WHO Immunization Implementation Guide
0.2.0 - ci-build
WHO Immunization Implementation Guide, published by WHO. This guide is not an authorized publication; it is the continuous build for version 0.2.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/WorldHealthOrganization/smart-immunizations/tree/123/merge and changes regularly. See the Directory of published versions
| Draft as of 2026-03-03 |
<PlanDefinition xmlns="http://hl7.org/fhir">
<id value="IMMZD2DTTBEFSMEImmun"/>
<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;">IMMZD2DTTBEFSMEImmun</td>
</tr>
<tr>
<th scope="row"><b>Url: </b></th>
<td style="padding-left: 4px;"><a href="PlanDefinition-IMMZD2DTTBEFSMEImmun.html">IMMZ.D2.DT.TBE.FSME-Immun</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.TBE.FSME-Immun</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.TBE.FSME-Immun
FSME-Immun schedule
(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>
</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-IMMZD2DTTBEFSMEImmunLogic.html">IMMZD2DTTBEFSMEImmunLogic</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 TBE.:</b> Determine if the client is due for TBE vaccine according to the national immunization protocol.
FSME-Immun schedule
(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)
<br/>
<b>If:</b>
<i>Applicability:</i>
Client is due for TBE vaccination
<i>(Client is due for TBE 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: 'DE20', display: 'TBE vaccines' } }, display: 'TBE vaccines' })</i>
<br/>
</td>
</tr>
<tr>
<td>
<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.
FSME-Immun schedule
(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)
<br/>
<b>If:</b>
<i>Applicability:</i>
Primary series is complete. Client is due for TBE booster dose
<i>(Primary series is complete. Client is due for TBE booster dose)</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: 'DE20', display: 'TBE vaccines' } }, display: 'TBE vaccines' })</i>
<br/>
</td>
</tr>
<tr>
<td>
<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.
<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 Years"/>
</extension>
<extension url="statement">
<valueString
value="/**
* @dataElement Patient age in years
*/
define "Current Patient Age In Years":
AgeInYearsAt(Today)"/>
</extension>
<extension url="displaySequence">
<valueInteger value="0"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTTBEEncounterElements"/>
</extension>
<extension url="name">
<valueString value="Client's age is less than 1 year"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: Client's age is less than 1 year
@pseudocode: Today's date − "Date of birth" < 1 year
@code: Client's age is less than 1 year-39
@decision: IMMZ.D2.DT.TBE.FSME-Immun: FSME-Immun schedule
(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)
@decision: IMMZ.D2.DT.TBE.Encepur: Encepur schedule
(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 )
*/
define "Client's age is less than 1 year":
Encounter."Current Patient Age In Years" < 1"/>
</extension>
<extension url="displaySequence">
<valueInteger value="1"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTTBEFSMEImmunLogic"/>
</extension>
<extension url="name">
<valueString value="Client is not due for TBE vaccination Case 1"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Client is not due for TBE vaccination Case 1
@pseudocode: "Immunization recommendation status" = "Not due"
*/
define "Client is not due for TBE vaccination Case 1":
Encounter."Client's age is less than 1 year""/>
</extension>
<extension url="displaySequence">
<valueInteger value="2"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZElements"/>
</extension>
<extension url="name">
<valueString value="Doses Administered to Patient"/>
</extension>
<extension url="statement">
<valueString
value="/**
* @dataElement All Doses Administered to Patient
*/
define "Doses Administered to Patient":
[Immunization] I
where I.status = 'completed'
and I.isSubpotent is not true"/>
</extension>
<extension url="displaySequence">
<valueInteger value="3"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZEncounterElements"/>
</extension>
<extension url="name">
<valueString value="Doses Administered to Patient"/>
</extension>
<extension url="statement">
<valueString
value="/**
* @dataElement All Doses Administered to Patient
*/
define "Doses Administered to Patient":
Elements."Doses Administered to Patient" I
where I.occurrence.toInterval() same day or before Today"/>
</extension>
<extension url="displaySequence">
<valueInteger value="4"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTTBEEncounterElements"/>
</extension>
<extension url="name">
<valueString value="TBE Doses Administered to Patient"/>
</extension>
<extension url="statement">
<valueString
value="/*
@internal: TBE containing Doses Administered to Patient
*/
define "TBE Doses Administered to Patient":
Encounter."Doses Administered to Patient" I
where
I.vaccineCode in Concepts."TBE vaccines""/>
</extension>
<extension url="displaySequence">
<valueInteger value="5"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTTBEEncounterElements"/>
</extension>
<extension url="name">
<valueString
value="TBE Primary Series Doses Administered to Patient"/>
</extension>
<extension url="statement">
<valueString
value="/*
@internal: TBE containing Doses Administered to Patient that are in the Primary series
*/
define "TBE Primary Series Doses Administered to Patient":
"TBE Doses Administered to Patient".seriesPrimary()"/>
</extension>
<extension url="displaySequence">
<valueInteger value="6"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTTBEEncounterElements"/>
</extension>
<extension url="name">
<valueString
value="Number of TBE Primary Series Doses Administered"/>
</extension>
<extension url="statement">
<valueString
value="/*
@internal: Number of TBE Primary Series doses
*/
define "Number of TBE Primary Series Doses Administered":
Count("TBE Primary Series Doses Administered to Patient")"/>
</extension>
<extension url="displaySequence">
<valueInteger value="7"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTTBEEncounterElements"/>
</extension>
<extension url="name">
<valueString value="One TBE primary series dose was administered"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: One TBE primary series dose was administered
@pseudocode: Count of vaccines administered (where "Vaccine type" = "TBE vaccines" and "Type of dose" = "Primary series") = 1
@code: One TBE primary series dose was administered-112
@decision: IMMZ.D2.DT.TBE.FSME-Immun: FSME-Immun schedule
(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)
@decision: IMMZ.D2.DT.TBE.Encepur: Encepur schedule
(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 )
@decision: IMMZ.D2.DT.TBE.TBE-Moscow: TBE-Moscow schedule
(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 )
@decision: IMMZ.D2.DT.TBE.EnceVir: EnceVir schedule
(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 )
*/
define "One TBE primary series dose was administered":
"Number of TBE Primary Series Doses Administered" = 1"/>
</extension>
<extension url="displaySequence">
<valueInteger value="8"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTTBEEncounterElements"/>
</extension>
<extension url="name">
<valueString value="Date of Latest TBE Dose"/>
</extension>
<extension url="statement">
<valueString
value="/*
@internal: Date of Latest TBE Dose
*/
define "Date of Latest TBE Dose":
date from start of "TBE Doses Administered to Patient".mostRecent().occurrence.toInterval()"/>
</extension>
<extension url="displaySequence">
<valueInteger value="9"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTTBEEncounterElements"/>
</extension>
<extension url="name">
<valueString
value="The latest TBE dose was administered less than 1 month ago"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: The latest TBE dose was administered less than 1 month ago
@pseudocode: Today's date − "Date and time of vaccination" (where "Vaccine type" = "TBE vaccines") < 1 month
@code: The latest TBE dose was administered less than 1 month ago-95
@decision: IMMZ.D2.DT.TBE.FSME-Immun: FSME-Immun schedule
(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)
@decision: IMMZ.D2.DT.TBE.Encepur: Encepur schedule
(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 )
@decision: IMMZ.D2.DT.TBE.TBE-Moscow: TBE-Moscow schedule
(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 )
*/
define "The latest TBE dose was administered less than 1 month ago":
"Date of Latest TBE Dose" is not null
and duration in months between "Date of Latest TBE Dose" and Today < 1"/>
</extension>
<extension url="displaySequence">
<valueInteger value="10"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTTBEFSMEImmunLogic"/>
</extension>
<extension url="name">
<valueString value="Client is not due for TBE vaccination Case 2"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Client is not due for TBE vaccination Case 2
@pseudocode: "Immunization recommendation status" = "Not due"
*/
define "Client is not due for TBE vaccination Case 2":
Encounter."One TBE primary series dose was administered"
and Encounter."The latest TBE dose was administered less than 1 month ago""/>
</extension>
<extension url="displaySequence">
<valueInteger value="11"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTTBEEncounterElements"/>
</extension>
<extension url="name">
<valueString
value="Two TBE primary series doses were administered"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: Two TBE primary series doses were administered
@pseudocode: Count of vaccines administered (where "Vaccine type" = "TBE vaccines" and "Type of dose" = "Primary series") = 2
@code: Two TBE primary series doses were administered-112
@decision: IMMZ.D2.DT.TBE.FSME-Immun: FSME-Immun schedule
(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)
@decision: IMMZ.D2.DT.TBE.Encepur: Encepur schedule
(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 )
@decision: IMMZ.D2.DT.TBE.TBE-Moscow: TBE-Moscow schedule
(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 )
@decision: IMMZ.D2.DT.TBE.EnceVir: EnceVir schedule
(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 )
*/
define "Two TBE primary series doses were administered":
"Number of TBE Primary Series Doses Administered" = 2"/>
</extension>
<extension url="displaySequence">
<valueInteger value="12"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTTBEEncounterElements"/>
</extension>
<extension url="name">
<valueString
value="The latest TBE dose was administered less than 5 months ago"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: The latest TBE dose was administered less than 5 months ago
@pseudocode: Today's date − latest "Date and time of vaccination" (where "Vaccine type" = "TBE vaccines") < 5 months
@code: The latest TBE dose was administered less than 5 months ago-103
@decision: IMMZ.D2.DT.TBE.FSME-Immun: FSME-Immun schedule
(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)
@decision: IMMZ.D2.DT.TBE.EnceVir: EnceVir schedule
(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 )
*/
define "The latest TBE dose was administered less than 5 months ago":
"Date of Latest TBE Dose" is not null
and duration in months between "Date of Latest TBE Dose" and Today < 5"/>
</extension>
<extension url="displaySequence">
<valueInteger value="13"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTTBEFSMEImmunLogic"/>
</extension>
<extension url="name">
<valueString value="Client is not due for TBE vaccination Case 3"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Client is not due for TBE vaccination Case 3
@pseudocode: "Immunization recommendation status" = "Not due"
*/
define "Client is not due for TBE vaccination Case 3":
Encounter."Two TBE primary series doses were administered"
and Encounter."The latest TBE dose was administered less than 5 months ago""/>
</extension>
<extension url="displaySequence">
<valueInteger value="14"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTTBEFSMEImmunLogic"/>
</extension>
<extension url="name">
<valueString value="Client is not due for TBE vaccination"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Client is not due for TBE vaccination
@pseudocode: "Immunization recommendation status" = "Not due"
*/
define "Client is not due for TBE vaccination":
"Client is not due for TBE vaccination Case 1"
or "Client is not due for TBE vaccination Case 2"
or "Client is not due for TBE vaccination Case 3""/>
</extension>
<extension url="displaySequence">
<valueInteger value="15"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTTBEFSMEImmunLogic"/>
</extension>
<extension url="name">
<valueString
value="Client is not due for TBE vaccination Guidance"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Client is not due for TBE vaccination Guidance
@guidance = Should not vaccinate client with first TBE dose as client's age is less than 1 year.
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 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
@guidance = Should not vaccinate client with third TBE dose as the latest dose was administered less than 5 months ago.
Check for any vaccines due and inform the caregiver of when to come back for the next dose.
*/
define "Client is not due for TBE vaccination Guidance":
case
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.
Check for any vaccines due and inform the caregiver of when to come back for the first dose.'
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'
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.
Check for any vaccines due and inform the caregiver of when to come back for the next dose.'
else ''
end"/>
</extension>
<extension url="displaySequence">
<valueInteger value="16"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTTBEEncounterElements"/>
</extension>
<extension url="name">
<valueString value="No TBE primary series doses were administered"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: No TBE primary series doses were administered
@pseudocode: Count of vaccines administered (where "Vaccine type" = "TBE vaccines" and "Type of dose" = "Primary series") = 0
@code: No TBE primary series doses were administered-112
@decision: IMMZ.D2.DT.TBE.FSME-Immun: FSME-Immun schedule
(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)
@decision: IMMZ.D2.DT.TBE.Encepur: Encepur schedule
(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 )
@decision: IMMZ.D2.DT.TBE.TBE-Moscow: TBE-Moscow schedule
(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 )
@decision: IMMZ.D2.DT.TBE.EnceVir: EnceVir schedule
(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 )
*/
define "No TBE primary series doses were administered":
"Number of TBE Primary Series Doses Administered" = 0"/>
</extension>
<extension url="displaySequence">
<valueInteger value="17"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTTBEEncounterElements"/>
</extension>
<extension url="name">
<valueString value="Client's age is more than or equal to 1 year"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: Client's age is more than or equal to 1 year
@pseudocode: Today's date − "Date of birth" ≥ 1 year
@code: Client's age is more than or equal to 1 year-39
@decision: IMMZ.D2.DT.TBE.FSME-Immun: FSME-Immun schedule
(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)
@decision: IMMZ.D2.DT.TBE.Encepur: Encepur schedule
(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 )
*/
define "Client's age is more than or equal to 1 year":
Encounter."Current Patient Age In Years" >= 1"/>
</extension>
<extension url="displaySequence">
<valueInteger value="18"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTTBEFSMEImmunLogic"/>
</extension>
<extension url="name">
<valueString value="Client is due for TBE vaccination Case 1"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Client is due for TBE vaccination Case 1
@pseudocode: "Immunization recommendation status" = "Due"
*/
define "Client is due for TBE vaccination Case 1":
Encounter."No TBE primary series doses were administered"
and Encounter."Client's age is more than or equal to 1 year""/>
</extension>
<extension url="displaySequence">
<valueInteger value="19"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTTBEEncounterElements"/>
</extension>
<extension url="name">
<valueString
value="The latest TBE dose was administered more than 1 month ago"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: The latest TBE dose was administered more than 1 month ago
@pseudocode: Today's date − "Date and time of vaccination" (where "Vaccine type" = "TBE vaccines") ≥ 1 month
@code: The latest TBE dose was administered more than 1 month ago-95
@decision: IMMZ.D2.DT.TBE.FSME-Immun: FSME-Immun schedule
(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)
@decision: IMMZ.D2.DT.TBE.Encepur: Encepur schedule
(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 )
@decision: IMMZ.D2.DT.TBE.TBE-Moscow: TBE-Moscow schedule
(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 )
*/
define "The latest TBE dose was administered more than 1 month ago":
not "The latest TBE dose was administered less than 1 month ago""/>
</extension>
<extension url="displaySequence">
<valueInteger value="20"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTTBEFSMEImmunLogic"/>
</extension>
<extension url="name">
<valueString value="Client is due for TBE vaccination Case 2"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Client is due for TBE vaccination Case 2
@pseudocode: "Immunization recommendation status" = "Due"
*/
define "Client is due for TBE vaccination Case 2":
Encounter."One TBE primary series dose was administered"
and Encounter."The latest TBE dose was administered more than 1 month ago""/>
</extension>
<extension url="displaySequence">
<valueInteger value="21"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTTBEEncounterElements"/>
</extension>
<extension url="name">
<valueString
value="The latest TBE dose was administered more than 5 months ago"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: The latest TBE dose was administered more than 5 months ago
@pseudocode: Today's date − latest "Date and time of vaccination" (where "Vaccine type" = "TBE vaccines") ≥ 5 months
@code: The latest TBE dose was administered more than 5 months ago-103
@decision: IMMZ.D2.DT.TBE.FSME-Immun: FSME-Immun schedule
(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)
@decision: IMMZ.D2.DT.TBE.EnceVir: EnceVir schedule
(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 )
*/
define "The latest TBE dose was administered more than 5 months ago":
not "The latest TBE dose was administered less than 5 months ago""/>
</extension>
<extension url="displaySequence">
<valueInteger value="22"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTTBEFSMEImmunLogic"/>
</extension>
<extension url="name">
<valueString value="Client is due for TBE vaccination Case 3"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Client is due for TBE vaccination Case 3
@pseudocode: "Immunization recommendation status" = "Due"
*/
define "Client is due for TBE vaccination Case 3":
Encounter."Two TBE primary series doses were administered"
and Encounter."The latest TBE dose was administered more than 5 months ago""/>
</extension>
<extension url="displaySequence">
<valueInteger value="23"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTTBEFSMEImmunLogic"/>
</extension>
<extension url="name">
<valueString value="Client is due for TBE vaccination"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Client is due for TBE vaccination
@pseudocode: "Immunization recommendation status" = "Due"
*/
define "Client is due for TBE vaccination":
"Client is due for TBE vaccination Case 1"
or "Client is due for TBE vaccination Case 2"
or "Client is due for TBE vaccination Case 3""/>
</extension>
<extension url="displaySequence">
<valueInteger value="24"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTTBEFSMEImmunLogic"/>
</extension>
<extension url="name">
<valueString value="Client is due for TBE vaccination Guidance"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Client is due for TBE vaccination Guidance
@guidance = Should vaccinate client with first TBE dose as no TBE doses have been administered and client's age is more than 1 year.
Check for contraindications.
@guidance = Should vaccinate client with second TBE dose as the latest dose was administered more than 1 month ago.
Check for contraindications.
@guidance = Should vaccinate client with third TBE dose as the latest dose was administered more than 5 months ago.
Check for contraindications.
*/
define "Client is due for TBE vaccination Guidance":
case
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.
Check for contraindications.'
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.
Check for contraindications.'
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.
Check for contraindications.'
else ''
end"/>
</extension>
<extension url="displaySequence">
<valueInteger value="25"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTTBEEncounterElements"/>
</extension>
<extension url="name">
<valueString
value="Three TBE primary series doses were administered"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: Three TBE primary series doses were administered
@pseudocode: Count of vaccines administered (where "Vaccine type" = "TBE vaccines" and "Type of dose" = "Primary series") = 3
@code: Three TBE primary series doses were administered-112
@decision: IMMZ.D2.DT.TBE.FSME-Immun: FSME-Immun schedule
(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)
@decision: IMMZ.D2.DT.TBE.Encepur: Encepur schedule
(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 )
@decision: IMMZ.D2.DT.TBE.TBE-Moscow: TBE-Moscow schedule
(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 )
@decision: IMMZ.D2.DT.TBE.EnceVir: EnceVir schedule
(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 )
*/
define "Three TBE primary series doses were administered":
"Number of TBE Primary Series Doses Administered" = 3"/>
</extension>
<extension url="displaySequence">
<valueInteger value="26"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTTBEEncounterElements"/>
</extension>
<extension url="name">
<valueString
value="TBE Booster Series Doses Administered to Patient"/>
</extension>
<extension url="statement">
<valueString
value="/*
@internal: TBE Booster Series Doses Administered to Patient
*/
define "TBE Booster Series Doses Administered to Patient":
"TBE Doses Administered to Patient".seriesBooster()"/>
</extension>
<extension url="displaySequence">
<valueInteger value="27"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTTBEEncounterElements"/>
</extension>
<extension url="name">
<valueString
value="Number of TBE Booster Series Doses Administered"/>
</extension>
<extension url="statement">
<valueString
value="/*
@internal: Number of TBE Booster Series Doses Administered
*/
define "Number of TBE Booster Series Doses Administered":
Count("TBE Booster Series Doses Administered to Patient")"/>
</extension>
<extension url="displaySequence">
<valueInteger value="28"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTTBEEncounterElements"/>
</extension>
<extension url="name">
<valueString value="No TBE booster dose was administered"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: No TBE booster dose was administered
@pseudocode: Count of vaccines administered (where "Vaccine type" = "TBE vaccines" and "Type of dose" = "Booster dose") = 0
@code: No TBE booster dose was administered-110
@decision: IMMZ.D2.DT.TBE.FSME-Immun: FSME-Immun schedule
(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)
@decision: IMMZ.D2.DT.TBE.Encepur: Encepur schedule
(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 )
*/
define "No TBE booster dose was administered":
"Number of TBE Booster Series Doses Administered" = 0"/>
</extension>
<extension url="displaySequence">
<valueInteger value="29"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTTBEEncounterElements"/>
</extension>
<extension url="name">
<valueString
value="The latest TBE dose was administered less than 3 years ago"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: The latest TBE dose was administered less than 3 years ago
@pseudocode: 'Today's date − latest "Date and time of vaccination" (where "Vaccine type" = "TBE vaccines") < 3 years
@code: The latest TBE dose was administered less than 3 years ago-103
@decision: IMMZ.D2.DT.TBE.FSME-Immun: FSME-Immun schedule
(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)
@decision: IMMZ.D2.DT.TBE.Encepur: Encepur schedule
(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 )
@decision: IMMZ.D2.DT.TBE.TBE-Moscow: TBE-Moscow schedule
(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 )
@decision: IMMZ.D2.DT.TBE.EnceVir: EnceVir schedule
(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 )
*/
define "The latest TBE dose was administered less than 3 years ago":
"Date of Latest TBE Dose" is not null
and duration in years between "Date of Latest TBE Dose" and Today < 3"/>
</extension>
<extension url="displaySequence">
<valueInteger value="30"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTTBEFSMEImmunLogic"/>
</extension>
<extension url="name">
<valueString
value="Primary series is complete. Client is not due for TBE booster dose"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Primary series is complete. Client is not due for TBE booster dose
@pseudocode: "Immunization recommendation status" = "Not due"
"Completed the primary vaccination series" = TRUE (where "Vaccine type" = "TBE vaccines")
*/
define "Primary series is complete. Client is not due for TBE booster dose":
Encounter."Three TBE primary series doses were administered"
and Encounter."No TBE booster dose was administered"
and Encounter."The latest TBE dose was administered less than 3 years ago""/>
</extension>
<extension url="displaySequence">
<valueInteger value="31"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTTBEFSMEImmunLogic"/>
</extension>
<extension url="name">
<valueString
value="Primary series is complete. Client is not due for TBE booster dose Guidance"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Primary series is complete. Client is not due for TBE booster dose Guidance
@guidance: Should not vaccinate client with TBE booster dose as the latest TBE dose was administered less than 3 years ago.
Check for any vaccines due and inform the caregiver of when to come back for the booster dose
*/
define "Primary series is complete. Client is not due for TBE booster dose Guidance":
'Should not vaccinate client with TBE booster dose as the latest TBE dose was administered less than 3 years ago.
Check for any vaccines due and inform the caregiver of when to come back for the booster dose'"/>
</extension>
<extension url="displaySequence">
<valueInteger value="32"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTTBEEncounterElements"/>
</extension>
<extension url="name">
<valueString
value="The latest TBE dose was administered more than 3 years ago"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: The latest TBE dose was administered more than 3 years ago
@pseudocode: Today's date − latest "Date and time of vaccination" (where "Vaccine type" = "TBE vaccines") ≥ 3 years
@code: The latest TBE dose was administered more than 3 years ago-102
@decision: IMMZ.D2.DT.TBE.FSME-Immun: FSME-Immun schedule
(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)
@decision: IMMZ.D2.DT.TBE.Encepur: Encepur schedule
(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 )
@decision: IMMZ.D2.DT.TBE.TBE-Moscow: TBE-Moscow schedule
(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 )
@decision: IMMZ.D2.DT.TBE.EnceVir: EnceVir schedule
(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 )
*/
define "The latest TBE dose was administered more than 3 years ago":
not "The latest TBE dose was administered less than 3 years ago""/>
</extension>
<extension url="displaySequence">
<valueInteger value="33"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTTBEFSMEImmunLogic"/>
</extension>
<extension url="name">
<valueString
value="Primary series is complete. Client is due for TBE booster dose"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Primary series is complete. Client is due for TBE booster dose
@pseudocode: "Immunization recommendation status" = "Due"
"Completed the primary vaccination series" = TRUE (where "Vaccine type" = "TBE vaccines")
*/
define "Primary series is complete. Client is due for TBE booster dose":
Encounter."Three TBE primary series doses were administered"
and Encounter."No TBE booster dose was administered"
and Encounter."The latest TBE dose was administered more than 3 years ago""/>
</extension>
<extension url="displaySequence">
<valueInteger value="34"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTTBEFSMEImmunLogic"/>
</extension>
<extension url="name">
<valueString
value="Primary series is complete. Client is due for TBE booster dose Guidance"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Primary series is complete. Client is due for TBE booster dose Guidance
@guidance: Should vaccinate client with TBE booster dose as the latest TBE dose was administered more than 3 years ago.
Check for contraindications.
*/
define "Primary series is complete. Client is due for TBE booster dose Guidance":
'Should vaccinate client with TBE booster dose as the latest TBE dose was administered more than 3 years ago.
Check for contraindications.'"/>
</extension>
<extension url="displaySequence">
<valueInteger value="35"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTTBEEncounterElements"/>
</extension>
<extension url="name">
<valueString value="At least one booster dose was administered"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: At least one booster dose was administered
@pseudocode: Count of vaccines administered (where "Vaccine type" = "TBE vaccines" and "Type of dose" = "Booster dose") ≥ 1
@code: At least one booster dose was administered-110
@decision: IMMZ.D2.DT.TBE.FSME-Immun: FSME-Immun schedule
(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)
@decision: IMMZ.D2.DT.TBE.Encepur: Encepur schedule
(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 )
*/
define "At least one booster dose was administered":
"Number of TBE Booster Series Doses Administered" >= 1"/>
</extension>
<extension url="displaySequence">
<valueInteger value="36"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTTBEFSMEImmunLogic"/>
</extension>
<extension url="name">
<valueString value="Clinical judgement is required."/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Clinical judgement is required.
@pseudocode: Create a clinical note
"Immunization recommendation status" = "Further evaluation needed"
*/
define "Clinical judgement is required.":
Encounter."Three TBE primary series doses were administered"
and Encounter."At least one booster dose was administered""/>
</extension>
<extension url="displaySequence">
<valueInteger value="37"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTTBEFSMEImmunLogic"/>
</extension>
<extension url="name">
<valueString value="Clinical judgement is required. Guidance"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Clinical judgement is required. Guidance
@guidance: Assess if supplementary booster TBE dose(s) are necessary and create a clinical note.
Check for any other vaccines due.
*/
define "Clinical judgement is required. Guidance":
'Assess if supplementary booster TBE dose(s) are necessary and create a clinical note.
Check for any other vaccines due.'"/>
</extension>
<extension url="displaySequence">
<valueInteger value="38"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTTBEFSMEImmunLogic"/>
</extension>
<extension url="name">
<valueString value="Guidance"/>
</extension>
<extension url="statement">
<valueString
value="/*
@dynamicValue: Guidance
*/
define "Guidance":
case
when "Client is not due for TBE vaccination" then "Client is not due for TBE vaccination Guidance"
when "Client is due for TBE vaccination" then "Client is due for TBE vaccination Guidance"
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"
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"
when "Clinical judgement is required." then "Clinical judgement is required. Guidance"
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="IMMZD2DTTBEFSMEImmunLogic"/>
</extension>
<extension url="name">
<valueString value="Has Guidance"/>
</extension>
<extension url="statement">
<valueString
value="define "Has Guidance":
"Guidance" is not null and "Guidance" != ''"/>
</extension>
<extension url="displaySequence">
<valueInteger value="40"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZCommon"/>
</extension>
<extension url="name">
<valueString value="seriesPrimary"/>
</extension>
<extension url="statement">
<valueString
value="/**
* @description: Gets the doses from the primary series
*/
define fluent function seriesPrimary(immunizations List<Immunization>):
immunizations I where
exists( I.protocolApplied pa where pa.series = 'Primary series' )"/>
</extension>
<extension url="displaySequence">
<valueInteger value="41"/>
</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="42"/>
</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="43"/>
</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="44"/>
</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="45"/>
</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="46"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="WHOCommon"/>
</extension>
<extension url="name">
<valueString value="mostRecent"/>
</extension>
<extension url="statement">
<valueString
value="define fluent function mostRecent(immunizations List<Immunization>):
Last(
immunizations I
sort by start of occurrence.toInterval()
)"/>
</extension>
<extension url="displaySequence">
<valueInteger value="47"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZCommon"/>
</extension>
<extension url="name">
<valueString value="seriesBooster"/>
</extension>
<extension url="statement">
<valueString
value="/**
* @description: Gets the doses from the Booster series
*/
define fluent function seriesBooster(immunizations List<Immunization>):
immunizations I where
exists( I.protocolApplied pa where pa.series = 'Booster dose' )"/>
</extension>
<extension url="displaySequence">
<valueInteger value="48"/>
</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/IMMZD2DTTBEEncounterElements"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Library Encounter"/>
<resource
value="http://smart.who.int/immunizations/Library/IMMZEncounterElements"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Library Common"/>
<resource
value="http://smart.who.int/immunizations/Library/IMMZCommon"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Library FHIRHelpers"/>
<resource
value="http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Library Elements"/>
<resource
value="http://smart.who.int/immunizations/Library/IMMZElements"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Library WC"/>
<resource
value="http://smart.who.int/immunizations/Library/WHOCommon"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Library FHIRHelpers"/>
<resource
value="http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Library Concepts"/>
<resource
value="http://smart.who.int/immunizations/Library/IMMZConcepts"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Library WC"/>
<resource
value="http://smart.who.int/immunizations/Library/WHOCommon"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Value set TBE vaccines"/>
<resource
value="http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE20"/>
</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="Primary series is complete. Client is due for TBE booster dose"/>
<use value="out"/>
<min value="0"/>
<max value="1"/>
<type value="boolean"/>
</parameter>
<parameter>
<name value="Client is due for TBE vaccination"/>
<use value="out"/>
<min value="0"/>
<max value="1"/>
<type value="boolean"/>
</parameter>
<parameter>
<name value="Has Guidance"/>
<use value="out"/>
<min value="0"/>
<max value="1"/>
<type value="boolean"/>
</parameter>
<dataRequirement>
<type value="Patient"/>
<profile value="http://hl7.org/fhir/StructureDefinition/Patient"/>
</dataRequirement>
<dataRequirement>
<type value="Immunization"/>
<profile
value="http://hl7.org/fhir/StructureDefinition/Immunization"/>
<mustSupport value="status"/>
<mustSupport value="isSubpotent"/>
</dataRequirement>
<dataRequirement>
<type value="Immunization"/>
<profile
value="http://hl7.org/fhir/StructureDefinition/Immunization"/>
<mustSupport value="status"/>
<mustSupport value="isSubpotent"/>
<mustSupport value="occurrence"/>
</dataRequirement>
<dataRequirement>
<type value="Immunization"/>
<profile
value="http://hl7.org/fhir/StructureDefinition/Immunization"/>
<mustSupport value="status"/>
<mustSupport value="isSubpotent"/>
<mustSupport value="occurrence"/>
<mustSupport value="vaccineCode"/>
</dataRequirement>
<dataRequirement>
<type value="Immunization"/>
<profile
value="http://hl7.org/fhir/StructureDefinition/Immunization"/>
<mustSupport value="status"/>
<mustSupport value="isSubpotent"/>
<mustSupport value="occurrence"/>
<mustSupport value="vaccineCode"/>
</dataRequirement>
<dataRequirement>
<type value="Immunization"/>
<profile
value="http://hl7.org/fhir/StructureDefinition/Immunization"/>
<mustSupport value="status"/>
<mustSupport value="isSubpotent"/>
<mustSupport value="occurrence"/>
<mustSupport value="vaccineCode"/>
</dataRequirement>
<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/IMMZD2DTTBEFSMEImmun"/>
<version value="0.2.0"/>
<name value="IMMZD2DTTBEFSMEImmun"/>
<title value="IMMZ.D2.DT.TBE.FSME-Immun"/>
<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.TBE.FSME-Immun
FSME-Immun schedule
(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 value="citation"/>
<citation
value="WHO recommendations for routine immunization - summary tables (January 2025)"/>
</relatedArtifact>
<library
value="http://smart.who.int/immunizations/Library/IMMZD2DTTBEFSMEImmunLogic"/>
<action>
<extension
url="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-rationale">
<valueMarkdown
value="The vaccines manufactured in Austria and Germany (FSME-Immun and Encepur) can be given from > 1 year of age.
For the vaccines manufactured in Austria and Germany (FSME-Immun and Encepur), an interval of 1–3 months is recommended between the first 2 doses."/>
</extension>
<title value="Determine if the client is due for TBE."/>
<description
value="Determine if the client is due for TBE vaccine according to the national immunization protocol.
FSME-Immun schedule
(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)"/>
<condition>
<kind value="applicability"/>
<expression>
<description value="Client is due for TBE vaccination"/>
<language value="text/cql-identifier"/>
<expression value="Client is due for TBE 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: 'DE20', display: 'TBE vaccines' } }, display: 'TBE vaccines' }"/>
</expression>
</dynamicValue>
</action>
<action>
<extension
url="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-rationale">
<valueMarkdown
value="For both vaccines (FSME-Immun and Encepur), the manufacturers recommend a booster dose to be administered
3 years after completion of the primary series. Although there is a strong indication that the spacing of boosters could
be expanded considerably from the intervals currently recommended by the manufacturers (every 3–5 years), the evidence
is still insufficient for a definitive recommendation on the optimal frequency and number of booster doses."/>
</extension>
<title value="Determine if the client is due for TBE."/>
<description
value="Determine if the client is due for TBE vaccine according to the national immunization protocol.
FSME-Immun schedule
(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)"/>
<condition>
<kind value="applicability"/>
<expression>
<description
value="Primary series is complete. Client is due for TBE booster dose"/>
<language value="text/cql-identifier"/>
<expression
value="Primary series is complete. Client is due for TBE booster dose"/>
</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: 'DE20', display: 'TBE vaccines' } }, display: 'TBE vaccines' }"/>
</expression>
</dynamicValue>
</action>
<action>
<title
value="Check for Guidance for the patient regarding IMMZ.D2.DT.TBE.FSME-Immun."/>
<description
value="Show Guidance for the patient regarding IMMZ.D2.DT.TBE.FSME-Immun."/>
<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>