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="IMMZD18SRotavirus"/>
<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;">IMMZD18SRotavirus</td>
</tr>
<tr>
<th scope="row"><b>Url: </b></th>
<td style="padding-left: 4px;"><a href="PlanDefinition-IMMZD18SRotavirus.html">IMMZ.D18.S.Rotavirus 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.Rotavirus 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.Rotavirus schedule
IMMZ.D18.S.Rotavirus 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-IMMZD18SRotavirusLogic.html">IMMZD18SRotavirusLogic</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> Rotavirus dose 1:</b> Provision of the rotavirus first dose
Trigger event: Child's birth
Trigger pseudo:
Trigger date: "Date of birth"
Create condition: WHO recommends that the first dose of rotavirus vaccine be administered as soon as possible after 6 weeks of age.
<br/>
<b>If:</b>
<i>Applicability:</i>
Rotavirus dose 1
<i>(Rotavirus 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>(Rotavirus 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> Rotavirus dose 2:</b> Provision of the rotavirus second dose
Trigger event: First rotavirus dose from the primary series was administered
Trigger pseudo: Count of vaccines administered (where "Vaccine type" = "Rotavirus vaccines" and "Type of dose" = "Primary series") = 1
Trigger date: Latest "Date and time of vaccination" where "Vaccine type" = "Rotavirus vaccines"
Create condition: A minimum interval of 4 weeks should be maintained between doses.
<br/>
<b>If:</b>
<i>Applicability:</i>
Rotavirus dose 2
<i>(Rotavirus 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>(Rotavirus 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> Rotavirus dose 3:</b> Provision of a rotavirus third dose
Trigger event: For a series containing more than two doses, two rotavirus primary series doses of mixed series or a series with unknown vaccine products were administered
Trigger pseudo: Count of vaccines administered (where "Vaccine type" = "Rotavirus vaccines"and "Type of dose" = "Primary series" ) = 2
AND "Vaccine brand" (where "Vaccine type" = "Rotavirus vaccines" AND "Dose number" = 1) ≠ "Vaccine brand" (where "Vaccine type" = "Rotavirus vaccines" AND "Dose number" = 2) OR "Total doses in series" > 2
Trigger date: Latest "Date and time of vaccination" where "Vaccine type" = "Rotavirus vaccines"
Create condition: For a mixed series or a series with any unknown vaccine products, a total of 3 doses of rotavirus vaccine should be administered for a complete vaccination series.
RotaTeq, Rotavac and Rotasiil should be administered in a 3-dose schedule.
<br/>
<b>If:</b>
<i>Applicability:</i>
Rotavirus dose 3
<i>(Rotavirus 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>(Rotavirus dose 3 Create)</i>
<br/>
category.coding: <i>(Code { system: 'http://terminology.hl7.org/CodeSystem/communication-category', code: 'alert' })</i>
<br/>
priority: <i>(Code { system: 'http://hl7.org/fhir/request-priority', code: 'routine' })</i>
<br/>
</td>
</tr>
</table>
</td>
</tr>
</table>
</div>
</div>
</text>
<contained>
<Library>
<id value="effective-data-requirements"/>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZElements"/>
</extension>
<extension url="name">
<valueString value="Doses Administered to Patient"/>
</extension>
<extension url="statement">
<valueString
value="/**
* @dataElement All Doses Administered to Patient
*/
define "Doses Administered to Patient":
[Immunization] I
where I.status = 'completed'
and I.isSubpotent is not true"/>
</extension>
<extension url="displaySequence">
<valueInteger value="0"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZEncounterElements"/>
</extension>
<extension url="name">
<valueString value="Doses Administered to Patient"/>
</extension>
<extension url="statement">
<valueString
value="/**
* @dataElement All Doses Administered to Patient
*/
define "Doses Administered to Patient":
Elements."Doses Administered to Patient" I
where I.occurrence.toInterval() same day or before Today"/>
</extension>
<extension url="displaySequence">
<valueInteger value="1"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTRotavirusEncounterElements"/>
</extension>
<extension url="name">
<valueString value="Rotavirus Doses Administered to Patient"/>
</extension>
<extension url="statement">
<valueString
value="/*
@internal: Rotavirus containing Doses Administered to Patient
*/
define "Rotavirus Doses Administered to Patient":
Encounter."Doses Administered to Patient" I
where
I.vaccineCode in Concepts."Rotavirus vaccines""/>
</extension>
<extension url="displaySequence">
<valueInteger value="2"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTRotavirusEncounterElements"/>
</extension>
<extension url="name">
<valueString
value="Rotavirus Primary Series Doses Administered to Patient"/>
</extension>
<extension url="statement">
<valueString
value="/*
@internal: Rotavirus containing Doses Administered to Patient that are in the Primary series
*/
define "Rotavirus Primary Series Doses Administered to Patient":
"Rotavirus Doses Administered to Patient".seriesPrimary()"/>
</extension>
<extension url="displaySequence">
<valueInteger value="3"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTRotavirusEncounterElements"/>
</extension>
<extension url="name">
<valueString
value="Number of Rotavirus Primary Series Doses Administered"/>
</extension>
<extension url="statement">
<valueString
value="/*
@internal: Number of Rotavirus Primary Series doses
*/
define "Number of Rotavirus Primary Series Doses Administered":
Count("Rotavirus Primary Series Doses Administered to Patient")"/>
</extension>
<extension url="displaySequence">
<valueInteger value="4"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTRotavirusEncounterElements"/>
</extension>
<extension url="name">
<valueString
value="Two rotavirus primary series doses were administered"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: Two rotavirus primary series doses were administered
@pseudocode: Count of vaccines administered (where "Vaccine type" = "Rotavirus vaccines" and "Type of dose" = "Primary series") = 2
@code: Two rotavirus primary series doses were administered-118
@decision: IMMZ.D2.DT.Rotavirus
*/
define "Two rotavirus primary series doses were administered":
"Number of Rotavirus Primary Series Doses Administered" = 2"/>
</extension>
<extension url="displaySequence">
<valueInteger value="5"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD18SRotavirusLogic"/>
</extension>
<extension url="name">
<valueString
value="Second rotavirus dose from the primary series was administered"/>
</extension>
<extension url="statement">
<valueString
value="/*
@complete: Second rotavirus dose from the primary series was administered
@pseudocode: Count of vaccines administered (where "Vaccine type" = "Rotavirus vaccines" and "Type of dose" = "Primary series") = 2
*/
define "Second rotavirus dose from the primary series was administered":
Encounter."Two rotavirus primary series doses were administered""/>
</extension>
<extension url="displaySequence">
<valueInteger value="6"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTRotavirusEncounterElements"/>
</extension>
<extension url="name">
<valueString value="Brand of First Dose"/>
</extension>
<extension url="statement">
<valueString
value="/*
@internal: Brand of First Dose
*/
define "Brand of First Dose":
First("Rotavirus Doses Administered to Patient".getDose('1')).brand()"/>
</extension>
<extension url="displaySequence">
<valueInteger value="7"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTRotavirusEncounterElements"/>
</extension>
<extension url="name">
<valueString value="Brand of Second Dose"/>
</extension>
<extension url="statement">
<valueString
value="/*
@internal: Brand of Second Dose
*/
define "Brand of Second Dose":
First("Rotavirus Doses Administered to Patient".getDose('2')).brand()"/>
</extension>
<extension url="displaySequence">
<valueInteger value="8"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTRotavirusEncounterElements"/>
</extension>
<extension url="name">
<valueString
value="The series administered to the client contains the same product"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: The series administered to the client contains the same product
@pseudocode: "Vaccine brand" (where "Vaccine type" = "Rotavirus vaccines" AND "Dose number" = 1) = "Vaccine brand" (where "Vaccine type" = "Rotavirus vaccines" AND "Dose number" = 2)
@code: The series administered to the client contains the same product-169
@decision: IMMZ.D2.DT.Rotavirus
*/
define "The series administered to the client contains the same product":
"Brand of First Dose" is not null and
"Brand of First Dose" ~ "Brand of Second Dose""/>
</extension>
<extension url="displaySequence">
<valueInteger value="9"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTRotavirusEncounterElements"/>
</extension>
<extension url="name">
<valueString
value="The series administered to the client is a mixed series or a series with unknown vaccine products"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: The series administered to the client is a mixed series or a series with unknown vaccine products
@pseudocode: "Vaccine brand" (where "Vaccine type" = "Rotavirus vaccines" AND "Dose number" = 1) ≠ "Vaccine brand" (where "Vaccine type" = "Rotavirus vaccines" AND "Dose number" = 2)
@code: The series administered to the client is a mixed series or a series with unknown vaccine products-169
@decision: IMMZ.D2.DT.Rotavirus
*/
define "The series administered to the client is a mixed series or a series with unknown vaccine products":
not "The series administered to the client contains the same product""/>
</extension>
<extension url="displaySequence">
<valueInteger value="10"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTRotavirusEncounterElements"/>
</extension>
<extension url="name">
<valueString value="The series contain more than two doses"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: The series contain more than two doses
@pseudocode: "Total doses in series" > 2
@code: The series contain more than two doses-27
@decision: IMMZ.D2.DT.Rotavirus
*/
define "The series contain more than two doses":
ToInteger("Rotavirus Doses Administered to Patient".mostRecent().seriesDoses()) > 2"/>
</extension>
<extension url="displaySequence">
<valueInteger value="11"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD18SRotavirusLogic"/>
</extension>
<extension url="name">
<valueString value="Rotavirus dose 3 Expiration"/>
</extension>
<extension url="statement">
<valueString
value="/*
@dynamicValue: Rotavirus dose 3 Expiration
@pseudocode: "Date of birth" + 24 months
*/
define "Rotavirus dose 3 Expiration":
Patient.birthDate + 24 months"/>
</extension>
<extension url="displaySequence">
<valueInteger value="12"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTRotavirusEncounterElements"/>
</extension>
<extension url="name">
<valueString
value="Three rotavirus primary series doses were administered"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: Three rotavirus primary series doses were administered
@pseudocode: Count of vaccines administered (where "Vaccine type" = "Rotavirus vaccines" and "Type of dose" = "Primary series") = 3
@code: Three rotavirus primary series doses were administered-118
@decision: IMMZ.D2.DT.Rotavirus
*/
define "Three rotavirus primary series doses were administered":
"Number of Rotavirus Primary Series Doses Administered" = 3"/>
</extension>
<extension url="displaySequence">
<valueInteger value="13"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD18SRotavirusLogic"/>
</extension>
<extension url="name">
<valueString
value="Third rotavirus dose from the primary series was administered"/>
</extension>
<extension url="statement">
<valueString
value="/*
@complete: Third rotavirus dose from the primary series was administered
@pseudocode: Count of vaccines administered (where "Vaccine type" = "Rotavirus vaccines" and "Type of dose" = "Primary series") = 3
*/
define "Third rotavirus dose from the primary series was administered":
Encounter."Three rotavirus primary series doses were administered""/>
</extension>
<extension url="displaySequence">
<valueInteger value="14"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD18SRotavirusLogic"/>
</extension>
<extension url="name">
<valueString value="Rotavirus dose 3"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Rotavirus dose 3
@description: Provision of a rotavirus third dose
@trigger: For a series containing more than two doses, two rotavirus primary series doses of mixed series or a series with unknown vaccine products were administered
@pseudo: Count of vaccines administered (where "Vaccine type" = "Rotavirus vaccines"and "Type of dose" = "Primary series" ) = 2
AND "Vaccine brand" (where "Vaccine type" = "Rotavirus vaccines" AND "Dose number" = 1) ≠ "Vaccine brand" (where "Vaccine type" = "Rotavirus vaccines" AND "Dose number" = 2) OR "Total doses in series" > 2
@triggerDate: Latest "Date and time of vaccination" where "Vaccine type" = "Rotavirus vaccines"
*/
define "Rotavirus dose 3":
"Second rotavirus dose from the primary series was administered"
and (
Encounter."The series administered to the client is a mixed series or a series with unknown vaccine products"
or Encounter."The series contain more than two doses"
)
and "Rotavirus dose 3 Expiration" after day of Today
and not "Third rotavirus dose from the primary series was administered""/>
</extension>
<extension url="displaySequence">
<valueInteger value="15"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTRotavirusEncounterElements"/>
</extension>
<extension url="name">
<valueString value="Date of Latest Rotavirus Dose"/>
</extension>
<extension url="statement">
<valueString
value="/*
@internal: Date of Latest Rotavirus Dose
*/
define "Date of Latest Rotavirus Dose":
date from start of "Rotavirus Doses Administered to Patient".mostRecent().occurrence.toInterval()"/>
</extension>
<extension url="displaySequence">
<valueInteger value="16"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD18SRotavirusLogic"/>
</extension>
<extension url="name">
<valueString value="Rotavirus dose 3 Due Date"/>
</extension>
<extension url="statement">
<valueString
value="/*
@dynamicValue: Rotavirus dose 3 Due Date
@pseudocode: Latest "Date and time of vaccination" (where "Vaccine type" = "Rotavirus vaccines") + 4 weeks
*/
define "Rotavirus dose 3 Due Date":
if "Rotavirus dose 3" then Encounter."Date of Latest Rotavirus Dose" + 4 weeks
else null"/>
</extension>
<extension url="displaySequence">
<valueInteger value="17"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD18SRotavirusLogic"/>
</extension>
<extension url="name">
<valueString value="Rotavirus dose 3 Create"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Rotavirus dose 3 Create
@create: For a mixed series or a series with any unknown vaccine products, a total of 3 doses of rotavirus vaccine should be administered for a complete vaccination series.
RotaTeq, Rotavac and Rotasiil should be administered in a 3-dose schedule.
*/
define "Rotavirus dose 3 Create":
if "Rotavirus dose 3"
then 'For a mixed series or a series with any unknown vaccine products, a total of 3 doses of rotavirus vaccine should be administered for a complete vaccination series.
RotaTeq, Rotavac and Rotasiil should be administered in a 3-dose schedule.' + '
Due Date: ' + ToString("Rotavirus dose 3 Due Date") + '
Expiration: ' + ToString("Rotavirus dose 3 Expiration")
else ''"/>
</extension>
<extension url="displaySequence">
<valueInteger value="18"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTRotavirusEncounterElements"/>
</extension>
<extension url="name">
<valueString
value="No rotavirus primary series doses were administered"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: No rotavirus primary series doses were administered
@pseudocode: Count of vaccines administered (where "Vaccine type" = "Rotavirus vaccines" and "Type of dose" = "Primary series") = 0
@code: No rotavirus primary series doses were administered-118
@decision: IMMZ.D2.DT.Rotavirus
*/
define "No rotavirus primary series doses were administered":
"Number of Rotavirus Primary Series Doses Administered" = 0"/>
</extension>
<extension url="displaySequence">
<valueInteger value="19"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD18SRotavirusLogic"/>
</extension>
<extension url="name">
<valueString value="Rotavirus dose 1 Expiration"/>
</extension>
<extension url="statement">
<valueString
value="/*
@dynamicValue: Rotavirus dose 1 Expiration
@pseudocode: "Date of birth" + 24 months
*/
define "Rotavirus dose 1 Expiration":
Patient.birthDate + 24 months"/>
</extension>
<extension url="displaySequence">
<valueInteger value="20"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTRotavirusEncounterElements"/>
</extension>
<extension url="name">
<valueString
value="One rotavirus primary series dose was administered"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: One rotavirus primary series dose was administered
@pseudocode: Count of vaccines administered (where "Vaccine type" = "Rotavirus vaccines" and "Type of dose" = "Primary series") = 1
@code: One rotavirus primary series dose was administered-118
@decision: IMMZ.D2.DT.Rotavirus
*/
define "One rotavirus primary series dose was administered":
"Number of Rotavirus Primary Series Doses Administered" = 1"/>
</extension>
<extension url="displaySequence">
<valueInteger value="21"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD18SRotavirusLogic"/>
</extension>
<extension url="name">
<valueString
value="First rotavirus dose from the primary series was administered"/>
</extension>
<extension url="statement">
<valueString
value="/*
@complete: First rotavirus dose from the primary series was administered
@pseudocode: Count of vaccines administered (where "Vaccine type" = "Rotavirus vaccines" and "Type of dose" = "Primary series") = 1
*/
define "First rotavirus dose from the primary series was administered":
Encounter."One rotavirus primary series dose was administered""/>
</extension>
<extension url="displaySequence">
<valueInteger value="22"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD18SRotavirusLogic"/>
</extension>
<extension url="name">
<valueString value="Rotavirus dose 1"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Rotavirus dose 1
@description: Provision of the rotavirus first dose
@trigger: Child's birth
@pseudo:
@triggerDate: "Date of birth"
*/
define "Rotavirus dose 1":
Encounter."No rotavirus primary series doses were administered"
and "Rotavirus dose 1 Expiration" after day of Today
and not "First rotavirus 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="IMMZD18SRotavirusLogic"/>
</extension>
<extension url="name">
<valueString value="Rotavirus dose 1 Due Date"/>
</extension>
<extension url="statement">
<valueString
value="/*
@dynamicValue: Rotavirus dose 1 Due Date
@pseudocode: "Date of birth" + 6 weeks
*/
define "Rotavirus dose 1 Due Date":
if "Rotavirus dose 1" then Patient.birthDate + 6 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="IMMZD18SRotavirusLogic"/>
</extension>
<extension url="name">
<valueString value="Rotavirus dose 1 Create"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Rotavirus dose 1 Create
@create: WHO recommends that the first dose of rotavirus vaccine be administered as soon as possible after 6 weeks of age.
*/
define "Rotavirus dose 1 Create":
if "Rotavirus dose 1"
then 'WHO recommends that the first dose of rotavirus vaccine be administered as soon as possible after 6 weeks of age.' + '
Due Date: ' + ToString("Rotavirus dose 1 Due Date") + '
Expiration: ' + ToString("Rotavirus dose 1 Expiration")
else ''"/>
</extension>
<extension url="displaySequence">
<valueInteger value="25"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD18SRotavirusLogic"/>
</extension>
<extension url="name">
<valueString value="Rotavirus dose 2 Expiration"/>
</extension>
<extension url="statement">
<valueString
value="/*
@dynamicValue: Rotavirus dose 2 Expiration
@pseudocode: "Date of birth" + 24 months
*/
define "Rotavirus dose 2 Expiration":
Patient.birthDate + 24 months"/>
</extension>
<extension url="displaySequence">
<valueInteger value="26"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD18SRotavirusLogic"/>
</extension>
<extension url="name">
<valueString value="Rotavirus dose 2"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Rotavirus dose 2
@description: Provision of the rotavirus second dose
@trigger: First rotavirus dose from the primary series was administered
@pseudo: Count of vaccines administered (where "Vaccine type" = "Rotavirus vaccines" and "Type of dose" = "Primary series") = 1
@triggerDate: Latest "Date and time of vaccination" where "Vaccine type" = "Rotavirus vaccines"
*/
define "Rotavirus dose 2":
"First rotavirus dose from the primary series was administered"
and "Rotavirus dose 2 Expiration" after day of Today
and not "Second rotavirus dose from the primary series was administered""/>
</extension>
<extension url="displaySequence">
<valueInteger value="27"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD18SRotavirusLogic"/>
</extension>
<extension url="name">
<valueString value="Rotavirus dose 2 Due Date"/>
</extension>
<extension url="statement">
<valueString
value="/*
@dynamicValue: Rotavirus dose 2 Due Date
@pseudocode: Latest "Date and time of vaccination" (where "Vaccine type" = "Rotavirus vaccines") + 4 weeks
*/
define "Rotavirus dose 2 Due Date":
if "Rotavirus dose 2" then Encounter."Date of Latest Rotavirus Dose" + 4 weeks
else null"/>
</extension>
<extension url="displaySequence">
<valueInteger value="28"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD18SRotavirusLogic"/>
</extension>
<extension url="name">
<valueString value="Rotavirus dose 2 Create"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Rotavirus dose 2 Create
@create: A minimum interval of 4 weeks should be maintained between doses.
*/
define "Rotavirus dose 2 Create":
if "Rotavirus dose 2"
then 'A minimum interval of 4 weeks should be maintained between doses.' + '
Due Date: ' + ToString("Rotavirus dose 2 Due Date") + '
Expiration: ' + ToString("Rotavirus dose 2 Expiration")
else ''"/>
</extension>
<extension url="displaySequence">
<valueInteger value="29"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZCommon"/>
</extension>
<extension url="name">
<valueString value="seriesPrimary"/>
</extension>
<extension url="statement">
<valueString
value="/**
* @description: Gets the doses from the primary series
*/
define fluent function seriesPrimary(immunizations List<Immunization>):
immunizations I where
exists( I.protocolApplied pa where pa.series = 'Primary series' )"/>
</extension>
<extension url="displaySequence">
<valueInteger value="30"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="FHIRHelpers"/>
</extension>
<extension url="name">
<valueString value="ToString"/>
</extension>
<extension url="statement">
<valueString
value="define function ToString(value string): value.value"/>
</extension>
<extension url="displaySequence">
<valueInteger value="31"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="FHIRHelpers"/>
</extension>
<extension url="name">
<valueString value="ToString"/>
</extension>
<extension url="statement">
<valueString
value="define function ToString(value ImmunizationStatus): value.value"/>
</extension>
<extension url="displaySequence">
<valueInteger value="32"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="FHIRHelpers"/>
</extension>
<extension url="name">
<valueString value="ToBoolean"/>
</extension>
<extension url="statement">
<valueString
value="define function ToBoolean(value boolean): value.value"/>
</extension>
<extension url="displaySequence">
<valueInteger value="33"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="WHOCommon"/>
</extension>
<extension url="name">
<valueString value="toInterval"/>
</extension>
<extension url="statement">
<valueString
value="/*
From FHIRCommon 4.1.0:
*/
/*
@description: Normalizes a value that is a choice of timing-valued types to an equivalent interval
@comment: Normalizes a choice type of FHIR.dateTime, FHIR.Period, FHIR.Timing, FHIR.instance, FHIR.string, FHIR.Age, or FHIR.Range types
to an equivalent interval. This selection of choice types is a superset of the majority of choice types that are used as possible
representations for timing-valued elements in FHIR, allowing this function to be used across any resource.
The input can be provided as a dateTime, Period, Timing, instant, string, Age, or Range.
The intent of this function is to provide a clear and concise mechanism to treat single
elements that have multiple possible representations as intervals so that logic doesn't have to account
for the variability. More complex calculations (such as medication request period or dispense period
calculation) need specific guidance and consideration. That guidance may make use of this function, but
the focus of this function is on single element calculations where the semantics are unambiguous.
If the input is a dateTime, the result a DateTime Interval beginning and ending on that dateTime.
If the input is a Period, the result is a DateTime Interval.
If the input is a Timing, an error is raised indicating a single interval cannot be computed from a Timing.
If the input is an instant, the result is a DateTime Interval beginning and ending on that instant.
If the input is a string, an error is raised indicating a single interval cannot be computed from a string.
If the input is an Age, the result is a DateTime Interval beginning when the patient was the given Age,
and ending immediately prior to when the patient was the given Age plus one year.
If the input is a Range, the result is a DateTime Interval beginning when the patient was the Age given
by the low end of the Range, and ending immediately prior to when the patient was the Age given by the
high end of the Range plus one year.
NOTE: Due to the
complexity of determining a single interval from a Timing or String type, this function will throw a run-time exception if it is used
with a Timing or String.
*/
define fluent function toInterval(choice Choice<FHIR.dateTime, FHIR.Period, FHIR.Timing, FHIR.instant, FHIR.string, FHIR.Age, FHIR.Range>):
case
when choice is FHIR.dateTime then
Interval[FHIRHelpers.ToDateTime(choice as FHIR.dateTime), FHIRHelpers.ToDateTime(choice as FHIR.dateTime)]
when choice is FHIR.Period then
FHIRHelpers.ToInterval(choice as FHIR.Period)
when choice is FHIR.instant then
Interval[FHIRHelpers.ToDateTime(choice as FHIR.instant), FHIRHelpers.ToDateTime(choice as FHIR.instant)]
when choice is FHIR.Age then
Interval[FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity(choice as FHIR.Age),
FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity(choice as FHIR.Age) + 1 year)
when choice is FHIR.Range then
Interval[FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity((choice as FHIR.Range).low),
FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity((choice as FHIR.Range).high) + 1 year)
when choice is FHIR.Timing then
Message(null as Interval<DateTime>, true, 'NOT_IMPLEMENTED', 'Error', 'Calculation of an interval from a Timing value is not supported')
when choice is FHIR.string then
Message(null as Interval<DateTime>, true, 'NOT_IMPLEMENTED', 'Error', 'Calculation of an interval from a String value is not supported')
else
null as Interval<DateTime>
end"/>
</extension>
<extension url="displaySequence">
<valueInteger value="34"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="FHIRHelpers"/>
</extension>
<extension url="name">
<valueString value="ToDateTime"/>
</extension>
<extension url="statement">
<valueString
value="define function ToDateTime(value dateTime): value.value"/>
</extension>
<extension url="displaySequence">
<valueInteger value="35"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="FHIRHelpers"/>
</extension>
<extension url="name">
<valueString value="ToInterval"/>
</extension>
<extension url="statement">
<valueString
value="define function ToInterval(period FHIR.Period):
if period is null then
null
else
if period."start" is null then
Interval(period."start".value, period."end".value]
else
Interval[period."start".value, period."end".value]"/>
</extension>
<extension url="displaySequence">
<valueInteger value="36"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="FHIRHelpers"/>
</extension>
<extension url="name">
<valueString value="ToDateTime"/>
</extension>
<extension url="statement">
<valueString
value="define function ToDateTime(value instant): value.value"/>
</extension>
<extension url="displaySequence">
<valueInteger value="37"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="FHIRHelpers"/>
</extension>
<extension url="name">
<valueString value="ToDate"/>
</extension>
<extension url="statement">
<valueString
value="define function ToDate(value date): value.value"/>
</extension>
<extension url="displaySequence">
<valueInteger value="38"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="FHIRHelpers"/>
</extension>
<extension url="name">
<valueString value="ToQuantity"/>
</extension>
<extension url="statement">
<valueString
value="define function ToQuantity(quantity FHIR.Quantity):
case
when quantity is null then null
when quantity.value is null then null
when quantity.comparator is not null then
Message(null, true, 'FHIRHelpers.ToQuantity.ComparatorQuantityNotSupported', 'Error', 'FHIR Quantity value has a comparator and cannot be converted to a System.Quantity value.')
when quantity.system is null or quantity.system.value = 'http://unitsofmeasure.org'
or quantity.system.value = 'http://hl7.org/fhirpath/CodeSystem/calendar-units' then
System.Quantity { value: quantity.value.value, unit: ToCalendarUnit(Coalesce(quantity.code.value, quantity.unit.value, '1')) }
else
Message(null, true, 'FHIRHelpers.ToQuantity.InvalidFHIRQuantity', 'Error', 'Invalid FHIR Quantity code: ' & quantity.unit.value & ' (' & quantity.system.value & '|' & quantity.code.value & ')')
end"/>
</extension>
<extension url="displaySequence">
<valueInteger value="39"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="FHIRHelpers"/>
</extension>
<extension url="name">
<valueString value="ToCalendarUnit"/>
</extension>
<extension url="statement">
<valueString
value="define function ToCalendarUnit(unit System.String):
case unit
when 'ms' then 'millisecond'
when 's' then 'second'
when 'min' then 'minute'
when 'h' then 'hour'
when 'd' then 'day'
when 'wk' then 'week'
when 'mo' then 'month'
when 'a' then 'year'
else unit
end"/>
</extension>
<extension url="displaySequence">
<valueInteger value="40"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="FHIRHelpers"/>
</extension>
<extension url="name">
<valueString value="ToConcept"/>
</extension>
<extension url="statement">
<valueString
value="define function ToConcept(concept FHIR.CodeableConcept):
if concept is null then
null
else
System.Concept {
codes: concept.coding C return ToCode(C),
display: concept.text.value
}"/>
</extension>
<extension url="displaySequence">
<valueInteger value="41"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="FHIRHelpers"/>
</extension>
<extension url="name">
<valueString value="ToCode"/>
</extension>
<extension url="statement">
<valueString
value="define function ToCode(coding FHIR.Coding):
if coding is null then
null
else
System.Code {
code: coding.code.value,
system: coding.system.value,
version: coding.version.value,
display: coding.display.value
}"/>
</extension>
<extension url="displaySequence">
<valueInteger value="42"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZCommon"/>
</extension>
<extension url="name">
<valueString value="brand"/>
</extension>
<extension url="statement">
<valueString
value="/**
* @description: Gets the type of antigen dose extension value from an Immunization
*/
define fluent function brand(immz Immunization):
(First(
immz.extension E where E.url = 'http://smart.who.int/immunizations/StructureDefinition/IMMZVaccineBrand'
)).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="IMMZCommon"/>
</extension>
<extension url="name">
<valueString value="getDose"/>
</extension>
<extension url="statement">
<valueString
value="/**
* @description: Gets a given immunization from a list that matches the dose number
*/
define fluent function getDose(immunizations List<Immunization>, doseNumber String):
immunizations I where
exists( I.protocolApplied pa where pa.doseNumber = doseNumber )"/>
</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="seriesDoses"/>
</extension>
<extension url="statement">
<valueString
value="/**
* @description: Gets the series doses from an immunization
*/
define fluent function seriesDoses(immunization Immunization):
First(immunization.protocolApplied pa where pa.seriesDoses is not null).seriesDoses"/>
</extension>
<extension url="displaySequence">
<valueInteger value="46"/>
</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="47"/>
</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/IMMZD2DTRotavirusEncounterElements"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Library Common"/>
<resource
value="http://smart.who.int/immunizations/Library/IMMZCommon"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Library FHIRHelpers"/>
<resource
value="http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Library Encounter"/>
<resource
value="http://smart.who.int/immunizations/Library/IMMZEncounterElements"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Library Elements"/>
<resource
value="http://smart.who.int/immunizations/Library/IMMZElements"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Library WC"/>
<resource
value="http://smart.who.int/immunizations/Library/WHOCommon"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Library Concepts"/>
<resource
value="http://smart.who.int/immunizations/Library/IMMZConcepts"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Value set Rotavirus vaccines"/>
<resource
value="http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE16"/>
</relatedArtifact>
<parameter>
<name value="Today"/>
<use value="in"/>
<min value="0"/>
<max value="1"/>
<type value="date"/>
</parameter>
<parameter>
<name value="Rotavirus dose 3 Create"/>
<use value="out"/>
<min value="0"/>
<max value="1"/>
<type value="string"/>
</parameter>
<parameter>
<name value="Rotavirus dose 1"/>
<use value="out"/>
<min value="0"/>
<max value="1"/>
<type value="boolean"/>
</parameter>
<parameter>
<name value="Rotavirus dose 1 Create"/>
<use value="out"/>
<min value="0"/>
<max value="1"/>
<type value="string"/>
</parameter>
<parameter>
<name value="Rotavirus dose 2"/>
<use value="out"/>
<min value="0"/>
<max value="1"/>
<type value="boolean"/>
</parameter>
<parameter>
<name value="Rotavirus dose 3"/>
<use value="out"/>
<min value="0"/>
<max value="1"/>
<type value="boolean"/>
</parameter>
<parameter>
<name value="Rotavirus dose 2 Create"/>
<use value="out"/>
<min value="0"/>
<max value="1"/>
<type value="string"/>
</parameter>
<dataRequirement>
<type value="Immunization"/>
<profile
value="http://hl7.org/fhir/StructureDefinition/Immunization"/>
<mustSupport value="status"/>
<mustSupport value="isSubpotent"/>
<mustSupport value="protocolApplied"/>
<mustSupport value="url"/>
<mustSupport value="seriesDoses"/>
<mustSupport value="occurrence"/>
<codeFilter>
<path value="status"/>
<code>
<code value="completed"/>
</code>
</codeFilter>
</dataRequirement>
<dataRequirement>
<type value="Immunization"/>
<profile
value="http://hl7.org/fhir/StructureDefinition/Immunization"/>
<mustSupport value="occurrence"/>
<mustSupport value="protocolApplied"/>
<mustSupport value="url"/>
<mustSupport value="seriesDoses"/>
</dataRequirement>
<dataRequirement>
<type value="Immunization"/>
<profile
value="http://hl7.org/fhir/StructureDefinition/Immunization"/>
<mustSupport value="status"/>
<mustSupport value="isSubpotent"/>
<mustSupport value="occurrence"/>
<mustSupport value="vaccineCode"/>
<mustSupport value="protocolApplied"/>
<mustSupport value="url"/>
<mustSupport value="seriesDoses"/>
<codeFilter>
<path value="status"/>
<code>
<code value="completed"/>
</code>
</codeFilter>
<codeFilter>
<path value="vaccineCode"/>
<valueSet
value="http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE16"/>
</codeFilter>
</dataRequirement>
<dataRequirement>
<type value="Patient"/>
<profile value="http://hl7.org/fhir/StructureDefinition/Patient"/>
<mustSupport value="birthDate"/>
</dataRequirement>
</Library>
</contained>
<extension
url="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeCapability">
<valueCode value="computable"/>
</extension>
<extension
url="http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-effectiveDataRequirements">
<valueCanonical value="#effective-data-requirements"/>
</extension>
<url
value="http://smart.who.int/immunizations/PlanDefinition/IMMZD18SRotavirus"/>
<version value="1.0.0"/>
<name value="IMMZD18SRotavirus"/>
<title value="IMMZ.D18.S.Rotavirus 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.Rotavirus schedule
IMMZ.D18.S.Rotavirus 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/IMMZD18SRotavirusLogic"/>
<action>
<title value="Rotavirus dose 1"/>
<description
value="Provision of the rotavirus first dose
Trigger event: Child's birth
Trigger pseudo:
Trigger date: "Date of birth"
Create condition: WHO recommends that the first dose of rotavirus vaccine be administered as soon as possible after 6 weeks of age."/>
<condition>
<kind value="applicability"/>
<expression>
<description value="Rotavirus dose 1"/>
<language value="text/cql-identifier"/>
<expression value="Rotavirus 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="Rotavirus 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="Rotavirus dose 2"/>
<description
value="Provision of the rotavirus second dose
Trigger event: First rotavirus dose from the primary series was administered
Trigger pseudo: Count of vaccines administered (where "Vaccine type" = "Rotavirus vaccines" and "Type of dose" = "Primary series") = 1
Trigger date: Latest "Date and time of vaccination" where "Vaccine type" = "Rotavirus vaccines"
Create condition: A minimum interval of 4 weeks should be maintained between doses."/>
<condition>
<kind value="applicability"/>
<expression>
<description value="Rotavirus dose 2"/>
<language value="text/cql-identifier"/>
<expression value="Rotavirus 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="Rotavirus 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="Rotavirus dose 3"/>
<description
value="Provision of a rotavirus third dose
Trigger event: For a series containing more than two doses, two rotavirus primary series doses of mixed series or a series with unknown vaccine products were administered
Trigger pseudo: Count of vaccines administered (where "Vaccine type" = "Rotavirus vaccines"and "Type of dose" = "Primary series" ) = 2
AND "Vaccine brand" (where "Vaccine type" = "Rotavirus vaccines" AND "Dose number" = 1) ≠ "Vaccine brand" (where "Vaccine type" = "Rotavirus vaccines" AND "Dose number" = 2) OR "Total doses in series" > 2
Trigger date: Latest "Date and time of vaccination" where "Vaccine type" = "Rotavirus vaccines"
Create condition: For a mixed series or a series with any unknown vaccine products, a total of 3 doses of rotavirus vaccine should be administered for a complete vaccination series.
RotaTeq, Rotavac and Rotasiil should be administered in a 3-dose schedule."/>
<condition>
<kind value="applicability"/>
<expression>
<description value="Rotavirus dose 3"/>
<language value="text/cql-identifier"/>
<expression value="Rotavirus 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="Rotavirus dose 3 Create"/>
</expression>
</dynamicValue>
<dynamicValue>
<path value="category.coding"/>
<expression>
<description value="Category of communication"/>
<language value="text/cql-expression"/>
<expression
value="Code { system: 'http://terminology.hl7.org/CodeSystem/communication-category', code: 'alert' }"/>
</expression>
</dynamicValue>
<dynamicValue>
<path value="priority"/>
<expression>
<description value="Alert priority"/>
<language value="text/cql-expression"/>
<expression
value="Code { system: 'http://hl7.org/fhir/request-priority', code: 'routine' }"/>
</expression>
</dynamicValue>
</action>
</PlanDefinition>