IMMZD18SMalaria
type: PlanDefinition
node role: treeRoot
id:
  v: IMMZD18SMalaria
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: IMMZD18SMalaria Url: IMMZ.D18.S.Malaria schedule Version: 1.0.0 Title: IMMZ.D18.S.Malaria 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.Malaria schedule 4-dose schedule Knowledge Capability: computable Related Artifacts: References WHO recommendations for routine immunization - summary tables (January 2025) Libraries: IMMZD18SMalariaLogic Actions: Malaria dose 1: Provision of the malaria dose 1 Trigger event: Child's birth Trigger pseudo: Trigger date: "Date of birth" Create condition: WHO recommends that the first dose of vaccine be administered from 5 months of age. If: Applicability: Malaria dose 1 (Malaria dose 1) Then: Definition: IMMZ.D2.DT.CR Dynamic Values: status: ('active') payload.contentString: (Malaria 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' }) Malaria dose 2: Provision of the malaria dose 2 Trigger event: First malaria dose from the primary series was administered Trigger pseudo: Count of vaccines administered (where "Vaccine type" = "Malaria vaccines" and "Type of dose" = "Primary series") = 1 Trigger date: "Date and time of vaccination" (where "Vaccine type" = "Malaria vaccines") Create condition: There should be a minimum interval of 4 weeks between doses. If: Applicability: Malaria dose 2 (Malaria dose 2) Then: Definition: IMMZ.D2.DT.CR Dynamic Values: status: ('active') payload.contentString: (Malaria dose 2 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' }) Malaria dose 3: Provision of the malaria dose 3 Trigger event: Second malaria dose from the primary series was administered Trigger ps…
contained: Library
  id:
    v: effective-data-requirements
  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: IMMZD2DTMalariaEncounterElements
    extension:
      url:
        v: name
        l: name
      value: String
        v: Malaria Doses Administered to Patient
    extension:
      url:
        v: statement
        l: statement
      value: String
        v: /* @internal: Malaria containing Doses Administered to Patient */ define "Malaria Doses Administered to Patient": Encounter."Doses Administered to Patient" I where I.vaccineCode in Concepts."Malaria 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: IMMZD2DTMalariaEncounterElements
    extension:
      url:
        v: name
        l: name
      value: String
        v: Malaria Primary Series Doses Administered to Patient
    extension:
      url:
        v: statement
        l: statement
      value: String
        v: /* @internal: Malaria containing Doses Administered to Patient that are in the Primary series */ define "Malaria Primary Series Doses Administered to Patient": "Malaria 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: IMMZD2DTMalariaEncounterElements
    extension:
      url:
        v: name
        l: name
      value: String
        v: Number of Malaria Primary Series Doses Administered
    extension:
      url:
        v: statement
        l: statement
      value: String
        v: /* @internal: Number of Malaria Primary Series doses */ define "Number of Malaria Primary Series Doses Administered": Count("Malaria 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
        v: IMMZD2DTMalariaEncounterElements
    extension:
      url:
        v: name
        l: name
      value: String
        v: One malaria primary series dose was administered
    extension:
      url:
        v: statement
        l: statement
      value: String
        v: /* @input: One malaria primary series dose was administered @pseudocode: Count of vaccines administered (where "Vaccine type" = "Malaria vaccines" and "Type of dose" = "Primary series") = 1 @code: One malaria primary series dose was administered-116 @decision: IMMZ.D2.DT.Malaria: 4-dose schedule (The RTS,S/AS01 malaria vaccine should be used for the prevention of Plasmodium falciparum malaria in children living in regions with moderate to high malaria transmission, as defined by WHO) */ define "One malaria primary series dose was administered": "Number of Malaria Primary Series Doses Administered" = 1
    extension:
      url:
        v: displaySequence
        l: displaySequence
      value: Integer
        v: 5
    url:
      v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
      l: cqf-logicDefinition
  extension:
    extension:
      url:
        v: libraryName
        l: libraryName
      value: String
        v: IMMZD18SMalariaLogic
    extension:
      url:
        v: name
        l: name
      value: String
        v: First malaria dose from the primary series was administered

url:
  v: statement
  l: statement
value: String
  v: /* @complete: First malaria dose from the primary series was administered @pseudocode: Count of vaccines administered (where "Vaccine type" = "Malaria vaccines" and "Type of dose" = "Primary series") = 1 */ define "First malaria dose from the primary series was administered": Encounter."One malaria primary series dose was administered"

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

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTMalariaEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: Two malaria primary series doses were administered
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @input: Two malaria primary series doses were administered @pseudocode: Count of vaccines administered (where "Vaccine type" = "Malaria vaccines" and "Type of dose" = "Primary series") = 2 @code: Two malaria primary series doses were administered-116 @decision: IMMZ.D2.DT.Malaria: 4-dose schedule (The RTS,S/AS01 malaria vaccine should be used for the prevention of Plasmodium falciparum malaria in children living in regions with moderate to high malaria transmission, as defined by WHO) */ define "Two malaria primary series doses were administered": "Number of Malaria Primary Series Doses Administered" = 2
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: IMMZD18SMalariaLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: Second malaria dose from the primary series was administered
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @complete: Second malaria dose from the primary series was administered @pseudocode: Count of vaccines administered (where "Vaccine type" = "Malaria vaccines" and "Type of dose" = "Primary series") = 2 */ define "Second malaria dose from the primary series was administered": Encounter."Two malaria primary series doses were administered"
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: IMMZD18SMalariaLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: Malaria dose 2
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @output: Malaria dose 2 @description: Provision of the malaria dose 2 @trigger: First malaria dose from the primary series was administered @pseudo: Count of vaccines administered (where "Vaccine type" = "Malaria vaccines" and "Type of dose" = "Primary series") = 1 @triggerDate: "Date and time of vaccination" (where "Vaccine type" = "Malaria vaccines") */ define "Malaria dose 2": "First malaria dose from the primary series was administered" and not "Second malaria dose from the primary series was administered"
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 9
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTMalariaEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: Three malaria primary series doses were administered
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @input: Three malaria primary series doses were administered @pseudocode: Count of vaccines administered (where "Vaccine type" = "Malaria vaccines" and "Type of dose" = "Primary series") = 3 @code: Three malaria primary series doses were administered-116 @decision: IMMZ.D2.DT.Malaria: 4-dose schedule (The RTS,S/AS01 malaria vaccine should be used for the prevention of Plasmodium falciparum malaria in children living in regions with moderate to high malaria transmission, as defined by WHO) */ define "Three malaria primary series doses were administered": "Number of Malaria Primary Series Doses Administered" = 3
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: IMMZD18SMalariaLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: Third malaria dose from the primary series was administered
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @complete: Third malaria dose from the primary series was administered @pseudocode: Count of vaccines administered (where "Vaccine type" = "Malaria vaccines" and "Type of dose" = "Primary series") = 3 */ define "Third malaria dose from the primary series was administered": Encounter."Three malaria primary series doses were administered"
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: IMMZD18SMalariaLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: Malaria dose 3
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @output: Malaria dose 3 @description: Provision of the malaria dose 3 @trigger: Second malaria dose from the primary series was administered @pseudo: Count of vaccines administered (where "Vaccine type" = "Malaria vaccines" and "Type of dose" = "Primary series") = 2 @triggerDate: Latest "Date and time of vaccination" (where "Vaccine type" = "Malaria vaccines") */ define "Malaria dose 3": "Second malaria dose from the primary series was administered" and not "Third malaria dose from the primary series was administered"
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: IMMZD2DTMalariaEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: Date of Latest Malaria Dose
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @internal: Date of Latest Malaria Dose */ define "Date of Latest Malaria Dose": date from start of "Malaria Doses Administered to Patient".mostRecent().occurrence.toInterval()
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: IMMZD18SMalariaLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: Malaria dose 3 Due Date
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @dynamicValue: Malaria dose 3 Due Date @pseudocode: Latest "Date and time of vaccination" (where "Vaccine type" = "Malaria vaccines") + 4 weeks */ define "Malaria dose 3 Due Date": if "Malaria dose 3" then Encounter."Date of Latest Malaria Dose" + 4 weeks else null
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: IMMZD18SMalariaLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: Malaria dose 3 Create
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @output: Malaria dose 3 Create @create: There should be a minimum interval of 4 weeks between doses. */ define "Malaria dose 3 Create": if "Malaria dose 3" then 'There should be a minimum interval of 4 weeks between doses.' + ' Due Date: ' + ToString("Malaria dose 3 Due Date") else ''
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: IMMZD2DTMalariaEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: Four malaria primary series doses were administered
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @input: Four malaria primary series doses were administered @pseudocode: Count of vaccines administered (where "Vaccine type" = "Malaria vaccines" and "Type of dose" = "Primary series") = 4 @code: Four malaria primary series doses were administered-116 @decision: IMMZ.D2.DT.Malaria: 4-dose schedule (The RTS,S/AS01 malaria vaccine should be used for the prevention of Plasmodium falciparum malaria in children living in regions with moderate to high malaria transmission, as defined by WHO) */ define "Four malaria primary series doses were administered": "Number of Malaria Primary Series Doses Administered" = 4
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: IMMZD18SMalariaLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: Fourth malaria dose from the primary series was administered. The primary series has been completed
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @complete: Fourth malaria dose from the primary series was administered. The primary series has been completed @pseudocode: "Completed the primary vaccination series" = TRUE (where "Vaccine type" = "Malaria vaccines")" */ define "Fourth malaria dose from the primary series was administered. The primary series has been completed": Encounter."Four malaria primary series doses were administered"
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: IMMZD18SMalariaLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: Malaria dose 4
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @output: Malaria dose 4 @description: Provision of the malaria dose 4 @trigger: Third malaria dose from the primary series was administered @pseudo: Count of vaccines administered (where "Vaccine type" = "Malaria vaccines" and "Type of dose" = "Primary series") = 3 @triggerDate: Latest "Date and time of vaccination" (where "Vaccine type" = "Malaria vaccines") */ define "Malaria dose 4": "Third malaria dose from the primary series was administered" and not "Fourth malaria dose from the primary series was administered. The primary series has been completed"
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: IMMZD18SMalariaLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: Malaria dose 4 Due Date
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @dynamicValue: Malaria dose 4 Due Date @pseudocode: Latest "Date and time of vaccination" (where "Vaccine type" = "Malaria vaccines") + 4 weeks */ define "Malaria dose 4 Due Date": if "Malaria dose 4" then Encounter."Date of Latest Malaria Dose" + 4 weeks else null
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: IMMZD18SMalariaLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: Malaria dose 4 Overdue
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @dynamicValue: Malaria dose 4 Overdue @pseudocode: Latest "Date and time of vaccination" (where "Vaccine type" = "Malaria vaccines") + 18 months */ define "Malaria dose 4 Overdue": if "Malaria dose 4" then Encounter."Date of Latest Malaria Dose" + 18 months else null
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: IMMZD18SMalariaLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: Malaria dose 4 Create
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @output: Malaria dose 4 Create @create: There should be a minimum interval of 4 weeks between doses. The fourth dose should be provided approximately 12–18 months after the third dose to prolong the duration of protection. */ define "Malaria dose 4 Create": if "Malaria dose 4" then 'There should be a minimum interval of 4 weeks between doses. The fourth dose should be provided approximately 12–18 months after the third dose to prolong the duration of protection.' + ' Due Date: ' + ToString("Malaria dose 4 Due Date") + ' Overdue: ' + ToString("Malaria dose 4 Overdue") else ''
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: IMMZD2DTMalariaEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: No malaria primary series doses were administered
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @input: No malaria primary series doses were administered @pseudocode: Count of vaccines administered (where "Vaccine type" = "Malaria vaccines" and "Type of dose" = "Primary series") = 0 @code: No malaria primary series doses were administered-116 @decision: IMMZ.D2.DT.Malaria: 4-dose schedule (The RTS,S/AS01 malaria vaccine should be used for the prevention of Plasmodium falciparum malaria in children living in regions with moderate to high malaria transmission, as defined by WHO) */ define "No malaria primary series doses were administered": "Number of Malaria Primary Series Doses Administered" = 0
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: IMMZD18SMalariaLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: Malaria dose 1
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @output: Malaria dose 1 @description: Provision of the malaria dose 1 @trigger: Child's birth @pseudo: @triggerDate: "Date of birth" */ define "Malaria dose 1": Encounter."No malaria primary series doses were administered" and not "First malaria dose from the primary series was administered"
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: IMMZD18SMalariaLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: Malaria dose 2 Due Date
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @dynamicValue: Malaria dose 2 Due Date @pseudocode: "Date and time of vaccination" (where "Vaccine type" = "Malaria vaccines") + 4 weeks */ define "Malaria dose 2 Due Date": if "Malaria dose 2" then Encounter."Date of Latest Malaria Dose" + 4 weeks 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: IMMZD18SMalariaLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: Malaria dose 2 Create
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @output: Malaria dose 2 Create @create: There should be a minimum interval of 4 weeks between doses. */ define "Malaria dose 2 Create": if "Malaria dose 2" then 'There should be a minimum interval of 4 weeks between doses.' + ' Due Date: ' + ToString("Malaria dose 2 Due Date") 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: IMMZD18SMalariaLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: Malaria dose 1 Due Date
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @dynamicValue: Malaria dose 1 Due Date @pseudocode: "Date of birth" + 5 months */ define "Malaria dose 1 Due Date": if "Malaria dose 1" then Patient.birthDate + 5 months else null
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: IMMZD18SMalariaLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: Malaria dose 1 Create
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @output: Malaria dose 1 Create @create: WHO recommends that the first dose of vaccine be administered from 5 months of age. */ define "Malaria dose 1 Create": if "Malaria dose 1" then 'WHO recommends that the first dose of vaccine be administered from 5 months of age.' + ' Due Date: ' + ToString("Malaria dose 1 Due Date") else ''
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 27
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZCommon
extension:
  url:
    v: name
    l: name
  value: String
    v: seriesPrimary
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /** * @description: Gets the doses from the primary series */ define fluent function seriesPrimary(immunizations List<Immunization>): immunizations I where exists( I.protocolApplied pa where pa.series = 'Primary series' )
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 28
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: FHIRHelpers
extension:
  url:
    v: name
    l: name
  value: String
    v: ToString
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define function ToString(value string): value.value
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 29
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: FHIRHelpers
extension:
  url:
    v: name
    l: name
  value: String
    v: ToString
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define function ToString(value ImmunizationStatus): value.value
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 30
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: FHIRHelpers
extension:
  url:
    v: name
    l: name
  value: String
    v: ToBoolean
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define function ToBoolean(value boolean): value.value
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 31
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: WHOCommon
extension:
  url:
    v: name
    l: name
  value: String
    v: toInterval
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* From FHIRCommon 4.1.0: */ /* @description: Normalizes a value that is a choice of timing-valued types to an equivalent interval @comment: Normalizes a choice type of FHIR.dateTime, FHIR.Period, FHIR.Timing, FHIR.instance, FHIR.string, FHIR.Age, or FHIR.Range types to an equivalent interval. This selection of choice types is a superset of the majority of choice types that are used as possible representations for timing-valued elements in FHIR, allowing this function to be used across any resource. The input can be provided as a dateTime, Period, Timing, instant, string, Age, or Range. The intent of this function is to provide a clear and concise mechanism to treat single elements that have multiple possible representations as intervals so that logic doesn't have to account for the variability. More complex calculations (such as medication request period or dispense period calculation) need specific guidance and consideration. That guidance may make use of this function, but the focus of this function is on single element calculations where the semantics are unambiguous. If the input is a dateTime, the result a DateTime Interval beginning and ending on that dateTime. If the input is a Period, the result is a DateTime Interval. If the input is a Timing, an error is raised indicating a single interval cannot be computed from a Timing. If the input is an instant, the result is a DateTime Interval beginning and ending on that instant. If the input is a string, an error is raised indicating a single interval cannot be computed from a string. If the input is an Age, the result is a DateTime Interval beginning when the patient was the given Age, and ending immediately prior to when the patient was the given Age plus one year. If the input is a Range, the result is a DateTime Interval beginning when the patient was the Age given by the low end of the Range, and ending immediately prior to when the patient was the Age given by the high end of the Range plus one year. NOTE: …
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 32
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: FHIRHelpers
extension:
  url:
    v: name
    l: name
  value: String
    v: ToDateTime
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define function ToDateTime(value dateTime): value.value
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 33
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: FHIRHelpers
extension:
  url:
    v: name
    l: name
  value: String
    v: ToInterval
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define function ToInterval(period FHIR.Period): if period is null then null else if period."start" is null then Interval(period."start".value, period."end".value] else Interval[period."start".value, period."end".value]
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 34
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: FHIRHelpers
extension:
  url:
    v: name
    l: name
  value: String
    v: ToDateTime
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define function ToDateTime(value instant): value.value
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 35
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: FHIRHelpers
extension:
  url:
    v: name
    l: name
  value: String
    v: 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: 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: 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: 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: 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: 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: 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: 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: 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: 40
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: 41
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/IMMZD2DTMalariaEncounterElements
  l: IMMZD2DTMalariaEncounterElements

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: Value set Malaria vaccines
resource:
  v: http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE27
  l: IMMZ.Z.DE27

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

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

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

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

name:
  v: Malaria dose 4 Create
use:
  v: out
min:
  v: 0
max:
  v: 1
type:
  v: string

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

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

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

name:
  v: Malaria dose 4
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.DE27
    l: IMMZ.Z.DE27

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

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: IMMZD18SMalaria

v: IMMZ.D18.S.Malaria 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.Malaria schedule 4-dose schedule

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

title:
  v: Malaria dose 1
description:
  v: Provision of the malaria dose 1 Trigger event: Child's birth Trigger pseudo: Trigger date: "Date of birth" Create condition: WHO recommends that the first dose of vaccine be administered from 5 months of age.
condition:
  kind:
    v: applicability
  expression:
    description:
      v: Malaria dose 1
    language:
      v: text/cql-identifier
    expression:
      v: Malaria 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: Malaria 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: Malaria dose 2
description:
  v: Provision of the malaria dose 2 Trigger event: First malaria dose from the primary series was administered Trigger pseudo: Count of vaccines administered (where "Vaccine type" = "Malaria vaccines" and "Type of dose" = "Primary series") = 1 Trigger date: "Date and time of vaccination" (where "Vaccine type" = "Malaria vaccines") Create condition: There should be a minimum interval of 4 weeks between doses.
condition:
  kind:
    v: applicability
  expression:
    description:
      v: Malaria dose 2
    language:
      v: text/cql-identifier
    expression:
      v: Malaria dose 2
definition: Canonical
  v: http://smart.who.int/immunizations/ActivityDefinition/IMMZD2DTCR
  l: IMMZD2DTCR
dynamic value:
  path:
    v: status
  expression:
    language:
      v: text/cql-expression
    expression:
      v: 'active'
dynamic value:
  path:
    v: payload.contentString
  expression:
    language:
      v: text/cql-identifier
    expression:
      v: Malaria dose 2 Create
dynamic value:
  path:
    v: category.coding
  expression:
    description:
      v: Category of communication
    language:
      v: text/cql-expression
    expression:
      v: Code { system: 'http://terminology.hl7.org/CodeSystem/communication-category', code: 'alert' }
dynamic value:
  path:
    v: priority
  expression:
    description:
      v: Alert priority
    language:
      v: text/cql-expression
    expression:
      v: Code { system: 'http://hl7.org/fhir/request-priority', code: 'routine' }

title:
  v: Malaria dose 3
description:
  v: Provision of the malaria dose 3 Trigger event: Second malaria dose from the primary series was administered Trigger pseudo: Count of vaccines administered (where "Vaccine type" = "Malaria vaccines" and "Type of dose" = "Primary series") = 2 Trigger date: Latest "Date and time of vaccination" (where "Vaccine type" = "Malaria vaccines") Create condition: There should be a minimum interval of 4 weeks between doses.
condition:
  kind:
    v: applicability
  expression:
    description:
      v: Malaria dose 3
    language:
      v: text/cql-identifier
    expression:
      v: Malaria dose 3
definition: Canonical
  v: http://smart.who.int/immunizations/ActivityDefinition/IMMZD2DTCR
  l: IMMZD2DTCR
dynamic value:
  path:
    v: status
  expression:
    language:
      v: text/cql-expression
    expression:
      v: 'active'
dynamic value:
  path:
    v: payload.contentString
  expression:
    language:
      v: text/cql-identifier
    expression:
      v: Malaria dose 3 Create
dynamic value:
  path:
    v: category.coding
  expression:
    description:
      v: Category of communication
    language:
      v: text/cql-expression
    expression:
      v: Code { system: 'http://terminology.hl7.org/CodeSystem/communication-category', code: 'alert' }
dynamic value:
  path:
    v: priority
  expression:
    description:
      v: Alert priority
    language:
      v: text/cql-expression
    expression:
      v: Code { system: 'http://hl7.org/fhir/request-priority', code: 'routine' }

title:
  v: Malaria dose 4
description:
  v: Provision of the malaria dose 4 Trigger event: Third malaria dose from the primary series was administered Trigger pseudo: Count of vaccines administered (where "Vaccine type" = "Malaria vaccines" and "Type of dose" = "Primary series") = 3 Trigger date: Latest "Date and time of vaccination" (where "Vaccine type" = "Malaria vaccines") Create condition: There should be a minimum interval of 4 weeks between doses. The fourth dose should be provided approximately 12–18 months after the third dose to prolong the duration of protection.
condition:
  kind:
    v: applicability
  expression:
    description:
      v: Malaria dose 4
    language:
      v: text/cql-identifier
    expression:
      v: Malaria dose 4
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: Malaria dose 4 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' }