IMMZD18SHPVSingleDose
type: PlanDefinition
node role: treeRoot
id:
  v: IMMZD18SHPVSingleDose
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: IMMZD18SHPVSingleDose Url: IMMZ.D18.S.Single-dose schedule Version: 1.0.0 Title: IMMZ.D18.S.Single-dose 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.Single-dose schedule Alternative single-dose schedule Knowledge Capability: computable Related Artifacts: References WHO recommendations for routine immunization - summary tables (January 2025) Libraries: IMMZD18SHPVSingleDoseLogic Actions: Human papillomavirus (HPV) dose 1: Provision of the HPV dose 1 Trigger event: Child's birth Trigger pseudo: Trigger date: "Date of birth" Create condition: HPV dose 1 should be provided if the client is older than 9 years of age. If: Applicability: Human papillomavirus (HPV) dose 1 (Human papillomavirus (HPV) dose 1) Then: Definition: IMMZ.D2.DT.CR Dynamic Values: status: ('active') payload.contentString: (Human papillomavirus (HPV) 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' }) HPV dose 2 (Immunocompromised or HIV-positive): Provision of the HPV dose 2 for individuals immunocompromised or infected with HIV Trigger event: First HPV dose from the primary series was administered and client's HIV status is positive or client is immunocompromised Trigger pseudo: Count of vaccines administered (where "Vaccine type" = "HPV vaccines") = 1 AND ("HIV status" = "HIV-positive" OR "Immunocompromised" = TRUE) Trigger date: "Date and time of vaccination" (where "Vaccine type" = "HPV vaccines") Create condition: Individuals known to be immunocompromised or infected with HIV should receive at least two HPV vaccine doses. If: Applicability: HPV dose 2 (Immunocompromised or HIV-positive) (HPV dose 2 (Immunocompromised or HIV-positive)) Then: Definition: IMMZ.D2.DT.CR Dynamic Values: status: ('active'…
contained: Library
  id:
    v: effective-data-requirements
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode
      l: cqf-directReferenceCode
    value: Coding
      system:
        v: http://smart.who.int/immunizations/CodeSystem/IMMZ.D
        l: IMMZ.D
      code:
        v: DE204
      display:
        v: HIV status
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode
      l: cqf-directReferenceCode
    value: Coding
      system:
        v: http://smart.who.int/immunizations/CodeSystem/IMMZ.D
        l: IMMZ.D
      code:
        v: DE205
      display:
        v: HIV-positive
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode
      l: cqf-directReferenceCode
    value: Coding
      system:
        v: http://smart.who.int/immunizations/CodeSystem/IMMZ.D
        l: IMMZ.D
      code:
        v: DE209
      display:
        v: Immunocompromised
  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: 0
    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: 1
    url:
      v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
      l: cqf-logicDefinition
  extension:
    extension:
      url:
        v: libraryName
        l: libraryName
      value: String
        v: IMMZD2DTHPVEncounterElements
    extension:
      url:
        v: name
        l: name
      value: String
        v: HPV Doses Administered to Patient
    extension:
      url:
        v: statement
        l: statement
      value: String
        v: /* @internal: HPV containing Doses Administered to Patient */ define "HPV Doses Administered to Patient": Encounter."Doses Administered to Patient" I where I.vaccineCode in Concepts."HPV vaccines"
    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: IMMZD2DTHPVEncounterElements
    extension:
      url:
        v: name
        l: name
      value: String
        v: HPV Primary Series Doses Administered to Patient
    extension:
      url:
        v: statement
        l: statement
      value: String
        v: /* @internal: HPV containing Doses Administered to Patient that are in the Primary series */ define "HPV Primary Series Doses Administered to Patient": "HPV Doses Administered to Patient".seriesPrimary()
    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: IMMZD2DTHPVEncounterElements
    extension:
      url:
        v: name
        l: name
      value: String
        v: Number of HPV Primary Series Doses Administered
    extension:
      url:
        v: statement
        l: statement
      value: String
        v: /* @internal: Number of HPV Primary Series doses */ define "Number of HPV Primary Series Doses Administered": Count("HPV Primary Series Doses Administered to Patient")
    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

String
v: IMMZD2DTHPVEncounterElements

url:
  v: name
  l: name
value: String
  v: Two HPV primary series doses were administered

url:
  v: statement
  l: statement
value: String
  v: /* @input: Two HPV primary series doses were administered @pseudocode: Count of vaccines administered (where "Vaccine type" = "HPV vaccines" and "Type of dose" = "Primary series") = 2 @code: Two HPV primary series doses were administered-112 @decision: IMMZ.D2.DT.HPV.2 doses: 2-dose schedule @decision: IMMZ.D2.DT.HPV.Single dose: Alternative single-dose schedule */ define "Two HPV primary series doses were administered": "Number of HPV Primary Series Doses Administered" = 2

url:
  v: displaySequence
  l: displaySequence
value: Integer
  v: 5

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD18SHPVSingleDoseLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: Second HPV dose from the primary series was administered
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @complete: Second HPV dose from the primary series was administered @pseudocode: Count of vaccines administered (where "Vaccine type" = "HPV vaccines") = 2 */ define "Second HPV dose from the primary series was administered": Encounter."Two HPV primary series doses were administered"
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 6
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZElements
extension:
  url:
    v: name
    l: name
  value: String
    v: HIV status Observation
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @internal: HIV Status Observation */ define "HIV status Observation": ([Observation: Concepts."HIV status"]).complete()
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: IMMZEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: Client's HIV status is positive
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @input: Client's HIV status is positive @pseudocode: "HIV status" = "HIV-positive" */ define "Client's HIV status is positive": exists( (Elements."HIV status Observation".encounterOrOnBefore(EncounterId, Today)) O where O.value ~ Concepts."HIV-positive" )
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 8
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTHPVEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: Client's HIV status is positive
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @input: Client's HIV status is positive @pseudocode: "HIV status" = "HIV-positive" @code: Client's HIV status is positive-29 @decision: IMMZ.D2.DT.HPV.2 doses: 2-dose schedule @decision: IMMZ.D2.DT.HPV.Single dose: Alternative single-dose schedule */ define "Client's HIV status is positive": Encounter."Client's HIV status is positive"
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 9
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: Immunocompromised Observation
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @internal: Immunocompromised Observation */ define "Immunocompromised Observation": ([Observation: Concepts."Immunocompromised"] O sort by end of effective.toInterval() desc).complete()
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: IMMZEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: Client is immunocompromised
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @input: Client is immunocompromised @pseudocode: "Immunocompromised" = TRUE */ define "Client is immunocompromised": exists( "Immunocompromised Observation" ) and First( "Immunocompromised Observation" ).value = true
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 11
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTHPVEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: Client is immunocompromised
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @input: Client is immunocompromised @pseudocode: "Immunocompromised" = TRUE @code: Client is immunocompromised-26 @decision: IMMZ.D2.DT.HPV.2 doses: 2-dose schedule @decision: IMMZ.D2.DT.HPV.Single dose: Alternative single-dose schedule */ define "Client is immunocompromised": Encounter."Client is immunocompromised"
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 12
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTHPVEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: Three HPV primary series doses were administered
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @input: Three HPV primary series doses were administered @pseudocode: Count of vaccines administered (where "Vaccine type" = "HPV vaccines" and "Type of dose" = "Primary series") = 3 @code: Three HPV primary series doses were administered-112 @decision: IMMZ.D2.DT.HPV.2 doses: 2-dose schedule @decision: IMMZ.D2.DT.HPV.Single dose: Alternative single-dose schedule */ define "Three HPV primary series doses were administered": "Number of HPV Primary Series Doses Administered" = 3
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: IMMZD18SHPVSingleDoseLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: Third HPV dose from the primary series was administered
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @complete: Third HPV dose from the primary series was administered @pseudocode: Count of vaccines administered (where "Vaccine type" = "HPV vaccines") = 3 */ define "Third HPV dose from the primary series was administered": Encounter."Three HPV primary series doses were administered"
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: IMMZD18SHPVSingleDoseLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: HPV dose 3 (Immunocompromised or HIV-positive)
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @output: HPV dose 3 (Immunocompromised or HIV-positive) @description: Provision of the HPV dose 3 for individuals immunocompromised or infected with HIV @trigger: Second HPV dose from the primary series was administered and client's HIV status is positive or client is immunocompromised @pseudo: Count of vaccines administered (where "Vaccine type" = "HPV vaccines") = 2 AND ("HIV status" = "HIV-positive" OR "Immunocompromised" = TRUE) @triggerDate: Latest "Date and time of vaccination" (where "Vaccine type" = "HPV vaccines") */ define "HPV dose 3 (Immunocompromised or HIV-positive)": "Second HPV dose from the primary series was administered" and ( Encounter."Client's HIV status is positive" or Encounter."Client is immunocompromised" ) and not "Third HPV dose from the primary series was administered"
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 15
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTHPVEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: Date of Latest HPV Dose
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @internal: Date of Latest HPV Dose */ define "Date of Latest HPV Dose": date from start of "HPV Doses Administered to Patient".mostRecent().occurrence.toInterval()
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: IMMZD18SHPVSingleDoseLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: HPV dose 3 (Immunocompromised or HIV-positive) Due Date
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @dynamicValue: HPV dose 3 (Immunocompromised or HIV-positive) Due Date @pseudocode: Latest "Date and time of vaccination" (where "Vaccine type" = "HPV vaccines") + 6 months */ define "HPV dose 3 (Immunocompromised or HIV-positive) Due Date": if "HPV dose 3 (Immunocompromised or HIV-positive)" then Encounter."Date of Latest HPV Dose" + 6 months else null
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 17
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD18SHPVSingleDoseLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: HPV dose 3 (Immunocompromised or HIV-positive) Create
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @output: HPV dose 3 (Immunocompromised or HIV-positive) Create @create: Where possible, three HPV doses should be provided to individuals known to be immunocompromised or infected with HIV. */ define "HPV dose 3 (Immunocompromised or HIV-positive) Create": if "HPV dose 3 (Immunocompromised or HIV-positive)" then 'Where possible, three HPV doses should be provided to individuals known to be immunocompromised or infected with HIV.' + ' Due Date: ' + ToString("HPV dose 3 (Immunocompromised or HIV-positive) Due Date") else ''
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: IMMZD2DTHPVEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: No HPV primary series doses were administered
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @input: No HPV primary series doses were administered @pseudocode: Count of vaccines administered (where "Vaccine type" = "HPV vaccines" and "Type of dose" = "Primary series") = 0 @code: No HPV primary series doses were administered-112 @decision: IMMZ.D2.DT.HPV.2 doses: 2-dose schedule @decision: IMMZ.D2.DT.HPV.Single dose: Alternative single-dose schedule */ define "No HPV primary series doses were administered": "Number of HPV Primary Series Doses Administered" = 0
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 19
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTHPVEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: One HPV primary series dose was administered
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @input: One HPV primary series dose was administered @pseudocode: Count of vaccines administered (where "Vaccine type" = "HPV vaccines" and "Type of dose" = "Primary series") = 1 @code: One HPV primary series dose was administered-112 @decision: IMMZ.D2.DT.HPV.2 doses: 2-dose schedule @decision: IMMZ.D2.DT.HPV.Single dose: Alternative single-dose schedule */ define "One HPV primary series dose was administered": "Number of HPV Primary Series Doses Administered" = 1
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 20
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD18SHPVSingleDoseLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: First HPV dose from the primary series was administered
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @complete: First HPV dose from the primary series was administered @pseudocode: Count of vaccines administered (where "Vaccine type" = "HPV vaccines") = 1 */ define "First HPV dose from the primary series was administered": Encounter."One HPV primary series dose was administered"
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 21
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD18SHPVSingleDoseLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: Human papillomavirus (HPV) dose 1
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @output: Human papillomavirus (HPV) dose 1 @description: Provision of the HPV dose 1 @trigger: Child's birth @pseudo: @triggerDate: "Date of birth" */ define "Human papillomavirus (HPV) dose 1": Encounter."No HPV primary series doses were administered" and not "First HPV dose from the primary series was administered"
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 22
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD18SHPVSingleDoseLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: Human papillomavirus (HPV) dose 1 Due Date
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @dynamicValue: Human papillomavirus (HPV) dose 1 Due Date @pseudocode: "Date of birth" + 9 years */ define "Human papillomavirus (HPV) dose 1 Due Date": if "Human papillomavirus (HPV) dose 1" then Patient.birthDate + 9 years else null
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 23
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD18SHPVSingleDoseLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: Human papillomavirus (HPV) dose 1 Overdue
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @dynamicValue: Human papillomavirus (HPV) dose 1 Overdue @pseudocode: "Date of birth" + 20 years */ define "Human papillomavirus (HPV) dose 1 Overdue": if "Human papillomavirus (HPV) dose 1" then Patient.birthDate + 20 years 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
    v: IMMZD18SHPVSingleDoseLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: Human papillomavirus (HPV) dose 1 Create
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @output: Human papillomavirus (HPV) dose 1 Create @create: HPV dose 1 should be provided if the client is older than 9 years of age. */ define "Human papillomavirus (HPV) dose 1 Create": if "Human papillomavirus (HPV) dose 1" then 'HPV dose 1 should be provided if the client is older than 9 years of age.' + ' Due Date: ' + ToString("Human papillomavirus (HPV) dose 1 Due Date") + ' Overdue: ' + ToString("Human papillomavirus (HPV) dose 1 Overdue") else ''
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 25
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD18SHPVSingleDoseLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: HPV dose 2 (Immunocompromised or HIV-positive)
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @output: HPV dose 2 (Immunocompromised or HIV-positive) @description: Provision of the HPV dose 2 for individuals immunocompromised or infected with HIV @trigger: First HPV dose from the primary series was administered and client's HIV status is positive or client is immunocompromised @pseudo: Count of vaccines administered (where "Vaccine type" = "HPV vaccines") = 1 AND ("HIV status" = "HIV-positive" OR "Immunocompromised" = TRUE) @triggerDate: "Date and time of vaccination" (where "Vaccine type" = "HPV vaccines") */ define "HPV dose 2 (Immunocompromised or HIV-positive)": "First HPV dose from the primary series was administered" and ( Encounter."Client's HIV status is positive" or Encounter."Client is immunocompromised" ) and not "Second HPV dose from the primary series was administered"
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: IMMZD18SHPVSingleDoseLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: HPV dose 2 (Immunocompromised or HIV-positive) Due Date
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @dynamicValue: HPV dose 2 (Immunocompromised or HIV-positive) Due Date @pseudocode: "Date and time of vaccination" (where "Vaccine type" = "HPV vaccines") + 6 months */ define "HPV dose 2 (Immunocompromised or HIV-positive) Due Date": if "HPV dose 2 (Immunocompromised or HIV-positive)" then Encounter."Date of Latest HPV Dose" + 6 months else null
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: IMMZD18SHPVSingleDoseLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: HPV dose 2 (Immunocompromised or HIV-positive) Create
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @output: HPV dose 2 (Immunocompromised or HIV-positive) Create @create: Individuals known to be immunocompromised or infected with HIV should receive at least two HPV vaccine doses. */ define "HPV dose 2 (Immunocompromised or HIV-positive) Create": if "HPV dose 2 (Immunocompromised or HIV-positive)" then 'Individuals known to be immunocompromised or infected with HIV should receive at least two HPV vaccine doses.' + ' Due Date: ' + ToString("HPV dose 2 (Immunocompromised or HIV-positive) Due Date") else ''
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: 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: 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 string): 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: 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: 31
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: 32
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: 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: 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: 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: 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: 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: 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: 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: 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: 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: 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: 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: 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: 39
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: 40
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: 41
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: encounterOrOnBefore
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /** * @description: Gets observation from an encounter or on or before a date */ define fluent function encounterOrOnBefore(observations List<Observation>, EncounterId String, beforeDate Date): observations O where (O.encounter.references(EncounterId) or O.effective.toInterval() starts same day or before beforeDate)
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 42
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: references
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @description: Returns true if the given reference is to the given resourceId @comment: Returns true if the `resourceId` parameter exactly equals the tail of the given reference. NOTE: This function assumes resources from the same source server. */ define fluent function references(reference FHIR.Reference, resourceId String): resourceId = Last(Split(reference.reference, '/'))
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 43
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: complete
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define fluent function complete(observations List<Observation>): observations O where O.status in { 'final', 'amended', 'corrected' }
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 44
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 ObservationStatus): value.value
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 45
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: 46
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

v: EffectiveDataRequirements

v: active

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

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

type:
  v: depends-on
display:
  v: Library Encounter
resource:
  v: http://smart.who.int/immunizations/Library/IMMZD2DTHPVEncounterElements
  l: IMMZD2DTHPVEncounterElements

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

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

type:
  v: depends-on
display:
  v: Library 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: Code system IMMZD
resource:
  v: http://smart.who.int/immunizations/CodeSystem/IMMZ.D
  l: IMMZ.D

type:
  v: depends-on
display:
  v: Value set HPV vaccines
resource:
  v: http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE7
  l: IMMZ.Z.DE7

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

name:
  v: EncounterId
use:
  v: in
min:
  v: 0
max:
  v: 1
type:
  v: string

name:
  v: HPV dose 3 (Immunocompromised or HIV-positive) Create
use:
  v: out
min:
  v: 0
max:
  v: 1
type:
  v: string

name:
  v: Human papillomavirus (HPV) dose 1 Create
use:
  v: out
min:
  v: 0
max:
  v: 1
type:
  v: string

name:
  v: HPV dose 2 (Immunocompromised or HIV-positive)
use:
  v: out
min:
  v: 0
max:
  v: 1
type:
  v: boolean

name:
  v: HPV dose 3 (Immunocompromised or HIV-positive)
use:
  v: out
min:
  v: 0
max:
  v: 1
type:
  v: boolean

name:
  v: HPV dose 2 (Immunocompromised or HIV-positive) Create
use:
  v: out
min:
  v: 0
max:
  v: 1
type:
  v: string

name:
  v: Human papillomavirus (HPV) dose 1
use:
  v: out
min:
  v: 0
max:
  v: 1
type:
  v: boolean

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.DE7
    l: IMMZ.Z.DE7

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

type:
  v: Observation
profile:
  v: http://hl7.org/fhir/StructureDefinition/Observation
  l: Observation
must support:
  v: code
must support:
  v: encounter
must support:
  v: effective
must support:
  v: status
code filter:
  path:
    v: code
  code:
    system:
      v: http://smart.who.int/immunizations/CodeSystem/IMMZ.D
      l: IMMZ.D
    code:
      v: DE204
    display:
      v: HIV status

type:
  v: Observation
profile:
  v: http://hl7.org/fhir/StructureDefinition/Observation
  l: Observation
must support:
  v: code
must support:
  v: encounter
must support:
  v: effective
must support:
  v: status
code filter:
  path:
    v: code
  code:
    system:
      v: http://smart.who.int/immunizations/CodeSystem/IMMZ.D
      l: IMMZ.D
    code:
      v: DE209
    display:
      v: Immunocompromised

type:
  v: Observation
profile:
  v: http://hl7.org/fhir/StructureDefinition/Observation
  l: Observation
must support:
  v: value
must support:
  v: encounter
must support:
  v: effective
must support:
  v: status

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: IMMZD18SHPVSingleDose

v: IMMZ.D18.S.Single-dose 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.Single-dose schedule Alternative single-dose schedule

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

title:
  v: Human papillomavirus (HPV) dose 1
description:
  v: Provision of the HPV dose 1 Trigger event: Child's birth Trigger pseudo: Trigger date: "Date of birth" Create condition: HPV dose 1 should be provided if the client is older than 9 years of age.
condition:
  kind:
    v: applicability
  expression:
    description:
      v: Human papillomavirus (HPV) dose 1
    language:
      v: text/cql-identifier
    expression:
      v: Human papillomavirus (HPV) 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: Human papillomavirus (HPV) 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: HPV dose 2 (Immunocompromised or HIV-positive)
description:
  v: Provision of the HPV dose 2 for individuals immunocompromised or infected with HIV Trigger event: First HPV dose from the primary series was administered and client's HIV status is positive or client is immunocompromised Trigger pseudo: Count of vaccines administered (where "Vaccine type" = "HPV vaccines") = 1 AND ("HIV status" = "HIV-positive" OR "Immunocompromised" = TRUE) Trigger date: "Date and time of vaccination" (where "Vaccine type" = "HPV vaccines") Create condition: Individuals known to be immunocompromised or infected with HIV should receive at least two HPV vaccine doses.
condition:
  kind:
    v: applicability
  expression:
    description:
      v: HPV dose 2 (Immunocompromised or HIV-positive)
    language:
      v: text/cql-identifier
    expression:
      v: HPV dose 2 (Immunocompromised or HIV-positive)
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: HPV dose 2 (Immunocompromised or HIV-positive) 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: HPV dose 3 (Immunocompromised or HIV-positive)
description:
  v: Provision of the HPV dose 3 for individuals immunocompromised or infected with HIV Trigger event: Second HPV dose from the primary series was administered and client's HIV status is positive or client is immunocompromised Trigger pseudo: Count of vaccines administered (where "Vaccine type" = "HPV vaccines") = 2 AND ("HIV status" = "HIV-positive" OR "Immunocompromised" = TRUE) Trigger date: Latest "Date and time of vaccination" (where "Vaccine type" = "HPV vaccines") Create condition: Where possible, three HPV doses should be provided to individuals known to be immunocompromised or infected with HIV.
condition:
  kind:
    v: applicability
  expression:
    description:
      v: HPV dose 3 (Immunocompromised or HIV-positive)
    language:
      v: text/cql-identifier
    expression:
      v: HPV dose 3 (Immunocompromised or HIV-positive)
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: HPV dose 3 (Immunocompromised or HIV-positive) 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' }