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 |
{
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"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n<div>\n <table class=\"grid dict\">\n \n <tr>\n <th scope=\"row\"><b>Id: </b></th>\n <td style=\"padding-left: 4px;\">IMMZD2DTTBETBEMoscow</td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Url: </b></th>\n <td style=\"padding-left: 4px;\"><a href=\"PlanDefinition-IMMZD2DTTBETBEMoscow.html\">IMMZ.D2.DT.TBE.TBE-Moscow</a></td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Version: </b></th>\n <td style=\"padding-left: 4px;\">1.0.0</td>\n </tr>\n \n\n \n\n \n <tr>\n <th scope=\"row\"><b>Title: </b></th>\n <td style=\"padding-left: 4px;\">IMMZ.D2.DT.TBE.TBE-Moscow</td>\n </tr>\n \n\n \n\n \n <tr>\n <th scope=\"row\"><b>Status: </b></th>\n <td style=\"padding-left: 4px;\">draft</td>\n </tr>\n \n\n \n\n \n <tr>\n <th scope=\"row\"><b>Type: </b></th>\n <td style=\"padding-left: 4px;\">\n \n \n \n <p style=\"margin-bottom: 5px;\">\n <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>\n </p>\n \n \n <p style=\"margin-bottom: 5px;\">\n <b>code: </b> <span>eca-rule</span>\n </p>\n \n \n \n \n \n </td>\n </tr>\n \n\n \n\n \n <tr>\n <th scope=\"row\"><b>Date: </b></th>\n <td style=\"padding-left: 4px;\">2026-03-31 13:54:17+0000</td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Publisher: </b></th>\n <td style=\"padding-left: 4px;\">WHO</td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Description: </b></th>\n <td style=\"padding-left: 4px;\"><div><p>IMMZ.D2.DT.TBE.TBE-Moscow\nTBE-Moscow schedule\n(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)</p>\n</div></td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Knowledge Capability: </b></th>\n <td style=\"padding-left: 4px;\">\n \n computable \n </td>\n </tr>\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n <tr>\n <th scope=\"row\"><b>Related Artifacts: </b></th>\n <td style=\"padding-left: 4px;\">\n \n \n <p><b>References</b></p>\n <ul>\n \n <li><div><p>WHO recommendations for routine immunization - summary tables (January 2025)</p>\n</div><br/><a href=\"null\"/></li>\n \n </ul>\n \n \n \n \n \n \n </td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Libraries: </b></th>\n <td style=\"padding-left: 4px;\">\n <table class=\"grid-dict\">\n \n <tr>\n <td><a href=\"Library-IMMZD2DTTBETBEMoscowLogic.html\">IMMZD2DTTBETBEMoscowLogic</a></td>\n </tr>\n \n </table>\n </td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Actions: </b></th>\n <td style=\"padding-left: 4px;\">\n <table class=\"grid-dict\">\n \n <tr>\n <td>\n \n <b> Determine if the client is due for TBE.:</b> Determine if the client is due for TBE vaccine according to the national immunization protocol.\nTBE-Moscow schedule \n(In areas where the disease is highly endemic, implying that there is a high individual risk of infection, \nWHO recommends that vaccination be offered to all age groups, including children)\n \n <br/>\n \n \n <b>If:</b>\n \n <i>Applicability:</i>\n \n Client is due for TBE vaccination\n \n <i>(Client is due for TBE vaccination)</i>\n <br/>\n \n \n \n \n <b>Then:</b> <i>Definition:</i> <a href=\"ActivityDefinition-IMMZD2DTMR.html\">IMMZD2DTMR</a><br/>\n \n <i>Dynamic Values:</i><br/>\n \n status: <i>('draft')</i>\n <br/>\n \n intent: <i>('proposal')</i>\n <br/>\n \n medication: <i>(Concept { codes: { Code { system: 'http://smart.who.int/immunizations/CodeSystem/IMMZ.Z', code: 'DE20', display: 'TBE vaccines' } }, display: 'TBE vaccines' })</i>\n <br/>\n \n \n \n \n </td>\n </tr>\n \n <tr>\n <td>\n \n <b> Determine if the client is due for TBE.:</b> Determine if the client is due for TBE vaccine according to the national immunization protocol.\nTBE-Moscow schedule \n(In areas where the disease is highly endemic, implying that there is a high individual risk of infection, \nWHO recommends that vaccination be offered to all age groups, including children)\n \n <br/>\n \n \n <b>If:</b>\n \n <i>Applicability:</i>\n \n Primary series is complete. Client is due for TBE booster dose\n \n <i>(Primary series is complete. Client is due for TBE booster dose)</i>\n <br/>\n \n \n \n \n <b>Then:</b> <i>Definition:</i> <a href=\"ActivityDefinition-IMMZD2DTMR.html\">IMMZD2DTMR</a><br/>\n \n <i>Dynamic Values:</i><br/>\n \n status: <i>('draft')</i>\n <br/>\n \n intent: <i>('proposal')</i>\n <br/>\n \n medication: <i>(Concept { codes: { Code { system: 'http://smart.who.int/immunizations/CodeSystem/IMMZ.Z', code: 'DE20', display: 'TBE vaccines' } }, display: 'TBE vaccines' })</i>\n <br/>\n \n \n \n \n </td>\n </tr>\n \n <tr>\n <td>\n \n <b> Check for Guidance for the patient regarding IMMZ.D2.DT.TBE.TBE-Moscow.:</b> Show Guidance for the patient regarding IMMZ.D2.DT.TBE.TBE-Moscow.\n \n <br/>\n \n \n <b>If:</b>\n \n <i>Applicability:</i>\n \n Has Guidance\n \n <i>(Has Guidance)</i>\n <br/>\n \n \n \n \n <b>Then:</b> <i>Definition:</i> <a href=\"ActivityDefinition-IMMZD2DTCR.html\">IMMZ.D2.DT.CR</a><br/>\n \n <i>Dynamic Values:</i><br/>\n \n status: <i>('active')</i>\n <br/>\n \n payload.contentString: <i>(Guidance)</i>\n <br/>\n \n category.coding: <i>(Code { system: 'http://terminology.hl7.org/CodeSystem/communication-category', code: 'alert' })</i>\n <br/>\n \n priority: <i>(Code { system: 'http://hl7.org/fhir/request-priority', code: 'routine' })</i>\n <br/>\n \n \n \n \n </td>\n </tr>\n \n </table>\n </td>\n </tr>\n \n </table>\n</div>\n</div>"
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"extension" : [
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"url" : "libraryName",
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"url" : "name",
"valueString" : "Current Patient Age In Years"
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"url" : "statement",
"valueString" : "/** \n * @dataElement Patient age in years\n */\ndefine \"Current Patient Age In Years\":\n AgeInYearsAt(Today)"
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"extension" : [
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"url" : "libraryName",
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"valueString" : "Client's age is less than 3 years"
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"url" : "statement",
"valueString" : "/*\n@input: Client's age is less than 3 years\n@pseudocode: Today's date − \"Date of birth\" < 3 years\n@code: Client's age is less than 3 years-40\n@decision: IMMZ.D2.DT.TBE.TBE-Moscow: TBE-Moscow schedule\n(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\t)\n@decision: IMMZ.D2.DT.TBE.EnceVir: EnceVir schedule\n(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\t\t\t\t\t)\n*/\ndefine \"Client's age is less than 3 years\":\n Encounter.\"Current Patient Age In Years\" < 3"
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"url" : "libraryName",
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"url" : "name",
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"url" : "statement",
"valueString" : "/*\n@output: Client is not due for TBE vaccination Case 1\n@pseudocode: \"Immunization recommendation status\" = \"Not due\"\n*/\ndefine \"Client is not due for TBE vaccination Case 1\":\n Encounter.\"Client's age is less than 3 years\""
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"valueString" : "Doses Administered to Patient"
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"url" : "statement",
"valueString" : "/**\n * @dataElement All Doses Administered to Patient\n */\ndefine \"Doses Administered to Patient\":\n [Immunization] I\n where I.status = 'completed'\n and I.isSubpotent is not true"
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"extension" : [
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"url" : "name",
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"url" : "statement",
"valueString" : "/**\n * @dataElement All Doses Administered to Patient\n */\ndefine \"Doses Administered to Patient\":\n Elements.\"Doses Administered to Patient\" I\n where I.occurrence.toInterval() same day or before Today"
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"url" : "name",
"valueString" : "TBE Doses Administered to Patient"
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"url" : "statement",
"valueString" : "/*\n@internal: TBE containing Doses Administered to Patient\n*/\ndefine \"TBE Doses Administered to Patient\":\n Encounter.\"Doses Administered to Patient\" I\n where\n I.vaccineCode in Concepts.\"TBE vaccines\""
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"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
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"extension" : [
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"url" : "libraryName",
"valueString" : "IMMZD2DTTBEEncounterElements"
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{
"url" : "name",
"valueString" : "TBE Primary Series Doses Administered to Patient"
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"url" : "statement",
"valueString" : "/*\n@internal: TBE containing Doses Administered to Patient that are in the Primary series\n*/\ndefine \"TBE Primary Series Doses Administered to Patient\":\n \"TBE Doses Administered to Patient\".seriesPrimary()"
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"extension" : [
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"url" : "libraryName",
"valueString" : "IMMZD2DTTBEEncounterElements"
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"url" : "name",
"valueString" : "Number of TBE Primary Series Doses Administered"
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"url" : "statement",
"valueString" : "/*\n@internal: Number of TBE Primary Series doses\n*/\ndefine \"Number of TBE Primary Series Doses Administered\":\n Count(\"TBE Primary Series Doses Administered to Patient\")"
},
{
"url" : "displaySequence",
"valueInteger" : 7
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"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
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{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD2DTTBEEncounterElements"
},
{
"url" : "name",
"valueString" : "One TBE primary series dose was administered"
},
{
"url" : "statement",
"valueString" : "/*\n@input: One TBE primary series dose was administered\n@pseudocode: Count of vaccines administered (where \"Vaccine type\" = \"TBE vaccines\" and \"Type of dose\" = \"Primary series\") = 1\n@code: One TBE primary series dose was administered-112\n@decision: IMMZ.D2.DT.TBE.FSME-Immun: FSME-Immun schedule\n(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)\n@decision: IMMZ.D2.DT.TBE.Encepur: Encepur schedule\n(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\t\t)\n@decision: IMMZ.D2.DT.TBE.TBE-Moscow: TBE-Moscow schedule\n(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\t)\n@decision: IMMZ.D2.DT.TBE.EnceVir: EnceVir schedule\n(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\t\t\t\t\t)\n*/\ndefine \"One TBE primary series dose was administered\":\n \"Number of TBE Primary Series Doses Administered\" = 1"
},
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"url" : "displaySequence",
"valueInteger" : 8
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
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"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD2DTTBEEncounterElements"
},
{
"url" : "name",
"valueString" : "Date of Latest TBE Dose"
},
{
"url" : "statement",
"valueString" : "/*\n@internal: Date of Latest TBE Dose\n*/\ndefine \"Date of Latest TBE Dose\":\n date from start of \"TBE Doses Administered to Patient\".mostRecent().occurrence.toInterval()"
},
{
"url" : "displaySequence",
"valueInteger" : 9
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD2DTTBEEncounterElements"
},
{
"url" : "name",
"valueString" : "The latest TBE dose was administered less than 1 month ago"
},
{
"url" : "statement",
"valueString" : "/*\n@input: The latest TBE dose was administered less than 1 month ago\n@pseudocode: Today's date − \"Date and time of vaccination\" (where \"Vaccine type\" = \"TBE vaccines\") < 1 month\n@code: The latest TBE dose was administered less than 1 month ago-95\n@decision: IMMZ.D2.DT.TBE.FSME-Immun: FSME-Immun schedule\n(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)\n@decision: IMMZ.D2.DT.TBE.Encepur: Encepur schedule\n(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\t\t)\n@decision: IMMZ.D2.DT.TBE.TBE-Moscow: TBE-Moscow schedule\n(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\t)\n*/\ndefine \"The latest TBE dose was administered less than 1 month ago\":\n \"Date of Latest TBE Dose\" is not null\n and duration in months between \"Date of Latest TBE Dose\" and Today < 1"
},
{
"url" : "displaySequence",
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],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
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{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD2DTTBETBEMoscowLogic"
},
{
"url" : "name",
"valueString" : "Client is not due for TBE vaccination Case 2"
},
{
"url" : "statement",
"valueString" : "/*\n@output: Client is not due for TBE vaccination Case 2\n@pseudocode: \"Immunization recommendation status\" = \"Not due\"\n*/\ndefine \"Client is not due for TBE vaccination Case 2\":\n Encounter.\"One TBE primary series dose was administered\"\n and Encounter.\"The latest TBE dose was administered less than 1 month ago\""
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"url" : "displaySequence",
"valueInteger" : 11
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"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
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"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD2DTTBEEncounterElements"
},
{
"url" : "name",
"valueString" : "Two TBE primary series doses were administered"
},
{
"url" : "statement",
"valueString" : "/*\n@input: Two TBE primary series doses were administered\n@pseudocode: Count of vaccines administered (where \"Vaccine type\" = \"TBE vaccines\" and \"Type of dose\" = \"Primary series\") = 2\n@code: Two TBE primary series doses were administered-112\n@decision: IMMZ.D2.DT.TBE.FSME-Immun: FSME-Immun schedule\n(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)\n@decision: IMMZ.D2.DT.TBE.Encepur: Encepur schedule\n(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\t\t)\n@decision: IMMZ.D2.DT.TBE.TBE-Moscow: TBE-Moscow schedule\n(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\t)\n@decision: IMMZ.D2.DT.TBE.EnceVir: EnceVir schedule\n(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\t\t\t\t\t)\n*/\ndefine \"Two TBE primary series doses were administered\":\n \"Number of TBE Primary Series Doses Administered\" = 2"
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"url" : "libraryName",
"valueString" : "IMMZD2DTTBEEncounterElements"
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"url" : "name",
"valueString" : "The latest TBE dose was administered less than 12 months ago"
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{
"url" : "statement",
"valueString" : "/*\n@input: The latest TBE dose was administered less than 12 months ago\n@pseudocode: Today's date − latest \"Date and time of vaccination\" (where \"Vaccine type\" = \"TBE vaccines\") < 12 months\n@code: The latest TBE dose was administered less than 12 months ago-104\n@decision: IMMZ.D2.DT.TBE.TBE-Moscow: TBE-Moscow schedule\n(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\t)\n@decision: IMMZ.D2.DT.TBE.EnceVir: EnceVir schedule\n(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\t\t\t\t\t)\n*/\ndefine \"The latest TBE dose was administered less than 12 months ago\":\n \"Date of Latest TBE Dose\" is not null\n and duration in months between \"Date of Latest TBE Dose\" and Today < 12"
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"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
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"extension" : [
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"url" : "libraryName",
"valueString" : "IMMZD2DTTBETBEMoscowLogic"
},
{
"url" : "name",
"valueString" : "Client is not due for TBE vaccination Case 3"
},
{
"url" : "statement",
"valueString" : "/*\n@output: Client is not due for TBE vaccination Case 3\n@pseudocode: \"Immunization recommendation status\" = \"Not due\"\n*/\ndefine \"Client is not due for TBE vaccination Case 3\":\n Encounter.\"Two TBE primary series doses were administered\"\n and Encounter.\"The latest TBE dose was administered less than 12 months ago\""
},
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"url" : "displaySequence",
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"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
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"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD2DTTBETBEMoscowLogic"
},
{
"url" : "name",
"valueString" : "Client is not due for TBE vaccination"
},
{
"url" : "statement",
"valueString" : "/*\n@output: Client is not due for TBE vaccination\n@pseudocode: \"Immunization recommendation status\" = \"Not due\"\n*/\ndefine \"Client is not due for TBE vaccination\":\n \"Client is not due for TBE vaccination Case 1\"\n or \"Client is not due for TBE vaccination Case 2\"\n or \"Client is not due for TBE vaccination Case 3\""
},
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"url" : "displaySequence",
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"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD2DTTBETBEMoscowLogic"
},
{
"url" : "name",
"valueString" : "Client is not due for TBE vaccination Guidance"
},
{
"url" : "statement",
"valueString" : "/*\n@output: Client is not due for TBE vaccination Guidance\n@guidance = Should not vaccinate client with first TBE dose as client's age is under 3 years.\nCheck for any vaccines due and inform the caregiver of when to come back for the first dose.\n@guidance = Should not vaccinate client with second TBE dose as the latest dose was administered less than 1 month ago.\nCheck for any vaccines due and inform the caregiver of when to come back for the next dose.\n@guidance = Should not vaccinate client with third TBE dose as the latest dose was administered less than 12 months ago.\nCheck for any vaccines due and inform the caregiver of when to come back for the next dose\n*/\ndefine \"Client is not due for TBE vaccination Guidance\":\n case\n when \"Client is not due for TBE vaccination Case 1\" then 'Should not vaccinate client with first TBE dose as client\\'s age is under 3 years.\nCheck for any vaccines due and inform the caregiver of when to come back for the first dose.'\n 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.\nCheck for any vaccines due and inform the caregiver of when to come back for the next dose.'\n 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 12 months ago.\nCheck for any vaccines due and inform the caregiver of when to come back for the next dose'\n else ''\n end"
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"extension" : [
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"url" : "libraryName",
"valueString" : "IMMZD2DTTBEEncounterElements"
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"url" : "name",
"valueString" : "No TBE primary series doses were administered"
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{
"url" : "statement",
"valueString" : "/*\n@input: No TBE primary series doses were administered\n@pseudocode: Count of vaccines administered (where \"Vaccine type\" = \"TBE vaccines\" and \"Type of dose\" = \"Primary series\") = 0\n@code: No TBE primary series doses were administered-112\n@decision: IMMZ.D2.DT.TBE.FSME-Immun: FSME-Immun schedule\n(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)\n@decision: IMMZ.D2.DT.TBE.Encepur: Encepur schedule\n(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\t\t)\n@decision: IMMZ.D2.DT.TBE.TBE-Moscow: TBE-Moscow schedule\n(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\t)\n@decision: IMMZ.D2.DT.TBE.EnceVir: EnceVir schedule\n(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\t\t\t\t\t)\n*/\ndefine \"No TBE primary series doses were administered\":\n \"Number of TBE Primary Series Doses Administered\" = 0"
},
{
"url" : "displaySequence",
"valueInteger" : 17
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD2DTTBEEncounterElements"
},
{
"url" : "name",
"valueString" : "Client's age is more than or equal to 3 years"
},
{
"url" : "statement",
"valueString" : "/*\n@input: Client's age is more than or equal to 3 years\n@pseudocode: Today's date − \"Date of birth\" ≥ 3 years\n@code: Client's age is more than or equal to 3 years-40\n@decision: IMMZ.D2.DT.TBE.TBE-Moscow: TBE-Moscow schedule\n(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\t)\n@decision: IMMZ.D2.DT.TBE.EnceVir: EnceVir schedule\n(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\t\t\t\t\t)\n*/\ndefine \"Client's age is more than or equal to 3 years\":\n Encounter.\"Current Patient Age In Years\" >= 3"
},
{
"url" : "displaySequence",
"valueInteger" : 18
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD2DTTBETBEMoscowLogic"
},
{
"url" : "name",
"valueString" : "Client is due for TBE vaccination Case 1"
},
{
"url" : "statement",
"valueString" : "/*\n@output: Client is due for TBE vaccination Case 1\n@pseudocode: \"Immunization recommendation status\" = \"Due\"\n*/\ndefine \"Client is due for TBE vaccination Case 1\":\n Encounter.\"No TBE primary series doses were administered\"\n and Encounter.\"Client's age is more than or equal to 3 years\""
},
{
"url" : "displaySequence",
"valueInteger" : 19
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD2DTTBEEncounterElements"
},
{
"url" : "name",
"valueString" : "The latest TBE dose was administered more than 1 month ago"
},
{
"url" : "statement",
"valueString" : "/*\n@input: The latest TBE dose was administered more than 1 month ago\n@pseudocode: Today's date − \"Date and time of vaccination\" (where \"Vaccine type\" = \"TBE vaccines\") ≥ 1 month\n@code: The latest TBE dose was administered more than 1 month ago-95\n@decision: IMMZ.D2.DT.TBE.FSME-Immun: FSME-Immun schedule\n(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)\n@decision: IMMZ.D2.DT.TBE.Encepur: Encepur schedule\n(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\t\t)\n@decision: IMMZ.D2.DT.TBE.TBE-Moscow: TBE-Moscow schedule\n(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\t)\n*/\ndefine \"The latest TBE dose was administered more than 1 month ago\":\n not \"The latest TBE dose was administered less than 1 month ago\""
},
{
"url" : "displaySequence",
"valueInteger" : 20
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD2DTTBETBEMoscowLogic"
},
{
"url" : "name",
"valueString" : "Client is due for TBE vaccination Case 2"
},
{
"url" : "statement",
"valueString" : "/*\n@output: Client is due for TBE vaccination Case 2\n@pseudocode: \"Immunization recommendation status\" = \"Due\"\n*/\ndefine \"Client is due for TBE vaccination Case 2\":\n Encounter.\"One TBE primary series dose was administered\"\n and Encounter.\"The latest TBE dose was administered more than 1 month ago\""
},
{
"url" : "displaySequence",
"valueInteger" : 21
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD2DTTBEEncounterElements"
},
{
"url" : "name",
"valueString" : "The latest TBE dose was administered more than 12 months ago"
},
{
"url" : "statement",
"valueString" : "/*\n@input: The latest TBE dose was administered more than 12 months ago\n@pseudocode: Today's date − \"Date and time of vaccination\" (where \"Vaccine type\" = \"TBE vaccines\") ≥ 12 months\n@code: The latest TBE dose was administered more than 12 months ago-97\n@decision: IMMZ.D2.DT.TBE.TBE-Moscow: TBE-Moscow schedule\n(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\t)\n@decision: IMMZ.D2.DT.TBE.EnceVir: EnceVir schedule\n(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\t\t\t\t\t)\n*/\ndefine \"The latest TBE dose was administered more than 12 months ago\":\n not \"The latest TBE dose was administered less than 12 months ago\""
},
{
"url" : "displaySequence",
"valueInteger" : 22
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD2DTTBETBEMoscowLogic"
},
{
"url" : "name",
"valueString" : "Client is due for TBE vaccination Case 3"
},
{
"url" : "statement",
"valueString" : "/*\n@output: Client is due for TBE vaccination Case 3\n@pseudocode: \"Immunization recommendation status\" = \"Due\"\n*/\ndefine \"Client is due for TBE vaccination Case 3\":\n Encounter.\"Two TBE primary series doses were administered\"\n and Encounter.\"The latest TBE dose was administered more than 12 months ago\""
},
{
"url" : "displaySequence",
"valueInteger" : 23
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD2DTTBETBEMoscowLogic"
},
{
"url" : "name",
"valueString" : "Client is due for TBE vaccination"
},
{
"url" : "statement",
"valueString" : "/*\n@output: Client is due for TBE vaccination\n@pseudocode: \"Immunization recommendation status\" = \"Due\"\n*/\ndefine \"Client is due for TBE vaccination\":\n \"Client is due for TBE vaccination Case 1\"\n or \"Client is due for TBE vaccination Case 2\"\n or \"Client is due for TBE vaccination Case 3\""
},
{
"url" : "displaySequence",
"valueInteger" : 24
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD2DTTBETBEMoscowLogic"
},
{
"url" : "name",
"valueString" : "Client is due for TBE vaccination Guidance"
},
{
"url" : "statement",
"valueString" : "/*\n@output: Client is due for TBE vaccination Guidance\n@guidance = Should vaccinate client with first TBE dose as no TBE doses have been administered and client's age is more than 3 years.\nCheck for contraindications.\n@guidance = Should vaccinate client with second TBE dose as the latest dose was administered more than 1 month ago.\nCheck for contraindications.\n@guidance = Should vaccinate client with third TBE dose as the latest dose was administered more than 12 months ago.\nCheck for contraindications.\n*/\ndefine \"Client is due for TBE vaccination Guidance\":\n case\n 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 3 years.\nCheck for contraindications.'\n 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.\nCheck for contraindications.'\n 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 12 months ago.\nCheck for contraindications.'\n else ''\n end"
},
{
"url" : "displaySequence",
"valueInteger" : 25
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD2DTTBEEncounterElements"
},
{
"url" : "name",
"valueString" : "Three TBE primary series doses were administered"
},
{
"url" : "statement",
"valueString" : "/*\n@input: Three TBE primary series doses were administered\n@pseudocode: Count of vaccines administered (where \"Vaccine type\" = \"TBE vaccines\" and \"Type of dose\" = \"Primary series\") = 3\n@code: Three TBE primary series doses were administered-112\n@decision: IMMZ.D2.DT.TBE.FSME-Immun: FSME-Immun schedule\n(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)\n@decision: IMMZ.D2.DT.TBE.Encepur: Encepur schedule\n(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\t\t)\n@decision: IMMZ.D2.DT.TBE.TBE-Moscow: TBE-Moscow schedule\n(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\t)\n@decision: IMMZ.D2.DT.TBE.EnceVir: EnceVir schedule\n(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\t\t\t\t\t)\n*/\ndefine \"Three TBE primary series doses were administered\":\n \"Number of TBE Primary Series Doses Administered\" = 3"
},
{
"url" : "displaySequence",
"valueInteger" : 26
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD2DTTBEEncounterElements"
},
{
"url" : "name",
"valueString" : "The latest TBE dose was administered less than 3 years ago"
},
{
"url" : "statement",
"valueString" : "/*\n@input: The latest TBE dose was administered less than 3 years ago\n@pseudocode: 'Today's date − latest \"Date and time of vaccination\" (where \"Vaccine type\" = \"TBE vaccines\") < 3 years\n@code: The latest TBE dose was administered less than 3 years ago-103\n@decision: IMMZ.D2.DT.TBE.FSME-Immun: FSME-Immun schedule\n(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)\n@decision: IMMZ.D2.DT.TBE.Encepur: Encepur schedule\n(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\t\t)\n@decision: IMMZ.D2.DT.TBE.TBE-Moscow: TBE-Moscow schedule\n(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\t)\n@decision: IMMZ.D2.DT.TBE.EnceVir: EnceVir schedule\n(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\t\t\t\t\t)\n*/\ndefine \"The latest TBE dose was administered less than 3 years ago\":\n \"Date of Latest TBE Dose\" is not null\n and duration in years between \"Date of Latest TBE Dose\" and Today < 3"
},
{
"url" : "displaySequence",
"valueInteger" : 27
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD2DTTBETBEMoscowLogic"
},
{
"url" : "name",
"valueString" : "Primary series is complete. Client is not due for TBE booster dose"
},
{
"url" : "statement",
"valueString" : "/*\n@output: Primary series is complete. Client is not due for TBE booster dose\n@pseudocode: \"Immunization recommendation status\" = \"Not due\"\n\"Completed the primary vaccination series\" = TRUE (where \"Vaccine type\" = \"TBE vaccines\")\n*/\ndefine \"Primary series is complete. Client is not due for TBE booster dose\":\n Encounter.\"Three TBE primary series doses were administered\"\n and Encounter.\"The latest TBE dose was administered less than 3 years ago\""
},
{
"url" : "displaySequence",
"valueInteger" : 28
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD2DTTBETBEMoscowLogic"
},
{
"url" : "name",
"valueString" : "Primary series is complete. Client is not due for TBE booster dose Guidance"
},
{
"url" : "statement",
"valueString" : "/*\n@output: Primary series is complete. Client is not due for TBE booster dose Guidance\n@guidance: Should not vaccinate client with TBE booster dose as the latest TBE dose was administered less than 3 years ago.\nCheck for contraindications.\n*/\ndefine \"Primary series is complete. Client is not due for TBE booster dose Guidance\":\n 'Should not vaccinate client with TBE booster dose as the latest TBE dose was administered less than 3 years ago.\nCheck for contraindications.'"
},
{
"url" : "displaySequence",
"valueInteger" : 29
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD2DTTBEEncounterElements"
},
{
"url" : "name",
"valueString" : "The latest TBE dose was administered more than 3 years ago"
},
{
"url" : "statement",
"valueString" : "/*\n@input: The latest TBE dose was administered more than 3 years ago\n@pseudocode: Today's date − latest \"Date and time of vaccination\" (where \"Vaccine type\" = \"TBE vaccines\") ≥ 3 years\n@code: The latest TBE dose was administered more than 3 years ago-102\n@decision: IMMZ.D2.DT.TBE.FSME-Immun: FSME-Immun schedule\n(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)\n@decision: IMMZ.D2.DT.TBE.Encepur: Encepur schedule\n(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\t\t)\n@decision: IMMZ.D2.DT.TBE.TBE-Moscow: TBE-Moscow schedule\n(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\t)\n@decision: IMMZ.D2.DT.TBE.EnceVir: EnceVir schedule\n(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\t\t\t\t\t)\n*/\ndefine \"The latest TBE dose was administered more than 3 years ago\":\n not \"The latest TBE dose was administered less than 3 years ago\""
},
{
"url" : "displaySequence",
"valueInteger" : 30
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD2DTTBETBEMoscowLogic"
},
{
"url" : "name",
"valueString" : "Primary series is complete. Client is due for TBE booster dose"
},
{
"url" : "statement",
"valueString" : "/*\n@output: Primary series is complete. Client is due for TBE booster dose\n@pseudocode: \"Immunization recommendation status\" = \"Due\"\n\"Completed the primary vaccination series\" = TRUE (where \"Vaccine type\" = \"TBE vaccines\")\n*/\ndefine \"Primary series is complete. Client is due for TBE booster dose\":\n Encounter.\"Three TBE primary series doses were administered\"\n and Encounter.\"The latest TBE dose was administered more than 3 years ago\""
},
{
"url" : "displaySequence",
"valueInteger" : 31
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD2DTTBETBEMoscowLogic"
},
{
"url" : "name",
"valueString" : "Primary series is complete. Client is due for TBE booster dose Guidance"
},
{
"url" : "statement",
"valueString" : "/*\n@output: Primary series is complete. Client is due for TBE booster dose Guidance\n@guidance: Should vaccinate client with TBE booster dose as the primary series has been completed and the latest TBE dose was administered more than 3 years ago.\nCheck for contraindications.\n*/\ndefine \"Primary series is complete. Client is due for TBE booster dose Guidance\":\n 'Should vaccinate client with TBE booster dose as the primary series has been completed and the latest TBE dose was administered more than 3 years ago.\nCheck for contraindications.'"
},
{
"url" : "displaySequence",
"valueInteger" : 32
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD2DTTBETBEMoscowLogic"
},
{
"url" : "name",
"valueString" : "Guidance"
},
{
"url" : "statement",
"valueString" : "/*\n@dynamicValue: Guidance\n*/\ndefine \"Guidance\":\n case \n when \"Client is not due for TBE vaccination\" then \"Client is not due for TBE vaccination Guidance\"\n when \"Client is due for TBE vaccination\" then \"Client is due for TBE vaccination Guidance\"\n 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\"\n 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\" \n else ''\n end"
},
{
"url" : "displaySequence",
"valueInteger" : 33
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZD2DTTBETBEMoscowLogic"
},
{
"url" : "name",
"valueString" : "Has Guidance"
},
{
"url" : "statement",
"valueString" : "define \"Has Guidance\":\n \"Guidance\" is not null and \"Guidance\" != ''"
},
{
"url" : "displaySequence",
"valueInteger" : 34
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZCommon"
},
{
"url" : "name",
"valueString" : "seriesPrimary"
},
{
"url" : "statement",
"valueString" : "/**\n * @description: Gets the doses from the primary series\n */\ndefine fluent function seriesPrimary(immunizations List<Immunization>):\n immunizations I where\n exists( I.protocolApplied pa where pa.series = 'Primary series' )"
},
{
"url" : "displaySequence",
"valueInteger" : 35
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "FHIRHelpers"
},
{
"url" : "name",
"valueString" : "ToString"
},
{
"url" : "statement",
"valueString" : "define function ToString(value string): value.value"
},
{
"url" : "displaySequence",
"valueInteger" : 36
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "FHIRHelpers"
},
{
"url" : "name",
"valueString" : "ToString"
},
{
"url" : "statement",
"valueString" : "define function ToString(value ImmunizationStatus): value.value"
},
{
"url" : "displaySequence",
"valueInteger" : 37
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "FHIRHelpers"
},
{
"url" : "name",
"valueString" : "ToBoolean"
},
{
"url" : "statement",
"valueString" : "define function ToBoolean(value boolean): value.value"
},
{
"url" : "displaySequence",
"valueInteger" : 38
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "WHOCommon"
},
{
"url" : "name",
"valueString" : "toInterval"
},
{
"url" : "statement",
"valueString" : "/*\nFrom FHIRCommon 4.1.0:\n*/\n\n/*\n@description: Normalizes a value that is a choice of timing-valued types to an equivalent interval\n@comment: Normalizes a choice type of FHIR.dateTime, FHIR.Period, FHIR.Timing, FHIR.instance, FHIR.string, FHIR.Age, or FHIR.Range types\nto an equivalent interval. This selection of choice types is a superset of the majority of choice types that are used as possible\nrepresentations for timing-valued elements in FHIR, allowing this function to be used across any resource.\n\nThe input can be provided as a dateTime, Period, Timing, instant, string, Age, or Range.\nThe intent of this function is to provide a clear and concise mechanism to treat single\nelements that have multiple possible representations as intervals so that logic doesn't have to account\nfor the variability. More complex calculations (such as medication request period or dispense period\ncalculation) need specific guidance and consideration. That guidance may make use of this function, but\nthe focus of this function is on single element calculations where the semantics are unambiguous.\nIf the input is a dateTime, the result a DateTime Interval beginning and ending on that dateTime.\nIf the input is a Period, the result is a DateTime Interval.\nIf the input is a Timing, an error is raised indicating a single interval cannot be computed from a Timing.\nIf the input is an instant, the result is a DateTime Interval beginning and ending on that instant.\nIf the input is a string, an error is raised indicating a single interval cannot be computed from a string.\nIf the input is an Age, the result is a DateTime Interval beginning when the patient was the given Age,\nand ending immediately prior to when the patient was the given Age plus one year.\nIf the input is a Range, the result is a DateTime Interval beginning when the patient was the Age given\nby the low end of the Range, and ending immediately prior to when the patient was the Age given by the\nhigh end of the Range plus one year.\n\nNOTE: Due to the\ncomplexity of determining a single interval from a Timing or String type, this function will throw a run-time exception if it is used\nwith a Timing or String.\n*/\ndefine fluent function toInterval(choice Choice<FHIR.dateTime, FHIR.Period, FHIR.Timing, FHIR.instant, FHIR.string, FHIR.Age, FHIR.Range>):\n case\n when choice is FHIR.dateTime then\n Interval[FHIRHelpers.ToDateTime(choice as FHIR.dateTime), FHIRHelpers.ToDateTime(choice as FHIR.dateTime)]\n when choice is FHIR.Period then\n FHIRHelpers.ToInterval(choice as FHIR.Period)\n when choice is FHIR.instant then\n Interval[FHIRHelpers.ToDateTime(choice as FHIR.instant), FHIRHelpers.ToDateTime(choice as FHIR.instant)]\n when choice is FHIR.Age then\n Interval[FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity(choice as FHIR.Age),\n FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity(choice as FHIR.Age) + 1 year)\n when choice is FHIR.Range then\n Interval[FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity((choice as FHIR.Range).low),\n FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity((choice as FHIR.Range).high) + 1 year)\n when choice is FHIR.Timing then\n Message(null as Interval<DateTime>, true, 'NOT_IMPLEMENTED', 'Error', 'Calculation of an interval from a Timing value is not supported')\n when choice is FHIR.string then\n Message(null as Interval<DateTime>, true, 'NOT_IMPLEMENTED', 'Error', 'Calculation of an interval from a String value is not supported')\n else\n null as Interval<DateTime>\n end"
},
{
"url" : "displaySequence",
"valueInteger" : 39
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "FHIRHelpers"
},
{
"url" : "name",
"valueString" : "ToDateTime"
},
{
"url" : "statement",
"valueString" : "define function ToDateTime(value dateTime): value.value"
},
{
"url" : "displaySequence",
"valueInteger" : 40
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "FHIRHelpers"
},
{
"url" : "name",
"valueString" : "ToInterval"
},
{
"url" : "statement",
"valueString" : "define function ToInterval(period FHIR.Period):\n if period is null then\n null\n else\n if period.\"start\" is null then\n Interval(period.\"start\".value, period.\"end\".value]\n else\n Interval[period.\"start\".value, period.\"end\".value]"
},
{
"url" : "displaySequence",
"valueInteger" : 41
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "FHIRHelpers"
},
{
"url" : "name",
"valueString" : "ToDateTime"
},
{
"url" : "statement",
"valueString" : "define function ToDateTime(value instant): value.value"
},
{
"url" : "displaySequence",
"valueInteger" : 42
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "FHIRHelpers"
},
{
"url" : "name",
"valueString" : "ToDate"
},
{
"url" : "statement",
"valueString" : "define function ToDate(value date): value.value"
},
{
"url" : "displaySequence",
"valueInteger" : 43
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "FHIRHelpers"
},
{
"url" : "name",
"valueString" : "ToQuantity"
},
{
"url" : "statement",
"valueString" : "define function ToQuantity(quantity FHIR.Quantity):\n case\n when quantity is null then null\n when quantity.value is null then null\n when quantity.comparator is not null then\n Message(null, true, 'FHIRHelpers.ToQuantity.ComparatorQuantityNotSupported', 'Error', 'FHIR Quantity value has a comparator and cannot be converted to a System.Quantity value.')\n when quantity.system is null or quantity.system.value = 'http://unitsofmeasure.org'\n or quantity.system.value = 'http://hl7.org/fhirpath/CodeSystem/calendar-units' then\n System.Quantity { value: quantity.value.value, unit: ToCalendarUnit(Coalesce(quantity.code.value, quantity.unit.value, '1')) }\n else\n Message(null, true, 'FHIRHelpers.ToQuantity.InvalidFHIRQuantity', 'Error', 'Invalid FHIR Quantity code: ' & quantity.unit.value & ' (' & quantity.system.value & '|' & quantity.code.value & ')')\n end"
},
{
"url" : "displaySequence",
"valueInteger" : 44
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "FHIRHelpers"
},
{
"url" : "name",
"valueString" : "ToCalendarUnit"
},
{
"url" : "statement",
"valueString" : "define function ToCalendarUnit(unit System.String):\n case unit\n when 'ms' then 'millisecond'\n when 's' then 'second'\n when 'min' then 'minute'\n when 'h' then 'hour'\n when 'd' then 'day'\n when 'wk' then 'week'\n when 'mo' then 'month'\n when 'a' then 'year'\n else unit\n end"
},
{
"url" : "displaySequence",
"valueInteger" : 45
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "FHIRHelpers"
},
{
"url" : "name",
"valueString" : "ToConcept"
},
{
"url" : "statement",
"valueString" : "define function ToConcept(concept FHIR.CodeableConcept):\n if concept is null then\n null\n else\n System.Concept {\n codes: concept.coding C return ToCode(C),\n display: concept.text.value\n }"
},
{
"url" : "displaySequence",
"valueInteger" : 46
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "FHIRHelpers"
},
{
"url" : "name",
"valueString" : "ToCode"
},
{
"url" : "statement",
"valueString" : "define function ToCode(coding FHIR.Coding):\n if coding is null then\n null\n else\n System.Code {\n code: coding.code.value,\n system: coding.system.value,\n version: coding.version.value,\n display: coding.display.value\n }"
},
{
"url" : "displaySequence",
"valueInteger" : 47
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "WHOCommon"
},
{
"url" : "name",
"valueString" : "mostRecent"
},
{
"url" : "statement",
"valueString" : "define fluent function mostRecent(immunizations List<Immunization>):\n Last(\n immunizations I\n sort by start of occurrence.toInterval()\n )"
},
{
"url" : "displaySequence",
"valueInteger" : 48
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
}
],
"name" : "EffectiveDataRequirements",
"status" : "active",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/library-type",
"code" : "module-definition"
}
]
},
"relatedArtifact" : [
{
"type" : "depends-on",
"display" : "FHIR model information",
"resource" : "http://fhir.org/guides/cqf/common/Library/FHIR-ModelInfo|4.0.1"
},
{
"type" : "depends-on",
"display" : "Library Encounter",
"resource" : "http://smart.who.int/immunizations/Library/IMMZD2DTTBEEncounterElements"
},
{
"type" : "depends-on",
"display" : "Library Encounter",
"resource" : "http://smart.who.int/immunizations/Library/IMMZEncounterElements"
},
{
"type" : "depends-on",
"display" : "Library Common",
"resource" : "http://smart.who.int/immunizations/Library/IMMZCommon"
},
{
"type" : "depends-on",
"display" : "Library FHIRHelpers",
"resource" : "http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1"
},
{
"type" : "depends-on",
"display" : "Library Elements",
"resource" : "http://smart.who.int/immunizations/Library/IMMZElements"
},
{
"type" : "depends-on",
"display" : "Library WC",
"resource" : "http://smart.who.int/immunizations/Library/WHOCommon"
},
{
"type" : "depends-on",
"display" : "Library Concepts",
"resource" : "http://smart.who.int/immunizations/Library/IMMZConcepts"
},
{
"type" : "depends-on",
"display" : "Value set TBE vaccines",
"resource" : "http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE20"
}
],
"parameter" : [
{
"name" : "Today",
"use" : "in",
"min" : 0,
"max" : "1",
"type" : "date"
},
{
"name" : "Guidance",
"use" : "out",
"min" : 0,
"max" : "1",
"type" : "string"
},
{
"name" : "Primary series is complete. Client is due for TBE booster dose",
"use" : "out",
"min" : 0,
"max" : "1",
"type" : "boolean"
},
{
"name" : "Client is due for TBE vaccination",
"use" : "out",
"min" : 0,
"max" : "1",
"type" : "boolean"
},
{
"name" : "Has Guidance",
"use" : "out",
"min" : 0,
"max" : "1",
"type" : "boolean"
}
],
"dataRequirement" : [
{
"type" : "Patient",
"profile" : [
🔗 "http://hl7.org/fhir/StructureDefinition/Patient"
],
"mustSupport" : [
"birthDate"
]
},
{
"type" : "Immunization",
"profile" : [
🔗 "http://hl7.org/fhir/StructureDefinition/Immunization"
],
"mustSupport" : [
"status",
"isSubpotent",
"protocolApplied",
"occurrence"
],
"codeFilter" : [
{
"path" : "status",
"code" : [
{
"code" : "completed"
}
]
}
]
},
{
"type" : "Immunization",
"profile" : [
🔗 "http://hl7.org/fhir/StructureDefinition/Immunization"
],
"mustSupport" : [
"occurrence",
"protocolApplied"
]
},
{
"type" : "Immunization",
"profile" : [
🔗 "http://hl7.org/fhir/StructureDefinition/Immunization"
],
"mustSupport" : [
"status",
"isSubpotent",
"occurrence",
"vaccineCode",
"protocolApplied"
],
"codeFilter" : [
{
"path" : "status",
"code" : [
{
"code" : "completed"
}
]
},
{
"path" : "vaccineCode",
"valueSet" : "http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE20"
}
]
}
]
}
],
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeCapability",
"valueCode" : "computable"
},
{
"url" : "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-effectiveDataRequirements",
"valueCanonical" : "#effective-data-requirements"
}
],
"url" : "http://smart.who.int/immunizations/PlanDefinition/IMMZD2DTTBETBEMoscow",
"version" : "1.0.0",
"name" : "IMMZD2DTTBETBEMoscow",
"title" : "IMMZ.D2.DT.TBE.TBE-Moscow",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/plan-definition-type",
"code" : "eca-rule"
}
]
},
"status" : "draft",
"experimental" : false,
"date" : "2026-03-31T13:54:17+00:00",
"publisher" : "WHO",
"contact" : [
{
"name" : "WHO",
"telecom" : [
{
"system" : "url",
"value" : "http://who.int"
}
]
}
],
"description" : "IMMZ.D2.DT.TBE.TBE-Moscow\nTBE-Moscow schedule\n(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" : "citation",
"citation" : "WHO recommendations for routine immunization - summary tables (January 2025)"
}
],
"library" : [
🔗 "http://smart.who.int/immunizations/Library/IMMZD2DTTBETBEMoscowLogic"
],
"action" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-rationale",
"valueMarkdown" : "The TBE-Moscow vaccine is licensed for use in people aged 3 years or older.\nThe manufacturer of TBE-Moscow recommends a standard primary immunization schedule of 2 doses given at an interval of 1–7 months.\nThe recommended interval is 12 months between the second and third doses."
}
],
"title" : "Determine if the client is due for TBE.",
"description" : "Determine if the client is due for TBE vaccine according to the national immunization protocol.\nTBE-Moscow schedule \n(In areas where the disease is highly endemic, implying that there is a high individual risk of infection, \nWHO recommends that vaccination be offered to all age groups, including children)",
"condition" : [
{
"kind" : "applicability",
"expression" : {
"description" : "Client is due for TBE vaccination",
"language" : "text/cql-identifier",
"expression" : "Client is due for TBE vaccination"
}
}
],
"definitionCanonical" : "http://smart.who.int/immunizations/ActivityDefinition/IMMZD2DTMR",
"dynamicValue" : [
{
"path" : "status",
"expression" : {
"language" : "text/cql-expression",
"expression" : "'draft'"
}
},
{
"path" : "intent",
"expression" : {
"language" : "text/cql-expression",
"expression" : "'proposal'"
}
},
{
"path" : "medication",
"expression" : {
"language" : "text/cql-expression",
"expression" : "Concept { codes: { Code { system: 'http://smart.who.int/immunizations/CodeSystem/IMMZ.Z', code: 'DE20', display: 'TBE vaccines' } }, display: 'TBE vaccines' }"
}
}
]
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-rationale",
"valueMarkdown" : "Further booster doses are recommended at 3-year intervals."
}
],
"title" : "Determine if the client is due for TBE.",
"description" : "Determine if the client is due for TBE vaccine according to the national immunization protocol.\nTBE-Moscow schedule \n(In areas where the disease is highly endemic, implying that there is a high individual risk of infection, \nWHO recommends that vaccination be offered to all age groups, including children)",
"condition" : [
{
"kind" : "applicability",
"expression" : {
"description" : "Primary series is complete. Client is due for TBE booster dose",
"language" : "text/cql-identifier",
"expression" : "Primary series is complete. Client is due for TBE booster dose"
}
}
],
"definitionCanonical" : "http://smart.who.int/immunizations/ActivityDefinition/IMMZD2DTMR",
"dynamicValue" : [
{
"path" : "status",
"expression" : {
"language" : "text/cql-expression",
"expression" : "'draft'"
}
},
{
"path" : "intent",
"expression" : {
"language" : "text/cql-expression",
"expression" : "'proposal'"
}
},
{
"path" : "medication",
"expression" : {
"language" : "text/cql-expression",
"expression" : "Concept { codes: { Code { system: 'http://smart.who.int/immunizations/CodeSystem/IMMZ.Z', code: 'DE20', display: 'TBE vaccines' } }, display: 'TBE vaccines' }"
}
}
]
},
{
"title" : "Check for Guidance for the patient regarding IMMZ.D2.DT.TBE.TBE-Moscow.",
"description" : "Show Guidance for the patient regarding IMMZ.D2.DT.TBE.TBE-Moscow.",
"condition" : [
{
"kind" : "applicability",
"expression" : {
"description" : "Has Guidance",
"language" : "text/cql-identifier",
"expression" : "Has Guidance"
}
}
],
"definitionCanonical" : "http://smart.who.int/immunizations/ActivityDefinition/IMMZD2DTCR",
"dynamicValue" : [
{
"path" : "status",
"expression" : {
"language" : "text/cql-expression",
"expression" : "'active'"
}
},
{
"path" : "payload.contentString",
"expression" : {
"language" : "text/cql-identifier",
"expression" : "Guidance"
}
},
{
"path" : "category.coding",
"expression" : {
"description" : "Category of communication",
"language" : "text/cql-expression",
"expression" : "Code { system: 'http://terminology.hl7.org/CodeSystem/communication-category', code: 'alert' }"
}
},
{
"path" : "priority",
"expression" : {
"description" : "Alert priority",
"language" : "text/cql-expression",
"expression" : "Code { system: 'http://hl7.org/fhir/request-priority', code: 'routine' }"
}
}
]
}
]
}