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="IMMZD18SMalaria"/>
<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;">IMMZD18SMalaria</td>
</tr>
<tr>
<th scope="row"><b>Url: </b></th>
<td style="padding-left: 4px;"><a href="PlanDefinition-IMMZD18SMalaria.html">IMMZ.D18.S.Malaria 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.Malaria 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.Malaria schedule
4-dose 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-IMMZD18SMalariaLogic.html">IMMZD18SMalariaLogic</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> Malaria dose 1:</b> 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.
<br/>
<b>If:</b>
<i>Applicability:</i>
Malaria dose 1
<i>(Malaria 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>(Malaria 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> Malaria dose 2:</b> 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.
<br/>
<b>If:</b>
<i>Applicability:</i>
Malaria dose 2
<i>(Malaria 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>(Malaria 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> Malaria dose 3:</b> 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.
<br/>
<b>If:</b>
<i>Applicability:</i>
Malaria dose 3
<i>(Malaria 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>(Malaria 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>
<tr>
<td>
<b> Malaria dose 4:</b> 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.
<br/>
<b>If:</b>
<i>Applicability:</i>
Malaria dose 4
<i>(Malaria dose 4)</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>(Malaria dose 4 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="IMMZD2DTMalariaEncounterElements"/>
</extension>
<extension url="name">
<valueString value="Malaria Doses Administered to Patient"/>
</extension>
<extension url="statement">
<valueString
value="/*
@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>
<extension url="displaySequence">
<valueInteger value="2"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTMalariaEncounterElements"/>
</extension>
<extension url="name">
<valueString
value="Malaria Primary Series Doses Administered to Patient"/>
</extension>
<extension url="statement">
<valueString
value="/*
@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>
<extension url="displaySequence">
<valueInteger value="3"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTMalariaEncounterElements"/>
</extension>
<extension url="name">
<valueString
value="Number of Malaria Primary Series Doses Administered"/>
</extension>
<extension url="statement">
<valueString
value="/*
@internal: Number of Malaria Primary Series doses
*/
define "Number of Malaria Primary Series Doses Administered":
Count("Malaria 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="IMMZD2DTMalariaEncounterElements"/>
</extension>
<extension url="name">
<valueString
value="One malaria primary series dose was administered"/>
</extension>
<extension url="statement">
<valueString
value="/*
@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>
<extension url="displaySequence">
<valueInteger value="5"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD18SMalariaLogic"/>
</extension>
<extension url="name">
<valueString
value="First malaria dose from the primary series was administered"/>
</extension>
<extension url="statement">
<valueString
value="/*
@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""/>
</extension>
<extension url="displaySequence">
<valueInteger value="6"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTMalariaEncounterElements"/>
</extension>
<extension url="name">
<valueString
value="Two malaria primary series doses were administered"/>
</extension>
<extension url="statement">
<valueString
value="/*
@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>
<extension url="displaySequence">
<valueInteger value="7"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD18SMalariaLogic"/>
</extension>
<extension url="name">
<valueString
value="Second malaria dose from the primary series was administered"/>
</extension>
<extension url="statement">
<valueString
value="/*
@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>
<extension url="displaySequence">
<valueInteger value="8"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD18SMalariaLogic"/>
</extension>
<extension url="name">
<valueString value="Malaria dose 2"/>
</extension>
<extension url="statement">
<valueString
value="/*
@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>
<extension url="displaySequence">
<valueInteger value="9"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTMalariaEncounterElements"/>
</extension>
<extension url="name">
<valueString
value="Three malaria primary series doses were administered"/>
</extension>
<extension url="statement">
<valueString
value="/*
@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>
<extension url="displaySequence">
<valueInteger value="10"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD18SMalariaLogic"/>
</extension>
<extension url="name">
<valueString
value="Third malaria dose from the primary series was administered"/>
</extension>
<extension url="statement">
<valueString
value="/*
@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>
<extension url="displaySequence">
<valueInteger value="11"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD18SMalariaLogic"/>
</extension>
<extension url="name">
<valueString value="Malaria dose 3"/>
</extension>
<extension url="statement">
<valueString
value="/*
@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>
<extension url="displaySequence">
<valueInteger value="12"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTMalariaEncounterElements"/>
</extension>
<extension url="name">
<valueString value="Date of Latest Malaria Dose"/>
</extension>
<extension url="statement">
<valueString
value="/*
@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>
<extension url="displaySequence">
<valueInteger value="13"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD18SMalariaLogic"/>
</extension>
<extension url="name">
<valueString value="Malaria dose 3 Due Date"/>
</extension>
<extension url="statement">
<valueString
value="/*
@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>
<extension url="displaySequence">
<valueInteger value="14"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD18SMalariaLogic"/>
</extension>
<extension url="name">
<valueString value="Malaria dose 3 Create"/>
</extension>
<extension url="statement">
<valueString
value="/*
@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>
<extension url="displaySequence">
<valueInteger value="15"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTMalariaEncounterElements"/>
</extension>
<extension url="name">
<valueString
value="Four malaria primary series doses were administered"/>
</extension>
<extension url="statement">
<valueString
value="/*
@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>
<extension url="displaySequence">
<valueInteger value="16"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD18SMalariaLogic"/>
</extension>
<extension url="name">
<valueString
value="Fourth malaria dose from the primary series was administered. The primary series has been completed"/>
</extension>
<extension url="statement">
<valueString
value="/*
@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>
<extension url="displaySequence">
<valueInteger value="17"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD18SMalariaLogic"/>
</extension>
<extension url="name">
<valueString value="Malaria dose 4"/>
</extension>
<extension url="statement">
<valueString
value="/*
@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>
<extension url="displaySequence">
<valueInteger value="18"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD18SMalariaLogic"/>
</extension>
<extension url="name">
<valueString value="Malaria dose 4 Due Date"/>
</extension>
<extension url="statement">
<valueString
value="/*
@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>
<extension url="displaySequence">
<valueInteger value="19"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD18SMalariaLogic"/>
</extension>
<extension url="name">
<valueString value="Malaria dose 4 Overdue"/>
</extension>
<extension url="statement">
<valueString
value="/*
@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>
<extension url="displaySequence">
<valueInteger value="20"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD18SMalariaLogic"/>
</extension>
<extension url="name">
<valueString value="Malaria dose 4 Create"/>
</extension>
<extension url="statement">
<valueString
value="/*
@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>
<extension url="displaySequence">
<valueInteger value="21"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTMalariaEncounterElements"/>
</extension>
<extension url="name">
<valueString
value="No malaria primary series doses were administered"/>
</extension>
<extension url="statement">
<valueString
value="/*
@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>
<extension url="displaySequence">
<valueInteger value="22"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD18SMalariaLogic"/>
</extension>
<extension url="name">
<valueString value="Malaria dose 1"/>
</extension>
<extension url="statement">
<valueString
value="/*
@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>
<extension url="displaySequence">
<valueInteger value="23"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD18SMalariaLogic"/>
</extension>
<extension url="name">
<valueString value="Malaria dose 2 Due Date"/>
</extension>
<extension url="statement">
<valueString
value="/*
@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>
<extension url="displaySequence">
<valueInteger value="24"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD18SMalariaLogic"/>
</extension>
<extension url="name">
<valueString value="Malaria dose 2 Create"/>
</extension>
<extension url="statement">
<valueString
value="/*
@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>
<extension url="displaySequence">
<valueInteger value="25"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD18SMalariaLogic"/>
</extension>
<extension url="name">
<valueString value="Malaria dose 1 Due Date"/>
</extension>
<extension url="statement">
<valueString
value="/*
@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>
<extension url="displaySequence">
<valueInteger value="26"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD18SMalariaLogic"/>
</extension>
<extension url="name">
<valueString value="Malaria dose 1 Create"/>
</extension>
<extension url="statement">
<valueString
value="/*
@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>
<extension url="displaySequence">
<valueInteger value="27"/>
</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="28"/>
</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="29"/>
</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="30"/>
</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="31"/>
</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="32"/>
</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="33"/>
</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="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 instant): 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="ToDate"/>
</extension>
<extension url="statement">
<valueString
value="define function ToDate(value date): value.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="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="37"/>
</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="38"/>
</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="39"/>
</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="40"/>
</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="41"/>
</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/IMMZD2DTMalariaEncounterElements"/>
</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 Malaria vaccines"/>
<resource
value="http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE27"/>
</relatedArtifact>
<parameter>
<name value="Today"/>
<use value="in"/>
<min value="0"/>
<max value="1"/>
<type value="date"/>
</parameter>
<parameter>
<name value="Malaria dose 2"/>
<use value="out"/>
<min value="0"/>
<max value="1"/>
<type value="boolean"/>
</parameter>
<parameter>
<name value="Malaria dose 3"/>
<use value="out"/>
<min value="0"/>
<max value="1"/>
<type value="boolean"/>
</parameter>
<parameter>
<name value="Malaria dose 3 Create"/>
<use value="out"/>
<min value="0"/>
<max value="1"/>
<type value="string"/>
</parameter>
<parameter>
<name value="Malaria dose 4 Create"/>
<use value="out"/>
<min value="0"/>
<max value="1"/>
<type value="string"/>
</parameter>
<parameter>
<name value="Malaria dose 1"/>
<use value="out"/>
<min value="0"/>
<max value="1"/>
<type value="boolean"/>
</parameter>
<parameter>
<name value="Malaria dose 2 Create"/>
<use value="out"/>
<min value="0"/>
<max value="1"/>
<type value="string"/>
</parameter>
<parameter>
<name value="Malaria dose 1 Create"/>
<use value="out"/>
<min value="0"/>
<max value="1"/>
<type value="string"/>
</parameter>
<parameter>
<name value="Malaria dose 4"/>
<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.DE27"/>
</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/IMMZD18SMalaria"/>
<version value="1.0.0"/>
<name value="IMMZD18SMalaria"/>
<title value="IMMZ.D18.S.Malaria 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.Malaria schedule
4-dose 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/IMMZD18SMalariaLogic"/>
<action>
<title value="Malaria dose 1"/>
<description
value="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 value="applicability"/>
<expression>
<description value="Malaria dose 1"/>
<language value="text/cql-identifier"/>
<expression value="Malaria 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="Malaria 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="Malaria dose 2"/>
<description
value="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 value="applicability"/>
<expression>
<description value="Malaria dose 2"/>
<language value="text/cql-identifier"/>
<expression value="Malaria 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="Malaria 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="Malaria dose 3"/>
<description
value="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 value="applicability"/>
<expression>
<description value="Malaria dose 3"/>
<language value="text/cql-identifier"/>
<expression value="Malaria 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="Malaria 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>
<action>
<title value="Malaria dose 4"/>
<description
value="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 value="applicability"/>
<expression>
<description value="Malaria dose 4"/>
<language value="text/cql-identifier"/>
<expression value="Malaria dose 4"/>
</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="Malaria dose 4 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>