WHO Immunization Implementation Guide
1.0.0 - release
WHO Immunization Implementation Guide
1.0.0 - release
WHO Immunization Implementation Guide, published by WHO. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/WorldHealthOrganization/smart-immunizations/tree/132/merge and changes regularly. See the Directory of published versions
| Draft as of 2026-03-31 |
<PlanDefinition xmlns="http://hl7.org/fhir">
<id value="IMMZD18SHib3Doses"/>
<meta>
<profile
value="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-recommendationdefinition"/>
<profile
value="http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareableplandefinition"/>
<profile
value="http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-publishableplandefinition"/>
</meta>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<div>
<table class="grid dict">
<tr>
<th scope="row"><b>Id: </b></th>
<td style="padding-left: 4px;">IMMZD18SHib3Doses</td>
</tr>
<tr>
<th scope="row"><b>Url: </b></th>
<td style="padding-left: 4px;"><a href="PlanDefinition-IMMZD18SHib3Doses.html">IMMZ.D18.S.Hib.3 doses schedule</a></td>
</tr>
<tr>
<th scope="row"><b>Version: </b></th>
<td style="padding-left: 4px;">1.0.0</td>
</tr>
<tr>
<th scope="row"><b>Title: </b></th>
<td style="padding-left: 4px;">IMMZ.D18.S.Hib.3 doses schedule</td>
</tr>
<tr>
<th scope="row"><b>Status: </b></th>
<td style="padding-left: 4px;">draft</td>
</tr>
<tr>
<th scope="row"><b>Type: </b></th>
<td style="padding-left: 4px;">
<p style="margin-bottom: 5px;">
<b>system: </b> <span><a href="http://terminology.hl7.org/7.1.0/CodeSystem-plan-definition-type.html">http://terminology.hl7.org/CodeSystem/plan-definition-type</a></span>
</p>
<p style="margin-bottom: 5px;">
<b>code: </b> <span>eca-rule</span>
</p>
</td>
</tr>
<tr>
<th scope="row"><b>Date: </b></th>
<td style="padding-left: 4px;">2026-03-31 13:54:17+0000</td>
</tr>
<tr>
<th scope="row"><b>Publisher: </b></th>
<td style="padding-left: 4px;">WHO</td>
</tr>
<tr>
<th scope="row"><b>Description: </b></th>
<td style="padding-left: 4px;"><div><p>IMMZ.D18.S.Hib.3 doses schedule
3 primary doses without a booster dose (3p) schedule</p>
</div></td>
</tr>
<tr>
<th scope="row"><b>Knowledge Capability: </b></th>
<td style="padding-left: 4px;">
computable
</td>
</tr>
<tr>
<th scope="row"><b>Related Artifacts: </b></th>
<td style="padding-left: 4px;">
<p><b>References</b></p>
<ul>
<li><div><p>WHO recommendations for routine immunization - summary tables (January 2025)</p>
</div><br/><a href="null"/></li>
</ul>
</td>
</tr>
<tr>
<th scope="row"><b>Libraries: </b></th>
<td style="padding-left: 4px;">
<table class="grid-dict">
<tr>
<td><a href="Library-IMMZD18SHib3DosesLogic.html">IMMZD18SHib3DosesLogic</a></td>
</tr>
</table>
</td>
</tr>
<tr>
<th scope="row"><b>Actions: </b></th>
<td style="padding-left: 4px;">
<table class="grid-dict">
<tr>
<td>
<b> Haemophilus influenzae type b (Hib) dose 1:</b> Provision of the Hib dose 1
Trigger event: Child's birth
Trigger pseudo:
Trigger date: "Date of birth"
Create condition: Immunization should start from 6 weeks of age, or as early as possible thereafter.
Hib-containing vaccine is not required for healthy children aged over 5 years.
<br/>
<b>If:</b>
<i>Applicability:</i>
Haemophilus influenzae type b (Hib) dose 1
<i>(Haemophilus influenzae type b (Hib) dose 1)</i>
<br/>
<b>Then:</b> <i>Definition:</i> <a href="ActivityDefinition-IMMZD2DTCR.html">IMMZ.D2.DT.CR</a><br/>
<i>Dynamic Values:</i><br/>
status: <i>('active')</i>
<br/>
payload.contentString: <i>(Haemophilus influenzae type b (Hib) dose 1 Create)</i>
<br/>
category.coding: <i>(Code { system: 'http://terminology.hl7.org/CodeSystem/communication-category', code: 'alert' })</i>
<br/>
priority: <i>(Code { system: 'http://hl7.org/fhir/request-priority', code: 'routine' })</i>
<br/>
</td>
</tr>
<tr>
<td>
<b> Hib dose 2:</b> Provision of the Hib dose 2
Trigger event: First Hib dose from the primary series was administered to the client within 1 year of age. Client's age is less than 5 years
Trigger pseudo: Count of vaccines administered (where "Vaccine type" = "Hib-containing vaccines" and "Type of dose" = "Primary series") = 1 AND "Date and time of vaccination" (where "Vaccine type"= "Hib-containing vaccines" and "Dose number" = 1) − "Date of birth" < 1 year AND Today's date − "Date of birth" ≤ 5 years
Trigger date: "Date and time of vaccination" (where "Vaccine type" = "Hib-containing vaccines")
Create condition: Hib dose 2 should be provided if the client was given the previous dose more than 4 weeks ago and the first Hib dose was received by the time the child turned 1 year old
<br/>
<b>If:</b>
<i>Applicability:</i>
Hib dose 2
<i>(Hib dose 2)</i>
<br/>
<b>Then:</b> <i>Definition:</i> <a href="ActivityDefinition-IMMZD2DTCR.html">IMMZ.D2.DT.CR</a><br/>
<i>Dynamic Values:</i><br/>
status: <i>('active')</i>
<br/>
payload.contentString: <i>(Hib dose 2 Create)</i>
<br/>
category.coding: <i>(Code { system: 'http://terminology.hl7.org/CodeSystem/communication-category', code: 'alert' })</i>
<br/>
priority: <i>(Code { system: 'http://hl7.org/fhir/request-priority', code: 'routine' })</i>
<br/>
</td>
</tr>
<tr>
<td>
<b> Hib dose 3:</b> Provision of the Hib dose 3
Trigger event: Second Hib dose from the primary series was administered. Client's age is less than 5 years
Trigger pseudo: Count of vaccines administered (where "Vaccine type" = "Hib-containing vaccines" and "Type of dose"= "Primary series") = 2 AND Today's date − "Date of birth" ≤ 5 years
Trigger date: Latest "Date and time of vaccination" (where "Vaccine type" = "Hib-containing vaccines")
Create condition: Hib dose 3 should be provided if the client was given the previous dose more than 4 weeks before and the first Hib dose was received by the time the child turned 1 year old
<br/>
<b>If:</b>
<i>Applicability:</i>
Hib dose 3
<i>(Hib dose 3)</i>
<br/>
<b>Then:</b> <i>Definition:</i> <a href="ActivityDefinition-IMMZD2DTCR.html">IMMZ.D2.DT.CR</a><br/>
<i>Dynamic Values:</i><br/>
status: <i>('active')</i>
<br/>
payload.contentString: <i>(Hib dose 3 Create)</i>
<br/>
category.coding: <i>(Code { system: 'http://terminology.hl7.org/CodeSystem/communication-category', code: 'alert' })</i>
<br/>
priority: <i>(Code { system: 'http://hl7.org/fhir/request-priority', code: 'routine' })</i>
<br/>
</td>
</tr>
</table>
</td>
</tr>
</table>
</div>
</div>
</text>
<contained>
<Library>
<id value="effective-data-requirements"/>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZElements"/>
</extension>
<extension url="name">
<valueString value="Doses Administered to Patient"/>
</extension>
<extension url="statement">
<valueString
value="/**
* @dataElement All Doses Administered to Patient
*/
define "Doses Administered to Patient":
[Immunization] I
where I.status = 'completed'
and I.isSubpotent is not true"/>
</extension>
<extension url="displaySequence">
<valueInteger value="0"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZEncounterElements"/>
</extension>
<extension url="name">
<valueString value="Doses Administered to Patient"/>
</extension>
<extension url="statement">
<valueString
value="/**
* @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>
<extension url="displaySequence">
<valueInteger value="1"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTHibEncounterElements"/>
</extension>
<extension url="name">
<valueString value="Hib Doses Administered to Patient"/>
</extension>
<extension url="statement">
<valueString
value="/*
@internal: Hib containing Doses Administered to Patient
*/
define "Hib Doses Administered to Patient":
Encounter."Doses Administered to Patient" I
where
I.vaccineCode in Concepts."Hib-containing vaccines""/>
</extension>
<extension url="displaySequence">
<valueInteger value="2"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTHibEncounterElements"/>
</extension>
<extension url="name">
<valueString
value="Hib Primary Series Doses Administered to Patient"/>
</extension>
<extension url="statement">
<valueString
value="/*
@internal: Hib containing Doses Administered to Patient that are in the Primary series
*/
define "Hib Primary Series Doses Administered to Patient":
"Hib Doses Administered to Patient".seriesPrimary()"/>
</extension>
<extension url="displaySequence">
<valueInteger value="3"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTHibEncounterElements"/>
</extension>
<extension url="name">
<valueString
value="Number of Hib Primary Series Doses Administered"/>
</extension>
<extension url="statement">
<valueString
value="/*
@internal: Number of Hib Primary Series doses
*/
define "Number of Hib Primary Series Doses Administered":
Count("Hib Primary Series Doses Administered to Patient")"/>
</extension>
<extension url="displaySequence">
<valueInteger value="4"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTHibEncounterElements"/>
</extension>
<extension url="name">
<valueString value="One Hib primary series dose was administered"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: One Hib primary series dose was administered
@pseudocode: Count of vaccines administered (where "Vaccine type" = "Hib-containing vaccines" and "Type of dose"= "Primary series") = 1
@code: One Hib primary series dose was administered-122
@decision: IMMZ.D2.DT.Hib.3 doses: 3 primary doses without a booster dose (3p)
@decision: IMMZ.D2.DT.Hib.3 doses with booster dose: 3 primary doses with a booster dose (3p+1)
*/
define "One Hib primary series dose was administered":
"Number of Hib Primary Series Doses Administered" = 1"/>
</extension>
<extension url="displaySequence">
<valueInteger value="5"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD18SHib3DosesLogic"/>
</extension>
<extension url="name">
<valueString
value="First Hib dose from the primary series was administered"/>
</extension>
<extension url="statement">
<valueString
value="/*
@complete: First Hib dose from the primary series was administered
@pseudocode: Count of vaccines administered (where "Vaccine type" = "Hib-containing vaccines" and "Type of dose"= "Primary series") = 1
The primary series has been completed for delayed start
"Completed the primary vaccination series" = TRUE (where "Vaccine type" = "Hib-containing vaccines")
*/
define "First Hib dose from the primary series was administered":
Encounter."One Hib primary series dose was administered""/>
</extension>
<extension url="displaySequence">
<valueInteger value="6"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTHibEncounterElements"/>
</extension>
<extension url="name">
<valueString value="Date of First Hib Dose"/>
</extension>
<extension url="statement">
<valueString
value="/*
@internal: Date of First Hib Dose
*/
define "Date of First Hib Dose":
date from start of "Hib Doses Administered to Patient".earliest().occurrence.toInterval()"/>
</extension>
<extension url="displaySequence">
<valueInteger value="7"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTHibEncounterElements"/>
</extension>
<extension url="name">
<valueString
value="Client's age was less than 1 year when first Hib dose was administered"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: Client's age was less than 1 year when first Hib dose was administered
@pseudocode: "Date and time of vaccination" (where "Vaccine type"= "Hib-containing vaccines" and "Dose number" = 1) − "Date of birth" < 1 year
@code: Client's age was less than 1 year when first Hib dose was administered-129
@decision: IMMZ.D2.DT.Hib.3 doses: 3 primary doses without a booster dose (3p)
@decision: IMMZ.D2.DT.Hib.3 doses with booster dose: 3 primary doses with a booster dose (3p+1)
@decision: IMMZ.D2.DT.Hib.2 doses with booster dose: 2 primary doses with a booster dose (2p+1)
*/
define "Client's age was less than 1 year when first Hib dose was administered":
AgeInYearsAt("Date of First Hib Dose") < 1"/>
</extension>
<extension url="displaySequence">
<valueInteger value="8"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZEncounterElements"/>
</extension>
<extension url="name">
<valueString value="Current Patient Age In Weeks"/>
</extension>
<extension url="statement">
<valueString
value="/**
* @dataElement Patient age in weeks
*/
define "Current Patient Age In Weeks":
AgeInWeeksAt(Today)"/>
</extension>
<extension url="displaySequence">
<valueInteger value="9"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZEncounterElements"/>
</extension>
<extension url="name">
<valueString value="Current Patient Age In Years"/>
</extension>
<extension url="statement">
<valueString
value="/**
* @dataElement Patient age in years
*/
define "Current Patient Age In Years":
AgeInYearsAt(Today)"/>
</extension>
<extension url="displaySequence">
<valueInteger value="10"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTHibEncounterElements"/>
</extension>
<extension url="name">
<valueString value="Client's age is between 6 weeks and 5 years"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: Client's age is between 6 weeks and 5 years
@pseudocode: 6 weeks ≤ Today's date − "Date of birth" ≤ 5 years
@code: Client's age is between 6 weeks and 5 years-50
@decision: IMMZ.D2.DT.Hib.3 doses: 3 primary doses without a booster dose (3p)
@decision: IMMZ.D2.DT.Hib.3 doses with booster dose: 3 primary doses with a booster dose (3p+1)
@decision: IMMZ.D2.DT.Hib.2 doses with booster dose: 2 primary doses with a booster dose (2p+1)
*/
define "Client's age is between 6 weeks and 5 years":
6 <= Encounter."Current Patient Age In Weeks"
and Encounter."Current Patient Age In Years" <= 5"/>
</extension>
<extension url="displaySequence">
<valueInteger value="11"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTHibEncounterElements"/>
</extension>
<extension url="name">
<valueString
value="Two Hib primary series doses were administered"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: Two Hib primary series doses were administered
@pseudocode: Count of vaccines administered (where "Vaccine type" = "Hib-containing vaccines" and "Type of dose" = "Primary series" ) = 2
@code: Two Hib primary series doses were administered-124
@decision: IMMZ.D2.DT.Hib.3 doses: 3 primary doses without a booster dose (3p)
@decision: IMMZ.D2.DT.Hib.3 doses with booster dose: 3 primary doses with a booster dose (3p+1)
@decision: IMMZ.D2.DT.Hib.2 doses with booster dose: 2 primary doses with a booster dose (2p+1)
*/
define "Two Hib primary series doses were administered":
"Number of Hib Primary Series Doses Administered" = 2"/>
</extension>
<extension url="displaySequence">
<valueInteger value="12"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD18SHib3DosesLogic"/>
</extension>
<extension url="name">
<valueString
value="Second Hib dose from the primary series was administered"/>
</extension>
<extension url="statement">
<valueString
value="/*
@complete: Second Hib dose from the primary series was administered
@pseudocode: Count of vaccines administered (where "Vaccine type" = "Hib-containing vaccines" and "Type of dose"= "Primary series") = 2
*/
define "Second Hib dose from the primary series was administered":
Encounter."Two Hib primary series doses were administered""/>
</extension>
<extension url="displaySequence">
<valueInteger value="13"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD18SHib3DosesLogic"/>
</extension>
<extension url="name">
<valueString value="Hib dose 2 Expiration"/>
</extension>
<extension url="statement">
<valueString
value="/*
@dynamicValue: Hib dose 2 Expiration
@pseudocode: "Date of birth" + 6 years
*/
define "Hib dose 2 Expiration":
Patient.birthDate + 6 years"/>
</extension>
<extension url="displaySequence">
<valueInteger value="14"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD18SHib3DosesLogic"/>
</extension>
<extension url="name">
<valueString value="Hib dose 2"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Hib dose 2
@description: Provision of the Hib dose 2
@trigger: First Hib dose from the primary series was administered to the client within 1 year of age. Client's age is less than 5 years
@pseudo: Count of vaccines administered (where "Vaccine type" = "Hib-containing vaccines" and "Type of dose" = "Primary series") = 1 AND "Date and time of vaccination" (where "Vaccine type"= "Hib-containing vaccines" and "Dose number" = 1) − "Date of birth" < 1 year AND Today's date − "Date of birth" ≤ 5 years
@triggerDate: "Date and time of vaccination" (where "Vaccine type" = "Hib-containing vaccines")
*/
define "Hib dose 2":
"First Hib dose from the primary series was administered"
and Encounter."Client's age was less than 1 year when first Hib dose was administered"
and Encounter."Client's age is between 6 weeks and 5 years"
and not "Second Hib dose from the primary series was administered"
and "Hib dose 2 Expiration" after day of Today"/>
</extension>
<extension url="displaySequence">
<valueInteger value="15"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTHibEncounterElements"/>
</extension>
<extension url="name">
<valueString
value="Three Hib primary series doses were administered"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: Three Hib primary series doses were administered
@pseudocode: Count of vaccines administered (where "Vaccine type" = "Hib-containing vaccines" and "Type of dose"= "Primary series") = 3
@code: Three Hib primary series doses were administered-122
@decision: IMMZ.D2.DT.Hib.3 doses: 3 primary doses without a booster dose (3p)
@decision: IMMZ.D2.DT.Hib.3 doses with booster dose: 3 primary doses with a booster dose (3p+1)
*/
define "Three Hib primary series doses were administered":
"Number of Hib Primary Series Doses Administered" = 3"/>
</extension>
<extension url="displaySequence">
<valueInteger value="16"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD18SHib3DosesLogic"/>
</extension>
<extension url="name">
<valueString
value="Third Hib dose from the primary series was administered. The primary series has been completed"/>
</extension>
<extension url="statement">
<valueString
value="/*
@complete: Third Hib dose from the primary series was administered. The primary series has been completed
@pseudocode: "Completed the primary vaccination series" = TRUE (where "Vaccine type" = "Hib-containing vaccines")
*/
define "Third Hib dose from the primary series was administered. The primary series has been completed":
Encounter."Three Hib primary series doses were administered""/>
</extension>
<extension url="displaySequence">
<valueInteger value="17"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD18SHib3DosesLogic"/>
</extension>
<extension url="name">
<valueString value="Hib dose 3 Expiration"/>
</extension>
<extension url="statement">
<valueString
value="/*
@dynamicValue: Hib dose 3 Expiration
@pseudocode: "Date of birth" + 6 years
*/
define "Hib dose 3 Expiration":
Patient.birthDate + 6 years"/>
</extension>
<extension url="displaySequence">
<valueInteger value="18"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD18SHib3DosesLogic"/>
</extension>
<extension url="name">
<valueString value="Hib dose 3"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Hib dose 3
@description: Provision of the Hib dose 3
@trigger: Second Hib dose from the primary series was administered. Client's age is less than 5 years
@pseudo: Count of vaccines administered (where "Vaccine type" = "Hib-containing vaccines" and "Type of dose"= "Primary series") = 2 AND Today's date − "Date of birth" ≤ 5 years
@triggerDate: Latest "Date and time of vaccination" (where "Vaccine type" = "Hib-containing vaccines")
*/
define "Hib dose 3":
"Second Hib dose from the primary series was administered"
and Encounter."Client's age is between 6 weeks and 5 years"
and not "Third Hib dose from the primary series was administered. The primary series has been completed"
and "Hib dose 3 Expiration" after day of Today"/>
</extension>
<extension url="displaySequence">
<valueInteger value="19"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTHibEncounterElements"/>
</extension>
<extension url="name">
<valueString value="Date of Latest Hib Dose"/>
</extension>
<extension url="statement">
<valueString
value="/*
@internal: Date of Latest Hib Dose
*/
define "Date of Latest Hib Dose":
date from start of "Hib Doses Administered to Patient".mostRecent().occurrence.toInterval()"/>
</extension>
<extension url="displaySequence">
<valueInteger value="20"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD18SHib3DosesLogic"/>
</extension>
<extension url="name">
<valueString value="Hib dose 3 Due Date"/>
</extension>
<extension url="statement">
<valueString
value="/*
@dynamicValue: Hib dose 3 Due Date
@pseudocode: Latest "Date and time of vaccination" (where "Vaccine type" = "Hib-containing vaccines") + 4 weeks
*/
define "Hib dose 3 Due Date":
if "Hib dose 3" then Encounter."Date of Latest Hib Dose" + 4 weeks
else null"/>
</extension>
<extension url="displaySequence">
<valueInteger value="21"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD18SHib3DosesLogic"/>
</extension>
<extension url="name">
<valueString value="Hib dose 3 Create"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Hib dose 3 Create
@create: Hib dose 3 should be provided if the client was given the previous dose more than 4 weeks before and the first Hib dose was received by the time the child turned 1 year old
*/
define "Hib dose 3 Create":
if "Hib dose 3"
then 'Hib dose 3 should be provided if the client was given the previous dose more than 4 weeks before and the first Hib dose was received by the time the child turned 1 year old' + '
Due Date: ' + ToString("Hib dose 3 Due Date") + '
Expiration: ' + ToString("Hib dose 3 Expiration")
else ''"/>
</extension>
<extension url="displaySequence">
<valueInteger value="22"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD18SHib3DosesLogic"/>
</extension>
<extension url="name">
<valueString value="Hib dose 2 Due Date"/>
</extension>
<extension url="statement">
<valueString
value="/*
@dynamicValue: Hib dose 2 Due Date
@pseudocode: "Date and time of vaccination" (where "Vaccine type" = "Hib-containing vaccines") + 4 weeks
*/
define "Hib dose 2 Due Date":
if "Hib dose 2" then Encounter."Date of Latest Hib Dose" + 4 weeks
else null"/>
</extension>
<extension url="displaySequence">
<valueInteger value="23"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD18SHib3DosesLogic"/>
</extension>
<extension url="name">
<valueString value="Hib dose 2 Create"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Hib dose 2 Create
@create: Hib dose 2 should be provided if the client was given the previous dose more than 4 weeks ago and the first Hib dose was received by the time the child turned 1 year old
*/
define "Hib dose 2 Create":
if "Hib dose 2"
then 'Hib dose 2 should be provided if the client was given the previous dose more than 4 weeks ago and the first Hib dose was received by the time the child turned 1 year old' + '
Due Date: ' + ToString("Hib dose 2 Due Date") + '
Expiration: ' + ToString("Hib dose 2 Expiration")
else ''"/>
</extension>
<extension url="displaySequence">
<valueInteger value="24"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTHibEncounterElements"/>
</extension>
<extension url="name">
<valueString value="No Hib primary series doses were administered"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: No Hib primary series doses were administered
@pseudocode: Count of vaccines administered (where "Vaccine type" = "Hib-containing vaccines" and "Type of dose" = "Primary series") = 0
@code: No Hib primary series doses were administered-123
@decision: IMMZ.D2.DT.Hib.3 doses: 3 primary doses without a booster dose (3p)
@decision: IMMZ.D2.DT.Hib.3 doses with booster dose: 3 primary doses with a booster dose (3p+1)
@decision: IMMZ.D2.DT.Hib.2 doses with booster dose: 2 primary doses with a booster dose (2p+1)
*/
define "No Hib primary series doses were administered":
"Number of Hib Primary Series Doses Administered" = 0"/>
</extension>
<extension url="displaySequence">
<valueInteger value="25"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD18SHib3DosesLogic"/>
</extension>
<extension url="name">
<valueString
value="Haemophilus influenzae type b (Hib) dose 1 Expiration"/>
</extension>
<extension url="statement">
<valueString
value="/*
@dynamicValue: Haemophilus influenzae type b (Hib) dose 1 Expiration
@pseudocode: "Date of birth" + 6 years
*/
define "Haemophilus influenzae type b (Hib) dose 1 Expiration":
Patient.birthDate + 6 years"/>
</extension>
<extension url="displaySequence">
<valueInteger value="26"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD18SHib3DosesLogic"/>
</extension>
<extension url="name">
<valueString value="Haemophilus influenzae type b (Hib) dose 1"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Haemophilus influenzae type b (Hib) dose 1
@description: Provision of the Hib dose 1
@trigger: Child's birth
@pseudo:
@triggerDate: "Date of birth"
*/
define "Haemophilus influenzae type b (Hib) dose 1":
Encounter."No Hib primary series doses were administered"
and "Haemophilus influenzae type b (Hib) dose 1 Expiration" after day of Today"/>
</extension>
<extension url="displaySequence">
<valueInteger value="27"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD18SHib3DosesLogic"/>
</extension>
<extension url="name">
<valueString
value="Haemophilus influenzae type b (Hib) dose 1 Due Date"/>
</extension>
<extension url="statement">
<valueString
value="/*
@dynamicValue: Haemophilus influenzae type b (Hib) dose 1 Due Date
@pseudocode: "Date of birth" + 6 weeks
*/
define "Haemophilus influenzae type b (Hib) dose 1 Due Date":
if "Haemophilus influenzae type b (Hib) dose 1" then Patient.birthDate + 6 weeks
else null"/>
</extension>
<extension url="displaySequence">
<valueInteger value="28"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD18SHib3DosesLogic"/>
</extension>
<extension url="name">
<valueString
value="Haemophilus influenzae type b (Hib) dose 1 Create"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Haemophilus influenzae type b (Hib) dose 1 Create
@create: Immunization should start from 6 weeks of age, or as early as possible thereafter.
Hib-containing vaccine is not required for healthy children aged over 5 years.
*/
define "Haemophilus influenzae type b (Hib) dose 1 Create":
if "Haemophilus influenzae type b (Hib) dose 1"
then 'Immunization should start from 6 weeks of age, or as early as possible thereafter.
Hib-containing vaccine is not required for healthy children aged over 5 years.' + '
Due Date: ' + ToString("Haemophilus influenzae type b (Hib) dose 1 Due Date") + '
Expiration: ' + ToString("Haemophilus influenzae type b (Hib) dose 1 Expiration")
else ''"/>
</extension>
<extension url="displaySequence">
<valueInteger value="29"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZCommon"/>
</extension>
<extension url="name">
<valueString value="seriesPrimary"/>
</extension>
<extension url="statement">
<valueString
value="/**
* @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>
<extension url="displaySequence">
<valueInteger value="30"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="FHIRHelpers"/>
</extension>
<extension url="name">
<valueString value="ToString"/>
</extension>
<extension url="statement">
<valueString
value="define function ToString(value string): value.value"/>
</extension>
<extension url="displaySequence">
<valueInteger value="31"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="FHIRHelpers"/>
</extension>
<extension url="name">
<valueString value="ToString"/>
</extension>
<extension url="statement">
<valueString
value="define function ToString(value ImmunizationStatus): value.value"/>
</extension>
<extension url="displaySequence">
<valueInteger value="32"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="FHIRHelpers"/>
</extension>
<extension url="name">
<valueString value="ToBoolean"/>
</extension>
<extension url="statement">
<valueString
value="define function ToBoolean(value boolean): value.value"/>
</extension>
<extension url="displaySequence">
<valueInteger value="33"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="WHOCommon"/>
</extension>
<extension url="name">
<valueString value="toInterval"/>
</extension>
<extension url="statement">
<valueString
value="/*
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: Due to the
complexity of determining a single interval from a Timing or String type, this function will throw a run-time exception if it is used
with a Timing or String.
*/
define fluent function toInterval(choice Choice<FHIR.dateTime, FHIR.Period, FHIR.Timing, FHIR.instant, FHIR.string, FHIR.Age, FHIR.Range>):
case
when choice is FHIR.dateTime then
Interval[FHIRHelpers.ToDateTime(choice as FHIR.dateTime), FHIRHelpers.ToDateTime(choice as FHIR.dateTime)]
when choice is FHIR.Period then
FHIRHelpers.ToInterval(choice as FHIR.Period)
when choice is FHIR.instant then
Interval[FHIRHelpers.ToDateTime(choice as FHIR.instant), FHIRHelpers.ToDateTime(choice as FHIR.instant)]
when choice is FHIR.Age then
Interval[FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity(choice as FHIR.Age),
FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity(choice as FHIR.Age) + 1 year)
when choice is FHIR.Range then
Interval[FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity((choice as FHIR.Range).low),
FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity((choice as FHIR.Range).high) + 1 year)
when choice is FHIR.Timing then
Message(null as Interval<DateTime>, true, 'NOT_IMPLEMENTED', 'Error', 'Calculation of an interval from a Timing value is not supported')
when choice is FHIR.string then
Message(null as Interval<DateTime>, true, 'NOT_IMPLEMENTED', 'Error', 'Calculation of an interval from a String value is not supported')
else
null as Interval<DateTime>
end"/>
</extension>
<extension url="displaySequence">
<valueInteger value="34"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="FHIRHelpers"/>
</extension>
<extension url="name">
<valueString value="ToDateTime"/>
</extension>
<extension url="statement">
<valueString
value="define function ToDateTime(value dateTime): value.value"/>
</extension>
<extension url="displaySequence">
<valueInteger value="35"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="FHIRHelpers"/>
</extension>
<extension url="name">
<valueString value="ToInterval"/>
</extension>
<extension url="statement">
<valueString
value="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>
<extension url="displaySequence">
<valueInteger value="36"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="FHIRHelpers"/>
</extension>
<extension url="name">
<valueString value="ToDateTime"/>
</extension>
<extension url="statement">
<valueString
value="define function ToDateTime(value instant): value.value"/>
</extension>
<extension url="displaySequence">
<valueInteger value="37"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="FHIRHelpers"/>
</extension>
<extension url="name">
<valueString value="ToDate"/>
</extension>
<extension url="statement">
<valueString
value="define function ToDate(value date): value.value"/>
</extension>
<extension url="displaySequence">
<valueInteger value="38"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="FHIRHelpers"/>
</extension>
<extension url="name">
<valueString value="ToQuantity"/>
</extension>
<extension url="statement">
<valueString
value="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>
<extension url="displaySequence">
<valueInteger value="39"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="FHIRHelpers"/>
</extension>
<extension url="name">
<valueString value="ToCalendarUnit"/>
</extension>
<extension url="statement">
<valueString
value="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>
<extension url="displaySequence">
<valueInteger value="40"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="FHIRHelpers"/>
</extension>
<extension url="name">
<valueString value="ToConcept"/>
</extension>
<extension url="statement">
<valueString
value="define function ToConcept(concept FHIR.CodeableConcept):
if concept is null then
null
else
System.Concept {
codes: concept.coding C return ToCode(C),
display: concept.text.value
}"/>
</extension>
<extension url="displaySequence">
<valueInteger value="41"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="FHIRHelpers"/>
</extension>
<extension url="name">
<valueString value="ToCode"/>
</extension>
<extension url="statement">
<valueString
value="define function ToCode(coding FHIR.Coding):
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>
<extension url="displaySequence">
<valueInteger value="42"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="WHOCommon"/>
</extension>
<extension url="name">
<valueString value="earliest"/>
</extension>
<extension url="statement">
<valueString
value="define fluent function earliest(immunizations List<Immunization>):
First(
immunizations I
sort by start of occurrence.toInterval()
)"/>
</extension>
<extension url="displaySequence">
<valueInteger value="43"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="WHOCommon"/>
</extension>
<extension url="name">
<valueString value="mostRecent"/>
</extension>
<extension url="statement">
<valueString
value="define fluent function mostRecent(immunizations List<Immunization>):
Last(
immunizations I
sort by start of occurrence.toInterval()
)"/>
</extension>
<extension url="displaySequence">
<valueInteger value="44"/>
</extension>
</extension>
<name value="EffectiveDataRequirements"/>
<status value="active"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/library-type"/>
<code value="module-definition"/>
</coding>
</type>
<relatedArtifact>
<type value="depends-on"/>
<display value="FHIR model information"/>
<resource
value="http://fhir.org/guides/cqf/common/Library/FHIR-ModelInfo|4.0.1"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Library Encounter"/>
<resource
value="http://smart.who.int/immunizations/Library/IMMZD2DTHibEncounterElements"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Library Common"/>
<resource
value="http://smart.who.int/immunizations/Library/IMMZCommon"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Library FHIRHelpers"/>
<resource
value="http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Library Encounter"/>
<resource
value="http://smart.who.int/immunizations/Library/IMMZEncounterElements"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Library Elements"/>
<resource
value="http://smart.who.int/immunizations/Library/IMMZElements"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Library WC"/>
<resource
value="http://smart.who.int/immunizations/Library/WHOCommon"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Library Concepts"/>
<resource
value="http://smart.who.int/immunizations/Library/IMMZConcepts"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Value set Hib-containing vaccines"/>
<resource
value="http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE4"/>
</relatedArtifact>
<parameter>
<name value="Today"/>
<use value="in"/>
<min value="0"/>
<max value="1"/>
<type value="date"/>
</parameter>
<parameter>
<name value="Hib dose 2"/>
<use value="out"/>
<min value="0"/>
<max value="1"/>
<type value="boolean"/>
</parameter>
<parameter>
<name value="Hib dose 3 Create"/>
<use value="out"/>
<min value="0"/>
<max value="1"/>
<type value="string"/>
</parameter>
<parameter>
<name value="Hib dose 3"/>
<use value="out"/>
<min value="0"/>
<max value="1"/>
<type value="boolean"/>
</parameter>
<parameter>
<name value="Hib dose 2 Create"/>
<use value="out"/>
<min value="0"/>
<max value="1"/>
<type value="string"/>
</parameter>
<parameter>
<name value="Haemophilus influenzae type b (Hib) dose 1 Create"/>
<use value="out"/>
<min value="0"/>
<max value="1"/>
<type value="string"/>
</parameter>
<parameter>
<name value="Haemophilus influenzae type b (Hib) dose 1"/>
<use value="out"/>
<min value="0"/>
<max value="1"/>
<type value="boolean"/>
</parameter>
<dataRequirement>
<type value="Immunization"/>
<profile
value="http://hl7.org/fhir/StructureDefinition/Immunization"/>
<mustSupport value="status"/>
<mustSupport value="isSubpotent"/>
<mustSupport value="protocolApplied"/>
<mustSupport value="occurrence"/>
<codeFilter>
<path value="status"/>
<code>
<code value="completed"/>
</code>
</codeFilter>
</dataRequirement>
<dataRequirement>
<type value="Immunization"/>
<profile
value="http://hl7.org/fhir/StructureDefinition/Immunization"/>
<mustSupport value="occurrence"/>
<mustSupport value="protocolApplied"/>
</dataRequirement>
<dataRequirement>
<type value="Immunization"/>
<profile
value="http://hl7.org/fhir/StructureDefinition/Immunization"/>
<mustSupport value="status"/>
<mustSupport value="isSubpotent"/>
<mustSupport value="occurrence"/>
<mustSupport value="vaccineCode"/>
<mustSupport value="protocolApplied"/>
<codeFilter>
<path value="status"/>
<code>
<code value="completed"/>
</code>
</codeFilter>
<codeFilter>
<path value="vaccineCode"/>
<valueSet
value="http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE4"/>
</codeFilter>
</dataRequirement>
<dataRequirement>
<type value="Patient"/>
<profile value="http://hl7.org/fhir/StructureDefinition/Patient"/>
<mustSupport value="birthDate"/>
</dataRequirement>
</Library>
</contained>
<extension
url="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeCapability">
<valueCode value="computable"/>
</extension>
<extension
url="http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-effectiveDataRequirements">
<valueCanonical value="#effective-data-requirements"/>
</extension>
<url
value="http://smart.who.int/immunizations/PlanDefinition/IMMZD18SHib3Doses"/>
<version value="1.0.0"/>
<name value="IMMZD18SHib3Doses"/>
<title value="IMMZ.D18.S.Hib.3 doses schedule"/>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/plan-definition-type"/>
<code value="eca-rule"/>
</coding>
</type>
<status value="draft"/>
<experimental value="false"/>
<date value="2026-03-31T13:54:17+00:00"/>
<publisher value="WHO"/>
<contact>
<name value="WHO"/>
<telecom>
<system value="url"/>
<value value="http://who.int"/>
</telecom>
</contact>
<description
value="IMMZ.D18.S.Hib.3 doses schedule
3 primary doses without a booster dose (3p) schedule"/>
<relatedArtifact>
<type value="citation"/>
<citation
value="WHO recommendations for routine immunization - summary tables (January 2025)"/>
</relatedArtifact>
<library
value="http://smart.who.int/immunizations/Library/IMMZD18SHib3DosesLogic"/>
<action>
<title value="Haemophilus influenzae type b (Hib) dose 1"/>
<description
value="Provision of the Hib dose 1
Trigger event: Child's birth
Trigger pseudo:
Trigger date: "Date of birth"
Create condition: Immunization should start from 6 weeks of age, or as early as possible thereafter.
Hib-containing vaccine is not required for healthy children aged over 5 years."/>
<condition>
<kind value="applicability"/>
<expression>
<description value="Haemophilus influenzae type b (Hib) dose 1"/>
<language value="text/cql-identifier"/>
<expression value="Haemophilus influenzae type b (Hib) dose 1"/>
</expression>
</condition>
<definitionCanonical
value="http://smart.who.int/immunizations/ActivityDefinition/IMMZD2DTCR"/>
<dynamicValue>
<path value="status"/>
<expression>
<language value="text/cql-expression"/>
<expression value="'active'"/>
</expression>
</dynamicValue>
<dynamicValue>
<path value="payload.contentString"/>
<expression>
<language value="text/cql-identifier"/>
<expression
value="Haemophilus influenzae type b (Hib) dose 1 Create"/>
</expression>
</dynamicValue>
<dynamicValue>
<path value="category.coding"/>
<expression>
<description value="Category of communication"/>
<language value="text/cql-expression"/>
<expression
value="Code { system: 'http://terminology.hl7.org/CodeSystem/communication-category', code: 'alert' }"/>
</expression>
</dynamicValue>
<dynamicValue>
<path value="priority"/>
<expression>
<description value="Alert priority"/>
<language value="text/cql-expression"/>
<expression
value="Code { system: 'http://hl7.org/fhir/request-priority', code: 'routine' }"/>
</expression>
</dynamicValue>
</action>
<action>
<title value="Hib dose 2"/>
<description
value="Provision of the Hib dose 2
Trigger event: First Hib dose from the primary series was administered to the client within 1 year of age. Client's age is less than 5 years
Trigger pseudo: Count of vaccines administered (where "Vaccine type" = "Hib-containing vaccines" and "Type of dose" = "Primary series") = 1 AND "Date and time of vaccination" (where "Vaccine type"= "Hib-containing vaccines" and "Dose number" = 1) − "Date of birth" < 1 year AND Today's date − "Date of birth" ≤ 5 years
Trigger date: "Date and time of vaccination" (where "Vaccine type" = "Hib-containing vaccines")
Create condition: Hib dose 2 should be provided if the client was given the previous dose more than 4 weeks ago and the first Hib dose was received by the time the child turned 1 year old"/>
<condition>
<kind value="applicability"/>
<expression>
<description value="Hib dose 2"/>
<language value="text/cql-identifier"/>
<expression value="Hib dose 2"/>
</expression>
</condition>
<definitionCanonical
value="http://smart.who.int/immunizations/ActivityDefinition/IMMZD2DTCR"/>
<dynamicValue>
<path value="status"/>
<expression>
<language value="text/cql-expression"/>
<expression value="'active'"/>
</expression>
</dynamicValue>
<dynamicValue>
<path value="payload.contentString"/>
<expression>
<language value="text/cql-identifier"/>
<expression value="Hib dose 2 Create"/>
</expression>
</dynamicValue>
<dynamicValue>
<path value="category.coding"/>
<expression>
<description value="Category of communication"/>
<language value="text/cql-expression"/>
<expression
value="Code { system: 'http://terminology.hl7.org/CodeSystem/communication-category', code: 'alert' }"/>
</expression>
</dynamicValue>
<dynamicValue>
<path value="priority"/>
<expression>
<description value="Alert priority"/>
<language value="text/cql-expression"/>
<expression
value="Code { system: 'http://hl7.org/fhir/request-priority', code: 'routine' }"/>
</expression>
</dynamicValue>
</action>
<action>
<title value="Hib dose 3"/>
<description
value="Provision of the Hib dose 3
Trigger event: Second Hib dose from the primary series was administered. Client's age is less than 5 years
Trigger pseudo: Count of vaccines administered (where "Vaccine type" = "Hib-containing vaccines" and "Type of dose"= "Primary series") = 2 AND Today's date − "Date of birth" ≤ 5 years
Trigger date: Latest "Date and time of vaccination" (where "Vaccine type" = "Hib-containing vaccines")
Create condition: Hib dose 3 should be provided if the client was given the previous dose more than 4 weeks before and the first Hib dose was received by the time the child turned 1 year old"/>
<condition>
<kind value="applicability"/>
<expression>
<description value="Hib dose 3"/>
<language value="text/cql-identifier"/>
<expression value="Hib dose 3"/>
</expression>
</condition>
<definitionCanonical
value="http://smart.who.int/immunizations/ActivityDefinition/IMMZD2DTCR"/>
<dynamicValue>
<path value="status"/>
<expression>
<language value="text/cql-expression"/>
<expression value="'active'"/>
</expression>
</dynamicValue>
<dynamicValue>
<path value="payload.contentString"/>
<expression>
<language value="text/cql-identifier"/>
<expression value="Hib dose 3 Create"/>
</expression>
</dynamicValue>
<dynamicValue>
<path value="category.coding"/>
<expression>
<description value="Category of communication"/>
<language value="text/cql-expression"/>
<expression
value="Code { system: 'http://terminology.hl7.org/CodeSystem/communication-category', code: 'alert' }"/>
</expression>
</dynamicValue>
<dynamicValue>
<path value="priority"/>
<expression>
<description value="Alert priority"/>
<language value="text/cql-expression"/>
<expression
value="Code { system: 'http://hl7.org/fhir/request-priority', code: 'routine' }"/>
</expression>
</dynamicValue>
</action>
</PlanDefinition>