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

: IMMZ.D18.S.TBE.Encepur schedule - XML Representation

Draft as of 2026-03-31

Raw xml | Download


<PlanDefinition xmlns="http://hl7.org/fhir">
  <id value="IMMZD18STBEEncepur"/>
  <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;">IMMZD18STBEEncepur</td>
        </tr>
        

        
        <tr>
            <th scope="row"><b>Url: </b></th>
            <td style="padding-left: 4px;"><a href="PlanDefinition-IMMZD18STBEEncepur.html">IMMZ.D18.S.TBE.Encepur 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.TBE.Encepur 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.TBE.Encepur schedule
Encepur, 3-dose schedule</p>
</div></td>
        </tr>
        

        
        <tr>
            <th scope="row"><b>Knowledge Capability: </b></th>
            <td style="padding-left: 4px;">
                
                computable 
            </td>
        </tr>
        

        

        

        

        

        

        

        

        

        

        
        <tr>
            <th scope="row"><b>Related Artifacts: </b></th>
            <td style="padding-left: 4px;">
                
                
                <p><b>References</b></p>
                <ul>
                    
                    <li><div><p>WHO recommendations for routine immunization - summary tables (January 2025)</p>
</div><br/><a href="null"/></li>
                    
                </ul>
                
                
                
                
                
                
            </td>
        </tr>
        

        
        <tr>
            <th scope="row"><b>Libraries: </b></th>
            <td style="padding-left: 4px;">
                <table class="grid-dict">
                    
                    <tr>
                        <td><a href="Library-IMMZD18STBEEncepurLogic.html">IMMZD18STBEEncepurLogic</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> Tick-borne encephalitis (TBE) Encepur dose 1:</b> Provision of the TBE Encepur dose 1
Trigger event: Child's birth
Trigger pseudo: 
Trigger date: &quot;Date of birth&quot;
Create condition: The vaccine can be given from &gt; 1 year of age.
                            
                            <br/>
                            
                            
                            <b>If:</b>
                            
                            <i>Applicability:</i>
                            
                            Tick-borne encephalitis (TBE) Encepur dose 1
                            
                            <i>(Tick-borne encephalitis (TBE) Encepur 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>(Tick-borne encephalitis (TBE) Encepur 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> TBE Encepur dose 2:</b> Provision of the TBE Encepur dose 2
Trigger event: First TBE dose from the primary series was administered
Trigger pseudo: Count of vaccines administered (where &quot;Vaccine type&quot; = &quot;TBE vaccines&quot; and &quot;Type of dose&quot; = &quot;Primary series&quot;) = 1
Trigger date: &quot;Date and time of vaccination&quot; (where &quot;Vaccine type&quot; = &quot;TBE vaccines&quot;)
Create condition: An interval of 1–3 months is recommended between the first 2 doses.
                            
                            <br/>
                            
                            
                            <b>If:</b>
                            
                            <i>Applicability:</i>
                            
                            TBE Encepur dose 2
                            
                            <i>(TBE Encepur 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>(TBE Encepur 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> TBE Encepur dose 3:</b> Provision of the TBE Encepur dose 3
Trigger event: Second TBE dose from the primary series was administered
Trigger pseudo: Count of vaccines administered (where &quot;Vaccine type&quot; = &quot;TBE vaccines&quot; and &quot;Type of dose&quot; = &quot;Primary series&quot;) = 2
Trigger date: Latest &quot;Date and time of vaccination&quot; (where &quot;Vaccine type&quot; = &quot;TBE vaccines&quot;)
Create condition: For Encepur, the requirement is 9–12 months between doses 2 and 3.
                            
                            <br/>
                            
                            
                            <b>If:</b>
                            
                            <i>Applicability:</i>
                            
                            TBE Encepur dose 3
                            
                            <i>(TBE Encepur 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>(TBE Encepur 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> TBE Encepur booster dose:</b> Provision of the TBE Encepur booster dose
Trigger event: The primary series has been completed
Trigger pseudo: &quot;Completed the primary vaccination series&quot; = TRUE (where &quot;Vaccine type&quot; = &quot;TBE vaccines&quot;)
Trigger date: &quot;Date when primary vaccination series was completed&quot;
Create condition: The manufacturer recommends a booster dose to be administered 3 years after completion of the primary series.
                            
                            <br/>
                            
                            
                            <b>If:</b>
                            
                            <i>Applicability:</i>
                            
                            TBE Encepur booster dose
                            
                            <i>(TBE Encepur booster dose)</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>(TBE Encepur booster dose 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 &quot;Doses Administered to Patient&quot;:
  [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 &quot;Doses Administered to Patient&quot;:
  Elements.&quot;Doses Administered to Patient&quot; 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="IMMZD2DTTBEEncounterElements"/>
        </extension>
        <extension url="name">
          <valueString value="TBE Doses Administered to Patient"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/*
@internal: TBE containing Doses Administered to Patient
*/
define &quot;TBE Doses Administered to Patient&quot;:
  Encounter.&quot;Doses Administered to Patient&quot; I
  where
    I.vaccineCode in Concepts.&quot;TBE vaccines&quot;"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="2"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZD2DTTBEEncounterElements"/>
        </extension>
        <extension url="name">
          <valueString
                       value="TBE Primary Series Doses Administered to Patient"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/*
@internal: TBE containing Doses Administered to Patient that are in the Primary series
*/
define &quot;TBE Primary Series Doses Administered to Patient&quot;:
  &quot;TBE Doses Administered to Patient&quot;.seriesPrimary()"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="3"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZD2DTTBEEncounterElements"/>
        </extension>
        <extension url="name">
          <valueString
                       value="Number of TBE Primary Series Doses Administered"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/*
@internal: Number of TBE Primary Series doses
*/
define &quot;Number of TBE Primary Series Doses Administered&quot;:
  Count(&quot;TBE Primary Series Doses Administered to Patient&quot;)"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="4"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZD2DTTBEEncounterElements"/>
        </extension>
        <extension url="name">
          <valueString
                       value="Two TBE primary series doses were administered"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/*
@input: Two TBE primary series doses were administered
@pseudocode: Count of vaccines administered (where &quot;Vaccine type&quot; = &quot;TBE vaccines&quot; and &quot;Type of dose&quot; = &quot;Primary series&quot;) = 2
@code: Two TBE primary series doses were administered-112
@decision: IMMZ.D2.DT.TBE.FSME-Immun: FSME-Immun schedule
(In areas where the disease is highly endemic, implying that there is a high individual risk of infection, WHO recommends that vaccination be offered to all age groups, including children)
@decision: IMMZ.D2.DT.TBE.Encepur: Encepur schedule
(In areas where the disease is highly endemic, implying that there is a high individual risk of infection, WHO recommends that vaccination be offered to all age groups, including children		)
@decision: IMMZ.D2.DT.TBE.TBE-Moscow: TBE-Moscow schedule
(In areas where the disease is highly endemic, implying that there is a high individual risk of infection, WHO recommends that vaccination be offered to all age groups, including children	)
@decision: IMMZ.D2.DT.TBE.EnceVir: EnceVir schedule
(In areas where the disease is highly endemic, implying that there is a high individual risk of infection, WHO recommends that vaccination be offered to all age groups, including children					)
*/
define &quot;Two TBE primary series doses were administered&quot;:
  &quot;Number of TBE Primary Series Doses Administered&quot;  = 2"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="5"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZD18STBEEncepurLogic"/>
        </extension>
        <extension url="name">
          <valueString
                       value="Second TBE dose from the primary series was administered"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/*
@complete: Second TBE dose from the primary series was administered
@pseudocode: Count of vaccines administered (where &quot;Vaccine type&quot; = &quot;TBE vaccines&quot; and &quot;Type of dose&quot; = &quot;Primary series&quot;) = 2
*/
define &quot;Second TBE dose from the primary series was administered&quot;:
  Encounter.&quot;Two TBE primary series doses were administered&quot;"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="6"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZD2DTTBEEncounterElements"/>
        </extension>
        <extension url="name">
          <valueString
                       value="Three TBE primary series doses were administered"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/*
@input: Three TBE primary series doses were administered
@pseudocode: Count of vaccines administered (where &quot;Vaccine type&quot; = &quot;TBE vaccines&quot; and &quot;Type of dose&quot; = &quot;Primary series&quot;) = 3
@code: Three TBE primary series doses were administered-112
@decision: IMMZ.D2.DT.TBE.FSME-Immun: FSME-Immun schedule
(In areas where the disease is highly endemic, implying that there is a high individual risk of infection, WHO recommends that vaccination be offered to all age groups, including children)
@decision: IMMZ.D2.DT.TBE.Encepur: Encepur schedule
(In areas where the disease is highly endemic, implying that there is a high individual risk of infection, WHO recommends that vaccination be offered to all age groups, including children		)
@decision: IMMZ.D2.DT.TBE.TBE-Moscow: TBE-Moscow schedule
(In areas where the disease is highly endemic, implying that there is a high individual risk of infection, WHO recommends that vaccination be offered to all age groups, including children	)
@decision: IMMZ.D2.DT.TBE.EnceVir: EnceVir schedule
(In areas where the disease is highly endemic, implying that there is a high individual risk of infection, WHO recommends that vaccination be offered to all age groups, including children					)
*/
define &quot;Three TBE primary series doses were administered&quot;:
  &quot;Number of TBE Primary Series Doses Administered&quot;  = 3"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="7"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZD18STBEEncepurLogic"/>
        </extension>
        <extension url="name">
          <valueString
                       value="Third TBE dose from the primary series was administered. The primary series has been completed"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/*
@complete: Third TBE dose from the primary series was administered. The primary series has been completed
@pseudocode: &quot;Completed the primary vaccination series&quot; = TRUE (where &quot;Vaccine type&quot; = &quot;TBE vaccines&quot;)
*/
define &quot;Third TBE dose from the primary series was administered. The primary series has been completed&quot;:
  Encounter.&quot;Three TBE primary series doses were administered&quot;"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="8"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZD18STBEEncepurLogic"/>
        </extension>
        <extension url="name">
          <valueString value="TBE Encepur dose 3"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/*
@output: TBE Encepur dose 3
@description: Provision of the TBE Encepur dose 3
@trigger: Second TBE dose from the primary series was administered
@pseudo: Count of vaccines administered (where &quot;Vaccine type&quot; = &quot;TBE vaccines&quot; and &quot;Type of dose&quot; = &quot;Primary series&quot;) = 2
@triggerDate: Latest &quot;Date and time of vaccination&quot; (where &quot;Vaccine type&quot; = &quot;TBE vaccines&quot;)
*/
define &quot;TBE Encepur dose 3&quot;:
  &quot;Second TBE dose from the primary series was administered&quot;
  and not &quot;Third TBE dose from the primary series was administered. The primary series has been completed&quot;"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="9"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZD2DTTBEEncounterElements"/>
        </extension>
        <extension url="name">
          <valueString value="One TBE primary series dose was administered"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/*
@input: One TBE primary series dose was administered
@pseudocode: Count of vaccines administered (where &quot;Vaccine type&quot; = &quot;TBE vaccines&quot; and &quot;Type of dose&quot; = &quot;Primary series&quot;) = 1
@code: One TBE primary series dose was administered-112
@decision: IMMZ.D2.DT.TBE.FSME-Immun: FSME-Immun schedule
(In areas where the disease is highly endemic, implying that there is a high individual risk of infection, WHO recommends that vaccination be offered to all age groups, including children)
@decision: IMMZ.D2.DT.TBE.Encepur: Encepur schedule
(In areas where the disease is highly endemic, implying that there is a high individual risk of infection, WHO recommends that vaccination be offered to all age groups, including children		)
@decision: IMMZ.D2.DT.TBE.TBE-Moscow: TBE-Moscow schedule
(In areas where the disease is highly endemic, implying that there is a high individual risk of infection, WHO recommends that vaccination be offered to all age groups, including children	)
@decision: IMMZ.D2.DT.TBE.EnceVir: EnceVir schedule
(In areas where the disease is highly endemic, implying that there is a high individual risk of infection, WHO recommends that vaccination be offered to all age groups, including children					)
*/
define &quot;One TBE primary series dose was administered&quot;:
  &quot;Number of TBE Primary Series Doses Administered&quot;  = 1"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="10"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZD18STBEEncepurLogic"/>
        </extension>
        <extension url="name">
          <valueString
                       value="First TBE dose from the primary series was administered"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/*
@complete: First TBE dose from the primary series was administered
@pseudocode: Count of vaccines administered (where &quot;Vaccine type&quot; = &quot;TBE vaccines&quot; and &quot;Type of dose&quot; = &quot;Primary series&quot;) = 1
*/
define &quot;First TBE dose from the primary series was administered&quot;:
  Encounter.&quot;One TBE primary series dose was administered&quot;"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="11"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZD18STBEEncepurLogic"/>
        </extension>
        <extension url="name">
          <valueString value="TBE Encepur dose 2"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/*
@output: TBE Encepur dose 2
@description: Provision of the TBE Encepur dose 2
@trigger: First TBE dose from the primary series was administered
@pseudo: Count of vaccines administered (where &quot;Vaccine type&quot; = &quot;TBE vaccines&quot; and &quot;Type of dose&quot; = &quot;Primary series&quot;) = 1
@triggerDate: &quot;Date and time of vaccination&quot; (where &quot;Vaccine type&quot; = &quot;TBE vaccines&quot;)
*/
define &quot;TBE Encepur dose 2&quot;:
  &quot;First TBE dose from the primary series was administered&quot;
  and not &quot;Second TBE dose from the primary series was administered&quot;"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="12"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZD2DTTBEEncounterElements"/>
        </extension>
        <extension url="name">
          <valueString value="No TBE primary series doses were administered"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/*
@input: No TBE primary series doses were administered
@pseudocode: Count of vaccines administered (where &quot;Vaccine type&quot; = &quot;TBE vaccines&quot; and &quot;Type of dose&quot; = &quot;Primary series&quot;) = 0
@code: No TBE primary series doses were administered-112
@decision: IMMZ.D2.DT.TBE.FSME-Immun: FSME-Immun schedule
(In areas where the disease is highly endemic, implying that there is a high individual risk of infection, WHO recommends that vaccination be offered to all age groups, including children)
@decision: IMMZ.D2.DT.TBE.Encepur: Encepur schedule
(In areas where the disease is highly endemic, implying that there is a high individual risk of infection, WHO recommends that vaccination be offered to all age groups, including children		)
@decision: IMMZ.D2.DT.TBE.TBE-Moscow: TBE-Moscow schedule
(In areas where the disease is highly endemic, implying that there is a high individual risk of infection, WHO recommends that vaccination be offered to all age groups, including children	)
@decision: IMMZ.D2.DT.TBE.EnceVir: EnceVir schedule
(In areas where the disease is highly endemic, implying that there is a high individual risk of infection, WHO recommends that vaccination be offered to all age groups, including children					)
*/
define &quot;No TBE primary series doses were administered&quot;:
  &quot;Number of TBE Primary Series Doses Administered&quot;  = 0"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="13"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZD18STBEEncepurLogic"/>
        </extension>
        <extension url="name">
          <valueString value="Tick-borne encephalitis (TBE) Encepur dose 1"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/*
@output: Tick-borne encephalitis (TBE) Encepur dose 1
@description: Provision of the TBE Encepur dose 1
@trigger: Child's birth
@pseudo: 
@triggerDate: &quot;Date of birth&quot;
*/
define &quot;Tick-borne encephalitis (TBE) Encepur dose 1&quot;:
  Encounter.&quot;No TBE primary series doses were administered&quot;
  and not &quot;First TBE dose from the primary series was administered&quot;"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="14"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZD18STBEEncepurLogic"/>
        </extension>
        <extension url="name">
          <valueString
                       value="Tick-borne encephalitis (TBE) Encepur dose 1 Due Date"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/*
@dynamicValue: Tick-borne encephalitis (TBE) Encepur dose 1 Due Date
@pseudocode: &quot;Date of birth&quot; + 1 year
*/
define &quot;Tick-borne encephalitis (TBE) Encepur dose 1 Due Date&quot;:
  if &quot;Tick-borne encephalitis (TBE) Encepur dose 1&quot; then Patient.birthDate + 1 year
  else null"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="15"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZD18STBEEncepurLogic"/>
        </extension>
        <extension url="name">
          <valueString
                       value="Tick-borne encephalitis (TBE) Encepur dose 1 Create"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/*
@output: Tick-borne encephalitis (TBE) Encepur dose 1 Create
@create: The vaccine can be given from &gt; 1 year of age.
*/
define &quot;Tick-borne encephalitis (TBE) Encepur dose 1 Create&quot;:
  if &quot;Tick-borne encephalitis (TBE) Encepur dose 1&quot;
  then 'The vaccine can be given from &gt; 1 year of age.' + '
Due Date: ' + ToString(&quot;Tick-borne encephalitis (TBE) Encepur dose 1 Due Date&quot;)
  else ''"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="16"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZD2DTTBEEncounterElements"/>
        </extension>
        <extension url="name">
          <valueString
                       value="TBE Booster Series Doses Administered to Patient"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/*
@internal: TBE Booster Series Doses Administered to Patient
*/
define &quot;TBE Booster Series Doses Administered to Patient&quot;:
  &quot;TBE Doses Administered to Patient&quot;.seriesBooster()"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="17"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZD2DTTBEEncounterElements"/>
        </extension>
        <extension url="name">
          <valueString
                       value="Number of TBE Booster Series Doses Administered"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/*
@internal: Number of TBE Booster Series Doses Administered
*/
define &quot;Number of TBE Booster Series Doses Administered&quot;:
  Count(&quot;TBE Booster Series Doses Administered to Patient&quot;)"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="18"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZD2DTTBEEncounterElements"/>
        </extension>
        <extension url="name">
          <valueString value="At least one booster dose was administered"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/*
@input: At least one booster dose was administered
@pseudocode: Count of vaccines administered (where &quot;Vaccine type&quot; = &quot;TBE vaccines&quot; and &quot;Type of dose&quot; = &quot;Booster dose&quot;) ≥ 1
@code: At least one booster dose was administered-110
@decision: IMMZ.D2.DT.TBE.FSME-Immun: FSME-Immun schedule
(In areas where the disease is highly endemic, implying that there is a high individual risk of infection, WHO recommends that vaccination be offered to all age groups, including children)
@decision: IMMZ.D2.DT.TBE.Encepur: Encepur schedule
(In areas where the disease is highly endemic, implying that there is a high individual risk of infection, WHO recommends that vaccination be offered to all age groups, including children		)
*/
define &quot;At least one booster dose was administered&quot;:
  &quot;Number of TBE Booster Series Doses Administered&quot; &gt;= 1"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="19"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZD18STBEEncepurLogic"/>
        </extension>
        <extension url="name">
          <valueString value="TBE booster dose was administered"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/*
@complete: TBE booster dose was administered
@pseudocode: Count of vaccines administered (where &quot;Vaccine type&quot; = &quot;TBE vaccines&quot; and &quot;Type of dose&quot; = &quot;Booster dose&quot;) = 1
*/
define &quot;TBE booster dose was administered&quot;:
  Encounter.&quot;At least one booster dose was administered&quot;"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="20"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZD18STBEEncepurLogic"/>
        </extension>
        <extension url="name">
          <valueString value="TBE Encepur booster dose"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/*
@output: TBE Encepur booster dose
@description: Provision of the TBE Encepur booster dose
@trigger: The primary series has been completed
@pseudo: &quot;Completed the primary vaccination series&quot; = TRUE (where &quot;Vaccine type&quot; = &quot;TBE vaccines&quot;)
@triggerDate: &quot;Date when primary vaccination series was completed&quot;
*/
define &quot;TBE Encepur booster dose&quot;:
  &quot;Third TBE dose from the primary series was administered. The primary series has been completed&quot;
  and not &quot;TBE booster dose was administered&quot;"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="21"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZD2DTTBEEncounterElements"/>
        </extension>
        <extension url="name">
          <valueString value="Date of Latest TBE Dose"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/*
@internal: Date of Latest TBE Dose
*/
define &quot;Date of Latest TBE Dose&quot;:
  date from start of &quot;TBE Doses Administered to Patient&quot;.mostRecent().occurrence.toInterval()"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="22"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZD18STBEEncepurLogic"/>
        </extension>
        <extension url="name">
          <valueString value="TBE Encepur dose 3 Due Date"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/*
@dynamicValue: TBE Encepur dose 3 Due Date
@pseudocode: Latest &quot;Date and time of vaccination&quot; (where &quot;Vaccine type&quot; = &quot;TBE vaccines&quot;) + 9 months
*/
define &quot;TBE Encepur dose 3 Due Date&quot;:
  if &quot;TBE Encepur dose 3&quot; then Encounter.&quot;Date of Latest TBE Dose&quot; + 9 months
  else null"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="23"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZD18STBEEncepurLogic"/>
        </extension>
        <extension url="name">
          <valueString value="TBE Encepur dose 3 Overdue"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/*
@dynamicValue: TBE Encepur dose 3 Overdue
@pseudocode: Latest &quot;Date and time of vaccination&quot; (where &quot;Vaccine type&quot; = &quot;TBE vaccines&quot;) + 12 months
*/
define &quot;TBE Encepur dose 3 Overdue&quot;:
  if &quot;TBE Encepur dose 3&quot; then Encounter.&quot;Date of Latest TBE Dose&quot; + 12 months
  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="IMMZD18STBEEncepurLogic"/>
        </extension>
        <extension url="name">
          <valueString value="TBE Encepur dose 3 Create"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/*
@output: TBE Encepur dose 3 Create
@create: For Encepur, the requirement is 9–12 months between doses 2 and 3.
*/
define &quot;TBE Encepur dose 3 Create&quot;:
  if &quot;TBE Encepur dose 3&quot;
  then 'For Encepur, the requirement is 9–12 months between doses 2 and 3.' + '
Due Date: ' + ToString(&quot;TBE Encepur dose 3 Due Date&quot;) + '
Overdue: ' + ToString(&quot;TBE Encepur dose 3 Overdue&quot;)
  else ''"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="25"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZD18STBEEncepurLogic"/>
        </extension>
        <extension url="name">
          <valueString value="TBE Encepur dose 2 Due Date"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/*
@dynamicValue: TBE Encepur dose 2 Due Date
@pseudocode: &quot;Date and time of vaccination&quot; (where &quot;Vaccine type&quot; = &quot;TBE vaccines&quot;) + 1 month
*/
define &quot;TBE Encepur dose 2 Due Date&quot;:
  if &quot;TBE Encepur dose 2&quot; then Encounter.&quot;Date of Latest TBE Dose&quot; + 1 month
  else null"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="26"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZD18STBEEncepurLogic"/>
        </extension>
        <extension url="name">
          <valueString value="TBE Encepur dose 2 Overdue"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/*
@dynamicValue: TBE Encepur dose 2 Overdue
@pseudocode: &quot;Date and time of vaccination&quot; (where &quot;Vaccine type&quot; = &quot;TBE vaccines&quot;) + 3 months
*/
define &quot;TBE Encepur dose 2 Overdue&quot;:
  if &quot;TBE Encepur dose 2&quot; then Encounter.&quot;Date of Latest TBE Dose&quot; + 3 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="IMMZD18STBEEncepurLogic"/>
        </extension>
        <extension url="name">
          <valueString value="TBE Encepur dose 2 Create"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/*
@output: TBE Encepur dose 2 Create
@create: An interval of 1–3 months is recommended between the first 2 doses.
*/
define &quot;TBE Encepur dose 2 Create&quot;:
  if &quot;TBE Encepur dose 2&quot;
  then 'An interval of 1–3 months is recommended between the first 2 doses.' + '
Due Date: ' + ToString(&quot;TBE Encepur dose 2 Due Date&quot;) + '
Overdue: ' + ToString(&quot;TBE Encepur dose 2 Overdue&quot;)
  else ''"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="28"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZD18STBEEncepurLogic"/>
        </extension>
        <extension url="name">
          <valueString value="TBE Encepur booster dose Due Date"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/*
@dynamicValue: TBE Encepur booster dose Due Date
@pseudocode: &quot;Date when primary vaccination series was completed&quot; + 3 years
*/
define &quot;TBE Encepur booster dose Due Date&quot;:
  if &quot;TBE Encepur booster dose&quot; then Encounter.&quot;Date of Latest TBE Dose&quot; + 3 years
  else null"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="29"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZD18STBEEncepurLogic"/>
        </extension>
        <extension url="name">
          <valueString value="TBE Encepur booster dose Overdue"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/*
@dynamicValue: TBE Encepur booster dose Overdue
@pseudocode: &quot;Date when primary vaccination series was completed&quot; + 5 years
*/
define &quot;TBE Encepur booster dose Overdue&quot;:
  if &quot;TBE Encepur booster dose&quot; then Encounter.&quot;Date of Latest TBE Dose&quot; + 5 years
  else null"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="30"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZD18STBEEncepurLogic"/>
        </extension>
        <extension url="name">
          <valueString value="TBE Encepur booster dose Create"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/*
@output: TBE Encepur booster dose Create
@create: The manufacturer recommends a booster dose to be administered 3 years after completion of the primary series.
*/
define &quot;TBE Encepur booster dose Create&quot;:
  if &quot;TBE Encepur booster dose&quot;
  then 'The manufacturer recommends a booster dose to be administered 3 years after completion of the primary series.' + '
Due Date: ' + ToString(&quot;TBE Encepur booster dose Due Date&quot;) + '
Overdue: ' + ToString(&quot;TBE Encepur booster dose Overdue&quot;)
  else ''"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="31"/>
        </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&lt;Immunization&gt;):
  immunizations I where
    exists( I.protocolApplied pa where pa.series = 'Primary series' )"/>
        </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="ToString"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="define function ToString(value string): 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="ToString"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="define function ToString(value ImmunizationStatus): 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="ToBoolean"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="define function ToBoolean(value boolean): 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="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&lt;FHIR.dateTime, FHIR.Period, FHIR.Timing, FHIR.instant, FHIR.string, FHIR.Age, FHIR.Range&gt;):
  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&lt;DateTime&gt;, 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&lt;DateTime&gt;, true, 'NOT_IMPLEMENTED', 'Error', 'Calculation of an interval from a String value is not supported')
    else
      null as Interval&lt;DateTime&gt;
  end"/>
        </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 dateTime): 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="ToInterval"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="define function ToInterval(period FHIR.Period):
    if period is null then
        null
    else
        if period.&quot;start&quot; is null then
            Interval(period.&quot;start&quot;.value, period.&quot;end&quot;.value]
        else
            Interval[period.&quot;start&quot;.value, period.&quot;end&quot;.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="ToDateTime"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="define function ToDateTime(value instant): 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="ToDate"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="define function ToDate(value date): 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="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: ' &amp; quantity.unit.value &amp; ' (' &amp; quantity.system.value &amp; '|' &amp; quantity.code.value &amp; ')')
    end"/>
        </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="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="42"/>
        </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="43"/>
        </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="44"/>
        </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&lt;Immunization&gt;):
  immunizations I where
    exists( I.protocolApplied pa where pa.series = 'Booster dose' )"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="45"/>
        </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&lt;Immunization&gt;):
  Last(
    immunizations I
      sort by start of occurrence.toInterval()
  )"/>
        </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/IMMZD2DTTBEEncounterElements"/>
      </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 TBE vaccines"/>
        <resource
                  value="http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE20"/>
      </relatedArtifact>
      <parameter>
        <name value="Today"/>
        <use value="in"/>
        <min value="0"/>
        <max value="1"/>
        <type value="date"/>
      </parameter>
      <parameter>
        <name value="TBE Encepur dose 3"/>
        <use value="out"/>
        <min value="0"/>
        <max value="1"/>
        <type value="boolean"/>
      </parameter>
      <parameter>
        <name value="TBE Encepur dose 2"/>
        <use value="out"/>
        <min value="0"/>
        <max value="1"/>
        <type value="boolean"/>
      </parameter>
      <parameter>
        <name value="Tick-borne encephalitis (TBE) Encepur dose 1 Create"/>
        <use value="out"/>
        <min value="0"/>
        <max value="1"/>
        <type value="string"/>
      </parameter>
      <parameter>
        <name value="TBE Encepur booster dose"/>
        <use value="out"/>
        <min value="0"/>
        <max value="1"/>
        <type value="boolean"/>
      </parameter>
      <parameter>
        <name value="TBE Encepur dose 3 Create"/>
        <use value="out"/>
        <min value="0"/>
        <max value="1"/>
        <type value="string"/>
      </parameter>
      <parameter>
        <name value="TBE Encepur dose 2 Create"/>
        <use value="out"/>
        <min value="0"/>
        <max value="1"/>
        <type value="string"/>
      </parameter>
      <parameter>
        <name value="TBE Encepur booster dose Create"/>
        <use value="out"/>
        <min value="0"/>
        <max value="1"/>
        <type value="string"/>
      </parameter>
      <parameter>
        <name value="Tick-borne encephalitis (TBE) Encepur dose 1"/>
        <use value="out"/>
        <min value="0"/>
        <max value="1"/>
        <type value="boolean"/>
      </parameter>
      <dataRequirement>
        <type value="Immunization"/>
        <profile
                 value="http://hl7.org/fhir/StructureDefinition/Immunization"/>
        <mustSupport value="status"/>
        <mustSupport value="isSubpotent"/>
        <mustSupport value="protocolApplied"/>
        <mustSupport value="occurrence"/>
        <codeFilter>
          <path value="status"/>
          <code>
            <code value="completed"/>
          </code>
        </codeFilter>
      </dataRequirement>
      <dataRequirement>
        <type value="Immunization"/>
        <profile
                 value="http://hl7.org/fhir/StructureDefinition/Immunization"/>
        <mustSupport value="occurrence"/>
        <mustSupport value="protocolApplied"/>
      </dataRequirement>
      <dataRequirement>
        <type value="Immunization"/>
        <profile
                 value="http://hl7.org/fhir/StructureDefinition/Immunization"/>
        <mustSupport value="status"/>
        <mustSupport value="isSubpotent"/>
        <mustSupport value="occurrence"/>
        <mustSupport value="vaccineCode"/>
        <mustSupport value="protocolApplied"/>
        <codeFilter>
          <path value="status"/>
          <code>
            <code value="completed"/>
          </code>
        </codeFilter>
        <codeFilter>
          <path value="vaccineCode"/>
          <valueSet
                    value="http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE20"/>
        </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/IMMZD18STBEEncepur"/>
  <version value="1.0.0"/>
  <name value="IMMZD18STBEEncepur"/>
  <title value="IMMZ.D18.S.TBE.Encepur 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.TBE.Encepur schedule
Encepur, 3-dose schedule"/>
  <relatedArtifact>
    <type value="citation"/>
    <citation
              value="WHO recommendations for routine immunization - summary tables (January 2025)"/>
  </relatedArtifact>
  <library
           value="http://smart.who.int/immunizations/Library/IMMZD18STBEEncepurLogic"/>
  <action>
    <title value="Tick-borne encephalitis (TBE) Encepur dose 1"/>
    <description
                 value="Provision of the TBE Encepur dose 1
Trigger event: Child's birth
Trigger pseudo: 
Trigger date: &quot;Date of birth&quot;
Create condition: The vaccine can be given from &gt; 1 year of age."/>
    <condition>
      <kind value="applicability"/>
      <expression>
        <description value="Tick-borne encephalitis (TBE) Encepur dose 1"/>
        <language value="text/cql-identifier"/>
        <expression value="Tick-borne encephalitis (TBE) Encepur 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="Tick-borne encephalitis (TBE) Encepur 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="TBE Encepur dose 2"/>
    <description
                 value="Provision of the TBE Encepur dose 2
Trigger event: First TBE dose from the primary series was administered
Trigger pseudo: Count of vaccines administered (where &quot;Vaccine type&quot; = &quot;TBE vaccines&quot; and &quot;Type of dose&quot; = &quot;Primary series&quot;) = 1
Trigger date: &quot;Date and time of vaccination&quot; (where &quot;Vaccine type&quot; = &quot;TBE vaccines&quot;)
Create condition: An interval of 1–3 months is recommended between the first 2 doses."/>
    <condition>
      <kind value="applicability"/>
      <expression>
        <description value="TBE Encepur dose 2"/>
        <language value="text/cql-identifier"/>
        <expression value="TBE Encepur 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="TBE Encepur 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="TBE Encepur dose 3"/>
    <description
                 value="Provision of the TBE Encepur dose 3
Trigger event: Second TBE dose from the primary series was administered
Trigger pseudo: Count of vaccines administered (where &quot;Vaccine type&quot; = &quot;TBE vaccines&quot; and &quot;Type of dose&quot; = &quot;Primary series&quot;) = 2
Trigger date: Latest &quot;Date and time of vaccination&quot; (where &quot;Vaccine type&quot; = &quot;TBE vaccines&quot;)
Create condition: For Encepur, the requirement is 9–12 months between doses 2 and 3."/>
    <condition>
      <kind value="applicability"/>
      <expression>
        <description value="TBE Encepur dose 3"/>
        <language value="text/cql-identifier"/>
        <expression value="TBE Encepur 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="TBE Encepur 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="TBE Encepur booster dose"/>
    <description
                 value="Provision of the TBE Encepur booster dose
Trigger event: The primary series has been completed
Trigger pseudo: &quot;Completed the primary vaccination series&quot; = TRUE (where &quot;Vaccine type&quot; = &quot;TBE vaccines&quot;)
Trigger date: &quot;Date when primary vaccination series was completed&quot;
Create condition: The manufacturer recommends a booster dose to be administered 3 years after completion of the primary series."/>
    <condition>
      <kind value="applicability"/>
      <expression>
        <description value="TBE Encepur booster dose"/>
        <language value="text/cql-identifier"/>
        <expression value="TBE Encepur booster dose"/>
      </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="TBE Encepur booster dose 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>