IMMZD2DTMalaria
type: PlanDefinition
node role: treeRoot
id:
  v: IMMZD2DTMalaria
meta:
  profile:
    v: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-recommendationdefinition
    l: cpg-recommendationdefinition
  profile:
    v: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareableplandefinition
    l: crmi-shareableplandefinition
  profile:
    v: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-publishableplandefinition
    l: crmi-publishableplandefinition
text:
  status:
    v: extensions
  div:
    v: Id: IMMZD2DTMalaria Url: IMMZ.D2.DT.Malaria Version: 0.2.0 Title: IMMZ.D2.DT.Malaria Status: draft Type: system: http://terminology.hl7.org/CodeSystem/plan-definition-type code: eca-rule Date: 2026-03-29 17:23:09+0000 Publisher: WHO Description: IMMZ.D2.DT.Malaria 4-dose schedule (The RTS,S/AS01 malaria vaccine should be used for the prevention of Plasmodium falciparum malaria in children living in regions with moderate to high malaria transmission, as defined by WHO) Knowledge Capability: computable Related Artifacts: References WHO recommendations for routine immunization - summary tables (January 2025) Libraries: IMMZD2DTMalariaLogic Actions: Determine if the client is due for Malaria.: Determine if the client is due for Malaria vaccine according to the national immunization protocol. 4-dose schedule (The RTS,S/AS01 malaria vaccine should be used for the prevention of Plasmodium falciparum malaria in children living in regions with moderate to high malaria transmission, as defined by WHO) If: Applicability: Client is due for malaria vaccination (Client is due for malaria vaccination) Then: Definition: IMMZD2DTMR Dynamic Values: status: ('draft') intent: ('proposal') medication: (Concept { codes: { Code { system: 'http://smart.who.int/immunizations/CodeSystem/IMMZ.Z', code: 'DE27', display: 'Malaria vaccines' } }, display: 'Malaria vaccines' }) Check for Guidance for the patient regarding IMMZ.D2.DT.Malaria.: Show Guidance for the patient regarding IMMZ.D2.DT.Malaria. If: Applicability: Has Guidance (Has Guidance) Then: Definition: IMMZ.D2.DT.CR Dynamic Values: status: ('active') payload.contentString: (Guidance) category.coding: (Code { system: 'http://terminology.hl7.org/CodeSystem/communication-category', code: 'alert' }) priority: (Code { system: 'http://hl7.org/fhir/request-priority', code: 'routine' })
contained: Library
  id:
    v: effective-data-requirements
  extension:
    extension:
      url:
        v: libraryName
        l: libraryName
      value: String
        v: IMMZEncounterElements
    extension:
      url:
        v: name
        l: name
      value: String
        v: Current Patient Age In Months
    extension:
      url:
        v: statement
        l: statement
      value: String
        v: /** * @dataElement Patient age in months */ define "Current Patient Age In Months": AgeInMonthsAt(Today)
    extension:
      url:
        v: displaySequence
        l: displaySequence
      value: Integer
        v: 0
    url:
      v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
      l: cqf-logicDefinition
  extension:
    extension:
      url:
        v: libraryName
        l: libraryName
      value: String
        v: IMMZD2DTMalariaEncounterElements
    extension:
      url:
        v: name
        l: name
      value: String
        v: Client's age is less than 5 months
    extension:
      url:
        v: statement
        l: statement
      value: String
        v: /* @input: Client's age is less than 5 months @pseudocode: Today's date − "Date of birth" < 5 months @code: Client's age is less than 5 months-41 @decision: IMMZ.D2.DT.Malaria: 4-dose schedule (The RTS,S/AS01 malaria vaccine should be used for the prevention of Plasmodium falciparum malaria in children living in regions with moderate to high malaria transmission, as defined by WHO) */ define "Client's age is less than 5 months": Encounter."Current Patient Age In Months" < 5
    extension:
      url:
        v: displaySequence
        l: displaySequence
      value: Integer
        v: 1
    url:
      v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
      l: cqf-logicDefinition
  extension:
    extension:
      url:
        v: libraryName
        l: libraryName
      value: String
        v: IMMZD2DTMalariaLogic
    extension:
      url:
        v: name
        l: name
      value: String
        v: Client is not due for malaria vaccination Case 1
    extension:
      url:
        v: statement
        l: statement
      value: String
        v: /* @output: Client is not due for malaria vaccination Case 1 @pseudocode: "Immunization recommendation status" = "Not due" */ define "Client is not due for malaria vaccination Case 1": Encounter."Client's age is less than 5 months"
    extension:
      url:
        v: displaySequence
        l: displaySequence
      value: Integer
        v: 2
    url:
      v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
      l: cqf-logicDefinition
  extension:
    extension:
      url:
        v: libraryName
        l: libraryName
      value: String
        v: IMMZElements
    extension:
      url:
        v: name
        l: name
      value: String
        v: Doses Administered to Patient
    extension:
      url:
        v: statement
        l: statement
      value: String
        v: /** * @dataElement All Doses Administered to Patient */ define "Doses Administered to Patient": [Immunization] I where I.status = 'completed' and I.isSubpotent is not true
    extension:
      url:
        v: displaySequence
        l: displaySequence
      value: Integer
        v: 3
    url:
      v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
      l: cqf-logicDefinition
  extension:
    extension:
      url:
        v: libraryName
        l: libraryName
      value: String
        v: IMMZEncounterElements
    extension:
      url:
        v: name
        l: name
      value: String
        v: Doses Administered to Patient
    extension:
      url:
        v: statement
        l: statement
      value: String
        v: /** * @dataElement All Doses Administered to Patient */ define "Doses Administered to Patient": Elements."Doses Administered to Patient" I where I.occurrence.toInterval() same day or before Today
    extension:
      url:
        v: displaySequence
        l: displaySequence
      value: Integer
        v: 4
    url:
      v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
      l: cqf-logicDefinition
  extension:
    extension:
      url:
        v: libraryName
        l: libraryName
      value: String
        v: IMMZD2DTMalariaEncounterElements
    extension:
      url:
        v: name
        l: name
      value: String
        v: Malaria Doses Administered to Patient
    extension:
      url:
        v: statement
        l: statement
      value: String
        v: /* @internal: Malaria containing Doses Administered to Patient */ define "Malaria Doses Administered to Patient": Encounter."Doses Administered to Patient" I where I.vaccineCode in Concepts."Malaria vaccines"
    extension:
      url:
        v: displaySequence
        l: displaySequence
      value: Integer
        v: 5
    url:
      v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
      l: cqf-logicDefinition
  extension:
    extension:
      url:
        v: libraryName
        l: libraryName
      value: String
        v: IMMZD2DTMalariaEncounterElements
    extension:
      url:
        v: name
        l: name
      value: String
        v: Malaria Primary Series Doses Administered to Patient

url:
  v: statement
  l: statement
value: String
  v: /* @internal: Malaria containing Doses Administered to Patient that are in the Primary series */ define "Malaria Primary Series Doses Administered to Patient": "Malaria Doses Administered to Patient".seriesPrimary()

url:
  v: displaySequence
  l: displaySequence
value: Integer
  v: 6

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTMalariaEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: Number of Malaria Primary Series Doses Administered
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @internal: Number of Malaria Primary Series doses */ define "Number of Malaria Primary Series Doses Administered": Count("Malaria Primary Series Doses Administered to Patient")
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 7
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTMalariaEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: One malaria primary series dose was administered
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @input: One malaria primary series dose was administered @pseudocode: Count of vaccines administered (where "Vaccine type" = "Malaria vaccines" and "Type of dose" = "Primary series") = 1 @code: One malaria primary series dose was administered-116 @decision: IMMZ.D2.DT.Malaria: 4-dose schedule (The RTS,S/AS01 malaria vaccine should be used for the prevention of Plasmodium falciparum malaria in children living in regions with moderate to high malaria transmission, as defined by WHO) */ define "One malaria primary series dose was administered": "Number of Malaria Primary Series Doses Administered" = 1
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 8
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTMalariaEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: Date of Latest Malaria Dose
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @internal: Date of Latest Malaria Dose */ define "Date of Latest Malaria Dose": date from start of "Malaria Doses Administered to Patient".mostRecent().occurrence.toInterval()
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 9
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTMalariaEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: The latest malaria dose was administered less than 4 weeks ago
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @input: The latest malaria dose was administered less than 4 weeks ago @pseudocode: Today's date − "Date and time of vaccination" (where "Vaccine type" = "Malaria vaccines") < 4 weeks @code: The latest malaria dose was administered less than 4 weeks ago-99 @decision: IMMZ.D2.DT.Malaria: 4-dose schedule (The RTS,S/AS01 malaria vaccine should be used for the prevention of Plasmodium falciparum malaria in children living in regions with moderate to high malaria transmission, as defined by WHO) */ define "The latest malaria dose was administered less than 4 weeks ago": "Date of Latest Malaria Dose" is not null and duration in weeks between "Date of Latest Malaria Dose" and Today < 4
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 10
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTMalariaLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: Client is not due for malaria vaccination Case 2
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @output: Client is not due for malaria vaccination Case 2 @pseudocode: "Immunization recommendation status" = "Not due" */ define "Client is not due for malaria vaccination Case 2": Encounter."One malaria primary series dose was administered" and Encounter."The latest malaria dose was administered less than 4 weeks ago"
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 11
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTMalariaEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: Two malaria primary series doses were administered
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @input: Two malaria primary series doses were administered @pseudocode: Count of vaccines administered (where "Vaccine type" = "Malaria vaccines" and "Type of dose" = "Primary series") = 2 @code: Two malaria primary series doses were administered-116 @decision: IMMZ.D2.DT.Malaria: 4-dose schedule (The RTS,S/AS01 malaria vaccine should be used for the prevention of Plasmodium falciparum malaria in children living in regions with moderate to high malaria transmission, as defined by WHO) */ define "Two malaria primary series doses were administered": "Number of Malaria Primary Series Doses Administered" = 2
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 12
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTMalariaLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: Client is not due for malaria vaccination Case 3
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @output: Client is not due for malaria vaccination Case 3 @pseudocode: "Immunization recommendation status" = "Not due" */ define "Client is not due for malaria vaccination Case 3": Encounter."Two malaria primary series doses were administered" and Encounter."The latest malaria dose was administered less than 4 weeks ago"
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 13
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTMalariaEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: Three malaria primary series doses were administered
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @input: Three malaria primary series doses were administered @pseudocode: Count of vaccines administered (where "Vaccine type" = "Malaria vaccines" and "Type of dose" = "Primary series") = 3 @code: Three malaria primary series doses were administered-116 @decision: IMMZ.D2.DT.Malaria: 4-dose schedule (The RTS,S/AS01 malaria vaccine should be used for the prevention of Plasmodium falciparum malaria in children living in regions with moderate to high malaria transmission, as defined by WHO) */ define "Three malaria primary series doses were administered": "Number of Malaria Primary Series Doses Administered" = 3
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 14
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTMalariaLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: Client is not due for malaria vaccination Case 4
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @output: Client is not due for malaria vaccination Case 4 @pseudocode: "Immunization recommendation status" = "Not due" */ define "Client is not due for malaria vaccination Case 4": Encounter."Three malaria primary series doses were administered" and Encounter."The latest malaria dose was administered less than 4 weeks ago"
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 15
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTMalariaLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: Client is not due for malaria vaccination
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @output: Client is not due for malaria vaccination @pseudocode: "Immunization recommendation status" = "Not due" */ define "Client is not due for malaria vaccination": "Client is not due for malaria vaccination Case 1" or "Client is not due for malaria vaccination Case 2" or "Client is not due for malaria vaccination Case 3" or "Client is not due for malaria vaccination Case 4"
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 16
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTMalariaLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: Client is not due for malaria vaccination Guidance
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @output: Client is not due for malaria vaccination Guidance @guidance = Should not vaccinate client with first malaria dose as client's age is less than 5 months. Check for any other vaccines due and inform the caregiver of when to come back for first dose. @guidance = Should not vaccinate client with second malaria dose as the latest malaria dose was administered less than 4 weeks ago. Check for any other vaccines due and inform the caregiver of when to come back for the second dose. @guidance = Should not vaccinate client with third malaria dose as the latest malaria dose was administered less than 4 weeks ago. Check for any other vaccines due and inform the caregiver of when to come back for the third dose. @guidance = Should not vaccinate client with fourth malaria dose as the latest malaria dose was administered less than 4 weeks ago. Check for any other vaccines due and inform the caregiver of when to come back for the fourth dose. */ define "Client is not due for malaria vaccination Guidance": case when "Client is not due for malaria vaccination Case 1" then 'Should not vaccinate client with first malaria dose as client\'s age is less than 5 months. Check for any other vaccines due and inform the caregiver of when to come back for first dose.' when "Client is not due for malaria vaccination Case 2" then 'Should not vaccinate client with second malaria dose as the latest malaria dose was administered less than 4 weeks ago. Check for any other vaccines due and inform the caregiver of when to come back for the second dose.' when "Client is not due for malaria vaccination Case 3" then 'Should not vaccinate client with third malaria dose as the latest malaria dose was administered less than 4 weeks ago. Check for any other vaccines due and inform the caregiver of when to come back for the third dose.' when "Client is not due for malaria vaccination Case 4" then 'Should not vaccinate client with fourth malaria dose as the latest malaria dose was administered les…
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 17
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTMalariaEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: No malaria primary series doses were administered
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @input: No malaria primary series doses were administered @pseudocode: Count of vaccines administered (where "Vaccine type" = "Malaria vaccines" and "Type of dose" = "Primary series") = 0 @code: No malaria primary series doses were administered-116 @decision: IMMZ.D2.DT.Malaria: 4-dose schedule (The RTS,S/AS01 malaria vaccine should be used for the prevention of Plasmodium falciparum malaria in children living in regions with moderate to high malaria transmission, as defined by WHO) */ define "No malaria primary series doses were administered": "Number of Malaria Primary Series Doses Administered" = 0
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 18
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTMalariaEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: Client's age is more than or equal to 5 months
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @input: Client's age is more than or equal to 5 months @pseudocode: Today's date − "Date of birth" ≥ 5 months @code: Client's age is more than or equal to 5 months-41 @decision: IMMZ.D2.DT.Malaria: 4-dose schedule (The RTS,S/AS01 malaria vaccine should be used for the prevention of Plasmodium falciparum malaria in children living in regions with moderate to high malaria transmission, as defined by WHO) */ define "Client's age is more than or equal to 5 months": Encounter."Current Patient Age In Months" >= 5
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 19
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTMalariaLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: Client is due for malaria vaccination Case 1
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @output: Client is due for malaria vaccination Case 1 @pseudocode: "Immunization recommendation status" = "Due" */ define "Client is due for malaria vaccination Case 1": Encounter."No malaria primary series doses were administered" and Encounter."Client's age is more than or equal to 5 months"
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 20
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTMalariaEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: The latest malaria dose was administered more than 4 weeks ago
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @input: The latest malaria dose was administered more than 4 weeks ago @pseudocode: Today's date − latest "Date and time of vaccination" (where "Vaccine type" = "Malaria vaccines") ≥ 4 weeks @code: The latest malaria dose was administered more than 4 weeks ago-106 @decision: IMMZ.D2.DT.Malaria: 4-dose schedule (The RTS,S/AS01 malaria vaccine should be used for the prevention of Plasmodium falciparum malaria in children living in regions with moderate to high malaria transmission, as defined by WHO) */ define "The latest malaria dose was administered more than 4 weeks ago": not "The latest malaria dose was administered less than 4 weeks ago"
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 21
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTMalariaLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: Client is due for malaria vaccination Case 2
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @output: Client is due for malaria vaccination Case 2 @pseudocode: "Immunization recommendation status" = "Due" */ define "Client is due for malaria vaccination Case 2": Encounter."One malaria primary series dose was administered" and Encounter."The latest malaria dose was administered more than 4 weeks ago"
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 22
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTMalariaLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: Client is due for malaria vaccination Case 3
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @output: Client is due for malaria vaccination Case 3 @pseudocode: "Immunization recommendation status" = "Due" */ define "Client is due for malaria vaccination Case 3": Encounter."Two malaria primary series doses were administered" and Encounter."The latest malaria dose was administered more than 4 weeks ago"
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 23
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTMalariaLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: Client is due for malaria vaccination Case 4
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @output: Client is due for malaria vaccination Case 4 @pseudocode: "Immunization recommendation status" = "Due" */ define "Client is due for malaria vaccination Case 4": Encounter."Three malaria primary series doses were administered" and Encounter."The latest malaria dose was administered more than 4 weeks ago"
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 24
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTMalariaLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: Client is due for malaria vaccination
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @output: Client is due for malaria vaccination @pseudocode: "Immunization recommendation status" = "Due" */ define "Client is due for malaria vaccination": "Client is due for malaria vaccination Case 1" or "Client is due for malaria vaccination Case 2" or "Client is due for malaria vaccination Case 3" or "Client is due for malaria vaccination Case 4"
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 25
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTMalariaLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: Client is due for malaria vaccination Guidance
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @output: Client is due for malaria vaccination Guidance @guidance = Should vaccinate client with first malaria dose as no malaria doses were administered and client is within appropriate age range. Check for contraindications. @guidance = Should vaccinate client with second malaria dose as the latest malaria dose was administered more than 4 weeks ago. Check for contraindications. @guidance = Should vaccinate client with third malaria dose as the latest malaria dose was administered more than 4 weeks ago. Check for contraindications. @guidance = Should vaccinate client with fourth malaria dose as the latest malaria dose was administered more than 4 weeks ago. Check for contraindications. */ define "Client is due for malaria vaccination Guidance": case when "Client is due for malaria vaccination Case 1" then 'Should vaccinate client with first malaria dose as no malaria doses were administered and client is within appropriate age range. Check for contraindications.' when "Client is due for malaria vaccination Case 2" then 'Should vaccinate client with second malaria dose as the latest malaria dose was administered more than 4 weeks ago. Check for contraindications.' when "Client is due for malaria vaccination Case 3" then 'Should vaccinate client with third malaria dose as the latest malaria dose was administered more than 4 weeks ago. Check for contraindications.' when "Client is due for malaria vaccination Case 4" then 'Should vaccinate client with fourth malaria dose as the latest malaria dose was administered more than 4 weeks ago. Check for contraindications.' else '' end
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 26
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTMalariaEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: Four malaria primary series doses were administered
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @input: Four malaria primary series doses were administered @pseudocode: Count of vaccines administered (where "Vaccine type" = "Malaria vaccines" and "Type of dose" = "Primary series") = 4 @code: Four malaria primary series doses were administered-116 @decision: IMMZ.D2.DT.Malaria: 4-dose schedule (The RTS,S/AS01 malaria vaccine should be used for the prevention of Plasmodium falciparum malaria in children living in regions with moderate to high malaria transmission, as defined by WHO) */ define "Four malaria primary series doses were administered": "Number of Malaria Primary Series Doses Administered" = 4
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 27
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTMalariaLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: Malaria immunization schedule is complete
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @output: Malaria immunization schedule is complete @pseudocode: "Immunization recommendation status" = "Complete" "Completed the primary vaccination series" = TRUE (where "Vaccine type" = "Malaria vaccines")" */ define "Malaria immunization schedule is complete": Encounter."Four malaria primary series doses were administered"
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 28
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTMalariaLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: Malaria immunization schedule is complete Guidance
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @output: Malaria immunization schedule is complete Guidance @guidance: Malaria immunization schedule is complete. Four malaria primary series doses were administered. Check for any other vaccines due. */ define "Malaria immunization schedule is complete Guidance": 'Malaria immunization schedule is complete. Four malaria primary series doses were administered. Check for any other vaccines due.'
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 29
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTMalariaLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: Guidance
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @dynamicValue: Guidance */ define "Guidance": case when "Client is not due for malaria vaccination" then "Client is not due for malaria vaccination Guidance" when "Client is due for malaria vaccination" then "Client is due for malaria vaccination Guidance" when "Malaria immunization schedule is complete" then "Malaria immunization schedule is complete Guidance" else '' end
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 30
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTMalariaLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: Has Guidance
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define "Has Guidance": "Guidance" is not null and "Guidance" != ''
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 31
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZCommon
extension:
  url:
    v: name
    l: name
  value: String
    v: seriesPrimary
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /** * @description: Gets the doses from the primary series */ define fluent function seriesPrimary(immunizations List<Immunization>): immunizations I where exists( I.protocolApplied pa where pa.series = 'Primary series' )
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 32
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: FHIRHelpers
extension:
  url:
    v: name
    l: name
  value: String
    v: ToString
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define function ToString(value string): value.value
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 33
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: FHIRHelpers
extension:
  url:
    v: name
    l: name
  value: String
    v: ToString
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define function ToString(value ImmunizationStatus): value.value
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 34
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: FHIRHelpers
extension:
  url:
    v: name
    l: name
  value: String
    v: ToBoolean
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define function ToBoolean(value boolean): value.value
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 35
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: FHIRHelpers
extension:
  url:
    v: name
    l: name
  value: String
    v: ToConcept
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define function ToConcept(concept FHIR.CodeableConcept): if concept is null then null else System.Concept { codes: concept.coding C return ToCode(C), display: concept.text.value }
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 36
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: FHIRHelpers
extension:
  url:
    v: name
    l: name
  value: String
    v: ToCode
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define function ToCode(coding FHIR.Coding): if coding is null then null else System.Code { code: coding.code.value, system: coding.system.value, version: coding.version.value, display: coding.display.value }
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 37
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: WHOCommon
extension:
  url:
    v: name
    l: name
  value: String
    v: mostRecent
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define fluent function mostRecent(immunizations List<Immunization>): Last( immunizations I sort by start of occurrence.toInterval() )
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 38
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

v: EffectiveDataRequirements

v: active

coding:
  system:
    v: http://terminology.hl7.org/CodeSystem/library-type
    l: library-type
  code:
    v: module-definition

type:
  v: depends-on
display:
  v: FHIR model information
resource:
  v: http://fhir.org/guides/cqf/common/Library/FHIR-ModelInfo|4.0.1
  l: http://fhir.org/guides/cqf/common/Library/FHIR-ModelInfo

type:
  v: depends-on
display:
  v: Library Encounter
resource:
  v: http://smart.who.int/immunizations/Library/IMMZD2DTMalariaEncounterElements
  l: IMMZD2DTMalariaEncounterElements

type:
  v: depends-on
display:
  v: Library Encounter
resource:
  v: http://smart.who.int/immunizations/Library/IMMZEncounterElements
  l: IMMZEncounterElements

type:
  v: depends-on
display:
  v: Library Common
resource:
  v: http://smart.who.int/immunizations/Library/IMMZCommon
  l: IMMZCommon

type:
  v: depends-on
display:
  v: Library FHIRHelpers
resource:
  v: http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1
  l: http://fhir.org/guides/cqf/common/Library/FHIRHelpers

type:
  v: depends-on
display:
  v: Library Elements
resource:
  v: http://smart.who.int/immunizations/Library/IMMZElements
  l: IMMZElements

type:
  v: depends-on
display:
  v: Library WC
resource:
  v: http://smart.who.int/immunizations/Library/WHOCommon
  l: WHOCommon

type:
  v: depends-on
display:
  v: Library FHIRHelpers
resource:
  v: http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1
  l: http://fhir.org/guides/cqf/common/Library/FHIRHelpers

type:
  v: depends-on
display:
  v: Library Concepts
resource:
  v: http://smart.who.int/immunizations/Library/IMMZConcepts
  l: IMMZConcepts

type:
  v: depends-on
display:
  v: Library WC
resource:
  v: http://smart.who.int/immunizations/Library/WHOCommon
  l: WHOCommon

type:
  v: depends-on
display:
  v: Value set Malaria vaccines
resource:
  v: http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE27
  l: IMMZ.Z.DE27

name:
  v: Today
use:
  v: in
min:
  v: 0
max:
  v: 1
type:
  v: date

name:
  v: Guidance
use:
  v: out
min:
  v: 0
max:
  v: 1
type:
  v: string

name:
  v: Client is due for malaria vaccination
use:
  v: out
min:
  v: 0
max:
  v: 1
type:
  v: boolean

name:
  v: Has Guidance
use:
  v: out
min:
  v: 0
max:
  v: 1
type:
  v: boolean

type:
  v: Patient
profile:
  v: http://hl7.org/fhir/StructureDefinition/Patient
  l: Patient

type:
  v: Immunization
profile:
  v: http://hl7.org/fhir/StructureDefinition/Immunization
  l: Immunization
must support:
  v: status
must support:
  v: isSubpotent

type:
  v: Immunization
profile:
  v: http://hl7.org/fhir/StructureDefinition/Immunization
  l: Immunization
must support:
  v: status
must support:
  v: isSubpotent
must support:
  v: occurrence

type:
  v: Immunization
profile:
  v: http://hl7.org/fhir/StructureDefinition/Immunization
  l: Immunization
must support:
  v: status
must support:
  v: isSubpotent
must support:
  v: occurrence
must support:
  v: vaccineCode

type:
  v: Immunization
profile:
  v: http://hl7.org/fhir/StructureDefinition/Immunization
  l: Immunization
must support:
  v: status
must support:
  v: isSubpotent
must support:
  v: occurrence
must support:
  v: vaccineCode

type:
  v: Immunization
profile:
  v: http://hl7.org/fhir/StructureDefinition/Immunization
  l: Immunization
must support:
  v: status
must support:
  v: isSubpotent
must support:
  v: occurrence
must support:
  v: vaccineCode

url:
  v: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeCapability
  l: cpg-knowledgeCapability
value: Code
  v: computable

url:
  v: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-effectiveDataRequirements
  l: crmi-effectiveDataRequirements
value: Canonical
  v: #effective-data-requirements
  l: effective-data-requirements

v: 0.2.0

v: IMMZD2DTMalaria

v: IMMZ.D2.DT.Malaria

coding:
  system:
    v: http://terminology.hl7.org/CodeSystem/plan-definition-type
    l: plan-definition-type
  code:
    v: eca-rule

v: draft

v: false

v: 2026-03-29T17:23:09+00:00

v: WHO

name:
  v: WHO
telecom:
  system:
    v: url
  value:
    v: http://who.int

v: IMMZ.D2.DT.Malaria 4-dose schedule (The RTS,S/AS01 malaria vaccine should be used for the prevention of Plasmodium falciparum malaria in children living in regions with moderate to high malaria transmission, as defined by WHO)

type:
  v: citation
citation:
  v: WHO recommendations for routine immunization - summary tables (January 2025)

extension:
  url:
    v: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-rationale
    l: cpg-rationale
  value: Markdown
    v: The vaccine should be administered in a 3-dose primary schedule, with a fourth dose provided approximately 12–18 months after the third dose to prolong the duration of protection. There should be a minimum interval of 4 weeks between doses.
title:
  v: Determine if the client is due for Malaria.
description:
  v: Determine if the client is due for Malaria vaccine according to the national immunization protocol. 4-dose schedule (The RTS,S/AS01 malaria vaccine should be used for the prevention of Plasmodium falciparum malaria in children living in regions with moderate to high malaria transmission, as defined by WHO)
condition:
  kind:
    v: applicability
  expression:
    description:
      v: Client is due for malaria vaccination
    language:
      v: text/cql-identifier
    expression:
      v: Client is due for malaria vaccination
definition: Canonical
  v: http://smart.who.int/immunizations/ActivityDefinition/IMMZD2DTMR
  l: IMMZD2DTMR
dynamic value:
  path:
    v: status
  expression:
    language:
      v: text/cql-expression
    expression:
      v: 'draft'
dynamic value:
  path:
    v: intent
  expression:
    language:
      v: text/cql-expression
    expression:
      v: 'proposal'
dynamic value:
  path:
    v: medication
  expression:
    language:
      v: text/cql-expression
    expression:
      v: Concept { codes: { Code { system: 'http://smart.who.int/immunizations/CodeSystem/IMMZ.Z', code: 'DE27', display: 'Malaria vaccines' } }, display: 'Malaria vaccines' }

title:
  v: Check for Guidance for the patient regarding IMMZ.D2.DT.Malaria.
description:
  v: Show Guidance for the patient regarding IMMZ.D2.DT.Malaria.
condition:
  kind:
    v: applicability
  expression:
    description:
      v: Has Guidance
    language:
      v: text/cql-identifier
    expression:
      v: Has Guidance
definition: Canonical
  v: http://smart.who.int/immunizations/ActivityDefinition/IMMZD2DTCR
  l: IMMZD2DTCR
dynamic value:
  path:
    v: status
  expression:
    language:
      v: text/cql-expression
    expression:
      v: 'active'
dynamic value:
  path:
    v: payload.contentString
  expression:
    language:
      v: text/cql-identifier
    expression:
      v: Guidance
dynamic value:
  path:
    v: category.coding
  expression:
    description:
      v: Category of communication
    language:
      v: text/cql-expression
    expression:
      v: Code { system: 'http://terminology.hl7.org/CodeSystem/communication-category', code: 'alert' }
dynamic value:
  path:
    v: priority
  expression:
    description:
      v: Alert priority
    language:
      v: text/cql-expression
    expression:
      v: Code { system: 'http://hl7.org/fhir/request-priority', code: 'routine' }