http://smart.who.int/immunizations/PlanDefinition/IMMZD18SDengue3DosesWithPreVaccinationScreening
type: PlanDefinition
node role: treeRoot
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: IMMZD18SDengue3DosesWithPreVaccinationScreening Url: IMMZ.D18.S.Dengue schedule Version: 1.0.0 Title: IMMZ.D18.S.Dengue schedule Status: draft Type: system: http://terminology.hl7.org/CodeSystem/plan-definition-type code: eca-rule Date: 2026-03-31 13:54:17+0000 Publisher: WHO Description: IMMZ.D18.S.Dengue schedule CYD-TDV (Dengvaxia), 3-dose schedule Knowledge Capability: computable Related Artifacts: References WHO recommendations for routine immunization - summary tables (January 2025) Libraries: IMMZD18SDengue3DosesWithPreVaccinationScreeningLogic Actions: Dengue dose 1: Provision of dengue dose 1 Trigger event: No dengue doses from primary series were administered Trigger pseudo: Count of vaccines administered (where "Vaccine type" = "Dengue vaccines" and "Type of dose" = "Primary series") = 0 Trigger date: To be determined by Member States based on vaccination strategy Create condition: Dengue dose 1 should be provided based on vaccination strategy If: Applicability: Dengue dose 1 (Dengue dose 1) Then: Definition: IMMZ.D2.DT.CR Dynamic Values: status: ('active') payload.contentString: (Dengue dose 1 Create) category.coding: (Code { system: 'http://terminology.hl7.org/CodeSystem/communication-category', code: 'alert' }) priority: (Code { system: 'http://hl7.org/fhir/request-priority', code: 'routine' }) Dengue dose 2: Provision of the dengue dose 2 Trigger event: First dengue dose from the primary series was administered Trigger pseudo: Count of vaccines administered (where "Vaccine type" = "Dengue vaccines" and "Type of dose" = "Primary series") = 1 Trigger date: "Date and time of vaccination" (where "Vaccine type" = "Dengue vaccines") Create condition: Dengue dose 2 should be provided if the previous dose was provide more than 6 months ago If: Applicability: Dengue dose 2 (Dengue dose 2) Then: Definition: IMMZ.D2.DT.CR Dynamic Values: status: ('active') payload.contentString: (Dengue dose 2 Create) category.coding: (Code { system: 'http://terminology.hl7.…
contained: Library
  id:
    v: effective-data-requirements
  extension:
    extension:
      url:
        v: libraryName
        l: libraryName
      value: String
    extension:
      url:
        v: name
        l: name
      value: String
        v: Dengue dose 2 Expiration
    extension:
      url:
        v: statement
        l: statement
      value: String
        v: /* @dynamicValue: Dengue dose 2 Expiration @pseudocode: "Date of birth" + 46 years */ define "Dengue dose 2 Expiration": Patient.birthDate + 46 years
    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: 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: 1
    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: 2
    url:
      v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
      l: cqf-logicDefinition
  extension:
    extension:
      url:
        v: libraryName
        l: libraryName
      value: String
        v: IMMZD2DTDengueEncounterElements
    extension:
      url:
        v: name
        l: name
      value: String
        v: Dengue Doses Administered to Patient
    extension:
      url:
        v: statement
        l: statement
      value: String
        v: /* @internal: Dengue containing Doses Administered to Patient */ define "Dengue Doses Administered to Patient": Encounter."Doses Administered to Patient" I where I.vaccineCode in Concepts."Dengue vaccines"
    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: IMMZD2DTDengueEncounterElements
    extension:
      url:
        v: name
        l: name
      value: String
        v: Dengue Primary Series Doses Administered to Patient
    extension:
      url:
        v: statement
        l: statement
      value: String
        v: /* @internal: Dengue containing Doses Administered to Patient that are in the Primary series */ define "Dengue Primary Series Doses Administered to Patient": "Dengue Doses Administered to Patient".seriesPrimary()
    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: IMMZD2DTDengueEncounterElements
    extension:
      url:
        v: name
        l: name
      value: String
        v: Number of Dengue Primary Series Doses Administered
    extension:
      url:
        v: statement
        l: statement
      value: String
        v: /* @internal: Number of Dengue Primary Series doses */ define "Number of Dengue Primary Series Doses Administered": Count("Dengue Primary Series Doses Administered to Patient")
    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: IMMZD2DTDengueEncounterElements
    extension:
      url:
        v: name
        l: name
      value: String
        v: One dengue primary series dose was administered
    extension:
      url:
        v: statement
        l: statement
      value: String

String
v: /* @input: One dengue primary series dose was administered @pseudocode: Count of vaccines administered (where "Vaccine type" = "Dengue vaccines" and "Type of dose" = "Primary series") = 1 @code: One dengue primary series dose was administered-115 @decision: IMMZ.D2.DT.Dengue.3 doses with pre-vaccination screening: CYD-TDV (Dengvaxia), 3-dose schedule with pre-vaccination screening, the recommended strategy where feasible (pre-vaccination screening whereby only those tested seropositive would be vaccinated) @decision: IMMZ.D2.DT.Dengue.3 doses without pre-vaccination screening: CYD-TDV (Dengvaxia), 3-dose schedule without pre-vaccination screening [when pre-vaccination screening is not feasible and in areas with recent documentation of seroprevalence rates of at least 80% by age 9 years] */ define "One dengue primary series dose was administered": "Number of Dengue Primary Series Doses Administered" = 1

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

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
extension:
  url:
    v: name
    l: name
  value: String
    v: First dengue dose from the primary series was administered
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @complete: First dengue dose from the primary series was administered @pseudocode: Count of vaccines administered (where "Vaccine type" = "Dengue vaccines" and "Type of dose" = "Primary series") = 1 */ define "First dengue dose from the primary series was administered": Encounter."One dengue primary series dose was administered"
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: IMMZD2DTDengueEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: Two dengue primary series doses were administered
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @input: Two dengue primary series doses were administered @pseudocode: Count of vaccines administered (where "Vaccine type" = "Dengue vaccines" and "Type of dose" = "Primary series") = 2 @code: Two dengue primary series doses were administered-115 @decision: IMMZ.D2.DT.Dengue.3 doses with pre-vaccination screening: CYD-TDV (Dengvaxia), 3-dose schedule with pre-vaccination screening, the recommended strategy where feasible (pre-vaccination screening whereby only those tested seropositive would be vaccinated) @decision: IMMZ.D2.DT.Dengue.3 doses without pre-vaccination screening: CYD-TDV (Dengvaxia), 3-dose schedule without pre-vaccination screening [when pre-vaccination screening is not feasible and in areas with recent documentation of seroprevalence rates of at least 80% by age 9 years] */ define "Two dengue primary series doses were administered": "Number of Dengue Primary Series Doses Administered" = 2
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
extension:
  url:
    v: name
    l: name
  value: String
    v: Second dengue dose from the primary series was administered
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @complete: Second dengue dose from the primary series was administered @pseudocode: Count of vaccines administered (where "Vaccine type" = "Dengue vaccines" and "Type of dose" = "Primary series") = 2 */ define "Second dengue dose from the primary series was administered": Encounter."Two dengue primary series doses were administered"
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
extension:
  url:
    v: name
    l: name
  value: String
    v: Dengue dose 2
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @output: Dengue dose 2 @description: Provision of the dengue dose 2 @trigger: First dengue dose from the primary series was administered @pseudo: Count of vaccines administered (where "Vaccine type" = "Dengue vaccines" and "Type of dose" = "Primary series") = 1 @triggerDate: "Date and time of vaccination" (where "Vaccine type" = "Dengue vaccines") */ define "Dengue dose 2": "Dengue dose 2 Expiration" > Today and "First dengue dose from the primary series was administered" and not "Second dengue dose from the primary series was administered"
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: IMMZD2DTDengueEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: Date of Latest Dengue Dose
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @internal: Date of Latest Dengue Dose */ define "Date of Latest Dengue Dose": date from start of "Dengue Doses Administered to Patient".mostRecent().occurrence.toInterval()
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
extension:
  url:
    v: name
    l: name
  value: String
    v: Dengue dose 2 Due Date
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @dynamicValue: Dengue dose 2 Due Date @pseudocode: "Date and time of vaccination" (where "Vaccine type" = "Dengue vaccines") + 6 months */ define "Dengue dose 2 Due Date": if "Dengue dose 2" then Encounter."Date of Latest Dengue Dose" + 6 months else null
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
extension:
  url:
    v: name
    l: name
  value: String
    v: Dengue dose 2 Create
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @output: Dengue dose 2 Create @create: Dengue dose 2 should be provided if the previous dose was provide more than 6 months ago */ define "Dengue dose 2 Create": if "Dengue dose 2" then 'Dengue dose 2 should be provided if the previous dose was provide more than 6 months ago' + ' Due Date: ' + ToString("Dengue dose 2 Due Date") + ' Expiration: ' + ToString("Dengue dose 2 Expiration") else ''
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: IMMZEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: Current Patient Age In Years
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /** * @dataElement Patient age in years */ define "Current Patient Age In Years": AgeInYearsAt(Today)
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: IMMZD2DTDengueEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: Client's age is more than 45 years
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @input: Client's age is more than 45 years @pseudocode: Today's date − "Date of birth" > 45 years @code: Client's age is more than 45 years-41 @decision: IMMZ.D2.DT.Dengue.3 doses with pre-vaccination screening: CYD-TDV (Dengvaxia), 3-dose schedule with pre-vaccination screening, the recommended strategy where feasible (pre-vaccination screening whereby only those tested seropositive would be vaccinated) @decision: IMMZ.D2.DT.Dengue.3 doses without pre-vaccination screening: CYD-TDV (Dengvaxia), 3-dose schedule without pre-vaccination screening [when pre-vaccination screening is not feasible and in areas with recent documentation of seroprevalence rates of at least 80% by age 9 years] */ define "Client's age is more than 45 years": Encounter."Current Patient Age In Years" > 45
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
extension:
  url:
    v: name
    l: name
  value: String
    v: Dengue dose 1 Expiration
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @dynamicValue: Dengue dose 1 Expiration @pseudocode: "Date of birth" + 46 years */ define "Dengue dose 1 Expiration": Patient.birthDate + 46 years
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: IMMZD2DTDengueEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: No dengue primary series doses were administered
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @input: No dengue primary series doses were administered @pseudocode: Count of vaccines administered (where "Vaccine type" = "Dengue vaccines" and "Type of dose" = "Primary series") = 0 @code: No dengue primary series doses were administered-115 @decision: IMMZ.D2.DT.Dengue.3 doses with pre-vaccination screening: CYD-TDV (Dengvaxia), 3-dose schedule with pre-vaccination screening, the recommended strategy where feasible (pre-vaccination screening whereby only those tested seropositive would be vaccinated) @decision: IMMZ.D2.DT.Dengue.3 doses without pre-vaccination screening: CYD-TDV (Dengvaxia), 3-dose schedule without pre-vaccination screening [when pre-vaccination screening is not feasible and in areas with recent documentation of seroprevalence rates of at least 80% by age 9 years] */ define "No dengue primary series doses were administered": "Number of Dengue Primary Series Doses Administered" = 0
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
extension:
  url:
    v: name
    l: name
  value: String
    v: Dengue dose 1
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @output: Dengue dose 1 @description: Provision of dengue dose 1 @trigger: No dengue doses from primary series were administered @pseudo: Count of vaccines administered (where "Vaccine type" = "Dengue vaccines" and "Type of dose" = "Primary series") = 0 @triggerDate: To be determined by Member States based on vaccination strategy */ define "Dengue dose 1": not Encounter."Client's age is more than 45 years" and "Dengue dose 1 Expiration" > Today and Encounter."No dengue primary series doses were administered" and not "First dengue dose from the primary series was administered"
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: IMMZD2DTDengueEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: Three dengue primary series doses were administered
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @input: Three dengue primary series doses were administered @pseudocode: Count of vaccines administered (where "Vaccine type" = "Dengue vaccines" and "Type of dose" = "Primary series") = 3 @code: Three dengue primary series doses were administered-115 @decision: IMMZ.D2.DT.Dengue.3 doses with pre-vaccination screening: CYD-TDV (Dengvaxia), 3-dose schedule with pre-vaccination screening, the recommended strategy where feasible (pre-vaccination screening whereby only those tested seropositive would be vaccinated) @decision: IMMZ.D2.DT.Dengue.3 doses without pre-vaccination screening: CYD-TDV (Dengvaxia), 3-dose schedule without pre-vaccination screening [when pre-vaccination screening is not feasible and in areas with recent documentation of seroprevalence rates of at least 80% by age 9 years] */ define "Three dengue primary series doses were administered": "Number of Dengue Primary Series Doses Administered" = 3
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
extension:
  url:
    v: name
    l: name
  value: String
    v: Third dengue dose from the primary series was administered. The primary series has been completed
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @complete: Third dengue dose from the primary series was administered. The primary series has been completed @pseudocode: "Completed the primary vaccination series" = TRUE (where "Vaccine type" = "Dengue vaccines")" */ define "Third dengue dose from the primary series was administered. The primary series has been completed": Encounter."Three dengue primary series doses were administered"
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
extension:
  url:
    v: name
    l: name
  value: String
    v: Dengue dose 3
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @output: Dengue dose 3 @description: Provision of dengue dose 3 @trigger: Second dengue dose from the primary series was administered @pseudo: Count of vaccines administered (where "Vaccine type" = "Dengue vaccines" and "Type of dose" = "Primary series") = 2 @triggerDate: "Date and time of vaccination" (where "Vaccine type" = "Dengue vaccines") */ define "Dengue dose 3": "Dengue dose 2 Expiration" > Today and "Second dengue dose from the primary series was administered" and not "Third dengue dose from the primary series was administered. The primary series has been completed"
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
extension:
  url:
    v: name
    l: name
  value: String
    v: Dengue dose 1 Due Date
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @dynamicValue: Dengue dose 1 Due Date @pseudocode: "Date of birth" + 9 years */ define "Dengue dose 1 Due Date": if "Dengue dose 1" then Patient.birthDate + 9 years else null
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
extension:
  url:
    v: name
    l: name
  value: String
    v: Dengue dose 1 Create
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @output: Dengue dose 1 Create @create: Dengue dose 1 should be provided based on vaccination strategy */ define "Dengue dose 1 Create": if "Dengue dose 1" then 'Dengue dose 1 should be provided based on vaccination strategy' + ' Due Date: ' + ToString("Dengue dose 1 Due Date") + ' Expiration: ' + ToString("Dengue dose 1 Expiration") else ''
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
extension:
  url:
    v: name
    l: name
  value: String
    v: Dengue dose 3 Due Date
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @dynamicValue: Dengue dose 3 Due Date @pseudocode: "Date and time of vaccination" (where "Vaccine type" = "Dengue vaccines") + 6 months */ define "Dengue dose 3 Due Date": if "Dengue dose 3" then Encounter."Date of Latest Dengue Dose" + 6 months else null
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
extension:
  url:
    v: name
    l: name
  value: String
    v: Dengue dose 3 Expiration
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @dynamicValue: Dengue dose 3 Expiration @pseudocode: "Date of birth" + 46 years */ define "Dengue dose 3 Expiration": Patient.birthDate + 46 years
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
extension:
  url:
    v: name
    l: name
  value: String
    v: Dengue dose 3 Create
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @output: Dengue dose 3 Create @create: Dengue dose 3 should be provided if the previous dose was provide more than 6 months ago */ define "Dengue dose 3 Create": if "Dengue dose 3" then 'Dengue dose 3 should be provided if the previous dose was provide more than 6 months ago' + ' Due Date: ' + ToString("Dengue dose 3 Due Date") + ' Expiration: ' + ToString("Dengue dose 3 Expiration") else ''
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: FHIRHelpers
extension:
  url:
    v: name
    l: name
  value: String
    v: ToDate
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define function ToDate(value date): value.value
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: 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: 28
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: 29
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: 30
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: 31
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: toInterval
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* From FHIRCommon 4.1.0: */ /* @description: Normalizes a value that is a choice of timing-valued types to an equivalent interval @comment: Normalizes a choice type of FHIR.dateTime, FHIR.Period, FHIR.Timing, FHIR.instance, FHIR.string, FHIR.Age, or FHIR.Range types to an equivalent interval. This selection of choice types is a superset of the majority of choice types that are used as possible representations for timing-valued elements in FHIR, allowing this function to be used across any resource. The input can be provided as a dateTime, Period, Timing, instant, string, Age, or Range. The intent of this function is to provide a clear and concise mechanism to treat single elements that have multiple possible representations as intervals so that logic doesn't have to account for the variability. More complex calculations (such as medication request period or dispense period calculation) need specific guidance and consideration. That guidance may make use of this function, but the focus of this function is on single element calculations where the semantics are unambiguous. If the input is a dateTime, the result a DateTime Interval beginning and ending on that dateTime. If the input is a Period, the result is a DateTime Interval. If the input is a Timing, an error is raised indicating a single interval cannot be computed from a Timing. If the input is an instant, the result is a DateTime Interval beginning and ending on that instant. If the input is a string, an error is raised indicating a single interval cannot be computed from a string. If the input is an Age, the result is a DateTime Interval beginning when the patient was the given Age, and ending immediately prior to when the patient was the given Age plus one year. If the input is a Range, the result is a DateTime Interval beginning when the patient was the Age given by the low end of the Range, and ending immediately prior to when the patient was the Age given by the high end of the Range plus one year. NOTE: …
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: ToDateTime
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define function ToDateTime(value dateTime): 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: ToInterval
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define function ToInterval(period FHIR.Period): if period is null then null else if period."start" is null then Interval(period."start".value, period."end".value] else Interval[period."start".value, period."end".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: ToDateTime
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define function ToDateTime(value instant): 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: ToQuantity
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define function ToQuantity(quantity FHIR.Quantity): case when quantity is null then null when quantity.value is null then null when quantity.comparator is not null then Message(null, true, 'FHIRHelpers.ToQuantity.ComparatorQuantityNotSupported', 'Error', 'FHIR Quantity value has a comparator and cannot be converted to a System.Quantity value.') when quantity.system is null or quantity.system.value = 'http://unitsofmeasure.org' or quantity.system.value = 'http://hl7.org/fhirpath/CodeSystem/calendar-units' then System.Quantity { value: quantity.value.value, unit: ToCalendarUnit(Coalesce(quantity.code.value, quantity.unit.value, '1')) } else Message(null, true, 'FHIRHelpers.ToQuantity.InvalidFHIRQuantity', 'Error', 'Invalid FHIR Quantity code: ' & quantity.unit.value & ' (' & quantity.system.value & '|' & quantity.code.value & ')') end
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: ToCalendarUnit
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define function ToCalendarUnit(unit System.String): case unit when 'ms' then 'millisecond' when 's' then 'second' when 'min' then 'minute' when 'h' then 'hour' when 'd' then 'day' when 'wk' then 'week' when 'mo' then 'month' when 'a' then 'year' else unit end
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: 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: 38
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: 39
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: 40
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 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 Encounter
resource:
  v: http://smart.who.int/immunizations/Library/IMMZD2DTDengueEncounterElements
  l: IMMZD2DTDengueEncounterElements

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 Encounter
resource:
  v: http://smart.who.int/immunizations/Library/IMMZEncounterElements
  l: IMMZEncounterElements

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 Concepts
resource:
  v: http://smart.who.int/immunizations/Library/IMMZConcepts
  l: IMMZConcepts

type:
  v: depends-on
display:
  v: Value set Dengue vaccines
resource:
  v: http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE25
  l: IMMZ.Z.DE25

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

name:
  v: Dengue dose 2 Create
use:
  v: out
min:
  v: 0
max:
  v: 1
type:
  v: string

name:
  v: Dengue dose 1
use:
  v: out
min:
  v: 0
max:
  v: 1
type:
  v: boolean

name:
  v: Dengue dose 2
use:
  v: out
min:
  v: 0
max:
  v: 1
type:
  v: boolean

name:
  v: Dengue dose 3
use:
  v: out
min:
  v: 0
max:
  v: 1
type:
  v: boolean

name:
  v: Dengue dose 1 Create
use:
  v: out
min:
  v: 0
max:
  v: 1
type:
  v: string

name:
  v: Dengue dose 3 Create
use:
  v: out
min:
  v: 0
max:
  v: 1
type:
  v: string

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

type:
  v: Immunization
profile:
  v: http://hl7.org/fhir/StructureDefinition/Immunization
  l: Immunization
must support:
  v: status
must support:
  v: isSubpotent
must support:
  v: protocolApplied
must support:
  v: occurrence
code filter:
  path:
    v: status
  code:
    code:
      v: completed

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

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
must support:
  v: protocolApplied
code filter:
  path:
    v: status
  code:
    code:
      v: completed
code filter:
  path:
    v: vaccineCode
  value set:
    v: http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE25
    l: IMMZ.Z.DE25

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: 1.0.0

v: IMMZ.D18.S.Dengue schedule

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

v: draft

v: false

v: 2026-03-31T13:54:17+00:00

v: WHO

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

v: IMMZ.D18.S.Dengue schedule CYD-TDV (Dengvaxia), 3-dose schedule

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

title:
  v: Dengue dose 1
description:
  v: Provision of dengue dose 1 Trigger event: No dengue doses from primary series were administered Trigger pseudo: Count of vaccines administered (where "Vaccine type" = "Dengue vaccines" and "Type of dose" = "Primary series") = 0 Trigger date: To be determined by Member States based on vaccination strategy Create condition: Dengue dose 1 should be provided based on vaccination strategy
condition:
  kind:
    v: applicability
  expression:
    description:
      v: Dengue dose 1
    language:
      v: text/cql-identifier
    expression:
      v: Dengue dose 1
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: Dengue dose 1 Create
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' }

title:
  v: Dengue dose 2
description:
  v: Provision of the dengue dose 2 Trigger event: First dengue dose from the primary series was administered Trigger pseudo: Count of vaccines administered (where "Vaccine type" = "Dengue vaccines" and "Type of dose" = "Primary series") = 1 Trigger date: "Date and time of vaccination" (where "Vaccine type" = "Dengue vaccines") Create condition: Dengue dose 2 should be provided if the previous dose was provide more than 6 months ago
condition:
  kind:
    v: applicability
  expression:
    description:
      v: Dengue dose 2
    language:
      v: text/cql-identifier
    expression:
      v: Dengue dose 2
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: Dengue dose 2 Create
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' }

title:
  v: Dengue dose 3
description:
  v: Provision of dengue dose 3 Trigger event: Second dengue dose from the primary series was administered Trigger pseudo: Count of vaccines administered (where "Vaccine type" = "Dengue vaccines" and "Type of dose" = "Primary series") = 2 Trigger date: "Date and time of vaccination" (where "Vaccine type" = "Dengue vaccines") Create condition: Dengue dose 3 should be provided if the previous dose was provide more than 6 months ago
condition:
  kind:
    v: applicability
  expression:
    description:
      v: Dengue dose 3
    language:
      v: text/cql-identifier
    expression:
      v: Dengue dose 3
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: Dengue dose 3 Create
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' }