offered to all age groups, including children\t\t)\n@decision: IMMZ.D2.DT.TBE.TBE-Moscow: TBE-Moscow schedule\n(In areas where the disease is highly endemic, implying that there is a high individual risk of infection, WHO recommends that vaccination be offered to all age groups, including children\t)\n@decision: IMMZ.D2.DT.TBE.EnceVir: EnceVir schedule\n(In areas where the disease is highly endemic, implying that there is a high individual risk of infection, WHO recommends that vaccination be offered to all age groups, including children\t\t\t\t\t)\n*/\ndefine \"Three TBE primary series doses were administered\":\n \"Number of TBE Primary Series Doses Administered\" = 3"
},
{
"url" : "displaySequence",
"valueInteger" : 26
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD2DTTBEEncounterElements"
},
{
"url" : "name",
"valueString" : "TBE Booster Series Doses Administered to Patient"
},
{
"url" : "statement",
"valueString" : "/*\n@internal: TBE Booster Series Doses Administered to Patient\n*/\ndefine \"TBE Booster Series Doses Administered to Patient\":\n \"TBE Doses Administered to Patient\".seriesBooster()"
},
{
"url" : "displaySequence",
"valueInteger" : 27
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD2DTTBEEncounterElements"
},
{
"url" : "name",
"valueString" : "Number of TBE Booster Series Doses Administered"
},
{
"url" : "statement",
"valueString" : "/*\n@internal: Number of TBE Booster Series Doses Administered\n*/\ndefine \"Number of TBE Booster Series Doses Administered\":\n Count(\"TBE Booster Series Doses Administered to Patient\")"
},
{
"url" : "displaySequence",
"valueInteger" : 28
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD2DTTBEEncounterElements"
},
{
"url" : "name",
"valueString" : "No TBE booster dose was administered"
},
{
"url" : "statement",
"valueString" : "/*\n@input: No TBE booster dose was administered\n@pseudocode: Count of vaccines administered (where \"Vaccine type\" = \"TBE vaccines\" and \"Type of dose\" = \"Booster dose\") = 0\n@code: No TBE booster dose was administered-110\n@decision: IMMZ.D2.DT.TBE.FSME-Immun: FSME-Immun schedule\n(In areas where the disease is highly endemic, implying that there is a high individual risk of infection, WHO recommends that vaccination be offered to all age groups, including children)\n@decision: IMMZ.D2.DT.TBE.Encepur: Encepur schedule\n(In areas where the disease is highly endemic, implying that there is a high individual risk of infection, WHO recommends that vaccination be offered to all age groups, including children\t\t)\n*/\ndefine \"No TBE booster dose was administered\":\n \"Number of TBE Booster Series Doses Administered\" = 0"
},
{
"url" : "displaySequence",
"valueInteger" : 29
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD2DTTBEEncounterElements"
},
{
"url" : "name",
"valueString" : "The latest TBE dose was administered less than 3 years ago"
},
{
"url" : "statement",
"valueString" : "/*\n@input: The latest TBE dose was administered less than 3 years ago\n@pseudocode: 'Today's date − latest \"Date and time of vaccination\" (where \"Vaccine type\" = \"TBE vaccines\") < 3 years\n@code: The latest TBE dose was administered less than 3 years ago-103\n@decision: IMMZ.D2.DT.TBE.FSME-Immun: FSME-Immun schedule\n(In areas where the disease is highly endemic, implying that there is a high individual risk of infection, WHO recommends that vaccination be offered to all age groups, including children)\n@decision: IMMZ.D2.DT.TBE.Encepur: Encepur schedule\n(In areas where the disease is highly endemic, implying that there is a high individual risk of infection, WHO recommends that vaccination be offered to all age groups, including children\t\t)\n@decision: IMMZ.D2.DT.TBE.TBE-Moscow: TBE-Moscow schedule\n(In areas where the disease is highly endemic, implying that there is a high individual risk of infection, WHO recommends that vaccination be offered to all age groups, including children\t)\n@decision: IMMZ.D2.DT.TBE.EnceVir: EnceVir schedule\n(In areas where the disease is highly endemic, implying that there is a high individual risk of infection, WHO recommends that vaccination be offered to all age groups, including children\t\t\t\t\t)\n*/\ndefine \"The latest TBE dose was administered less than 3 years ago\":\n \"Date of Latest TBE Dose\" is not null\n and duration in years between \"Date of Latest TBE Dose\" and Today < 3"
},
{
"url" : "displaySequence",
"valueInteger" : 30
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD2DTTBEFSMEImmunLogic"
},
{
"url" : "name",
"valueString" : "Primary series is complete. Client is not due for TBE booster dose"
},
{
"url" : "statement",
"valueString" : "/*\n@output: Primary series is complete. Client is not due for TBE booster dose\n@pseudocode: \"Immunization recommendation status\" = \"Not due\"\n\"Completed the primary vaccination series\" = TRUE (where \"Vaccine type\" = \"TBE vaccines\")\n*/\ndefine \"Primary series is complete. Client is not due for TBE booster dose\":\n Encounter.\"Three TBE primary series doses were administered\"\n and Encounter.\"No TBE booster dose was administered\"\n and Encounter.\"The latest TBE dose was administered less than 3 years ago\""
},
{
"url" : "displaySequence",
"valueInteger" : 31
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD2DTTBEFSMEImmunLogic"
},
{
"url" : "name",
"valueString" : "Primary series is complete. Client is not due for TBE booster dose Guidance"
},
{
"url" : "statement",
"valueString" : "/*\n@output: Primary series is complete. Client is not due for TBE booster dose Guidance\n@guidance: Should not vaccinate client with TBE booster dose as the latest TBE dose was administered less than 3 years ago.\nCheck for any vaccines due and inform the caregiver of when to come back for the booster dose\n*/\ndefine \"Primary series is complete. Client is not due for TBE booster dose Guidance\":\n 'Should not vaccinate client with TBE booster dose as the latest TBE dose was administered less than 3 years ago.\nCheck for any vaccines due and inform the caregiver of when to come back for the booster dose'"
},
{
"url" : "displaySequence",
"valueInteger" : 32
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD2DTTBEEncounterElements"
},
{
"url" : "name",
"valueString" : "The latest TBE dose was administered more than 3 years ago"
},
{
"url" : "statement",
"valueString" : "/*\n@input: The latest TBE dose was administered more than 3 years ago\n@pseudocode: Today's date − latest \"Date and time of vaccination\" (where \"Vaccine type\" = \"TBE vaccines\") ≥ 3 years\n@code: The latest TBE dose was administered more than 3 years ago-102\n@decision: IMMZ.D2.DT.TBE.FSME-Immun: FSME-Immun schedule\n(In areas where the disease is highly endemic, implying that there is a high individual risk of infection, WHO recommends that vaccination be offered to all age groups, including children)\n@decision: IMMZ.D2.DT.TBE.Encepur: Encepur schedule\n(In areas where the disease is highly endemic, implying that there is a high individual risk of infection, WHO recommends that vaccination be offered to all age groups, including children\t\t)\n@decision: IMMZ.D2.DT.TBE.TBE-Moscow: TBE-Moscow schedule\n(In areas where the disease is highly endemic, implying that there is a high individual risk of infection, WHO recommends that vaccination be offered to all age groups, including children\t)\n@decision: IMMZ.D2.DT.TBE.EnceVir: EnceVir schedule\n(In areas where the disease is highly endemic, implying that there is a high individual risk of infection, WHO recommends that vaccination be offered to all age groups, including children\t\t\t\t\t)\n*/\ndefine \"The latest TBE dose was administered more than 3 years ago\":\n not \"The latest TBE dose was administered less than 3 years ago\""
},
{
"url" : "displaySequence",
"valueInteger" : 33
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD2DTTBEFSMEImmunLogic"
},
{
"url" : "name",
"valueString" : "Primary series is complete. Client is due for TBE booster dose"
},
{
"url" : "statement",
"valueString" : "/*\n@output: Primary series is complete. Client is due for TBE booster dose\n@pseudocode: \"Immunization recommendation status\" = \"Due\"\n\"Completed the primary vaccination series\" = TRUE (where \"Vaccine type\" = \"TBE vaccines\")\n*/\ndefine \"Primary series is complete. Client is due for TBE booster dose\":\n Encounter.\"Three TBE primary series doses were administered\"\n and Encounter.\"No TBE booster dose was administered\"\n and Encounter.\"The latest TBE dose was administered more than 3 years ago\""
},
{
"url" : "displaySequence",
"valueInteger" : 34
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD2DTTBEFSMEImmunLogic"
},
{
"url" : "name",
"valueString" : "Primary series is complete. Client is due for TBE booster dose Guidance"
},
{
"url" : "statement",
"valueString" : "/*\n@output: Primary series is complete. Client is due for TBE booster dose Guidance\n@guidance: Should vaccinate client with TBE booster dose as the latest TBE dose was administered more than 3 years ago.\nCheck for contraindications.\n*/\ndefine \"Primary series is complete. Client is due for TBE booster dose Guidance\":\n 'Should vaccinate client with TBE booster dose as the latest TBE dose was administered more than 3 years ago.\nCheck for contraindications.'"
},
{
"url" : "displaySequence",
"valueInteger" : 35
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD2DTTBEEncounterElements"
},
{
"url" : "name",
"valueString" : "At least one booster dose was administered"
},
{
"url" : "statement",
"valueString" : "/*\n@input: At least one booster dose was administered\n@pseudocode: Count of vaccines administered (where \"Vaccine type\" = \"TBE vaccines\" and \"Type of dose\" = \"Booster dose\") ≥ 1\n@code: At least one booster dose was administered-110\n@decision: IMMZ.D2.DT.TBE.FSME-Immun: FSME-Immun schedule\n(In areas where the disease is highly endemic, implying that there is a high individual risk of infection, WHO recommends that vaccination be offered to all age groups, including children)\n@decision: IMMZ.D2.DT.TBE.Encepur: Encepur schedule\n(In areas where the disease is highly endemic, implying that there is a high individual risk of infection, WHO recommends that vaccination be offered to all age groups, including children\t\t)\n*/\ndefine \"At least one booster dose was administered\":\n \"Number of TBE Booster Series Doses Administered\" >= 1"
},
{
"url" : "displaySequence",
"valueInteger" : 36
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD2DTTBEFSMEImmunLogic"
},
{
"url" : "name",
"valueString" : "Clinical judgement is required."
},
{
"url" : "statement",
"valueString" : "/*\n@output: Clinical judgement is required.\n@pseudocode: Create a clinical note\n\"Immunization recommendation status\" = \"Further evaluation needed\"\n*/\ndefine \"Clinical judgement is required.\":\n Encounter.\"Three TBE primary series doses were administered\"\n and Encounter.\"At least one booster dose was administered\""
},
{
"url" : "displaySequence",
"valueInteger" : 37
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD2DTTBEFSMEImmunLogic"
},
{
"url" : "name",
"valueString" : "Clinical judgement is required. Guidance"
},
{
"url" : "statement",
"valueString" : "/*\n@output: Clinical judgement is required. Guidance\n@guidance: Assess if supplementary booster TBE dose(s) are necessary and create a clinical note.\nCheck for any other vaccines due.\n*/\ndefine \"Clinical judgement is required. Guidance\":\n 'Assess if supplementary booster TBE dose(s) are necessary and create a clinical note.\nCheck for any other vaccines due.'"
},
{
"url" : "displaySequence",
"valueInteger" : 38
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD2DTTBEFSMEImmunLogic"
},
{
"url" : "name",
"valueString" : "Guidance"
},
{
"url" : "statement",
"valueString" : "/*\n@dynamicValue: Guidance\n*/\ndefine \"Guidance\":\n case \n when \"Client is not due for TBE vaccination\" then \"Client is not due for TBE vaccination Guidance\"\n when \"Client is due for TBE vaccination\" then \"Client is due for TBE vaccination Guidance\"\n when \"Primary series is complete. Client is not due for TBE booster dose\" then \"Primary series is complete. Client is not due for TBE booster dose Guidance\"\n when \"Primary series is complete. Client is due for TBE booster dose\" then \"Primary series is complete. Client is due for TBE booster dose Guidance\"\n when \"Clinical judgement is required.\" then \"Clinical judgement is required. Guidance\" \n else ''\n end"
},
{
"url" : "displaySequence",
"valueInteger" : 39
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD2DTTBEFSMEImmunLogic"
},
{
"url" : "name",
"valueString" : "Has Guidance"
},
{
"url" : "statement",
"valueString" : "define \"Has Guidance\":\n \"Guidance\" is not null and \"Guidance\" != ''"
},
{
"url" : "displaySequence",
"valueInteger" : 40
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZCommon"
},
{
"url" : "name",
"valueString" : "seriesPrimary"
},
{
"url" : "statement",
"valueString" : "/**\n * @description: Gets the doses from the primary series\n */\ndefine fluent function seriesPrimary(immunizations List<Immunization>):\n immunizations I where\n exists( I.protocolApplied pa where pa.series = 'Primary series' )"
},
{
"url" : "displaySequence",
"valueInteger" : 41
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "FHIRHelpers"
},
{
"url" : "name",
"valueString" : "ToString"
},
{
"url" : "statement",
"valueString" : "define function ToString(value string): value.value"
},
{
"url" : "displaySequence",
"valueInteger" : 42
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "FHIRHelpers"
},
{
"url" : "name",
"valueString" : "ToString"
},
{
"url" : "statement",
"valueString" : "define function ToString(value ImmunizationStatus): value.value"
},
{
"url" : "displaySequence",
"valueInteger" : 43
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "FHIRHelpers"
},
{
"url" : "name",
"valueString" : "ToBoolean"
},
{
"url" : "statement",
"valueString" : "define function ToBoolean(value boolean): value.value"
},
{
"url" : "displaySequence",
"valueInteger" : 44
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "FHIRHelpers"
},
{
"url" : "name",
"valueString" : "ToConcept"
},
{
"url" : "statement",
"valueString" : "define function ToConcept(concept FHIR.CodeableConcept):\n if concept is null then\n null\n else\n System.Concept {\n codes: concept.coding C return ToCode(C),\n display: concept.text.value\n }"
},
{
"url" : "displaySequence",
"valueInteger" : 45
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "FHIRHelpers"
},
{
"url" : "name",
"valueString" : "ToCode"
},
{
"url" : "statement",
"valueString" : "define function ToCode(coding FHIR.Coding):\n if coding is null then\n null\n else\n System.Code {\n code: coding.code.value,\n system: coding.system.value,\n version: coding.version.value,\n display: coding.display.value\n }"
},
{
"url" : "displaySequence",
"valueInteger" : 46
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "WHOCommon"
},
{
"url" : "name",
"valueString" : "mostRecent"
},
{
"url" : "statement",
"valueString" : "define fluent function mostRecent(immunizations List<Immunization>):\n Last(\n immunizations I\n sort by start of occurrence.toInterval()\n )"
},
{
"url" : "displaySequence",
"valueInteger" : 47
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZCommon"
},
{
"url" : "name",
"valueString" : "seriesBooster"
},
{
"url" : "statement",
"valueString" : "/**\n * @description: Gets the doses from the Booster series\n */\ndefine fluent function seriesBooster(immunizations List<Immunization>):\n immunizations I where\n exists( I.protocolApplied pa where pa.series = 'Booster dose' )"
},
{
"url" : "displaySequence",
"valueInteger" : 48
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
}
],
"name" : "EffectiveDataRequirements",
"status" : "active",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/library-type",
"code" : "module-definition"
}
]
},
"relatedArtifact" : [
{
"type" : "depends-on",
"display" : "FHIR model information",
"resource" : "http://fhir.org/guides/cqf/common/Library/FHIR-ModelInfo|4.0.1"
},
{
"type" : "depends-on",
"display" : "Library Encounter",
"resource" : "http://smart.who.int/immunizations/Library/IMMZD2DTTBEEncounterElements"
},
{
"type" : "depends-on",
"display" : "Library Encounter",
"resource" : "http://smart.who.int/immunizations/Library/IMMZEncounterElements"
},
{
"type" : "depends-on",
"display" : "Library Common",
"resource" : "http://smart.who.int/immunizations/Library/IMMZCommon"
},
{
"type" : "depends-on",
"display" : "Library FHIRHelpers",
"resource" : "http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1"
},
{
"type" : "depends-on",
"display" : "Library Elements",
"resource" : "http://smart.who.int/immunizations/Library/IMMZElements"
},
{
"type" : "depends-on",
"display" : "Library WC",
"resource" : "http://smart.who.int/immunizations/Library/WHOCommon"
},
{
"type" : "depends-on",
"display" : "Library FHIRHelpers",
"resource" : "http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1"
},
{
"type" : "depends-on",
"display" : "Library Concepts",
"resource" : "http://smart.who.int/immunizations/Library/IMMZConcepts"
},
{
"type" : "depends-on",
"display" : "Library WC",
"resource" : "http://smart.who.int/immunizations/Library/WHOCommon"
},
{
"type" : "depends-on",
"display" : "Value set TBE vaccines",
"resource" : "http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE20"
}
],
"parameter" : [
{
"name" : "Today",
"use" : "in",
"min" : 0,
"max" : "1",
"type" : "date"
},
{
"name" : "Guidance",
"use" : "out",
"min" : 0,
"max" : "1",
"type" : "string"
},
{
"name" : "Primary series is complete. Client is due for TBE booster dose",
"use" : "out",
"min" : 0,
"max" : "1",
"type" : "boolean"
},
{
"name" : "Client is due for TBE vaccination",
"use" : "out",
"min" : 0,
"max" : "1",
"type" : "boolean"
},
{
"name" : "Has Guidance",
"use" : "out",
"min" : 0,
"max" : "1",
"type" : "boolean"
}
],
"dataRequirement" : [
{
"type" : "Patient",
"profile" : [
🔗 "http://hl7.org/fhir/StructureDefinition/Patient"
]
},
{
"type" : "Immunization",
"profile" : [
🔗 "http://hl7.org/fhir/StructureDefinition/Immunization"
],
"mustSupport" : [
"status",
"isSubpotent"
]
},
{
"type" : "Immunization",
"profile" : [
🔗 "http://hl7.org/fhir/StructureDefinition/Immunization"
],
"mustSupport" : [
"status",
"isSubpotent",
"occurrence"
]
},
{
"type" : "Immunization",
"profile" : [
🔗 "http://hl7.org/fhir/StructureDefinition/Immunization"
],
"mustSupport" : [
"status",
"isSubpotent",
"occurrence",
"vaccineCode"
]
},
{
"type" : "Immunization",
"profile" : [
🔗 "http://hl7.org/fhir/StructureDefinition/Immunization"
],
"mustSupport" : [
"status",
"isSubpotent",
"occurrence",
"vaccineCode"
]
},
{
"type" : "Immunization",
"profile" : [
🔗 "http://hl7.org/fhir/StructureDefinition/Immunization"
],
"mustSupport" : [
"status",
"isSubpotent",
"occurrence",
"vaccineCode"
]
},
{
"type" : "Immunization",
"profile" : [
🔗 "http://hl7.org/fhir/StructureDefinition/Immunization"
],
"mustSupport" : [
"status",
"isSubpotent",
"occurrence",
"vaccineCode"
]
},
{
"type" : "Immunization",
"profile" : [
🔗 "http://hl7.org/fhir/StructureDefinition/Immunization"
],
"mustSupport" : [
"status",
"isSubpotent",
"occurrence",
"vaccineCode"
]
}
]
}
],
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeCapability",
"valueCode" : "computable"
},
{
"url" : "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-effectiveDataRequirements",
"valueCanonical" : "#effective-data-requirements"
}
],
"url" : "http://smart.who.int/immunizations/PlanDefinition/IMMZD2DTTBEFSMEImmun",
"version" : "0.2.0",
"name" : "IMMZD2DTTBEFSMEImmun",
"title" : "IMMZ.D2.DT.TBE.FSME-Immun",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/plan-definition-type",
"code" : "eca-rule"
}
]
},
"status" : "draft",
"experimental" : false,
"date" : "2026-03-03T13:07:11+00:00",
"publisher" : "WHO",
"contact" : [
{
"name" : "WHO",
"telecom" : [
{
"system" : "url",
"value" : "http://who.int"
}
]
}
],
"description" : "IMMZ.D2.DT.TBE.FSME-Immun\nFSME-Immun schedule\n(In areas where the disease is highly endemic, implying that there is a high individual risk of infection, WHO recommends that vaccination be offered to all age groups, including children)",
"relatedArtifact" : [
{
"type" : "citation",
"citation" : "WHO recommendations for routine immunization - summary tables (January 2025)"
}
],
"library" : [
🔗 "http://smart.who.int/immunizations/Library/IMMZD2DTTBEFSMEImmunLogic"
],
"action" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-rationale",
"valueMarkdown" : "The vaccines manufactured in Austria and Germany (FSME-Immun and Encepur) can be given from > 1 year of age.\nFor the vaccines manufactured in Austria and Germany (FSME-Immun and Encepur), an interval of 1–3 months is recommended between the first 2 doses."
}
],
"title" : "Determine if the client is due for TBE.",
"description" : "Determine if the client is due for TBE vaccine according to the national immunization protocol.\nFSME-Immun schedule \n(In areas where the disease is highly endemic, implying that there is a high \nindividual risk of infection, WHO recommends that vaccination be offered to all age groups, including children)",
"condition" : [
{
"kind" : "applicability",
"expression" : {
"description" : "Client is due for TBE vaccination",
"language" : "text/cql-identifier",
"expression" : "Client is due for TBE vaccination"
}
}
],
"definitionCanonical" : "http://smart.who.int/immunizations/ActivityDefinition/IMMZD2DTMR",
"dynamicValue" : [
{
"path" : "status",
"expression" : {
"language" : "text/cql-expression",
"expression" : "'draft'"
}
},
{
"path" : "intent",
"expression" : {
"language" : "text/cql-expression",
"expression" : "'proposal'"
}
},
{
"path" : "medication",
"expression" : {
"language" : "text/cql-expression",
"expression" : "Concept { codes: { Code { system: 'http://smart.who.int/immunizations/CodeSystem/IMMZ.Z', code: 'DE20', display: 'TBE vaccines' } }, display: 'TBE vaccines' }"
}
}
]
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-rationale",
"valueMarkdown" : "For both vaccines (FSME-Immun and Encepur), the manufacturers recommend a booster dose to be administered \n3 years after completion of the primary series. Although there is a strong indication that the spacing of boosters could \nbe expanded considerably from the intervals currently recommended by the manufacturers (every 3–5 years), the evidence \nis still insufficient for a definitive recommendation on the optimal frequency and number of booster doses."
}
],
"title" : "Determine if the client is due for TBE.",
"description" : "Determine if the client is due for TBE vaccine according to the national immunization protocol.\nFSME-Immun schedule \n(In areas where the disease is highly endemic, implying that there is a high \nindividual risk of infection, WHO recommends that vaccination be offered to all age groups, including children)",
"condition" : [
{
"kind" : "applicability",
"expression" : {
"description" : "Primary series is complete. Client is due for TBE booster dose",
"language" : "text/cql-identifier",
"expression" : "Primary series is complete. Client is due for TBE booster dose"
}
}
],
"definitionCanonical" : "http://smart.who.int/immunizations/ActivityDefinition/IMMZD2DTMR",
"dynamicValue" : [
{
"path" : "status",
"expression" : {
"language" : "text/cql-expression",
"expression" : "'draft'"
}
},
{
"path" : "intent",
"expression" : {
"language" : "text/cql-expression",
"expression" : "'proposal'"
}
},
{
"path" : "medication",
"expression" : {
"language" : "text/cql-expression",
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}
}
]
},
{
"title" : "Check for Guidance for the patient regarding IMMZ.D2.DT.TBE.FSME-Immun.",
"description" : "Show Guidance for the patient regarding IMMZ.D2.DT.TBE.FSME-Immun.",
"condition" : [
{
"kind" : "applicability",
"expression" : {
"description" : "Has Guidance",
"language" : "text/cql-identifier",
"expression" : "Has Guidance"
}
}
],
"definitionCanonical" : "http://smart.who.int/immunizations/ActivityDefinition/IMMZD2DTCR",
"dynamicValue" : [
{
"path" : "status",
"expression" : {
"language" : "text/cql-expression",
"expression" : "'active'"
}
},
{
"path" : "payload.contentString",
"expression" : {
"language" : "text/cql-identifier",
"expression" : "Guidance"
}
},
{
"path" : "category.coding",
"expression" : {
"description" : "Category of communication",
"language" : "text/cql-expression",
"expression" : "Code { system: 'http://terminology.hl7.org/CodeSystem/communication-category', code: 'alert' }"
}
},
{
"path" : "priority",
"expression" : {
"description" : "Alert priority",
"language" : "text/cql-expression",
"expression" : "Code { system: 'http://hl7.org/fhir/request-priority', code: 'routine' }"
}
}
]
}
]
}