IMMZD2DTHepatitisBDelayedStart
type: PlanDefinition
node role: treeRoot
id:
  v: IMMZD2DTHepatitisBDelayedStart
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: IMMZD2DTHepatitisBDelayedStart Url: IMMZ.D2.DT.Hepatitis B.Delayed start Version: 1.0.0 Title: IMMZ.D2.DT.Hepatitis B.Delayed start 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.Hepatitis B.Delayed start 3-dose schedule (no birth dose + 3 doses), delayed start Knowledge Capability: computable Related Artifacts: References WHO recommendations for routine immunization - summary tables (January 2025) Libraries: IMMZD2DTHepatitisBDelayedStartLogic Actions: Determine if the client is due for a hepatitis B vaccination according to the national immunization schedule: Determine if the client is due for a hepatitis B vaccination according to the national immunization schedule 3-dose schedule (no birth dose + 3 doses), delayed start If: Applicability: Client is due for hepatitis B vaccination (Client is due for hepatitis B vaccination) Then: Definition: IMMZD2DTMR Dynamic Values: status: ('draft') intent: ('proposal') medication: (Concept { codes: { Code { system: 'http://smart.who.int/immunizations/CodeSystem/IMMZ.Z', code: 'DE6', display: 'Hepatitis B-containing vaccines' } }, display: 'Hepatitis B-containing vaccines' }) Determine if the client is due for a hepatitis B vaccination according to the national immunization schedule: Determine if the client is due for a hepatitis B vaccination according to the national immunization schedule 3-dose schedule (no birth dose + 3 doses), delayed start If: Applicability: Client is due for a hepatitis B vaccination (Client is due for a hepatitis B vaccination) Then: Definition: IMMZD2DTMR Dynamic Values: status: ('draft') intent: ('proposal') medication: (Concept { codes: { Code { system: 'http://smart.who.int/immunizations/CodeSystem/IMMZ.Z', code: 'DE6', display: 'Hepatitis B-containing vaccines' } }, display: 'Hepatitis B-containing vaccines' }) Check for Guidance for the patient regarding IMMZ.D2.DT.Hep…
contained: Library
  id:
    v: effective-data-requirements
  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: 0
    url:
      v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
      l: cqf-logicDefinition
  extension:
    extension:
      url:
        v: libraryName
        l: libraryName
      value: String
        v: IMMZD2DTHepatitisBElements
    extension:
      url:
        v: name
        l: name
      value: String
        v: Hepatitis B Doses Administered to Patient
    extension:
      url:
        v: statement
        l: statement
      value: String
        v: /* @internal: Hepatitis B containing Doses Administered to Patient */ define "Hepatitis B Doses Administered to Patient": Elements."Doses Administered to Patient" I where I.vaccineCode in Concepts."Hepatitis B-containing vaccines"
    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: IMMZD2DTHepatitisBEncounterElements
    extension:
      url:
        v: name
        l: name
      value: String
        v: Hepatitis B Doses Administered to Patient
    extension:
      url:
        v: statement
        l: statement
      value: String
        v: /* @internal: Hepatitis B containing Doses Administered to Patient */ define "Hepatitis B Doses Administered to Patient": HepatitisBElements."Hepatitis B Doses Administered to Patient".onOrBefore(Today)
    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: IMMZD2DTHepatitisBEncounterElements
    extension:
      url:
        v: name
        l: name
      value: String
        v: Number of Hepatitis B Doses Administered
    extension:
      url:
        v: statement
        l: statement
      value: String
        v: /* @internal: Number of Hepatitis B Doses Administered */ define "Number of Hepatitis B Doses Administered": Count("Hepatitis B Doses Administered to Patient")
    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: IMMZD2DTHepatitisBEncounterElements
    extension:
      url:
        v: name
        l: name
      value: String
        v: No hepatitis B doses were administered
    extension:
      url:
        v: statement
        l: statement
      value: String
        v: /* @input: No hepatitis B doses were administered @pseudocode: Count of vaccines administered (where "Vaccine type" = "Hepatitis B-containing vaccines") = 0 @code: No hepatitis B doses were administered-93 @decision: IMMZ.D2.DT.Hepatitis B.Delayed start: 3-dose schedule (no birth dose + 3 doses), delayed start */ define "No hepatitis B doses were administered": "Number of Hepatitis B Doses Administered" = 0
    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
        v: IMMZEncounterElements
    extension:
      url:
        v: name
        l: name
      value: String
        v: Current Patient Age In Days
    extension:
      url:
        v: statement
        l: statement
      value: String
        v: /** * @dataElement Patient age in days */ define "Current Patient Age In Days": AgeInDaysAt(Today)
    extension:
      url:
        v: displaySequence
        l: displaySequence
      value: Integer
        v: 5
    url:
      v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
      l: cqf-logicDefinition
  extension:
    extension:
      url:
        v: libraryName
        l: libraryName
      value: String
        v: IMMZD2DTHepatitisBEncounterElements
    extension:
      url:
        v: name
        l: name
      value: String
        v: Client's age is more than {Member States defined lower limit}

url:
  v: statement
  l: statement
value: String
  v: /* @input: Client's age is more than {Member States defined lower limit} @pseudocode: Today's date − "Date of birth" > Member States defined lower limit @code: Client's age is more than {Member States defined lower limit}-66 @decision: IMMZ.D2.DT.Hepatitis B.Delayed start: 3-dose schedule (no birth dose + 3 doses), delayed start */ define "Client's age is more than {Member States defined lower limit}": Encounter."Current Patient Age In Days" >= HepBBirthDoseAgeLimitDays

url:
  v: displaySequence
  l: displaySequence
value: Integer
  v: 6

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTHepatitisBDelayedStartLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: Client is due for hepatitis B vaccination
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @output: Client is due for hepatitis B vaccination @pseudocode: "Immunization recommendation status" = "Due" */ define "Client is due for hepatitis B vaccination": Encounter."No hepatitis B doses were administered" and Encounter."Client's age is more than {Member States defined lower limit}"
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: IMMZD2DTHepatitisBDelayedStartLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: Client is due for hepatitis B vaccination Guidance
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @output: Client is due for hepatitis B vaccination Guidance @guidance: Should vaccinate client with first hepatitis B dose as hepatitis B birth dose was not administered. The first hepatitis B dose should be administered as soon as possible. Check for contraindications. */ define "Client is due for hepatitis B vaccination Guidance": 'Should vaccinate client with first hepatitis B dose as hepatitis B birth dose was not administered. The first hepatitis B dose should be administered as soon as possible. Check for contraindications.'
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: IMMZD2DTHepatitisBEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: One hepatitis B dose was administered
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @input: One hepatitis B dose was administered @pseudocode: Count of vaccines administered (where "Vaccine type" = "Hepatitis B-containing vaccines") = 1 @code: One hepatitis B dose was administered-93 @decision: IMMZ.D2.DT.Hepatitis B.Delayed start: 3-dose schedule (no birth dose + 3 doses), delayed start */ define "One hepatitis B dose was administered": "Number of Hepatitis B Doses Administered" = 1
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: IMMZD2DTHepatitisBEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: Date of Latest Hepatitis B Dose
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @internal: Date of Latest Hepatitis B Dose */ define "Date of Latest Hepatitis B Dose": date from start of "Hepatitis B Doses Administered to Patient".mostRecent().occurrence.toInterval()
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: IMMZD2DTHepatitisBEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: The latest hepatitis B dose was administered less than 4 weeks ago
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @input: The latest hepatitis B dose was administered less than 4 weeks ago @pseudocode: Today's date − latest "Date and time of vaccination" (where "Vaccine type" = "Hepatitis B-containing vaccines") < 4 weeks @code: The latest hepatitis B dose was administered less than 4 weeks ago-121 @decision: IMMZ.D2.DT.Hepatitis B.3 doses: 3-dose schedule (birth dose + 2 primary series doses), on-time start @decision: IMMZ.D2.DT.Hepatitis B.4 doses: 4-dose schedule (birth dose + 3 primary series doses), on-time start @decision: IMMZ.D2.DT.Hepatitis B.Delayed start: 3-dose schedule (no birth dose + 3 doses), delayed start */ define "The latest hepatitis B dose was administered less than 4 weeks ago": "Date of Latest Hepatitis B Dose" is not null and duration in weeks between "Date of Latest Hepatitis B Dose" and Today < 4
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: IMMZD2DTHepatitisBDelayedStartLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: Client is not due for a hepatitis B vaccination Case 1
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @output: Client is not due for a hepatitis B vaccination Case 1 @pseudocode: "Immunization recommendation status" = "Not due" */ define "Client is not due for a hepatitis B vaccination Case 1": Encounter."One hepatitis B dose was administered" and Encounter."The latest hepatitis B dose was administered less than 4 weeks ago"
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: IMMZD2DTHepatitisBEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: Two hepatitis B doses were administered
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @input: Two hepatitis B doses were administered @pseudocode: Count of vaccines administered (where "Vaccine type" = "Hepatitis B-containing vaccines") = 2 @code: Two hepatitis B doses were administered-93 @decision: IMMZ.D2.DT.Hepatitis B.Delayed start: 3-dose schedule (no birth dose + 3 doses), delayed start */ define "Two hepatitis B doses were administered": "Number of Hepatitis B Doses Administered" = 2
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: IMMZD2DTHepatitisBDelayedStartLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: Client is not due for a hepatitis B vaccination Case 2
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @output: Client is not due for a hepatitis B vaccination Case 2 @pseudocode: "Immunization recommendation status" = "Not due" */ define "Client is not due for a hepatitis B vaccination Case 2": Encounter."Two hepatitis B doses were administered" and Encounter."The latest hepatitis B dose was administered less than 4 weeks ago"
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: IMMZD2DTHepatitisBEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: The latest hepatitis B dose was administered more than 4 weeks ago
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @input: The latest hepatitis B dose was administered more than 4 weeks ago @pseudocode: Today's date − latest "Date and time of vaccination" (where "Vaccine type" = "Hepatitis B-containing vaccines") ≥ 4 weeks @code: The latest hepatitis B dose was administered more than 4 weeks ago-121 @decision: IMMZ.D2.DT.Hepatitis B.3 doses: 3-dose schedule (birth dose + 2 primary series doses), on-time start @decision: IMMZ.D2.DT.Hepatitis B.4 doses: 4-dose schedule (birth dose + 3 primary series doses), on-time start @decision: IMMZ.D2.DT.Hepatitis B.Delayed start: 3-dose schedule (no birth dose + 3 doses), delayed start */ define "The latest hepatitis B dose was administered more than 4 weeks ago": not("The latest hepatitis B dose was administered less than 4 weeks ago")
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: IMMZD2DTHepatitisBEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: Date of First Hepatitis B Dose
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @internal: Date of First Hepatitis B Dose */ define "Date of First Hepatitis B Dose": date from start of "Hepatitis B Doses Administered to Patient".earliest().occurrence.toInterval()
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: IMMZD2DTHepatitisBEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: The first hepatitis B dose was administered less than 6 months ago
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @input: The first hepatitis B dose was administered less than 6 months ago @pseudocode: Today's date − "Date and time of vaccination" (where "Vaccine type" = "Hepatitis B-containing vaccines" and "Dose number" = 1) < 6 months @code: The first hepatitis B dose was administered less than 6 months ago-137 @decision: IMMZ.D2.DT.Hepatitis B.Delayed start: 3-dose schedule (no birth dose + 3 doses), delayed start */ define "The first hepatitis B dose was administered less than 6 months ago": "Date of First Hepatitis B Dose" is not null and duration in months between "Date of First Hepatitis B Dose" and Today < 6
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: IMMZD2DTHepatitisBDelayedStartLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: Client is not due for a hepatitis B vaccination Case 3
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @output: Client is not due for a hepatitis B vaccination Case 3 @pseudocode: "Immunization recommendation status" = "Not due" */ define "Client is not due for a hepatitis B vaccination Case 3": Encounter."Two hepatitis B doses were administered" and Encounter."The latest hepatitis B dose was administered more than 4 weeks ago" and Encounter."The first hepatitis B dose was administered less than 6 months ago"
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: IMMZD2DTHepatitisBDelayedStartLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: Client is not due for a hepatitis B vaccination
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @output: Client is not due for a hepatitis B vaccination @pseudocode: "Immunization recommendation status" = "Not due" */ define "Client is not due for a hepatitis B vaccination": "Client is not due for a hepatitis B vaccination Case 1" or "Client is not due for a hepatitis B vaccination Case 2" or "Client is not due for a hepatitis B vaccination Case 3"
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: IMMZD2DTHepatitisBDelayedStartLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: Client is not due for a hepatitis B vaccination Guidance
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @output: Client is not due for a hepatitis B vaccination Guidance @guidance = Should not vaccinate client with second hepatitis B dose as the latest hepatitis B dose was administered less than 4 weeks ago. Check for any other vaccines due, and inform the caregiver of when to come back for the next dose. @guidance = Should not vaccinate client with second hepatitis B dose as the latest hepatitis B dose was administered less than 4 weeks ago. Two hepatitis B doses have been administered to the client. Check for any other vaccines due, and inform the caregiver of when to come back for the next dose. @guidance = Should not vaccinate client with third hepatitis B dose as the first hepatitis B dose was administered less than 6 months ago. Check for any other vaccines due, and inform the caregiver of when to come back for the next dose. */ define "Client is not due for a hepatitis B vaccination Guidance": case when "Client is not due for a hepatitis B vaccination Case 1" then 'Should not vaccinate client with second hepatitis B dose as the latest hepatitis B dose was administered less than 4 weeks ago. Check for any other vaccines due, and inform the caregiver of when to come back for the next dose.' when "Client is not due for a hepatitis B vaccination Case 2" then 'Should not vaccinate client with second hepatitis B dose as the latest hepatitis B dose was administered less than 4 weeks ago. Two hepatitis B doses have been administered to the client. Check for any other vaccines due, and inform the caregiver of when to come back for the next dose.' when "Client is not due for a hepatitis B vaccination Case 3" then 'Should not vaccinate client with third hepatitis B dose as the first hepatitis B dose was administered less than 6 months ago. Check for any other vaccines due, and inform the caregiver of when to come back for the next dose.' else '' end
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: IMMZD2DTHepatitisBDelayedStartLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: Client is due for a hepatitis B vaccination Case 1
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @output: Client is due for a hepatitis B vaccination Case 1 @pseudocode: "Immunization recommendation status" = "Due" */ define "Client is due for a hepatitis B vaccination Case 1": Encounter."One hepatitis B dose was administered" and Encounter."The latest hepatitis B dose was administered more than 4 weeks ago"
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: IMMZD2DTHepatitisBEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: The first hepatitis B dose was administered more than 6 months ago
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @input: The first hepatitis B dose was administered more than 6 months ago @pseudocode: Today's date − "Date and time of vaccination" (where "Vaccine type" = "Hepatitis B-containing vaccines" and "Dose number" = 1) ≥ 6 months @code: The first hepatitis B dose was administered more than 6 months ago-137 @decision: IMMZ.D2.DT.Hepatitis B.Delayed start: 3-dose schedule (no birth dose + 3 doses), delayed start */ define "The first hepatitis B dose was administered more than 6 months ago": not("The first hepatitis B dose was administered less than 6 months ago")
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: IMMZD2DTHepatitisBDelayedStartLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: Client is due for a hepatitis B vaccination Case 2
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @output: Client is due for a hepatitis B vaccination Case 2 @pseudocode: "Immunization recommendation status" = "Due" */ define "Client is due for a hepatitis B vaccination Case 2": Encounter."Two hepatitis B doses were administered" and Encounter."The latest hepatitis B dose was administered more than 4 weeks ago" and Encounter."The first hepatitis B dose was administered more than 6 months ago"
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: IMMZD2DTHepatitisBDelayedStartLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: Client is due for a hepatitis B vaccination
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @output: Client is due for a hepatitis B vaccination @pseudocode: "Immunization recommendation status" = "Due" */ define "Client is due for a hepatitis B vaccination": "Client is due for a hepatitis B vaccination Case 1" or "Client is due for a hepatitis B vaccination Case 2"
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: IMMZD2DTHepatitisBDelayedStartLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: Client is due for a hepatitis B vaccination Guidance
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @output: Client is due for a hepatitis B vaccination Guidance @guidance = Should vaccinate client with second hepatitis B dose as the latest hepatitis B dose was administered less than 4 weeks ago. Check for contraindications. @guidance = Should vaccinate client with third hepatitis B dose as the first hepatitis B dose was administered more than 6 months ago and the latest hepatitis B dose was administered more than 4 weeks ago. Check for contraindications. */ define "Client is due for a hepatitis B vaccination Guidance": case when "Client is due for a hepatitis B vaccination Case 1" then 'Should vaccinate client with second hepatitis B dose as the latest hepatitis B dose was administered less than 4 weeks ago. Check for contraindications.' when "Client is due for a hepatitis B vaccination Case 2" then 'Should vaccinate client with third hepatitis B dose as the first hepatitis B dose was administered more than 6 months ago and the latest hepatitis B dose was administered more than 4 weeks ago. Check for contraindications.' else '' end
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: IMMZD2DTHepatitisBEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: Three hepatitis B doses were administered
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @input: Three hepatitis B doses were administered @pseudocode: Count of vaccines administered (where "Vaccine type" = "Hepatitis B-containing vaccines") = 3 @code: Three hepatitis B doses were administered-93 @decision: IMMZ.D2.DT.Hepatitis B.Delayed start: 3-dose schedule (no birth dose + 3 doses), delayed start */ define "Three hepatitis B doses were administered": "Number of Hepatitis B Doses Administered" = 3
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: IMMZD2DTHepatitisBDelayedStartLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: Hepatitis B immunization schedule is complete
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @output: Hepatitis B immunization schedule is complete @pseudocode: '"Immunization recommendation status" = "Complete" "Completed the primary vaccination series" = TRUE (where "Vaccine type" = "Hepatitis B-containing vaccines") */ define "Hepatitis B immunization schedule is complete": Encounter."Three hepatitis B doses were administered"
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: IMMZD2DTHepatitisBDelayedStartLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: Hepatitis B immunization schedule is complete Guidance
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @output: Hepatitis B immunization schedule is complete Guidance @guidance: Hepatitis B immunization schedule is complete. Three hepatitis B primary series doses were administered. Check for any other vaccines due. */ define "Hepatitis B immunization schedule is complete Guidance": 'Hepatitis B immunization schedule is complete. Three hepatitis B primary series doses were administered. Check for any other vaccines due.'
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: IMMZD2DTHepatitisBDelayedStartLogic
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 due for hepatitis B vaccination" then "Client is due for hepatitis B vaccination Guidance" when "Client is not due for a hepatitis B vaccination" then "Client is not due for a hepatitis B vaccination Guidance" when "Client is due for a hepatitis B vaccination" then "Client is due for a hepatitis B vaccination Guidance" when "Hepatitis B immunization schedule is complete" then "Hepatitis B immunization schedule is complete Guidance" else '' end
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: IMMZD2DTHepatitisBDelayedStartLogic
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: 30
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: onOrBefore
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /** * @description: Gets immunizations on or before a date */ define fluent function onOrBefore(immunizations List<Immunization>, beforeDate Date): immunizations I where I.occurrence.toInterval() same day or before beforeDate
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: 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: 32
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: 33
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: 34
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: 35
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: 36
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: 37
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: 38
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: 39
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: 40
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: 41
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: 42
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: 43
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: earliest
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define fluent function earliest(immunizations List<Immunization>): First( immunizations I sort by start of occurrence.toInterval() )
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 44
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/IMMZD2DTHepatitisBEncounterElements
  l: IMMZD2DTHepatitisBEncounterElements

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 WC
resource:
  v: http://smart.who.int/immunizations/Library/WHOCommon
  l: WHOCommon

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 HepatitisBElements
resource:
  v: http://smart.who.int/immunizations/Library/IMMZD2DTHepatitisBElements
  l: IMMZD2DTHepatitisBElements

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 Concepts
resource:
  v: http://smart.who.int/immunizations/Library/IMMZConcepts
  l: IMMZConcepts

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: Value set Hepatitis B-containing vaccines
resource:
  v: http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE6
  l: IMMZ.Z.DE6

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

name:
  v: HepBBirthDoseAgeLimitDays
use:
  v: in
min:
  v: 0
max:
  v: 1
type:
  v: integer

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

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

name:
  v: Client is due for a hepatitis B 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: 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

type:
  v: Immunization
profile:
  v: http://hl7.org/fhir/StructureDefinition/Immunization
  l: Immunization
must support:
  v: status
must support:
  v: isSubpotent
must support:
  v: vaccineCode
must support:
  v: occurrence
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.DE6
    l: IMMZ.Z.DE6

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: IMMZD2DTHepatitisBDelayedStart

v: IMMZ.D2.DT.Hepatitis B.Delayed start

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.Hepatitis B.Delayed start 3-dose schedule (no birth dose + 3 doses), delayed start

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: If delayed or interrupted scheduling of vaccination for children, adolescents and adults, 3 doses are recommended, with the second dose administered at least 1 month after the first, and the third dose 6 months after the first dose. If the vaccination schedule is interrupted, it is not necessary to restart the vaccine series.
title:
  v: Determine if the client is due for a hepatitis B vaccination according to the national immunization schedule
description:
  v: Determine if the client is due for a hepatitis B vaccination according to the national immunization schedule 3-dose schedule (no birth dose + 3 doses), delayed start
condition:
  kind:
    v: applicability
  expression:
    description:
      v: Client is due for hepatitis B vaccination
    language:
      v: text/cql-identifier
    expression:
      v: Client is due for hepatitis B 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: 'DE6', display: 'Hepatitis B-containing vaccines' } }, display: 'Hepatitis B-containing vaccines' }

extension:
  url:
    v: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-rationale
    l: cpg-rationale
  value: Markdown
    v: If delayed or interrupted scheduling of vaccination for children, adolescents and adults, 3 doses are recommended, with the second dose administered at least 1 month after the first, and the third dose 6 months after the first dose. If the vaccination schedule is interrupted, it is not necessary to restart the vaccine series.
title:
  v: Determine if the client is due for a hepatitis B vaccination according to the national immunization schedule
description:
  v: Determine if the client is due for a hepatitis B vaccination according to the national immunization schedule 3-dose schedule (no birth dose + 3 doses), delayed start
condition:
  kind:
    v: applicability
  expression:
    description:
      v: Client is due for a hepatitis B vaccination
    language:
      v: text/cql-identifier
    expression:
      v: Client is due for a hepatitis B 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: 'DE6', display: 'Hepatitis B-containing vaccines' } }, display: 'Hepatitis B-containing vaccines' }

title:
  v: Check for Guidance for the patient regarding IMMZ.D2.DT.Hepatitis B.Delayed start.
description:
  v: Show Guidance for the patient regarding IMMZ.D2.DT.Hepatitis B.Delayed start.
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' }