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

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

        
        <tr>
            <th scope="row"><b>Url: </b></th>
            <td style="padding-left: 4px;"><a href="PlanDefinition-IMMZD18SBCG.html">IMMZ.D18.S.BCG schedule</a></td>
        </tr>
        

        
        <tr>
            <th scope="row"><b>Version: </b></th>
            <td style="padding-left: 4px;">1.0.0</td>
        </tr>
        

        

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

        

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

        

        
        <tr>
            <th scope="row"><b>Type: </b></th>
            <td style="padding-left: 4px;">
                
                    
                        
                        <p style="margin-bottom: 5px;">
                            <b>system: </b> <span><a href="http://terminology.hl7.org/7.1.0/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;">2026-03-31 13:54:17+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">IMMZD18SBCGLogic</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 pseudo: 
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>
  <contained>
    <Library>
      <id value="effective-data-requirements"/>
      <extension url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZElements"/>
        </extension>
        <extension url="name">
          <valueString value="Doses Administered to Patient"/>
        </extension>
        <extension url="statement">
          <valueString value="/**&#xA; * @dataElement All Doses Administered to Patient&#xA; */&#xA;define &quot;Doses Administered to Patient&quot;:&#xA;  [Immunization] I&#xA;    where I.status = 'completed'&#xA;    and I.isSubpotent is not true"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="0"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZD2DTBCGElements"/>
        </extension>
        <extension url="name">
          <valueString value="BCG Doses Administered to Patient"/>
        </extension>
        <extension url="statement">
          <valueString value="/*&#xA;@internal: BCG containing Doses Administered to Patient&#xA;*/&#xA;define &quot;BCG Doses Administered to Patient&quot;:&#xA;  Elements.&quot;Doses Administered to Patient&quot; I&#xA;  where&#xA;    I.vaccineCode in Concepts.&quot;BCG vaccines&quot;"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="1"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZD2DTBCGElements"/>
        </extension>
        <extension url="name">
          <valueString value="BCG Primary Series Doses Administered to Patient"/>
        </extension>
        <extension url="statement">
          <valueString value="/*&#xA;@internal: BCG containing Doses Administered to Patient that are in the Primary series&#xA;*/&#xA;define &quot;BCG Primary Series Doses Administered to Patient&quot;:&#xA;  &quot;BCG Doses Administered to Patient&quot;.seriesPrimary()"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="2"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZD2DTBCGEncounterElements"/>
        </extension>
        <extension url="name">
          <valueString value="BCG Primary Series Doses Administered to Patient"/>
        </extension>
        <extension url="statement">
          <valueString value="/*&#xA;@internal: BCG containing Doses Administered to Patient that are in the Primary series&#xA;*/&#xA;define &quot;BCG Primary Series Doses Administered to Patient&quot;:&#xA;  BCGElements.&quot;BCG Primary Series Doses Administered to Patient&quot;.onOrBefore(Today)"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="3"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZD2DTBCGEncounterElements"/>
        </extension>
        <extension url="name">
          <valueString value="Number of BCG Primary Series Doses Administered"/>
        </extension>
        <extension url="statement">
          <valueString value="/*&#xA;@internal: Number of BCG Primary Series doses&#xA;*/&#xA;define &quot;Number of BCG Primary Series Doses Administered&quot;:&#xA;  Count(&quot;BCG Primary Series Doses Administered to Patient&quot;)"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="4"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZD2DTBCGEncounterElements"/>
        </extension>
        <extension url="name">
          <valueString value="One BCG primary series dose was administered"/>
        </extension>
        <extension url="statement">
          <valueString value="/*&#xA;@input: One BCG primary series dose was administered&#xA;@pseudocode: Count of vaccines administered (where &quot;Vaccine type&quot; = &quot;BCG vaccines&quot; and &quot;Type of dose&quot; = &quot;Primary series&quot;) = 1&#xA;@code: One BCG primary series dose was administered-112&#xA;@decision: IMMZ.D2.DT.BCG&#xA;*/&#xA;define &quot;One BCG primary series dose was administered&quot;:&#xA;  &quot;Number of BCG Primary Series Doses Administered&quot; = 1"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="5"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZD18SBCGLogic"/>
        </extension>
        <extension url="name">
          <valueString value="One BCG dose from the primary series was administered. The primary series has been completed"/>
        </extension>
        <extension url="statement">
          <valueString value="/*&#xA;@complete: One BCG dose from the primary series was administered. The primary series has been completed&#xA;@pseudocode: &quot;Completed the primary vaccination series&quot; = TRUE (where &quot;Vaccine type&quot; = &quot;BCG vaccines&quot;)&#xA;*/&#xA;define &quot;One BCG dose from the primary series was administered. The primary series has been completed&quot;:&#xA;  Encounter.&quot;One BCG primary series dose was administered&quot;"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="6"/>
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      </extension>
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        <extension url="libraryName">
          <valueString value="IMMZD18SBCGLogic"/>
        </extension>
        <extension url="name">
          <valueString value="Bacille Calmette–Guérin (BCG) dose 1"/>
        </extension>
        <extension url="statement">
          <valueString value="/*&#xA;@output: Bacille Calmette–Guérin (BCG) dose 1&#xA;@description: Provision of the BCG dose&#xA;@trigger: Child's birth&#xA;@pseudo: &#xA;@triggerDate: &quot;Date of birth&quot;&#xA;*/&#xA;define &quot;Bacille Calmette–Guérin (BCG) dose 1&quot;:&#xA;  not &quot;One BCG dose from the primary series was administered. The primary series has been completed&quot;"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="7"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZD18SBCGLogic"/>
        </extension>
        <extension url="name">
          <valueString value="Bacille Calmette–Guérin (BCG) dose 1 Due Date"/>
        </extension>
        <extension url="statement">
          <valueString value="/*&#xA;@dynamicValue: Bacille Calmette–Guérin (BCG) dose 1 Due Date&#xA;@pseudocode: &quot;Date of birth&quot;&#xA;*/&#xA;define &quot;Bacille Calmette–Guérin (BCG) dose 1 Due Date&quot;:&#xA;  Patient.birthDate"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="8"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZD18SBCGLogic"/>
        </extension>
        <extension url="name">
          <valueString value="Bacille Calmette–Guérin (BCG) dose 1 Create"/>
        </extension>
        <extension url="statement">
          <valueString value="/*&#xA;@output: Bacille Calmette–Guérin (BCG) dose 1 Create&#xA;@create: 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.&#xA;*/&#xA;define &quot;Bacille Calmette–Guérin (BCG) dose 1 Create&quot;:&#xA;  if &quot;Bacille Calmette–Guérin (BCG) dose 1&quot;&#xA;  then '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.' + '&#xA;Due Date: ' + ToString(&quot;Bacille Calmette–Guérin (BCG) dose 1 Due Date&quot;)&#xA;  else ''"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="9"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZCommon"/>
        </extension>
        <extension url="name">
          <valueString value="onOrBefore"/>
        </extension>
        <extension url="statement">
          <valueString value="/**&#xA; * @description: Gets immunizations on or before a date&#xA; */&#xA;define fluent function onOrBefore(immunizations List&lt;Immunization&gt;, beforeDate Date):&#xA;  immunizations I where&#xA;    I.occurrence.toInterval() same day or before beforeDate"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="10"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="WHOCommon"/>
        </extension>
        <extension url="name">
          <valueString value="toInterval"/>
        </extension>
        <extension url="statement">
          <valueString value="/*&#xA;From FHIRCommon 4.1.0:&#xA;*/&#xA;&#xA;/*&#xA;@description: Normalizes a value that is a choice of timing-valued types to an equivalent interval&#xA;@comment: Normalizes a choice type of FHIR.dateTime, FHIR.Period, FHIR.Timing, FHIR.instance, FHIR.string, FHIR.Age, or FHIR.Range types&#xA;to an equivalent interval. This selection of choice types is a superset of the majority of choice types that are used as possible&#xA;representations for timing-valued elements in FHIR, allowing this function to be used across any resource.&#xA;&#xA;The input can be provided as a dateTime, Period, Timing, instant, string, Age, or Range.&#xA;The intent of this function is to provide a clear and concise mechanism to treat single&#xA;elements that have multiple possible representations as intervals so that logic doesn't have to account&#xA;for the variability. More complex calculations (such as medication request period or dispense period&#xA;calculation) need specific guidance and consideration. That guidance may make use of this function, but&#xA;the focus of this function is on single element calculations where the semantics are unambiguous.&#xA;If the input is a dateTime, the result a DateTime Interval beginning and ending on that dateTime.&#xA;If the input is a Period, the result is a DateTime Interval.&#xA;If the input is a Timing, an error is raised indicating a single interval cannot be computed from a Timing.&#xA;If the input is an instant, the result is a DateTime Interval beginning and ending on that instant.&#xA;If the input is a string, an error is raised indicating a single interval cannot be computed from a string.&#xA;If the input is an Age, the result is a DateTime Interval beginning when the patient was the given Age,&#xA;and ending immediately prior to when the patient was the given Age plus one year.&#xA;If the input is a Range, the result is a DateTime Interval beginning when the patient was the Age given&#xA;by the low end of the Range, and ending immediately prior to when the patient was the Age given by the&#xA;high end of the Range plus one year.&#xA;&#xA;NOTE: Due to the&#xA;complexity of determining a single interval from a Timing or String type, this function will throw a run-time exception if it is used&#xA;with a Timing or String.&#xA;*/&#xA;define fluent function toInterval(choice Choice&lt;FHIR.dateTime, FHIR.Period, FHIR.Timing, FHIR.instant, FHIR.string, FHIR.Age, FHIR.Range&gt;):&#xA;  case&#xA;    when choice is FHIR.dateTime then&#xA;      Interval[FHIRHelpers.ToDateTime(choice as FHIR.dateTime), FHIRHelpers.ToDateTime(choice as FHIR.dateTime)]&#xA;    when choice is FHIR.Period then&#xA;      FHIRHelpers.ToInterval(choice as FHIR.Period)&#xA;    when choice is FHIR.instant then&#xA;      Interval[FHIRHelpers.ToDateTime(choice as FHIR.instant), FHIRHelpers.ToDateTime(choice as FHIR.instant)]&#xA;    when choice is FHIR.Age then&#xA;      Interval[FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity(choice as FHIR.Age),&#xA;        FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity(choice as FHIR.Age) + 1 year)&#xA;    when choice is FHIR.Range then&#xA;      Interval[FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity((choice as FHIR.Range).low),&#xA;        FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity((choice as FHIR.Range).high) + 1 year)&#xA;    when choice is FHIR.Timing then&#xA;      Message(null as Interval&lt;DateTime&gt;, true, 'NOT_IMPLEMENTED', 'Error', 'Calculation of an interval from a Timing value is not supported')&#xA;    when choice is FHIR.string then&#xA;      Message(null as Interval&lt;DateTime&gt;, true, 'NOT_IMPLEMENTED', 'Error', 'Calculation of an interval from a String value is not supported')&#xA;    else&#xA;      null as Interval&lt;DateTime&gt;&#xA;  end"/>
        </extension>
        <extension url="displaySequence">
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        <extension url="statement">
          <valueString value="define function ToDateTime(value dateTime): value.value"/>
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        <extension url="displaySequence">
          <valueInteger value="12"/>
        </extension>
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      <extension url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="FHIRHelpers"/>
        </extension>
        <extension url="name">
          <valueString value="ToInterval"/>
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        <extension url="statement">
          <valueString value="define function ToInterval(period FHIR.Period):&#xA;    if period is null then&#xA;        null&#xA;    else&#xA;        if period.&quot;start&quot; is null then&#xA;            Interval(period.&quot;start&quot;.value, period.&quot;end&quot;.value]&#xA;        else&#xA;            Interval[period.&quot;start&quot;.value, period.&quot;end&quot;.value]"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="13"/>
        </extension>
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      <extension url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="FHIRHelpers"/>
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        <extension url="name">
          <valueString value="ToDateTime"/>
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        <extension url="statement">
          <valueString value="define function ToDateTime(value instant): value.value"/>
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        <extension url="displaySequence">
          <valueInteger value="14"/>
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      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="FHIRHelpers"/>
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          <valueString value="ToDate"/>
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          <valueInteger value="15"/>
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      <extension url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="FHIRHelpers"/>
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        <extension url="name">
          <valueString value="ToQuantity"/>
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        <extension url="statement">
          <valueString value="define function ToQuantity(quantity FHIR.Quantity):&#xA;    case&#xA;        when quantity is null then null&#xA;        when quantity.value is null then null&#xA;        when quantity.comparator is not null then&#xA;            Message(null, true, 'FHIRHelpers.ToQuantity.ComparatorQuantityNotSupported', 'Error', 'FHIR Quantity value has a comparator and cannot be converted to a System.Quantity value.')&#xA;        when quantity.system is null or quantity.system.value = 'http://unitsofmeasure.org'&#xA;              or quantity.system.value = 'http://hl7.org/fhirpath/CodeSystem/calendar-units' then&#xA;            System.Quantity { value: quantity.value.value, unit: ToCalendarUnit(Coalesce(quantity.code.value, quantity.unit.value, '1')) }&#xA;        else&#xA;            Message(null, true, 'FHIRHelpers.ToQuantity.InvalidFHIRQuantity', 'Error', 'Invalid FHIR Quantity code: ' &amp; quantity.unit.value &amp; ' (' &amp; quantity.system.value &amp; '|' &amp; quantity.code.value &amp; ')')&#xA;    end"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="16"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="FHIRHelpers"/>
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        <extension url="name">
          <valueString value="ToCalendarUnit"/>
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        <extension url="statement">
          <valueString value="define function ToCalendarUnit(unit System.String):&#xA;    case unit&#xA;        when 'ms' then 'millisecond'&#xA;        when 's' then 'second'&#xA;        when 'min' then 'minute'&#xA;        when 'h' then 'hour'&#xA;        when 'd' then 'day'&#xA;        when 'wk' then 'week'&#xA;        when 'mo' then 'month'&#xA;        when 'a' then 'year'&#xA;        else unit&#xA;    end"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="17"/>
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      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZCommon"/>
        </extension>
        <extension url="name">
          <valueString value="seriesPrimary"/>
        </extension>
        <extension url="statement">
          <valueString value="/**&#xA; * @description: Gets the doses from the primary series&#xA; */&#xA;define fluent function seriesPrimary(immunizations List&lt;Immunization&gt;):&#xA;  immunizations I where&#xA;    exists( I.protocolApplied pa where pa.series = 'Primary series' )"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="18"/>
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      <extension url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="FHIRHelpers"/>
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        <extension url="name">
          <valueString value="ToString"/>
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          <valueString value="define function ToString(value string): value.value"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="19"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="FHIRHelpers"/>
        </extension>
        <extension url="name">
          <valueString value="ToString"/>
        </extension>
        <extension url="statement">
          <valueString value="define function ToString(value ImmunizationStatus): value.value"/>
        </extension>
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          <valueInteger value="20"/>
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      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="FHIRHelpers"/>
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        <extension url="name">
          <valueString value="ToBoolean"/>
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        <extension url="statement">
          <valueString value="define function ToBoolean(value boolean): value.value"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="21"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="FHIRHelpers"/>
        </extension>
        <extension url="name">
          <valueString value="ToConcept"/>
        </extension>
        <extension url="statement">
          <valueString value="define function ToConcept(concept FHIR.CodeableConcept):&#xA;    if concept is null then&#xA;        null&#xA;    else&#xA;        System.Concept {&#xA;            codes: concept.coding C return ToCode(C),&#xA;            display: concept.text.value&#xA;        }"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="22"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="FHIRHelpers"/>
        </extension>
        <extension url="name">
          <valueString value="ToCode"/>
        </extension>
        <extension url="statement">
          <valueString value="define function ToCode(coding FHIR.Coding):&#xA;    if coding is null then&#xA;        null&#xA;    else&#xA;        System.Code {&#xA;          code: coding.code.value,&#xA;          system: coding.system.value,&#xA;          version: coding.version.value,&#xA;          display: coding.display.value&#xA;        }"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="23"/>
        </extension>
      </extension>
      <name value="EffectiveDataRequirements"/>
      <status value="active"/>
      <type>
        <coding>
          <system value="http://terminology.hl7.org/CodeSystem/library-type"/>
          <code value="module-definition"/>
        </coding>
      </type>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="FHIR model information"/>
        <resource value="http://fhir.org/guides/cqf/common/Library/FHIR-ModelInfo|4.0.1"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Library Encounter"/>
        <resource value="http://smart.who.int/immunizations/Library/IMMZD2DTBCGEncounterElements"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Library Common"/>
        <resource value="http://smart.who.int/immunizations/Library/IMMZCommon"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Library WC"/>
        <resource value="http://smart.who.int/immunizations/Library/WHOCommon"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Library FHIRHelpers"/>
        <resource value="http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Library BCGElements"/>
        <resource value="http://smart.who.int/immunizations/Library/IMMZD2DTBCGElements"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Library Elements"/>
        <resource value="http://smart.who.int/immunizations/Library/IMMZElements"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Library Concepts"/>
        <resource value="http://smart.who.int/immunizations/Library/IMMZConcepts"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Value set BCG vaccines"/>
        <resource value="http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE1"/>
      </relatedArtifact>
      <parameter>
        <name value="Today"/>
        <use value="in"/>
        <min value="0"/>
        <max value="1"/>
        <type value="date"/>
      </parameter>
      <parameter>
        <name value="Bacille Calmette–Guérin (BCG) dose 1"/>
        <use value="out"/>
        <min value="0"/>
        <max value="1"/>
        <type value="boolean"/>
      </parameter>
      <parameter>
        <name value="Bacille Calmette–Guérin (BCG) dose 1 Create"/>
        <use value="out"/>
        <min value="0"/>
        <max value="1"/>
        <type value="string"/>
      </parameter>
      <dataRequirement>
        <type value="Patient"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Patient"/>
        <mustSupport value="birthDate"/>
      </dataRequirement>
      <dataRequirement>
        <type value="Immunization"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Immunization"/>
        <mustSupport value="status"/>
        <mustSupport value="isSubpotent"/>
        <mustSupport value="occurrence"/>
        <mustSupport value="protocolApplied"/>
        <codeFilter>
          <path value="status"/>
          <code>
            <code value="completed"/>
          </code>
        </codeFilter>
      </dataRequirement>
      <dataRequirement>
        <type value="Immunization"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Immunization"/>
        <mustSupport value="status"/>
        <mustSupport value="isSubpotent"/>
        <mustSupport value="vaccineCode"/>
        <mustSupport value="occurrence"/>
        <mustSupport value="protocolApplied"/>
        <codeFilter>
          <path value="status"/>
          <code>
            <code value="completed"/>
          </code>
        </codeFilter>
        <codeFilter>
          <path value="vaccineCode"/>
          <valueSet value="http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE1"/>
        </codeFilter>
      </dataRequirement>
    </Library>
  </contained>
  <extension url="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeCapability">
    <valueCode value="computable"/>
  </extension>
  <extension url="http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-effectiveDataRequirements">
    <valueCanonical value="#effective-data-requirements"/>
  </extension>
  <url value="http://smart.who.int/immunizations/PlanDefinition/IMMZD18SBCG"/>
  <version value="1.0.0"/>
  <name value="IMMZD18SBCG"/>
  <title value="IMMZ.D18.S.BCG schedule"/>
  <type>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/plan-definition-type"/>
      <code value="eca-rule"/>
    </coding>
  </type>
  <status value="draft"/>
  <experimental value="false"/>
  <date value="2026-03-31T13:54:17+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 pseudo: &#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>
</PlanDefinition>