WHO Immunization Implementation Guide
1.0.0 - release
WHO Immunization Implementation Guide
1.0.0 - release
WHO Immunization Implementation Guide, published by WHO. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/WorldHealthOrganization/smart-immunizations/tree/132/merge and changes regularly. See the Directory of published versions
| Draft as of 2026-03-31 |
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"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n<div>\n <table class=\"grid dict\">\n \n <tr>\n <th scope=\"row\"><b>Id: </b></th>\n <td style=\"padding-left: 4px;\">IMMZD2DTDengue3DosesWithoutPreVaccinationScreening</td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Url: </b></th>\n <td style=\"padding-left: 4px;\"><a href=\"PlanDefinition-IMMZD2DTDengue3DosesWithoutPreVaccinationScreening.html\">IMMZ.D2.DT.Dengue.3 doses without pre-vaccination screening</a></td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Version: </b></th>\n <td style=\"padding-left: 4px;\">1.0.0</td>\n </tr>\n \n\n \n\n \n <tr>\n <th scope=\"row\"><b>Title: </b></th>\n <td style=\"padding-left: 4px;\">IMMZ.D2.DT.Dengue.3 doses without pre-vaccination screening</td>\n </tr>\n \n\n \n\n \n <tr>\n <th scope=\"row\"><b>Status: </b></th>\n <td style=\"padding-left: 4px;\">draft</td>\n </tr>\n \n\n \n\n \n <tr>\n <th scope=\"row\"><b>Type: </b></th>\n <td style=\"padding-left: 4px;\">\n \n \n \n <p style=\"margin-bottom: 5px;\">\n <b>system: </b> <span><a href=\"http://terminology.hl7.org/7.1.0/CodeSystem-plan-definition-type.html\">http://terminology.hl7.org/CodeSystem/plan-definition-type</a></span>\n </p>\n \n \n <p style=\"margin-bottom: 5px;\">\n <b>code: </b> <span>eca-rule</span>\n </p>\n \n \n \n \n \n </td>\n </tr>\n \n\n \n\n \n <tr>\n <th scope=\"row\"><b>Date: </b></th>\n <td style=\"padding-left: 4px;\">2026-03-31 13:54:17+0000</td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Publisher: </b></th>\n <td style=\"padding-left: 4px;\">WHO</td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Description: </b></th>\n <td style=\"padding-left: 4px;\"><div><p>IMMZ.D2.DT.Dengue.3 doses without pre-vaccination screening\nCYD-TDV (Dengvaxia), 3-dose schedule without pre-vaccination screening [when pre-vaccination screening is not feasible and in areas with recent documentation of seroprevalence rates of at least 80% by age 9 years]</p>\n</div></td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Knowledge Capability: </b></th>\n <td style=\"padding-left: 4px;\">\n \n computable \n </td>\n </tr>\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n <tr>\n <th scope=\"row\"><b>Related Artifacts: </b></th>\n <td style=\"padding-left: 4px;\">\n \n \n <p><b>References</b></p>\n <ul>\n \n <li><div><p>WHO recommendations for routine immunization - summary tables (January 2025)</p>\n</div><br/><a href=\"null\"/></li>\n \n </ul>\n \n \n \n \n \n \n </td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Libraries: </b></th>\n <td style=\"padding-left: 4px;\">\n <table class=\"grid-dict\">\n \n <tr>\n <td><a href=\"Library-IMMZD2DTDengue3DosesWithoutPreVaccinationScreeningLogic.html\">IMMZD2DTDengue3DosesWithoutPreVaccinationScreeningLogic</a></td>\n </tr>\n \n </table>\n </td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Actions: </b></th>\n <td style=\"padding-left: 4px;\">\n <table class=\"grid-dict\">\n \n <tr>\n <td>\n \n <b> Determine if the client is due for Dengue.:</b> Determine if the client is due for Dengue vaccine according to the national immunization protocol.\nCYD-TDV (Dengvaxia), 3-dose schedule without pre-vaccination screening [when pre-vaccination screening is not feasible and in areas with recent documentation of seroprevalence rates of at least 80% by age 9 years]\n \n <br/>\n \n \n <b>If:</b>\n \n <i>Applicability:</i>\n \n Client is due for dengue vaccination\n \n <i>(Client is due for dengue vaccination)</i>\n <br/>\n \n \n \n \n <b>Then:</b> <i>Definition:</i> <a href=\"ActivityDefinition-IMMZD2DTMR.html\">IMMZD2DTMR</a><br/>\n \n <i>Dynamic Values:</i><br/>\n \n status: <i>('draft')</i>\n <br/>\n \n intent: <i>('proposal')</i>\n <br/>\n \n medication: <i>(Concept { codes: { Code { system: 'http://smart.who.int/immunizations/CodeSystem/IMMZ.Z', code: 'DE25', display: 'Dengue vaccines' } }, display: 'Dengue vaccines' })</i>\n <br/>\n \n \n \n \n </td>\n </tr>\n \n <tr>\n <td>\n \n <b> Check for Guidance for the patient regarding IMMZ.D2.DT.Dengue.3 doses without pre-vaccination screening.:</b> Show Guidance for the patient regarding IMMZ.D2.DT.Dengue.3 doses without pre-vaccination screening.\n \n <br/>\n \n \n <b>If:</b>\n \n <i>Applicability:</i>\n \n Has Guidance\n \n <i>(Has Guidance)</i>\n <br/>\n \n \n \n \n <b>Then:</b> <i>Definition:</i> <a href=\"ActivityDefinition-IMMZD2DTCR.html\">IMMZ.D2.DT.CR</a><br/>\n \n <i>Dynamic Values:</i><br/>\n \n status: <i>('active')</i>\n <br/>\n \n payload.contentString: <i>(Guidance)</i>\n <br/>\n \n category.coding: <i>(Code { system: 'http://terminology.hl7.org/CodeSystem/communication-category', code: 'alert' })</i>\n <br/>\n \n priority: <i>(Code { system: 'http://hl7.org/fhir/request-priority', code: 'routine' })</i>\n <br/>\n \n \n \n \n </td>\n </tr>\n \n </table>\n </td>\n </tr>\n \n </table>\n</div>\n</div>"
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"extension" : [
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"url" : "libraryName",
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{
"url" : "name",
"valueString" : "Current Patient Age In Years"
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{
"url" : "statement",
"valueString" : "/** \n * @dataElement Patient age in years\n */\ndefine \"Current Patient Age In Years\":\n AgeInYearsAt(Today)"
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"url" : "libraryName",
"valueString" : "IMMZD2DTDengueEncounterElements"
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"url" : "name",
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"url" : "statement",
"valueString" : "/*\n@input: Client's age is less than 9 years\n@pseudocode: Today's date − \"Date of birth\" < 9 years\n@code: Client's age is less than 9 years-40\n@decision: IMMZ.D2.DT.Dengue.3 doses with pre-vaccination screening: CYD-TDV (Dengvaxia), 3-dose schedule with pre-vaccination screening, the recommended strategy where feasible (pre-vaccination screening whereby only those tested seropositive would be vaccinated)\n@decision: IMMZ.D2.DT.Dengue.3 doses without pre-vaccination screening: CYD-TDV (Dengvaxia), 3-dose schedule without pre-vaccination screening [when pre-vaccination screening is not feasible and in areas with recent documentation of seroprevalence rates of at least 80% by age 9 years]\n*/\ndefine \"Client's age is less than 9 years\":\n Encounter.\"Current Patient Age In Years\" < 9"
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"valueString" : "/*\n@input: Client's age is more than 45 years\n@pseudocode: Today's date − \"Date of birth\" > 45 years\n@code: Client's age is more than 45 years-41\n@decision: IMMZ.D2.DT.Dengue.3 doses with pre-vaccination screening: CYD-TDV (Dengvaxia), 3-dose schedule with pre-vaccination screening, the recommended strategy where feasible (pre-vaccination screening whereby only those tested seropositive would be vaccinated)\n@decision: IMMZ.D2.DT.Dengue.3 doses without pre-vaccination screening: CYD-TDV (Dengvaxia), 3-dose schedule without pre-vaccination screening [when pre-vaccination screening is not feasible and in areas with recent documentation of seroprevalence rates of at least 80% by age 9 years]\n*/\ndefine \"Client's age is more than 45 years\":\n Encounter.\"Current Patient Age In Years\" > 45"
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"valueString" : "Client is not due for dengue vaccination Case 2"
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"url" : "statement",
"valueString" : "/*\n@output: Client is not due for dengue vaccination Case 2\n@pseudocode: \"Immunization recommendation status\" = \"Not due\"\n*/\ndefine \"Client is not due for dengue vaccination Case 2\":\n Encounter.\"Client's age is more than 45 years\""
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"url" : "name",
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"url" : "statement",
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"extension" : [
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"url" : "libraryName",
"valueString" : "IMMZD2DTDengueEncounterElements"
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"url" : "name",
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"url" : "statement",
"valueString" : "/*\n@internal: Dengue containing Doses Administered to Patient\n*/\ndefine \"Dengue Doses Administered to Patient\":\n Encounter.\"Doses Administered to Patient\" I\n where\n I.vaccineCode in Concepts.\"Dengue vaccines\""
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"valueString" : "IMMZD2DTDengueEncounterElements"
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"url" : "name",
"valueString" : "Dengue Primary Series Doses Administered to Patient"
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{
"url" : "statement",
"valueString" : "/*\n@internal: Dengue containing Doses Administered to Patient that are in the Primary series\n*/\ndefine \"Dengue Primary Series Doses Administered to Patient\":\n \"Dengue Doses Administered to Patient\".seriesPrimary()"
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{
"extension" : [
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"url" : "libraryName",
"valueString" : "IMMZD2DTDengueEncounterElements"
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{
"url" : "name",
"valueString" : "Number of Dengue Primary Series Doses Administered"
},
{
"url" : "statement",
"valueString" : "/*\n@internal: Number of Dengue Primary Series doses\n*/\ndefine \"Number of Dengue Primary Series Doses Administered\":\n Count(\"Dengue Primary Series Doses Administered to Patient\")"
},
{
"url" : "displaySequence",
"valueInteger" : 9
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"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
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{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD2DTDengueEncounterElements"
},
{
"url" : "name",
"valueString" : "One dengue primary series dose was administered"
},
{
"url" : "statement",
"valueString" : "/*\n@input: One dengue primary series dose was administered\n@pseudocode: Count of vaccines administered (where \"Vaccine type\" = \"Dengue vaccines\" and \"Type of dose\" = \"Primary series\") = 1\n@code: One dengue primary series dose was administered-115\n@decision: IMMZ.D2.DT.Dengue.3 doses with pre-vaccination screening: CYD-TDV (Dengvaxia), 3-dose schedule with pre-vaccination screening, the recommended strategy where feasible (pre-vaccination screening whereby only those tested seropositive would be vaccinated)\n@decision: IMMZ.D2.DT.Dengue.3 doses without pre-vaccination screening: CYD-TDV (Dengvaxia), 3-dose schedule without pre-vaccination screening [when pre-vaccination screening is not feasible and in areas with recent documentation of seroprevalence rates of at least 80% by age 9 years]\n*/\ndefine \"One dengue primary series dose was administered\":\n \"Number of Dengue Primary Series Doses Administered\" = 1"
},
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"url" : "displaySequence",
"valueInteger" : 10
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
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"extension" : [
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"url" : "libraryName",
"valueString" : "IMMZD2DTDengueEncounterElements"
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{
"url" : "name",
"valueString" : "Client's age is between 9 years and 45 years"
},
{
"url" : "statement",
"valueString" : "/*\n@input: Client's age is between 9 years and 45 years\n@pseudocode: 9 years ≤ Today's date − \"Date of birth\" ≤ 45 years\n@code: Client's age is between 9 years and 45 years-51\n@decision: IMMZ.D2.DT.Dengue.3 doses with pre-vaccination screening: CYD-TDV (Dengvaxia), 3-dose schedule with pre-vaccination screening, the recommended strategy where feasible (pre-vaccination screening whereby only those tested seropositive would be vaccinated)\n@decision: IMMZ.D2.DT.Dengue.3 doses without pre-vaccination screening: CYD-TDV (Dengvaxia), 3-dose schedule without pre-vaccination screening [when pre-vaccination screening is not feasible and in areas with recent documentation of seroprevalence rates of at least 80% by age 9 years]\n*/\ndefine \"Client's age is between 9 years and 45 years\":\n Encounter.\"Current Patient Age In Years\" >= 9\n and Encounter.\"Current Patient Age In Years\" <= 45"
},
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"url" : "displaySequence",
"valueInteger" : 11
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],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
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"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD2DTDengueEncounterElements"
},
{
"url" : "name",
"valueString" : "Date of Latest Dengue Dose"
},
{
"url" : "statement",
"valueString" : "/*\n@internal: Date of Latest Dengue Dose\n*/\ndefine \"Date of Latest Dengue Dose\":\n date from start of \"Dengue Doses Administered to Patient\".mostRecent().occurrence.toInterval()"
},
{
"url" : "displaySequence",
"valueInteger" : 12
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],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
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"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD2DTDengueEncounterElements"
},
{
"url" : "name",
"valueString" : "The latest dengue dose was administered less than 6 months ago"
},
{
"url" : "statement",
"valueString" : "/*\n@input: The latest dengue dose was administered less than 6 months ago\n@pseudocode: Today's date - Latest \"Date and time of vaccination\" (where \"Vaccine type\" = \"Dengue vaccines\") < 6 months\n@code: The latest dengue dose was administered less than 6 months ago-106\n@decision: IMMZ.D2.DT.Dengue.3 doses with pre-vaccination screening: CYD-TDV (Dengvaxia), 3-dose schedule with pre-vaccination screening, the recommended strategy where feasible (pre-vaccination screening whereby only those tested seropositive would be vaccinated)\n@decision: IMMZ.D2.DT.Dengue.3 doses without pre-vaccination screening: CYD-TDV (Dengvaxia), 3-dose schedule without pre-vaccination screening [when pre-vaccination screening is not feasible and in areas with recent documentation of seroprevalence rates of at least 80% by age 9 years]\n*/\ndefine \"The latest dengue dose was administered less than 6 months ago\":\n \"Date of Latest Dengue Dose\" is not null\n and duration in months between \"Date of Latest Dengue Dose\" and Today < 6"
},
{
"url" : "displaySequence",
"valueInteger" : 13
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"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
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"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD2DTDengue3DosesWithoutPreVaccinationScreeningLogic"
},
{
"url" : "name",
"valueString" : "Client is not due for dengue vaccination Case 3"
},
{
"url" : "statement",
"valueString" : "/*\n@output: Client is not due for dengue vaccination Case 3\n@pseudocode: \"Immunization recommendation status\" = \"Not due\"\n*/\ndefine \"Client is not due for dengue vaccination Case 3\":\n Encounter.\"One dengue primary series dose was administered\"\n and Encounter.\"Client's age is between 9 years and 45 years\"\n and Encounter.\"The latest dengue dose was administered less than 6 months ago\""
},
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"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
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"extension" : [
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"url" : "libraryName",
"valueString" : "IMMZD2DTDengueEncounterElements"
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{
"url" : "name",
"valueString" : "Two dengue primary series doses were administered"
},
{
"url" : "statement",
"valueString" : "/*\n@input: Two dengue primary series doses were administered\n@pseudocode: Count of vaccines administered (where \"Vaccine type\" = \"Dengue vaccines\" and \"Type of dose\" = \"Primary series\") = 2\n@code: Two dengue primary series doses were administered-115\n@decision: IMMZ.D2.DT.Dengue.3 doses with pre-vaccination screening: CYD-TDV (Dengvaxia), 3-dose schedule with pre-vaccination screening, the recommended strategy where feasible (pre-vaccination screening whereby only those tested seropositive would be vaccinated)\n@decision: IMMZ.D2.DT.Dengue.3 doses without pre-vaccination screening: CYD-TDV (Dengvaxia), 3-dose schedule without pre-vaccination screening [when pre-vaccination screening is not feasible and in areas with recent documentation of seroprevalence rates of at least 80% by age 9 years]\n*/\ndefine \"Two dengue primary series doses were administered\":\n \"Number of Dengue Primary Series Doses Administered\" = 2"
},
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"url" : "displaySequence",
"valueInteger" : 15
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
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"extension" : [
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"url" : "libraryName",
"valueString" : "IMMZD2DTDengue3DosesWithoutPreVaccinationScreeningLogic"
},
{
"url" : "name",
"valueString" : "Client is not due for dengue vaccination Case 4"
},
{
"url" : "statement",
"valueString" : "/*\n@output: Client is not due for dengue vaccination Case 4\n@pseudocode: \"Immunization recommendation status\" = \"Not due\"\n*/\ndefine \"Client is not due for dengue vaccination Case 4\":\n Encounter.\"Two dengue primary series doses were administered\"\n and Encounter.\"Client's age is between 9 years and 45 years\"\n and Encounter.\"The latest dengue dose was administered less than 6 months ago\""
},
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"valueInteger" : 16
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],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
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"extension" : [
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"url" : "libraryName",
"valueString" : "IMMZD2DTDengue3DosesWithoutPreVaccinationScreeningLogic"
},
{
"url" : "name",
"valueString" : "Client is not due for dengue vaccination"
},
{
"url" : "statement",
"valueString" : "/*\n@output: Client is not due for dengue vaccination\n@pseudocode: \"Immunization recommendation status\" = \"Not due\"\n*/\ndefine \"Client is not due for dengue vaccination\":\n \"Client is not due for dengue vaccination Case 1\"\n or \"Client is not due for dengue vaccination Case 2\"\n or \"Client is not due for dengue vaccination Case 3\"\n or \"Client is not due for dengue vaccination Case 4\""
},
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"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
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"extension" : [
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"url" : "libraryName",
"valueString" : "IMMZD2DTDengue3DosesWithoutPreVaccinationScreeningLogic"
},
{
"url" : "name",
"valueString" : "Client is not due for dengue vaccination Guidance"
},
{
"url" : "statement",
"valueString" : "/*\n@output: Client is not due for dengue vaccination Guidance\n@guidance = Should not vaccinate client with first dengue dose as client's age is less than 9 years. \nCheck for any other vaccines due and inform the caregiver of when to come back for first dose.\n@guidance = Should not vaccinate client with first dengue dose as client's age is more than 45 years. \nCheck for any vaccines due.\n@guidance = Should not vaccinate client with second dengue dose as latest dengue dose was administered less than 6 months ago. \nCheck for any other vaccines due and inform the caregiver of when to come back for the second dose.\n@guidance = Should not vaccinate client with third dengue dose as latest dengue vaccine was administered less than 6 months ago. \nCheck for any other vaccines due and inform the caregiver of when to come back for the third dose.\n*/\ndefine \"Client is not due for dengue vaccination Guidance\":\n case\n when \"Client is not due for dengue vaccination Case 1\" then 'Should not vaccinate client with first dengue dose as client\\'s age is less than 9 years. \nCheck for any other vaccines due and inform the caregiver of when to come back for first dose.'\n when \"Client is not due for dengue vaccination Case 2\" then 'Should not vaccinate client with first dengue dose as client\\'s age is more than 45 years. \nCheck for any vaccines due.'\n when \"Client is not due for dengue vaccination Case 3\" then 'Should not vaccinate client with second dengue dose as latest dengue dose was administered less than 6 months ago. \nCheck for any other vaccines due and inform the caregiver of when to come back for the second dose.'\n when \"Client is not due for dengue vaccination Case 4\" then 'Should not vaccinate client with third dengue dose as latest dengue vaccine was administered less than 6 months ago. \nCheck for any other vaccines due and inform the caregiver of when to come back for the third dose.'\n else ''\n end"
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"valueString" : "IMMZD2DTDengueEncounterElements"
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{
"url" : "name",
"valueString" : "No dengue primary series doses were administered"
},
{
"url" : "statement",
"valueString" : "/*\n@input: No dengue primary series doses were administered\n@pseudocode: Count of vaccines administered (where \"Vaccine type\" = \"Dengue vaccines\" and \"Type of dose\" = \"Primary series\") = 0\n@code: No dengue primary series doses were administered-115\n@decision: IMMZ.D2.DT.Dengue.3 doses with pre-vaccination screening: CYD-TDV (Dengvaxia), 3-dose schedule with pre-vaccination screening, the recommended strategy where feasible (pre-vaccination screening whereby only those tested seropositive would be vaccinated)\n@decision: IMMZ.D2.DT.Dengue.3 doses without pre-vaccination screening: CYD-TDV (Dengvaxia), 3-dose schedule without pre-vaccination screening [when pre-vaccination screening is not feasible and in areas with recent documentation of seroprevalence rates of at least 80% by age 9 years]\n*/\ndefine \"No dengue primary series doses were administered\":\n \"Number of Dengue Primary Series Doses Administered\" = 0"
},
{
"url" : "displaySequence",
"valueInteger" : 19
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD2DTDengue3DosesWithoutPreVaccinationScreeningLogic"
},
{
"url" : "name",
"valueString" : "Client is due for dengue vaccination Case 1"
},
{
"url" : "statement",
"valueString" : "/*\n@output: Client is due for dengue vaccination Case 1\n@pseudocode: \"Immunization recommendation status\" = \"Due\"\n*/\ndefine \"Client is due for dengue vaccination Case 1\":\n Encounter.\"No dengue primary series doses were administered\"\n and Encounter.\"Client's age is between 9 years and 45 years\""
},
{
"url" : "displaySequence",
"valueInteger" : 20
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD2DTDengueEncounterElements"
},
{
"url" : "name",
"valueString" : "The latest dengue dose was administered more than 6 months ago"
},
{
"url" : "statement",
"valueString" : "/*\n@input: The latest dengue dose was administered more than 6 months ago\n@pseudocode: Today's date - Latest \"Date and time of vaccination\" (where \"Vaccine type\" = \"Dengue vaccines\") ≥ 6 months\n@code: The latest dengue dose was administered more than 6 months ago-106\n@decision: IMMZ.D2.DT.Dengue.3 doses with pre-vaccination screening: CYD-TDV (Dengvaxia), 3-dose schedule with pre-vaccination screening, the recommended strategy where feasible (pre-vaccination screening whereby only those tested seropositive would be vaccinated)\n@decision: IMMZ.D2.DT.Dengue.3 doses without pre-vaccination screening: CYD-TDV (Dengvaxia), 3-dose schedule without pre-vaccination screening [when pre-vaccination screening is not feasible and in areas with recent documentation of seroprevalence rates of at least 80% by age 9 years]\n*/\ndefine \"The latest dengue dose was administered more than 6 months ago\":\n \"Date of Latest Dengue Dose\" is not null\n and duration in months between \"Date of Latest Dengue Dose\" and Today >= 6"
},
{
"url" : "displaySequence",
"valueInteger" : 21
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD2DTDengue3DosesWithoutPreVaccinationScreeningLogic"
},
{
"url" : "name",
"valueString" : "Client is due for dengue vaccination Case 2"
},
{
"url" : "statement",
"valueString" : "/*\n@output: Client is due for dengue vaccination Case 2\n@pseudocode: \"Immunization recommendation status\" = \"Due\"\n*/\ndefine \"Client is due for dengue vaccination Case 2\":\n Encounter.\"One dengue primary series dose was administered\"\n and Encounter.\"Client's age is between 9 years and 45 years\"\n and Encounter.\"The latest dengue dose was administered more than 6 months ago\""
},
{
"url" : "displaySequence",
"valueInteger" : 22
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD2DTDengue3DosesWithoutPreVaccinationScreeningLogic"
},
{
"url" : "name",
"valueString" : "Client is due for dengue vaccination Case 3"
},
{
"url" : "statement",
"valueString" : "/*\n@output: Client is due for dengue vaccination Case 3\n@pseudocode: \"Immunization recommendation status\" = \"Due\"\n*/\ndefine \"Client is due for dengue vaccination Case 3\":\n Encounter.\"Two dengue primary series doses were administered\"\n and Encounter.\"Client's age is between 9 years and 45 years\"\n and Encounter.\"The latest dengue dose was administered more than 6 months ago\""
},
{
"url" : "displaySequence",
"valueInteger" : 23
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD2DTDengue3DosesWithoutPreVaccinationScreeningLogic"
},
{
"url" : "name",
"valueString" : "Client is due for dengue vaccination"
},
{
"url" : "statement",
"valueString" : "/*\n@output: Client is due for dengue vaccination\n@pseudocode: \"Immunization recommendation status\" = \"Due\"\n*/\ndefine \"Client is due for dengue vaccination\":\n \"Client is due for dengue vaccination Case 1\"\n or \"Client is due for dengue vaccination Case 2\"\n or \"Client is due for dengue vaccination Case 3\""
},
{
"url" : "displaySequence",
"valueInteger" : 24
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD2DTDengue3DosesWithoutPreVaccinationScreeningLogic"
},
{
"url" : "name",
"valueString" : "Client is due for dengue vaccination Guidance"
},
{
"url" : "statement",
"valueString" : "/*\n@output: Client is due for dengue vaccination Guidance\n@guidance = Should vaccinate client with first dengue dose as no dengue doses were administered and client is within appropriate age range. \nCheck for contraindications.\n@guidance = Should vaccinate client with second dengue dose as latest dengue dose was administered more than 6 months ago. \nCheck for contraindications.\n@guidance = Should vaccinate client with third dengue dose as latest dengue dose was administered more than 6 months ago. \nCheck for contraindications.\n*/\ndefine \"Client is due for dengue vaccination Guidance\":\n case\n when \"Client is due for dengue vaccination Case 1\" then 'Should vaccinate client with first dengue dose as no dengue doses were administered and client is within appropriate age range. \nCheck for contraindications.'\n when \"Client is due for dengue vaccination Case 2\" then 'Should vaccinate client with second dengue dose as latest dengue dose was administered more than 6 months ago. \nCheck for contraindications.'\n when \"Client is due for dengue vaccination Case 3\" then 'Should vaccinate client with third dengue dose as latest dengue dose was administered more than 6 months ago. \nCheck for contraindications.'\n else ''\n end"
},
{
"url" : "displaySequence",
"valueInteger" : 25
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD2DTDengueEncounterElements"
},
{
"url" : "name",
"valueString" : "Three dengue primary series doses were administered"
},
{
"url" : "statement",
"valueString" : "/*\n@input: Three dengue primary series doses were administered\n@pseudocode: Count of vaccines administered (where \"Vaccine type\" = \"Dengue vaccines\" and \"Type of dose\" = \"Primary series\") = 3\n@code: Three dengue primary series doses were administered-115\n@decision: IMMZ.D2.DT.Dengue.3 doses with pre-vaccination screening: CYD-TDV (Dengvaxia), 3-dose schedule with pre-vaccination screening, the recommended strategy where feasible (pre-vaccination screening whereby only those tested seropositive would be vaccinated)\n@decision: IMMZ.D2.DT.Dengue.3 doses without pre-vaccination screening: CYD-TDV (Dengvaxia), 3-dose schedule without pre-vaccination screening [when pre-vaccination screening is not feasible and in areas with recent documentation of seroprevalence rates of at least 80% by age 9 years]\n*/\ndefine \"Three dengue primary series doses were administered\":\n \"Number of Dengue Primary Series Doses Administered\" = 3"
},
{
"url" : "displaySequence",
"valueInteger" : 26
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD2DTDengue3DosesWithoutPreVaccinationScreeningLogic"
},
{
"url" : "name",
"valueString" : "Dengue immunization schedule is complete"
},
{
"url" : "statement",
"valueString" : "/*\n@output: Dengue immunization schedule is complete\n@pseudocode: \"Immunization recommendation status\" = \"Complete\"\n\"Completed the primary vaccination series\" = TRUE (where \"Vaccine type\" = \"Dengue vaccines\")\"\n*/\ndefine \"Dengue immunization schedule is complete\":\n Encounter.\"Three dengue primary series doses were administered\"\n and Encounter.\"Client's age is between 9 years and 45 years\""
},
{
"url" : "displaySequence",
"valueInteger" : 27
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD2DTDengue3DosesWithoutPreVaccinationScreeningLogic"
},
{
"url" : "name",
"valueString" : "Dengue immunization schedule is complete Guidance"
},
{
"url" : "statement",
"valueString" : "/*\n@output: Dengue immunization schedule is complete Guidance\n@guidance: Dengue immunization schedule is complete. Three dengue primary series doses were administered. \nCheck for any other vaccines due.\n*/\ndefine \"Dengue immunization schedule is complete Guidance\":\n 'Dengue immunization schedule is complete. Three dengue primary series doses were administered. \nCheck for any other vaccines due.'"
},
{
"url" : "displaySequence",
"valueInteger" : 28
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD2DTDengue3DosesWithoutPreVaccinationScreeningLogic"
},
{
"url" : "name",
"valueString" : "Guidance"
},
{
"url" : "statement",
"valueString" : "/*\n@dynamicValue: Guidance\n*/\ndefine \"Guidance\":\n case \n when \"Client is not due for dengue vaccination\" then \"Client is not due for dengue vaccination Guidance\"\n when \"Client is due for dengue vaccination\" then \"Client is due for dengue vaccination Guidance\"\n when \"Dengue immunization schedule is complete\" then \"Dengue immunization schedule is complete Guidance\" \n else ''\n end"
},
{
"url" : "displaySequence",
"valueInteger" : 29
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD2DTDengue3DosesWithoutPreVaccinationScreeningLogic"
},
{
"url" : "name",
"valueString" : "Has Guidance"
},
{
"url" : "statement",
"valueString" : "define \"Has Guidance\":\n \"Guidance\" is not null and \"Guidance\" != ''"
},
{
"url" : "displaySequence",
"valueInteger" : 30
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZCommon"
},
{
"url" : "name",
"valueString" : "seriesPrimary"
},
{
"url" : "statement",
"valueString" : "/**\n * @description: Gets the doses from the primary series\n */\ndefine fluent function seriesPrimary(immunizations List<Immunization>):\n immunizations I where\n exists( I.protocolApplied pa where pa.series = 'Primary series' )"
},
{
"url" : "displaySequence",
"valueInteger" : 31
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "FHIRHelpers"
},
{
"url" : "name",
"valueString" : "ToString"
},
{
"url" : "statement",
"valueString" : "define function ToString(value string): value.value"
},
{
"url" : "displaySequence",
"valueInteger" : 32
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "FHIRHelpers"
},
{
"url" : "name",
"valueString" : "ToString"
},
{
"url" : "statement",
"valueString" : "define function ToString(value ImmunizationStatus): value.value"
},
{
"url" : "displaySequence",
"valueInteger" : 33
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "FHIRHelpers"
},
{
"url" : "name",
"valueString" : "ToBoolean"
},
{
"url" : "statement",
"valueString" : "define function ToBoolean(value boolean): value.value"
},
{
"url" : "displaySequence",
"valueInteger" : 34
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "WHOCommon"
},
{
"url" : "name",
"valueString" : "toInterval"
},
{
"url" : "statement",
"valueString" : "/*\nFrom FHIRCommon 4.1.0:\n*/\n\n/*\n@description: Normalizes a value that is a choice of timing-valued types to an equivalent interval\n@comment: Normalizes a choice type of FHIR.dateTime, FHIR.Period, FHIR.Timing, FHIR.instance, FHIR.string, FHIR.Age, or FHIR.Range types\nto an equivalent interval. This selection of choice types is a superset of the majority of choice types that are used as possible\nrepresentations for timing-valued elements in FHIR, allowing this function to be used across any resource.\n\nThe input can be provided as a dateTime, Period, Timing, instant, string, Age, or Range.\nThe intent of this function is to provide a clear and concise mechanism to treat single\nelements that have multiple possible representations as intervals so that logic doesn't have to account\nfor the variability. More complex calculations (such as medication request period or dispense period\ncalculation) need specific guidance and consideration. That guidance may make use of this function, but\nthe focus of this function is on single element calculations where the semantics are unambiguous.\nIf the input is a dateTime, the result a DateTime Interval beginning and ending on that dateTime.\nIf the input is a Period, the result is a DateTime Interval.\nIf the input is a Timing, an error is raised indicating a single interval cannot be computed from a Timing.\nIf the input is an instant, the result is a DateTime Interval beginning and ending on that instant.\nIf the input is a string, an error is raised indicating a single interval cannot be computed from a string.\nIf the input is an Age, the result is a DateTime Interval beginning when the patient was the given Age,\nand ending immediately prior to when the patient was the given Age plus one year.\nIf the input is a Range, the result is a DateTime Interval beginning when the patient was the Age given\nby the low end of the Range, and ending immediately prior to when the patient was the Age given by the\nhigh end of the Range plus one year.\n\nNOTE: Due to the\ncomplexity of determining a single interval from a Timing or String type, this function will throw a run-time exception if it is used\nwith a Timing or String.\n*/\ndefine fluent function toInterval(choice Choice<FHIR.dateTime, FHIR.Period, FHIR.Timing, FHIR.instant, FHIR.string, FHIR.Age, FHIR.Range>):\n case\n when choice is FHIR.dateTime then\n Interval[FHIRHelpers.ToDateTime(choice as FHIR.dateTime), FHIRHelpers.ToDateTime(choice as FHIR.dateTime)]\n when choice is FHIR.Period then\n FHIRHelpers.ToInterval(choice as FHIR.Period)\n when choice is FHIR.instant then\n Interval[FHIRHelpers.ToDateTime(choice as FHIR.instant), FHIRHelpers.ToDateTime(choice as FHIR.instant)]\n when choice is FHIR.Age then\n Interval[FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity(choice as FHIR.Age),\n FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity(choice as FHIR.Age) + 1 year)\n when choice is FHIR.Range then\n Interval[FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity((choice as FHIR.Range).low),\n FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity((choice as FHIR.Range).high) + 1 year)\n when choice is FHIR.Timing then\n Message(null as Interval<DateTime>, true, 'NOT_IMPLEMENTED', 'Error', 'Calculation of an interval from a Timing value is not supported')\n when choice is FHIR.string then\n Message(null as Interval<DateTime>, true, 'NOT_IMPLEMENTED', 'Error', 'Calculation of an interval from a String value is not supported')\n else\n null as Interval<DateTime>\n end"
},
{
"url" : "displaySequence",
"valueInteger" : 35
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "FHIRHelpers"
},
{
"url" : "name",
"valueString" : "ToDateTime"
},
{
"url" : "statement",
"valueString" : "define function ToDateTime(value dateTime): value.value"
},
{
"url" : "displaySequence",
"valueInteger" : 36
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "FHIRHelpers"
},
{
"url" : "name",
"valueString" : "ToInterval"
},
{
"url" : "statement",
"valueString" : "define function ToInterval(period FHIR.Period):\n if period is null then\n null\n else\n if period.\"start\" is null then\n Interval(period.\"start\".value, period.\"end\".value]\n else\n Interval[period.\"start\".value, period.\"end\".value]"
},
{
"url" : "displaySequence",
"valueInteger" : 37
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "FHIRHelpers"
},
{
"url" : "name",
"valueString" : "ToDateTime"
},
{
"url" : "statement",
"valueString" : "define function ToDateTime(value instant): value.value"
},
{
"url" : "displaySequence",
"valueInteger" : 38
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "FHIRHelpers"
},
{
"url" : "name",
"valueString" : "ToDate"
},
{
"url" : "statement",
"valueString" : "define function ToDate(value date): value.value"
},
{
"url" : "displaySequence",
"valueInteger" : 39
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "FHIRHelpers"
},
{
"url" : "name",
"valueString" : "ToQuantity"
},
{
"url" : "statement",
"valueString" : "define function ToQuantity(quantity FHIR.Quantity):\n case\n when quantity is null then null\n when quantity.value is null then null\n when quantity.comparator is not null then\n Message(null, true, 'FHIRHelpers.ToQuantity.ComparatorQuantityNotSupported', 'Error', 'FHIR Quantity value has a comparator and cannot be converted to a System.Quantity value.')\n when quantity.system is null or quantity.system.value = 'http://unitsofmeasure.org'\n or quantity.system.value = 'http://hl7.org/fhirpath/CodeSystem/calendar-units' then\n System.Quantity { value: quantity.value.value, unit: ToCalendarUnit(Coalesce(quantity.code.value, quantity.unit.value, '1')) }\n else\n Message(null, true, 'FHIRHelpers.ToQuantity.InvalidFHIRQuantity', 'Error', 'Invalid FHIR Quantity code: ' & quantity.unit.value & ' (' & quantity.system.value & '|' & quantity.code.value & ')')\n end"
},
{
"url" : "displaySequence",
"valueInteger" : 40
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "FHIRHelpers"
},
{
"url" : "name",
"valueString" : "ToCalendarUnit"
},
{
"url" : "statement",
"valueString" : "define function ToCalendarUnit(unit System.String):\n case unit\n when 'ms' then 'millisecond'\n when 's' then 'second'\n when 'min' then 'minute'\n when 'h' then 'hour'\n when 'd' then 'day'\n when 'wk' then 'week'\n when 'mo' then 'month'\n when 'a' then 'year'\n else unit\n end"
},
{
"url" : "displaySequence",
"valueInteger" : 41
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "FHIRHelpers"
},
{
"url" : "name",
"valueString" : "ToConcept"
},
{
"url" : "statement",
"valueString" : "define function ToConcept(concept FHIR.CodeableConcept):\n if concept is null then\n null\n else\n System.Concept {\n codes: concept.coding C return ToCode(C),\n display: concept.text.value\n }"
},
{
"url" : "displaySequence",
"valueInteger" : 42
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "FHIRHelpers"
},
{
"url" : "name",
"valueString" : "ToCode"
},
{
"url" : "statement",
"valueString" : "define function ToCode(coding FHIR.Coding):\n if coding is null then\n null\n else\n System.Code {\n code: coding.code.value,\n system: coding.system.value,\n version: coding.version.value,\n display: coding.display.value\n }"
},
{
"url" : "displaySequence",
"valueInteger" : 43
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "WHOCommon"
},
{
"url" : "name",
"valueString" : "mostRecent"
},
{
"url" : "statement",
"valueString" : "define fluent function mostRecent(immunizations List<Immunization>):\n Last(\n immunizations I\n sort by start of occurrence.toInterval()\n )"
},
{
"url" : "displaySequence",
"valueInteger" : 44
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
}
],
"name" : "EffectiveDataRequirements",
"status" : "active",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/library-type",
"code" : "module-definition"
}
]
},
"relatedArtifact" : [
{
"type" : "depends-on",
"display" : "FHIR model information",
"resource" : "http://fhir.org/guides/cqf/common/Library/FHIR-ModelInfo|4.0.1"
},
{
"type" : "depends-on",
"display" : "Library Encounter",
"resource" : "http://smart.who.int/immunizations/Library/IMMZD2DTDengueEncounterElements"
},
{
"type" : "depends-on",
"display" : "Library Encounter",
"resource" : "http://smart.who.int/immunizations/Library/IMMZEncounterElements"
},
{
"type" : "depends-on",
"display" : "Library Common",
"resource" : "http://smart.who.int/immunizations/Library/IMMZCommon"
},
{
"type" : "depends-on",
"display" : "Library FHIRHelpers",
"resource" : "http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1"
},
{
"type" : "depends-on",
"display" : "Library Elements",
"resource" : "http://smart.who.int/immunizations/Library/IMMZElements"
},
{
"type" : "depends-on",
"display" : "Library WC",
"resource" : "http://smart.who.int/immunizations/Library/WHOCommon"
},
{
"type" : "depends-on",
"display" : "Library Concepts",
"resource" : "http://smart.who.int/immunizations/Library/IMMZConcepts"
},
{
"type" : "depends-on",
"display" : "Value set Dengue vaccines",
"resource" : "http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE25"
}
],
"parameter" : [
{
"name" : "Today",
"use" : "in",
"min" : 0,
"max" : "1",
"type" : "date"
},
{
"name" : "Guidance",
"use" : "out",
"min" : 0,
"max" : "1",
"type" : "string"
},
{
"name" : "Has Guidance",
"use" : "out",
"min" : 0,
"max" : "1",
"type" : "boolean"
},
{
"name" : "Client is due for dengue vaccination",
"use" : "out",
"min" : 0,
"max" : "1",
"type" : "boolean"
}
],
"dataRequirement" : [
{
"type" : "Patient",
"profile" : [
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🔗 "http://hl7.org/fhir/StructureDefinition/Immunization"
],
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]
},
{
"type" : "Immunization",
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],
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"vaccineCode",
"protocolApplied"
],
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"title" : "IMMZ.D2.DT.Dengue.3 doses without pre-vaccination screening",
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}
]
},
"status" : "draft",
"experimental" : false,
"date" : "2026-03-31T13:54:17+00:00",
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}
],
"title" : "Determine if the client is due for Dengue.",
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