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="IMMZD18STBETBEMoscow"/>
<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;">IMMZD18STBETBEMoscow</td>
</tr>
<tr>
<th scope="row"><b>Url: </b></th>
<td style="padding-left: 4px;"><a href="PlanDefinition-IMMZD18STBETBEMoscow.html">IMMZ.D18.S.TBE.TBE-Moscow 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.TBE-Moscow 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.TBE-Moscow schedule
TBE-Moscow, 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-IMMZD18STBETBEMoscowLogic.html">IMMZD18STBETBEMoscowLogic</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)-Moscow dose 1:</b> Provision of the TBE-Moscow dose 1
Trigger event: Child's birth
Trigger pseudo:
Trigger date: "Date of birth"
Create condition: The TBE-Moscow vaccine is not licensed for use in children aged under 3 years.
<br/>
<b>If:</b>
<i>Applicability:</i>
Tick-borne encephalitis (TBE)-Moscow dose 1
<i>(Tick-borne encephalitis (TBE)-Moscow 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)-Moscow 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-Moscow dose 2:</b> Provision of the TBE-Moscow dose 2
Trigger event: First TBE dose from the primary series was administered
Trigger pseudo: Count of vaccines administered (where "Vaccine type" = "TBE vaccines" and "Type of dose" = "Primary series") = 1
Trigger date: "Date and time of vaccination" (where "Vaccine type" = "TBE vaccines")
Create condition: The manufacturer of TBE-Moscow recommends a standard primary immunization schedule of 2 doses given at an interval of 1–7 months.
<br/>
<b>If:</b>
<i>Applicability:</i>
TBE-Moscow dose 2
<i>(TBE-Moscow 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-Moscow 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-Moscow dose 3:</b> Provision of the TBE-Moscow dose 3
Trigger event: Second TBE dose from the primary series was administered
Trigger pseudo: Count of vaccines administered (where "Vaccine type" = "TBE vaccines" and "Type of dose" = "Primary series") = 2
Trigger date: Latest "Date and time of vaccination" (where "Vaccine type" = "TBE vaccines")
Create condition: The recommended interval is 12 months between the second and third doses.
<br/>
<b>If:</b>
<i>Applicability:</i>
TBE-Moscow dose 3
<i>(TBE-Moscow 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-Moscow 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-Moscow booster dose(s):</b> Provision of the TBE-Moscow booster dose (s)
Trigger event: The primary series has been completed
Trigger pseudo: "Completed the primary vaccination series" = TRUE (where "Vaccine type" = "TBE vaccines")
Trigger date: Latest "Date and time of vaccination" (where "Vaccine type" = "TBE vaccines")
Create condition: TBE booster dose should be provided every 3 years to the client if the country recognizes TBE as a priority and the client has completed the primary series.
<br/>
<b>If:</b>
<i>Applicability:</i>
TBE-Moscow booster dose(s)
<i>(TBE-Moscow booster dose(s))</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-Moscow booster dose(s) 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="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 "TBE Doses Administered to Patient":
Encounter."Doses Administered to Patient" I
where
I.vaccineCode in Concepts."TBE vaccines""/>
</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 "TBE Primary Series Doses Administered to Patient":
"TBE 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="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 "Number of TBE Primary Series Doses Administered":
Count("TBE 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="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 "Vaccine type" = "TBE vaccines" and "Type of dose" = "Primary series") = 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 "Two TBE primary series doses were administered":
"Number of TBE 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="IMMZD18STBETBEMoscowLogic"/>
</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 "Vaccine type" = "TBE vaccines" and "Type of dose" = "Primary series") = 2
*/
define "Second TBE dose from the primary series was administered":
Encounter."Two TBE 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="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 "Vaccine type" = "TBE vaccines" and "Type of dose" = "Primary series") = 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 "Three TBE primary series doses were administered":
"Number of TBE Primary Series Doses Administered" = 3"/>
</extension>
<extension url="displaySequence">
<valueInteger value="7"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD18STBETBEMoscowLogic"/>
</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: "Completed the primary vaccination series" = TRUE (where "Vaccine type" = "TBE vaccines")
*/
define "Third TBE dose from the primary series was administered. The primary series has been completed":
Encounter."Three TBE primary series doses were administered""/>
</extension>
<extension url="displaySequence">
<valueInteger value="8"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD18STBETBEMoscowLogic"/>
</extension>
<extension url="name">
<valueString value="TBE-Moscow dose 3"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: TBE-Moscow dose 3
@description: Provision of the TBE-Moscow dose 3
@trigger: Second TBE dose from the primary series was administered
@pseudo: Count of vaccines administered (where "Vaccine type" = "TBE vaccines" and "Type of dose" = "Primary series") = 2
@triggerDate: Latest "Date and time of vaccination" (where "Vaccine type" = "TBE vaccines")
*/
define "TBE-Moscow dose 3":
"Second TBE dose from the primary series was administered"
and not "Third TBE dose from the primary series was administered. The primary series has been completed""/>
</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="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 "Vaccine type" = "TBE vaccines" and "Type of dose" = "Primary series") = 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 "No TBE primary series doses were administered":
"Number of TBE Primary Series Doses Administered" = 0"/>
</extension>
<extension url="displaySequence">
<valueInteger value="10"/>
</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 "Vaccine type" = "TBE vaccines" and "Type of dose" = "Primary series") = 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 "One TBE primary series dose was administered":
"Number of TBE Primary Series Doses Administered" = 1"/>
</extension>
<extension url="displaySequence">
<valueInteger value="11"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD18STBETBEMoscowLogic"/>
</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 "Vaccine type" = "TBE vaccines" and "Type of dose" = "Primary series") = 1
*/
define "First TBE dose from the primary series was administered":
Encounter."One TBE primary series dose was administered""/>
</extension>
<extension url="displaySequence">
<valueInteger value="12"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD18STBETBEMoscowLogic"/>
</extension>
<extension url="name">
<valueString value="Tick-borne encephalitis (TBE)-Moscow dose 1"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Tick-borne encephalitis (TBE)-Moscow dose 1
@description: Provision of the TBE-Moscow dose 1
@trigger: Child's birth
@pseudo:
@triggerDate: "Date of birth"
*/
define "Tick-borne encephalitis (TBE)-Moscow dose 1":
Encounter."No TBE primary series doses were administered"
and not "First TBE dose from the primary series was administered""/>
</extension>
<extension url="displaySequence">
<valueInteger value="13"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD18STBETBEMoscowLogic"/>
</extension>
<extension url="name">
<valueString value="TBE-Moscow dose 2"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: TBE-Moscow dose 2
@description: Provision of the TBE-Moscow dose 2
@trigger: First TBE dose from the primary series was administered
@pseudo: Count of vaccines administered (where "Vaccine type" = "TBE vaccines" and "Type of dose" = "Primary series") = 1
@triggerDate: "Date and time of vaccination" (where "Vaccine type" = "TBE vaccines")
*/
define "TBE-Moscow dose 2":
"First TBE dose from the primary series was administered"
and not "Second TBE dose from the primary series was administered""/>
</extension>
<extension url="displaySequence">
<valueInteger value="14"/>
</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 "Date of Latest TBE Dose":
date from start of "TBE Doses Administered to Patient".mostRecent().occurrence.toInterval()"/>
</extension>
<extension url="displaySequence">
<valueInteger value="15"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD18STBETBEMoscowLogic"/>
</extension>
<extension url="name">
<valueString value="TBE-Moscow dose 2 Due Date"/>
</extension>
<extension url="statement">
<valueString
value="/*
@dynamicValue: TBE-Moscow dose 2 Due Date
@pseudocode: "Date and time of vaccination" (where "Vaccine type" = "TBE vaccines") + 1 month
*/
define "TBE-Moscow dose 2 Due Date":
if "TBE-Moscow dose 2" then Encounter."Date of Latest TBE Dose" + 1 month
else null"/>
</extension>
<extension url="displaySequence">
<valueInteger value="16"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD18STBETBEMoscowLogic"/>
</extension>
<extension url="name">
<valueString value="TBE-Moscow dose 2 Overdue"/>
</extension>
<extension url="statement">
<valueString
value="/*
@dynamicValue: TBE-Moscow dose 2 Overdue
@pseudocode: "Date and time of vaccination" (where "Vaccine type" = "TBE vaccines") + 7 months
*/
define "TBE-Moscow dose 2 Overdue":
if "TBE-Moscow dose 2" then Encounter."Date of Latest TBE Dose" + 7 months
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="IMMZD18STBETBEMoscowLogic"/>
</extension>
<extension url="name">
<valueString value="TBE-Moscow dose 2 Create"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: TBE-Moscow dose 2 Create
@create: The manufacturer of TBE-Moscow recommends a standard primary immunization schedule of 2 doses given at an interval of 1–7 months.
*/
define "TBE-Moscow dose 2 Create":
if "TBE-Moscow dose 2"
then 'The manufacturer of TBE-Moscow recommends a standard primary immunization schedule of 2 doses given at an interval of 1–7 months.' + '
Due Date: ' + ToString("TBE-Moscow dose 2 Due Date") + '
Overdue: ' + ToString("TBE-Moscow dose 2 Overdue")
else ''"/>
</extension>
<extension url="displaySequence">
<valueInteger value="18"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD18STBETBEMoscowLogic"/>
</extension>
<extension url="name">
<valueString value="TBE-Moscow dose 3 Due Date"/>
</extension>
<extension url="statement">
<valueString
value="/*
@dynamicValue: TBE-Moscow dose 3 Due Date
@pseudocode: Latest "Date and time of vaccination" (where "Vaccine type" = "TBE vaccines") + 12 months
*/
define "TBE-Moscow dose 3 Due Date":
if "TBE-Moscow dose 3" then Encounter."Date of Latest TBE Dose" + 12 months
else null"/>
</extension>
<extension url="displaySequence">
<valueInteger value="19"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD18STBETBEMoscowLogic"/>
</extension>
<extension url="name">
<valueString value="TBE-Moscow dose 3 Create"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: TBE-Moscow dose 3 Create
@create: The recommended interval is 12 months between the second and third doses.
*/
define "TBE-Moscow dose 3 Create":
if "TBE-Moscow dose 3"
then 'The recommended interval is 12 months between the second and third doses.' + '
Due Date: ' + ToString("TBE-Moscow dose 3 Due Date")
else ''"/>
</extension>
<extension url="displaySequence">
<valueInteger value="20"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD18STBETBEMoscowLogic"/>
</extension>
<extension url="name">
<valueString value="TBE-Moscow booster dose(s)"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: TBE-Moscow booster dose(s)
@description: Provision of the TBE-Moscow booster dose (s)
@trigger: The primary series has been completed
@pseudo: "Completed the primary vaccination series" = TRUE (where "Vaccine type" = "TBE vaccines")
@triggerDate: Latest "Date and time of vaccination" (where "Vaccine type" = "TBE vaccines")
*/
define "TBE-Moscow booster dose(s)":
"Third TBE dose from the primary series was administered. The primary series has been completed""/>
</extension>
<extension url="displaySequence">
<valueInteger value="21"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD18STBETBEMoscowLogic"/>
</extension>
<extension url="name">
<valueString value="TBE-Moscow booster dose(s) Due Date"/>
</extension>
<extension url="statement">
<valueString
value="/*
@dynamicValue: TBE-Moscow booster dose(s) Due Date
@pseudocode: Latest "Date and time of vaccination" (where "Vaccine type" = "TBE vaccines") + 3 years
*/
define "TBE-Moscow booster dose(s) Due Date":
if "TBE-Moscow booster dose(s)" then Encounter."Date of Latest TBE Dose" + 3 years
else null"/>
</extension>
<extension url="displaySequence">
<valueInteger value="22"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD18STBETBEMoscowLogic"/>
</extension>
<extension url="name">
<valueString value="TBE-Moscow booster dose(s) Create"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: TBE-Moscow booster dose(s) Create
@create: TBE booster dose should be provided every 3 years to the client if the country recognizes TBE as a priority and the client has completed the primary series.
*/
define "TBE-Moscow booster dose(s) Create":
if "TBE-Moscow booster dose(s)"
then 'TBE booster dose should be provided every 3 years to the client if the country recognizes TBE as a priority and the client has completed the primary series.' + '
Due Date: ' + ToString("TBE-Moscow booster dose(s) Due Date")
else ''"/>
</extension>
<extension url="displaySequence">
<valueInteger value="23"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD18STBETBEMoscowLogic"/>
</extension>
<extension url="name">
<valueString
value="Tick-borne encephalitis (TBE)-Moscow dose 1 Due Date"/>
</extension>
<extension url="statement">
<valueString
value="/*
@dynamicValue: Tick-borne encephalitis (TBE)-Moscow dose 1 Due Date
@pseudocode: "Date of birth" + 3 years
*/
define "Tick-borne encephalitis (TBE)-Moscow dose 1 Due Date":
if "Tick-borne encephalitis (TBE)-Moscow dose 1" then Patient.birthDate + 3 years
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="IMMZD18STBETBEMoscowLogic"/>
</extension>
<extension url="name">
<valueString
value="Tick-borne encephalitis (TBE)-Moscow dose 1 Create"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Tick-borne encephalitis (TBE)-Moscow dose 1 Create
@create: The TBE-Moscow vaccine is not licensed for use in children aged under 3 years.
*/
define "Tick-borne encephalitis (TBE)-Moscow dose 1 Create":
if "Tick-borne encephalitis (TBE)-Moscow dose 1"
then 'The TBE-Moscow vaccine is not licensed for use in children aged under 3 years.' + '
Due Date: ' + ToString("Tick-borne encephalitis (TBE)-Moscow dose 1 Due Date")
else ''"/>
</extension>
<extension url="displaySequence">
<valueInteger value="25"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="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="26"/>
</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="27"/>
</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="28"/>
</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="29"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="WHOCommon"/>
</extension>
<extension url="name">
<valueString value="toInterval"/>
</extension>
<extension url="statement">
<valueString
value="/*
From FHIRCommon 4.1.0:
*/
/*
@description: Normalizes a value that is a choice of timing-valued types to an equivalent interval
@comment: Normalizes a choice type of FHIR.dateTime, FHIR.Period, FHIR.Timing, FHIR.instance, FHIR.string, FHIR.Age, or FHIR.Range types
to an equivalent interval. This selection of choice types is a superset of the majority of choice types that are used as possible
representations for timing-valued elements in FHIR, allowing this function to be used across any resource.
The input can be provided as a dateTime, Period, Timing, instant, string, Age, or Range.
The intent of this function is to provide a clear and concise mechanism to treat single
elements that have multiple possible representations as intervals so that logic doesn't have to account
for the variability. More complex calculations (such as medication request period or dispense period
calculation) need specific guidance and consideration. That guidance may make use of this function, but
the focus of this function is on single element calculations where the semantics are unambiguous.
If the input is a dateTime, the result a DateTime Interval beginning and ending on that dateTime.
If the input is a Period, the result is a DateTime Interval.
If the input is a Timing, an error is raised indicating a single interval cannot be computed from a Timing.
If the input is an instant, the result is a DateTime Interval beginning and ending on that instant.
If the input is a string, an error is raised indicating a single interval cannot be computed from a string.
If the input is an Age, the result is a DateTime Interval beginning when the patient was the given Age,
and ending immediately prior to when the patient was the given Age plus one year.
If the input is a Range, the result is a DateTime Interval beginning when the patient was the Age given
by the low end of the Range, and ending immediately prior to when the patient was the Age given by the
high end of the Range plus one year.
NOTE: Due to the
complexity of determining a single interval from a Timing or String type, this function will throw a run-time exception if it is used
with a Timing or String.
*/
define fluent function toInterval(choice Choice<FHIR.dateTime, FHIR.Period, FHIR.Timing, FHIR.instant, FHIR.string, FHIR.Age, FHIR.Range>):
case
when choice is FHIR.dateTime then
Interval[FHIRHelpers.ToDateTime(choice as FHIR.dateTime), FHIRHelpers.ToDateTime(choice as FHIR.dateTime)]
when choice is FHIR.Period then
FHIRHelpers.ToInterval(choice as FHIR.Period)
when choice is FHIR.instant then
Interval[FHIRHelpers.ToDateTime(choice as FHIR.instant), FHIRHelpers.ToDateTime(choice as FHIR.instant)]
when choice is FHIR.Age then
Interval[FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity(choice as FHIR.Age),
FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity(choice as FHIR.Age) + 1 year)
when choice is FHIR.Range then
Interval[FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity((choice as FHIR.Range).low),
FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity((choice as FHIR.Range).high) + 1 year)
when choice is FHIR.Timing then
Message(null as Interval<DateTime>, true, 'NOT_IMPLEMENTED', 'Error', 'Calculation of an interval from a Timing value is not supported')
when choice is FHIR.string then
Message(null as Interval<DateTime>, true, 'NOT_IMPLEMENTED', 'Error', 'Calculation of an interval from a String value is not supported')
else
null as Interval<DateTime>
end"/>
</extension>
<extension url="displaySequence">
<valueInteger value="30"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="FHIRHelpers"/>
</extension>
<extension url="name">
<valueString value="ToDateTime"/>
</extension>
<extension url="statement">
<valueString
value="define function ToDateTime(value dateTime): value.value"/>
</extension>
<extension url="displaySequence">
<valueInteger value="31"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="FHIRHelpers"/>
</extension>
<extension url="name">
<valueString value="ToInterval"/>
</extension>
<extension url="statement">
<valueString
value="define function ToInterval(period FHIR.Period):
if period is null then
null
else
if period."start" is null then
Interval(period."start".value, period."end".value]
else
Interval[period."start".value, period."end".value]"/>
</extension>
<extension url="displaySequence">
<valueInteger value="32"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="FHIRHelpers"/>
</extension>
<extension url="name">
<valueString value="ToDateTime"/>
</extension>
<extension url="statement">
<valueString
value="define function ToDateTime(value instant): value.value"/>
</extension>
<extension url="displaySequence">
<valueInteger value="33"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="FHIRHelpers"/>
</extension>
<extension url="name">
<valueString value="ToDate"/>
</extension>
<extension url="statement">
<valueString
value="define function ToDate(value date): value.value"/>
</extension>
<extension url="displaySequence">
<valueInteger value="34"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="FHIRHelpers"/>
</extension>
<extension url="name">
<valueString value="ToQuantity"/>
</extension>
<extension url="statement">
<valueString
value="define function ToQuantity(quantity FHIR.Quantity):
case
when quantity is null then null
when quantity.value is null then null
when quantity.comparator is not null then
Message(null, true, 'FHIRHelpers.ToQuantity.ComparatorQuantityNotSupported', 'Error', 'FHIR Quantity value has a comparator and cannot be converted to a System.Quantity value.')
when quantity.system is null or quantity.system.value = 'http://unitsofmeasure.org'
or quantity.system.value = 'http://hl7.org/fhirpath/CodeSystem/calendar-units' then
System.Quantity { value: quantity.value.value, unit: ToCalendarUnit(Coalesce(quantity.code.value, quantity.unit.value, '1')) }
else
Message(null, true, 'FHIRHelpers.ToQuantity.InvalidFHIRQuantity', 'Error', 'Invalid FHIR Quantity code: ' & quantity.unit.value & ' (' & quantity.system.value & '|' & quantity.code.value & ')')
end"/>
</extension>
<extension url="displaySequence">
<valueInteger value="35"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="FHIRHelpers"/>
</extension>
<extension url="name">
<valueString value="ToCalendarUnit"/>
</extension>
<extension url="statement">
<valueString
value="define function ToCalendarUnit(unit System.String):
case unit
when 'ms' then 'millisecond'
when 's' then 'second'
when 'min' then 'minute'
when 'h' then 'hour'
when 'd' then 'day'
when 'wk' then 'week'
when 'mo' then 'month'
when 'a' then 'year'
else unit
end"/>
</extension>
<extension url="displaySequence">
<valueInteger value="36"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="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="37"/>
</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="38"/>
</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="39"/>
</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-Moscow dose 3"/>
<use value="out"/>
<min value="0"/>
<max value="1"/>
<type value="boolean"/>
</parameter>
<parameter>
<name value="Tick-borne encephalitis (TBE)-Moscow dose 1"/>
<use value="out"/>
<min value="0"/>
<max value="1"/>
<type value="boolean"/>
</parameter>
<parameter>
<name value="TBE-Moscow dose 2 Create"/>
<use value="out"/>
<min value="0"/>
<max value="1"/>
<type value="string"/>
</parameter>
<parameter>
<name value="TBE-Moscow dose 3 Create"/>
<use value="out"/>
<min value="0"/>
<max value="1"/>
<type value="string"/>
</parameter>
<parameter>
<name value="TBE-Moscow booster dose(s) Create"/>
<use value="out"/>
<min value="0"/>
<max value="1"/>
<type value="string"/>
</parameter>
<parameter>
<name value="TBE-Moscow booster dose(s)"/>
<use value="out"/>
<min value="0"/>
<max value="1"/>
<type value="boolean"/>
</parameter>
<parameter>
<name value="Tick-borne encephalitis (TBE)-Moscow dose 1 Create"/>
<use value="out"/>
<min value="0"/>
<max value="1"/>
<type value="string"/>
</parameter>
<parameter>
<name value="TBE-Moscow dose 2"/>
<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/IMMZD18STBETBEMoscow"/>
<version value="1.0.0"/>
<name value="IMMZD18STBETBEMoscow"/>
<title value="IMMZ.D18.S.TBE.TBE-Moscow 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.TBE-Moscow schedule
TBE-Moscow, 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/IMMZD18STBETBEMoscowLogic"/>
<action>
<title value="Tick-borne encephalitis (TBE)-Moscow dose 1"/>
<description
value="Provision of the TBE-Moscow dose 1
Trigger event: Child's birth
Trigger pseudo:
Trigger date: "Date of birth"
Create condition: The TBE-Moscow vaccine is not licensed for use in children aged under 3 years."/>
<condition>
<kind value="applicability"/>
<expression>
<description value="Tick-borne encephalitis (TBE)-Moscow dose 1"/>
<language value="text/cql-identifier"/>
<expression value="Tick-borne encephalitis (TBE)-Moscow 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)-Moscow 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-Moscow dose 2"/>
<description
value="Provision of the TBE-Moscow dose 2
Trigger event: First TBE dose from the primary series was administered
Trigger pseudo: Count of vaccines administered (where "Vaccine type" = "TBE vaccines" and "Type of dose" = "Primary series") = 1
Trigger date: "Date and time of vaccination" (where "Vaccine type" = "TBE vaccines")
Create condition: The manufacturer of TBE-Moscow recommends a standard primary immunization schedule of 2 doses given at an interval of 1–7 months."/>
<condition>
<kind value="applicability"/>
<expression>
<description value="TBE-Moscow dose 2"/>
<language value="text/cql-identifier"/>
<expression value="TBE-Moscow 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-Moscow 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-Moscow dose 3"/>
<description
value="Provision of the TBE-Moscow dose 3
Trigger event: Second TBE dose from the primary series was administered
Trigger pseudo: Count of vaccines administered (where "Vaccine type" = "TBE vaccines" and "Type of dose" = "Primary series") = 2
Trigger date: Latest "Date and time of vaccination" (where "Vaccine type" = "TBE vaccines")
Create condition: The recommended interval is 12 months between the second and third doses."/>
<condition>
<kind value="applicability"/>
<expression>
<description value="TBE-Moscow dose 3"/>
<language value="text/cql-identifier"/>
<expression value="TBE-Moscow 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-Moscow 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-Moscow booster dose(s)"/>
<description
value="Provision of the TBE-Moscow booster dose (s)
Trigger event: The primary series has been completed
Trigger pseudo: "Completed the primary vaccination series" = TRUE (where "Vaccine type" = "TBE vaccines")
Trigger date: Latest "Date and time of vaccination" (where "Vaccine type" = "TBE vaccines")
Create condition: TBE booster dose should be provided every 3 years to the client if the country recognizes TBE as a priority and the client has completed the primary series."/>
<condition>
<kind value="applicability"/>
<expression>
<description value="TBE-Moscow booster dose(s)"/>
<language value="text/cql-identifier"/>
<expression value="TBE-Moscow booster dose(s)"/>
</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-Moscow booster dose(s) 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>