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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{
"url" : "statement",
"valueString" : "define \"Pregnancy Status Observation\":\n [Observation: Concepts.\"Pregnancy status\"] O\n where O.status in { 'final', 'amended', 'corrected' }"
},
{
"url" : "displaySequence",
"valueInteger" : 21
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "WHOElements"
},
{
"url" : "name",
"valueString" : "Pregnant Observation"
},
{
"url" : "statement",
"valueString" : "define \"Pregnant Observation\":\n \"Pregnancy Status Observation\" O\n where O.value ~ Concepts.\"Pregnant\""
},
{
"url" : "displaySequence",
"valueInteger" : 22
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "WHOEncounterElements"
},
{
"url" : "name",
"valueString" : "Pregnant Observation"
},
{
"url" : "statement",
"valueString" : "define \"Pregnant Observation\":\n Elements.\"Pregnant Observation\" O\n where O.encounter.references(EncounterId)\n or O.effective.toInterval() starts same day or after AsOf - 9 months"
},
{
"url" : "displaySequence",
"valueInteger" : 23
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZEncounterElements"
},
{
"url" : "name",
"valueString" : "The client is pregnant"
},
{
"url" : "statement",
"valueString" : "/*\n@input: The client is pregnant\n@pseudocode: \"Potential contraindications\" = \"Currently pregnant\"\n*/\ndefine \"The client is pregnant\":\n exists \"CI Currently pregnant Observation\"\n or exists \"CI Currently pregnant Condition\"\n or exists WE.\"Pregnant Observation\""
},
{
"url" : "displaySequence",
"valueInteger" : 24
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD5DTDengueEncounterElements"
},
{
"url" : "name",
"valueString" : "The client is currently pregnant"
},
{
"url" : "statement",
"valueString" : "/*\n@input: The client is currently pregnant\n@pseudocode: \"Potential contraindications\" = \"Currently pregnant\"\n@code: The client is currently pregnant-52\n@decision: IMMZ.D5.DT.Dengue contraindications\n*/\ndefine \"The client is currently pregnant\":\n Encounter.\"The client is pregnant\""
},
{
"url" : "displaySequence",
"valueInteger" : 25
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD5DTDengueContraindicationsLogic"
},
{
"url" : "name",
"valueString" : "Dengue vaccination is contraindicated Case 3"
},
{
"url" : "statement",
"valueString" : "/*\n@output: Dengue vaccination is contraindicated Case 3\n@pseudocode: \"Immunization recommendation status\" = \"Contraindicated\"\n*/\ndefine \"Dengue vaccination is contraindicated Case 3\":\n Encounter.\"The client is currently pregnant\""
},
{
"url" : "displaySequence",
"valueInteger" : 26
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZElements"
},
{
"url" : "name",
"valueString" : "CI Breastfeeding Observation"
},
{
"url" : "statement",
"valueString" : "/*\n@internal: Observation for Breastfeeding\n*/\ndefine \"CI Breastfeeding Observation\":\n \"Potential contraindications\" O\n where O.value ~ Concepts.\"CI-Breastfeeding\""
},
{
"url" : "displaySequence",
"valueInteger" : 27
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZEncounterElements"
},
{
"url" : "name",
"valueString" : "CI Breastfeeding Observation"
},
{
"url" : "statement",
"valueString" : "/*\n@internal: Observation for Breastfeeding\n*/\ndefine \"CI Breastfeeding Observation\":\n Elements.\"CI Breastfeeding Observation\".encounterOrOnBefore(EncounterId, Today)"
},
{
"url" : "displaySequence",
"valueInteger" : 28
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZElements"
},
{
"url" : "name",
"valueString" : "CI Breastfeeding Condition"
},
{
"url" : "statement",
"valueString" : "/*\n@internal: Condition for Breastfeeding\n*/\ndefine \"CI Breastfeeding Condition\":\n [Condition: Concepts.\"CI-Breastfeeding\"]"
},
{
"url" : "displaySequence",
"valueInteger" : 29
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZEncounterElements"
},
{
"url" : "name",
"valueString" : "CI Breastfeeding Condition"
},
{
"url" : "statement",
"valueString" : "/*\n@internal: Condition for Breastfeeding\n*/\ndefine \"CI Breastfeeding Condition\":\n Elements.\"CI Breastfeeding Condition\" C\n where C.prevalenceInterval() includes Today"
},
{
"url" : "displaySequence",
"valueInteger" : 30
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZEncounterElements"
},
{
"url" : "name",
"valueString" : "The client is lactating"
},
{
"url" : "statement",
"valueString" : "/*\n@input: The client is lactating\n@pseudocode: \"Potential contraindications\" = \"Breastfeeding\"\n*/\ndefine \"The client is lactating\":\n exists \"CI Breastfeeding Observation\"\n or exists \"CI Breastfeeding Condition\""
},
{
"url" : "displaySequence",
"valueInteger" : 31
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD5DTDengueEncounterElements"
},
{
"url" : "name",
"valueString" : "The client is currently lactating"
},
{
"url" : "statement",
"valueString" : "/*\n@input: The client is currently lactating\n@pseudocode: '\"Potential contraindications\" = \"Breastfeeding\"\n@code: The client is currently lactating-48\n@decision: IMMZ.D5.DT.Dengue contraindications\n*/\ndefine \"The client is currently lactating\":\n Encounter.\"The client is lactating\""
},
{
"url" : "displaySequence",
"valueInteger" : 32
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD5DTDengueContraindicationsLogic"
},
{
"url" : "name",
"valueString" : "Dengue vaccination is contraindicated Case 4"
},
{
"url" : "statement",
"valueString" : "/*\n@output: Dengue vaccination is contraindicated Case 4\n@pseudocode: \"Immunization recommendation status\" = \"Contraindicated\"\n*/\ndefine \"Dengue vaccination is contraindicated Case 4\":\n Encounter.\"The client is currently lactating\""
},
{
"url" : "displaySequence",
"valueInteger" : 33
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZElements"
},
{
"url" : "name",
"valueString" : "CI Immunodeficiency syndromes Observation"
},
{
"url" : "statement",
"valueString" : "/*\n@internal: Observation for Immunodeficiency syndromes\n*/\ndefine \"CI Immunodeficiency syndromes Observation\":\n \"Potential contraindications\" O\n where O.value ~ Concepts.\"CI-Immunodeficiency syndromes\""
},
{
"url" : "displaySequence",
"valueInteger" : 34
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZEncounterElements"
},
{
"url" : "name",
"valueString" : "CI Immunodeficiency syndromes Observation"
},
{
"url" : "statement",
"valueString" : "/*\n@internal: Observation for Immunodeficiency syndromes\n*/\ndefine \"CI Immunodeficiency syndromes Observation\":\n Elements.\"CI Immunodeficiency syndromes Observation\".encounterOrOnBefore(EncounterId, Today)"
},
{
"url" : "displaySequence",
"valueInteger" : 35
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZElements"
},
{
"url" : "name",
"valueString" : "CI Immunodeficiency syndromes Condition"
},
{
"url" : "statement",
"valueString" : "/*\n@internal: Condition for Immunodeficiency syndromes\n*/\ndefine \"CI Immunodeficiency syndromes Condition\":\n [Condition: Concepts.\"CI-Immunodeficiency syndromes\"]"
},
{
"url" : "displaySequence",
"valueInteger" : 36
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZEncounterElements"
},
{
"url" : "name",
"valueString" : "CI Immunodeficiency syndromes Condition"
},
{
"url" : "statement",
"valueString" : "/*\n@internal: Condition for Immunodeficiency syndromes\n*/\ndefine \"CI Immunodeficiency syndromes Condition\":\n Elements.\"CI Immunodeficiency syndromes Condition\" C\n where C.prevalenceInterval() includes Today"
},
{
"url" : "displaySequence",
"valueInteger" : 37
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZEncounterElements"
},
{
"url" : "name",
"valueString" : "The client has immunodeficiency syndromes"
},
{
"url" : "statement",
"valueString" : "/*\n@input: The client has immunodeficiency syndromes\n@pseudocode: \"Potential contraindications\" = \"Immunodeficiency syndromes\"\n*/\ndefine \"The client has immunodeficiency syndromes\":\n exists \"CI Immunodeficiency syndromes Observation\"\n or exists \"CI Immunodeficiency syndromes Condition\""
},
{
"url" : "displaySequence",
"valueInteger" : 38
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD5DTDengueEncounterElements"
},
{
"url" : "name",
"valueString" : "The client has immunodeficiency syndromes"
},
{
"url" : "statement",
"valueString" : "/*\n@input: The client has immunodeficiency syndromes\n@pseudocode: \"Potential contraindications\" = \"Immunodeficiency syndromes\"\n@code: The client has immunodeficiency syndromes-60\n@decision: IMMZ.D5.DT.Dengue contraindications\n*/\ndefine \"The client has immunodeficiency syndromes\":\n Encounter.\"The client has immunodeficiency syndromes\""
},
{
"url" : "displaySequence",
"valueInteger" : 39
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD5DTDengueContraindicationsLogic"
},
{
"url" : "name",
"valueString" : "Dengue vaccination is contraindicated Case 5"
},
{
"url" : "statement",
"valueString" : "/*\n@output: Dengue vaccination is contraindicated Case 5\n@pseudocode: \"Immunization recommendation status\" = \"Contraindicated\"\n*/\ndefine \"Dengue vaccination is contraindicated Case 5\":\n Encounter.\"The client has immunodeficiency syndromes\""
},
{
"url" : "displaySequence",
"valueInteger" : 40
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZElements"
},
{
"url" : "name",
"valueString" : "CI Severely immunosuppressed Observation"
},
{
"url" : "statement",
"valueString" : "/*\n@internal: Observation for Severely immunosuppressed\n*/\ndefine \"CI Severely immunosuppressed Observation\":\n \"Potential contraindications\" O\n where O.value ~ Concepts.\"CI-Severely immunosuppressed\""
},
{
"url" : "displaySequence",
"valueInteger" : 41
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZEncounterElements"
},
{
"url" : "name",
"valueString" : "CI Severely immunosuppressed Observation"
},
{
"url" : "statement",
"valueString" : "/*\n@internal: Observation for Severely immunosuppressed\n*/\ndefine \"CI Severely immunosuppressed Observation\":\n Elements.\"CI Severely immunosuppressed Observation\".encounterOrOnBefore(EncounterId, Today)"
},
{
"url" : "displaySequence",
"valueInteger" : 42
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZElements"
},
{
"url" : "name",
"valueString" : "CI Severely immunosuppressed Condition"
},
{
"url" : "statement",
"valueString" : "/*\n@internal: Condition for Severely immunosuppressed\n*/\ndefine \"CI Severely immunosuppressed Condition\":\n [Condition: Concepts.\"CI-Severely immunosuppressed\"]"
},
{
"url" : "displaySequence",
"valueInteger" : 43
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZEncounterElements"
},
{
"url" : "name",
"valueString" : "CI Severely immunosuppressed Condition"
},
{
"url" : "statement",
"valueString" : "/*\n@internal: Condition for Severely immunosuppressed\n*/\ndefine \"CI Severely immunosuppressed Condition\":\n Elements.\"CI Severely immunosuppressed Condition\" C\n where C.prevalenceInterval() includes Today"
},
{
"url" : "displaySequence",
"valueInteger" : 44
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZEncounterElements"
},
{
"url" : "name",
"valueString" : "The client is severely immunosuppressed"
},
{
"url" : "statement",
"valueString" : "/*\n@input: The client is severely immunosuppressed\n@pseudocode: \"Potential contraindications\" = \"Severely immunosuppressed\"\n*/\ndefine \"The client is severely immunosuppressed\":\n exists \"CI Severely immunosuppressed Observation\"\n or exists \"CI Severely immunosuppressed Condition\""
},
{
"url" : "displaySequence",
"valueInteger" : 45
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD5DTDengueEncounterElements"
},
{
"url" : "name",
"valueString" : "The client is severely immunosuppressed"
},
{
"url" : "statement",
"valueString" : "/*\n@input: The client is severely immunosuppressed\n@pseudocode: \"Potential contraindications\" = \"Severely immunosuppressed\"\n@code: The client is severely immunosuppressed-59\n@decision: IMMZ.D5.DT.Dengue contraindications\n*/\ndefine \"The client is severely immunosuppressed\":\n Encounter.\"The client is severely immunosuppressed\""
},
{
"url" : "displaySequence",
"valueInteger" : 46
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD5DTDengueContraindicationsLogic"
},
{
"url" : "name",
"valueString" : "Dengue vaccination is contraindicated Case 6"
},
{
"url" : "statement",
"valueString" : "/*\n@output: Dengue vaccination is contraindicated Case 6\n@pseudocode: \"Immunization recommendation status\" = \"Contraindicated\"\n*/\ndefine \"Dengue vaccination is contraindicated Case 6\":\n Encounter.\"The client is severely immunosuppressed\""
},
{
"url" : "displaySequence",
"valueInteger" : 47
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZElements"
},
{
"url" : "name",
"valueString" : "CI Symptomatic HIV infection Observation"
},
{
"url" : "statement",
"valueString" : "/*\n@internal: Observation for Symptomatic HIV infection\n*/\ndefine \"CI Symptomatic HIV infection Observation\":\n \"Potential contraindications\" O\n where O.value ~ Concepts.\"CI-Symptomatic HIV infection\""
},
{
"url" : "displaySequence",
"valueInteger" : 48
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZEncounterElements"
},
{
"url" : "name",
"valueString" : "CI Symptomatic HIV infection Observation"
},
{
"url" : "statement",
"valueString" : "/*\n@internal: Observation for Symptomatic HIV infection\n*/\ndefine \"CI Symptomatic HIV infection Observation\":\n Elements.\"CI Symptomatic HIV infection Observation\".encounterOrOnBefore(EncounterId, Today)"
},
{
"url" : "displaySequence",
"valueInteger" : 49
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZElements"
},
{
"url" : "name",
"valueString" : "CI Symptomatic HIV infection Condition"
},
{
"url" : "statement",
"valueString" : "/*\n@internal: Condition for Symptomatic HIV infection\n*/\ndefine \"CI Symptomatic HIV infection Condition\":\n [Condition: Concepts.\"CI-Symptomatic HIV infection\"]"
},
{
"url" : "displaySequence",
"valueInteger" : 50
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZEncounterElements"
},
{
"url" : "name",
"valueString" : "CI Symptomatic HIV infection Condition"
},
{
"url" : "statement",
"valueString" : "/*\n@internal: Condition for Symptomatic HIV infection\n*/\ndefine \"CI Symptomatic HIV infection Condition\":\n Elements.\"CI Symptomatic HIV infection Condition\" C\n where C.prevalenceInterval() includes Today"
},
{
"url" : "displaySequence",
"valueInteger" : 51
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZEncounterElements"
},
{
"url" : "name",
"valueString" : "The client has a symptomatic HIV infection"
},
{
"url" : "statement",
"valueString" : "/*\n@input: The client has a symptomatic HIV infection\n@pseudocode: \"Potential contraindications\" = \"Symptomatic HIV infection\"\n*/\ndefine \"The client has a symptomatic HIV infection\":\n exists \"CI Symptomatic HIV infection Observation\"\n or exists \"CI Symptomatic HIV infection Condition\""
},
{
"url" : "displaySequence",
"valueInteger" : 52
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD5DTDengueEncounterElements"
},
{
"url" : "name",
"valueString" : "The client has symptomatic HIV infection"
},
{
"url" : "statement",
"valueString" : "/*\n@input: The client has symptomatic HIV infection\n@pseudocode: \"Potential contraindications\" = \"Symptomatic HIV infection\"\n@code: The client has symptomatic HIV infection-59\n@decision: IMMZ.D5.DT.Dengue contraindications\n*/\ndefine \"The client has symptomatic HIV infection\":\n Encounter.\"The client has a symptomatic HIV infection\""
},
{
"url" : "displaySequence",
"valueInteger" : 53
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD5DTDengueContraindicationsLogic"
},
{
"url" : "name",
"valueString" : "Dengue vaccination is contraindicated Case 7"
},
{
"url" : "statement",
"valueString" : "/*\n@output: Dengue vaccination is contraindicated Case 7\n@pseudocode: \"Immunization recommendation status\" = \"Contraindicated\"\n*/\ndefine \"Dengue vaccination is contraindicated Case 7\":\n Encounter.\"The client has symptomatic HIV infection\""
},
{
"url" : "displaySequence",
"valueInteger" : 54
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD5DTDengueContraindicationsLogic"
},
{
"url" : "name",
"valueString" : "Dengue vaccination is contraindicated"
},
{
"url" : "statement",
"valueString" : "/*\n@output: Dengue vaccination is contraindicated\n@pseudocode: \"Immunization recommendation status\" = \"Contraindicated\"\n*/\ndefine \"Dengue vaccination is contraindicated\":\n \"Dengue vaccination is contraindicated Case 1\"\n or \"Dengue vaccination is contraindicated Case 2\"\n or \"Dengue vaccination is contraindicated Case 3\"\n or \"Dengue vaccination is contraindicated Case 4\"\n or \"Dengue vaccination is contraindicated Case 5\"\n or \"Dengue vaccination is contraindicated Case 6\"\n or \"Dengue vaccination is contraindicated Case 7\""
},
{
"url" : "displaySequence",
"valueInteger" : 55
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD5DTDengueContraindicationsLogic"
},
{
"url" : "name",
"valueString" : "Dengue vaccination is contraindicated Guidance"
},
{
"url" : "statement",
"valueString" : "/*\n@output: Dengue vaccination is contraindicated Guidance\n@guidance = Do not vaccinate client with dengue as dengue vaccination is contraindicated in immunocompromised individuals\n@guidance = Do not vaccinate client with dengue as dengue vaccination is contraindicated in immunocompromised individuals\n@guidance = Do not vaccinate client with dengue as dengue vaccination is contraindicated for pregnant women.\n@guidance = Do not vaccinate client with dengue as dengue vaccination is contraindicated for lactating women.\n@guidance = Do not vaccinate client with dengue as dengue vaccination is contraindicated in immunocompromised individuals\n@guidance = Do not vaccinate client with dengue as dengue vaccination is contraindicated in severely immunosuppresed individuals.\n@guidance = Do not vaccinate client with dengue as dengue vaccination is contraindicated in individuals with symptomatic HIV.\n*/\ndefine \"Dengue vaccination is contraindicated Guidance\":\n case\n when \"Dengue vaccination is contraindicated Case 1\" then 'Do not vaccinate client with dengue as dengue vaccination is contraindicated in immunocompromised individuals'\n when \"Dengue vaccination is contraindicated Case 2\" then 'Do not vaccinate client with dengue as dengue vaccination is contraindicated in immunocompromised individuals'\n when \"Dengue vaccination is contraindicated Case 3\" then 'Do not vaccinate client with dengue as dengue vaccination is contraindicated for pregnant women.'\n when \"Dengue vaccination is contraindicated Case 4\" then 'Do not vaccinate client with dengue as dengue vaccination is contraindicated for lactating women.'\n when \"Dengue vaccination is contraindicated Case 5\" then 'Do not vaccinate client with dengue as dengue vaccination is contraindicated in immunocompromised individuals'\n when \"Dengue vaccination is contraindicated Case 6\" then 'Do not vaccinate client with dengue as dengue vaccination is contraindicated in severely immunosuppresed individuals.'\n when \"Dengue vaccination is contraindicated Case 7\" then 'Do not vaccinate client with dengue as dengue vaccination is contraindicated in individuals with symptomatic HIV.'\n else ''\n end"
},
{
"url" : "displaySequence",
"valueInteger" : 56
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZElements"
},
{
"url" : "name",
"valueString" : "CI Severe allergic reactions Observation"
},
{
"url" : "statement",
"valueString" : "/*\n@internal: Observation for Severe allergic reactions\n*/\ndefine \"CI Severe allergic reactions Observation\":\n \"Potential contraindications\" O\n where O.value ~ Concepts.\"CI-Severe allergic reactions\""
},
{
"url" : "displaySequence",
"valueInteger" : 57
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZEncounterElements"
},
{
"url" : "name",
"valueString" : "CI Severe allergic reactions Observation"
},
{
"url" : "statement",
"valueString" : "/*\n@internal: Observation for Severe allergic reactions\n*/\ndefine \"CI Severe allergic reactions Observation\":\n Elements.\"CI Severe allergic reactions Observation\".encounterOrOnBefore(EncounterId, Today)"
},
{
"url" : "displaySequence",
"valueInteger" : 58
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZElements"
},
{
"url" : "name",
"valueString" : "CI Severe allergic reactions Condition"
},
{
"url" : "statement",
"valueString" : "/*\n@internal: Condition for Severe allergic reactions\n*/\ndefine \"CI Severe allergic reactions Condition\":\n [Condition: Concepts.\"CI-Severe allergic reactions\"]"
},
{
"url" : "displaySequence",
"valueInteger" : 59
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZEncounterElements"
},
{
"url" : "name",
"valueString" : "CI Severe allergic reactions Condition"
},
{
"url" : "statement",
"valueString" : "/*\n@internal: Condition for Severe allergic reactions\n*/\ndefine \"CI Severe allergic reactions Condition\":\n Elements.\"CI Severe allergic reactions Condition\" C\n where C.prevalenceInterval() includes Today"
},
{
"url" : "displaySequence",
"valueInteger" : 60
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZEncounterElements"
},
{
"url" : "name",
"valueString" : "The client has history of severe allergic reactions"
},
{
"url" : "statement",
"valueString" : "/*\n@input: The client has history of severe allergic reactions\n@pseudocode: \"Potential contraindications\" = \"Severe allergic reactions\"\n*/\ndefine \"The client has history of severe allergic reactions\":\n exists \"CI Severe allergic reactions Observation\"\n or exists \"CI Severe allergic reactions Condition\""
},
{
"url" : "displaySequence",
"valueInteger" : 61
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD5DTDengueEncounterElements"
},
{
"url" : "name",
"valueString" : "The client has history of severe allergic reactions"
},
{
"url" : "statement",
"valueString" : "/*\n@input: The client has history of severe allergic reactions\n@pseudocode: \"Potential contraindications\" = \"Severe allergic reactions\"\n@code: The client has history of severe allergic reactions-59\n@decision: IMMZ.D5.DT.Dengue contraindications\n*/\ndefine \"The client has history of severe allergic reactions\":\n Encounter.\"The client has history of severe allergic reactions\""
},
{
"url" : "displaySequence",
"valueInteger" : 62
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD5DTDengueContraindicationsLogic"
},
{
"url" : "name",
"valueString" : "Dengue vaccination could be contraindicated. Clinical judgement is required. Create a clinical note. Case 1"
},
{
"url" : "statement",
"valueString" : "/*\n@output: Dengue vaccination could be contraindicated. Clinical judgement is required. Create a clinical note. Case 1\n@pseudocode: \"Immunization recommendation status\" = \"Further evaluation needed\"\n*/\ndefine \"Dengue vaccination could be contraindicated. Clinical judgement is required. Create a clinical note. Case 1\":\n Encounter.\"The client has history of severe allergic reactions\""
},
{
"url" : "displaySequence",
"valueInteger" : 63
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZElements"
},
{
"url" : "name",
"valueString" : "CI History of anaphylactic reactions Observation"
},
{
"url" : "statement",
"valueString" : "/*\n@internal: Observation for History of anaphylactic reactions\n*/\ndefine \"CI History of anaphylactic reactions Observation\":\n \"Potential contraindications\" O\n where O.value ~ Concepts.\"CI-History of anaphylactic reactions\""
},
{
"url" : "displaySequence",
"valueInteger" : 64
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZEncounterElements"
},
{
"url" : "name",
"valueString" : "CI History of anaphylactic reactions Observation"
},
{
"url" : "statement",
"valueString" : "/*\n@internal: Observation for History of anaphylactic reactions\n*/\ndefine \"CI History of anaphylactic reactions Observation\":\n Elements.\"CI History of anaphylactic reactions Observation\".encounterOrOnBefore(EncounterId, Today)"
},
{
"url" : "displaySequence",
"valueInteger" : 65
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZElements"
},
{
"url" : "name",
"valueString" : "CI History of anaphylactic reactions Condition"
},
{
"url" : "statement",
"valueString" : "/*\n@internal: Condition for History of anaphylactic reactions\n*/\ndefine \"CI History of anaphylactic reactions Condition\":\n [Condition: Concepts.\"CI-History of anaphylactic reactions\"]"
},
{
"url" : "displaySequence",
"valueInteger" : 66
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZEncounterElements"
},
{
"url" : "name",
"valueString" : "CI History of anaphylactic reactions Condition"
},
{
"url" : "statement",
"valueString" : "/*\n@internal: Condition for History of anaphylactic reactions\n*/\ndefine \"CI History of anaphylactic reactions Condition\":\n Elements.\"CI History of anaphylactic reactions Condition\" C\n where C.prevalenceInterval() includes Today"
},
{
"url" : "displaySequence",
"valueInteger" : 67
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZEncounterElements"
},
{
"url" : "name",
"valueString" : "The client has history of anaphylactic reactions"
},
{
"url" : "statement",
"valueString" : "/*\n@input: The client has history of anaphylactic reactions\n@pseudocode: \"Potential contraindications\" = \"History of anaphylactic reactions\"\n*/\ndefine \"The client has history of anaphylactic reactions\":\n exists \"CI History of anaphylactic reactions Observation\"\n or exists \"CI History of anaphylactic reactions Condition\""
},
{
"url" : "displaySequence",
"valueInteger" : 68
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD5DTDengueEncounterElements"
},
{
"url" : "name",
"valueString" : "The client has history of anaphylactic reactions"
},
{
"url" : "statement",
"valueString" : "/*\n@input: The client has history of anaphylactic reactions\n@pseudocode: \"Potential contraindications\" =\"History of anaphylactic reactions\"\n@code: The client has history of anaphylactic reactions-66\n@decision: IMMZ.D5.DT.Dengue contraindications\n*/\ndefine \"The client has history of anaphylactic reactions\":\n Encounter.\"The client has history of anaphylactic reactions\""
},
{
"url" : "displaySequence",
"valueInteger" : 69
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD5DTDengueContraindicationsLogic"
},
{
"url" : "name",
"valueString" : "Dengue vaccination could be contraindicated. Clinical judgement is required. Create a clinical note. Case 2"
},
{
"url" : "statement",
"valueString" : "/*\n@output: Dengue vaccination could be contraindicated. Clinical judgement is required. Create a clinical note. Case 2\n@pseudocode: \"Immunization recommendation status\" = \"Further evaluation needed\"\n*/\ndefine \"Dengue vaccination could be contraindicated. Clinical judgement is required. Create a clinical note. Case 2\":\n Encounter.\"The client has history of anaphylactic reactions\""
},
{
"url" : "displaySequence",
"valueInteger" : 70
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD5DTDengueContraindicationsLogic"
},
{
"url" : "name",
"valueString" : "Dengue vaccination could be contraindicated. Clinical judgement is required. Create a clinical note."
},
{
"url" : "statement",
"valueString" : "/*\n@output: Dengue vaccination could be contraindicated. Clinical judgement is required. Create a clinical note.\n@pseudocode: \"Immunization recommendation status\" = \"Further evaluation needed\"\n*/\ndefine \"Dengue vaccination could be contraindicated. Clinical judgement is required. Create a clinical note.\":\n \"Dengue vaccination could be contraindicated. Clinical judgement is required. Create a clinical note. Case 1\"\n or \"Dengue vaccination could be contraindicated. Clinical judgement is required. Create a clinical note. Case 2\""
},
{
"url" : "displaySequence",
"valueInteger" : 71
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD5DTDengueContraindicationsLogic"
},
{
"url" : "name",
"valueString" : "Dengue vaccination could be contraindicated. Clinical judgement is required. Create a clinical note. Guidance"
},
{
"url" : "statement",
"valueString" : "/*\n@output: Dengue vaccination could be contraindicated. Clinical judgement is required. Create a clinical note. Guidance\n@guidance = Do not vaccinate client with dengue if client has had a severe allergic reaction to any component of the dengue vaccine or after prior administration of the dengue vaccine.\n@guidance = Do not vaccinate for dengue if client has had a severe allergic reaction to any component of the dengue vaccine or after prior administration of the dengue vaccine.\n*/\ndefine \"Dengue vaccination could be contraindicated. Clinical judgement is required. Create a clinical note. Guidance\":\n case\n when \"Dengue vaccination could be contraindicated. Clinical judgement is required. Create a clinical note. Case 1\" then 'Do not vaccinate client with dengue if client has had a severe allergic reaction to any component of the dengue vaccine or after prior administration of the dengue vaccine.'\n when \"Dengue vaccination could be contraindicated. Clinical judgement is required. Create a clinical note. Case 2\" then 'Do not vaccinate for dengue if client has had a severe allergic reaction to any component of the dengue vaccine or after prior administration of the dengue vaccine.'\n else ''\n end"
},
{
"url" : "displaySequence",
"valueInteger" : 72
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD5DTDengueContraindicationsLogic"
},
{
"url" : "name",
"valueString" : "Guidance"
},
{
"url" : "statement",
"valueString" : "/*\n@dynamicValue: Guidance\n*/\ndefine \"Guidance\":\n case \n when \"Dengue vaccination is contraindicated\" then \"Dengue vaccination is contraindicated Guidance\"\n when \"Dengue vaccination could be contraindicated. Clinical judgement is required. Create a clinical note.\" then \"Dengue vaccination could be contraindicated. Clinical judgement is required. Create a clinical note. Guidance\" \n else ''\n end"
},
{
"url" : "displaySequence",
"valueInteger" : 73
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD5DTDengueContraindicationsLogic"
},
{
"url" : "name",
"valueString" : "Has Guidance"
},
{
"url" : "statement",
"valueString" : "define \"Has Guidance\":\n \"Guidance\" is not null and \"Guidance\" != ''"
},
{
"url" : "displaySequence",
"valueInteger" : 74
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZElements"
},
{
"url" : "name",
"valueString" : "Draft Medication Request for Patient"
},
{
"url" : "statement",
"valueString" : "/*\n@dataElement: Draft Medication Request for Patient\n*/\ndefine \"Draft Medication Request for Patient\":\n\t[MedicationRequest] MR where MR.status = 'draft' and MR.intent = 'proposal'\n\tsort by date from (authoredOn as FHIR.dateTime) desc"
},
{
"url" : "displaySequence",
"valueInteger" : 75
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZEncounterElements"
},
{
"url" : "name",
"valueString" : "Draft Medication Request for Patient"
},
{
"url" : "statement",
"valueString" : "/*\n@dataElement: Draft Medication Request for Patient\n*/\ndefine \"Draft Medication Request for Patient\":\n Elements.\"Draft Medication Request for Patient\" MR\n where MR.encounter.references(EncounterId) \n or MR.authoredOn.toInterval() same day or before Today\n \tsort by date from (authoredOn as FHIR.dateTime) desc"
},
{
"url" : "displaySequence",
"valueInteger" : 76
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD5DTDengueEncounterElements"
},
{
"url" : "name",
"valueString" : "Draft Medication Request for Dengue dose"
},
{
"url" : "statement",
"valueString" : "/*\n@internal: Draft Medication Request for Dengue dose\n*/\ndefine \"Draft Medication Request for Dengue dose\":\n Encounter.\"Draft Medication Request for Patient\" MR\n where MR.medication in Concepts.\"Dengue vaccines\""
},
{
"url" : "displaySequence",
"valueInteger" : 77
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD5DTDengueContraindicationsLogic"
},
{
"url" : "name",
"valueString" : "Draft Medication Request ID for Dengue dose"
},
{
"url" : "statement",
"valueString" : "/*\n @dynamicValue: Draft Medication Request ID for Dengue dose\n */\n define \"Draft Medication Request ID for Dengue dose\":\n First(Encounter.\"Draft Medication Request for Dengue dose\").id"
},
{
"url" : "displaySequence",
"valueInteger" : 78
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "WHOCommon"
},
{
"url" : "name",
"valueString" : "complete"
},
{
"url" : "statement",
"valueString" : "define fluent function complete(observations List<Observation>):\n observations O where O.status in { 'final', 'amended', 'corrected' }"
},
{
"url" : "displaySequence",
"valueInteger" : 79
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "FHIRHelpers"
},
{
"url" : "name",
"valueString" : "ToString"
},
{
"url" : "statement",
"valueString" : "define function ToString(value ObservationStatus): value.value"
},
{
"url" : "displaySequence",
"valueInteger" : 80
}
],
"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" : 81
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZCommon"
},
{
"url" : "name",
"valueString" : "encounterOrOnBefore"
},
{
"url" : "statement",
"valueString" : "/**\n * @description: Gets observation from an encounter or on or before a date\n */\ndefine fluent function encounterOrOnBefore(observations List<Observation>, EncounterId String, beforeDate Date):\n observations O where\n (O.encounter.references(EncounterId)\n or O.effective.toInterval() starts same day or before beforeDate)"
},
{
"url" : "displaySequence",
"valueInteger" : 82
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "WHOCommon"
},
{
"url" : "name",
"valueString" : "references"
},
{
"url" : "statement",
"valueString" : "/*\n@description: Returns true if the given reference is to the given resourceId\n@comment: Returns true if the `resourceId` parameter exactly equals the tail of the given reference.\nNOTE: This function assumes resources from the same source server.\n*/\ndefine fluent function references(reference FHIR.Reference, resourceId String):\n resourceId = Last(Split(reference.reference, '/'))"
},
{
"url" : "displaySequence",
"valueInteger" : 83
}
],
"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" : 84
}
],
"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" : 85
}
],
"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" : 86
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "WHOCommon"
},
{
"url" : "name",
"valueString" : "prevalenceInterval"
},
{
"url" : "statement",
"valueString" : "/*\n@description: Returns an interval representing the normalized prevalence period of a given Condition resource.\n@comment: Uses the toInterval and toAbatementInterval functions to determine the widest potential interval from\nonset to abatement as specified in the given Condition.\n*/\ndefine fluent function prevalenceInterval(condition Condition):\nif condition.clinicalStatus ~ \"active\"\n or condition.clinicalStatus ~ \"recurrence\"\n or condition.clinicalStatus ~ \"relapse\" then\n Interval[start of condition.onset.toInterval(), end of condition.abatementInterval()]\nelse\n (end of condition.abatementInterval()) abatementDate\n return \n\t if abatementDate is null then\n Interval[start of condition.onset.toInterval(), abatementDate)\n else\n Interval[start of condition.onset.toInterval(), abatementDate]"
},
{
"url" : "displaySequence",
"valueInteger" : 87
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "WHOCommon"
},
{
"url" : "name",
"valueString" : "abatementInterval"
},
{
"url" : "statement",
"valueString" : "// Was getting error on this for this particular choice set not being found\n\n\n/*\n@description: Returns an interval representing the normalized Abatement of a given Condition resource.\n@comment: NOTE: Due to the complexity of determining an interval from a String, this function will throw\na run-time exception if used with a Condition instance that has a String as the abatement value.\n*/\ndefine fluent function abatementInterval(condition Condition):\n if condition.abatement is FHIR.dateTime then\n Interval[FHIRHelpers.ToDateTime(condition.abatement as FHIR.dateTime), FHIRHelpers.ToDateTime(condition.abatement as FHIR.dateTime)]\n else if condition.abatement is FHIR.Period then\n FHIRHelpers.ToInterval(condition.abatement as FHIR.Period)\n else if condition.abatement is FHIR.string then\n Message(null as Interval<DateTime>, true, 'NOT_IMPLEMENTED', 'Error', 'Calculation of an interval from a String value is not supported')\n else if condition.abatement is FHIR.Age then\n Interval[FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity(condition.abatement as FHIR.Age),\n FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity(condition.abatement as FHIR.Age) + 1 year)\n else if condition.abatement is FHIR.Range then\n Interval[FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity((condition.abatement as FHIR.Range).low),\n FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity((condition.abatement as FHIR.Range).high) + 1 year)\n else if condition.abatement is FHIR.boolean then\n Interval[end of condition.onset.toInterval(), condition.recordedDate)\n else \n null"
},
{
"url" : "displaySequence",
"valueInteger" : 88
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "FHIRHelpers"
},
{
"url" : "name",
"valueString" : "ToDateTime"
},
{
"url" : "statement",
"valueString" : "define function ToDateTime(value dateTime): value.value"
},
{
"url" : "displaySequence",
"valueInteger" : 89
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "FHIRHelpers"
},
{
"url" : "name",
"valueString" : "ToInterval"
},
{
"url" : "statement",
"valueString" : "define function ToInterval(period FHIR.Period):\n if period is null then\n null\n else\n if period.\"start\" is null then\n Interval(period.\"start\".value, period.\"end\".value]\n else\n Interval[period.\"start\".value, period.\"end\".value]"
},
{
"url" : "displaySequence",
"valueInteger" : 90
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "FHIRHelpers"
},
{
"url" : "name",
"valueString" : "ToDate"
},
{
"url" : "statement",
"valueString" : "define function ToDate(value date): value.value"
},
{
"url" : "displaySequence",
"valueInteger" : 91
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "FHIRHelpers"
},
{
"url" : "name",
"valueString" : "ToQuantity"
},
{
"url" : "statement",
"valueString" : "define function ToQuantity(quantity FHIR.Quantity):\n case\n when quantity is null then null\n when quantity.value is null then null\n when quantity.comparator is not null then\n Message(null, true, 'FHIRHelpers.ToQuantity.ComparatorQuantityNotSupported', 'Error', 'FHIR Quantity value has a comparator and cannot be converted to a System.Quantity value.')\n when quantity.system is null or quantity.system.value = 'http://unitsofmeasure.org'\n or quantity.system.value = 'http://hl7.org/fhirpath/CodeSystem/calendar-units' then\n System.Quantity { value: quantity.value.value, unit: ToCalendarUnit(Coalesce(quantity.code.value, quantity.unit.value, '1')) }\n else\n Message(null, true, 'FHIRHelpers.ToQuantity.InvalidFHIRQuantity', 'Error', 'Invalid FHIR Quantity code: ' & quantity.unit.value & ' (' & quantity.system.value & '|' & quantity.code.value & ')')\n end"
},
{
"url" : "displaySequence",
"valueInteger" : 92
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "FHIRHelpers"
},
{
"url" : "name",
"valueString" : "ToCalendarUnit"
},
{
"url" : "statement",
"valueString" : "define function ToCalendarUnit(unit System.String):\n case unit\n when 'ms' then 'millisecond'\n when 's' then 'second'\n when 'min' then 'minute'\n when 'h' then 'hour'\n when 'd' then 'day'\n when 'wk' then 'week'\n when 'mo' then 'month'\n when 'a' then 'year'\n else unit\n end"
},
{
"url" : "displaySequence",
"valueInteger" : 93
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "FHIRHelpers"
},
{
"url" : "name",
"valueString" : "ToString"
},
{
"url" : "statement",
"valueString" : "define function ToString(value MedicationRequestStatus): value.value"
},
{
"url" : "displaySequence",
"valueInteger" : 94
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "FHIRHelpers"
},
{
"url" : "name",
"valueString" : "ToString"
},
{
"url" : "statement",
"valueString" : "define function ToString(value MedicationRequestIntent): value.value"
},
{
"url" : "displaySequence",
"valueInteger" : 95
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "WHOCommon"
},
{
"url" : "name",
"valueString" : "toInterval"
},
{
"url" : "statement",
"valueString" : "/*\nFrom FHIRCommon 4.1.0:\n*/\n\n/*\n@description: Normalizes a value that is a choice of timing-valued types to an equivalent interval\n@comment: Normalizes a choice type of FHIR.dateTime, FHIR.Period, FHIR.Timing, FHIR.instance, FHIR.string, FHIR.Age, or FHIR.Range types\nto an equivalent interval. This selection of choice types is a superset of the majority of choice types that are used as possible\nrepresentations for timing-valued elements in FHIR, allowing this function to be used across any resource.\n\nThe input can be provided as a dateTime, Period, Timing, instant, string, Age, or Range.\nThe intent of this function is to provide a clear and concise mechanism to treat single\nelements that have multiple possible representations as intervals so that logic doesn't have to account\nfor the variability. More complex calculations (such as medication request period or dispense period\ncalculation) need specific guidance and consideration. That guidance may make use of this function, but\nthe focus of this function is on single element calculations where the semantics are unambiguous.\nIf the input is a dateTime, the result a DateTime Interval beginning and ending on that dateTime.\nIf the input is a Period, the result is a DateTime Interval.\nIf the input is a Timing, an error is raised indicating a single interval cannot be computed from a Timing.\nIf the input is an instant, the result is a DateTime Interval beginning and ending on that instant.\nIf the input is a string, an error is raised indicating a single interval cannot be computed from a string.\nIf the input is an Age, the result is a DateTime Interval beginning when the patient was the given Age,\nand ending immediately prior to when the patient was the given Age plus one year.\nIf the input is a Range, the result is a DateTime Interval beginning when the patient was the Age given\nby the low end of the Range, and ending immediately prior to when the patient was the Age given by the\nhigh end of the Range plus one year.\n\nNOTE: Due to the\ncomplexity of determining a single interval from a Timing or String type, this function will throw a run-time exception if it is used\nwith a Timing or String.\n*/\ndefine fluent function toInterval(choice Choice<FHIR.dateTime, FHIR.Period, FHIR.Timing, FHIR.instant, FHIR.string, FHIR.Age, FHIR.Range>):\n case\n when choice is FHIR.dateTime then\n Interval[FHIRHelpers.ToDateTime(choice as FHIR.dateTime), FHIRHelpers.ToDateTime(choice as FHIR.dateTime)]\n when choice is FHIR.Period then\n FHIRHelpers.ToInterval(choice as FHIR.Period)\n when choice is FHIR.instant then\n Interval[FHIRHelpers.ToDateTime(choice as FHIR.instant), FHIRHelpers.ToDateTime(choice as FHIR.instant)]\n when choice is FHIR.Age then\n Interval[FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity(choice as FHIR.Age),\n FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity(choice as FHIR.Age) + 1 year)\n when choice is FHIR.Range then\n Interval[FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity((choice as FHIR.Range).low),\n FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity((choice as FHIR.Range).high) + 1 year)\n when choice is FHIR.Timing then\n Message(null as Interval<DateTime>, true, 'NOT_IMPLEMENTED', 'Error', 'Calculation of an interval from a Timing value is not supported')\n when choice is FHIR.string then\n Message(null as Interval<DateTime>, true, 'NOT_IMPLEMENTED', 'Error', 'Calculation of an interval from a String value is not supported')\n else\n null as Interval<DateTime>\n end"
},
{
"url" : "displaySequence",
"valueInteger" : 96
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "FHIRHelpers"
},
{
"url" : "name",
"valueString" : "ToDateTime"
},
{
"url" : "statement",
"valueString" : "define function ToDateTime(value instant): value.value"
},
{
"url" : "displaySequence",
"valueInteger" : 97
}
],
"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/IMMZD5DTDengueEncounterElements"
},
{
"type" : "depends-on",
"display" : "Library Encounter",
"resource" : "http://smart.who.int/immunizations/Library/IMMZEncounterElements"
},
{
"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 Common",
"resource" : "http://smart.who.int/immunizations/Library/IMMZCommon"
},
{
"type" : "depends-on",
"display" : "Library WC",
"resource" : "http://smart.who.int/immunizations/Library/WHOCommon"
},
{
"type" : "depends-on",
"display" : "Library Elements",
"resource" : "http://smart.who.int/immunizations/Library/IMMZElements"
},
{
"type" : "depends-on",
"display" : "Library WE",
"resource" : "http://smart.who.int/immunizations/Library/WHOEncounterElements"
},
{
"type" : "depends-on",
"display" : "Library Elements",
"resource" : "http://smart.who.int/immunizations/Library/WHOElements"
},
{
"type" : "depends-on",
"display" : "Library Concepts",
"resource" : "http://smart.who.int/immunizations/Library/WHOConcepts"
},
{
"type" : "depends-on",
"display" : "Library Common",
"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" : "Code system IMMZD",
"resource" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D"
},
{
"type" : "depends-on",
"display" : "Code system ConditionClinicalStatusCodes",
"resource" : "http://terminology.hl7.org/CodeSystem/condition-clinical"
},
{
"type" : "depends-on",
"display" : "Code system LOINC",
"resource" : "http://loinc.org"
},
{
"type" : "depends-on",
"display" : "Value set Dengue vaccines",
"resource" : "http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE25"
}
],
"parameter" : [
{
"name" : "EncounterId",
"use" : "in",
"min" : 0,
"max" : "1",
"type" : "string"
},
{
"name" : "Today",
"use" : "in",
"min" : 0,
"max" : "1",
"type" : "date"
},
{
"name" : "AsOf",
"use" : "in",
"min" : 0,
"max" : "1",
"type" : "date"
},
{
"name" : "Guidance",
"use" : "out",
"min" : 0,
"max" : "1",
"type" : "string"
},
{
"name" : "Dengue vaccination is contraindicated",
"use" : "out",
"min" : 0,
"max" : "1",
"type" : "boolean"
},
{
"name" : "Has Guidance",
"use" : "out",
"min" : 0,
"max" : "1",
"type" : "boolean"
},
{
"name" : "Draft Medication Request ID for Dengue dose",
"use" : "out",
"min" : 0,
"max" : "1",
"type" : "id"
}
],
"dataRequirement" : [
{
"type" : "Observation",
"profile" : [
🔗 "http://hl7.org/fhir/StructureDefinition/Observation"
],
"mustSupport" : [
"code"
],
"codeFilter" : [
{
"path" : "code",
"code" : [
{
"system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code" : "DE209",
"display" : "Immunocompromised"
}
]
}
]
},
{
"type" : "Observation",
"profile" : [
🔗 "http://hl7.org/fhir/StructureDefinition/Observation"
],
"mustSupport" : [
"code"
],
"codeFilter" : [
{
"path" : "code",
"code" : [
{
"system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code" : "DE161",
"display" : "Potential contraindications"
}
]
}
]
},
{
"type" : "Observation",
"profile" : [
🔗 "http://hl7.org/fhir/StructureDefinition/Observation"
],
"mustSupport" : [
"code",
"value"
],
"codeFilter" : [
{
"path" : "code",
"code" : [
{
"system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code" : "DE161",
"display" : "Potential contraindications"
}
]
}
]
},
{
"type" : "Condition",
"profile" : [
🔗 "http://hl7.org/fhir/StructureDefinition/Condition"
],
"mustSupport" : [
"code"
],
"codeFilter" : [
{
"path" : "code",
"code" : [
{
"system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code" : "DE163",
"display" : "Immunocompromised"
}
]
}
]
},
{
"type" : "Patient",
"profile" : [
🔗 "http://hl7.org/fhir/StructureDefinition/Patient"
]
},
{
"type" : "Condition",
"profile" : [
🔗 "http://hl7.org/fhir/StructureDefinition/Condition"
],
"mustSupport" : [
"code"
],
"codeFilter" : [
{
"path" : "code",
"code" : [
{
"system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code" : "DE163",
"display" : "Immunocompromised"
}
]
}
]
},
{
"type" : "Observation",
"profile" : [
🔗 "http://hl7.org/fhir/StructureDefinition/Observation"
],
"mustSupport" : [
"code",
"value"
],
"codeFilter" : [
{
"path" : "code",
"code" : [
{
"system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code" : "DE161",
"display" : "Potential contraindications"
}
]
}
]
},
{
"type" : "Condition",
"profile" : [
🔗 "http://hl7.org/fhir/StructureDefinition/Condition"
],
"mustSupport" : [
"code"
],
"codeFilter" : [
{
"path" : "code",
"code" : [
{
"system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code" : "DE200",
"display" : "Severely immunocompromised"
}
]
}
]
},
{
"type" : "Condition",
"profile" : [
🔗 "http://hl7.org/fhir/StructureDefinition/Condition"
],
"mustSupport" : [
"code"
],
"codeFilter" : [
{
"path" : "code",
"code" : [
{
"system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code" : "DE200",
"display" : "Severely immunocompromised"
}
]
}
]
},
{
"type" : "Observation",
"profile" : [
🔗 "http://hl7.org/fhir/StructureDefinition/Observation"
],
"mustSupport" : [
"code",
"value"
],
"codeFilter" : [
{
"path" : "code",
"code" : [
{
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}
]
}
]
},
{
"type" : "Observation",
"profile" : [
🔗 "http://hl7.org/fhir/StructureDefinition/Observation"
],
"mustSupport" : [
"code",
"value",
"encounter",
"effective"
],
"codeFilter" : [
{
"path" : "code",
"code" : [
{
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}
]
}
]
},
{
"type" : "Condition",
"profile" : [
🔗 "http://hl7.org/fhir/StructureDefinition/Condition"
],
"mustSupport" : [
"code"
],
"codeFilter" : [
{
"path" : "code",
"code" : [
{
"system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code" : "DE162",
"display" : "Currently pregnant"
}
]
}
]
},
{
"type" : "Condition",
"profile" : [
🔗 "http://hl7.org/fhir/StructureDefinition/Condition"
],
"mustSupport" : [
"code"
],
"codeFilter" : [
{
"path" : "code",
"code" : [
{
"system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code" : "DE162",
"display" : "Currently pregnant"
}
]
}
]
},
{
"type" : "Observation",
"profile" : [
🔗 "http://hl7.org/fhir/StructureDefinition/Observation"
],
"mustSupport" : [
"code",
"status"
],
"codeFilter" : [
{
"path" : "code",
"code" : [
{
"system" : "http://loinc.org",
"code" : "82810-3",
"display" : "Pregnancy status"
}
]
}
]
},
{
"type" : "Observation",
"profile" : [
🔗 "http://hl7.org/fhir/StructureDefinition/Observation"
],
"mustSupport" : [
"code",
"status",
"value"
],
"codeFilter" : [
{
"path" : "code",
"code" : [
{
"system" : "http://loinc.org",
"code" : "82810-3",
"display" : "Pregnancy status"
}
]
}
]
},
{
"type" : "Observation",
"profile" : [
🔗 "http://hl7.org/fhir/StructureDefinition/Observation"
],
"mustSupport" : [
"code",
"status",
"value",
"encounter",
"effective"
],
"codeFilter" : [
{
"path" : "code",
"code" : [
{
"system" : "http://loinc.org",
"code" : "82810-3",
"display" : "Pregnancy status"
}
]
}
]
},
{
"type" : "Observation",
"profile" : [
🔗 "http://hl7.org/fhir/StructureDefinition/Observation"
],
"mustSupport" : [
"code",
"value"
],
"codeFilter" : [
{
"path" : "code",
"code" : [
{
"system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
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"display" : "Potential contraindications"
}
]
}
]
},
{
"type" : "Condition",
"profile" : [
🔗 "http://hl7.org/fhir/StructureDefinition/Condition"
],
"mustSupport" : [
"code"
],
"codeFilter" : [
{
"path" : "code",
"code" : [
{
"system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
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"display" : "Breastfeeding"
}
]
}
]
},
{
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"profile" : [
🔗 "http://hl7.org/fhir/StructureDefinition/Condition"
],
"mustSupport" : [
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],
"codeFilter" : [
{
"path" : "code",
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}
]
}
]
},
{
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🔗 "http://hl7.org/fhir/StructureDefinition/Observation"
],
"mustSupport" : [
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],
"codeFilter" : [
{
"path" : "code",
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}
]
}
]
},
{
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🔗 "http://hl7.org/fhir/StructureDefinition/Condition"
],
"mustSupport" : [
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],
"codeFilter" : [
{
"path" : "code",
"code" : [
{
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"display" : "Immunodeficiency syndromes"
}
]
}
]
},
{
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🔗 "http://hl7.org/fhir/StructureDefinition/Condition"
],
"mustSupport" : [
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],
"codeFilter" : [
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}
]
}
]
},
{
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🔗 "http://hl7.org/fhir/StructureDefinition/Observation"
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"codeFilter" : [
{
"path" : "code",
"code" : [
{
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}
]
}
]
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🔗 "http://hl7.org/fhir/StructureDefinition/Condition"
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"path" : "code",
"code" : [
{
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}
]
}
]
},
{
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🔗 "http://hl7.org/fhir/StructureDefinition/Condition"
],
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{
"path" : "code",
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}
]
}
]
},
{
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🔗 "http://hl7.org/fhir/StructureDefinition/Observation"
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{
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{
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}
]
}
]
},
{
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🔗 "http://hl7.org/fhir/StructureDefinition/Condition"
],
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"code"
],
"codeFilter" : [
{
"path" : "code",
"code" : [
{
"system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code" : "DE168",
"display" : "Symptomatic HIV infection"
}
]
}
]
},
{
"type" : "Condition",
"profile" : [
🔗 "http://hl7.org/fhir/StructureDefinition/Condition"
],
"mustSupport" : [
"code"
],
"codeFilter" : [
{
"path" : "code",
"code" : [
{
"system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
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"display" : "Symptomatic HIV infection"
}
]
}
]
},
{
"type" : "Observation",
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🔗 "http://hl7.org/fhir/StructureDefinition/Observation"
],
"mustSupport" : [
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"codeFilter" : [
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{
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}
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