WHO Immunization Implementation Guide
1.0.0 - release
WHO Immunization Implementation Guide
1.0.0 - release
WHO Immunization Implementation Guide, published by WHO. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/WorldHealthOrganization/smart-immunizations/tree/132/merge and changes regularly. See the Directory of published versions
| Draft as of 2026-03-31 |
<PlanDefinition xmlns="http://hl7.org/fhir">
<id value="IMMZD2DTRotavirus"/>
<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;">IMMZD2DTRotavirus</td>
</tr>
<tr>
<th scope="row"><b>Url: </b></th>
<td style="padding-left: 4px;"><a href="PlanDefinition-IMMZD2DTRotavirus.html">IMMZ.D2.DT.Rotavirus</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.Rotavirus</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.Rotavirus
IMMZ.D2.DT.Rotavirus</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-IMMZD2DTRotavirusLogic.html">IMMZD2DTRotavirusLogic</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 Rotavirus.:</b> Determine if the client is due for Rotavirus vaccine according to the national immunization protocol.
<br/>
<b>If:</b>
<i>Applicability:</i>
Client is due for rotavirus vaccination
<i>(Client is due for rotavirus 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: 'DE16', display: 'Rotavirus vaccines' } }, display: 'Rotavirus vaccines' })</i>
<br/>
</td>
</tr>
<tr>
<td>
<b> Check for Guidance for the patient regarding IMMZ.D2.DT.Rotavirus.:</b> Show Guidance for the patient regarding IMMZ.D2.DT.Rotavirus.
<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>
<contained>
<Library>
<id value="effective-data-requirements"/>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZEncounterElements"/>
</extension>
<extension url="name">
<valueString value="Current Patient Age In Weeks"/>
</extension>
<extension url="statement">
<valueString
value="/**
* @dataElement Patient age in weeks
*/
define "Current Patient Age In Weeks":
AgeInWeeksAt(Today)"/>
</extension>
<extension url="displaySequence">
<valueInteger value="0"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTRotavirusEncounterElements"/>
</extension>
<extension url="name">
<valueString value="Client's age is less than 6 weeks"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: Client's age is less than 6 weeks
@pseudocode: 'Today's date – "Date of birth" < 6 weeks
@code: Client's age is less than 6 weeks-41
@decision: IMMZ.D2.DT.Rotavirus
*/
define "Client's age is less than 6 weeks":
Encounter."Current Patient Age In Weeks" < 6"/>
</extension>
<extension url="displaySequence">
<valueInteger value="1"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTRotavirusLogic"/>
</extension>
<extension url="name">
<valueString
value="Client is not due for rotavirus vaccination Case 1"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Client is not due for rotavirus vaccination Case 1
@pseudocode: "Immunization recommendation status" = "Not due"
*/
define "Client is not due for rotavirus vaccination Case 1":
Encounter."Client's age is less than 6 weeks""/>
</extension>
<extension url="displaySequence">
<valueInteger value="2"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZElements"/>
</extension>
<extension url="name">
<valueString value="Doses Administered to Patient"/>
</extension>
<extension url="statement">
<valueString
value="/**
* @dataElement All Doses Administered to Patient
*/
define "Doses Administered to Patient":
[Immunization] I
where I.status = 'completed'
and I.isSubpotent is not true"/>
</extension>
<extension url="displaySequence">
<valueInteger value="3"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZEncounterElements"/>
</extension>
<extension url="name">
<valueString value="Doses Administered to Patient"/>
</extension>
<extension url="statement">
<valueString
value="/**
* @dataElement All Doses Administered to Patient
*/
define "Doses Administered to Patient":
Elements."Doses Administered to Patient" I
where I.occurrence.toInterval() same day or before Today"/>
</extension>
<extension url="displaySequence">
<valueInteger value="4"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTRotavirusEncounterElements"/>
</extension>
<extension url="name">
<valueString value="Rotavirus Doses Administered to Patient"/>
</extension>
<extension url="statement">
<valueString
value="/*
@internal: Rotavirus containing Doses Administered to Patient
*/
define "Rotavirus Doses Administered to Patient":
Encounter."Doses Administered to Patient" I
where
I.vaccineCode in Concepts."Rotavirus vaccines""/>
</extension>
<extension url="displaySequence">
<valueInteger value="5"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTRotavirusEncounterElements"/>
</extension>
<extension url="name">
<valueString
value="Rotavirus Primary Series Doses Administered to Patient"/>
</extension>
<extension url="statement">
<valueString
value="/*
@internal: Rotavirus containing Doses Administered to Patient that are in the Primary series
*/
define "Rotavirus Primary Series Doses Administered to Patient":
"Rotavirus Doses Administered to Patient".seriesPrimary()"/>
</extension>
<extension url="displaySequence">
<valueInteger value="6"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTRotavirusEncounterElements"/>
</extension>
<extension url="name">
<valueString
value="Number of Rotavirus Primary Series Doses Administered"/>
</extension>
<extension url="statement">
<valueString
value="/*
@internal: Number of Rotavirus Primary Series doses
*/
define "Number of Rotavirus Primary Series Doses Administered":
Count("Rotavirus Primary Series Doses Administered to Patient")"/>
</extension>
<extension url="displaySequence">
<valueInteger value="7"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTRotavirusEncounterElements"/>
</extension>
<extension url="name">
<valueString
value="No rotavirus primary series doses were administered"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: No rotavirus primary series doses were administered
@pseudocode: Count of vaccines administered (where "Vaccine type" = "Rotavirus vaccines" and "Type of dose" = "Primary series") = 0
@code: No rotavirus primary series doses were administered-118
@decision: IMMZ.D2.DT.Rotavirus
*/
define "No rotavirus primary series doses were administered":
"Number of Rotavirus Primary Series Doses Administered" = 0"/>
</extension>
<extension url="displaySequence">
<valueInteger value="8"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZEncounterElements"/>
</extension>
<extension url="name">
<valueString value="Current Patient Age In Months"/>
</extension>
<extension url="statement">
<valueString
value="/**
* @dataElement Patient age in months
*/
define "Current Patient Age In Months":
AgeInMonthsAt(Today)"/>
</extension>
<extension url="displaySequence">
<valueInteger value="9"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTRotavirusEncounterElements"/>
</extension>
<extension url="name">
<valueString value="Client's age is between 6 weeks and 24 months"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: Client's age is between 6 weeks and 24 months
@pseudocode: 6 weeks ≤ Today's date – "Date of birth" < 24 months
@code: Client's age is between 6 weeks and 24 months-52
@decision: IMMZ.D2.DT.Rotavirus
*/
define "Client's age is between 6 weeks and 24 months":
6 <= Encounter."Current Patient Age In Weeks"
and Encounter."Current Patient Age In Months" < 24"/>
</extension>
<extension url="displaySequence">
<valueInteger value="10"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZElements"/>
</extension>
<extension url="name">
<valueString value="Live Attenuated Vaccines"/>
</extension>
<extension url="statement">
<valueString
value="/*
@dataElement: Live attenuated vaccines
*/
define "Live Attenuated Vaccines":
"Doses Administered to Patient" I
where I.vaccineCode in Concepts."Live Attenuated""/>
</extension>
<extension url="displaySequence">
<valueInteger value="11"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZEncounterElements"/>
</extension>
<extension url="name">
<valueString value="Live Attenuated Vaccines"/>
</extension>
<extension url="statement">
<valueString
value="/*
@dataElement Live attenuated vaccines
*/
define "Live Attenuated Vaccines":
Elements."Live Attenuated Vaccines" I
where I.occurrence.toInterval() same day or before Today"/>
</extension>
<extension url="displaySequence">
<valueInteger value="12"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZEncounterElements"/>
</extension>
<extension url="name">
<valueString value="Date of Latest Live Attenuated Vaccine"/>
</extension>
<extension url="statement">
<valueString
value="/*
@dataElement Date and time of last live attenuated vaccine
*/
define "Date of Latest Live Attenuated Vaccine":
date from start of "Live Attenuated Vaccines".mostRecent().occurrence.toInterval()"/>
</extension>
<extension url="displaySequence">
<valueInteger value="13"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZEncounterElements"/>
</extension>
<extension url="name">
<valueString
value="Live vaccine was administered in the last 4 weeks"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: Live vaccine was administered in the last 4 weeks
@pseudocode: Today's date − latest "Date and time of vaccination" (where "Live vaccine" = TRUE) < 4 weeks
*/
define "Live vaccine was administered in the last 4 weeks":
"Date of Latest Live Attenuated Vaccine" is not null
and duration in weeks between "Date of Latest Live Attenuated Vaccine" and Today < 4"/>
</extension>
<extension url="displaySequence">
<valueInteger value="14"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTRotavirusEncounterElements"/>
</extension>
<extension url="name">
<valueString
value="Live vaccine was administered in the last 4 weeks"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: Live vaccine was administered in the last 4 weeks
@pseudocode: Today's date - latest "Date and time of vaccination" (where "Live vaccine" = TRUE) < 4 weeks
@code: Live vaccine was administered in the last 4 weeks-92
@decision: IMMZ.D2.DT.Rotavirus
*/
define "Live vaccine was administered in the last 4 weeks":
Encounter."Live vaccine was administered in the last 4 weeks""/>
</extension>
<extension url="displaySequence">
<valueInteger value="15"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTRotavirusLogic"/>
</extension>
<extension url="name">
<valueString
value="Client is not due for rotavirus vaccination Case 2"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Client is not due for rotavirus vaccination Case 2
@pseudocode: "Immunization recommendation status" = "Not due"
*/
define "Client is not due for rotavirus vaccination Case 2":
Encounter."No rotavirus primary series doses were administered"
and Encounter."Client's age is between 6 weeks and 24 months"
and Encounter."Live vaccine was administered in the last 4 weeks""/>
</extension>
<extension url="displaySequence">
<valueInteger value="16"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTRotavirusEncounterElements"/>
</extension>
<extension url="name">
<valueString
value="One rotavirus primary series dose was administered"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: One rotavirus primary series dose was administered
@pseudocode: Count of vaccines administered (where "Vaccine type" = "Rotavirus vaccines" and "Type of dose" = "Primary series") = 1
@code: One rotavirus primary series dose was administered-118
@decision: IMMZ.D2.DT.Rotavirus
*/
define "One rotavirus primary series dose was administered":
"Number of Rotavirus Primary Series Doses Administered" = 1"/>
</extension>
<extension url="displaySequence">
<valueInteger value="17"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTRotavirusLogic"/>
</extension>
<extension url="name">
<valueString
value="Client is not due for rotavirus vaccination Case 3"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Client is not due for rotavirus vaccination Case 3
@pseudocode: "Immunization recommendation status" = "Not due"
*/
define "Client is not due for rotavirus vaccination Case 3":
Encounter."One rotavirus primary series dose was administered"
and Encounter."Client's age is between 6 weeks and 24 months"
and Encounter."Live vaccine was administered in the last 4 weeks""/>
</extension>
<extension url="displaySequence">
<valueInteger value="18"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTRotavirusEncounterElements"/>
</extension>
<extension url="name">
<valueString
value="Two rotavirus primary series doses were administered"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: Two rotavirus primary series doses were administered
@pseudocode: Count of vaccines administered (where "Vaccine type" = "Rotavirus vaccines" and "Type of dose" = "Primary series") = 2
@code: Two rotavirus primary series doses were administered-118
@decision: IMMZ.D2.DT.Rotavirus
*/
define "Two rotavirus primary series doses were administered":
"Number of Rotavirus Primary Series Doses Administered" = 2"/>
</extension>
<extension url="displaySequence">
<valueInteger value="19"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTRotavirusEncounterElements"/>
</extension>
<extension url="name">
<valueString
value="Live vaccines was administered in the last 4 weeks"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: Live vaccines was administered in the last 4 weeks
@pseudocode: Today's date - latest "Date and time of vaccination" (where "Live vaccine" = TRUE) < 4 weeks
@code: Live vaccines was administered in the last 4 weeks-92
@decision: IMMZ.D2.DT.Rotavirus
*/
define "Live vaccines was administered in the last 4 weeks":
Encounter."Live vaccine was administered in the last 4 weeks""/>
</extension>
<extension url="displaySequence">
<valueInteger value="20"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTRotavirusEncounterElements"/>
</extension>
<extension url="name">
<valueString value="Brand of First Dose"/>
</extension>
<extension url="statement">
<valueString
value="/*
@internal: Brand of First Dose
*/
define "Brand of First Dose":
First("Rotavirus Doses Administered to Patient".getDose('1')).brand()"/>
</extension>
<extension url="displaySequence">
<valueInteger value="21"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTRotavirusEncounterElements"/>
</extension>
<extension url="name">
<valueString value="Brand of Second Dose"/>
</extension>
<extension url="statement">
<valueString
value="/*
@internal: Brand of Second Dose
*/
define "Brand of Second Dose":
First("Rotavirus Doses Administered to Patient".getDose('2')).brand()"/>
</extension>
<extension url="displaySequence">
<valueInteger value="22"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTRotavirusEncounterElements"/>
</extension>
<extension url="name">
<valueString
value="The series administered to the client contains the same product"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: The series administered to the client contains the same product
@pseudocode: "Vaccine brand" (where "Vaccine type" = "Rotavirus vaccines" AND "Dose number" = 1) = "Vaccine brand" (where "Vaccine type" = "Rotavirus vaccines" AND "Dose number" = 2)
@code: The series administered to the client contains the same product-169
@decision: IMMZ.D2.DT.Rotavirus
*/
define "The series administered to the client contains the same product":
"Brand of First Dose" is not null and
"Brand of First Dose" ~ "Brand of Second Dose""/>
</extension>
<extension url="displaySequence">
<valueInteger value="23"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTRotavirusEncounterElements"/>
</extension>
<extension url="name">
<valueString
value="The series administered to the client is a mixed series or a series with unknown vaccine products"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: The series administered to the client is a mixed series or a series with unknown vaccine products
@pseudocode: "Vaccine brand" (where "Vaccine type" = "Rotavirus vaccines" AND "Dose number" = 1) ≠ "Vaccine brand" (where "Vaccine type" = "Rotavirus vaccines" AND "Dose number" = 2)
@code: The series administered to the client is a mixed series or a series with unknown vaccine products-169
@decision: IMMZ.D2.DT.Rotavirus
*/
define "The series administered to the client is a mixed series or a series with unknown vaccine products":
not "The series administered to the client contains the same product""/>
</extension>
<extension url="displaySequence">
<valueInteger value="24"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTRotavirusLogic"/>
</extension>
<extension url="name">
<valueString
value="Client is not due for rotavirus vaccination Case 4"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Client is not due for rotavirus vaccination Case 4
@pseudocode: "Immunization recommendation status" = "Not due"
*/
define "Client is not due for rotavirus vaccination Case 4":
Encounter."Two rotavirus primary series doses were administered"
and Encounter."Client's age is between 6 weeks and 24 months"
and Encounter."Live vaccines was administered in the last 4 weeks"
and Encounter."The series administered to the client is a mixed series or a series with unknown vaccine products""/>
</extension>
<extension url="displaySequence">
<valueInteger value="25"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTRotavirusEncounterElements"/>
</extension>
<extension url="name">
<valueString value="Live vaccine was administered in last 4 weeks"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: Live vaccine was administered in last 4 weeks
@pseudocode: Today's date - latest "Date and time of vaccination" (where "Live vaccine" = TRUE) < 4 weeks
@code: Live vaccine was administered in last 4 weeks-92
@decision: IMMZ.D2.DT.Rotavirus
*/
define "Live vaccine was administered in last 4 weeks":
Encounter."Live vaccine was administered in the last 4 weeks""/>
</extension>
<extension url="displaySequence">
<valueInteger value="26"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTRotavirusEncounterElements"/>
</extension>
<extension url="name">
<valueString value="The series contain more than two doses"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: The series contain more than two doses
@pseudocode: "Total doses in series" > 2
@code: The series contain more than two doses-27
@decision: IMMZ.D2.DT.Rotavirus
*/
define "The series contain more than two doses":
ToInteger("Rotavirus Doses Administered to Patient".mostRecent().seriesDoses()) > 2"/>
</extension>
<extension url="displaySequence">
<valueInteger value="27"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTRotavirusLogic"/>
</extension>
<extension url="name">
<valueString
value="Client is not due for rotavirus vaccination Case 5"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Client is not due for rotavirus vaccination Case 5
@pseudocode: "Immunization recommendation status" = "Not due"
*/
define "Client is not due for rotavirus vaccination Case 5":
Encounter."Two rotavirus primary series doses were administered"
and Encounter."Client's age is between 6 weeks and 24 months"
and Encounter."Live vaccine was administered in last 4 weeks"
and Encounter."The series administered to the client contains the same product"
and Encounter."The series contain more than two doses""/>
</extension>
<extension url="displaySequence">
<valueInteger value="28"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTRotavirusLogic"/>
</extension>
<extension url="name">
<valueString value="Client is not due for rotavirus vaccination"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Client is not due for rotavirus vaccination
@pseudocode: "Immunization recommendation status" = "Not due"
*/
define "Client is not due for rotavirus vaccination":
"Client is not due for rotavirus vaccination Case 1"
or "Client is not due for rotavirus vaccination Case 2"
or "Client is not due for rotavirus vaccination Case 3"
or "Client is not due for rotavirus vaccination Case 4"
or "Client is not due for rotavirus vaccination Case 5""/>
</extension>
<extension url="displaySequence">
<valueInteger value="29"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTRotavirusLogic"/>
</extension>
<extension url="name">
<valueString
value="Client is not due for rotavirus vaccination Guidance"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Client is not due for rotavirus vaccination Guidance
@guidance = Should not vaccinate client with first rotavirus dose as client's age is less than 6 weeks. Check for any other vaccines due and inform the caregiver of when to come back for the first dose.
@guidance = Should not vaccinate client with first rotavirus dose as live vaccine was administered in last 4 weeks. Check for any vaccines due and inform the caregiver of when to come back for the first dose.
@guidance = Should not vaccinate client with second rotavirus dose as live vaccine was administered in the last 4 weeks. 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 rotavirus dose as live vaccine was administered in the last 4 weeks and series administered to client is a mixed or unknown series. 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 rotavirus dose as live vaccine was administered in the last 4 weeks. 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 rotavirus vaccination Guidance":
case
when "Client is not due for rotavirus vaccination Case 1" then 'Should not vaccinate client with first rotavirus dose as client\'s age is less than 6 weeks. Check for any other vaccines due and inform the caregiver of when to come back for the first dose.'
when "Client is not due for rotavirus vaccination Case 2" then 'Should not vaccinate client with first rotavirus dose as live vaccine was administered in last 4 weeks. Check for any vaccines due and inform the caregiver of when to come back for the first dose.'
when "Client is not due for rotavirus vaccination Case 3" then 'Should not vaccinate client with second rotavirus dose as live vaccine was administered in the last 4 weeks. 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 rotavirus vaccination Case 4" then 'Should not vaccinate client with third rotavirus dose as live vaccine was administered in the last 4 weeks and series administered to client is a mixed or unknown series. 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 rotavirus vaccination Case 5" then 'Should not vaccinate client with third rotavirus dose as live vaccine was administered in the last 4 weeks. Check for any other vaccines due and inform the caregiver of when to come back for the next dose.'
else ''
end"/>
</extension>
<extension url="displaySequence">
<valueInteger value="30"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZEncounterElements"/>
</extension>
<extension url="name">
<valueString
value="No live vaccine was administered in the last 4 weeks"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: No live vaccine was administered in the last 4 weeks
@pseudocode: Today's date − latest "Date and time of vaccination" (where "Live vaccine" = TRUE) ≥ 4 weeks
*/
define "No live vaccine was administered in the last 4 weeks":
not("Live vaccine was administered in the last 4 weeks")"/>
</extension>
<extension url="displaySequence">
<valueInteger value="31"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTRotavirusEncounterElements"/>
</extension>
<extension url="name">
<valueString
value="No live vaccine was administered in the last 4 weeks"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: No live vaccine was administered in the last 4 weeks
@pseudocode: Today's date - latest "Date and time of vaccination" (where "Live vaccine" = TRUE) ≥ 4 weeks
@code: No live vaccine was administered in the last 4 weeks-92
@decision: IMMZ.D2.DT.Rotavirus
*/
define "No live vaccine was administered in the last 4 weeks":
Encounter."No live vaccine was administered in the last 4 weeks""/>
</extension>
<extension url="displaySequence">
<valueInteger value="32"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTRotavirusLogic"/>
</extension>
<extension url="name">
<valueString
value="Client is due for rotavirus vaccination Case 1"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Client is due for rotavirus vaccination Case 1
@pseudocode: "Immunization recommendation status" = "Due"
*/
define "Client is due for rotavirus vaccination Case 1":
Encounter."No rotavirus primary series doses were administered"
and Encounter."Client's age is between 6 weeks and 24 months"
and Encounter."No live vaccine was administered in the last 4 weeks""/>
</extension>
<extension url="displaySequence">
<valueInteger value="33"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTRotavirusLogic"/>
</extension>
<extension url="name">
<valueString
value="Client is due for rotavirus vaccination Case 2"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Client is due for rotavirus vaccination Case 2
@pseudocode: "Immunization recommendation status" = "Due"
*/
define "Client is due for rotavirus vaccination Case 2":
Encounter."One rotavirus primary series dose was administered"
and Encounter."Client's age is between 6 weeks and 24 months"
and Encounter."No live vaccine was administered in the last 4 weeks""/>
</extension>
<extension url="displaySequence">
<valueInteger value="34"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTRotavirusLogic"/>
</extension>
<extension url="name">
<valueString
value="Client is due for rotavirus vaccination Case 3"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Client is due for rotavirus vaccination Case 3
@pseudocode: "Immunization recommendation status" = "Due"
*/
define "Client is due for rotavirus vaccination Case 3":
Encounter."Two rotavirus primary series doses were administered"
and Encounter."Client's age is between 6 weeks and 24 months"
and Encounter."No live vaccine was administered in the last 4 weeks"
and Encounter."The series administered to the client is a mixed series or a series with unknown vaccine products""/>
</extension>
<extension url="displaySequence">
<valueInteger value="35"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTRotavirusEncounterElements"/>
</extension>
<extension url="name">
<valueString
value="No live vaccine was administered in last 4 weeks"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: No live vaccine was administered in last 4 weeks
@pseudocode: Today's date - latest "Date and time of vaccination" (where "Live vaccine" = TRUE) ≥ 4 weeks
@code: No live vaccine was administered in last 4 weeks-92
@decision: IMMZ.D2.DT.Rotavirus
*/
define "No live vaccine was administered in last 4 weeks":
Encounter."No live vaccine was administered in the last 4 weeks""/>
</extension>
<extension url="displaySequence">
<valueInteger value="36"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTRotavirusLogic"/>
</extension>
<extension url="name">
<valueString
value="Client is due for rotavirus vaccination Case 4"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Client is due for rotavirus vaccination Case 4
@pseudocode: "Immunization recommendation status" = "Due"
*/
define "Client is due for rotavirus vaccination Case 4":
Encounter."Two rotavirus primary series doses were administered"
and Encounter."Client's age is between 6 weeks and 24 months"
and Encounter."No live vaccine was administered in last 4 weeks"
and Encounter."The series administered to the client contains the same product"
and Encounter."The series contain more than two doses""/>
</extension>
<extension url="displaySequence">
<valueInteger value="37"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTRotavirusLogic"/>
</extension>
<extension url="name">
<valueString value="Client is due for rotavirus vaccination"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Client is due for rotavirus vaccination
@pseudocode: "Immunization recommendation status" = "Due"
*/
define "Client is due for rotavirus vaccination":
"Client is due for rotavirus vaccination Case 1"
or "Client is due for rotavirus vaccination Case 2"
or "Client is due for rotavirus vaccination Case 3"
or "Client is due for rotavirus vaccination Case 4""/>
</extension>
<extension url="displaySequence">
<valueInteger value="38"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTRotavirusLogic"/>
</extension>
<extension url="name">
<valueString
value="Client is due for rotavirus vaccination Guidance"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Client is due for rotavirus vaccination Guidance
@guidance = Should vaccinate client with first rotavirus dose as no rotavirus doses were administered, client's age is within appropriate age range and no live vaccine was administered in last 4 weeks.
Check for contraindications.
@guidance = Should vaccinate client with second rotavirus dose as client's age is within appropriate age range and no live vaccine was administered in the last 4 weeks.
Check for contraindications.
@guidance = Should vaccinate client with third rotavirus dose as no live vaccine was administered in the last 4 weeks and series administered to client is a mixed or unknown series.
Check for contraindications.
@guidance = Should vaccinate client with third rotavirus dose as series contains more than two doses and no live vaccine was administered in the last 4 weeks.
Check for contraindications.
*/
define "Client is due for rotavirus vaccination Guidance":
case
when "Client is due for rotavirus vaccination Case 1" then 'Should vaccinate client with first rotavirus dose as no rotavirus doses were administered, client\'s age is within appropriate age range and no live vaccine was administered in last 4 weeks.
Check for contraindications.'
when "Client is due for rotavirus vaccination Case 2" then 'Should vaccinate client with second rotavirus dose as client\'s age is within appropriate age range and no live vaccine was administered in the last 4 weeks.
Check for contraindications.'
when "Client is due for rotavirus vaccination Case 3" then 'Should vaccinate client with third rotavirus dose as no live vaccine was administered in the last 4 weeks and series administered to client is a mixed or unknown series.
Check for contraindications.'
when "Client is due for rotavirus vaccination Case 4" then 'Should vaccinate client with third rotavirus dose as series contains more than two doses and no live vaccine was administered in the last 4 weeks.
Check for contraindications.'
else ''
end"/>
</extension>
<extension url="displaySequence">
<valueInteger value="39"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTRotavirusEncounterElements"/>
</extension>
<extension url="name">
<valueString
value="The series contain less than or equal to two doses"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: The series contain less than or equal to two doses
@pseudocode: "Total doses in series" ≤ 2
@code: The series contain less than or equal to two doses-27
@decision: IMMZ.D2.DT.Rotavirus
*/
define "The series contain less than or equal to two doses":
ToInteger("Rotavirus Doses Administered to Patient".mostRecent().seriesDoses()) <= 2"/>
</extension>
<extension url="displaySequence">
<valueInteger value="40"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTRotavirusLogic"/>
</extension>
<extension url="name">
<valueString
value="Rotavirus immunization schedule is complete Case 1"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Rotavirus immunization schedule is complete Case 1
@pseudocode: "Immunization recommendation status" = "Complete"
*/
define "Rotavirus immunization schedule is complete Case 1":
Encounter."Two rotavirus primary series doses were administered"
and Encounter."Client's age is between 6 weeks and 24 months"
and Encounter."The series administered to the client contains the same product"
and Encounter."The series contain less than or equal to two doses""/>
</extension>
<extension url="displaySequence">
<valueInteger value="41"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTRotavirusEncounterElements"/>
</extension>
<extension url="name">
<valueString
value="Three rotavirus primary series doses were administered"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: Three rotavirus primary series doses were administered
@pseudocode: Count of vaccines administered (where "Vaccine type" = "Rotavirus vaccines" and "Type of dose" = "Primary series") = 3
@code: Three rotavirus primary series doses were administered-118
@decision: IMMZ.D2.DT.Rotavirus
*/
define "Three rotavirus primary series doses were administered":
"Number of Rotavirus Primary Series Doses Administered" = 3"/>
</extension>
<extension url="displaySequence">
<valueInteger value="42"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTRotavirusLogic"/>
</extension>
<extension url="name">
<valueString
value="Rotavirus immunization schedule is complete Case 2"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Rotavirus immunization schedule is complete Case 2
@pseudocode: '"Immunization recommendation status" = "Complete"
*/
define "Rotavirus immunization schedule is complete Case 2":
Encounter."Three rotavirus primary series doses were administered""/>
</extension>
<extension url="displaySequence">
<valueInteger value="43"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTRotavirusLogic"/>
</extension>
<extension url="name">
<valueString value="Rotavirus immunization schedule is complete"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Rotavirus immunization schedule is complete
@pseudocode: "Immunization recommendation status" = "Complete"
*/
define "Rotavirus immunization schedule is complete":
"Rotavirus immunization schedule is complete Case 1"
or "Rotavirus immunization schedule is complete Case 2""/>
</extension>
<extension url="displaySequence">
<valueInteger value="44"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTRotavirusLogic"/>
</extension>
<extension url="name">
<valueString
value="Rotavirus immunization schedule is complete Guidance"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Rotavirus immunization schedule is complete Guidance
@guidance = Rotavirus immunization schedule is complete. Two rotavirus doses were administered. Check for any other vaccines due.
@guidance = Rotavirus immunization schedule is complete. Three rotavirus primary series doses were administered. Check for any other vaccines due.
*/
define "Rotavirus immunization schedule is complete Guidance":
case
when "Rotavirus immunization schedule is complete Case 1" then 'Rotavirus immunization schedule is complete. Two rotavirus doses were administered. Check for any other vaccines due.'
when "Rotavirus immunization schedule is complete Case 2" then 'Rotavirus immunization schedule is complete. Three rotavirus primary series doses were administered. Check for any other vaccines due.'
else ''
end"/>
</extension>
<extension url="displaySequence">
<valueInteger value="45"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTRotavirusEncounterElements"/>
</extension>
<extension url="name">
<valueString value="Client's age is more than 24 months"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: Client's age is more than 24 months
@pseudocode: "Date of birth" > 24 months
@code: Client's age is more than 24 months-27
@decision: IMMZ.D2.DT.Rotavirus
*/
define "Client's age is more than 24 months":
Encounter."Current Patient Age In Months" >= 24"/>
</extension>
<extension url="displaySequence">
<valueInteger value="46"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTRotavirusLogic"/>
</extension>
<extension url="name">
<valueString
value="Client is not due for rotavirus vaccination if immunization schedule is not complete."/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Client is not due for rotavirus vaccination if immunization schedule is not complete.
@pseudocode: "Immunization recommendation status" = "Not due" IF current "Immunization recommendation status" ≠ "Complete"
*/
define "Client is not due for rotavirus vaccination if immunization schedule is not complete.":
Encounter."Client's age is more than 24 months""/>
</extension>
<extension url="displaySequence">
<valueInteger value="47"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTRotavirusLogic"/>
</extension>
<extension url="name">
<valueString
value="Client is not due for rotavirus vaccination if immunization schedule is not complete. Guidance"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Client is not due for rotavirus vaccination if immunization schedule is not complete. Guidance
@guidance: Should not vaccinate client with rotavirus dose as client's age is more than 24 months. Check for any other vaccines due.
*/
define "Client is not due for rotavirus vaccination if immunization schedule is not complete. Guidance":
'Should not vaccinate client with rotavirus dose as client\'s age is more than 24 months. Check for any other vaccines due.'"/>
</extension>
<extension url="displaySequence">
<valueInteger value="48"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTRotavirusLogic"/>
</extension>
<extension url="name">
<valueString value="Guidance"/>
</extension>
<extension url="statement">
<valueString
value="/*
@dynamicValue: Guidance
*/
define "Guidance":
case
when "Client is not due for rotavirus vaccination" then "Client is not due for rotavirus vaccination Guidance"
when "Client is due for rotavirus vaccination" then "Client is due for rotavirus vaccination Guidance"
when "Rotavirus immunization schedule is complete" then "Rotavirus immunization schedule is complete Guidance"
when "Client is not due for rotavirus vaccination if immunization schedule is not complete." then "Client is not due for rotavirus vaccination if immunization schedule is not complete. Guidance"
else ''
end"/>
</extension>
<extension url="displaySequence">
<valueInteger value="49"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTRotavirusLogic"/>
</extension>
<extension url="name">
<valueString value="Has Guidance"/>
</extension>
<extension url="statement">
<valueString
value="define "Has Guidance":
"Guidance" is not null and "Guidance" != ''"/>
</extension>
<extension url="displaySequence">
<valueInteger value="50"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZCommon"/>
</extension>
<extension url="name">
<valueString value="seriesPrimary"/>
</extension>
<extension url="statement">
<valueString
value="/**
* @description: Gets the doses from the primary series
*/
define fluent function seriesPrimary(immunizations List<Immunization>):
immunizations I where
exists( I.protocolApplied pa where pa.series = 'Primary series' )"/>
</extension>
<extension url="displaySequence">
<valueInteger value="51"/>
</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="52"/>
</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="53"/>
</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="54"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="WHOCommon"/>
</extension>
<extension url="name">
<valueString value="toInterval"/>
</extension>
<extension url="statement">
<valueString
value="/*
From FHIRCommon 4.1.0:
*/
/*
@description: Normalizes a value that is a choice of timing-valued types to an equivalent interval
@comment: Normalizes a choice type of FHIR.dateTime, FHIR.Period, FHIR.Timing, FHIR.instance, FHIR.string, FHIR.Age, or FHIR.Range types
to an equivalent interval. This selection of choice types is a superset of the majority of choice types that are used as possible
representations for timing-valued elements in FHIR, allowing this function to be used across any resource.
The input can be provided as a dateTime, Period, Timing, instant, string, Age, or Range.
The intent of this function is to provide a clear and concise mechanism to treat single
elements that have multiple possible representations as intervals so that logic doesn't have to account
for the variability. More complex calculations (such as medication request period or dispense period
calculation) need specific guidance and consideration. That guidance may make use of this function, but
the focus of this function is on single element calculations where the semantics are unambiguous.
If the input is a dateTime, the result a DateTime Interval beginning and ending on that dateTime.
If the input is a Period, the result is a DateTime Interval.
If the input is a Timing, an error is raised indicating a single interval cannot be computed from a Timing.
If the input is an instant, the result is a DateTime Interval beginning and ending on that instant.
If the input is a string, an error is raised indicating a single interval cannot be computed from a string.
If the input is an Age, the result is a DateTime Interval beginning when the patient was the given Age,
and ending immediately prior to when the patient was the given Age plus one year.
If the input is a Range, the result is a DateTime Interval beginning when the patient was the Age given
by the low end of the Range, and ending immediately prior to when the patient was the Age given by the
high end of the Range plus one year.
NOTE: Due to the
complexity of determining a single interval from a Timing or String type, this function will throw a run-time exception if it is used
with a Timing or String.
*/
define fluent function toInterval(choice Choice<FHIR.dateTime, FHIR.Period, FHIR.Timing, FHIR.instant, FHIR.string, FHIR.Age, FHIR.Range>):
case
when choice is FHIR.dateTime then
Interval[FHIRHelpers.ToDateTime(choice as FHIR.dateTime), FHIRHelpers.ToDateTime(choice as FHIR.dateTime)]
when choice is FHIR.Period then
FHIRHelpers.ToInterval(choice as FHIR.Period)
when choice is FHIR.instant then
Interval[FHIRHelpers.ToDateTime(choice as FHIR.instant), FHIRHelpers.ToDateTime(choice as FHIR.instant)]
when choice is FHIR.Age then
Interval[FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity(choice as FHIR.Age),
FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity(choice as FHIR.Age) + 1 year)
when choice is FHIR.Range then
Interval[FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity((choice as FHIR.Range).low),
FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity((choice as FHIR.Range).high) + 1 year)
when choice is FHIR.Timing then
Message(null as Interval<DateTime>, true, 'NOT_IMPLEMENTED', 'Error', 'Calculation of an interval from a Timing value is not supported')
when choice is FHIR.string then
Message(null as Interval<DateTime>, true, 'NOT_IMPLEMENTED', 'Error', 'Calculation of an interval from a String value is not supported')
else
null as Interval<DateTime>
end"/>
</extension>
<extension url="displaySequence">
<valueInteger value="55"/>
</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="56"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="FHIRHelpers"/>
</extension>
<extension url="name">
<valueString value="ToInterval"/>
</extension>
<extension url="statement">
<valueString
value="define function ToInterval(period FHIR.Period):
if period is null then
null
else
if period."start" is null then
Interval(period."start".value, period."end".value]
else
Interval[period."start".value, period."end".value]"/>
</extension>
<extension url="displaySequence">
<valueInteger value="57"/>
</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="58"/>
</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="59"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="FHIRHelpers"/>
</extension>
<extension url="name">
<valueString value="ToQuantity"/>
</extension>
<extension url="statement">
<valueString
value="define function ToQuantity(quantity FHIR.Quantity):
case
when quantity is null then null
when quantity.value is null then null
when quantity.comparator is not null then
Message(null, true, 'FHIRHelpers.ToQuantity.ComparatorQuantityNotSupported', 'Error', 'FHIR Quantity value has a comparator and cannot be converted to a System.Quantity value.')
when quantity.system is null or quantity.system.value = 'http://unitsofmeasure.org'
or quantity.system.value = 'http://hl7.org/fhirpath/CodeSystem/calendar-units' then
System.Quantity { value: quantity.value.value, unit: ToCalendarUnit(Coalesce(quantity.code.value, quantity.unit.value, '1')) }
else
Message(null, true, 'FHIRHelpers.ToQuantity.InvalidFHIRQuantity', 'Error', 'Invalid FHIR Quantity code: ' & quantity.unit.value & ' (' & quantity.system.value & '|' & quantity.code.value & ')')
end"/>
</extension>
<extension url="displaySequence">
<valueInteger value="60"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="FHIRHelpers"/>
</extension>
<extension url="name">
<valueString value="ToCalendarUnit"/>
</extension>
<extension url="statement">
<valueString
value="define function ToCalendarUnit(unit System.String):
case unit
when 'ms' then 'millisecond'
when 's' then 'second'
when 'min' then 'minute'
when 'h' then 'hour'
when 'd' then 'day'
when 'wk' then 'week'
when 'mo' then 'month'
when 'a' then 'year'
else unit
end"/>
</extension>
<extension url="displaySequence">
<valueInteger value="61"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="FHIRHelpers"/>
</extension>
<extension url="name">
<valueString value="ToConcept"/>
</extension>
<extension url="statement">
<valueString
value="define function ToConcept(concept FHIR.CodeableConcept):
if concept is null then
null
else
System.Concept {
codes: concept.coding C return ToCode(C),
display: concept.text.value
}"/>
</extension>
<extension url="displaySequence">
<valueInteger value="62"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="FHIRHelpers"/>
</extension>
<extension url="name">
<valueString value="ToCode"/>
</extension>
<extension url="statement">
<valueString
value="define function ToCode(coding FHIR.Coding):
if coding is null then
null
else
System.Code {
code: coding.code.value,
system: coding.system.value,
version: coding.version.value,
display: coding.display.value
}"/>
</extension>
<extension url="displaySequence">
<valueInteger value="63"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="WHOCommon"/>
</extension>
<extension url="name">
<valueString value="mostRecent"/>
</extension>
<extension url="statement">
<valueString
value="define fluent function mostRecent(immunizations List<Immunization>):
Last(
immunizations I
sort by start of occurrence.toInterval()
)"/>
</extension>
<extension url="displaySequence">
<valueInteger value="64"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZCommon"/>
</extension>
<extension url="name">
<valueString value="brand"/>
</extension>
<extension url="statement">
<valueString
value="/**
* @description: Gets the type of antigen dose extension value from an Immunization
*/
define fluent function brand(immz Immunization):
(First(
immz.extension E where E.url = 'http://smart.who.int/immunizations/StructureDefinition/IMMZVaccineBrand'
)).value as FHIR.CodeableConcept"/>
</extension>
<extension url="displaySequence">
<valueInteger value="65"/>
</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 uri): value.value"/>
</extension>
<extension url="displaySequence">
<valueInteger value="66"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZCommon"/>
</extension>
<extension url="name">
<valueString value="getDose"/>
</extension>
<extension url="statement">
<valueString
value="/**
* @description: Gets a given immunization from a list that matches the dose number
*/
define fluent function getDose(immunizations List<Immunization>, doseNumber String):
immunizations I where
exists( I.protocolApplied pa where pa.doseNumber = doseNumber )"/>
</extension>
<extension url="displaySequence">
<valueInteger value="67"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZCommon"/>
</extension>
<extension url="name">
<valueString value="seriesDoses"/>
</extension>
<extension url="statement">
<valueString
value="/**
* @description: Gets the series doses from an immunization
*/
define fluent function seriesDoses(immunization Immunization):
First(immunization.protocolApplied pa where pa.seriesDoses is not null).seriesDoses"/>
</extension>
<extension url="displaySequence">
<valueInteger value="68"/>
</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/IMMZD2DTRotavirusEncounterElements"/>
</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 Rotavirus vaccines"/>
<resource
value="http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE16"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Value set Live Attenuated"/>
<resource
value="http://smart.who.int/immunizations/ValueSet/IMMZ.Z.LiveAttenuated"/>
</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 rotavirus 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="url"/>
<mustSupport value="seriesDoses"/>
<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="status"/>
<mustSupport value="isSubpotent"/>
<mustSupport value="vaccineCode"/>
<mustSupport value="protocolApplied"/>
<mustSupport value="url"/>
<mustSupport value="seriesDoses"/>
<mustSupport value="occurrence"/>
<codeFilter>
<path value="status"/>
<code>
<code value="completed"/>
</code>
</codeFilter>
<codeFilter>
<path value="vaccineCode"/>
<valueSet
value="http://smart.who.int/immunizations/ValueSet/IMMZ.Z.LiveAttenuated"/>
</codeFilter>
</dataRequirement>
<dataRequirement>
<type value="Immunization"/>
<profile
value="http://hl7.org/fhir/StructureDefinition/Immunization"/>
<mustSupport value="occurrence"/>
<mustSupport value="protocolApplied"/>
<mustSupport value="url"/>
<mustSupport value="seriesDoses"/>
</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"/>
<mustSupport value="url"/>
<mustSupport value="seriesDoses"/>
<codeFilter>
<path value="status"/>
<code>
<code value="completed"/>
</code>
</codeFilter>
<codeFilter>
<path value="vaccineCode"/>
<valueSet
value="http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE16"/>
</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/IMMZD2DTRotavirus"/>
<version value="1.0.0"/>
<name value="IMMZD2DTRotavirus"/>
<title value="IMMZ.D2.DT.Rotavirus"/>
<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.Rotavirus
IMMZ.D2.DT.Rotavirus"/>
<relatedArtifact>
<type value="citation"/>
<citation
value="WHO recommendations for routine immunization - summary tables (January 2025)"/>
</relatedArtifact>
<library
value="http://smart.who.int/immunizations/Library/IMMZD2DTRotavirusLogic"/>
<action>
<extension
url="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-rationale">
<valueMarkdown
value="WHO recommends that the first dose of rotavirus vaccine be administered as soon as possible after 6 weeks of age.
A minimum interval of 4 weeks should be maintained between doses. Note: The rotavirus vaccination series for each child should
be completed with the same product whenever feasible. However, if the product used for a prior dose is unavailable or unknown,
the series should be completed with any available licensed product."/>
</extension>
<title value="Determine if the client is due for Rotavirus."/>
<description
value="Determine if the client is due for Rotavirus vaccine according to the national immunization protocol."/>
<condition>
<kind value="applicability"/>
<expression>
<description value="Client is due for rotavirus vaccination"/>
<language value="text/cql-identifier"/>
<expression value="Client is due for rotavirus 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: 'DE16', display: 'Rotavirus vaccines' } }, display: 'Rotavirus vaccines' }"/>
</expression>
</dynamicValue>
</action>
<action>
<title
value="Check for Guidance for the patient regarding IMMZ.D2.DT.Rotavirus."/>
<description
value="Show Guidance for the patient regarding IMMZ.D2.DT.Rotavirus."/>
<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>