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 |
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"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n<div>\n <table class=\"grid dict\">\n \n <tr>\n <th scope=\"row\"><b>Id: </b></th>\n <td style=\"padding-left: 4px;\">IMMZD18SPolioSequentialIPVbOPV</td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Url: </b></th>\n <td style=\"padding-left: 4px;\"><a href=\"PlanDefinition-IMMZD18SPolioSequentialIPVbOPV.html\">IMMZ.D18.S.Polio.Sequential IPV–bOPV schedule</a></td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Version: </b></th>\n <td style=\"padding-left: 4px;\">1.0.0</td>\n </tr>\n \n\n \n\n \n <tr>\n <th scope=\"row\"><b>Title: </b></th>\n <td style=\"padding-left: 4px;\">IMMZ.D18.S.Polio.Sequential IPV–bOPV schedule</td>\n </tr>\n \n\n \n\n \n <tr>\n <th scope=\"row\"><b>Status: </b></th>\n <td style=\"padding-left: 4px;\">draft</td>\n </tr>\n \n\n \n\n \n <tr>\n <th scope=\"row\"><b>Type: </b></th>\n <td style=\"padding-left: 4px;\">\n \n \n \n <p style=\"margin-bottom: 5px;\">\n <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>\n </p>\n \n \n <p style=\"margin-bottom: 5px;\">\n <b>code: </b> <span>eca-rule</span>\n </p>\n \n \n \n \n \n </td>\n </tr>\n \n\n \n\n \n <tr>\n <th scope=\"row\"><b>Date: </b></th>\n <td style=\"padding-left: 4px;\">2026-03-31 13:54:17+0000</td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Publisher: </b></th>\n <td style=\"padding-left: 4px;\">WHO</td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Description: </b></th>\n <td style=\"padding-left: 4px;\"><div><p>IMMZ.D18.S.Polio.Sequential IPV–bOPV schedule\nSequential bivalent oral polio vaccine (bOPV)–inactivated polio vaccine (IPV) schedule</p>\n</div></td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Knowledge Capability: </b></th>\n <td style=\"padding-left: 4px;\">\n \n computable \n </td>\n </tr>\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n <tr>\n <th scope=\"row\"><b>Related Artifacts: </b></th>\n <td style=\"padding-left: 4px;\">\n \n \n <p><b>References</b></p>\n <ul>\n \n <li><div><p>WHO recommendations for routine immunization - summary tables (January 2025)</p>\n</div><br/><a href=\"null\"/></li>\n \n </ul>\n \n \n \n \n \n \n </td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Libraries: </b></th>\n <td style=\"padding-left: 4px;\">\n <table class=\"grid-dict\">\n \n <tr>\n <td><a href=\"Library-IMMZD18SPolioSequentialIPVbOPVLogic.html\">IMMZD18SPolioSequentialIPVbOPVLogic</a></td>\n </tr>\n \n </table>\n </td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Actions: </b></th>\n <td style=\"padding-left: 4px;\">\n <table class=\"grid-dict\">\n \n <tr>\n <td>\n \n <b> IPV dose 1:</b> Provision of IPV dose 1\nTrigger event: Child's birth\nTrigger pseudo: \nTrigger date: "Date of birth"\nCreate condition: For sequential IPV– bOPV schedules, WHO recommends that the first dose of IPV be given starting from 8 weeks of age with an interval of 4–8 weeks before administration of the second IPV dose.\n \n <br/>\n \n \n <b>If:</b>\n \n <i>Applicability:</i>\n \n IPV dose 1\n \n <i>(IPV dose 1)</i>\n <br/>\n \n \n \n \n <b>Then:</b> <i>Definition:</i> <a href=\"ActivityDefinition-IMMZD2DTCR.html\">IMMZ.D2.DT.CR</a><br/>\n \n <i>Dynamic Values:</i><br/>\n \n status: <i>('active')</i>\n <br/>\n \n payload.contentString: <i>(IPV dose 1 Create)</i>\n <br/>\n \n category.coding: <i>(Code { system: 'http://terminology.hl7.org/CodeSystem/communication-category', code: 'alert' })</i>\n <br/>\n \n priority: <i>(Code { system: 'http://hl7.org/fhir/request-priority', code: 'routine' })</i>\n <br/>\n \n \n \n \n </td>\n </tr>\n \n <tr>\n <td>\n \n <b> IPV dose 2:</b> Provision of IPV dose 2\nTrigger event: First IPV dose from the primary series was administered\nTrigger pseudo: Count of vaccines administered (where "Type of poliovirus dose" = "IPV") = 1\nTrigger date: Latest "Date and time of vaccination" (where "Type of poliovirus dose" = "IPV")\nCreate condition: For sequential IPV– bOPV schedules, WHO recommends that the first dose of IPV be given starting from 8 weeks of age with an interval of 4–8 weeks before administration of the second IPV dose.\n \n <br/>\n \n \n <b>If:</b>\n \n <i>Applicability:</i>\n \n IPV dose 2\n \n <i>(IPV dose 2)</i>\n <br/>\n \n \n \n \n <b>Then:</b> <i>Definition:</i> <a href=\"ActivityDefinition-IMMZD2DTCR.html\">IMMZ.D2.DT.CR</a><br/>\n \n <i>Dynamic Values:</i><br/>\n \n status: <i>('active')</i>\n <br/>\n \n payload.contentString: <i>(IPV dose 2 Create)</i>\n <br/>\n \n category.coding: <i>(Code { system: 'http://terminology.hl7.org/CodeSystem/communication-category', code: 'alert' })</i>\n <br/>\n \n priority: <i>(Code { system: 'http://hl7.org/fhir/request-priority', code: 'routine' })</i>\n <br/>\n \n \n \n \n </td>\n </tr>\n \n <tr>\n <td>\n \n <b> bOPV dose 1:</b> Provision of bOPV dose 1\nTrigger event: Second IPV dose from the primary series was administered\nTrigger pseudo: Count of vaccines administered (where "Type of poliovirus dose" = "IPV") = 2\nTrigger date: Latest "Date and time of vaccination" (where "Type of poliovirus dose" = "IPV")\nCreate condition: Where a sequential IPV–bOPV schedule is used, the initial administration of 2 doses of IPV should be followed by ≥2 doses of bOPV separated by 4–8 weeks depending on the risk of exposure to poliovirus in early childhood.\n \n <br/>\n \n \n <b>If:</b>\n \n <i>Applicability:</i>\n \n bOPV dose 1\n \n <i>(bOPV dose 1)</i>\n <br/>\n \n \n \n \n <b>Then:</b> <i>Definition:</i> <a href=\"ActivityDefinition-IMMZD2DTCR.html\">IMMZ.D2.DT.CR</a><br/>\n \n <i>Dynamic Values:</i><br/>\n \n status: <i>('active')</i>\n <br/>\n \n payload.contentString: <i>(bOPV dose 1 Create)</i>\n <br/>\n \n category.coding: <i>(Code { system: 'http://terminology.hl7.org/CodeSystem/communication-category', code: 'alert' })</i>\n <br/>\n \n priority: <i>(Code { system: 'http://hl7.org/fhir/request-priority', code: 'routine' })</i>\n <br/>\n \n \n \n \n </td>\n </tr>\n \n <tr>\n <td>\n \n <b> bOPV dose 2:</b> Provision of bOPV dose 2\nTrigger event: First bOPV dose from the primary series was administered\nTrigger pseudo: Count of vaccines administered (where "Type of poliovirus dose" = "bOPV") = 1\nTrigger date: Latest "Date and time of vaccination" (where "Type of poliovirus dose" = "bOPV")\nCreate condition: Where a sequential IPV–bOPV schedule is used, the initial administration of 2 doses of IPV should be followed by ≥2 doses of bOPV separated by 4–8 weeks depending on the risk of exposure to poliovirus in early childhood.\n \n <br/>\n \n \n <b>If:</b>\n \n <i>Applicability:</i>\n \n bOPV dose 2\n \n <i>(bOPV dose 2)</i>\n <br/>\n \n \n \n \n <b>Then:</b> <i>Definition:</i> <a href=\"ActivityDefinition-IMMZD2DTCR.html\">IMMZ.D2.DT.CR</a><br/>\n \n <i>Dynamic Values:</i><br/>\n \n status: <i>('active')</i>\n <br/>\n \n payload.contentString: <i>(bOPV dose 2 Create)</i>\n <br/>\n \n category.coding: <i>(Code { system: 'http://terminology.hl7.org/CodeSystem/communication-category', code: 'alert' })</i>\n <br/>\n \n priority: <i>(Code { system: 'http://hl7.org/fhir/request-priority', code: 'routine' })</i>\n <br/>\n \n \n \n \n </td>\n </tr>\n \n </table>\n </td>\n </tr>\n \n </table>\n</div>\n</div>"
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"url" : "statement",
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"valueString" : "/*\n@complete: First bOPV dose from the primary series was administered\n@pseudocode: Count of vaccines administered (where \"Type of poliovirus dose\" = \"bOPV\") = 1\n*/\ndefine \"First bOPV dose from the primary series was administered\":\n Encounter.\"Number of Polio bOPV Primary Series Doses Administered\" >= 1"
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"valueString" : "/*\n@complete: Second bOPV dose from the primary series was administered. The primary series has been completed\n@pseudocode: \"Completed the primary vaccination series\" = TRUE (where \"Vaccine type\" = \"Poliovirus-containing vaccines\")\n*/\ndefine \"Second bOPV dose from the primary series was administered. The primary series has been completed\":\n Encounter.\"Number of Polio bOPV Primary Series Doses Administered\" >= 2"
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"valueString" : "/*\n@output: bOPV dose 2\n@description: Provision of bOPV dose 2\n@trigger: First bOPV dose from the primary series was administered\n@pseudo: Count of vaccines administered (where \"Type of poliovirus dose\" = \"bOPV\") = 1\n@triggerDate: Latest \"Date and time of vaccination\" (where \"Type of poliovirus dose\" = \"bOPV\")\n*/\ndefine \"bOPV dose 2\":\n \"First bOPV dose from the primary series was administered\" and not \"Second bOPV dose from the primary series was administered. The primary series has been completed\""
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"url" : "statement",
"valueString" : "/*\n@internal: Polio IPV Primary Series Doses Administered to Patient\n*/\ndefine \"Polio IPV Primary Series Doses Administered to Patient\":\n \"Polio Primary Series Doses Administered to Patient\" I\n where I.typeOfDose() ~ Concepts.\"IPV\""
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"valueString" : "/*\n@complete: First IPV dose from the primary series was administered\n@pseudocode: Count of vaccines administered (where \"Type of poliovirus dose\" = \"IPV\") = 1\n*/\ndefine \"First IPV dose from the primary series was administered\":\n Encounter.\"Number of Polio IPV Primary Series Doses Administered\" >= 1"
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"valueString" : "IMMZD18SPolioSequentialIPVbOPVLogic"
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"url" : "name",
"valueString" : "IPV dose 1"
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"url" : "statement",
"valueString" : "/*\n@output: IPV dose 1\n@description: Provision of IPV dose 1\n@trigger: Child's birth\n@pseudo: \n@triggerDate: \"Date of birth\"\n*/\ndefine \"IPV dose 1\":\n not \"First IPV dose from the primary series was administered\""
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"valueString" : "IMMZD18SPolioSequentialIPVbOPVLogic"
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"url" : "statement",
"valueString" : "/*\n@dynamicValue: IPV dose 1 Due Date\n@pseudocode: \"Date of birth\" + 8 weeks\n*/\ndefine \"IPV dose 1 Due Date\":\n if \"IPV dose 1\" then Patient.birthDate + 8 weeks\n else null"
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"valueString" : "/*\n@output: IPV dose 1 Create\n@create: For sequential IPV– bOPV schedules, WHO recommends that the first dose of IPV be given starting from 8 weeks of age with an interval of 4–8 weeks before administration of the second IPV dose.\n*/\ndefine \"IPV dose 1 Create\":\n if \"IPV dose 1\"\n then 'For sequential IPV– bOPV schedules, WHO recommends that the first dose of IPV be given starting from 8 weeks of age with an interval of 4–8 weeks before administration of the second IPV dose.' + '\nDue Date: ' + ToString(\"IPV dose 1 Due Date\")\n else ''"
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"valueString" : "IMMZD18SPolioSequentialIPVbOPVLogic"
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"valueString" : "/*\n@complete: Second IPV dose from the primary series was administered\n@pseudocode: Count of vaccines administered (where \"Type of poliovirus dose\" = \"IPV\") = 2\n*/\ndefine \"Second IPV dose from the primary series was administered\":\n Encounter.\"Number of Polio IPV Primary Series Doses Administered\" >= 2"
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"url" : "statement",
"valueString" : "/*\n@output: IPV dose 2\n@description: Provision of IPV dose 2\n@trigger: First IPV dose from the primary series was administered\n@pseudo: Count of vaccines administered (where \"Type of poliovirus dose\" = \"IPV\") = 1\n@triggerDate: Latest \"Date and time of vaccination\" (where \"Type of poliovirus dose\" = \"IPV\")\n*/\ndefine \"IPV dose 2\":\n \"First IPV dose from the primary series was administered\" and not \"Second IPV dose from the primary series was administered\""
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"url" : "statement",
"valueString" : "/*\n@internal: Polio containing Doses Administered to Patient\n*/\ndefine \"Polio Doses Administered to Patient\":\n PolioElements.\"Polio Doses Administered to Patient\".onOrBefore(Today)"
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{
"url" : "name",
"valueString" : "IPV Doses Administered to Patient"
},
{
"url" : "statement",
"valueString" : "/*\n@internal: IPV Doses Administered to Patient\n*/\ndefine \"IPV Doses Administered to Patient\":\n \"Polio Doses Administered to Patient\" I\n where I.typeOfDose() ~ Concepts.\"IPV\""
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"extension" : [
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"url" : "libraryName",
"valueString" : "IMMZD2DTPolioEncounterElements"
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"url" : "name",
"valueString" : "Date of Latest IPV Dose"
},
{
"url" : "statement",
"valueString" : "/*\n@internal: Date of Latest IPV Dose\n*/\ndefine \"Date of Latest IPV Dose\":\n date from start of \"IPV Doses Administered to Patient\".mostRecent().occurrence.toInterval()"
},
{
"url" : "displaySequence",
"valueInteger" : 19
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD18SPolioSequentialIPVbOPVLogic"
},
{
"url" : "name",
"valueString" : "IPV dose 2 Due Date"
},
{
"url" : "statement",
"valueString" : "/*\n@dynamicValue: IPV dose 2 Due Date\n@pseudocode: Latest \"Date and time of vaccination\" (where \"Type of poliovirus dose\" = \"IPV\") + 4 weeks\n*/\ndefine \"IPV dose 2 Due Date\":\n if \"IPV dose 2\" then Encounter.\"Date of Latest IPV Dose\" + 4 weeks\n else null"
},
{
"url" : "displaySequence",
"valueInteger" : 20
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD18SPolioSequentialIPVbOPVLogic"
},
{
"url" : "name",
"valueString" : "IPV dose 2 Create"
},
{
"url" : "statement",
"valueString" : "/*\n@output: IPV dose 2 Create\n@create: For sequential IPV– bOPV schedules, WHO recommends that the first dose of IPV be given starting from 8 weeks of age with an interval of 4–8 weeks before administration of the second IPV dose.\n*/\ndefine \"IPV dose 2 Create\":\n if \"IPV dose 2\"\n then 'For sequential IPV– bOPV schedules, WHO recommends that the first dose of IPV be given starting from 8 weeks of age with an interval of 4–8 weeks before administration of the second IPV dose.' + '\nDue Date: ' + ToString(\"IPV dose 2 Due Date\")\n else ''"
},
{
"url" : "displaySequence",
"valueInteger" : 21
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD18SPolioSequentialIPVbOPVLogic"
},
{
"url" : "name",
"valueString" : "bOPV dose 1"
},
{
"url" : "statement",
"valueString" : "/*\n@output: bOPV dose 1\n@description: Provision of bOPV dose 1\n@trigger: Second IPV dose from the primary series was administered\n@pseudo: Count of vaccines administered (where \"Type of poliovirus dose\" = \"IPV\") = 2\n@triggerDate: Latest \"Date and time of vaccination\" (where \"Type of poliovirus dose\" = \"IPV\")\n*/\ndefine \"bOPV dose 1\":\n \"Second IPV dose from the primary series was administered\" and not \"First bOPV dose from the primary series was administered\""
},
{
"url" : "displaySequence",
"valueInteger" : 22
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD18SPolioSequentialIPVbOPVLogic"
},
{
"url" : "name",
"valueString" : "bOPV dose 1 Due Date"
},
{
"url" : "statement",
"valueString" : "/*\n@dynamicValue: bOPV dose 1 Due Date\n@pseudocode: Latest \"Date and time of vaccination\" (where \"Type of poliovirus dose\" = \"IPV\")\n*/\ndefine \"bOPV dose 1 Due Date\":\n if \"bOPV dose 1\" then Encounter.\"Date of Latest IPV Dose\"\n else null"
},
{
"url" : "displaySequence",
"valueInteger" : 23
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD18SPolioSequentialIPVbOPVLogic"
},
{
"url" : "name",
"valueString" : "bOPV dose 1 Create"
},
{
"url" : "statement",
"valueString" : "/*\n@output: bOPV dose 1 Create\n@create: Where a sequential IPV–bOPV schedule is used, the initial administration of 2 doses of IPV should be followed by ≥2 doses of bOPV separated by 4–8 weeks depending on the risk of exposure to poliovirus in early childhood.\n*/\ndefine \"bOPV dose 1 Create\":\n if \"bOPV dose 1\"\n then 'Where a sequential IPV–bOPV schedule is used, the initial administration of 2 doses of IPV should be followed by ≥2 doses of bOPV separated by 4–8 weeks depending on the risk of exposure to poliovirus in early childhood.' + '\nDue Date: ' + ToString(\"bOPV dose 1 Due Date\")\n else ''"
},
{
"url" : "displaySequence",
"valueInteger" : 24
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD2DTPolioEncounterElements"
},
{
"url" : "name",
"valueString" : "bOPV Doses Administered to Patient"
},
{
"url" : "statement",
"valueString" : "/*\n@internal: bOPV Doses Administered to Patient\n*/\ndefine \"bOPV Doses Administered to Patient\":\n \"Polio Doses Administered to Patient\" I\n where I.typeOfDose() ~ Concepts.\"bOPV\""
},
{
"url" : "displaySequence",
"valueInteger" : 25
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD2DTPolioEncounterElements"
},
{
"url" : "name",
"valueString" : "Date of Latest bOPV Dose"
},
{
"url" : "statement",
"valueString" : "/*\n@internal: Date of Latest bOPV Dose\n*/\ndefine \"Date of Latest bOPV Dose\":\n date from start of \"bOPV Doses Administered to Patient\".mostRecent().occurrence.toInterval()"
},
{
"url" : "displaySequence",
"valueInteger" : 26
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD18SPolioSequentialIPVbOPVLogic"
},
{
"url" : "name",
"valueString" : "bOPV dose 2 Due Date"
},
{
"url" : "statement",
"valueString" : "/*\n@dynamicValue: bOPV dose 2 Due Date\n@pseudocode: Latest \"Date and time of vaccination\" (where \"Type of poliovirus dose\" = \"bOPV\") + 4 weeks\n*/\ndefine \"bOPV dose 2 Due Date\":\n if \"bOPV dose 2\" then Encounter.\"Date of Latest bOPV Dose\" + 4 weeks\n else null"
},
{
"url" : "displaySequence",
"valueInteger" : 27
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD18SPolioSequentialIPVbOPVLogic"
},
{
"url" : "name",
"valueString" : "bOPV dose 2 Create"
},
{
"url" : "statement",
"valueString" : "/*\n@output: bOPV dose 2 Create\n@create: Where a sequential IPV–bOPV schedule is used, the initial administration of 2 doses of IPV should be followed by ≥2 doses of bOPV separated by 4–8 weeks depending on the risk of exposure to poliovirus in early childhood.\n*/\ndefine \"bOPV dose 2 Create\":\n if \"bOPV dose 2\"\n then 'Where a sequential IPV–bOPV schedule is used, the initial administration of 2 doses of IPV should be followed by ≥2 doses of bOPV separated by 4–8 weeks depending on the risk of exposure to poliovirus in early childhood.' + '\nDue Date: ' + ToString(\"bOPV dose 2 Due Date\")\n else ''"
},
{
"url" : "displaySequence",
"valueInteger" : 28
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZCommon"
},
{
"url" : "name",
"valueString" : "onOrBefore"
},
{
"url" : "statement",
"valueString" : "/**\n * @description: Gets immunizations on or before a date\n */\ndefine fluent function onOrBefore(immunizations List<Immunization>, beforeDate Date):\n immunizations I where\n I.occurrence.toInterval() same day or before beforeDate"
},
{
"url" : "displaySequence",
"valueInteger" : 29
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "WHOCommon"
},
{
"url" : "name",
"valueString" : "toInterval"
},
{
"url" : "statement",
"valueString" : "/*\nFrom FHIRCommon 4.1.0:\n*/\n\n/*\n@description: Normalizes a value that is a choice of timing-valued types to an equivalent interval\n@comment: Normalizes a choice type of FHIR.dateTime, FHIR.Period, FHIR.Timing, FHIR.instance, FHIR.string, FHIR.Age, or FHIR.Range types\nto an equivalent interval. This selection of choice types is a superset of the majority of choice types that are used as possible\nrepresentations for timing-valued elements in FHIR, allowing this function to be used across any resource.\n\nThe input can be provided as a dateTime, Period, Timing, instant, string, Age, or Range.\nThe intent of this function is to provide a clear and concise mechanism to treat single\nelements that have multiple possible representations as intervals so that logic doesn't have to account\nfor the variability. More complex calculations (such as medication request period or dispense period\ncalculation) need specific guidance and consideration. That guidance may make use of this function, but\nthe focus of this function is on single element calculations where the semantics are unambiguous.\nIf the input is a dateTime, the result a DateTime Interval beginning and ending on that dateTime.\nIf the input is a Period, the result is a DateTime Interval.\nIf the input is a Timing, an error is raised indicating a single interval cannot be computed from a Timing.\nIf the input is an instant, the result is a DateTime Interval beginning and ending on that instant.\nIf the input is a string, an error is raised indicating a single interval cannot be computed from a string.\nIf the input is an Age, the result is a DateTime Interval beginning when the patient was the given Age,\nand ending immediately prior to when the patient was the given Age plus one year.\nIf the input is a Range, the result is a DateTime Interval beginning when the patient was the Age given\nby the low end of the Range, and ending immediately prior to when the patient was the Age given by the\nhigh end of the Range plus one year.\n\nNOTE: Due to the\ncomplexity of determining a single interval from a Timing or String type, this function will throw a run-time exception if it is used\nwith a Timing or String.\n*/\ndefine fluent function toInterval(choice Choice<FHIR.dateTime, FHIR.Period, FHIR.Timing, FHIR.instant, FHIR.string, FHIR.Age, FHIR.Range>):\n case\n when choice is FHIR.dateTime then\n Interval[FHIRHelpers.ToDateTime(choice as FHIR.dateTime), FHIRHelpers.ToDateTime(choice as FHIR.dateTime)]\n when choice is FHIR.Period then\n FHIRHelpers.ToInterval(choice as FHIR.Period)\n when choice is FHIR.instant then\n Interval[FHIRHelpers.ToDateTime(choice as FHIR.instant), FHIRHelpers.ToDateTime(choice as FHIR.instant)]\n when choice is FHIR.Age then\n Interval[FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity(choice as FHIR.Age),\n FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity(choice as FHIR.Age) + 1 year)\n when choice is FHIR.Range then\n Interval[FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity((choice as FHIR.Range).low),\n FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity((choice as FHIR.Range).high) + 1 year)\n when choice is FHIR.Timing then\n Message(null as Interval<DateTime>, true, 'NOT_IMPLEMENTED', 'Error', 'Calculation of an interval from a Timing value is not supported')\n when choice is FHIR.string then\n Message(null as Interval<DateTime>, true, 'NOT_IMPLEMENTED', 'Error', 'Calculation of an interval from a String value is not supported')\n else\n null as Interval<DateTime>\n end"
},
{
"url" : "displaySequence",
"valueInteger" : 30
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "FHIRHelpers"
},
{
"url" : "name",
"valueString" : "ToDateTime"
},
{
"url" : "statement",
"valueString" : "define function ToDateTime(value dateTime): value.value"
},
{
"url" : "displaySequence",
"valueInteger" : 31
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "FHIRHelpers"
},
{
"url" : "name",
"valueString" : "ToInterval"
},
{
"url" : "statement",
"valueString" : "define function ToInterval(period FHIR.Period):\n if period is null then\n null\n else\n if period.\"start\" is null then\n Interval(period.\"start\".value, period.\"end\".value]\n else\n Interval[period.\"start\".value, period.\"end\".value]"
},
{
"url" : "displaySequence",
"valueInteger" : 32
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "FHIRHelpers"
},
{
"url" : "name",
"valueString" : "ToDateTime"
},
{
"url" : "statement",
"valueString" : "define function ToDateTime(value instant): value.value"
},
{
"url" : "displaySequence",
"valueInteger" : 33
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "FHIRHelpers"
},
{
"url" : "name",
"valueString" : "ToDate"
},
{
"url" : "statement",
"valueString" : "define function ToDate(value date): value.value"
},
{
"url" : "displaySequence",
"valueInteger" : 34
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "FHIRHelpers"
},
{
"url" : "name",
"valueString" : "ToQuantity"
},
{
"url" : "statement",
"valueString" : "define function ToQuantity(quantity FHIR.Quantity):\n case\n when quantity is null then null\n when quantity.value is null then null\n when quantity.comparator is not null then\n Message(null, true, 'FHIRHelpers.ToQuantity.ComparatorQuantityNotSupported', 'Error', 'FHIR Quantity value has a comparator and cannot be converted to a System.Quantity value.')\n when quantity.system is null or quantity.system.value = 'http://unitsofmeasure.org'\n or quantity.system.value = 'http://hl7.org/fhirpath/CodeSystem/calendar-units' then\n System.Quantity { value: quantity.value.value, unit: ToCalendarUnit(Coalesce(quantity.code.value, quantity.unit.value, '1')) }\n else\n Message(null, true, 'FHIRHelpers.ToQuantity.InvalidFHIRQuantity', 'Error', 'Invalid FHIR Quantity code: ' & quantity.unit.value & ' (' & quantity.system.value & '|' & quantity.code.value & ')')\n end"
},
{
"url" : "displaySequence",
"valueInteger" : 35
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "FHIRHelpers"
},
{
"url" : "name",
"valueString" : "ToCalendarUnit"
},
{
"url" : "statement",
"valueString" : "define function ToCalendarUnit(unit System.String):\n case unit\n when 'ms' then 'millisecond'\n when 's' then 'second'\n when 'min' then 'minute'\n when 'h' then 'hour'\n when 'd' then 'day'\n when 'wk' then 'week'\n when 'mo' then 'month'\n when 'a' then 'year'\n else unit\n end"
},
{
"url" : "displaySequence",
"valueInteger" : 36
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZCommon"
},
{
"url" : "name",
"valueString" : "seriesPrimary"
},
{
"url" : "statement",
"valueString" : "/**\n * @description: Gets the doses from the primary series\n */\ndefine fluent function seriesPrimary(immunizations List<Immunization>):\n immunizations I where\n exists( I.protocolApplied pa where pa.series = 'Primary series' )"
},
{
"url" : "displaySequence",
"valueInteger" : 37
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "FHIRHelpers"
},
{
"url" : "name",
"valueString" : "ToString"
},
{
"url" : "statement",
"valueString" : "define function ToString(value string): value.value"
},
{
"url" : "displaySequence",
"valueInteger" : 38
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "FHIRHelpers"
},
{
"url" : "name",
"valueString" : "ToString"
},
{
"url" : "statement",
"valueString" : "define function ToString(value ImmunizationStatus): value.value"
},
{
"url" : "displaySequence",
"valueInteger" : 39
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "FHIRHelpers"
},
{
"url" : "name",
"valueString" : "ToBoolean"
},
{
"url" : "statement",
"valueString" : "define function ToBoolean(value boolean): value.value"
},
{
"url" : "displaySequence",
"valueInteger" : 40
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "FHIRHelpers"
},
{
"url" : "name",
"valueString" : "ToConcept"
},
{
"url" : "statement",
"valueString" : "define function ToConcept(concept FHIR.CodeableConcept):\n if concept is null then\n null\n else\n System.Concept {\n codes: concept.coding C return ToCode(C),\n display: concept.text.value\n }"
},
{
"url" : "displaySequence",
"valueInteger" : 41
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "FHIRHelpers"
},
{
"url" : "name",
"valueString" : "ToCode"
},
{
"url" : "statement",
"valueString" : "define function ToCode(coding FHIR.Coding):\n if coding is null then\n null\n else\n System.Code {\n code: coding.code.value,\n system: coding.system.value,\n version: coding.version.value,\n display: coding.display.value\n }"
},
{
"url" : "displaySequence",
"valueInteger" : 42
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZCommon"
},
{
"url" : "name",
"valueString" : "typeOfDose"
},
{
"url" : "statement",
"valueString" : "/**\n * @description: Gets the type of antigen dose extension value from an Immunization\n */\ndefine fluent function typeOfDose(immz Immunization):\n (First(\n immz.extension E where E.url = 'http://smart.who.int/immunizations/StructureDefinition/IMMZTypeOfDose'\n )).value as FHIR.CodeableConcept"
},
{
"url" : "displaySequence",
"valueInteger" : 43
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "FHIRHelpers"
},
{
"url" : "name",
"valueString" : "ToString"
},
{
"url" : "statement",
"valueString" : "define function ToString(value uri): value.value"
},
{
"url" : "displaySequence",
"valueInteger" : 44
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "WHOCommon"
},
{
"url" : "name",
"valueString" : "mostRecent"
},
{
"url" : "statement",
"valueString" : "define fluent function mostRecent(immunizations List<Immunization>):\n Last(\n immunizations I\n sort by start of occurrence.toInterval()\n )"
},
{
"url" : "displaySequence",
"valueInteger" : 45
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
}
],
"name" : "EffectiveDataRequirements",
"status" : "active",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/library-type",
"code" : "module-definition"
}
]
},
"relatedArtifact" : [
{
"type" : "depends-on",
"display" : "FHIR model information",
"resource" : "http://fhir.org/guides/cqf/common/Library/FHIR-ModelInfo|4.0.1"
},
{
"type" : "depends-on",
"display" : "Library Encounter",
"resource" : "http://smart.who.int/immunizations/Library/IMMZD2DTPolioEncounterElements"
},
{
"type" : "depends-on",
"display" : "Library Common",
"resource" : "http://smart.who.int/immunizations/Library/IMMZCommon"
},
{
"type" : "depends-on",
"display" : "Library WC",
"resource" : "http://smart.who.int/immunizations/Library/WHOCommon"
},
{
"type" : "depends-on",
"display" : "Library FHIRHelpers",
"resource" : "http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1"
},
{
"type" : "depends-on",
"display" : "Library PolioElements",
"resource" : "http://smart.who.int/immunizations/Library/IMMZD2DTPolioElements"
},
{
"type" : "depends-on",
"display" : "Library Elements",
"resource" : "http://smart.who.int/immunizations/Library/IMMZElements"
},
{
"type" : "depends-on",
"display" : "Library Concepts",
"resource" : "http://smart.who.int/immunizations/Library/IMMZConcepts"
},
{
"type" : "depends-on",
"display" : "Code system IMMZD",
"resource" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D"
},
{
"type" : "depends-on",
"display" : "Value set Poliovirus-containing vaccines",
"resource" : "http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE14"
}
],
"parameter" : [
{
"name" : "Today",
"use" : "in",
"min" : 0,
"max" : "1",
"type" : "date"
},
{
"name" : "bOPV dose 2",
"use" : "out",
"min" : 0,
"max" : "1",
"type" : "boolean"
},
{
"name" : "IPV dose 1 Create",
"use" : "out",
"min" : 0,
"max" : "1",
"type" : "string"
},
{
"name" : "IPV dose 2 Create",
"use" : "out",
"min" : 0,
"max" : "1",
"type" : "string"
},
{
"name" : "IPV dose 2",
"use" : "out",
"min" : 0,
"max" : "1",
"type" : "boolean"
},
{
"name" : "bOPV dose 1",
"use" : "out",
"min" : 0,
"max" : "1",
"type" : "boolean"
},
{
"name" : "IPV dose 1",
"use" : "out",
"min" : 0,
"max" : "1",
"type" : "boolean"
},
{
"name" : "bOPV dose 1 Create",
"use" : "out",
"min" : 0,
"max" : "1",
"type" : "string"
},
{
"name" : "bOPV dose 2 Create",
"use" : "out",
"min" : 0,
"max" : "1",
"type" : "string"
}
],
"dataRequirement" : [
{
"type" : "Patient",
"profile" : [
🔗 "http://hl7.org/fhir/StructureDefinition/Patient"
],
"mustSupport" : [
"birthDate"
]
},
{
"type" : "Immunization",
"profile" : [
🔗 "http://hl7.org/fhir/StructureDefinition/Immunization"
],
"mustSupport" : [
"status",
"isSubpotent",
"occurrence",
"protocolApplied",
"url"
],
"codeFilter" : [
{
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"code" : [
{
"code" : "completed"
}
]
}
]
},
{
"type" : "Immunization",
"profile" : [
🔗 "http://hl7.org/fhir/StructureDefinition/Immunization"
],
"mustSupport" : [
"occurrence",
"protocolApplied",
"url"
]
},
{
"type" : "Immunization",
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🔗 "http://hl7.org/fhir/StructureDefinition/Immunization"
],
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"status",
"isSubpotent",
"vaccineCode",
"occurrence",
"protocolApplied",
"url"
],
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{
"path" : "status",
"code" : [
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}
]
},
{
"path" : "vaccineCode",
"valueSet" : "http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE14"
}
]
}
]
}
],
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeCapability",
"valueCode" : "computable"
},
{
"url" : "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-effectiveDataRequirements",
"valueCanonical" : "#effective-data-requirements"
}
],
"url" : "http://smart.who.int/immunizations/PlanDefinition/IMMZD18SPolioSequentialIPVbOPV",
"version" : "1.0.0",
"name" : "IMMZD18SPolioSequentialIPVbOPV",
"title" : "IMMZ.D18.S.Polio.Sequential IPV–bOPV schedule",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/plan-definition-type",
"code" : "eca-rule"
}
]
},
"status" : "draft",
"experimental" : false,
"date" : "2026-03-31T13:54:17+00:00",
"publisher" : "WHO",
"contact" : [
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"telecom" : [
{
"system" : "url",
"value" : "http://who.int"
}
]
}
],
"description" : "IMMZ.D18.S.Polio.Sequential IPV–bOPV schedule\nSequential bivalent oral polio vaccine (bOPV)–inactivated polio vaccine (IPV) schedule",
"relatedArtifact" : [
{
"type" : "citation",
"citation" : "WHO recommendations for routine immunization - summary tables (January 2025)"
}
],
"library" : [
🔗 "http://smart.who.int/immunizations/Library/IMMZD18SPolioSequentialIPVbOPVLogic"
],
"action" : [
{
"title" : "IPV dose 1",
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"condition" : [
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"expression" : {
"description" : "IPV dose 1",
"language" : "text/cql-identifier",
"expression" : "IPV dose 1"
}
}
],
"definitionCanonical" : "http://smart.who.int/immunizations/ActivityDefinition/IMMZD2DTCR",
"dynamicValue" : [
{
"path" : "status",
"expression" : {
"language" : "text/cql-expression",
"expression" : "'active'"
}
},
{
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"expression" : {
"language" : "text/cql-identifier",
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}
},
{
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"language" : "text/cql-expression",
"expression" : "Code { system: 'http://terminology.hl7.org/CodeSystem/communication-category', code: 'alert' }"
}
},
{
"path" : "priority",
"expression" : {
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"language" : "text/cql-expression",
"expression" : "Code { system: 'http://hl7.org/fhir/request-priority', code: 'routine' }"
}
}
]
},
{
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"language" : "text/cql-identifier",
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}
}
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}
},
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}
},
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