Id: IMMZD2DTTBEEncepur
Url: IMMZ.D2.DT.TBE.Encepur
Version: 1.0.0
Title: IMMZ.D2.DT.TBE.Encepur
Status: draft
Type:

system: http://terminology.hl7.org/CodeSystem/plan-definition-type

code: eca-rule

Date: 2026-03-31 13:54:17+0000
Publisher: WHO
Description:

IMMZ.D2.DT.TBE.Encepur Encepur schedule (In areas where the disease is highly endemic, implying that there is a high individual risk of infection, WHO recommends that vaccination be offered to all age groups, including children)
Knowledge Capability: computable
Related Artifacts:

References

  • WHO recommendations for routine immunization - summary tables (January 2025)
Libraries:
IMMZD2DTTBEEncepurLogic
Actions:
Determine if the client is due for TBE.: Determine if the client is due for TBE vaccine according to the national immunization protocol. Encepur schedule (In areas where the disease is highly endemic, implying that there is a high individual risk of infection, WHO recommends that vaccination be offered to all age groups, including children)
If: Applicability: Client is due for TBE vaccination (Client is due for TBE vaccination)
Then: Definition: IMMZD2DTMR
Dynamic Values:
status: ('draft')
intent: ('proposal')
medication: (Concept { codes: { Code { system: 'http://smart.who.int/immunizations/CodeSystem/IMMZ.Z', code: 'DE20', display: 'TBE vaccines' } }, display: 'TBE vaccines' })
Determine if the client is due for TBE.: Determine if the client is due for TBE vaccine according to the national immunization protocol. Encepur schedule (In areas where the disease is highly endemic, implying that there is a high individual risk of infection, WHO recommends that vaccination be offered to all age groups, including children)
If: Applicability: The primary series is complete (The primary series is complete)
Then: Definition: IMMZD2DTMR
Dynamic Values:
status: ('draft')
intent: ('proposal')
medication: (Concept { codes: { Code { system: 'http://smart.who.int/immunizations/CodeSystem/IMMZ.Z', code: 'DE20', display: 'TBE vaccines' } }, display: 'TBE vaccines' })
Check for Guidance for the patient regarding IMMZ.D2.DT.TBE.Encepur.: Show Guidance for the patient regarding IMMZ.D2.DT.TBE.Encepur.
If: Applicability: Has Guidance (Has Guidance)
Then: Definition: IMMZ.D2.DT.CR
Dynamic Values:
status: ('active')
payload.contentString: (Guidance)
category.coding: (Code { system: 'http://terminology.hl7.org/CodeSystem/communication-category', code: 'alert' })
priority: (Code { system: 'http://hl7.org/fhir/request-priority', code: 'routine' })
<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.TBE.Encepur Encepur schedule (In areas where the disease is highly endemic, implying that there is a high individual risk of infection, WHO recommends that vaccination be offered to all age groups, including children)"/> <relatedArtifact> <type value="citation"/> <citation value="WHO recommendations for routine immunization - summary tables (January 2025)"/> </relatedArtifact> <library value="http://smart.who.int/immunizations/Library/IMMZD2DTTBEEncepurLogic"/> <action> <extension url="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-rationale"> <valueMarkdown value="The vaccines manufactured in Austria and Germany (FSME-Immun and Encepur) can be given from > 1 year of age. For the conventional vaccination schedule the dose interval is 1–3 months between doses 1 and 2. For Encepur, the accelerated schedule requires vaccination on days 0 and 14, followed by a third dose delivered 9–12 months later. In addition, Encepur may be used on a rapid schedule, with vaccination on days 0, 7 and 21, followed by a fourth dose delivered 12–18 months later. For the conventional vaccination schedule, the dose interval is 1–3 months between doses 1 and 2. For Encepur, the requirement is 9–12 months between doses 2 and 3."/> </extension> <title value="Determine if the client is due for TBE."/> <description value="Determine if the client is due for TBE vaccine according to the national immunization protocol. Encepur schedule (In areas where the disease is highly endemic, implying that there is a high individual risk of infection, WHO recommends that vaccination be offered to all age groups, including children)"/> <condition> <kind value="applicability"/> <expression> <description value="Client is due for TBE vaccination"/> <language value="text/cql-identifier"/> <expression value="Client is due for TBE 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: 'DE20', display: 'TBE vaccines' } }, display: 'TBE vaccines' }"/> </expression> </dynamicValue> </action> <action> <extension url="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-rationale"> <valueMarkdown value="Vaccination against the disease requires a primary series of 3 doses; those who will continue to be at risk should probably have ≥1 booster doses. For both vaccines (FSME-Immun and Encepur) the manufacturers recommend a booster dose to be administered 3 years after completion of the primary series. Vaccination against the disease requires a primary series of 3 doses; those who will continue to be at risk should probably have ≥1 booster doses. Although there is a strong indication that the spacing of boosters could be expanded considerably from the intervals currently recommended by the manufacturers (every 3–5 years), the evidence is still insufficient for a definitive recommendation on the optimal frequency and number of booster doses."/> </extension> <title value="Determine if the client is due for TBE."/> <description value="Determine if the client is due for TBE vaccine according to the national immunization protocol. Encepur schedule (In areas where the disease is highly endemic, implying that there is a high individual risk of infection, WHO recommends that vaccination be offered to all age groups, including children)"/> <condition> <kind value="applicability"/> <expression> <description value="The primary series is complete"/> <language value="text/cql-identifier"/> <expression value="The primary series is complete"/> </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: 'DE20', display: 'TBE vaccines' } }, display: 'TBE vaccines' }"/> </expression> </dynamicValue> </action> <action> <title value="Check for Guidance for the patient regarding IMMZ.D2.DT.TBE.Encepur."/> <description value="Show Guidance for the patient regarding IMMZ.D2.DT.TBE.Encepur."/> <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>