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;\">IMMZD2DTVaricella2Doses</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-IMMZD2DTVaricella2Doses.html\">IMMZ.D2.DT.Varicella.2 doses</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.Varicella.2 doses</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.Varicella.2 doses\nCountries where varicella is an important public health burden could consider introducing varicella vaccination in the routine childhood immunization programme. However, resources should be sufficient to ensure reaching and sustaining vaccine coverage ≥ 80%. Decision-making on childhood varicella vaccination should also include consideration of the possible impact on herpes zoster.\nThe number of doses recommended is dependent on the goal of the vaccination programme. One dose is sufficient to reduce mortality and severe morbidity from varicella but not to prevent limited virus circulation and outbreaks. Two doses have higher effectiveness and should therefore be recommended in countries where the programmatic goal is, in addition to decreasing mortality and severe morbidity, to further reduce the number of cases and outbreaks.</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-IMMZD2DTVaricella2DosesLogic.html\">IMMZD2DTVaricella2DosesLogic</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 Varicella.:</b> Determine if the client is due for Varicella vaccine according to the national immunization protocol.\n2-dose schedule\n \n <br/>\n \n \n <b>If:</b>\n \n <i>Applicability:</i>\n \n Client is due for varicella vaccination\n \n <i>(Client is due for varicella 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: 'DE22', display: 'Varicella-containing vaccines' } }, display: 'Varicella-containing 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.Varicella.2 doses.:</b> Show Guidance for the patient regarding IMMZ.D2.DT.Varicella.2 doses.\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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"valueString" : "/*\n@input: No varicella primary series dose was administered\n@pseudocode: Count of vaccines administered (where \"Vaccine type\" = \"Varicella-containing vaccines\" and \"Type of dose\" = \"Primary series\") = 0\n@code: No varicella primary series dose was administered-129\n@decision: IMMZ.D2.DT.Varicella.1 dose: Countries where varicella is an important public health burden could consider introducing varicella vaccination in the routine childhood immunization programme. However, resources should be sufficient to ensure reaching and sustaining vaccine coverage ≥ 80%. Decision-making on childhood varicella vaccination should also include consideration of the possible impact on herpes zoster.\nThe number of doses recommended is dependent on the goal of the vaccination programme. One dose is sufficient to reduce mortality and severe morbidity from varicella but not to prevent limited virus circulation and outbreaks. Two doses have higher effectiveness and should therefore be recommended in countries where the programmatic goal is, in addition to decreasing mortality and severe morbidity, to further reduce the number of cases and outbreaks.\n*/\ndefine \"No varicella primary series dose was administered\":\n \"Number of Varicella Primary Series Doses Administered\" = 0"
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"valueString" : "/*\n@input: No varicella primary series doses were administered\n@pseudocode: Count of vaccines administered (where \"Vaccine type\" = \"Varicella-containing vaccines\" and \"Type of dose\" = \"Primary series\") = 0\n@code: No varicella primary series doses were administered-129\n@decision: IMMZ.D2.DT.Varicella.2 doses: Countries where varicella is an important public health burden could consider introducing varicella vaccination in the routine childhood immunization programme. However, resources should be sufficient to ensure reaching and sustaining vaccine coverage ≥ 80%. Decision-making on childhood varicella vaccination should also include consideration of the possible impact on herpes zoster.\nThe number of doses recommended is dependent on the goal of the vaccination programme. One dose is sufficient to reduce mortality and severe morbidity from varicella but not to prevent limited virus circulation and outbreaks. Two doses have higher effectiveness and should therefore be recommended in countries where the programmatic goal is, in addition to decreasing mortality and severe morbidity, to further reduce the number of cases and outbreaks.\n*/\ndefine \"No varicella primary series doses were administered\":\n \"No varicella primary series dose was administered\""
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"valueString" : "/*\n@input: Cient's age is more than or equal to 12 months\n@pseudocode: Today's date − \"Date of birth\" ≥ 12 months\n@code: Cient's age is more than or equal to 12 months-42\n@decision: IMMZ.D2.DT.Varicella.1 dose: Countries where varicella is an important public health burden could consider introducing varicella vaccination in the routine childhood immunization programme. However, resources should be sufficient to ensure reaching and sustaining vaccine coverage ≥ 80%. Decision-making on childhood varicella vaccination should also include consideration of the possible impact on herpes zoster.\nThe number of doses recommended is dependent on the goal of the vaccination programme. One dose is sufficient to reduce mortality and severe morbidity from varicella but not to prevent limited virus circulation and outbreaks. Two doses have higher effectiveness and should therefore be recommended in countries where the programmatic goal is, in addition to decreasing mortality and severe morbidity, to further reduce the number of cases and outbreaks.\n@decision: IMMZ.D2.DT.Varicella.2 doses: Countries where varicella is an important public health burden could consider introducing varicella vaccination in the routine childhood immunization programme. However, resources should be sufficient to ensure reaching and sustaining vaccine coverage ≥ 80%. Decision-making on childhood varicella vaccination should also include consideration of the possible impact on herpes zoster.\nThe number of doses recommended is dependent on the goal of the vaccination programme. One dose is sufficient to reduce mortality and severe morbidity from varicella but not to prevent limited virus circulation and outbreaks. Two doses have higher effectiveness and should therefore be recommended in countries where the programmatic goal is, in addition to decreasing mortality and severe morbidity, to further reduce the number of cases and outbreaks.\n*/\ndefine \"Cient's age is more than or equal to 12 months\":\n Encounter.\"Current Patient Age In Months\" >= 12"
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"valueString" : "/*\n@input: Live vaccine was administered in the last 4 weeks\n@pseudocode: Today's date − latest \"Date and time of vaccination\" (where \"Live vaccine\" = TRUE) < 4 weeks\n*/\ndefine \"Live vaccine was administered in the last 4 weeks\":\n\t\"Date of Latest Live Attenuated Vaccine\" is not null \n and duration in weeks between \"Date of Latest Live Attenuated Vaccine\" and Today < 4"
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"valueString" : "IMMZD2DTVaricellaEncounterElements"
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"url" : "name",
"valueString" : "Live vaccine was administered in the past 4 weeks"
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"url" : "statement",
"valueString" : "/*\n@input: Live vaccine was administered in the past 4 weeks\n@pseudocode: Today's date − latest \"Date and time of vaccination\" (where \"Live vaccine\" = TRUE) < 4 weeks\n@code: Live vaccine was administered in the past 4 weeks-92\n@decision: IMMZ.D2.DT.Varicella.1 dose: Countries where varicella is an important public health burden could consider introducing varicella vaccination in the routine childhood immunization programme. However, resources should be sufficient to ensure reaching and sustaining vaccine coverage ≥ 80%. Decision-making on childhood varicella vaccination should also include consideration of the possible impact on herpes zoster.\nThe number of doses recommended is dependent on the goal of the vaccination programme. One dose is sufficient to reduce mortality and severe morbidity from varicella but not to prevent limited virus circulation and outbreaks. Two doses have higher effectiveness and should therefore be recommended in countries where the programmatic goal is, in addition to decreasing mortality and severe morbidity, to further reduce the number of cases and outbreaks.\n@decision: IMMZ.D2.DT.Varicella.2 doses: Countries where varicella is an important public health burden could consider introducing varicella vaccination in the routine childhood immunization programme. However, resources should be sufficient to ensure reaching and sustaining vaccine coverage ≥ 80%. Decision-making on childhood varicella vaccination should also include consideration of the possible impact on herpes zoster.\nThe number of doses recommended is dependent on the goal of the vaccination programme. One dose is sufficient to reduce mortality and severe morbidity from varicella but not to prevent limited virus circulation and outbreaks. Two doses have higher effectiveness and should therefore be recommended in countries where the programmatic goal is, in addition to decreasing mortality and severe morbidity, to further reduce the number of cases and outbreaks.\n*/\ndefine \"Live vaccine was administered in the past 4 weeks\":\n Encounter.\"Live vaccine was administered in the last 4 weeks\""
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"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
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"url" : "libraryName",
"valueString" : "IMMZD2DTVaricella2DosesLogic"
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"url" : "name",
"valueString" : "Client is not due for varicella vaccination Case 2"
},
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"url" : "statement",
"valueString" : "/*\n@output: Client is not due for varicella vaccination Case 2\n@pseudocode: \"Immunization recommendation status\" = \"Not due\"\n*/\ndefine \"Client is not due for varicella vaccination Case 2\":\n Encounter.\"No varicella primary series doses were administered\"\n and Encounter.\"Cient's age is more than or equal to 12 months\"\n and Encounter.\"Live vaccine was administered in the past 4 weeks\""
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"valueString" : "One varicella primary series dose was administered"
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"valueString" : "/*\n@input: One varicella primary series dose was administered\n@pseudocode: Count of vaccines administered (where \"Vaccine type\" = \"Varicella-containing vaccines\" and \"Type of dose\" = \"Primary series\") = 1\n@code: One varicella primary series dose was administered-129\n@decision: IMMZ.D2.DT.Varicella.1 dose: Countries where varicella is an important public health burden could consider introducing varicella vaccination in the routine childhood immunization programme. However, resources should be sufficient to ensure reaching and sustaining vaccine coverage ≥ 80%. Decision-making on childhood varicella vaccination should also include consideration of the possible impact on herpes zoster.\nThe number of doses recommended is dependent on the goal of the vaccination programme. One dose is sufficient to reduce mortality and severe morbidity from varicella but not to prevent limited virus circulation and outbreaks. Two doses have higher effectiveness and should therefore be recommended in countries where the programmatic goal is, in addition to decreasing mortality and severe morbidity, to further reduce the number of cases and outbreaks.\n@decision: IMMZ.D2.DT.Varicella.2 doses: Countries where varicella is an important public health burden could consider introducing varicella vaccination in the routine childhood immunization programme. However, resources should be sufficient to ensure reaching and sustaining vaccine coverage ≥ 80%. Decision-making on childhood varicella vaccination should also include consideration of the possible impact on herpes zoster.\nThe number of doses recommended is dependent on the goal of the vaccination programme. One dose is sufficient to reduce mortality and severe morbidity from varicella but not to prevent limited virus circulation and outbreaks. Two doses have higher effectiveness and should therefore be recommended in countries where the programmatic goal is, in addition to decreasing mortality and severe morbidity, to further reduce the number of cases and outbreaks.\n*/\ndefine \"One varicella primary series dose was administered\":\n \"Number of Varicella Primary Series Doses Administered\" = 1"
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{
"url" : "name",
"valueString" : "Date of Latest Varicella Dose"
},
{
"url" : "statement",
"valueString" : "/*\n@internal: Date of Latest Varicella Dose\n*/\ndefine \"Date of Latest Varicella Dose\":\n date from start of \"Varicella Doses Administered to Patient\".mostRecent().occurrence.toInterval()"
},
{
"url" : "displaySequence",
"valueInteger" : 18
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD2DTVaricellaEncounterElements"
},
{
"url" : "name",
"valueString" : "The latest varicella dose administered less than 4 weeks ago"
},
{
"url" : "statement",
"valueString" : "/*\n@input: The latest varicella dose administered less than 4 weeks ago\n@pseudocode: Today's date − \"Date and time of vaccination\" (where \"Vaccine type\" = \"Varicella-containing vaccines\") < 4 weeks\n@code: The latest varicella dose administered less than 4 weeks ago-112\n@decision: IMMZ.D2.DT.Varicella.2 doses: Countries where varicella is an important public health burden could consider introducing varicella vaccination in the routine childhood immunization programme. However, resources should be sufficient to ensure reaching and sustaining vaccine coverage ≥ 80%. Decision-making on childhood varicella vaccination should also include consideration of the possible impact on herpes zoster.\nThe number of doses recommended is dependent on the goal of the vaccination programme. One dose is sufficient to reduce mortality and severe morbidity from varicella but not to prevent limited virus circulation and outbreaks. Two doses have higher effectiveness and should therefore be recommended in countries where the programmatic goal is, in addition to decreasing mortality and severe morbidity, to further reduce the number of cases and outbreaks.\n*/\ndefine \"The latest varicella dose administered less than 4 weeks ago\":\n\t\"Date of Latest Varicella Dose\" is not null\n and duration in weeks between \"Date of Latest Varicella Dose\" and Today < 4"
},
{
"url" : "displaySequence",
"valueInteger" : 19
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD2DTVaricella2DosesLogic"
},
{
"url" : "name",
"valueString" : "Client is not due for varicella vaccination Case 3"
},
{
"url" : "statement",
"valueString" : "/*\n@output: Client is not due for varicella vaccination Case 3\n@pseudocode: \"Immunization recommendation status\" = \"Not due\"\n*/\ndefine \"Client is not due for varicella vaccination Case 3\":\n Encounter.\"One varicella primary series dose was administered\"\n and Encounter.\"The latest varicella dose administered less than 4 weeks ago\""
},
{
"url" : "displaySequence",
"valueInteger" : 20
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD2DTVaricellaEncounterElements"
},
{
"url" : "name",
"valueString" : "The latest varicella dose administered more than 4 weeks ago"
},
{
"url" : "statement",
"valueString" : "/*\n@input: The latest varicella dose administered more than 4 weeks ago\n@pseudocode: Today's date − \"Date and time of vaccination\" (where \"Vaccine type\" = \"Varicella-containing vaccines\") ≥ 4 weeks\n@code: The latest varicella dose administered more than 4 weeks ago-112\n@decision: IMMZ.D2.DT.Varicella.2 doses: Countries where varicella is an important public health burden could consider introducing varicella vaccination in the routine childhood immunization programme. However, resources should be sufficient to ensure reaching and sustaining vaccine coverage ≥ 80%. Decision-making on childhood varicella vaccination should also include consideration of the possible impact on herpes zoster.\nThe number of doses recommended is dependent on the goal of the vaccination programme. One dose is sufficient to reduce mortality and severe morbidity from varicella but not to prevent limited virus circulation and outbreaks. Two doses have higher effectiveness and should therefore be recommended in countries where the programmatic goal is, in addition to decreasing mortality and severe morbidity, to further reduce the number of cases and outbreaks.\n*/\ndefine \"The latest varicella dose administered more than 4 weeks ago\":\n not \"The latest varicella dose administered less than 4 weeks ago\""
},
{
"url" : "displaySequence",
"valueInteger" : 21
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD2DTVaricella2DosesLogic"
},
{
"url" : "name",
"valueString" : "Client is not due for varicella vaccination Case 4"
},
{
"url" : "statement",
"valueString" : "/*\n@output: Client is not due for varicella vaccination Case 4\n@pseudocode: \"Immunization recommendation status\" = \"Not due\"\n*/\ndefine \"Client is not due for varicella vaccination Case 4\":\n Encounter.\"One varicella primary series dose was administered\"\n and Encounter.\"The latest varicella dose administered more than 4 weeks ago\"\n and Encounter.\"Live vaccine was administered in the past 4 weeks\""
},
{
"url" : "displaySequence",
"valueInteger" : 22
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD2DTVaricella2DosesLogic"
},
{
"url" : "name",
"valueString" : "Client is not due for varicella vaccination"
},
{
"url" : "statement",
"valueString" : "/*\n@output: Client is not due for varicella vaccination\n@pseudocode: \"Immunization recommendation status\" = \"Not due\"\n*/\ndefine \"Client is not due for varicella vaccination\":\n \"Client is not due for varicella vaccination Case 1\"\n or \"Client is not due for varicella vaccination Case 2\"\n or \"Client is not due for varicella vaccination Case 3\"\n or \"Client is not due for varicella vaccination Case 4\""
},
{
"url" : "displaySequence",
"valueInteger" : 23
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD2DTVaricella2DosesLogic"
},
{
"url" : "name",
"valueString" : "Client is not due for varicella vaccination Guidance"
},
{
"url" : "statement",
"valueString" : "/*\n@output: Client is not due for varicella vaccination Guidance\n@guidance = Should not vaccinate client with first varicella dose as client's age is less than 12 months. Check for any other vaccines due and inform the caregiver of when to come back for the first varicella dose.\n@guidance = Should not vaccinate client with first varicella dose as live vaccine was administered in the past 4 weeks. Check for any other vaccines due and inform the caregiver of when to come back for the first varicella dose.\n@guidance = Should not vaccinate client with second varicella dose as the latest varicella dose was administered less than 4 weeks ago. Check for any other vaccines due and inform the caregiver when to come back for the second dose.\n@guidance = Should not vaccinate client with second varicella dose as live vaccine was administered in the past 4 weeks. Check for any vaccines due and inform the caregiver of when to come back for the second dose.\n*/\ndefine \"Client is not due for varicella vaccination Guidance\":\n case\n when \"Client is not due for varicella vaccination Case 1\" then 'Should not vaccinate client with first varicella dose as client\\'s age is less than 12 months. Check for any other vaccines due and inform the caregiver of when to come back for the first varicella dose.'\n when \"Client is not due for varicella vaccination Case 2\" then 'Should not vaccinate client with first varicella dose as live vaccine was administered in the past 4 weeks. Check for any other vaccines due and inform the caregiver of when to come back for the first varicella dose.'\n when \"Client is not due for varicella vaccination Case 3\" then 'Should not vaccinate client with second varicella dose as the latest varicella dose was administered less than 4 weeks ago. Check for any other vaccines due and inform the caregiver when to come back for the second dose.'\n when \"Client is not due for varicella vaccination Case 4\" then 'Should not vaccinate client with second varicella dose as live vaccine was administered in the past 4 weeks. Check for any vaccines due and inform the caregiver of when to come back for the second dose.'\n else ''\n end"
},
{
"url" : "displaySequence",
"valueInteger" : 24
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZEncounterElements"
},
{
"url" : "name",
"valueString" : "No live vaccine was administered in the last 4 weeks"
},
{
"url" : "statement",
"valueString" : "/*\n@input: No live vaccine was administered in the last 4 weeks\n@pseudocode: Today's date − latest \"Date and time of vaccination\" (where \"Live vaccine\" = TRUE) ≥ 4 weeks\n*/\ndefine \"No live vaccine was administered in the last 4 weeks\":\n not(\"Live vaccine was administered in the last 4 weeks\")"
},
{
"url" : "displaySequence",
"valueInteger" : 25
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD2DTVaricellaEncounterElements"
},
{
"url" : "name",
"valueString" : "No live vaccine was administered in the past 4 weeks"
},
{
"url" : "statement",
"valueString" : "/*\n@input: No live vaccine was administered in the past 4 weeks\n@pseudocode: Today's date − latest \"Date and time of vaccination\" (where \"Live vaccine\" = TRUE) ≥ 4 weeks\n@code: No live vaccine was administered in the past 4 weeks-92\n@decision: IMMZ.D2.DT.Varicella.1 dose: Countries where varicella is an important public health burden could consider introducing varicella vaccination in the routine childhood immunization programme. However, resources should be sufficient to ensure reaching and sustaining vaccine coverage ≥ 80%. Decision-making on childhood varicella vaccination should also include consideration of the possible impact on herpes zoster.\nThe number of doses recommended is dependent on the goal of the vaccination programme. One dose is sufficient to reduce mortality and severe morbidity from varicella but not to prevent limited virus circulation and outbreaks. Two doses have higher effectiveness and should therefore be recommended in countries where the programmatic goal is, in addition to decreasing mortality and severe morbidity, to further reduce the number of cases and outbreaks.\n@decision: IMMZ.D2.DT.Varicella.2 doses: Countries where varicella is an important public health burden could consider introducing varicella vaccination in the routine childhood immunization programme. However, resources should be sufficient to ensure reaching and sustaining vaccine coverage ≥ 80%. Decision-making on childhood varicella vaccination should also include consideration of the possible impact on herpes zoster.\nThe number of doses recommended is dependent on the goal of the vaccination programme. One dose is sufficient to reduce mortality and severe morbidity from varicella but not to prevent limited virus circulation and outbreaks. Two doses have higher effectiveness and should therefore be recommended in countries where the programmatic goal is, in addition to decreasing mortality and severe morbidity, to further reduce the number of cases and outbreaks.\n*/\ndefine \"No live vaccine was administered in the past 4 weeks\":\n Encounter.\"No live vaccine was administered in the last 4 weeks\""
},
{
"url" : "displaySequence",
"valueInteger" : 26
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD2DTVaricella2DosesLogic"
},
{
"url" : "name",
"valueString" : "Client is due for varicella vaccination Case 1"
},
{
"url" : "statement",
"valueString" : "/*\n@output: Client is due for varicella vaccination Case 1\n@pseudocode: \"Immunization recommendation status\" = \"Due\"\n*/\ndefine \"Client is due for varicella vaccination Case 1\":\n Encounter.\"No varicella primary series doses were administered\"\n and Encounter.\"Cient's age is more than or equal to 12 months\"\n and Encounter.\"No live vaccine was administered in the past 4 weeks\""
},
{
"url" : "displaySequence",
"valueInteger" : 27
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD2DTVaricella2DosesLogic"
},
{
"url" : "name",
"valueString" : "Client is due for varicella vaccination Case 2"
},
{
"url" : "statement",
"valueString" : "/*\n@output: Client is due for varicella vaccination Case 2\n@pseudocode: \"Immunization recommendation status\" = \"Due\"\n*/\ndefine \"Client is due for varicella vaccination Case 2\":\n Encounter.\"One varicella primary series dose was administered\"\n and Encounter.\"The latest varicella dose administered more than 4 weeks ago\"\n and Encounter.\"No live vaccine was administered in the past 4 weeks\""
},
{
"url" : "displaySequence",
"valueInteger" : 28
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD2DTVaricella2DosesLogic"
},
{
"url" : "name",
"valueString" : "Client is due for varicella vaccination"
},
{
"url" : "statement",
"valueString" : "/*\n@output: Client is due for varicella vaccination\n@pseudocode: \"Immunization recommendation status\" = \"Due\"\n*/\ndefine \"Client is due for varicella vaccination\":\n \"Client is due for varicella vaccination Case 1\"\n or \"Client is due for varicella vaccination Case 2\""
},
{
"url" : "displaySequence",
"valueInteger" : 29
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD2DTVaricella2DosesLogic"
},
{
"url" : "name",
"valueString" : "Client is due for varicella vaccination Guidance"
},
{
"url" : "statement",
"valueString" : "/*\n@output: Client is due for varicella vaccination Guidance\n@guidance = Should vaccinate client with first varicella dose as no varicella dose was administered, client is within appropriate age range and no live vaccine was administered in past 4 weeks. Check for contraindications.\n@guidance = Should vaccinate client with second varicella dose as the latest varicella dose was administered more than 4 weeks ago and no live vaccine was administered in past 4 weeks. Check for contraindications.\n*/\ndefine \"Client is due for varicella vaccination Guidance\":\n case\n when \"Client is due for varicella vaccination Case 1\" then 'Should vaccinate client with first varicella dose as no varicella dose was administered, client is within appropriate age range and no live vaccine was administered in past 4 weeks. Check for contraindications.'\n when \"Client is due for varicella vaccination Case 2\" then 'Should vaccinate client with second varicella dose as the latest varicella dose was administered more than 4 weeks ago and no live vaccine was administered in past 4 weeks. Check for contraindications.'\n else ''\n end"
},
{
"url" : "displaySequence",
"valueInteger" : 30
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD2DTVaricellaEncounterElements"
},
{
"url" : "name",
"valueString" : "Two varicella primary series doses were administered"
},
{
"url" : "statement",
"valueString" : "/*\n@input: Two varicella primary series doses were administered\n@pseudocode: Count of vaccines administered (where \"Vaccine type\" = \"Varicella-containing vaccines\" and \"Type of dose\" = \"Primary series\") = 2\n@code: Two varicella primary series doses were administered-129\n@decision: IMMZ.D2.DT.Varicella.2 doses: Countries where varicella is an important public health burden could consider introducing varicella vaccination in the routine childhood immunization programme. However, resources should be sufficient to ensure reaching and sustaining vaccine coverage ≥ 80%. Decision-making on childhood varicella vaccination should also include consideration of the possible impact on herpes zoster.\nThe number of doses recommended is dependent on the goal of the vaccination programme. One dose is sufficient to reduce mortality and severe morbidity from varicella but not to prevent limited virus circulation and outbreaks. Two doses have higher effectiveness and should therefore be recommended in countries where the programmatic goal is, in addition to decreasing mortality and severe morbidity, to further reduce the number of cases and outbreaks.\n*/\ndefine \"Two varicella primary series doses were administered\":\n \"Number of Varicella Primary Series Doses Administered\" = 2"
},
{
"url" : "displaySequence",
"valueInteger" : 31
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD2DTVaricella2DosesLogic"
},
{
"url" : "name",
"valueString" : "Varicella immunization schedule is complete"
},
{
"url" : "statement",
"valueString" : "/*\n@output: Varicella immunization schedule is complete\n@pseudocode: \"Immunization recommendation status\" = \"Complete\"\n*/\ndefine \"Varicella immunization schedule is complete\":\n Encounter.\"Two varicella primary series doses were administered\""
},
{
"url" : "displaySequence",
"valueInteger" : 32
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD2DTVaricella2DosesLogic"
},
{
"url" : "name",
"valueString" : "Varicella immunization schedule is complete Guidance"
},
{
"url" : "statement",
"valueString" : "/*\n@output: Varicella immunization schedule is complete Guidance\n@guidance: Varicella immunization schedule is complete. Two varicella primary series doses were administered. Check for any other vaccines due.\n*/\ndefine \"Varicella immunization schedule is complete Guidance\":\n 'Varicella immunization schedule is complete. Two varicella primary series doses were administered. Check for any other vaccines due.'"
},
{
"url" : "displaySequence",
"valueInteger" : 33
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD2DTVaricella2DosesLogic"
},
{
"url" : "name",
"valueString" : "Guidance"
},
{
"url" : "statement",
"valueString" : "/*\n@dynamicValue: Guidance\n*/\ndefine \"Guidance\":\n case \n when \"Client is not due for varicella vaccination\" then \"Client is not due for varicella vaccination Guidance\"\n when \"Client is due for varicella vaccination\" then \"Client is due for varicella vaccination Guidance\"\n when \"Varicella immunization schedule is complete\" then \"Varicella immunization schedule is complete Guidance\" \n else ''\n end"
},
{
"url" : "displaySequence",
"valueInteger" : 34
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD2DTVaricella2DosesLogic"
},
{
"url" : "name",
"valueString" : "Has Guidance"
},
{
"url" : "statement",
"valueString" : "define \"Has Guidance\":\n \"Guidance\" is not null and \"Guidance\" != ''"
},
{
"url" : "displaySequence",
"valueInteger" : 35
}
],
"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" : 36
}
],
"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" : 37
}
],
"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" : 38
}
],
"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" : 39
}
],
"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" : 40
}
],
"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" : 41
}
],
"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" : 42
}
],
"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/IMMZD2DTVaricellaEncounterElements"
},
{
"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 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 Varicella-containing vaccines",
"resource" : "http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE22"
},
{
"type" : "depends-on",
"display" : "Value set Live Attenuated",
"resource" : "http://smart.who.int/immunizations/ValueSet/IMMZ.Z.LiveAttenuated"
}
],
"parameter" : [
{
"name" : "Today",
"use" : "in",
"min" : 0,
"max" : "1",
"type" : "date"
},
{
"name" : "Guidance",
"use" : "out",
"min" : 0,
"max" : "1",
"type" : "string"
},
{
"name" : "Client is due for varicella vaccination",
"use" : "out",
"min" : 0,
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}
],
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