IMMZD2DTTBEFSMEImmun
type: PlanDefinition
node role: treeRoot
id:
  v: IMMZD2DTTBEFSMEImmun
meta:
  profile:
    v: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-recommendationdefinition
    l: cpg-recommendationdefinition
  profile:
    v: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareableplandefinition
    l: crmi-shareableplandefinition
  profile:
    v: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-publishableplandefinition
    l: crmi-publishableplandefinition
text:
  status:
    v: extensions
  div:
    v: Id: IMMZD2DTTBEFSMEImmun Url: IMMZ.D2.DT.TBE.FSME-Immun Version: 1.0.0 Title: IMMZ.D2.DT.TBE.FSME-Immun 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.FSME-Immun FSME-Immun 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: IMMZD2DTTBEFSMEImmunLogic Actions: Determine if the client is due for TBE.: Determine if the client is due for TBE vaccine according to the national immunization protocol. FSME-Immun 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. FSME-Immun 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: Primary series is complete. Client is due for TBE booster dose (Primary series is complete. Client is due for TBE booster dose) Then: Definition: IMMZD2DTMR Dynamic Values: status: ('draft') intent: ('proposal') medication: (Concept { codes: { Code { system…
contained: Library
  id:
    v: effective-data-requirements
  extension:
    extension:
      url:
        v: libraryName
        l: libraryName
      value: String
        v: IMMZEncounterElements
    extension:
      url:
        v: name
        l: name
      value: String
        v: Current Patient Age In Years
    extension:
      url:
        v: statement
        l: statement
      value: String
        v: /** * @dataElement Patient age in years */ define "Current Patient Age In Years": AgeInYearsAt(Today)
    extension:
      url:
        v: displaySequence
        l: displaySequence
      value: Integer
        v: 0
    url:
      v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
      l: cqf-logicDefinition
  extension:
    extension:
      url:
        v: libraryName
        l: libraryName
      value: String
        v: IMMZD2DTTBEEncounterElements
    extension:
      url:
        v: name
        l: name
      value: String
        v: Client's age is less than 1 year
    extension:
      url:
        v: statement
        l: statement
      value: String
        v: /* @input: Client's age is less than 1 year @pseudocode: Today's date − "Date of birth" < 1 year @code: Client's age is less than 1 year-39 @decision: IMMZ.D2.DT.TBE.FSME-Immun: FSME-Immun 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) @decision: 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 ) */ define "Client's age is less than 1 year": Encounter."Current Patient Age In Years" < 1
    extension:
      url:
        v: displaySequence
        l: displaySequence
      value: Integer
        v: 1
    url:
      v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
      l: cqf-logicDefinition
  extension:
    extension:
      url:
        v: libraryName
        l: libraryName
      value: String
        v: IMMZD2DTTBEFSMEImmunLogic
    extension:
      url:
        v: name
        l: name
      value: String
        v: Client is not due for TBE vaccination Case 1
    extension:
      url:
        v: statement
        l: statement
      value: String
        v: /* @output: Client is not due for TBE vaccination Case 1 @pseudocode: "Immunization recommendation status" = "Not due" */ define "Client is not due for TBE vaccination Case 1": Encounter."Client's age is less than 1 year"
    extension:
      url:
        v: displaySequence
        l: displaySequence
      value: Integer
        v: 2
    url:
      v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
      l: cqf-logicDefinition
  extension:
    extension:
      url:
        v: libraryName
        l: libraryName
      value: String
        v: IMMZElements
    extension:
      url:
        v: name
        l: name
      value: String
        v: Doses Administered to Patient
    extension:
      url:
        v: statement
        l: statement
      value: String
        v: /** * @dataElement All Doses Administered to Patient */ define "Doses Administered to Patient": [Immunization] I where I.status = 'completed' and I.isSubpotent is not true
    extension:
      url:
        v: displaySequence
        l: displaySequence
      value: Integer
        v: 3
    url:
      v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
      l: cqf-logicDefinition
  extension:
    extension:
      url:
        v: libraryName
        l: libraryName
      value: String
        v: IMMZEncounterElements
    extension:
      url:
        v: name
        l: name
      value: String
        v: Doses Administered to Patient
    extension:
      url:
        v: statement
        l: statement
      value: String
        v: /** * @dataElement All Doses Administered to Patient */ define "Doses Administered to Patient": Elements."Doses Administered to Patient" I where I.occurrence.toInterval() same day or before Today
    extension:
      url:
        v: displaySequence
        l: displaySequence
      value: Integer
        v: 4
    url:
      v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
      l: cqf-logicDefinition
  extension:
    extension:
      url:
        v: libraryName
        l: libraryName
      value: String
        v: IMMZD2DTTBEEncounterElements
    extension:
      url:
        v: name
        l: name
      value: String
        v: TBE Doses Administered to Patient
    extension:
      url:
        v: statement
        l: statement
      value: String
        v: /* @internal: TBE containing Doses Administered to Patient */ define "TBE Doses Administered to Patient": Encounter."Doses Administered to Patient" I where I.vaccineCode in Concepts."TBE vaccines"
    extension:
      url:
        v: displaySequence
        l: displaySequence
      value: Integer
        v: 5
    url:
      v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
      l: cqf-logicDefinition
  extension:
    extension:
      url:
        v: libraryName
        l: libraryName
      value: String
        v: IMMZD2DTTBEEncounterElements
    extension:
      url:
        v: name
        l: name
      value: String
        v: TBE Primary Series Doses Administered to Patient

url:
  v: statement
  l: statement
value: String
  v: /* @internal: TBE containing Doses Administered to Patient that are in the Primary series */ define "TBE Primary Series Doses Administered to Patient": "TBE Doses Administered to Patient".seriesPrimary()

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

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTTBEEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: Number of TBE Primary Series Doses Administered
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @internal: Number of TBE Primary Series doses */ define "Number of TBE Primary Series Doses Administered": Count("TBE Primary Series Doses Administered to Patient")
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 7
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTTBEEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: One TBE primary series dose was administered
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @input: One TBE primary series dose was administered @pseudocode: Count of vaccines administered (where "Vaccine type" = "TBE vaccines" and "Type of dose" = "Primary series") = 1 @code: One TBE primary series dose was administered-112 @decision: IMMZ.D2.DT.TBE.FSME-Immun: FSME-Immun 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) @decision: 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 ) @decision: IMMZ.D2.DT.TBE.TBE-Moscow: TBE-Moscow 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 ) @decision: IMMZ.D2.DT.TBE.EnceVir: EnceVir 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 ) */ define "One TBE primary series dose was administered": "Number of TBE Primary Series Doses Administered" = 1
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 8
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTTBEEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: Date of Latest TBE Dose
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @internal: Date of Latest TBE Dose */ define "Date of Latest TBE Dose": date from start of "TBE Doses Administered to Patient".mostRecent().occurrence.toInterval()
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 9
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTTBEEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: The latest TBE dose was administered less than 1 month ago
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @input: The latest TBE dose was administered less than 1 month ago @pseudocode: Today's date − "Date and time of vaccination" (where "Vaccine type" = "TBE vaccines") < 1 month @code: The latest TBE dose was administered less than 1 month ago-95 @decision: IMMZ.D2.DT.TBE.FSME-Immun: FSME-Immun 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) @decision: 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 ) @decision: IMMZ.D2.DT.TBE.TBE-Moscow: TBE-Moscow 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 ) */ define "The latest TBE dose was administered less than 1 month ago": "Date of Latest TBE Dose" is not null and duration in months between "Date of Latest TBE Dose" and Today < 1
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 10
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTTBEFSMEImmunLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: Client is not due for TBE vaccination Case 2
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @output: Client is not due for TBE vaccination Case 2 @pseudocode: "Immunization recommendation status" = "Not due" */ define "Client is not due for TBE vaccination Case 2": Encounter."One TBE primary series dose was administered" and Encounter."The latest TBE dose was administered less than 1 month ago"
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 11
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTTBEEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: Two TBE primary series doses were administered
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @input: Two TBE primary series doses were administered @pseudocode: Count of vaccines administered (where "Vaccine type" = "TBE vaccines" and "Type of dose" = "Primary series") = 2 @code: Two TBE primary series doses were administered-112 @decision: IMMZ.D2.DT.TBE.FSME-Immun: FSME-Immun 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) @decision: 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 ) @decision: IMMZ.D2.DT.TBE.TBE-Moscow: TBE-Moscow 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 ) @decision: IMMZ.D2.DT.TBE.EnceVir: EnceVir 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 ) */ define "Two TBE primary series doses were administered": "Number of TBE Primary Series Doses Administered" = 2
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 12
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTTBEEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: The latest TBE dose was administered less than 5 months ago
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @input: The latest TBE dose was administered less than 5 months ago @pseudocode: Today's date − latest "Date and time of vaccination" (where "Vaccine type" = "TBE vaccines") < 5 months @code: The latest TBE dose was administered less than 5 months ago-103 @decision: IMMZ.D2.DT.TBE.FSME-Immun: FSME-Immun 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) @decision: IMMZ.D2.DT.TBE.EnceVir: EnceVir 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 ) */ define "The latest TBE dose was administered less than 5 months ago": "Date of Latest TBE Dose" is not null and duration in months between "Date of Latest TBE Dose" and Today < 5
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 13
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTTBEFSMEImmunLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: Client is not due for TBE vaccination Case 3
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @output: Client is not due for TBE vaccination Case 3 @pseudocode: "Immunization recommendation status" = "Not due" */ define "Client is not due for TBE vaccination Case 3": Encounter."Two TBE primary series doses were administered" and Encounter."The latest TBE dose was administered less than 5 months ago"
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 14
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTTBEFSMEImmunLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: Client is not due for TBE vaccination
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @output: Client is not due for TBE vaccination @pseudocode: "Immunization recommendation status" = "Not due" */ define "Client is not due for TBE vaccination": "Client is not due for TBE vaccination Case 1" or "Client is not due for TBE vaccination Case 2" or "Client is not due for TBE vaccination Case 3"
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 15
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTTBEFSMEImmunLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: Client is not due for TBE vaccination Guidance
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @output: Client is not due for TBE vaccination Guidance @guidance = Should not vaccinate client with first TBE dose as client's age is less than 1 year. 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 TBE dose as the latest dose was administered less than 1 month ago. Check for any vaccines due and inform the caregiver of when to come back for the next dose @guidance = Should not vaccinate client with third TBE dose as the latest dose was administered less than 5 months ago. Check for any vaccines due and inform the caregiver of when to come back for the next dose. */ define "Client is not due for TBE vaccination Guidance": case when "Client is not due for TBE vaccination Case 1" then 'Should not vaccinate client with first TBE dose as client\'s age is less than 1 year. Check for any vaccines due and inform the caregiver of when to come back for the first dose.' when "Client is not due for TBE vaccination Case 2" then 'Should not vaccinate client with second TBE dose as the latest dose was administered less than 1 month ago. Check for any vaccines due and inform the caregiver of when to come back for the next dose' when "Client is not due for TBE vaccination Case 3" then 'Should not vaccinate client with third TBE dose as the latest dose was administered less than 5 months ago. Check for any vaccines due and inform the caregiver of when to come back for the next dose.' else '' end
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 16
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTTBEEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: No TBE primary series doses were administered
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @input: No TBE primary series doses were administered @pseudocode: Count of vaccines administered (where "Vaccine type" = "TBE vaccines" and "Type of dose" = "Primary series") = 0 @code: No TBE primary series doses were administered-112 @decision: IMMZ.D2.DT.TBE.FSME-Immun: FSME-Immun 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) @decision: 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 ) @decision: IMMZ.D2.DT.TBE.TBE-Moscow: TBE-Moscow 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 ) @decision: IMMZ.D2.DT.TBE.EnceVir: EnceVir 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 ) */ define "No TBE primary series doses were administered": "Number of TBE Primary Series Doses Administered" = 0
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 17
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTTBEEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: Client's age is more than or equal to 1 year
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @input: Client's age is more than or equal to 1 year @pseudocode: Today's date − "Date of birth" ≥ 1 year @code: Client's age is more than or equal to 1 year-39 @decision: IMMZ.D2.DT.TBE.FSME-Immun: FSME-Immun 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) @decision: 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 ) */ define "Client's age is more than or equal to 1 year": Encounter."Current Patient Age In Years" >= 1
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 18
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTTBEFSMEImmunLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: Client is due for TBE vaccination Case 1
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @output: Client is due for TBE vaccination Case 1 @pseudocode: "Immunization recommendation status" = "Due" */ define "Client is due for TBE vaccination Case 1": Encounter."No TBE primary series doses were administered" and Encounter."Client's age is more than or equal to 1 year"
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 19
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTTBEEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: The latest TBE dose was administered more than 1 month ago
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @input: The latest TBE dose was administered more than 1 month ago @pseudocode: Today's date − "Date and time of vaccination" (where "Vaccine type" = "TBE vaccines") ≥ 1 month @code: The latest TBE dose was administered more than 1 month ago-95 @decision: IMMZ.D2.DT.TBE.FSME-Immun: FSME-Immun 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) @decision: 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 ) @decision: IMMZ.D2.DT.TBE.TBE-Moscow: TBE-Moscow 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 ) */ define "The latest TBE dose was administered more than 1 month ago": not "The latest TBE dose was administered less than 1 month ago"
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 20
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTTBEFSMEImmunLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: Client is due for TBE vaccination Case 2
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @output: Client is due for TBE vaccination Case 2 @pseudocode: "Immunization recommendation status" = "Due" */ define "Client is due for TBE vaccination Case 2": Encounter."One TBE primary series dose was administered" and Encounter."The latest TBE dose was administered more than 1 month ago"
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 21
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTTBEEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: The latest TBE dose was administered more than 5 months ago
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @input: The latest TBE dose was administered more than 5 months ago @pseudocode: Today's date − latest "Date and time of vaccination" (where "Vaccine type" = "TBE vaccines") ≥ 5 months @code: The latest TBE dose was administered more than 5 months ago-103 @decision: IMMZ.D2.DT.TBE.FSME-Immun: FSME-Immun 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) @decision: IMMZ.D2.DT.TBE.EnceVir: EnceVir 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 ) */ define "The latest TBE dose was administered more than 5 months ago": not "The latest TBE dose was administered less than 5 months ago"
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 22
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTTBEFSMEImmunLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: Client is due for TBE vaccination Case 3
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @output: Client is due for TBE vaccination Case 3 @pseudocode: "Immunization recommendation status" = "Due" */ define "Client is due for TBE vaccination Case 3": Encounter."Two TBE primary series doses were administered" and Encounter."The latest TBE dose was administered more than 5 months ago"
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 23
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTTBEFSMEImmunLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: Client is due for TBE vaccination
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @output: Client is due for TBE vaccination @pseudocode: "Immunization recommendation status" = "Due" */ define "Client is due for TBE vaccination": "Client is due for TBE vaccination Case 1" or "Client is due for TBE vaccination Case 2" or "Client is due for TBE vaccination Case 3"
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 24
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTTBEFSMEImmunLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: Client is due for TBE vaccination Guidance
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @output: Client is due for TBE vaccination Guidance @guidance = Should vaccinate client with first TBE dose as no TBE doses have been administered and client's age is more than 1 year. Check for contraindications. @guidance = Should vaccinate client with second TBE dose as the latest dose was administered more than 1 month ago. Check for contraindications. @guidance = Should vaccinate client with third TBE dose as the latest dose was administered more than 5 months ago. Check for contraindications. */ define "Client is due for TBE vaccination Guidance": case when "Client is due for TBE vaccination Case 1" then 'Should vaccinate client with first TBE dose as no TBE doses have been administered and client\'s age is more than 1 year. Check for contraindications.' when "Client is due for TBE vaccination Case 2" then 'Should vaccinate client with second TBE dose as the latest dose was administered more than 1 month ago. Check for contraindications.' when "Client is due for TBE vaccination Case 3" then 'Should vaccinate client with third TBE dose as the latest dose was administered more than 5 months ago. Check for contraindications.' else '' end
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 25
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTTBEEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: Three TBE primary series doses were administered
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @input: Three TBE primary series doses were administered @pseudocode: Count of vaccines administered (where "Vaccine type" = "TBE vaccines" and "Type of dose" = "Primary series") = 3 @code: Three TBE primary series doses were administered-112 @decision: IMMZ.D2.DT.TBE.FSME-Immun: FSME-Immun 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) @decision: 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 ) @decision: IMMZ.D2.DT.TBE.TBE-Moscow: TBE-Moscow 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 ) @decision: IMMZ.D2.DT.TBE.EnceVir: EnceVir 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 ) */ define "Three TBE primary series doses were administered": "Number of TBE Primary Series Doses Administered" = 3
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 26
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTTBEEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: TBE Booster Series Doses Administered to Patient
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @internal: TBE Booster Series Doses Administered to Patient */ define "TBE Booster Series Doses Administered to Patient": "TBE Doses Administered to Patient".seriesBooster()
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 27
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTTBEEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: Number of TBE Booster Series Doses Administered
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @internal: Number of TBE Booster Series Doses Administered */ define "Number of TBE Booster Series Doses Administered": Count("TBE Booster Series Doses Administered to Patient")
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 28
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTTBEEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: No TBE booster dose was administered
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @input: No TBE booster dose was administered @pseudocode: Count of vaccines administered (where "Vaccine type" = "TBE vaccines" and "Type of dose" = "Booster dose") = 0 @code: No TBE booster dose was administered-110 @decision: IMMZ.D2.DT.TBE.FSME-Immun: FSME-Immun 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) @decision: 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 ) */ define "No TBE booster dose was administered": "Number of TBE Booster Series Doses Administered" = 0
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 29
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTTBEEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: The latest TBE dose was administered less than 3 years ago
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @input: The latest TBE dose was administered less than 3 years ago @pseudocode: 'Today's date − latest "Date and time of vaccination" (where "Vaccine type" = "TBE vaccines") < 3 years @code: The latest TBE dose was administered less than 3 years ago-103 @decision: IMMZ.D2.DT.TBE.FSME-Immun: FSME-Immun 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) @decision: 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 ) @decision: IMMZ.D2.DT.TBE.TBE-Moscow: TBE-Moscow 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 ) @decision: IMMZ.D2.DT.TBE.EnceVir: EnceVir 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 ) */ define "The latest TBE dose was administered less than 3 years ago": "Date of Latest TBE Dose" is not null and duration in years between "Date of Latest TBE Dose" and Today < 3
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 30
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTTBEFSMEImmunLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: Primary series is complete. Client is not due for TBE booster dose
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @output: Primary series is complete. Client is not due for TBE booster dose @pseudocode: "Immunization recommendation status" = "Not due" "Completed the primary vaccination series" = TRUE (where "Vaccine type" = "TBE vaccines") */ define "Primary series is complete. Client is not due for TBE booster dose": Encounter."Three TBE primary series doses were administered" and Encounter."No TBE booster dose was administered" and Encounter."The latest TBE dose was administered less than 3 years ago"
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 31
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTTBEFSMEImmunLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: Primary series is complete. Client is not due for TBE booster dose Guidance
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @output: Primary series is complete. Client is not due for TBE booster dose Guidance @guidance: Should not vaccinate client with TBE booster dose as the latest TBE dose was administered less than 3 years ago. Check for any vaccines due and inform the caregiver of when to come back for the booster dose */ define "Primary series is complete. Client is not due for TBE booster dose Guidance": 'Should not vaccinate client with TBE booster dose as the latest TBE dose was administered less than 3 years ago. Check for any vaccines due and inform the caregiver of when to come back for the booster dose'
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 32
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTTBEEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: The latest TBE dose was administered more than 3 years ago
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @input: The latest TBE dose was administered more than 3 years ago @pseudocode: Today's date − latest "Date and time of vaccination" (where "Vaccine type" = "TBE vaccines") ≥ 3 years @code: The latest TBE dose was administered more than 3 years ago-102 @decision: IMMZ.D2.DT.TBE.FSME-Immun: FSME-Immun 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) @decision: 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 ) @decision: IMMZ.D2.DT.TBE.TBE-Moscow: TBE-Moscow 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 ) @decision: IMMZ.D2.DT.TBE.EnceVir: EnceVir 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 ) */ define "The latest TBE dose was administered more than 3 years ago": not "The latest TBE dose was administered less than 3 years ago"
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 33
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTTBEFSMEImmunLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: Primary series is complete. Client is due for TBE booster dose
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @output: Primary series is complete. Client is due for TBE booster dose @pseudocode: "Immunization recommendation status" = "Due" "Completed the primary vaccination series" = TRUE (where "Vaccine type" = "TBE vaccines") */ define "Primary series is complete. Client is due for TBE booster dose": Encounter."Three TBE primary series doses were administered" and Encounter."No TBE booster dose was administered" and Encounter."The latest TBE dose was administered more than 3 years ago"
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 34
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTTBEFSMEImmunLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: Primary series is complete. Client is due for TBE booster dose Guidance
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @output: Primary series is complete. Client is due for TBE booster dose Guidance @guidance: Should vaccinate client with TBE booster dose as the latest TBE dose was administered more than 3 years ago. Check for contraindications. */ define "Primary series is complete. Client is due for TBE booster dose Guidance": 'Should vaccinate client with TBE booster dose as the latest TBE dose was administered more than 3 years ago. Check for contraindications.'
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 35
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTTBEEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: At least one booster dose was administered
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @input: At least one booster dose was administered @pseudocode: Count of vaccines administered (where "Vaccine type" = "TBE vaccines" and "Type of dose" = "Booster dose") ≥ 1 @code: At least one booster dose was administered-110 @decision: IMMZ.D2.DT.TBE.FSME-Immun: FSME-Immun 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) @decision: 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 ) */ define "At least one booster dose was administered": "Number of TBE Booster Series Doses Administered" >= 1
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 36
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTTBEFSMEImmunLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: Clinical judgement is required.
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @output: Clinical judgement is required. @pseudocode: Create a clinical note "Immunization recommendation status" = "Further evaluation needed" */ define "Clinical judgement is required.": Encounter."Three TBE primary series doses were administered" and Encounter."At least one booster dose was administered"
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 37
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTTBEFSMEImmunLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: Clinical judgement is required. Guidance
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @output: Clinical judgement is required. Guidance @guidance: Assess if supplementary booster TBE dose(s) are necessary and create a clinical note. Check for any other vaccines due. */ define "Clinical judgement is required. Guidance": 'Assess if supplementary booster TBE dose(s) are necessary and create a clinical note. Check for any other vaccines due.'
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 38
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTTBEFSMEImmunLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: Guidance
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @dynamicValue: Guidance */ define "Guidance": case when "Client is not due for TBE vaccination" then "Client is not due for TBE vaccination Guidance" when "Client is due for TBE vaccination" then "Client is due for TBE vaccination Guidance" when "Primary series is complete. Client is not due for TBE booster dose" then "Primary series is complete. Client is not due for TBE booster dose Guidance" when "Primary series is complete. Client is due for TBE booster dose" then "Primary series is complete. Client is due for TBE booster dose Guidance" when "Clinical judgement is required." then "Clinical judgement is required. Guidance" else '' end
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 39
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTTBEFSMEImmunLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: Has Guidance
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define "Has Guidance": "Guidance" is not null and "Guidance" != ''
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 40
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZCommon
extension:
  url:
    v: name
    l: name
  value: String
    v: seriesPrimary
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /** * @description: Gets the doses from the primary series */ define fluent function seriesPrimary(immunizations List<Immunization>): immunizations I where exists( I.protocolApplied pa where pa.series = 'Primary series' )
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 41
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: FHIRHelpers
extension:
  url:
    v: name
    l: name
  value: String
    v: ToString
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define function ToString(value string): value.value
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 42
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: FHIRHelpers
extension:
  url:
    v: name
    l: name
  value: String
    v: ToString
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define function ToString(value ImmunizationStatus): value.value
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 43
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: FHIRHelpers
extension:
  url:
    v: name
    l: name
  value: String
    v: ToBoolean
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define function ToBoolean(value boolean): value.value
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 44
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: WHOCommon
extension:
  url:
    v: name
    l: name
  value: String
    v: toInterval
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* From FHIRCommon 4.1.0: */ /* @description: Normalizes a value that is a choice of timing-valued types to an equivalent interval @comment: Normalizes a choice type of FHIR.dateTime, FHIR.Period, FHIR.Timing, FHIR.instance, FHIR.string, FHIR.Age, or FHIR.Range types to an equivalent interval. This selection of choice types is a superset of the majority of choice types that are used as possible representations for timing-valued elements in FHIR, allowing this function to be used across any resource. The input can be provided as a dateTime, Period, Timing, instant, string, Age, or Range. The intent of this function is to provide a clear and concise mechanism to treat single elements that have multiple possible representations as intervals so that logic doesn't have to account for the variability. More complex calculations (such as medication request period or dispense period calculation) need specific guidance and consideration. That guidance may make use of this function, but the focus of this function is on single element calculations where the semantics are unambiguous. If the input is a dateTime, the result a DateTime Interval beginning and ending on that dateTime. If the input is a Period, the result is a DateTime Interval. If the input is a Timing, an error is raised indicating a single interval cannot be computed from a Timing. If the input is an instant, the result is a DateTime Interval beginning and ending on that instant. If the input is a string, an error is raised indicating a single interval cannot be computed from a string. If the input is an Age, the result is a DateTime Interval beginning when the patient was the given Age, and ending immediately prior to when the patient was the given Age plus one year. If the input is a Range, the result is a DateTime Interval beginning when the patient was the Age given by the low end of the Range, and ending immediately prior to when the patient was the Age given by the high end of the Range plus one year. NOTE: …
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 45
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: FHIRHelpers
extension:
  url:
    v: name
    l: name
  value: String
    v: ToDateTime
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define function ToDateTime(value dateTime): value.value
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 46
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: FHIRHelpers
extension:
  url:
    v: name
    l: name
  value: String
    v: ToInterval
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define function ToInterval(period FHIR.Period): if period is null then null else if period."start" is null then Interval(period."start".value, period."end".value] else Interval[period."start".value, period."end".value]
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 47
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: FHIRHelpers
extension:
  url:
    v: name
    l: name
  value: String
    v: ToDateTime
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define function ToDateTime(value instant): value.value
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 48
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

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

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: FHIRHelpers
extension:
  url:
    v: name
    l: name
  value: String
    v: ToQuantity
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define function ToQuantity(quantity FHIR.Quantity): case when quantity is null then null when quantity.value is null then null when quantity.comparator is not null then Message(null, true, 'FHIRHelpers.ToQuantity.ComparatorQuantityNotSupported', 'Error', 'FHIR Quantity value has a comparator and cannot be converted to a System.Quantity value.') when quantity.system is null or quantity.system.value = 'http://unitsofmeasure.org' or quantity.system.value = 'http://hl7.org/fhirpath/CodeSystem/calendar-units' then System.Quantity { value: quantity.value.value, unit: ToCalendarUnit(Coalesce(quantity.code.value, quantity.unit.value, '1')) } else Message(null, true, 'FHIRHelpers.ToQuantity.InvalidFHIRQuantity', 'Error', 'Invalid FHIR Quantity code: ' & quantity.unit.value & ' (' & quantity.system.value & '|' & quantity.code.value & ')') end
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 50
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: FHIRHelpers
extension:
  url:
    v: name
    l: name
  value: String
    v: ToCalendarUnit
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define function ToCalendarUnit(unit System.String): case unit when 'ms' then 'millisecond' when 's' then 'second' when 'min' then 'minute' when 'h' then 'hour' when 'd' then 'day' when 'wk' then 'week' when 'mo' then 'month' when 'a' then 'year' else unit end
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 51
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: FHIRHelpers
extension:
  url:
    v: name
    l: name
  value: String
    v: ToConcept
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define function ToConcept(concept FHIR.CodeableConcept): if concept is null then null else System.Concept { codes: concept.coding C return ToCode(C), display: concept.text.value }
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 52
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: FHIRHelpers
extension:
  url:
    v: name
    l: name
  value: String
    v: ToCode
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define function ToCode(coding FHIR.Coding): if coding is null then null else System.Code { code: coding.code.value, system: coding.system.value, version: coding.version.value, display: coding.display.value }
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 53
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: WHOCommon
extension:
  url:
    v: name
    l: name
  value: String
    v: mostRecent
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define fluent function mostRecent(immunizations List<Immunization>): Last( immunizations I sort by start of occurrence.toInterval() )
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 54
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZCommon
extension:
  url:
    v: name
    l: name
  value: String
    v: seriesBooster
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /** * @description: Gets the doses from the Booster series */ define fluent function seriesBooster(immunizations List<Immunization>): immunizations I where exists( I.protocolApplied pa where pa.series = 'Booster dose' )
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 55
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

v: EffectiveDataRequirements

v: active

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

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

type:
  v: depends-on
display:
  v: Library Encounter
resource:
  v: http://smart.who.int/immunizations/Library/IMMZD2DTTBEEncounterElements
  l: IMMZD2DTTBEEncounterElements

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

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

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

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

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

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

type:
  v: depends-on
display:
  v: Value set TBE vaccines
resource:
  v: http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE20
  l: IMMZ.Z.DE20

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

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

name:
  v: Primary series is complete. Client is due for TBE booster dose
use:
  v: out
min:
  v: 0
max:
  v: 1
type:
  v: boolean

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

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

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

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

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

type:
  v: Immunization
profile:
  v: http://hl7.org/fhir/StructureDefinition/Immunization
  l: Immunization
must support:
  v: status
must support:
  v: isSubpotent
must support:
  v: occurrence
must support:
  v: vaccineCode
must support:
  v: protocolApplied
code filter:
  path:
    v: status
  code:
    code:
      v: completed
code filter:
  path:
    v: vaccineCode
  value set:
    v: http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE20
    l: IMMZ.Z.DE20

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

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

v: 1.0.0

v: IMMZD2DTTBEFSMEImmun

v: IMMZ.D2.DT.TBE.FSME-Immun

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

v: draft

v: false

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

v: WHO

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

v: IMMZ.D2.DT.TBE.FSME-Immun FSME-Immun 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)

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

extension:
  url:
    v: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-rationale
    l: cpg-rationale
  value: Markdown
    v: The vaccines manufactured in Austria and Germany (FSME-Immun and Encepur) can be given from > 1 year of age. For the vaccines manufactured in Austria and Germany (FSME-Immun and Encepur), an interval of 1–3 months is recommended between the first 2 doses.
title:
  v: Determine if the client is due for TBE.
description:
  v: Determine if the client is due for TBE vaccine according to the national immunization protocol. FSME-Immun 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:
    v: applicability
  expression:
    description:
      v: Client is due for TBE vaccination
    language:
      v: text/cql-identifier
    expression:
      v: Client is due for TBE vaccination
definition: Canonical
  v: http://smart.who.int/immunizations/ActivityDefinition/IMMZD2DTMR
  l: IMMZD2DTMR
dynamic value:
  path:
    v: status
  expression:
    language:
      v: text/cql-expression
    expression:
      v: 'draft'
dynamic value:
  path:
    v: intent
  expression:
    language:
      v: text/cql-expression
    expression:
      v: 'proposal'
dynamic value:
  path:
    v: medication
  expression:
    language:
      v: text/cql-expression
    expression:
      v: Concept { codes: { Code { system: 'http://smart.who.int/immunizations/CodeSystem/IMMZ.Z', code: 'DE20', display: 'TBE vaccines' } }, display: 'TBE vaccines' }

extension:
  url:
    v: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-rationale
    l: cpg-rationale
  value: Markdown
    v: For both vaccines (FSME-Immun and Encepur), the manufacturers recommend a booster dose to be administered 3 years after completion of the primary series. 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.
title:
  v: Determine if the client is due for TBE.
description:
  v: Determine if the client is due for TBE vaccine according to the national immunization protocol. FSME-Immun 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:
    v: applicability
  expression:
    description:
      v: Primary series is complete. Client is due for TBE booster dose
    language:
      v: text/cql-identifier
    expression:
      v: Primary series is complete. Client is due for TBE booster dose
definition: Canonical
  v: http://smart.who.int/immunizations/ActivityDefinition/IMMZD2DTMR
  l: IMMZD2DTMR
dynamic value:
  path:
    v: status
  expression:
    language:
      v: text/cql-expression
    expression:
      v: 'draft'
dynamic value:
  path:
    v: intent
  expression:
    language:
      v: text/cql-expression
    expression:
      v: 'proposal'
dynamic value:
  path:
    v: medication
  expression:
    language:
      v: text/cql-expression
    expression:
      v: Concept { codes: { Code { system: 'http://smart.who.int/immunizations/CodeSystem/IMMZ.Z', code: 'DE20', display: 'TBE vaccines' } }, display: 'TBE vaccines' }

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