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="IMMZD18SPolioIPVOnly"/>
<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;">IMMZD18SPolioIPVOnly</td>
</tr>
<tr>
<th scope="row"><b>Url: </b></th>
<td style="padding-left: 4px;"><a href="PlanDefinition-IMMZD18SPolioIPVOnly.html">IMMZ.D18.S.Polio.IPV-only 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.Polio.IPV-only 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.Polio.IPV-only schedule
Inactivated polio vaccine (IPV)-only 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-IMMZD18SPolioIPVOnlyLogic.html">IMMZD18SPolioIPVOnlyLogic</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> IPV dose 1:</b> Provision of IPV dose 1
Trigger event: Child's birth
Trigger pseudo:
Trigger date: "Date of birth"
Create condition: A primary 3-dose series of IPV administered beginning at 6 or 8 weeks of age, with a minimum 4 week-interval between doses, is recommended.
<br/>
<b>If:</b>
<i>Applicability:</i>
IPV dose 1
<i>(IPV 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>(IPV 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> IPV dose 2:</b> Provision of IPV dose 2
Trigger event: First IPV dose from the primary series was administered
Trigger pseudo: Count of vaccines administered (where "Vaccine type" = "Poliovirus-containing vaccines") = 1
Trigger date: Latest "Date and time of vaccination" (where "Vaccine type" = "Poliovirus-containing vaccines")
Create condition: A primary 3-dose series of IPV administered beginning at 6 or 8 weeks of age, with a minimum 4 week-interval between doses, is recommended.
<br/>
<b>If:</b>
<i>Applicability:</i>
IPV dose 2
<i>(IPV 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>(IPV 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> IPV dose 3:</b> Provision of IPV dose 3
Trigger event: Second IPV dose from the primary series was administered
Trigger pseudo: Count of vaccines administered (where "Vaccine type" = "Poliovirus-containing vaccines") = 2
Trigger date: Latest "Date and time of vaccination" (where "Vaccine type" = "Poliovirus-containing vaccines")
Create condition: A primary 3-dose series of IPV administered beginning at 6 or 8 weeks of age, with a minimum 4 week-interval between doses, is recommended.
<br/>
<b>If:</b>
<i>Applicability:</i>
IPV dose 3
<i>(IPV 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>(IPV 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> IPV booster:</b> Provision of IPV booster
Trigger event: Third IPV dose from the primary series was administered and the client's age was 6 weeks when the primary series was started
Trigger pseudo: Count of vaccines administered (where "Vaccine type" = "Poliovirus-containing vaccines") = 3 AND "Date and time of vaccination" (where "Vaccine type" = "Poliovirus-containing vaccines" AND "Dose number" = 1) − "Date of birth" = 6 weeks
Trigger date: Latest "Date and time of vaccination" (where "Vaccine type" = "Poliovirus-containing vaccines")
Create condition: If the primary series begins at 6 weeks, a booster dose should be given 6 months or more after the third dose
<br/>
<b>If:</b>
<i>Applicability:</i>
IPV booster
<i>(IPV booster)</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>(IPV booster 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-directReferenceCode">
<valueCoding>
<system
value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
<code value="DE213"/>
<display value="IPV"/>
</valueCoding>
</extension>
<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="IMMZD2DTPolioElements"/>
</extension>
<extension url="name">
<valueString value="Polio Doses Administered to Patient"/>
</extension>
<extension url="statement">
<valueString
value="/*
@internal: Polio containing Doses Administered to Patient
*/
define "Polio Doses Administered to Patient":
Elements."Doses Administered to Patient" I
where
I.vaccineCode in Concepts."Poliovirus-containing vaccines""/>
</extension>
<extension url="displaySequence">
<valueInteger value="1"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTPolioElements"/>
</extension>
<extension url="name">
<valueString
value="Polio Primary Series Doses Administered to Patient"/>
</extension>
<extension url="statement">
<valueString
value="/*
@internal: Polio containing Doses Administered to Patient that are in the Primary series
*/
define "Polio Primary Series Doses Administered to Patient":
"Polio Doses Administered to Patient".seriesPrimary()"/>
</extension>
<extension url="displaySequence">
<valueInteger value="2"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTPolioEncounterElements"/>
</extension>
<extension url="name">
<valueString
value="Polio Primary Series Doses Administered to Patient"/>
</extension>
<extension url="statement">
<valueString
value="/*
@internal: Polio containing Doses Administered to Patient that are in the Primary series
*/
define "Polio Primary Series Doses Administered to Patient":
PolioElements."Polio Primary Series Doses Administered to Patient".onOrBefore(Today)"/>
</extension>
<extension url="displaySequence">
<valueInteger value="3"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTPolioEncounterElements"/>
</extension>
<extension url="name">
<valueString
value="Polio IPV Primary Series Doses Administered to Patient"/>
</extension>
<extension url="statement">
<valueString
value="/*
@internal: Polio IPV Primary Series Doses Administered to Patient
*/
define "Polio IPV Primary Series Doses Administered to Patient":
"Polio Primary Series Doses Administered to Patient" I
where I.typeOfDose() ~ Concepts."IPV""/>
</extension>
<extension url="displaySequence">
<valueInteger value="4"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTPolioEncounterElements"/>
</extension>
<extension url="name">
<valueString
value="Number of Polio IPV Primary Series Doses Administered"/>
</extension>
<extension url="statement">
<valueString
value="/*
@internal: Number of Polio IPV Primary Series Doses Administered
*/
define "Number of Polio IPV Primary Series Doses Administered":
Count("Polio IPV Primary Series Doses Administered to Patient")"/>
</extension>
<extension url="displaySequence">
<valueInteger value="5"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD18SPolioIPVOnlyLogic"/>
</extension>
<extension url="name">
<valueString
value="Second IPV dose from the primary series was administered"/>
</extension>
<extension url="statement">
<valueString
value="/*
@complete: Second IPV dose from the primary series was administered
@pseudocode: Count of vaccines administered (where "Vaccine type" = "Poliovirus-containing vaccines") = 2
*/
define "Second IPV dose from the primary series was administered":
Encounter."Number of Polio IPV Primary Series Doses Administered" >= 2"/>
</extension>
<extension url="displaySequence">
<valueInteger value="6"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD18SPolioIPVOnlyLogic"/>
</extension>
<extension url="name">
<valueString
value="Third IPV dose from the primary series was administered. The primary series has been completed"/>
</extension>
<extension url="statement">
<valueString
value="/*
@complete: Third IPV dose from the primary series was administered. The primary series has been completed
@pseudocode: "Completed the primary vaccination series" = TRUE (where "Vaccine type" = "Poliovirus-containing vaccines")
*/
define "Third IPV dose from the primary series was administered. The primary series has been completed":
Encounter."Number of Polio IPV Primary Series Doses Administered" >= 3"/>
</extension>
<extension url="displaySequence">
<valueInteger value="7"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD18SPolioIPVOnlyLogic"/>
</extension>
<extension url="name">
<valueString value="IPV dose 3"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: IPV dose 3
@description: Provision of IPV dose 3
@trigger: Second IPV dose from the primary series was administered
@pseudo: Count of vaccines administered (where "Vaccine type" = "Poliovirus-containing vaccines") = 2
@triggerDate: Latest "Date and time of vaccination" (where "Vaccine type" = "Poliovirus-containing vaccines")
*/
define "IPV dose 3":
"Second IPV dose from the primary series was administered" and not "Third IPV dose from the primary series was administered. The primary series has been completed""/>
</extension>
<extension url="displaySequence">
<valueInteger value="8"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTPolioEncounterElements"/>
</extension>
<extension url="name">
<valueString value="Polio Doses Administered to Patient"/>
</extension>
<extension url="statement">
<valueString
value="/*
@internal: Polio containing Doses Administered to Patient
*/
define "Polio Doses Administered to Patient":
PolioElements."Polio Doses Administered to Patient".onOrBefore(Today)"/>
</extension>
<extension url="displaySequence">
<valueInteger value="9"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTPolioEncounterElements"/>
</extension>
<extension url="name">
<valueString value="IPV Doses Administered to Patient"/>
</extension>
<extension url="statement">
<valueString
value="/*
@internal: IPV Doses Administered to Patient
*/
define "IPV Doses Administered to Patient":
"Polio Doses Administered to Patient" I
where I.typeOfDose() ~ Concepts."IPV""/>
</extension>
<extension url="displaySequence">
<valueInteger value="10"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTPolioEncounterElements"/>
</extension>
<extension url="name">
<valueString value="Date of Latest IPV Dose"/>
</extension>
<extension url="statement">
<valueString
value="/*
@internal: Date of Latest IPV Dose
*/
define "Date of Latest IPV Dose":
date from start of "IPV Doses Administered to Patient".mostRecent().occurrence.toInterval()"/>
</extension>
<extension url="displaySequence">
<valueInteger value="11"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD18SPolioIPVOnlyLogic"/>
</extension>
<extension url="name">
<valueString value="IPV dose 3 Due Date"/>
</extension>
<extension url="statement">
<valueString
value="/*
@dynamicValue: IPV dose 3 Due Date
@pseudocode: Latest "Date and time of vaccination" (where "Type of poliovirus dose" = "IPV") + 4 weeks
*/
define "IPV dose 3 Due Date":
if "IPV dose 3" then Encounter."Date of Latest IPV Dose" + 4 weeks
else null"/>
</extension>
<extension url="displaySequence">
<valueInteger value="12"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD18SPolioIPVOnlyLogic"/>
</extension>
<extension url="name">
<valueString value="IPV dose 3 Create"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: IPV dose 3 Create
@create: A primary 3-dose series of IPV administered beginning at 6 or 8 weeks of age, with a minimum 4 week-interval between doses, is recommended.
*/
define "IPV dose 3 Create":
if "IPV dose 3"
then 'A primary 3-dose series of IPV administered beginning at 6 or 8 weeks of age, with a minimum 4 week-interval between doses, is recommended.' + '
Due Date: ' + ToString("IPV dose 3 Due Date")
else ''"/>
</extension>
<extension url="displaySequence">
<valueInteger value="13"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTPolioElements"/>
</extension>
<extension url="name">
<valueString
value="Polio Booster Series Doses Administered to Patient"/>
</extension>
<extension url="statement">
<valueString
value="/*
@internal: Polio Booster Series Doses Administered to Patient
*/
define "Polio Booster Series Doses Administered to Patient":
"Polio Doses Administered to Patient".seriesBooster()"/>
</extension>
<extension url="displaySequence">
<valueInteger value="14"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTPolioEncounterElements"/>
</extension>
<extension url="name">
<valueString
value="Polio Booster Series Doses Administered to Patient"/>
</extension>
<extension url="statement">
<valueString
value="/*
@internal: Polio Booster Series Doses Administered to Patient
*/
define "Polio Booster Series Doses Administered to Patient":
PolioElements."Polio Booster Series Doses Administered to Patient".onOrBefore(Today)"/>
</extension>
<extension url="displaySequence">
<valueInteger value="15"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTPolioEncounterElements"/>
</extension>
<extension url="name">
<valueString
value="Number of Polio Booster Series Doses Administered"/>
</extension>
<extension url="statement">
<valueString
value="/*
@internal: Number of Polio Booster Series Doses Administered
*/
define "Number of Polio Booster Series Doses Administered":
Count("Polio Booster Series Doses Administered to Patient")"/>
</extension>
<extension url="displaySequence">
<valueInteger value="16"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD18SPolioIPVOnlyLogic"/>
</extension>
<extension url="name">
<valueString
value="Booster IPV dose was administered. Polio immunization schedule has been completed"/>
</extension>
<extension url="statement">
<valueString
value="/*
@complete: Booster IPV dose was administered. Polio immunization schedule has been completed
@pseudocode: Count of vaccines administered (where "Type of poliovirus dose" = "IPV" and "Type of dose" = "Booster dose") = 1
*/
define "Booster IPV dose was administered. Polio immunization schedule has been completed":
Encounter."Number of Polio Booster Series Doses Administered" >= 1"/>
</extension>
<extension url="displaySequence">
<valueInteger value="17"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD18SPolioIPVOnlyLogic"/>
</extension>
<extension url="name">
<valueString value="IPV booster"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: IPV booster
@description: Provision of IPV booster
@trigger: Third IPV dose from the primary series was administered and the client's age was 6 weeks when the primary series was started
@pseudo: Count of vaccines administered (where "Vaccine type" = "Poliovirus-containing vaccines") = 3 AND "Date and time of vaccination" (where "Vaccine type" = "Poliovirus-containing vaccines" AND "Dose number" = 1) − "Date of birth" = 6 weeks
@triggerDate: Latest "Date and time of vaccination" (where "Vaccine type" = "Poliovirus-containing vaccines")
*/
define "IPV booster":
"Third IPV dose from the primary series was administered. The primary series has been completed" and not "Booster IPV dose was administered. Polio immunization schedule 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="IMMZD18SPolioIPVOnlyLogic"/>
</extension>
<extension url="name">
<valueString
value="First IPV dose from the primary series was administered"/>
</extension>
<extension url="statement">
<valueString
value="/*
@complete: First IPV dose from the primary series was administered
@pseudocode: Count of vaccines administered (where "Vaccine type" = "Poliovirus-containing vaccines") = 1
*/
define "First IPV dose from the primary series was administered":
Encounter."Number of Polio IPV Primary Series Doses Administered" >= 1"/>
</extension>
<extension url="displaySequence">
<valueInteger value="19"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD18SPolioIPVOnlyLogic"/>
</extension>
<extension url="name">
<valueString value="IPV dose 1"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: IPV dose 1
@description: Provision of IPV dose 1
@trigger: Child's birth
@pseudo:
@triggerDate: "Date of birth"
*/
define "IPV dose 1":
not "First IPV dose from the primary series was administered""/>
</extension>
<extension url="displaySequence">
<valueInteger value="20"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD18SPolioIPVOnlyLogic"/>
</extension>
<extension url="name">
<valueString value="IPV dose 1 Due Date"/>
</extension>
<extension url="statement">
<valueString
value="/*
@dynamicValue: IPV dose 1 Due Date
@pseudocode: "Date of birth" + 6 weeks
*/
define "IPV dose 1 Due Date":
if "IPV dose 1" then Patient.birthDate + 6 weeks
else null"/>
</extension>
<extension url="displaySequence">
<valueInteger value="21"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD18SPolioIPVOnlyLogic"/>
</extension>
<extension url="name">
<valueString value="IPV dose 1 Create"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: IPV dose 1 Create
@create: A primary 3-dose series of IPV administered beginning at 6 or 8 weeks of age, with a minimum 4 week-interval between doses, is recommended.
*/
define "IPV dose 1 Create":
if "IPV dose 1"
then 'A primary 3-dose series of IPV administered beginning at 6 or 8 weeks of age, with a minimum 4 week-interval between doses, is recommended.' + '
Due Date: ' + ToString("IPV dose 1 Due Date")
else ''"/>
</extension>
<extension url="displaySequence">
<valueInteger value="22"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD18SPolioIPVOnlyLogic"/>
</extension>
<extension url="name">
<valueString value="IPV dose 2"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: IPV dose 2
@description: Provision of IPV dose 2
@trigger: First IPV dose from the primary series was administered
@pseudo: Count of vaccines administered (where "Vaccine type" = "Poliovirus-containing vaccines") = 1
@triggerDate: Latest "Date and time of vaccination" (where "Vaccine type" = "Poliovirus-containing vaccines")
*/
define "IPV dose 2":
"First IPV dose from the primary series was administered" and not "Second IPV 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="IMMZD18SPolioIPVOnlyLogic"/>
</extension>
<extension url="name">
<valueString value="IPV dose 2 Due Date"/>
</extension>
<extension url="statement">
<valueString
value="/*
@dynamicValue: IPV dose 2 Due Date
@pseudocode: Latest "Date and time of vaccination" (where "Type of poliovirus dose" = "IPV") + 4 weeks
*/
define "IPV dose 2 Due Date":
if "IPV dose 2" then Encounter."Date of Latest IPV 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="IMMZD18SPolioIPVOnlyLogic"/>
</extension>
<extension url="name">
<valueString value="IPV dose 2 Create"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: IPV dose 2 Create
@create: A primary 3-dose series of IPV administered beginning at 6 or 8 weeks of age, with a minimum 4 week-interval between doses, is recommended.
*/
define "IPV dose 2 Create":
if "IPV dose 2"
then 'A primary 3-dose series of IPV administered beginning at 6 or 8 weeks of age, with a minimum 4 week-interval between doses, is recommended.' + '
Due Date: ' + ToString("IPV 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="IMMZD2DTPolioEncounterElements"/>
</extension>
<extension url="name">
<valueString value="Date of Latest Polio Dose"/>
</extension>
<extension url="statement">
<valueString
value="/*
@internal: Date of Latest Polio Dose
*/
define "Date of Latest Polio Dose":
date from start of "Polio Doses Administered to Patient".mostRecent().occurrence.toInterval()"/>
</extension>
<extension url="displaySequence">
<valueInteger value="26"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD18SPolioIPVOnlyLogic"/>
</extension>
<extension url="name">
<valueString value="IPV booster Due Date"/>
</extension>
<extension url="statement">
<valueString
value="/*
@dynamicValue: IPV booster Due Date
@pseudocode: Latest "Date and time of vaccination" (where "Vaccine type" = "Poliovirus-containing vaccines") + 6 months
*/
define "IPV booster Due Date":
if "IPV booster" then Encounter."Date of Latest Polio Dose" + 6 months
else null"/>
</extension>
<extension url="displaySequence">
<valueInteger value="27"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD18SPolioIPVOnlyLogic"/>
</extension>
<extension url="name">
<valueString value="IPV booster Create"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: IPV booster Create
@create: If the primary series begins at 6 weeks, a booster dose should be given 6 months or more after the third dose
*/
define "IPV booster Create":
if "IPV booster"
then 'If the primary series begins at 6 weeks, a booster dose should be given 6 months or more after the third dose' + '
Due Date: ' + ToString("IPV booster Due Date")
else ''"/>
</extension>
<extension url="displaySequence">
<valueInteger value="28"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZCommon"/>
</extension>
<extension url="name">
<valueString value="onOrBefore"/>
</extension>
<extension url="statement">
<valueString
value="/**
* @description: Gets immunizations on or before a date
*/
define fluent function onOrBefore(immunizations List<Immunization>, beforeDate Date):
immunizations I where
I.occurrence.toInterval() same day or before beforeDate"/>
</extension>
<extension url="displaySequence">
<valueInteger value="29"/>
</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="30"/>
</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="31"/>
</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="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 instant): 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="ToDate"/>
</extension>
<extension url="statement">
<valueString
value="define function ToDate(value date): value.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="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="35"/>
</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="36"/>
</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="37"/>
</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="38"/>
</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="39"/>
</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="40"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="FHIRHelpers"/>
</extension>
<extension url="name">
<valueString value="ToConcept"/>
</extension>
<extension url="statement">
<valueString
value="define function ToConcept(concept FHIR.CodeableConcept):
if concept is null then
null
else
System.Concept {
codes: concept.coding C return ToCode(C),
display: concept.text.value
}"/>
</extension>
<extension url="displaySequence">
<valueInteger value="41"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="FHIRHelpers"/>
</extension>
<extension url="name">
<valueString value="ToCode"/>
</extension>
<extension url="statement">
<valueString
value="define function ToCode(coding FHIR.Coding):
if coding is null then
null
else
System.Code {
code: coding.code.value,
system: coding.system.value,
version: coding.version.value,
display: coding.display.value
}"/>
</extension>
<extension url="displaySequence">
<valueInteger value="42"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZCommon"/>
</extension>
<extension url="name">
<valueString value="typeOfDose"/>
</extension>
<extension url="statement">
<valueString
value="/**
* @description: Gets the type of antigen dose extension value from an Immunization
*/
define fluent function typeOfDose(immz Immunization):
(First(
immz.extension E where E.url = 'http://smart.who.int/immunizations/StructureDefinition/IMMZTypeOfDose'
)).value as FHIR.CodeableConcept"/>
</extension>
<extension url="displaySequence">
<valueInteger value="43"/>
</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 uri): value.value"/>
</extension>
<extension url="displaySequence">
<valueInteger value="44"/>
</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="45"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZCommon"/>
</extension>
<extension url="name">
<valueString value="seriesBooster"/>
</extension>
<extension url="statement">
<valueString
value="/**
* @description: Gets the doses from the Booster series
*/
define fluent function seriesBooster(immunizations List<Immunization>):
immunizations I where
exists( I.protocolApplied pa where pa.series = 'Booster dose' )"/>
</extension>
<extension url="displaySequence">
<valueInteger value="46"/>
</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/IMMZD2DTPolioEncounterElements"/>
</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 WC"/>
<resource
value="http://smart.who.int/immunizations/Library/WHOCommon"/>
</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 PolioElements"/>
<resource
value="http://smart.who.int/immunizations/Library/IMMZD2DTPolioElements"/>
</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 Concepts"/>
<resource
value="http://smart.who.int/immunizations/Library/IMMZConcepts"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Code system IMMZD"/>
<resource
value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Value set Poliovirus-containing vaccines"/>
<resource
value="http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE14"/>
</relatedArtifact>
<parameter>
<name value="Today"/>
<use value="in"/>
<min value="0"/>
<max value="1"/>
<type value="date"/>
</parameter>
<parameter>
<name value="IPV dose 3 Create"/>
<use value="out"/>
<min value="0"/>
<max value="1"/>
<type value="string"/>
</parameter>
<parameter>
<name value="IPV booster"/>
<use value="out"/>
<min value="0"/>
<max value="1"/>
<type value="boolean"/>
</parameter>
<parameter>
<name value="IPV dose 1 Create"/>
<use value="out"/>
<min value="0"/>
<max value="1"/>
<type value="string"/>
</parameter>
<parameter>
<name value="IPV dose 2 Create"/>
<use value="out"/>
<min value="0"/>
<max value="1"/>
<type value="string"/>
</parameter>
<parameter>
<name value="IPV dose 3"/>
<use value="out"/>
<min value="0"/>
<max value="1"/>
<type value="boolean"/>
</parameter>
<parameter>
<name value="IPV dose 2"/>
<use value="out"/>
<min value="0"/>
<max value="1"/>
<type value="boolean"/>
</parameter>
<parameter>
<name value="IPV dose 1"/>
<use value="out"/>
<min value="0"/>
<max value="1"/>
<type value="boolean"/>
</parameter>
<parameter>
<name value="IPV booster Create"/>
<use value="out"/>
<min value="0"/>
<max value="1"/>
<type value="string"/>
</parameter>
<dataRequirement>
<type value="Patient"/>
<profile value="http://hl7.org/fhir/StructureDefinition/Patient"/>
<mustSupport value="birthDate"/>
</dataRequirement>
<dataRequirement>
<type value="Immunization"/>
<profile
value="http://hl7.org/fhir/StructureDefinition/Immunization"/>
<mustSupport value="status"/>
<mustSupport value="isSubpotent"/>
<mustSupport value="occurrence"/>
<mustSupport value="protocolApplied"/>
<mustSupport value="url"/>
<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"/>
<mustSupport value="url"/>
</dataRequirement>
<dataRequirement>
<type value="Immunization"/>
<profile
value="http://hl7.org/fhir/StructureDefinition/Immunization"/>
<mustSupport value="status"/>
<mustSupport value="isSubpotent"/>
<mustSupport value="vaccineCode"/>
<mustSupport value="occurrence"/>
<mustSupport value="protocolApplied"/>
<mustSupport value="url"/>
<codeFilter>
<path value="status"/>
<code>
<code value="completed"/>
</code>
</codeFilter>
<codeFilter>
<path value="vaccineCode"/>
<valueSet
value="http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE14"/>
</codeFilter>
</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/IMMZD18SPolioIPVOnly"/>
<version value="1.0.0"/>
<name value="IMMZD18SPolioIPVOnly"/>
<title value="IMMZ.D18.S.Polio.IPV-only 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.Polio.IPV-only schedule
Inactivated polio vaccine (IPV)-only 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/IMMZD18SPolioIPVOnlyLogic"/>
<action>
<title value="IPV dose 1"/>
<description
value="Provision of IPV dose 1
Trigger event: Child's birth
Trigger pseudo:
Trigger date: "Date of birth"
Create condition: A primary 3-dose series of IPV administered beginning at 6 or 8 weeks of age, with a minimum 4 week-interval between doses, is recommended."/>
<condition>
<kind value="applicability"/>
<expression>
<description value="IPV dose 1"/>
<language value="text/cql-identifier"/>
<expression value="IPV 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="IPV 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="IPV dose 2"/>
<description
value="Provision of IPV dose 2
Trigger event: First IPV dose from the primary series was administered
Trigger pseudo: Count of vaccines administered (where "Vaccine type" = "Poliovirus-containing vaccines") = 1
Trigger date: Latest "Date and time of vaccination" (where "Vaccine type" = "Poliovirus-containing vaccines")
Create condition: A primary 3-dose series of IPV administered beginning at 6 or 8 weeks of age, with a minimum 4 week-interval between doses, is recommended."/>
<condition>
<kind value="applicability"/>
<expression>
<description value="IPV dose 2"/>
<language value="text/cql-identifier"/>
<expression value="IPV 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="IPV 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="IPV dose 3"/>
<description
value="Provision of IPV dose 3
Trigger event: Second IPV dose from the primary series was administered
Trigger pseudo: Count of vaccines administered (where "Vaccine type" = "Poliovirus-containing vaccines") = 2
Trigger date: Latest "Date and time of vaccination" (where "Vaccine type" = "Poliovirus-containing vaccines")
Create condition: A primary 3-dose series of IPV administered beginning at 6 or 8 weeks of age, with a minimum 4 week-interval between doses, is recommended."/>
<condition>
<kind value="applicability"/>
<expression>
<description value="IPV dose 3"/>
<language value="text/cql-identifier"/>
<expression value="IPV 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="IPV 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="IPV booster"/>
<description
value="Provision of IPV booster
Trigger event: Third IPV dose from the primary series was administered and the client's age was 6 weeks when the primary series was started
Trigger pseudo: Count of vaccines administered (where "Vaccine type" = "Poliovirus-containing vaccines") = 3 AND "Date and time of vaccination" (where "Vaccine type" = "Poliovirus-containing vaccines" AND "Dose number" = 1) − "Date of birth" = 6 weeks
Trigger date: Latest "Date and time of vaccination" (where "Vaccine type" = "Poliovirus-containing vaccines")
Create condition: If the primary series begins at 6 weeks, a booster dose should be given 6 months or more after the third dose"/>
<condition>
<kind value="applicability"/>
<expression>
<description value="IPV booster"/>
<language value="text/cql-identifier"/>
<expression value="IPV booster"/>
</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="IPV booster 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>