IMMZD2DTHPVSingleDose
type: PlanDefinition
node role: treeRoot
id:
  v: IMMZD2DTHPVSingleDose
meta:
  profile:
    v: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-recommendationdefinition
    l: cpg-recommendationdefinition
  profile:
    v: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareableplandefinition
    l: crmi-shareableplandefinition
  profile:
    v: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-publishableplandefinition
    l: crmi-publishableplandefinition
text:
  status:
    v: extensions
  div:
    v: Id: IMMZD2DTHPVSingleDose Url: IMMZ.D2.DT.HPV.Single dose Version: 1.0.0 Title: IMMZ.D2.DT.HPV.Single dose Status: draft Type: system: http://terminology.hl7.org/CodeSystem/plan-definition-type code: eca-rule Date: 2026-03-31 13:54:17+0000 Publisher: WHO Description: IMMZ.D2.DT.HPV.Single dose Alternative single-dose schedule Knowledge Capability: computable Related Artifacts: References WHO recommendations for routine immunization - summary tables (January 2025) Libraries: IMMZD2DTHPVSingleDoseLogic Actions: Determine if the client is due for HPV.: Determine if the client is due for HPV vaccine according to the national immunization protocol. Alternative single-dose schedule If: Applicability: Client is due for HPV vaccination (Client is due for HPV vaccination) Then: Definition: IMMZD2DTMR Dynamic Values: status: ('draft') intent: ('proposal') medication: (Concept { codes: { Code { system: 'http://smart.who.int/immunizations/CodeSystem/IMMZ.Z', code: 'DE7', display: 'HPV vaccines' } }, display: 'HPV vaccines' }) Check for Guidance for the patient regarding IMMZ.D2.DT.HPV.Single dose.: Show Guidance for the patient regarding IMMZ.D2.DT.HPV.Single dose. If: Applicability: Has Guidance (Has Guidance) Then: Definition: IMMZ.D2.DT.CR Dynamic Values: status: ('active') payload.contentString: (Guidance) category.coding: (Code { system: 'http://terminology.hl7.org/CodeSystem/communication-category', code: 'alert' }) priority: (Code { system: 'http://hl7.org/fhir/request-priority', code: 'routine' })
contained: Library
  id:
    v: effective-data-requirements
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode
      l: cqf-directReferenceCode
    value: Coding
      system:
        v: http://smart.who.int/immunizations/CodeSystem/IMMZ.D
        l: IMMZ.D
      code:
        v: DE204
      display:
        v: HIV status
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode
      l: cqf-directReferenceCode
    value: Coding
      system:
        v: http://smart.who.int/immunizations/CodeSystem/IMMZ.D
        l: IMMZ.D
      code:
        v: DE205
      display:
        v: HIV-positive
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode
      l: cqf-directReferenceCode
    value: Coding
      system:
        v: http://smart.who.int/immunizations/CodeSystem/IMMZ.D
        l: IMMZ.D
      code:
        v: DE209
      display:
        v: Immunocompromised
  extension:
    extension:
      url:
        v: libraryName
        l: libraryName
      value: String
        v: IMMZEncounterElements
    extension:
      url:
        v: name
        l: name
      value: String
        v: Current Patient Age In Years
    extension:
      url:
        v: statement
        l: statement
      value: String
        v: /** * @dataElement Patient age in years */ define "Current Patient Age In Years": AgeInYearsAt(Today)
    extension:
      url:
        v: displaySequence
        l: displaySequence
      value: Integer
        v: 0
    url:
      v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
      l: cqf-logicDefinition
  extension:
    extension:
      url:
        v: libraryName
        l: libraryName
      value: String
        v: IMMZD2DTHPVEncounterElements
    extension:
      url:
        v: name
        l: name
      value: String
        v: Client's age is less than 9 years
    extension:
      url:
        v: statement
        l: statement
      value: String
        v: /* @input: Client's age is less than 9 years @pseudocode: Today's date − "Date of birth" < 9 years @code: Client's age is less than 9 years-40 @decision: IMMZ.D2.DT.HPV.2 doses: 2-dose schedule @decision: IMMZ.D2.DT.HPV.Single dose: Alternative single-dose schedule */ define "Client's age is less than 9 years": Encounter."Current Patient Age In Years" < 9
    extension:
      url:
        v: displaySequence
        l: displaySequence
      value: Integer
        v: 1
    url:
      v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
      l: cqf-logicDefinition
  extension:
    extension:
      url:
        v: libraryName
        l: libraryName
      value: String
        v: IMMZD2DTHPVSingleDoseLogic
    extension:
      url:
        v: name
        l: name
      value: String
        v: Client is not due for HPV vaccination Case 1
    extension:
      url:
        v: statement
        l: statement
      value: String
        v: /* @output: Client is not due for HPV vaccination Case 1 @pseudocode: "Immunization recommendation status" = "Not due" */ define "Client is not due for HPV vaccination Case 1": Encounter."Client's age is less than 9 years"
    extension:
      url:
        v: displaySequence
        l: displaySequence
      value: Integer
        v: 2
    url:
      v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
      l: cqf-logicDefinition
  extension:
    extension:
      url:
        v: libraryName
        l: libraryName
      value: String
        v: IMMZElements
    extension:
      url:
        v: name
        l: name
      value: String
        v: Doses Administered to Patient
    extension:
      url:
        v: statement
        l: statement
      value: String
        v: /** * @dataElement All Doses Administered to Patient */ define "Doses Administered to Patient": [Immunization] I where I.status = 'completed' and I.isSubpotent is not true
    extension:
      url:
        v: displaySequence
        l: displaySequence
      value: Integer
        v: 3
    url:
      v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
      l: cqf-logicDefinition
  extension:
    extension:
      url:
        v: libraryName
        l: libraryName
      value: String
        v: IMMZEncounterElements
    extension:
      url:
        v: name
        l: name
      value: String
        v: Doses Administered to Patient
    extension:
      url:
        v: statement
        l: statement
      value: String
        v: /** * @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:
      url:
        v: displaySequence
        l: displaySequence
      value: Integer
        v: 4
    url:
      v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
      l: cqf-logicDefinition
  extension:
    extension:
      url:
        v: libraryName
        l: libraryName
      value: String

String
v: IMMZD2DTHPVEncounterElements

url:
  v: name
  l: name
value: String
  v: HPV Doses Administered to Patient

url:
  v: statement
  l: statement
value: String
  v: /* @internal: HPV containing Doses Administered to Patient */ define "HPV Doses Administered to Patient": Encounter."Doses Administered to Patient" I where I.vaccineCode in Concepts."HPV vaccines"

url:
  v: displaySequence
  l: displaySequence
value: Integer
  v: 5

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTHPVEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: HPV Primary Series Doses Administered to Patient
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @internal: HPV containing Doses Administered to Patient that are in the Primary series */ define "HPV Primary Series Doses Administered to Patient": "HPV Doses Administered to Patient".seriesPrimary()
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 6
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTHPVEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: Number of HPV Primary Series Doses Administered
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @internal: Number of HPV Primary Series doses */ define "Number of HPV Primary Series Doses Administered": Count("HPV Primary Series Doses Administered to Patient")
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 7
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTHPVEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: One HPV primary series dose was administered
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @input: One HPV primary series dose was administered @pseudocode: Count of vaccines administered (where "Vaccine type" = "HPV vaccines" and "Type of dose" = "Primary series") = 1 @code: One HPV primary series dose was administered-112 @decision: IMMZ.D2.DT.HPV.2 doses: 2-dose schedule @decision: IMMZ.D2.DT.HPV.Single dose: Alternative single-dose schedule */ define "One HPV primary series dose was administered": "Number of HPV Primary Series Doses Administered" = 1
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 8
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTHPVEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: Date of Latest HPV Dose
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @internal: Date of Latest HPV Dose */ define "Date of Latest HPV Dose": date from start of "HPV Doses Administered to Patient".mostRecent().occurrence.toInterval()
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 9
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTHPVEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: The latest HPV dose was administered less than 6 months ago
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @input: The latest HPV dose was administered less than 6 months ago @pseudocode: Today's date − latest "Date and time of vaccination" (where "Vaccine type" = "HPV vaccines") < 6 months @code: The latest HPV dose was administered less than 6 months ago-103 @decision: IMMZ.D2.DT.HPV.2 doses: 2-dose schedule @decision: IMMZ.D2.DT.HPV.Single dose: Alternative single-dose schedule */ define "The latest HPV dose was administered less than 6 months ago": "Date of Latest HPV Dose" is not null and duration in months between "Date of Latest HPV Dose" and Today < 6
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 10
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZElements
extension:
  url:
    v: name
    l: name
  value: String
    v: HIV status Observation
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @internal: HIV Status Observation */ define "HIV status Observation": ([Observation: Concepts."HIV status"]).complete()
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 11
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: Client's HIV status is positive
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @input: Client's HIV status is positive @pseudocode: "HIV status" = "HIV-positive" */ define "Client's HIV status is positive": exists( (Elements."HIV status Observation".encounterOrOnBefore(EncounterId, Today)) O where O.value ~ Concepts."HIV-positive" )
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 12
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTHPVEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: Client's HIV status is positive
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @input: Client's HIV status is positive @pseudocode: "HIV status" = "HIV-positive" @code: Client's HIV status is positive-29 @decision: IMMZ.D2.DT.HPV.2 doses: 2-dose schedule @decision: IMMZ.D2.DT.HPV.Single dose: Alternative single-dose schedule */ define "Client's HIV status is positive": Encounter."Client's HIV status is positive"
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 13
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTHPVSingleDoseLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: Client is not due for HPV vaccination Case 2
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @output: Client is not due for HPV vaccination Case 2 @pseudocode: "Immunization recommendation status" = "Not due" */ define "Client is not due for HPV vaccination Case 2": Encounter."One HPV primary series dose was administered" and Encounter."The latest HPV dose was administered less than 6 months ago" and Encounter."Client's HIV status is positive"
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 14
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: Immunocompromised Observation
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @internal: Immunocompromised Observation */ define "Immunocompromised Observation": ([Observation: Concepts."Immunocompromised"] O sort by end of effective.toInterval() desc).complete()
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 15
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: Client is immunocompromised
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @input: Client is immunocompromised @pseudocode: "Immunocompromised" = TRUE */ define "Client is immunocompromised": exists( "Immunocompromised Observation" ) and First( "Immunocompromised Observation" ).value = true
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 16
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTHPVEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: Client is immunocompromised
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @input: Client is immunocompromised @pseudocode: "Immunocompromised" = TRUE @code: Client is immunocompromised-26 @decision: IMMZ.D2.DT.HPV.2 doses: 2-dose schedule @decision: IMMZ.D2.DT.HPV.Single dose: Alternative single-dose schedule */ define "Client is immunocompromised": Encounter."Client is immunocompromised"
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 17
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTHPVSingleDoseLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: Client is not due for HPV vaccination Case 3
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @output: Client is not due for HPV vaccination Case 3 @pseudocode: "Immunization recommendation status" = "Not due" */ define "Client is not due for HPV vaccination Case 3": Encounter."One HPV primary series dose was administered" and Encounter."The latest HPV dose was administered less than 6 months ago" and Encounter."Client is immunocompromised"
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 18
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTHPVEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: Two HPV primary series doses were administered
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @input: Two HPV primary series doses were administered @pseudocode: Count of vaccines administered (where "Vaccine type" = "HPV vaccines" and "Type of dose" = "Primary series") = 2 @code: Two HPV primary series doses were administered-112 @decision: IMMZ.D2.DT.HPV.2 doses: 2-dose schedule @decision: IMMZ.D2.DT.HPV.Single dose: Alternative single-dose schedule */ define "Two HPV primary series doses were administered": "Number of HPV Primary Series Doses Administered" = 2
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 19
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTHPVSingleDoseLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: Client is not due for HPV vaccination Case 4
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @output: Client is not due for HPV vaccination Case 4 @pseudocode: "Immunization recommendation status" = "Not due" */ define "Client is not due for HPV vaccination Case 4": Encounter."Two HPV primary series doses were administered" and Encounter."The latest HPV dose was administered less than 6 months ago" and Encounter."Client's HIV status is positive"
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 20
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTHPVSingleDoseLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: Client is not due for HPV vaccination Case 5
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @output: Client is not due for HPV vaccination Case 5 @pseudocode: "Immunization recommendation status" = "Not due" */ define "Client is not due for HPV vaccination Case 5": Encounter."Two HPV primary series doses were administered" and Encounter."The latest HPV dose was administered less than 6 months ago" and Encounter."Client is immunocompromised"
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 21
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTHPVSingleDoseLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: Client is not due for HPV vaccination
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @output: Client is not due for HPV vaccination @pseudocode: "Immunization recommendation status" = "Not due" */ define "Client is not due for HPV vaccination": "Client is not due for HPV vaccination Case 1" or "Client is not due for HPV vaccination Case 2" or "Client is not due for HPV vaccination Case 3" or "Client is not due for HPV vaccination Case 4" or "Client is not due for HPV vaccination Case 5"
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 22
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTHPVSingleDoseLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: Client is not due for HPV vaccination Guidance
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @output: Client is not due for HPV vaccination Guidance @guidance = Should not vaccinate client with first HPV dose as client's age is less than 9 years. Check for any vaccines due and inform the caregiver of when to come back for the next dose. @guidance = Should not vaccinate client with second HPV dose as the latest HPV dose was administered less than 6 months ago. Check for any vaccines due and inform the caregiver of when to come back for the next dose. @guidance = Should not vaccinate client with second HPV dose as the latest HPV dose was administered less than 6 months ago. Check for any vaccines due and inform the caregiver of when to come back for the next dose. @guidance = Should not vaccinate client with third HPV dose as the latest HPV dose was administered less than 6 months ago. Check for any vaccines due and inform the caregiver of when to come back for the next dose. @guidance = Should not vaccinate client with third HPV dose as the latest HPV dose was administered less than 6 months ago. Check for any vaccines due and inform the caregiver of when to come back for the next dose. */ define "Client is not due for HPV vaccination Guidance": case when "Client is not due for HPV vaccination Case 1" then 'Should not vaccinate client with first HPV dose as client\'s age is less than 9 years. Check for any vaccines due and inform the caregiver of when to come back for the next dose.' when "Client is not due for HPV vaccination Case 2" then 'Should not vaccinate client with second HPV dose as the latest HPV dose was administered less than 6 months ago. Check for any vaccines due and inform the caregiver of when to come back for the next dose.' when "Client is not due for HPV vaccination Case 3" then 'Should not vaccinate client with second HPV dose as the latest HPV dose was administered less than 6 months ago. Check for any vaccines due and inform the caregiver of when to come back for the next dose.' when "Client is not due for HPV vaccination Case 4" th…
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 23
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTHPVEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: No HPV primary series doses were administered
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @input: No HPV primary series doses were administered @pseudocode: Count of vaccines administered (where "Vaccine type" = "HPV vaccines" and "Type of dose" = "Primary series") = 0 @code: No HPV primary series doses were administered-112 @decision: IMMZ.D2.DT.HPV.2 doses: 2-dose schedule @decision: IMMZ.D2.DT.HPV.Single dose: Alternative single-dose schedule */ define "No HPV primary series doses were administered": "Number of HPV Primary Series Doses Administered" = 0
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 24
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTHPVEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: Client's age is between 9 and 20 years
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @input: Client's age is between 9 and 20 years @pseudocode: 9 years ≤ Today's date − "Date of birth" ≤ 20 years @code: Client's age is between 9 and 20 years-51 @decision: IMMZ.D2.DT.HPV.Single dose: Alternative single-dose schedule */ define "Client's age is between 9 and 20 years": 9 <= Encounter."Current Patient Age In Years" and Encounter."Current Patient Age In Years" <= 20
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 25
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTHPVSingleDoseLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: Client is due for HPV vaccination Case 1
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @output: Client is due for HPV vaccination Case 1 @pseudocode: "Immunization recommendation status" = "Due" */ define "Client is due for HPV vaccination Case 1": Encounter."No HPV primary series doses were administered" and Encounter."Client's age is between 9 and 20 years"
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 26
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTHPVEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: The latest HPV dose was administered more than 6 months ago
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @input: The latest HPV dose was administered more than 6 months ago @pseudocode: Today's date − latest "Date and time of vaccination" (where "Vaccine type" = "HPV vaccines") ≥ 6 months @code: The latest HPV dose was administered more than 6 months ago-103 @decision: IMMZ.D2.DT.HPV.2 doses: 2-dose schedule @decision: IMMZ.D2.DT.HPV.Single dose: Alternative single-dose schedule */ define "The latest HPV dose was administered more than 6 months ago": not "The latest HPV dose was administered less than 6 months ago"
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 27
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTHPVSingleDoseLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: Client is due for HPV vaccination Case 2
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @output: Client is due for HPV vaccination Case 2 @pseudocode: "Immunization recommendation status" = "Due" */ define "Client is due for HPV vaccination Case 2": Encounter."One HPV primary series dose was administered" and Encounter."The latest HPV dose was administered more than 6 months ago" and Encounter."Client's HIV status is positive"
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 28
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTHPVSingleDoseLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: Client is due for HPV vaccination Case 3
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @output: Client is due for HPV vaccination Case 3 @pseudocode: "Immunization recommendation status" = "Due" */ define "Client is due for HPV vaccination Case 3": Encounter."One HPV primary series dose was administered" and Encounter."The latest HPV dose was administered more than 6 months ago" and Encounter."Client is immunocompromised"
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 29
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTHPVSingleDoseLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: Client is due for HPV vaccination Case 4
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @output: Client is due for HPV vaccination Case 4 @pseudocode: "Immunization recommendation status" = "Due" */ define "Client is due for HPV vaccination Case 4": Encounter."Two HPV primary series doses were administered" and Encounter."The latest HPV dose was administered more than 6 months ago" and Encounter."Client's HIV status is positive"
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 30
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTHPVSingleDoseLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: Client is due for HPV vaccination Case 5
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @output: Client is due for HPV vaccination Case 5 @pseudocode: "Immunization recommendation status" = "Due" */ define "Client is due for HPV vaccination Case 5": Encounter."Two HPV primary series doses were administered" and Encounter."The latest HPV dose was administered more than 6 months ago" and Encounter."Client is immunocompromised"
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 31
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTHPVSingleDoseLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: Client is due for HPV vaccination
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @output: Client is due for HPV vaccination @pseudocode: "Immunization recommendation status" = "Due" */ define "Client is due for HPV vaccination": "Client is due for HPV vaccination Case 1" or "Client is due for HPV vaccination Case 2" or "Client is due for HPV vaccination Case 3" or "Client is due for HPV vaccination Case 4" or "Client is due for HPV vaccination Case 5"
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 32
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTHPVSingleDoseLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: Client is due for HPV vaccination Guidance
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @output: Client is due for HPV vaccination Guidance @guidance = Should vaccinate client with first HPV dose as no HPV doses were administered and client is within appropriate age range. Check for contraindications. @guidance = Should vaccinate client with second HPV dose as client is HIV positive and the latest HPV dose was administered more than 6 months ago. Check for contraindications @guidance = Should vaccinate client with second HPV dose as client is immunocompromised and the latest HPV dose was administered more than 6 months ago. Check for contraindications @guidance = Should vaccinate client with third HPV dose as client is HIV positive and the latest HPV dose was administered more than 6 months ago. Check for contraindications @guidance = Should vaccinate client with third HPV dose as client is immunocompromised and the latest HPV dose was administered more than 6 months ago. Check for contraindications */ define "Client is due for HPV vaccination Guidance": case when "Client is due for HPV vaccination Case 1" then 'Should vaccinate client with first HPV dose as no HPV doses were administered and client is within appropriate age range. Check for contraindications.' when "Client is due for HPV vaccination Case 2" then 'Should vaccinate client with second HPV dose as client is HIV positive and the latest HPV dose was administered more than 6 months ago. Check for contraindications' when "Client is due for HPV vaccination Case 3" then 'Should vaccinate client with second HPV dose as client is immunocompromised and the latest HPV dose was administered more than 6 months ago. Check for contraindications' when "Client is due for HPV vaccination Case 4" then 'Should vaccinate client with third HPV dose as client is HIV positive and the latest HPV dose was administered more than 6 months ago. Check for contraindications' when "Client is due for HPV vaccination Case 5" then 'Should vaccinate client with third HPV dose as client is immunocompromised and the lates…
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 33
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTHPVEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: Client's age is more than 20 years
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @input: Client's age is more than 20 years @pseudocode: Today's date − "Date of birth" > 20 years @code: Client's age is more than 20 years-41 @decision: IMMZ.D2.DT.HPV.Single dose: Alternative single-dose schedule */ define "Client's age is more than 20 years": Encounter."Current Patient Age In Years" > 20
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 34
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTHPVSingleDoseLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: Clinical judgement is required. Create a clinical note.
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @output: Clinical judgement is required. Create a clinical note. @pseudocode: "Immunization recommendation status" = "Further evaluation needed" */ define "Clinical judgement is required. Create a clinical note.": Encounter."No HPV primary series doses were administered" and Encounter."Client's age is more than 20 years"
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 35
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTHPVSingleDoseLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: Clinical judgement is required. Create a clinical note. Guidance
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @output: Clinical judgement is required. Create a clinical note. Guidance @guidance: Member States should update this action according to the national immunization programme. */ define "Clinical judgement is required. Create a clinical note. Guidance": 'Member States should update this action according to the national immunization programme.'
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 36
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: Client is not immunocompromised
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @input: Client is not immunocompromised @pseudocode: "Immunocompromised" ≠ TRUE */ define "Client is not immunocompromised": not "Client is immunocompromised"
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 37
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTHPVEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: Client is not immunocompromised
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @input: Client is not immunocompromised @pseudocode: "Immunocompromised" ≠ TRUE @code: Client is not immunocompromised-26 @decision: IMMZ.D2.DT.HPV.2 doses: 2-dose schedule @decision: IMMZ.D2.DT.HPV.Single dose: Alternative single-dose schedule */ define "Client is not immunocompromised": Encounter."Client is not immunocompromised"
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 38
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: Client's HIV status is negative or unknown
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @input: Client's HIV status is negative or unknown @pseudocode: "HIV status" ≠ "HIV-positive" */ define "Client's HIV status is negative or unknown": not "Client's HIV status is positive"
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 39
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTHPVEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: Client's HIV status is negative or unknown
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @input: Client's HIV status is negative or unknown @pseudocode: "HIV status" ≠ "HIV-positive" @code: Client's HIV status is negative or unknown-29 @decision: IMMZ.D2.DT.HPV.2 doses: 2-dose schedule @decision: IMMZ.D2.DT.HPV.Single dose: Alternative single-dose schedule */ define "Client's HIV status is negative or unknown": Encounter."Client's HIV status is negative or unknown"
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 40
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTHPVSingleDoseLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: HPV immunization schedule is complete Case 1
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @output: HPV immunization schedule is complete Case 1 @pseudocode: "Immunization recommendation status" = "Complete" */ define "HPV immunization schedule is complete Case 1": Encounter."One HPV primary series dose was administered" and Encounter."Client is not immunocompromised" and Encounter."Client's HIV status is negative or unknown"
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 41
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTHPVEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: Three HPV primary series doses were administered
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @input: Three HPV primary series doses were administered @pseudocode: Count of vaccines administered (where "Vaccine type" = "HPV vaccines" and "Type of dose" = "Primary series") = 3 @code: Three HPV primary series doses were administered-112 @decision: IMMZ.D2.DT.HPV.2 doses: 2-dose schedule @decision: IMMZ.D2.DT.HPV.Single dose: Alternative single-dose schedule */ define "Three HPV primary series doses were administered": "Number of HPV Primary Series Doses Administered" = 3
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 42
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTHPVSingleDoseLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: HPV immunization schedule is complete Case 2
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @output: HPV immunization schedule is complete Case 2 @pseudocode: "Immunization recommendation status" = "Complete" */ define "HPV immunization schedule is complete Case 2": Encounter."Three HPV primary series doses were administered"
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 43
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTHPVSingleDoseLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: HPV immunization schedule is complete
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @output: HPV immunization schedule is complete @pseudocode: "Immunization recommendation status" = "Complete" */ define "HPV immunization schedule is complete": "HPV immunization schedule is complete Case 1" or "HPV immunization schedule is complete Case 2"
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 44
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTHPVSingleDoseLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: HPV immunization schedule is complete Guidance
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @output: HPV immunization schedule is complete Guidance @guidance = HPV immunization schedule is complete. One HPV primary series dose was administered. Check for any other vaccines due. @guidance = HPV immunization schedule is complete. Three HPV primary series doses were administered. Check for any other vaccines due. */ define "HPV immunization schedule is complete Guidance": case when "HPV immunization schedule is complete Case 1" then 'HPV immunization schedule is complete. One HPV primary series dose was administered. Check for any other vaccines due.' when "HPV immunization schedule is complete Case 2" then 'HPV immunization schedule is complete. Three HPV primary series doses were administered. Check for any other vaccines due.' else '' end
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 45
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTHPVSingleDoseLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: Guidance
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @dynamicValue: Guidance */ define "Guidance": case when "Client is not due for HPV vaccination" then "Client is not due for HPV vaccination Guidance" when "Client is due for HPV vaccination" then "Client is due for HPV vaccination Guidance" when "Clinical judgement is required. Create a clinical note." then "Clinical judgement is required. Create a clinical note. Guidance" when "HPV immunization schedule is complete" then "HPV immunization schedule is complete Guidance" else '' end
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 46
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTHPVSingleDoseLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: Has Guidance
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define "Has Guidance": "Guidance" is not null and "Guidance" != ''
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 47
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZCommon
extension:
  url:
    v: name
    l: name
  value: String
    v: seriesPrimary
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /** * @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:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 48
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: FHIRHelpers
extension:
  url:
    v: name
    l: name
  value: String
    v: ToString
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define function ToString(value string): value.value
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 49
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: FHIRHelpers
extension:
  url:
    v: name
    l: name
  value: String
    v: ToString
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define function ToString(value ImmunizationStatus): value.value
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 50
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: FHIRHelpers
extension:
  url:
    v: name
    l: name
  value: String
    v: ToBoolean
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define function ToBoolean(value boolean): value.value
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 51
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: WHOCommon
extension:
  url:
    v: name
    l: name
  value: String
    v: toInterval
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* 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: …
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 52
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: FHIRHelpers
extension:
  url:
    v: name
    l: name
  value: String
    v: ToDateTime
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define function ToDateTime(value dateTime): value.value
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 53
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: FHIRHelpers
extension:
  url:
    v: name
    l: name
  value: String
    v: ToInterval
extension:
  url:
    v: statement
    l: statement
  value: String
    v: 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:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 54
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: FHIRHelpers
extension:
  url:
    v: name
    l: name
  value: String
    v: ToDateTime
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define function ToDateTime(value instant): value.value
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 55
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: FHIRHelpers
extension:
  url:
    v: name
    l: name
  value: String
    v: ToDate
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define function ToDate(value date): value.value
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 56
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: FHIRHelpers
extension:
  url:
    v: name
    l: name
  value: String
    v: ToQuantity
extension:
  url:
    v: statement
    l: statement
  value: String
    v: 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:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 57
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: FHIRHelpers
extension:
  url:
    v: name
    l: name
  value: String
    v: ToCalendarUnit
extension:
  url:
    v: statement
    l: statement
  value: String
    v: 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:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 58
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: FHIRHelpers
extension:
  url:
    v: name
    l: name
  value: String
    v: ToConcept
extension:
  url:
    v: statement
    l: statement
  value: String
    v: 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:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 59
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: FHIRHelpers
extension:
  url:
    v: name
    l: name
  value: String
    v: ToCode
extension:
  url:
    v: statement
    l: statement
  value: String
    v: 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:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 60
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: WHOCommon
extension:
  url:
    v: name
    l: name
  value: String
    v: mostRecent
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define fluent function mostRecent(immunizations List<Immunization>): Last( immunizations I sort by start of occurrence.toInterval() )
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 61
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZCommon
extension:
  url:
    v: name
    l: name
  value: String
    v: encounterOrOnBefore
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /** * @description: Gets observation from an encounter or on or before a date */ define fluent function encounterOrOnBefore(observations List<Observation>, EncounterId String, beforeDate Date): observations O where (O.encounter.references(EncounterId) or O.effective.toInterval() starts same day or before beforeDate)
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 62
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: WHOCommon
extension:
  url:
    v: name
    l: name
  value: String
    v: references
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @description: Returns true if the given reference is to the given resourceId @comment: Returns true if the `resourceId` parameter exactly equals the tail of the given reference. NOTE: This function assumes resources from the same source server. */ define fluent function references(reference FHIR.Reference, resourceId String): resourceId = Last(Split(reference.reference, '/'))
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 63
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: WHOCommon
extension:
  url:
    v: name
    l: name
  value: String
    v: complete
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define fluent function complete(observations List<Observation>): observations O where O.status in { 'final', 'amended', 'corrected' }
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 64
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: FHIRHelpers
extension:
  url:
    v: name
    l: name
  value: String
    v: ToString
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define function ToString(value ObservationStatus): value.value
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 65
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

v: EffectiveDataRequirements

v: active

coding:
  system:
    v: http://terminology.hl7.org/CodeSystem/library-type
    l: library-type
  code:
    v: module-definition

type:
  v: depends-on
display:
  v: FHIR model information
resource:
  v: http://fhir.org/guides/cqf/common/Library/FHIR-ModelInfo|4.0.1
  l: http://fhir.org/guides/cqf/common/Library/FHIR-ModelInfo

type:
  v: depends-on
display:
  v: Library Encounter
resource:
  v: http://smart.who.int/immunizations/Library/IMMZD2DTHPVEncounterElements
  l: IMMZD2DTHPVEncounterElements

type:
  v: depends-on
display:
  v: Library Encounter
resource:
  v: http://smart.who.int/immunizations/Library/IMMZEncounterElements
  l: IMMZEncounterElements

type:
  v: depends-on
display:
  v: Library Common
resource:
  v: http://smart.who.int/immunizations/Library/IMMZCommon
  l: IMMZCommon

type:
  v: depends-on
display:
  v: Library FHIRHelpers
resource:
  v: http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1
  l: http://fhir.org/guides/cqf/common/Library/FHIRHelpers

type:
  v: depends-on
display:
  v: Library Elements
resource:
  v: http://smart.who.int/immunizations/Library/IMMZElements
  l: IMMZElements

type:
  v: depends-on
display:
  v: Library WC
resource:
  v: http://smart.who.int/immunizations/Library/WHOCommon
  l: WHOCommon

type:
  v: depends-on
display:
  v: Library Concepts
resource:
  v: http://smart.who.int/immunizations/Library/IMMZConcepts
  l: IMMZConcepts

type:
  v: depends-on
display:
  v: Code system IMMZD
resource:
  v: http://smart.who.int/immunizations/CodeSystem/IMMZ.D
  l: IMMZ.D

type:
  v: depends-on
display:
  v: Value set HPV vaccines
resource:
  v: http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE7
  l: IMMZ.Z.DE7

name:
  v: Today
use:
  v: in
min:
  v: 0
max:
  v: 1
type:
  v: date

name:
  v: EncounterId
use:
  v: in
min:
  v: 0
max:
  v: 1
type:
  v: string

name:
  v: Guidance
use:
  v: out
min:
  v: 0
max:
  v: 1
type:
  v: string

name:
  v: Client is due for HPV vaccination
use:
  v: out
min:
  v: 0
max:
  v: 1
type:
  v: boolean

name:
  v: Has Guidance
use:
  v: out
min:
  v: 0
max:
  v: 1
type:
  v: boolean

type:
  v: Patient
profile:
  v: http://hl7.org/fhir/StructureDefinition/Patient
  l: Patient
must support:
  v: birthDate

type:
  v: Immunization
profile:
  v: http://hl7.org/fhir/StructureDefinition/Immunization
  l: Immunization
must support:
  v: status
must support:
  v: isSubpotent
must support:
  v: protocolApplied
must support:
  v: occurrence
code filter:
  path:
    v: status
  code:
    code:
      v: completed

type:
  v: Immunization
profile:
  v: http://hl7.org/fhir/StructureDefinition/Immunization
  l: Immunization
must support:
  v: occurrence
must support:
  v: protocolApplied

type:
  v: Immunization
profile:
  v: http://hl7.org/fhir/StructureDefinition/Immunization
  l: Immunization
must support:
  v: status
must support:
  v: isSubpotent
must support:
  v: occurrence
must support:
  v: vaccineCode
must support:
  v: protocolApplied
code filter:
  path:
    v: status
  code:
    code:
      v: completed
code filter:
  path:
    v: vaccineCode
  value set:
    v: http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE7
    l: IMMZ.Z.DE7

type:
  v: Observation
profile:
  v: http://hl7.org/fhir/StructureDefinition/Observation
  l: Observation
must support:
  v: code
must support:
  v: encounter
must support:
  v: effective
must support:
  v: status
code filter:
  path:
    v: code
  code:
    system:
      v: http://smart.who.int/immunizations/CodeSystem/IMMZ.D
      l: IMMZ.D
    code:
      v: DE204
    display:
      v: HIV status

type:
  v: Observation
profile:
  v: http://hl7.org/fhir/StructureDefinition/Observation
  l: Observation
must support:
  v: code
must support:
  v: encounter
must support:
  v: effective
must support:
  v: status
code filter:
  path:
    v: code
  code:
    system:
      v: http://smart.who.int/immunizations/CodeSystem/IMMZ.D
      l: IMMZ.D
    code:
      v: DE209
    display:
      v: Immunocompromised

type:
  v: Observation
profile:
  v: http://hl7.org/fhir/StructureDefinition/Observation
  l: Observation
must support:
  v: value
must support:
  v: encounter
must support:
  v: effective
must support:
  v: status

url:
  v: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeCapability
  l: cpg-knowledgeCapability
value: Code
  v: computable

url:
  v: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-effectiveDataRequirements
  l: crmi-effectiveDataRequirements
value: Canonical
  v: #effective-data-requirements
  l: effective-data-requirements

v: 1.0.0

v: IMMZD2DTHPVSingleDose

v: IMMZ.D2.DT.HPV.Single dose

coding:
  system:
    v: http://terminology.hl7.org/CodeSystem/plan-definition-type
    l: plan-definition-type
  code:
    v: eca-rule

v: draft

v: false

v: 2026-03-31T13:54:17+00:00

v: WHO

name:
  v: WHO
telecom:
  system:
    v: url
  value:
    v: http://who.int

v: IMMZ.D2.DT.HPV.Single dose Alternative single-dose schedule

type:
  v: citation
citation:
  v: WHO recommendations for routine immunization - summary tables (January 2025)

extension:
  url:
    v: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-rationale
    l: cpg-rationale
  value: Markdown
    v: As an off-label option, a single-dose schedule can be used in girls and boys aged 9–20 years.
title:
  v: Determine if the client is due for HPV.
description:
  v: Determine if the client is due for HPV vaccine according to the national immunization protocol. Alternative single-dose schedule
condition:
  kind:
    v: applicability
  expression:
    description:
      v: Client is due for HPV vaccination
    language:
      v: text/cql-identifier
    expression:
      v: Client is due for HPV vaccination
definition: Canonical
  v: http://smart.who.int/immunizations/ActivityDefinition/IMMZD2DTMR
  l: IMMZD2DTMR
dynamic value:
  path:
    v: status
  expression:
    language:
      v: text/cql-expression
    expression:
      v: 'draft'
dynamic value:
  path:
    v: intent
  expression:
    language:
      v: text/cql-expression
    expression:
      v: 'proposal'
dynamic value:
  path:
    v: medication
  expression:
    language:
      v: text/cql-expression
    expression:
      v: Concept { codes: { Code { system: 'http://smart.who.int/immunizations/CodeSystem/IMMZ.Z', code: 'DE7', display: 'HPV vaccines' } }, display: 'HPV vaccines' }

title:
  v: Check for Guidance for the patient regarding IMMZ.D2.DT.HPV.Single dose.
description:
  v: Show Guidance for the patient regarding IMMZ.D2.DT.HPV.Single dose.
condition:
  kind:
    v: applicability
  expression:
    description:
      v: Has Guidance
    language:
      v: text/cql-identifier
    expression:
      v: Has Guidance
definition: Canonical
  v: http://smart.who.int/immunizations/ActivityDefinition/IMMZD2DTCR
  l: IMMZD2DTCR
dynamic value:
  path:
    v: status
  expression:
    language:
      v: text/cql-expression
    expression:
      v: 'active'
dynamic value:
  path:
    v: payload.contentString
  expression:
    language:
      v: text/cql-identifier
    expression:
      v: Guidance
dynamic value:
  path:
    v: category.coding
  expression:
    description:
      v: Category of communication
    language:
      v: text/cql-expression
    expression:
      v: Code { system: 'http://terminology.hl7.org/CodeSystem/communication-category', code: 'alert' }
dynamic value:
  path:
    v: priority
  expression:
    description:
      v: Alert priority
    language:
      v: text/cql-expression
    expression:
      v: Code { system: 'http://hl7.org/fhir/request-priority', code: 'routine' }