<?xml version="1.0" encoding="UTF-8"?>

<PlanDefinition xmlns="http://hl7.org/fhir">
  <id value="IMMZD2DTMeningococcalQuadrivalentConjugateVaccines2Doses"/>
  <meta>
    <profile value="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-recommendationdefinition"/>
    <profile value="http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareableplandefinition"/>
    <profile value="http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-publishableplandefinition"/>
  </meta>
  <text>
    <status value="extensions"/><div xmlns="http://www.w3.org/1999/xhtml">
<div>
    <table class="grid dict">
        
        <tr>
            <th scope="row"><b>Id: </b></th>
            <td style="padding-left: 4px;">IMMZD2DTMeningococcalQuadrivalentConjugateVaccines2Doses</td>
        </tr>
        

        
        <tr>
            <th scope="row"><b>Url: </b></th>
            <td style="padding-left: 4px;"><a href="PlanDefinition-IMMZD2DTMeningococcalQuadrivalentConjugateVaccines2Doses.html">IMMZ.D2.DT.Meningococcal.Quadrivalent conjugate vaccines 2 doses</a></td>
        </tr>
        

        
        <tr>
            <th scope="row"><b>Version: </b></th>
            <td style="padding-left: 4px;">1.0.0</td>
        </tr>
        

        

        
        <tr>
            <th scope="row"><b>Title: </b></th>
            <td style="padding-left: 4px;">IMMZ.D2.DT.Meningococcal.Quadrivalent conjugate vaccines 2 doses</td>
        </tr>
        

        

        
        <tr>
            <th scope="row"><b>Status: </b></th>
            <td style="padding-left: 4px;">draft</td>
        </tr>
        

        

        
        <tr>
            <th scope="row"><b>Type: </b></th>
            <td style="padding-left: 4px;">
                
                    
                        
                        <p style="margin-bottom: 5px;">
                            <b>system: </b> <span><a href="http://terminology.hl7.org/7.1.0/CodeSystem-plan-definition-type.html">http://terminology.hl7.org/CodeSystem/plan-definition-type</a></span>
                        </p>
                        
                        
                        <p style="margin-bottom: 5px;">
                            <b>code: </b> <span>eca-rule</span>
                        </p>
                        
                        
                    
                
                
            </td>
        </tr>
        

        

        
        <tr>
            <th scope="row"><b>Date: </b></th>
            <td style="padding-left: 4px;">2026-03-31 13:54:17+0000</td>
        </tr>
        

        
        <tr>
            <th scope="row"><b>Publisher: </b></th>
            <td style="padding-left: 4px;">WHO</td>
        </tr>
        

        
        <tr>
            <th scope="row"><b>Description: </b></th>
            <td style="padding-left: 4px;"><div><p>IMMZ.D2.DT.Meningococcal.Quadrivalent conjugate vaccines 2 doses
Quadrivalent conjugate vaccines (A,C,W135,Y-D), 2-dose schedule</p>
</div></td>
        </tr>
        

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

        

        

        

        

        

        

        

        

        

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

        
        <tr>
            <th scope="row"><b>Libraries: </b></th>
            <td style="padding-left: 4px;">
                <table class="grid-dict">
                    
                    <tr>
                        <td><a href="Library-IMMZD2DTMeningococcalQuadrivalentConjugateVaccines2DosesLogic.html">IMMZD2DTMeningococcalQuadrivalentConjugateVaccines2DosesLogic</a></td>
                    </tr>
                    
                </table>
            </td>
        </tr>
        

        
        <tr>
            <th scope="row"><b>Actions: </b></th>
            <td style="padding-left: 4px;">
                <table class="grid-dict">
                    
                    <tr>
                        <td>
                            
                            <b> Determine if the client is due for Meningococcal.:</b> Determine if the client is due for Meningococcal vaccine according to the national immunization protocol.
Quadrivalent conjugate vaccines (A,C,W135,Y-D), 2-dose schedule
                            
                            <br/>
                            
                            
                            <b>If:</b>
                            
                            <i>Applicability:</i>
                            
                            Client is due for meningococcal vaccination
                            
                            <i>(Client is due for meningococcal vaccination)</i>
                            <br/>
                            
                            
                            
                            
                            <b>Then:</b> <i>Definition:</i> <a href="ActivityDefinition-IMMZD2DTMR.html">IMMZD2DTMR</a><br/>
                            
                            <i>Dynamic Values:</i><br/>
                            
                            status: <i>('draft')</i>
                            <br/>
                            
                            intent: <i>('proposal')</i>
                            <br/>
                            
                            medication: <i>(Concept { codes: { Code { system: 'http://smart.who.int/immunizations/CodeSystem/IMMZ.Z', code: 'DE10', display: 'Meningococcal vaccines' } }, display: 'Meningococcal vaccines' })</i>
                            <br/>
                            
                            
                            
                            
                        </td>
                    </tr>
                    
                    <tr>
                        <td>
                            
                            <b> Check for Guidance for the patient regarding IMMZ.D2.DT.Meningococcal.Quadrivalent conjugate vaccines 2 doses.:</b> Show Guidance for the patient regarding IMMZ.D2.DT.Meningococcal.Quadrivalent conjugate vaccines 2 doses.
                            
                            <br/>
                            
                            
                            <b>If:</b>
                            
                            <i>Applicability:</i>
                            
                            Has Guidance
                            
                            <i>(Has Guidance)</i>
                            <br/>
                            
                            
                            
                            
                            <b>Then:</b> <i>Definition:</i> <a href="ActivityDefinition-IMMZD2DTCR.html">IMMZ.D2.DT.CR</a><br/>
                            
                            <i>Dynamic Values:</i><br/>
                            
                            status: <i>('active')</i>
                            <br/>
                            
                            payload.contentString: <i>(Guidance)</i>
                            <br/>
                            
                            category.coding: <i>(Code { system: 'http://terminology.hl7.org/CodeSystem/communication-category', code: 'alert' })</i>
                            <br/>
                            
                            priority: <i>(Code { system: 'http://hl7.org/fhir/request-priority', code: 'routine' })</i>
                            <br/>
                            
                            
                            
                            
                        </td>
                    </tr>
                    
                </table>
            </td>
        </tr>
        
    </table>
</div>
</div>
  </text>
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        <extension url="libraryName">
          <valueString value="IMMZEncounterElements"/>
        </extension>
        <extension url="name">
          <valueString value="Current Patient Age In Months"/>
        </extension>
        <extension url="statement">
          <valueString value="/** &#xA; * @dataElement Patient age in months&#xA; */&#xA;define &quot;Current Patient Age In Months&quot;:&#xA;  AgeInMonthsAt(Today)"/>
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          <valueString value="IMMZD2DTMeningococcalEncounterElements"/>
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          <valueString value="/*&#xA;@input: Client's age is less than 9 months&#xA;@pseudocode: Today's date − &quot;Date of birth&quot; &lt; 9 months&#xA;@code: Client's age is less than 9 months-41&#xA;@decision: IMMZ.D2.DT.Meningococcal.MenA conjugate vaccine 1 dose: MenA conjugate vaccine, 1-dose schedule&#xA;@decision: IMMZ.D2.DT.Meningococcal.Quadrivalent conjugate vaccines 2 doses: Quadrivalent conjugate vaccines (A,C,W135,Y-D), 2-dose schedule&#xA;*/&#xA;define &quot;Client's age is less than 9 months&quot;:&#xA;  Encounter.&quot;Current Patient Age In Months&quot; &lt; 9"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="1"/>
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          <valueString value="/*&#xA;@output: Client is not due for meningococcal vaccination Case 1&#xA;@pseudocode: &quot;Immunization recommendation status&quot; = &quot;Not due&quot;&#xA;*/&#xA;define &quot;Client is not due for meningococcal vaccination Case 1&quot;:&#xA;  Encounter.&quot;Client's age is less than 9 months&quot;"/>
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          <valueString value="IMMZD2DTMeningococcalEncounterElements"/>
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          <valueInteger value="5"/>
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          <valueString value="IMMZD2DTMeningococcalEncounterElements"/>
        </extension>
        <extension url="name">
          <valueString value="Meningococcal Primary Series Doses Administered to Patient"/>
        </extension>
        <extension url="statement">
          <valueString value="/*&#xA;@internal: Meningococcal containing Doses Administered to Patient that are in the Primary series&#xA;*/&#xA;define &quot;Meningococcal Primary Series Doses Administered to Patient&quot;:&#xA;  &quot;Meningococcal Doses Administered to Patient&quot;.seriesPrimary()"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="6"/>
        </extension>
      </extension>
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        <extension url="libraryName">
          <valueString value="IMMZD2DTMeningococcalEncounterElements"/>
        </extension>
        <extension url="name">
          <valueString value="Number of Meningococcal Primary Series Doses Administered"/>
        </extension>
        <extension url="statement">
          <valueString value="/*&#xA;@internal: Number of Meningococcal Primary Series doses&#xA;*/&#xA;define &quot;Number of Meningococcal Primary Series Doses Administered&quot;:&#xA;  Count(&quot;Meningococcal Primary Series Doses Administered to Patient&quot;)"/>
        </extension>
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          <valueInteger value="7"/>
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        <extension url="libraryName">
          <valueString value="IMMZD2DTMeningococcalEncounterElements"/>
        </extension>
        <extension url="name">
          <valueString value="One meningococcal primary series dose was administered"/>
        </extension>
        <extension url="statement">
          <valueString value="/*&#xA;@input: One meningococcal primary series dose was administered&#xA;@pseudocode: Count of vaccines administered (where &quot;Vaccine type&quot; = &quot;Meningococcal vaccines&quot; and &quot;Type of dose&quot; = &quot;Primary series&quot;) = 1&#xA;@code: One meningococcal primary series dose was administered-122&#xA;@decision: IMMZ.D2.DT.Meningococcal.MenA conjugate vaccine 1 dose: MenA conjugate vaccine, 1-dose schedule&#xA;@decision: IMMZ.D2.DT.Meningococcal.MenA conjugate vaccine 2 doses: MenA conjugate vaccine, 2-dose schedule (specific context where there is a compelling reason to vaccinate infants aged under 9 months)&#xA;@decision: IMMZ.D2.DT.Meningococcal.Monovalent MenC conjugate vaccine: Monovalent MenC conjugate vaccine schedule&#xA;@decision: IMMZ.D2.DT.Meningococcal.Quadrivalent conjugate vaccines 1 dose: Quadrivalent conjugate vaccines (A,C,W135,Y-CRM), 1-dose schedule&#xA;@decision: IMMZ.D2.DT.Meningococcal.Quadrivalent conjugate vaccines 2 doses: Quadrivalent conjugate vaccines (A,C,W135,Y-D), 2-dose schedule&#xA;@decision: IMMZ.D2.DT.Meningococcal.Polysaccharide vaccines: Polysaccharide vaccines schedule&#xA;(Polysaccharide vaccines can be used to control outbreaks in countries where limited economic resources or insufficient supply restrict the use of meningococcal conjugate vaccines)&#xA;*/&#xA;define &quot;One meningococcal primary series dose was administered&quot;:&#xA;  &quot;Number of Meningococcal Primary Series Doses Administered&quot; = 1"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="8"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZD2DTMeningococcalEncounterElements"/>
        </extension>
        <extension url="name">
          <valueString value="Date of First Primary Series Meningococcal Dose"/>
        </extension>
        <extension url="statement">
          <valueString value="/*&#xA;@internal: Date of First Primary Series Meningococcal Dose&#xA;*/&#xA;define &quot;Date of First Primary Series Meningococcal Dose&quot;:&#xA;  date from start of &quot;Meningococcal Primary Series Doses Administered to Patient&quot;.earliest().occurrence.toInterval()"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="9"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZD2DTMeningococcalEncounterElements"/>
        </extension>
        <extension url="name">
          <valueString value="Client's age was less than or equal to 23 months when the primary series was started"/>
        </extension>
        <extension url="statement">
          <valueString value="/*&#xA;@input: Client's age was less than or equal to 23 months when the primary series was started&#xA;@pseudocode: &quot;Date and time of vaccination&quot; (where &quot;Vaccine type&quot; = &quot;Meningococcal vaccines&quot;) - &quot;Date of birth&quot; ≤ 23 months&#xA;@code: Client's age was less than or equal to 23 months when the primary series was started-110&#xA;@decision: IMMZ.D2.DT.Meningococcal.Quadrivalent conjugate vaccines 2 doses: Quadrivalent conjugate vaccines (A,C,W135,Y-D), 2-dose schedule&#xA;*/&#xA;define &quot;Client's age was less than or equal to 23 months when the primary series was started&quot;:&#xA;  AgeInMonthsAt(&quot;Date of First Primary Series Meningococcal Dose&quot;) &lt;= 23"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="10"/>
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      </extension>
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        <extension url="libraryName">
          <valueString value="IMMZD2DTMeningococcalEncounterElements"/>
        </extension>
        <extension url="name">
          <valueString value="Date of Latest Primary Meningococcal Dose"/>
        </extension>
        <extension url="statement">
          <valueString value="/*&#xA;@internal: Date of Latest Primary Meningococcal Dose&#xA;*/&#xA;define &quot;Date of Latest Primary Meningococcal Dose&quot;:&#xA;  date from start of &quot;Meningococcal Primary Series Doses Administered to Patient&quot;.mostRecent().occurrence.toInterval()"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="11"/>
        </extension>
      </extension>
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        <extension url="libraryName">
          <valueString value="IMMZD2DTMeningococcalEncounterElements"/>
        </extension>
        <extension url="name">
          <valueString value="The latest meningococcal dose was administered less than 3 months ago"/>
        </extension>
        <extension url="statement">
          <valueString value="/*&#xA;@input: The latest meningococcal dose was administered less than 3 months ago&#xA;@pseudocode: Today's date − &quot;Date and time of vaccination&quot; (where &quot;Vaccine type&quot; = &quot;Meningococcal vaccines&quot;) &lt; 3 months&#xA;@code: The latest meningococcal dose was administered less than 3 months ago-106&#xA;@decision: IMMZ.D2.DT.Meningococcal.Quadrivalent conjugate vaccines 2 doses: Quadrivalent conjugate vaccines (A,C,W135,Y-D), 2-dose schedule&#xA;*/&#xA;define &quot;The latest meningococcal dose was administered less than 3 months ago&quot;:&#xA;  &quot;Date of Latest Primary Meningococcal Dose&quot; is not null&#xA;  and duration in months between &quot;Date of Latest Primary Meningococcal Dose&quot; and Today &lt; 3"/>
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        </extension>
        <extension url="name">
          <valueString value="Client is not due for meningococcal vaccination Case 2"/>
        </extension>
        <extension url="statement">
          <valueString value="/*&#xA;@output: Client is not due for meningococcal vaccination Case 2&#xA;@pseudocode: &quot;Immunization recommendation status&quot; = &quot;Not due&quot;&#xA;*/&#xA;define &quot;Client is not due for meningococcal vaccination Case 2&quot;:&#xA;  Encounter.&quot;One meningococcal primary series dose was administered&quot;&#xA;    and Encounter.&quot;Client's age was less than or equal to 23 months when the primary series was started&quot;&#xA;    and Encounter.&quot;The latest meningococcal dose was administered less than 3 months ago&quot;"/>
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        <extension url="libraryName">
          <valueString value="IMMZD2DTMeningococcalQuadrivalentConjugateVaccines2DosesLogic"/>
        </extension>
        <extension url="name">
          <valueString value="Client is not due for meningococcal vaccination Guidance"/>
        </extension>
        <extension url="statement">
          <valueString value="/*&#xA;@output: Client is not due for meningococcal vaccination Guidance&#xA;@guidance = Should not vaccinate client with first meningococcal dose as client's age is less than 9 months. &#xA;Check for any vaccines due and inform the caregiver of when to come back for the first dose.&#xA;@guidance = Should not vaccinate client with second meningococcal dose as the latest meningococcal dose was administered less than 3 months ago. &#xA;Check for any other vaccines due and inform the caregiver of when to come back for the second dose.&#xA;*/&#xA;define &quot;Client is not due for meningococcal vaccination Guidance&quot;:&#xA;  case&#xA;    when &quot;Client is not due for meningococcal vaccination Case 1&quot; then 'Should not vaccinate client with first meningococcal dose as client\'s age is less than 9 months. &#xA;Check for any vaccines due and inform the caregiver of when to come back for the first dose.'&#xA;    when &quot;Client is not due for meningococcal vaccination Case 2&quot; then 'Should not vaccinate client with second meningococcal dose as the latest meningococcal dose was administered less than 3 months ago. &#xA;Check for any other vaccines due and inform the caregiver of when to come back for the second dose.'&#xA;    else ''&#xA;  end"/>
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        <extension url="name">
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        <extension url="statement">
          <valueString value="/*&#xA;@input: No meningococcal primary series dose was administered&#xA;@pseudocode: Count of vaccines administered (where &quot;Vaccine type&quot; = &quot;Meningococcal vaccines&quot; and &quot;Type of dose&quot; = &quot;Primary series&quot;) = 0&#xA;@code: No meningococcal primary series dose was administered-122&#xA;@decision: IMMZ.D2.DT.Meningococcal.MenA conjugate vaccine 1 dose: MenA conjugate vaccine, 1-dose schedule&#xA;@decision: IMMZ.D2.DT.Meningococcal.MenA conjugate vaccine 2 doses: MenA conjugate vaccine, 2-dose schedule (specific context where there is a compelling reason to vaccinate infants aged under 9 months)&#xA;@decision: IMMZ.D2.DT.Meningococcal.Monovalent MenC conjugate vaccine: Monovalent MenC conjugate vaccine schedule&#xA;@decision: IMMZ.D2.DT.Meningococcal.Quadrivalent conjugate vaccines 1 dose: Quadrivalent conjugate vaccines (A,C,W135,Y-CRM), 1-dose schedule&#xA;@decision: IMMZ.D2.DT.Meningococcal.Quadrivalent conjugate vaccines 2 doses: Quadrivalent conjugate vaccines (A,C,W135,Y-D), 2-dose schedule&#xA;@decision: IMMZ.D2.DT.Meningococcal.Polysaccharide vaccines: Polysaccharide vaccines schedule&#xA;(Polysaccharide vaccines can be used to control outbreaks in countries where limited economic resources or insufficient supply restrict the use of meningococcal conjugate vaccines)&#xA;*/&#xA;define &quot;No meningococcal primary series dose was administered&quot;:&#xA;  &quot;Number of Meningococcal Primary Series Doses Administered&quot; = 0"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="16"/>
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          <valueString value="IMMZD2DTMeningococcalEncounterElements"/>
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        <extension url="name">
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        </extension>
        <extension url="statement">
          <valueString value="/*&#xA;@input: Client's age is more than 9 months&#xA;@pseudocode: Today's date − &quot;Date of birth&quot; ≥ 9 months&#xA;@code: Client's age is more than 9 months-41&#xA;@decision: IMMZ.D2.DT.Meningococcal.MenA conjugate vaccine 1 dose: MenA conjugate vaccine, 1-dose schedule&#xA;*/&#xA;define &quot;Client's age is more than 9 months&quot;:&#xA;  Encounter.&quot;Current Patient Age In Months&quot; &gt;= 9"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="17"/>
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      <extension url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZD2DTMeningococcalEncounterElements"/>
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        <extension url="name">
          <valueString value="Client's age is more than or equal to 9 months"/>
        </extension>
        <extension url="statement">
          <valueString value="/*&#xA;@input: Client's age is more than or equal to 9 months&#xA;@pseudocode: Today's date − &quot;Date of birth&quot; ≥ 9 months&#xA;@code: Client's age is more than or equal to 9 months-41&#xA;@decision: IMMZ.D2.DT.Meningococcal.Quadrivalent conjugate vaccines 2 doses: Quadrivalent conjugate vaccines (A,C,W135,Y-D), 2-dose schedule&#xA;*/&#xA;define &quot;Client's age is more than or equal to 9 months&quot;:&#xA;  &quot;Client's age is more than 9 months&quot;"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="18"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZD2DTMeningococcalQuadrivalentConjugateVaccines2DosesLogic"/>
        </extension>
        <extension url="name">
          <valueString value="Client is due for meningococcal vaccination Case 1"/>
        </extension>
        <extension url="statement">
          <valueString value="/*&#xA;@output: Client is due for meningococcal vaccination Case 1&#xA;@pseudocode: &quot;Immunization recommendation status&quot; = &quot;Due&quot;&#xA;*/&#xA;define &quot;Client is due for meningococcal vaccination Case 1&quot;:&#xA;  Encounter.&quot;No meningococcal primary series dose was administered&quot;&#xA;    and Encounter.&quot;Client's age is more than or equal to 9 months&quot;"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="19"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZD2DTMeningococcalEncounterElements"/>
        </extension>
        <extension url="name">
          <valueString value="The latest meningococcal dose was administered more than 3 months ago"/>
        </extension>
        <extension url="statement">
          <valueString value="/*&#xA;@input: The latest meningococcal dose was administered more than 3 months ago&#xA;@pseudocode: Today's date − &quot;Date and time of vaccination&quot; (where &quot;Vaccine type&quot; = &quot;Meningococcal vaccines&quot;) ≥ 3 months&#xA;@code: The latest meningococcal dose was administered more than 3 months ago-106&#xA;@decision: IMMZ.D2.DT.Meningococcal.Quadrivalent conjugate vaccines 2 doses: Quadrivalent conjugate vaccines (A,C,W135,Y-D), 2-dose schedule&#xA;*/&#xA;define &quot;The latest meningococcal dose was administered more than 3 months ago&quot;:&#xA;  not &quot;The latest meningococcal dose was administered less than 3 months ago&quot;"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="20"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZD2DTMeningococcalQuadrivalentConjugateVaccines2DosesLogic"/>
        </extension>
        <extension url="name">
          <valueString value="Client is due for meningococcal vaccination Case 2"/>
        </extension>
        <extension url="statement">
          <valueString value="/*&#xA;@output: Client is due for meningococcal vaccination Case 2&#xA;@pseudocode: &quot;Immunization recommendation status&quot; = &quot;Due&quot;&#xA;*/&#xA;define &quot;Client is due for meningococcal vaccination Case 2&quot;:&#xA;  Encounter.&quot;One meningococcal primary series dose was administered&quot;&#xA;    and Encounter.&quot;Client's age was less than or equal to 23 months when the primary series was started&quot;&#xA;    and Encounter.&quot;The latest meningococcal dose was administered more than 3 months ago&quot;"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="21"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZD2DTMeningococcalQuadrivalentConjugateVaccines2DosesLogic"/>
        </extension>
        <extension url="name">
          <valueString value="Client is due for meningococcal vaccination"/>
        </extension>
        <extension url="statement">
          <valueString value="/*&#xA;@output: Client is due for meningococcal vaccination&#xA;@pseudocode: &quot;Immunization recommendation status&quot; = &quot;Due&quot;&#xA;*/&#xA;define &quot;Client is due for meningococcal vaccination&quot;:&#xA;  &quot;Client is due for meningococcal vaccination Case 1&quot;&#xA;    or &quot;Client is due for meningococcal vaccination Case 2&quot;"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="22"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZD2DTMeningococcalQuadrivalentConjugateVaccines2DosesLogic"/>
        </extension>
        <extension url="name">
          <valueString value="Client is due for meningococcal vaccination Guidance"/>
        </extension>
        <extension url="statement">
          <valueString value="/*&#xA;@output: Client is due for meningococcal vaccination Guidance&#xA;@guidance = Should vaccinate client with first meningococcal dose as no meningococcal doses were administered and client is within appropriate age range.&#xA;Check for contraindications.&#xA;@guidance = Should vaccinate client with second meningococcal dose as client's age was less than 23 months when the primary series was started and the latest meningococcal dose was administered more than 3 months ago. &#xA;Check for contraindications.&#xA;*/&#xA;define &quot;Client is due for meningococcal vaccination Guidance&quot;:&#xA;  case&#xA;    when &quot;Client is due for meningococcal vaccination Case 1&quot; then 'Should vaccinate client with first meningococcal dose as no meningococcal doses were administered and client is within appropriate age range.&#xA;Check for contraindications.'&#xA;    when &quot;Client is due for meningococcal vaccination Case 2&quot; then 'Should vaccinate client with second meningococcal dose as client\'s age was less than 23 months when the primary series was started and the latest meningococcal dose was administered more than 3 months ago. &#xA;Check for contraindications.'&#xA;    else ''&#xA;  end"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="23"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZD2DTMeningococcalEncounterElements"/>
        </extension>
        <extension url="name">
          <valueString value="Client's age was more than 23 months when the primary series was started"/>
        </extension>
        <extension url="statement">
          <valueString value="/*&#xA;@input: Client's age was more than 23 months when the primary series was started&#xA;@pseudocode: &quot;Date and time of vaccination&quot; (where &quot;Vaccine type&quot; = &quot;Meningococcal vaccines&quot;) - &quot;Date of birth&quot; &gt; 23 months&#xA;@code: Client's age was more than 23 months when the primary series was started-110&#xA;@decision: IMMZ.D2.DT.Meningococcal.Quadrivalent conjugate vaccines 2 doses: Quadrivalent conjugate vaccines (A,C,W135,Y-D), 2-dose schedule&#xA;*/&#xA;define &quot;Client's age was more than 23 months when the primary series was started&quot;:&#xA;  AgeInMonthsAt(&quot;Date of First Primary Series Meningococcal Dose&quot;) &gt; 23"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="24"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZD2DTMeningococcalQuadrivalentConjugateVaccines2DosesLogic"/>
        </extension>
        <extension url="name">
          <valueString value="Meningococcal immunization schedule is complete Case 1"/>
        </extension>
        <extension url="statement">
          <valueString value="/*&#xA;@output: Meningococcal immunization schedule is complete Case 1&#xA;@pseudocode: &quot;Immunization recommendation status&quot; = &quot;Complete&quot;&#xA;&quot;Completed the primary vaccination series&quot; (where &quot;Vaccine type&quot; = &quot;Meningococcal vaccines&quot;) = TRUE&#xA;*/&#xA;define &quot;Meningococcal immunization schedule is complete Case 1&quot;:&#xA;  Encounter.&quot;One meningococcal primary series dose was administered&quot;&#xA;    and Encounter.&quot;Client's age was more than 23 months when the primary series was started&quot;"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="25"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZD2DTMeningococcalEncounterElements"/>
        </extension>
        <extension url="name">
          <valueString value="Two meningococcal primary series doses were administered"/>
        </extension>
        <extension url="statement">
          <valueString value="/*&#xA;@input: Two meningococcal primary series doses were administered&#xA;@pseudocode: Count of vaccines administered (where &quot;Vaccine type&quot; = &quot;Meningococcal vaccines&quot; and &quot;Type of dose&quot; = &quot;Primary series&quot;) = 2&#xA;@code: Two meningococcal primary series doses were administered-122&#xA;@decision: IMMZ.D2.DT.Meningococcal.MenA conjugate vaccine 2 doses: MenA conjugate vaccine, 2-dose schedule (specific context where there is a compelling reason to vaccinate infants aged under 9 months)&#xA;@decision: IMMZ.D2.DT.Meningococcal.Monovalent MenC conjugate vaccine: Monovalent MenC conjugate vaccine schedule&#xA;@decision: IMMZ.D2.DT.Meningococcal.Quadrivalent conjugate vaccines 2 doses: Quadrivalent conjugate vaccines (A,C,W135,Y-D), 2-dose schedule&#xA;*/&#xA;define &quot;Two meningococcal primary series doses were administered&quot;:&#xA;  &quot;Number of Meningococcal Primary Series Doses Administered&quot; = 2"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="26"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZD2DTMeningococcalQuadrivalentConjugateVaccines2DosesLogic"/>
        </extension>
        <extension url="name">
          <valueString value="Meningococcal immunization schedule is complete Case 2"/>
        </extension>
        <extension url="statement">
          <valueString value="/*&#xA;@output: Meningococcal immunization schedule is complete Case 2&#xA;@pseudocode: &quot;Immunization recommendation status&quot; = &quot;Complete&quot;&#xA;&quot;Completed the primary vaccination series&quot; (where &quot;Vaccine type&quot; = &quot;Meningococcal vaccines&quot;) = TRUE&#xA;*/&#xA;define &quot;Meningococcal immunization schedule is complete Case 2&quot;:&#xA;  Encounter.&quot;Two meningococcal primary series doses were administered&quot;"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="27"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZD2DTMeningococcalQuadrivalentConjugateVaccines2DosesLogic"/>
        </extension>
        <extension url="name">
          <valueString value="Meningococcal immunization schedule is complete"/>
        </extension>
        <extension url="statement">
          <valueString value="/*&#xA;@output: Meningococcal immunization schedule is complete&#xA;@pseudocode: &quot;Immunization recommendation status&quot; = &quot;Complete&quot;&#xA;&quot;Completed the primary vaccination series&quot; (where &quot;Vaccine type&quot; = &quot;Meningococcal vaccines&quot;) = TRUE&#xA;*/&#xA;define &quot;Meningococcal immunization schedule is complete&quot;:&#xA;  &quot;Meningococcal immunization schedule is complete Case 1&quot;&#xA;    or &quot;Meningococcal immunization schedule is complete Case 2&quot;"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="28"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZD2DTMeningococcalQuadrivalentConjugateVaccines2DosesLogic"/>
        </extension>
        <extension url="name">
          <valueString value="Meningococcal immunization schedule is complete Guidance"/>
        </extension>
        <extension url="statement">
          <valueString value="/*&#xA;@output: Meningococcal immunization schedule is complete Guidance&#xA;@guidance = Meningococcal immunization schedule is complete as client's age was more than 23 months when primary series was started. One primary series dose was administered. &#xA;Check for any other vaccines due.&#xA;@guidance = Meningococcal immunization schedule is complete. Two primary series doses were administered. &#xA;Check for any other vaccines due.&#xA;*/&#xA;define &quot;Meningococcal immunization schedule is complete Guidance&quot;:&#xA;  case&#xA;    when &quot;Meningococcal immunization schedule is complete Case 1&quot; then 'Meningococcal immunization schedule is complete as client\'s age was more than 23 months when primary series was started. One primary series dose was administered. &#xA;Check for any other vaccines due.'&#xA;    when &quot;Meningococcal immunization schedule is complete Case 2&quot; then 'Meningococcal immunization schedule is complete. Two primary series doses were administered. &#xA;Check for any other vaccines due.'&#xA;    else ''&#xA;  end"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="29"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZD2DTMeningococcalQuadrivalentConjugateVaccines2DosesLogic"/>
        </extension>
        <extension url="name">
          <valueString value="Guidance"/>
        </extension>
        <extension url="statement">
          <valueString value="/*&#xA;@dynamicValue: Guidance&#xA;*/&#xA;define &quot;Guidance&quot;:&#xA;  case &#xA;    when &quot;Client is not due for meningococcal vaccination&quot; then &quot;Client is not due for meningococcal vaccination Guidance&quot;&#xA;    when &quot;Client is due for meningococcal vaccination&quot; then &quot;Client is due for meningococcal vaccination Guidance&quot;&#xA;    when &quot;Meningococcal immunization schedule is complete&quot; then &quot;Meningococcal immunization schedule is complete Guidance&quot; &#xA;    else ''&#xA;  end"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="30"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZD2DTMeningococcalQuadrivalentConjugateVaccines2DosesLogic"/>
        </extension>
        <extension url="name">
          <valueString value="Has Guidance"/>
        </extension>
        <extension url="statement">
          <valueString value="define &quot;Has Guidance&quot;:&#xA;  &quot;Guidance&quot; is not null and &quot;Guidance&quot; != ''"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="31"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZCommon"/>
        </extension>
        <extension url="name">
          <valueString value="seriesPrimary"/>
        </extension>
        <extension url="statement">
          <valueString value="/**&#xA; * @description: Gets the doses from the primary series&#xA; */&#xA;define fluent function seriesPrimary(immunizations List&lt;Immunization&gt;):&#xA;  immunizations I where&#xA;    exists( I.protocolApplied pa where pa.series = 'Primary series' )"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="32"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="FHIRHelpers"/>
        </extension>
        <extension url="name">
          <valueString value="ToString"/>
        </extension>
        <extension url="statement">
          <valueString value="define function ToString(value string): value.value"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="33"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="FHIRHelpers"/>
        </extension>
        <extension url="name">
          <valueString value="ToString"/>
        </extension>
        <extension url="statement">
          <valueString value="define function ToString(value ImmunizationStatus): value.value"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="34"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="FHIRHelpers"/>
        </extension>
        <extension url="name">
          <valueString value="ToBoolean"/>
        </extension>
        <extension url="statement">
          <valueString value="define function ToBoolean(value boolean): value.value"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="35"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="WHOCommon"/>
        </extension>
        <extension url="name">
          <valueString value="toInterval"/>
        </extension>
        <extension url="statement">
          <valueString value="/*&#xA;From FHIRCommon 4.1.0:&#xA;*/&#xA;&#xA;/*&#xA;@description: Normalizes a value that is a choice of timing-valued types to an equivalent interval&#xA;@comment: Normalizes a choice type of FHIR.dateTime, FHIR.Period, FHIR.Timing, FHIR.instance, FHIR.string, FHIR.Age, or FHIR.Range types&#xA;to an equivalent interval. This selection of choice types is a superset of the majority of choice types that are used as possible&#xA;representations for timing-valued elements in FHIR, allowing this function to be used across any resource.&#xA;&#xA;The input can be provided as a dateTime, Period, Timing, instant, string, Age, or Range.&#xA;The intent of this function is to provide a clear and concise mechanism to treat single&#xA;elements that have multiple possible representations as intervals so that logic doesn't have to account&#xA;for the variability. More complex calculations (such as medication request period or dispense period&#xA;calculation) need specific guidance and consideration. That guidance may make use of this function, but&#xA;the focus of this function is on single element calculations where the semantics are unambiguous.&#xA;If the input is a dateTime, the result a DateTime Interval beginning and ending on that dateTime.&#xA;If the input is a Period, the result is a DateTime Interval.&#xA;If the input is a Timing, an error is raised indicating a single interval cannot be computed from a Timing.&#xA;If the input is an instant, the result is a DateTime Interval beginning and ending on that instant.&#xA;If the input is a string, an error is raised indicating a single interval cannot be computed from a string.&#xA;If the input is an Age, the result is a DateTime Interval beginning when the patient was the given Age,&#xA;and ending immediately prior to when the patient was the given Age plus one year.&#xA;If the input is a Range, the result is a DateTime Interval beginning when the patient was the Age given&#xA;by the low end of the Range, and ending immediately prior to when the patient was the Age given by the&#xA;high end of the Range plus one year.&#xA;&#xA;NOTE: Due to the&#xA;complexity of determining a single interval from a Timing or String type, this function will throw a run-time exception if it is used&#xA;with a Timing or String.&#xA;*/&#xA;define fluent function toInterval(choice Choice&lt;FHIR.dateTime, FHIR.Period, FHIR.Timing, FHIR.instant, FHIR.string, FHIR.Age, FHIR.Range&gt;):&#xA;  case&#xA;    when choice is FHIR.dateTime then&#xA;      Interval[FHIRHelpers.ToDateTime(choice as FHIR.dateTime), FHIRHelpers.ToDateTime(choice as FHIR.dateTime)]&#xA;    when choice is FHIR.Period then&#xA;      FHIRHelpers.ToInterval(choice as FHIR.Period)&#xA;    when choice is FHIR.instant then&#xA;      Interval[FHIRHelpers.ToDateTime(choice as FHIR.instant), FHIRHelpers.ToDateTime(choice as FHIR.instant)]&#xA;    when choice is FHIR.Age then&#xA;      Interval[FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity(choice as FHIR.Age),&#xA;        FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity(choice as FHIR.Age) + 1 year)&#xA;    when choice is FHIR.Range then&#xA;      Interval[FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity((choice as FHIR.Range).low),&#xA;        FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity((choice as FHIR.Range).high) + 1 year)&#xA;    when choice is FHIR.Timing then&#xA;      Message(null as Interval&lt;DateTime&gt;, true, 'NOT_IMPLEMENTED', 'Error', 'Calculation of an interval from a Timing value is not supported')&#xA;    when choice is FHIR.string then&#xA;      Message(null as Interval&lt;DateTime&gt;, true, 'NOT_IMPLEMENTED', 'Error', 'Calculation of an interval from a String value is not supported')&#xA;    else&#xA;      null as Interval&lt;DateTime&gt;&#xA;  end"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="36"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="FHIRHelpers"/>
        </extension>
        <extension url="name">
          <valueString value="ToDateTime"/>
        </extension>
        <extension url="statement">
          <valueString value="define function ToDateTime(value dateTime): value.value"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="37"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="FHIRHelpers"/>
        </extension>
        <extension url="name">
          <valueString value="ToInterval"/>
        </extension>
        <extension url="statement">
          <valueString value="define function ToInterval(period FHIR.Period):&#xA;    if period is null then&#xA;        null&#xA;    else&#xA;        if period.&quot;start&quot; is null then&#xA;            Interval(period.&quot;start&quot;.value, period.&quot;end&quot;.value]&#xA;        else&#xA;            Interval[period.&quot;start&quot;.value, period.&quot;end&quot;.value]"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="38"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="FHIRHelpers"/>
        </extension>
        <extension url="name">
          <valueString value="ToDateTime"/>
        </extension>
        <extension url="statement">
          <valueString value="define function ToDateTime(value instant): value.value"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="39"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="FHIRHelpers"/>
        </extension>
        <extension url="name">
          <valueString value="ToDate"/>
        </extension>
        <extension url="statement">
          <valueString value="define function ToDate(value date): value.value"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="40"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="FHIRHelpers"/>
        </extension>
        <extension url="name">
          <valueString value="ToQuantity"/>
        </extension>
        <extension url="statement">
          <valueString value="define function ToQuantity(quantity FHIR.Quantity):&#xA;    case&#xA;        when quantity is null then null&#xA;        when quantity.value is null then null&#xA;        when quantity.comparator is not null then&#xA;            Message(null, true, 'FHIRHelpers.ToQuantity.ComparatorQuantityNotSupported', 'Error', 'FHIR Quantity value has a comparator and cannot be converted to a System.Quantity value.')&#xA;        when quantity.system is null or quantity.system.value = 'http://unitsofmeasure.org'&#xA;              or quantity.system.value = 'http://hl7.org/fhirpath/CodeSystem/calendar-units' then&#xA;            System.Quantity { value: quantity.value.value, unit: ToCalendarUnit(Coalesce(quantity.code.value, quantity.unit.value, '1')) }&#xA;        else&#xA;            Message(null, true, 'FHIRHelpers.ToQuantity.InvalidFHIRQuantity', 'Error', 'Invalid FHIR Quantity code: ' &amp; quantity.unit.value &amp; ' (' &amp; quantity.system.value &amp; '|' &amp; quantity.code.value &amp; ')')&#xA;    end"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="41"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="FHIRHelpers"/>
        </extension>
        <extension url="name">
          <valueString value="ToCalendarUnit"/>
        </extension>
        <extension url="statement">
          <valueString value="define function ToCalendarUnit(unit System.String):&#xA;    case unit&#xA;        when 'ms' then 'millisecond'&#xA;        when 's' then 'second'&#xA;        when 'min' then 'minute'&#xA;        when 'h' then 'hour'&#xA;        when 'd' then 'day'&#xA;        when 'wk' then 'week'&#xA;        when 'mo' then 'month'&#xA;        when 'a' then 'year'&#xA;        else unit&#xA;    end"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="42"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="FHIRHelpers"/>
        </extension>
        <extension url="name">
          <valueString value="ToConcept"/>
        </extension>
        <extension url="statement">
          <valueString value="define function ToConcept(concept FHIR.CodeableConcept):&#xA;    if concept is null then&#xA;        null&#xA;    else&#xA;        System.Concept {&#xA;            codes: concept.coding C return ToCode(C),&#xA;            display: concept.text.value&#xA;        }"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="43"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="FHIRHelpers"/>
        </extension>
        <extension url="name">
          <valueString value="ToCode"/>
        </extension>
        <extension url="statement">
          <valueString value="define function ToCode(coding FHIR.Coding):&#xA;    if coding is null then&#xA;        null&#xA;    else&#xA;        System.Code {&#xA;          code: coding.code.value,&#xA;          system: coding.system.value,&#xA;          version: coding.version.value,&#xA;          display: coding.display.value&#xA;        }"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="44"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="WHOCommon"/>
        </extension>
        <extension url="name">
          <valueString value="earliest"/>
        </extension>
        <extension url="statement">
          <valueString value="define fluent function earliest(immunizations List&lt;Immunization&gt;):&#xA;  First(&#xA;    immunizations I&#xA;      sort by start of occurrence.toInterval()&#xA;  )"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="45"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="WHOCommon"/>
        </extension>
        <extension url="name">
          <valueString value="mostRecent"/>
        </extension>
        <extension url="statement">
          <valueString value="define fluent function mostRecent(immunizations List&lt;Immunization&gt;):&#xA;  Last(&#xA;    immunizations I&#xA;      sort by start of occurrence.toInterval()&#xA;  )"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="46"/>
        </extension>
      </extension>
      <name value="EffectiveDataRequirements"/>
      <status value="active"/>
      <type>
        <coding>
          <system value="http://terminology.hl7.org/CodeSystem/library-type"/>
          <code value="module-definition"/>
        </coding>
      </type>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="FHIR model information"/>
        <resource value="http://fhir.org/guides/cqf/common/Library/FHIR-ModelInfo|4.0.1"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Library Encounter"/>
        <resource value="http://smart.who.int/immunizations/Library/IMMZD2DTMeningococcalEncounterElements"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Library Encounter"/>
        <resource value="http://smart.who.int/immunizations/Library/IMMZEncounterElements"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Library Common"/>
        <resource value="http://smart.who.int/immunizations/Library/IMMZCommon"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Library FHIRHelpers"/>
        <resource value="http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Library Elements"/>
        <resource value="http://smart.who.int/immunizations/Library/IMMZElements"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Library WC"/>
        <resource value="http://smart.who.int/immunizations/Library/WHOCommon"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Library Concepts"/>
        <resource value="http://smart.who.int/immunizations/Library/IMMZConcepts"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Value set Meningococcal vaccines"/>
        <resource value="http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE10"/>
      </relatedArtifact>
      <parameter>
        <name value="Today"/>
        <use value="in"/>
        <min value="0"/>
        <max value="1"/>
        <type value="date"/>
      </parameter>
      <parameter>
        <name value="Guidance"/>
        <use value="out"/>
        <min value="0"/>
        <max value="1"/>
        <type value="string"/>
      </parameter>
      <parameter>
        <name value="Client is due for meningococcal vaccination"/>
        <use value="out"/>
        <min value="0"/>
        <max value="1"/>
        <type value="boolean"/>
      </parameter>
      <parameter>
        <name value="Has Guidance"/>
        <use value="out"/>
        <min value="0"/>
        <max value="1"/>
        <type value="boolean"/>
      </parameter>
      <dataRequirement>
        <type value="Patient"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Patient"/>
        <mustSupport value="birthDate"/>
      </dataRequirement>
      <dataRequirement>
        <type value="Immunization"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Immunization"/>
        <mustSupport value="status"/>
        <mustSupport value="isSubpotent"/>
        <mustSupport value="protocolApplied"/>
        <mustSupport value="occurrence"/>
        <codeFilter>
          <path value="status"/>
          <code>
            <code value="completed"/>
          </code>
        </codeFilter>
      </dataRequirement>
      <dataRequirement>
        <type value="Immunization"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Immunization"/>
        <mustSupport value="occurrence"/>
        <mustSupport value="protocolApplied"/>
      </dataRequirement>
      <dataRequirement>
        <type value="Immunization"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Immunization"/>
        <mustSupport value="status"/>
        <mustSupport value="isSubpotent"/>
        <mustSupport value="occurrence"/>
        <mustSupport value="vaccineCode"/>
        <mustSupport value="protocolApplied"/>
        <codeFilter>
          <path value="status"/>
          <code>
            <code value="completed"/>
          </code>
        </codeFilter>
        <codeFilter>
          <path value="vaccineCode"/>
          <valueSet value="http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE10"/>
        </codeFilter>
      </dataRequirement>
    </Library>
  </contained>
  <extension url="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeCapability">
    <valueCode value="computable"/>
  </extension>
  <extension url="http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-effectiveDataRequirements">
    <valueCanonical value="#effective-data-requirements"/>
  </extension>
  <url value="http://smart.who.int/immunizations/PlanDefinition/IMMZD2DTMeningococcalQuadrivalentConjugateVaccines2Doses"/>
  <version value="1.0.0"/>
  <name value="IMMZD2DTMeningococcalQuadrivalentConjugateVaccines2Doses"/>
  <title value="IMMZ.D2.DT.Meningococcal.Quadrivalent conjugate vaccines 2 doses"/>
  <type>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/plan-definition-type"/>
      <code value="eca-rule"/>
    </coding>
  </type>
  <status value="draft"/>
  <experimental value="false"/>
  <date value="2026-03-31T13:54:17+00:00"/>
  <publisher value="WHO"/>
  <contact>
    <name value="WHO"/>
    <telecom>
      <system value="url"/>
      <value value="http://who.int"/>
    </telecom>
  </contact>
  <description value="IMMZ.D2.DT.Meningococcal.Quadrivalent conjugate vaccines 2 doses&#xA;Quadrivalent conjugate vaccines (A,C,W135,Y-D), 2-dose schedule"/>
  <relatedArtifact>
    <type value="citation"/>
    <citation value="WHO recommendations for routine immunization - summary tables (January 2025)"/>
  </relatedArtifact>
  <library value="http://smart.who.int/immunizations/Library/IMMZD2DTMeningococcalQuadrivalentConjugateVaccines2DosesLogic"/>
  <action>
    <extension url="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-rationale">
      <valueMarkdown value="Quadrivalent conjugate vaccines (A,C,W135,Y-D and A,C,W135,Y-CRM) should be administered as one &#xA;single intramuscular dose to individuals aged ≥ 2 years. A,C,W135,Y-D is also licensed for children aged 9–23 &#xA;months and given as a 2-dose series 3 months apart, beginning at 9 months of age."/>
    </extension>
    <title value="Determine if the client is due for Meningococcal."/>
    <description value="Determine if the client is due for Meningococcal vaccine according to the national immunization protocol.&#xA;Quadrivalent conjugate vaccines (A,C,W135,Y-D), 2-dose schedule"/>
    <condition>
      <kind value="applicability"/>
      <expression>
        <description value="Client is due for meningococcal vaccination"/>
        <language value="text/cql-identifier"/>
        <expression value="Client is due for meningococcal vaccination"/>
      </expression>
    </condition>
    <definitionCanonical value="http://smart.who.int/immunizations/ActivityDefinition/IMMZD2DTMR"/>
    <dynamicValue>
      <path value="status"/>
      <expression>
        <language value="text/cql-expression"/>
        <expression value="'draft'"/>
      </expression>
    </dynamicValue>
    <dynamicValue>
      <path value="intent"/>
      <expression>
        <language value="text/cql-expression"/>
        <expression value="'proposal'"/>
      </expression>
    </dynamicValue>
    <dynamicValue>
      <path value="medication"/>
      <expression>
        <language value="text/cql-expression"/>
        <expression value="Concept { codes: { Code { system: 'http://smart.who.int/immunizations/CodeSystem/IMMZ.Z', code: 'DE10', display: 'Meningococcal vaccines' } }, display: 'Meningococcal vaccines' }"/>
      </expression>
    </dynamicValue>
  </action>
  <action>
    <title value="Check for Guidance for the patient regarding IMMZ.D2.DT.Meningococcal.Quadrivalent conjugate vaccines 2 doses."/>
    <description value="Show Guidance for the patient regarding IMMZ.D2.DT.Meningococcal.Quadrivalent conjugate vaccines 2 doses."/>
    <condition>
      <kind value="applicability"/>
      <expression>
        <description value="Has Guidance"/>
        <language value="text/cql-identifier"/>
        <expression value="Has Guidance"/>
      </expression>
    </condition>
    <definitionCanonical value="http://smart.who.int/immunizations/ActivityDefinition/IMMZD2DTCR"/>
    <dynamicValue>
      <path value="status"/>
      <expression>
        <language value="text/cql-expression"/>
        <expression value="'active'"/>
      </expression>
    </dynamicValue>
    <dynamicValue>
      <path value="payload.contentString"/>
      <expression>
        <language value="text/cql-identifier"/>
        <expression value="Guidance"/>
      </expression>
    </dynamicValue>
    <dynamicValue>
      <path value="category.coding"/>
      <expression>
        <description value="Category of communication"/>
        <language value="text/cql-expression"/>
        <expression value="Code { system: 'http://terminology.hl7.org/CodeSystem/communication-category', code: 'alert' }"/>
      </expression>
    </dynamicValue>
    <dynamicValue>
      <path value="priority"/>
      <expression>
        <description value="Alert priority"/>
        <language value="text/cql-expression"/>
        <expression value="Code { system: 'http://hl7.org/fhir/request-priority', code: 'routine' }"/>
      </expression>
    </dynamicValue>
  </action>
</PlanDefinition>