<?xml version="1.0" encoding="UTF-8"?>

<PlanDefinition xmlns="http://hl7.org/fhir">
  <id value="IMMZD18SBCG"/>
  <meta>
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    <profile value="http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareableplandefinition"/>
    <profile value="http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-publishableplandefinition"/>
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  <text>
    <status value="extensions"/><div xmlns="http://www.w3.org/1999/xhtml">
<div>
    <table class="grid dict">
        
        <tr>
            <th scope="row"><b>Id: </b></th>
            <td style="padding-left: 4px;">IMMZD18SBCG</td>
        </tr>
        

        
        <tr>
            <th scope="row"><b>Url: </b></th>
            <td style="padding-left: 4px;"><a href="PlanDefinition-IMMZD18SBCG.html">IMMZD18SBCG</a></td>
        </tr>
        

        
        <tr>
            <th scope="row"><b>Version: </b></th>
            <td style="padding-left: 4px;">0.2.0</td>
        </tr>
        

        

        
        <tr>
            <th scope="row"><b>Title: </b></th>
            <td style="padding-left: 4px;">IMMZD18SBCG</td>
        </tr>
        

        

        
        <tr>
            <th scope="row"><b>Status: </b></th>
            <td style="padding-left: 4px;">draft</td>
        </tr>
        

        

        
        <tr>
            <th scope="row"><b>Type: </b></th>
            <td style="padding-left: 4px;">
                
                    
                        
                        <p style="margin-bottom: 5px;">
                            <b>system: </b> <span><a href="http://terminology.hl7.org/6.4.0/CodeSystem-plan-definition-type.html">http://terminology.hl7.org/CodeSystem/plan-definition-type</a></span>
                        </p>
                        
                        
                        <p style="margin-bottom: 5px;">
                            <b>code: </b> <span>eca-rule</span>
                        </p>
                        
                        
                    
                
                
            </td>
        </tr>
        

        

        
        <tr>
            <th scope="row"><b>Date: </b></th>
            <td style="padding-left: 4px;">2025-07-02 07:24:46+0000</td>
        </tr>
        

        
        <tr>
            <th scope="row"><b>Publisher: </b></th>
            <td style="padding-left: 4px;">WHO</td>
        </tr>
        

        
        <tr>
            <th scope="row"><b>Description: </b></th>
            <td style="padding-left: 4px;"><div><p>IMMZ.D18.S.BCG schedule
IMMZ.D18.S.BCG schedule</p>
</div></td>
        </tr>
        

        
        <tr>
            <th scope="row"><b>Knowledge Capability: </b></th>
            <td style="padding-left: 4px;">
                
                computable 
            </td>
        </tr>
        

        

        

        

        

        

        

        

        

        

        
        <tr>
            <th scope="row"><b>Related Artifacts: </b></th>
            <td style="padding-left: 4px;">
                
                
                <p><b>References</b></p>
                <ul>
                    
                    <li><div><p>WHO recommendations for routine immunization - summary tables (January 2025)</p>
</div><br/><a href="null"/></li>
                    
                </ul>
                
                
                
                
                
                
            </td>
        </tr>
        

        
        <tr>
            <th scope="row"><b>Libraries: </b></th>
            <td style="padding-left: 4px;">
                <table class="grid-dict">
                    
                    <tr>
                        <td><a href="Library-IMMZD18SBCGLogic.html">IMMZD18DTBCGLogic</a></td>
                    </tr>
                    
                </table>
            </td>
        </tr>
        

        
        <tr>
            <th scope="row"><b>Actions: </b></th>
            <td style="padding-left: 4px;">
                <table class="grid-dict">
                    
                    <tr>
                        <td>
                            
                            <b> Bacille Calmette–Guérin (BCG) dose 1:</b> Provision of the BCG dose
Trigger event: Child's birth
Trigger date: &quot;Date of birth&quot;
Create condition: BCG dose should be provided if the client has not received any BCG doses and is in a high incidence of tuberculosis (TB) and/or high leprosy burden. It should also be provided after a negative test result for tuberculin skin test (TST) or interferon-gamma release assay (IGRA) tests. The client should also receive vaccination if they are infected with HIV, on antiretroviral therapy (ART) and clinically well and immunologically stable. This dose also applies to neonates born to women with an unknown HIV status, as well as neonates with an unknown HIV status who were born to women infected with HIV.
                            
                            <br/>
                            
                            
                            <b>If:</b>
                            
                            <i>Applicability:</i>
                            
                            Bacille Calmette–Guérin (BCG) dose 1
                            
                            <i>(Bacille Calmette–Guérin (BCG) dose 1)</i>
                            <br/>
                            
                            
                            
                            
                            <b>Then:</b> <i>Definition:</i> <a href="ActivityDefinition-IMMZD2DTCR.html">IMMZ.D2.DT.CR</a><br/>
                            
                            <i>Dynamic Values:</i><br/>
                            
                            status: <i>('active')</i>
                            <br/>
                            
                            payload.contentString: <i>(Bacille Calmette–Guérin (BCG) dose 1 Create)</i>
                            <br/>
                            
                            category.coding: <i>(Code { system: 'http://terminology.hl7.org/CodeSystem/communication-category', code: 'alert' })</i>
                            <br/>
                            
                            priority: <i>(Code { system: 'http://hl7.org/fhir/request-priority', code: 'routine' })</i>
                            <br/>
                            
                            
                            
                            
                        </td>
                    </tr>
                    
                </table>
            </td>
        </tr>
        
    </table>
</div>
</div>
  </text>
  <extension url="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeCapability">
    <valueCode value="computable"/>
  </extension>
  <url value="http://smart.who.int/immunizations/PlanDefinition/IMMZD18SBCG"/>
  <version value="0.2.0"/>
  <name value="IMMZD18SBCG"/>
  <title value="IMMZD18SBCG"/>
  <type>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/plan-definition-type"/>
      <code value="eca-rule"/>
    </coding>
  </type>
  <status value="draft"/>
  <experimental value="false"/>
  <date value="2025-07-02T07:24:46+00:00"/>
  <publisher value="WHO"/>
  <contact>
    <name value="WHO"/>
    <telecom>
      <system value="url"/>
      <value value="http://who.int"/>
    </telecom>
  </contact>
  <description value="IMMZ.D18.S.BCG schedule&#xA;IMMZ.D18.S.BCG schedule"/>
  <relatedArtifact>
    <type value="citation"/>
    <citation value="WHO recommendations for routine immunization - summary tables (January 2025)"/>
  </relatedArtifact>
  <library value="http://smart.who.int/immunizations/Library/IMMZD18SBCGLogic"/>
  <action>
    <title value="Bacille Calmette–Guérin (BCG) dose 1"/>
    <description value="Provision of the BCG dose&#xA;Trigger event: Child's birth&#xA;Trigger date: &quot;Date of birth&quot;&#xA;Create condition: BCG dose should be provided if the client has not received any BCG doses and is in a high incidence of tuberculosis (TB) and/or high leprosy burden. It should also be provided after a negative test result for tuberculin skin test (TST) or interferon-gamma release assay (IGRA) tests. The client should also receive vaccination if they are infected with HIV, on antiretroviral therapy (ART) and clinically well and immunologically stable. This dose also applies to neonates born to women with an unknown HIV status, as well as neonates with an unknown HIV status who were born to women infected with HIV."/>
    <condition>
      <kind value="applicability"/>
      <expression>
        <description value="Bacille Calmette–Guérin (BCG) dose 1"/>
        <language value="text/cql-identifier"/>
        <expression value="Bacille Calmette–Guérin (BCG) dose 1"/>
      </expression>
    </condition>
    <definitionCanonical value="http://smart.who.int/immunizations/ActivityDefinition/IMMZD2DTCR"/>
    <dynamicValue>
      <path value="status"/>
      <expression>
        <language value="text/cql-expression"/>
        <expression value="'active'"/>
      </expression>
    </dynamicValue>
    <dynamicValue>
      <path value="payload.contentString"/>
      <expression>
        <language value="text/cql-identifier"/>
        <expression value="Bacille Calmette–Guérin (BCG) dose 1 Create"/>
      </expression>
    </dynamicValue>
    <dynamicValue>
      <path value="category.coding"/>
      <expression>
        <description value="Category of communication"/>
        <language value="text/cql-expression"/>
        <expression value="Code { system: 'http://terminology.hl7.org/CodeSystem/communication-category', code: 'alert' }"/>
      </expression>
    </dynamicValue>
    <dynamicValue>
      <path value="priority"/>
      <expression>
        <description value="Alert priority"/>
        <language value="text/cql-expression"/>
        <expression value="Code { system: 'http://hl7.org/fhir/request-priority', code: 'routine' }"/>
      </expression>
    </dynamicValue>
  </action>
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