WHO Immunization Implementation Guide
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WHO Immunization Implementation Guide, published by World Health Organization (WHO). This is not an authorized publication; it is the continuous build for version 0.1.0). This version is based on the current content of https://github.com/WorldHealthOrganization/smart-immunizations and changes regularly. See the Directory of published versions

: IMMZ.DT.16.Meningococcal - JSON Representation

Draft as of 2023-08-02

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{
  "resourceType" : "PlanDefinition",
  "id" : "IMMZ.DT.16.Meningococcal",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: PlanDefinition</b><a name=\"IMMZ.DT.16.Meningococcal\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource PlanDefinition &quot;IMMZ.DT.16.Meningococcal&quot; </p></div><p><b>url</b>: <code>http://fhir.org/guides/who/smart-immunization/PlanDefinition/IMMZ.DT.16.Meningococcal</code></p><p><b>version</b>: 0.1.0</p><p><b>name</b>: IMMZ.DT.16.Meningococcal</p><p><b>title</b>: IMMZ.DT.16.Meningococcal</p><p><b>status</b>: draft</p><p><b>date</b>: 2023-08-02 04:40:13+0000</p><p><b>publisher</b>: World Health Organization (WHO)</p><p><b>description</b>: If child or person has not been vaccinated, give Meningococcal vaccine according to the defined schedule</p><p><b>jurisdiction</b>: Global (Whole world) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (m49.htm#001)</span></p><p><b>library</b>: <a href=\"Library-library-IMMZDT16.html\">IMMZDT16</a></p><blockquote><p><b>action</b></p><p><b>title</b>: Immunize Patient for Meningococcal - No Doses</p><p><b>description</b>: Provide Meningococcal immunizations – using the &quot;MenA conjugate vaccine (5µg) immunization – NO PREVIOUS&quot; schedule (2 dose scheme)</p><blockquote><p><b>condition</b></p><p><b>kind</b>: applicability</p><h3>Expressions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Description</b></td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style=\"display: none\">*</td><td>&quot;Meningococcal vaccine immunization history&quot; = &quot;No-doses&quot;</td><td>text/cql</td><td>Should vaccinate patient with MenA conjugate vaccine (5µg) because no doses on 2 dose scheme</td></tr></table></blockquote><blockquote><p><b>condition</b></p><p><b>kind</b>: applicability</p><h3>Expressions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Description</b></td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style=\"display: none\">*</td><td>&quot;Current Patient Age in Months&quot; &gt;= 3</td><td>text/cql</td><td>Should vaccinate patient with MenA conjugate vaccine (5µg) because no doses on 2 dose scheme</td></tr></table></blockquote><blockquote><p><b>condition</b></p><p><b>kind</b>: applicability</p><h3>Expressions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Description</b></td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style=\"display: none\">*</td><td>&quot;Current Patient Age in Months&quot; &lt; 9</td><td>text/cql</td><td>Should vaccinate patient with MenA conjugate vaccine (5µg) because no doses on 2 dose scheme</td></tr></table></blockquote><blockquote><p><b>condition</b></p><p><b>kind</b>: applicability</p><h3>Expressions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Description</b></td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style=\"display: none\">*</td><td>&quot;There is a compelling reason to vaccinate infants with Meningococcal between 3 to 9 months old&quot; = TRUE</td><td>text/cql</td><td>Should vaccinate patient with MenA conjugate vaccine (5µg) because no doses on 2 dose scheme</td></tr></table></blockquote><p><b>definition</b>: <a href=\"ActivityDefinition-IMMZ.DT.16.Meningococcal.01.html\">IMMZ.DT.16.Meningococcal.01</a></p></blockquote><blockquote><p><b>action</b></p><p><b>title</b>: Immunize Patient for Meningococcal - 1 Dose</p><p><b>description</b>: Provide Meningococcal immunizations – using the &quot;MenA conjugate vaccine (5µg) immunization – 1 PREVIOUS&quot; schedule (2 dose scheme)</p><blockquote><p><b>condition</b></p><p><b>kind</b>: applicability</p><h3>Expressions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Description</b></td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style=\"display: none\">*</td><td>&quot;Meningococcal vaccine immunization history&quot; = &quot;1 dose&quot;</td><td>text/cql</td><td>Should vaccinate patient with MenA conjugate vaccine (5µg) because 1 dose on 2 dose scheme</td></tr></table></blockquote><blockquote><p><b>condition</b></p><p><b>kind</b>: applicability</p><h3>Expressions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Description</b></td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style=\"display: none\">*</td><td>&quot;Current Patient Age in Months&quot; &gt;= 3</td><td>text/cql</td><td>Should vaccinate patient with MenA conjugate vaccine (5µg) because 1 dose on 2 dose scheme</td></tr></table></blockquote><blockquote><p><b>condition</b></p><p><b>kind</b>: applicability</p><h3>Expressions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Description</b></td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style=\"display: none\">*</td><td>&quot;Current Patient Age in Months&quot; &lt; 9</td><td>text/cql</td><td>Should vaccinate patient with MenA conjugate vaccine (5µg) because 1 dose on 2 dose scheme</td></tr></table></blockquote><blockquote><p><b>condition</b></p><p><b>kind</b>: applicability</p><h3>Expressions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Description</b></td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style=\"display: none\">*</td><td>&quot;Date last Meningococcal dose given&quot; &gt;= &quot;8 weeks&quot;</td><td>text/cql</td><td>Should vaccinate patient with MenA conjugate vaccine (5µg) because 1 dose on 2 dose scheme</td></tr></table></blockquote><blockquote><p><b>condition</b></p><p><b>kind</b>: applicability</p><h3>Expressions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Description</b></td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style=\"display: none\">*</td><td>&quot;Type of last Meningococcal dose&quot; = &quot;MenA conjugate vaccine (5µg)&quot;</td><td>text/cql</td><td>Should vaccinate patient with MenA conjugate vaccine (5µg) because 1 dose on 2 dose scheme</td></tr></table></blockquote><blockquote><p><b>condition</b></p><p><b>kind</b>: applicability</p><h3>Expressions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Description</b></td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style=\"display: none\">*</td><td>&quot;There is a compelling reason to vaccinate infants with Meningococcal between 3 to 9 months old&quot; = TRUE</td><td>text/cql</td><td>Should vaccinate patient with MenA conjugate vaccine (5µg) because 1 dose on 2 dose scheme</td></tr></table></blockquote><p><b>definition</b>: <a href=\"ActivityDefinition-IMMZ.DT.16.Meningococcal.02.html\">IMMZ.DT.16.Meningococcal.02</a></p></blockquote><blockquote><p><b>action</b></p><p><b>title</b>: Immunize Patient for Meningococcal - No Doses</p><p><b>description</b>: Provide Meningococcal immunizations – using the &quot;MenA conjugate vaccine (5µg) immunization – NO PREVIOUS&quot; schedule (1 dose scheme)</p><blockquote><p><b>condition</b></p><p><b>kind</b>: applicability</p><h3>Expressions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Description</b></td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style=\"display: none\">*</td><td>&quot;Meningococcal vaccine immunization history&quot; = &quot;No-doses&quot;</td><td>text/cql</td><td>Should vaccinate patient with MenA conjugate vaccine (5µg) on 1 dose scheme</td></tr></table></blockquote><blockquote><p><b>condition</b></p><p><b>kind</b>: applicability</p><h3>Expressions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Description</b></td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style=\"display: none\">*</td><td>&quot;Current Patient Age in Months&quot; &gt;= 9</td><td>text/cql</td><td>Should vaccinate patient with MenA conjugate vaccine (5µg) on 1 dose scheme</td></tr></table></blockquote><blockquote><p><b>condition</b></p><p><b>kind</b>: applicability</p><h3>Expressions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Description</b></td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style=\"display: none\">*</td><td>&quot;Current Patient Age in Months&quot; &lt;= 24</td><td>text/cql</td><td>Should vaccinate patient with MenA conjugate vaccine (5µg) on 1 dose scheme</td></tr></table></blockquote><blockquote><p><b>condition</b></p><p><b>kind</b>: applicability</p><h3>Expressions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Description</b></td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style=\"display: none\">*</td><td>&quot;Region recommends Meningococcal vaccination&quot; = TRUE</td><td>text/cql</td><td>Should vaccinate patient with MenA conjugate vaccine (5µg) on 1 dose scheme</td></tr></table></blockquote><p><b>definition</b>: <a href=\"ActivityDefinition-IMMZ.DT.16.Meningococcal.03.html\">IMMZ.DT.16.Meningococcal.03</a></p></blockquote><blockquote><p><b>action</b></p><p><b>title</b>: Immunize Patient for Meningococcal - Non-recurring Booster</p><p><b>description</b>: Provide Meningococcal immunizations – using the &quot;MenA conjugate vaccine (5µg) immunization – Single non-recurring BOOSTER&quot; schedule (1 dose booster)</p><blockquote><p><b>condition</b></p><p><b>kind</b>: applicability</p><h3>Expressions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Description</b></td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style=\"display: none\">*</td><td>&quot;Patient has completed Meningococcal primary series&quot; = TRUE</td><td>text/cql</td><td>Should vaccinate patient with MenA conjugate vaccine (5µg) non-recurring booster 3-5 years after last shot</td></tr></table></blockquote><blockquote><p><b>condition</b></p><p><b>kind</b>: applicability</p><h3>Expressions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Description</b></td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style=\"display: none\">*</td><td>&quot;Date last Meningococcal dose given&quot; &gt;= &quot;3 years&quot;</td><td>text/cql</td><td>Should vaccinate patient with MenA conjugate vaccine (5µg) non-recurring booster 3-5 years after last shot</td></tr></table></blockquote><blockquote><p><b>condition</b></p><p><b>kind</b>: applicability</p><h3>Expressions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Description</b></td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style=\"display: none\">*</td><td>&quot;Date last Meningococcal dose given&quot; &lt;= &quot;5 years&quot;</td><td>text/cql</td><td>Should vaccinate patient with MenA conjugate vaccine (5µg) non-recurring booster 3-5 years after last shot</td></tr></table></blockquote><blockquote><p><b>condition</b></p><p><b>kind</b>: applicability</p><h3>Expressions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Description</b></td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style=\"display: none\">*</td><td>&quot;Type of last Meningococcal dose&quot; = &quot;MenA conjugate vaccine (5µg)&quot;</td><td>text/cql</td><td>Should vaccinate patient with MenA conjugate vaccine (5µg) non-recurring booster 3-5 years after last shot</td></tr></table></blockquote><blockquote><p><b>condition</b></p><p><b>kind</b>: applicability</p><h3>Expressions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Description</b></td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style=\"display: none\">*</td><td>&quot;Individual has a continued high risk of exposure (including health workers)&quot; = TRUE</td><td>text/cql</td><td>Should vaccinate patient with MenA conjugate vaccine (5µg) non-recurring booster 3-5 years after last shot</td></tr></table></blockquote><blockquote><p><b>condition</b></p><p><b>kind</b>: applicability</p><h3>Expressions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Description</b></td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style=\"display: none\">*</td><td>&quot;Region recommends Meningococcal vaccination&quot; = TRUE</td><td>text/cql</td><td>Should vaccinate patient with MenA conjugate vaccine (5µg) non-recurring booster 3-5 years after last shot</td></tr></table></blockquote><p><b>definition</b>: <a href=\"ActivityDefinition-IMMZ.DT.16.Meningococcal.04.html\">IMMZ.DT.16.Meningococcal.04</a></p></blockquote><blockquote><p><b>action</b></p><p><b>title</b>: Immunize Patient for Meningococcal - No Doses</p><p><b>description</b>: Provide Meningococcal immunizations – using the &quot;monovalent MenC conjugate vaccine immunization – NO PREVIOUS&quot; schedule (1 dose scheme)</p><blockquote><p><b>condition</b></p><p><b>kind</b>: applicability</p><h3>Expressions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Description</b></td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style=\"display: none\">*</td><td>&quot;Meningococcal vaccine immunization history&quot; = &quot;No-doses&quot;</td><td>text/cql</td><td>Should vaccinate patient with monovalent MenC conjugate vaccine because no dose on 1 dose scheme</td></tr></table></blockquote><blockquote><p><b>condition</b></p><p><b>kind</b>: applicability</p><h3>Expressions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Description</b></td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style=\"display: none\">*</td><td>&quot;Current Patient Age in Months&quot; &gt;= 12</td><td>text/cql</td><td>Should vaccinate patient with monovalent MenC conjugate vaccine because no dose on 1 dose scheme</td></tr></table></blockquote><blockquote><p><b>condition</b></p><p><b>kind</b>: applicability</p><h3>Expressions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Description</b></td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style=\"display: none\">*</td><td>&quot;Region recommends Meningococcal vaccination&quot; = TRUE</td><td>text/cql</td><td>Should vaccinate patient with monovalent MenC conjugate vaccine because no dose on 1 dose scheme</td></tr></table></blockquote><p><b>definition</b>: <a href=\"ActivityDefinition-IMMZ.DT.16.Meningococcal.05.html\">IMMZ.DT.16.Meningococcal.05</a></p></blockquote><blockquote><p><b>action</b></p><p><b>title</b>: Immunize Patient for Meningococcal - No Doses</p><p><b>description</b>: Provide Meningococcal immunizations – using the &quot;monovalent MenC conjugate vaccine immunization – NO PREVIOUS&quot; schedule (2 dose scheme)</p><blockquote><p><b>condition</b></p><p><b>kind</b>: applicability</p><h3>Expressions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Description</b></td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style=\"display: none\">*</td><td>&quot;Meningococcal vaccine immunization history&quot; = &quot;No-doses&quot;</td><td>text/cql</td><td>Should vaccinate patient with monovalent MenC conjugate vaccine because no dose on 2 dose scheme</td></tr></table></blockquote><blockquote><p><b>condition</b></p><p><b>kind</b>: applicability</p><h3>Expressions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Description</b></td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style=\"display: none\">*</td><td>&quot;Current Patient Age in Months&quot; &gt;= 2</td><td>text/cql</td><td>Should vaccinate patient with monovalent MenC conjugate vaccine because no dose on 2 dose scheme</td></tr></table></blockquote><blockquote><p><b>condition</b></p><p><b>kind</b>: applicability</p><h3>Expressions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Description</b></td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style=\"display: none\">*</td><td>&quot;Current Patient Age in Months&quot; &lt;= 11</td><td>text/cql</td><td>Should vaccinate patient with monovalent MenC conjugate vaccine because no dose on 2 dose scheme</td></tr></table></blockquote><blockquote><p><b>condition</b></p><p><b>kind</b>: applicability</p><h3>Expressions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Description</b></td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style=\"display: none\">*</td><td>&quot;Region recommends Meningococcal vaccination&quot; = TRUE</td><td>text/cql</td><td>Should vaccinate patient with monovalent MenC conjugate vaccine because no dose on 2 dose scheme</td></tr></table></blockquote><p><b>definition</b>: <a href=\"ActivityDefinition-IMMZ.DT.16.Meningococcal.06.html\">IMMZ.DT.16.Meningococcal.06</a></p></blockquote><blockquote><p><b>action</b></p><p><b>title</b>: Immunize Patient for Meningococcal - 1 Dose</p><p><b>description</b>: Provide Meningococcal immunizations – using the &quot;monovalent MenC conjugate vaccine immunization – 1 PREVIOUS&quot; schedule (2 dose scheme)</p><blockquote><p><b>condition</b></p><p><b>kind</b>: applicability</p><h3>Expressions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Description</b></td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style=\"display: none\">*</td><td>&quot;Meningococcal vaccine immunization history&quot; = &quot;1 dose&quot;</td><td>text/cql</td><td>Should vaccinate patient with monovalent MenC conjugate vaccine because 1 dose on 2 dose scheme</td></tr></table></blockquote><blockquote><p><b>condition</b></p><p><b>kind</b>: applicability</p><h3>Expressions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Description</b></td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style=\"display: none\">*</td><td>&quot;Current Patient Age in Months&quot; &gt;= 2</td><td>text/cql</td><td>Should vaccinate patient with monovalent MenC conjugate vaccine because 1 dose on 2 dose scheme</td></tr></table></blockquote><blockquote><p><b>condition</b></p><p><b>kind</b>: applicability</p><h3>Expressions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Description</b></td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style=\"display: none\">*</td><td>&quot;Current Patient Age in Months&quot; &lt;= 11</td><td>text/cql</td><td>Should vaccinate patient with monovalent MenC conjugate vaccine because 1 dose on 2 dose scheme</td></tr></table></blockquote><blockquote><p><b>condition</b></p><p><b>kind</b>: applicability</p><h3>Expressions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Description</b></td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style=\"display: none\">*</td><td>&quot;Date last Meningococcal dose given&quot; &gt;= &quot;8 weeks&quot;</td><td>text/cql</td><td>Should vaccinate patient with monovalent MenC conjugate vaccine because 1 dose on 2 dose scheme</td></tr></table></blockquote><blockquote><p><b>condition</b></p><p><b>kind</b>: applicability</p><h3>Expressions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Description</b></td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style=\"display: none\">*</td><td>&quot;Type of last Meningococcal dose&quot; = &quot;monovalent MenC conjugate&quot;</td><td>text/cql</td><td>Should vaccinate patient with monovalent MenC conjugate vaccine because 1 dose on 2 dose scheme</td></tr></table></blockquote><p><b>definition</b>: <a href=\"ActivityDefinition-IMMZ.DT.16.Meningococcal.07.html\">IMMZ.DT.16.Meningococcal.07</a></p></blockquote><blockquote><p><b>action</b></p><p><b>title</b>: Immunize Patient for Meningococcal - Non-recurring Booster</p><p><b>description</b>: Provide Meningococcal immunizations – using the &quot;monovalent MenC conjugate vaccine immunization – Single non-recurring BOOSTER&quot; schedule (1 dose booster)</p><blockquote><p><b>condition</b></p><p><b>kind</b>: applicability</p><h3>Expressions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Description</b></td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style=\"display: none\">*</td><td>&quot;Meningococcal vaccine immunization history&quot; = &quot;2 doses&quot;</td><td>text/cql</td><td>Should vaccinate patient with monovalent MenC conjugate vaccine non-recurring booster because 1 year after last shot</td></tr></table></blockquote><blockquote><p><b>condition</b></p><p><b>kind</b>: applicability</p><h3>Expressions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Description</b></td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style=\"display: none\">*</td><td>&quot;Date last Meningococcal dose given&quot; &gt;= &quot;1 year&quot;</td><td>text/cql</td><td>Should vaccinate patient with monovalent MenC conjugate vaccine non-recurring booster because 1 year after last shot</td></tr></table></blockquote><blockquote><p><b>condition</b></p><p><b>kind</b>: applicability</p><h3>Expressions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Description</b></td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style=\"display: none\">*</td><td>&quot;Type of last Meningococcal dose&quot; = &quot;monovalent MenC conjugate&quot;</td><td>text/cql</td><td>Should vaccinate patient with monovalent MenC conjugate vaccine non-recurring booster because 1 year after last shot</td></tr></table></blockquote><blockquote><p><b>condition</b></p><p><b>kind</b>: applicability</p><h3>Expressions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Description</b></td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style=\"display: none\">*</td><td>&quot;Age when patient received 1st dose&quot; &gt;= &quot;2 months&quot;</td><td>text/cql</td><td>Should vaccinate patient with monovalent MenC conjugate vaccine non-recurring booster because 1 year after last shot</td></tr></table></blockquote><blockquote><p><b>condition</b></p><p><b>kind</b>: applicability</p><h3>Expressions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Description</b></td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style=\"display: none\">*</td><td>&quot;Age when patient received 1st dose&quot; &lt;= &quot;11 months&quot;</td><td>text/cql</td><td>Should vaccinate patient with monovalent MenC conjugate vaccine non-recurring booster because 1 year after last shot</td></tr></table></blockquote><blockquote><p><b>condition</b></p><p><b>kind</b>: applicability</p><h3>Expressions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Description</b></td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style=\"display: none\">*</td><td>&quot;Region recommends Meningococcal vaccination&quot; = TRUE</td><td>text/cql</td><td>Should vaccinate patient with monovalent MenC conjugate vaccine non-recurring booster because 1 year after last shot</td></tr></table></blockquote><p><b>definition</b>: <a href=\"ActivityDefinition-IMMZ.DT.16.Meningococcal.08.html\">IMMZ.DT.16.Meningococcal.08</a></p></blockquote><blockquote><p><b>action</b></p><p><b>title</b>: Immunize Patient for Meningococcal - Non-recurring Booster</p><p><b>description</b>: Provide Meningococcal immunizations – using the &quot;monovalent MenC conjugate immunization – Single non-recurring BOOSTER&quot; schedule (1 dose booster)</p><blockquote><p><b>condition</b></p><p><b>kind</b>: applicability</p><h3>Expressions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Description</b></td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style=\"display: none\">*</td><td>&quot;Patient has completed Meningococcal primary series&quot; = TRUE</td><td>text/cql</td><td>Should vaccinate patient with monovalent MenC conjugate non-recurring booster 3-5 years after last shot</td></tr></table></blockquote><blockquote><p><b>condition</b></p><p><b>kind</b>: applicability</p><h3>Expressions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Description</b></td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style=\"display: none\">*</td><td>&quot;Date last Meningococcal dose given&quot; &gt;= &quot;3 years&quot;</td><td>text/cql</td><td>Should vaccinate patient with monovalent MenC conjugate non-recurring booster 3-5 years after last shot</td></tr></table></blockquote><blockquote><p><b>condition</b></p><p><b>kind</b>: applicability</p><h3>Expressions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Description</b></td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style=\"display: none\">*</td><td>&quot;Date last Meningococcal dose given&quot; &lt;= &quot;5 years&quot;</td><td>text/cql</td><td>Should vaccinate patient with monovalent MenC conjugate non-recurring booster 3-5 years after last shot</td></tr></table></blockquote><blockquote><p><b>condition</b></p><p><b>kind</b>: applicability</p><h3>Expressions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Description</b></td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style=\"display: none\">*</td><td>&quot;Type of last Meningococcal dose&quot; = &quot;monovalent MenC conjugate&quot;</td><td>text/cql</td><td>Should vaccinate patient with monovalent MenC conjugate non-recurring booster 3-5 years after last shot</td></tr></table></blockquote><blockquote><p><b>condition</b></p><p><b>kind</b>: applicability</p><h3>Expressions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Description</b></td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style=\"display: none\">*</td><td>&quot;Individual has a continued high risk of exposure (including health workers)&quot; = TRUE</td><td>text/cql</td><td>Should vaccinate patient with monovalent MenC conjugate non-recurring booster 3-5 years after last shot</td></tr></table></blockquote><blockquote><p><b>condition</b></p><p><b>kind</b>: applicability</p><h3>Expressions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Description</b></td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style=\"display: none\">*</td><td>&quot;Region recommends Meningococcal vaccination&quot; = TRUE</td><td>text/cql</td><td>Should vaccinate patient with monovalent MenC conjugate non-recurring booster 3-5 years after last shot</td></tr></table></blockquote><p><b>definition</b>: <a href=\"ActivityDefinition-IMMZ.DT.16.Meningococcal.09.html\">IMMZ.DT.16.Meningococcal.09</a></p></blockquote><blockquote><p><b>action</b></p><p><b>title</b>: Immunize Patient for Meningococcal - No Doses</p><p><b>description</b>: Provide Meningococcal immunizations – using the &quot;Quadrivalent conjugate vaccines (A,C,W135,Y-D and A,C,W135,Y-CRM) immunization – NO PREVIOUS&quot; schedule (1 dose scheme)</p><blockquote><p><b>condition</b></p><p><b>kind</b>: applicability</p><h3>Expressions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Description</b></td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style=\"display: none\">*</td><td>&quot;Meningococcal vaccine immunization history&quot; = &quot;No-doses&quot;</td><td>text/cql</td><td>Should vaccinate patient with Quadrivalent conjugate vaccines (A,C,W135,Y-D and A,C,W135,Y-CRM) because no dose on 1 dose scheme</td></tr></table></blockquote><blockquote><p><b>condition</b></p><p><b>kind</b>: applicability</p><h3>Expressions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Description</b></td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style=\"display: none\">*</td><td>&quot;Current Patient Age in Years&quot; &gt;= 2</td><td>text/cql</td><td>Should vaccinate patient with Quadrivalent conjugate vaccines (A,C,W135,Y-D and A,C,W135,Y-CRM) because no dose on 1 dose scheme</td></tr></table></blockquote><blockquote><p><b>condition</b></p><p><b>kind</b>: applicability</p><h3>Expressions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Description</b></td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style=\"display: none\">*</td><td>&quot;Region recommends Meningococcal vaccination&quot; = TRUE</td><td>text/cql</td><td>Should vaccinate patient with Quadrivalent conjugate vaccines (A,C,W135,Y-D and A,C,W135,Y-CRM) because no dose on 1 dose scheme</td></tr></table></blockquote><p><b>definition</b>: <a href=\"ActivityDefinition-IMMZ.DT.16.Meningococcal.10.html\">IMMZ.DT.16.Meningococcal.10</a></p></blockquote><blockquote><p><b>action</b></p><p><b>title</b>: Immunize Patient for Meningococcal - No Doses</p><p><b>description</b>: Provide Meningococcal immunizations – using the &quot;Quadrivalent conjugate vaccines (A,C,W135,Y-D) immunization – NO PREVIOUS&quot; schedule (2 dose scheme)</p><blockquote><p><b>condition</b></p><p><b>kind</b>: applicability</p><h3>Expressions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Description</b></td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style=\"display: none\">*</td><td>&quot;Meningococcal vaccine immunization history&quot; = &quot;No-doses&quot;</td><td>text/cql</td><td>Should vaccinate patient with Quadrivalent conjugate vaccines (A,C,W135,Y-D) because no dose on 2 dose scheme</td></tr></table></blockquote><blockquote><p><b>condition</b></p><p><b>kind</b>: applicability</p><h3>Expressions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Description</b></td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style=\"display: none\">*</td><td>&quot;Current Patient Age in Months&quot; &gt;= 9</td><td>text/cql</td><td>Should vaccinate patient with Quadrivalent conjugate vaccines (A,C,W135,Y-D) because no dose on 2 dose scheme</td></tr></table></blockquote><blockquote><p><b>condition</b></p><p><b>kind</b>: applicability</p><h3>Expressions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Description</b></td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style=\"display: none\">*</td><td>&quot;Current Patient Age in Months&quot; &lt;= 23</td><td>text/cql</td><td>Should vaccinate patient with Quadrivalent conjugate vaccines (A,C,W135,Y-D) because no dose on 2 dose scheme</td></tr></table></blockquote><blockquote><p><b>condition</b></p><p><b>kind</b>: applicability</p><h3>Expressions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Description</b></td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style=\"display: none\">*</td><td>&quot;Region recommends Meningococcal vaccination&quot; = TRUE</td><td>text/cql</td><td>Should vaccinate patient with Quadrivalent conjugate vaccines (A,C,W135,Y-D) because no dose on 2 dose scheme</td></tr></table></blockquote><p><b>definition</b>: <a href=\"ActivityDefinition-IMMZ.DT.16.Meningococcal.11.html\">IMMZ.DT.16.Meningococcal.11</a></p></blockquote><blockquote><p><b>action</b></p><p><b>title</b>: Immunize Patient for Meningococcal - 1 Dose</p><p><b>description</b>: Provide Meningococcal immunizations – using the &quot;Quadrivalent conjugate vaccines (A,C,W135,Y-D) immunization – 1 PREVIOUS&quot; schedule (2 dose scheme)</p><blockquote><p><b>condition</b></p><p><b>kind</b>: applicability</p><h3>Expressions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Description</b></td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style=\"display: none\">*</td><td>&quot;Meningococcal vaccine immunization history&quot; = &quot;1 dose&quot;</td><td>text/cql</td><td>Should vaccinate patient with Quadrivalent conjugate vaccines (A,C,W135,Y-D) on 2 dose scheme</td></tr></table></blockquote><blockquote><p><b>condition</b></p><p><b>kind</b>: applicability</p><h3>Expressions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Description</b></td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style=\"display: none\">*</td><td>&quot;Date last Meningococcal dose given &quot; &gt;= &quot;12 weeks&quot;</td><td>text/cql</td><td>Should vaccinate patient with Quadrivalent conjugate vaccines (A,C,W135,Y-D) on 2 dose scheme</td></tr></table></blockquote><blockquote><p><b>condition</b></p><p><b>kind</b>: applicability</p><h3>Expressions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Description</b></td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style=\"display: none\">*</td><td>&quot;Type of last Meningococcal dose&quot; = &quot;Quadrivalent conjugate&quot;</td><td>text/cql</td><td>Should vaccinate patient with Quadrivalent conjugate vaccines (A,C,W135,Y-D) on 2 dose scheme</td></tr></table></blockquote><p><b>definition</b>: <a href=\"ActivityDefinition-IMMZ.DT.16.Meningococcal.12.html\">IMMZ.DT.16.Meningococcal.12</a></p></blockquote><blockquote><p><b>action</b></p><p><b>title</b>: Immunize Patient for Meningococcal - Non-recurring Booster</p><p><b>description</b>: Provide Meningococcal immunizations – using the &quot;Quadrivalent conjugate vaccines (A,C,W135,Y-D) immunization – Single non-recurring BOOSTER&quot; schedule (1 dose booster)</p><blockquote><p><b>condition</b></p><p><b>kind</b>: applicability</p><h3>Expressions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Description</b></td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style=\"display: none\">*</td><td>&quot;Patient has completed Meningococcal primary series&quot; = TRUE</td><td>text/cql</td><td>Should vaccinate patient with Quadrivalent conjugate vaccines (A,C,W135,Y-D) non-recurring booster 3-5 years after last shot</td></tr></table></blockquote><blockquote><p><b>condition</b></p><p><b>kind</b>: applicability</p><h3>Expressions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Description</b></td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style=\"display: none\">*</td><td>&quot;Date last Meningococcal dose given&quot; &gt;= &quot;3 years&quot;</td><td>text/cql</td><td>Should vaccinate patient with Quadrivalent conjugate vaccines (A,C,W135,Y-D) non-recurring booster 3-5 years after last shot</td></tr></table></blockquote><blockquote><p><b>condition</b></p><p><b>kind</b>: applicability</p><h3>Expressions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Description</b></td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style=\"display: none\">*</td><td>&quot;Date last Meningococcal dose given&quot; &lt;= &quot;5 years&quot;</td><td>text/cql</td><td>Should vaccinate patient with Quadrivalent conjugate vaccines (A,C,W135,Y-D) non-recurring booster 3-5 years after last shot</td></tr></table></blockquote><blockquote><p><b>condition</b></p><p><b>kind</b>: applicability</p><h3>Expressions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Description</b></td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style=\"display: none\">*</td><td>&quot;Type of last Meningococcal dose&quot; = &quot;Quadrivalent conjugate&quot;</td><td>text/cql</td><td>Should vaccinate patient with Quadrivalent conjugate vaccines (A,C,W135,Y-D) non-recurring booster 3-5 years after last shot</td></tr></table></blockquote><blockquote><p><b>condition</b></p><p><b>kind</b>: applicability</p><h3>Expressions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Description</b></td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style=\"display: none\">*</td><td>&quot;Individual has a continued high risk of exposure (including health workers)&quot; = TRUE</td><td>text/cql</td><td>Should vaccinate patient with Quadrivalent conjugate vaccines (A,C,W135,Y-D) non-recurring booster 3-5 years after last shot</td></tr></table></blockquote><blockquote><p><b>condition</b></p><p><b>kind</b>: applicability</p><h3>Expressions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Description</b></td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style=\"display: none\">*</td><td>&quot;Region recommends Meningococcal vaccination&quot; = TRUE</td><td>text/cql</td><td>Should vaccinate patient with Quadrivalent conjugate vaccines (A,C,W135,Y-D) non-recurring booster 3-5 years after last shot</td></tr></table></blockquote><p><b>definition</b>: <a href=\"ActivityDefinition-IMMZ.DT.16.Meningococcal.13.html\">IMMZ.DT.16.Meningococcal.13</a></p></blockquote></div>"
  },
  "url" : "http://fhir.org/guides/who/smart-immunization/PlanDefinition/IMMZ.DT.16.Meningococcal",
  "version" : "0.1.0",
  "name" : "IMMZ.DT.16.Meningococcal",
  "title" : "IMMZ.DT.16.Meningococcal",
  "status" : "draft",
  "date" : "2023-08-02T04:40:13+00:00",
  "publisher" : "World Health Organization (WHO)",
  "description" : "If child or person has not been vaccinated, give Meningococcal vaccine according to the defined schedule",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code" : "001"
        }
      ]
    }
  ],
  "library" : [
    "http://fhir.org/guides/who/smart-immunization/Library/IMMZDT16"
  ],
  "action" : [
    {
      "title" : "Immunize Patient for Meningococcal - No Doses",
      "description" : "Provide Meningococcal immunizations – using the \"MenA conjugate vaccine (5µg) immunization – NO PREVIOUS\" schedule (2 dose scheme)",
      "condition" : [
        {
          "kind" : "applicability",
          "expression" : {
            "description" : "\"Meningococcal vaccine immunization history\" = \"No-doses\"",
            "language" : "text/cql",
            "expression" : "Should vaccinate patient with MenA conjugate vaccine (5µg) because no doses on 2 dose scheme"
          }
        },
        {
          "kind" : "applicability",
          "expression" : {
            "description" : "\"Current Patient Age in Months\" >= 3",
            "language" : "text/cql",
            "expression" : "Should vaccinate patient with MenA conjugate vaccine (5µg) because no doses on 2 dose scheme"
          }
        },
        {
          "kind" : "applicability",
          "expression" : {
            "description" : "\"Current Patient Age in Months\" < 9",
            "language" : "text/cql",
            "expression" : "Should vaccinate patient with MenA conjugate vaccine (5µg) because no doses on 2 dose scheme"
          }
        },
        {
          "kind" : "applicability",
          "expression" : {
            "description" : "\"There is a compelling reason to vaccinate infants with Meningococcal between 3 to 9 months old\" = TRUE",
            "language" : "text/cql",
            "expression" : "Should vaccinate patient with MenA conjugate vaccine (5µg) because no doses on 2 dose scheme"
          }
        }
      ],
      "definitionCanonical" : "http://fhir.org/guides/who/smart-immunization/ActivityDefinition/IMMZ.DT.16.Meningococcal.01"
    },
    {
      "title" : "Immunize Patient for Meningococcal - 1 Dose",
      "description" : "Provide Meningococcal immunizations – using the \"MenA conjugate vaccine (5µg) immunization – 1 PREVIOUS\" schedule (2 dose scheme)",
      "condition" : [
        {
          "kind" : "applicability",
          "expression" : {
            "description" : "\"Meningococcal vaccine immunization history\" = \"1 dose\"",
            "language" : "text/cql",
            "expression" : "Should vaccinate patient with MenA conjugate vaccine (5µg) because 1 dose on 2 dose scheme"
          }
        },
        {
          "kind" : "applicability",
          "expression" : {
            "description" : "\"Current Patient Age in Months\" >= 3",
            "language" : "text/cql",
            "expression" : "Should vaccinate patient with MenA conjugate vaccine (5µg) because 1 dose on 2 dose scheme"
          }
        },
        {
          "kind" : "applicability",
          "expression" : {
            "description" : "\"Current Patient Age in Months\" < 9",
            "language" : "text/cql",
            "expression" : "Should vaccinate patient with MenA conjugate vaccine (5µg) because 1 dose on 2 dose scheme"
          }
        },
        {
          "kind" : "applicability",
          "expression" : {
            "description" : "\"Date last Meningococcal dose given\" >= \"8 weeks\"",
            "language" : "text/cql",
            "expression" : "Should vaccinate patient with MenA conjugate vaccine (5µg) because 1 dose on 2 dose scheme"
          }
        },
        {
          "kind" : "applicability",
          "expression" : {
            "description" : "\"Type of last Meningococcal dose\" = \"MenA conjugate vaccine (5µg)\"",
            "language" : "text/cql",
            "expression" : "Should vaccinate patient with MenA conjugate vaccine (5µg) because 1 dose on 2 dose scheme"
          }
        },
        {
          "kind" : "applicability",
          "expression" : {
            "description" : "\"There is a compelling reason to vaccinate infants with Meningococcal between 3 to 9 months old\" = TRUE",
            "language" : "text/cql",
            "expression" : "Should vaccinate patient with MenA conjugate vaccine (5µg) because 1 dose on 2 dose scheme"
          }
        }
      ],
      "definitionCanonical" : "http://fhir.org/guides/who/smart-immunization/ActivityDefinition/IMMZ.DT.16.Meningococcal.02"
    },
    {
      "title" : "Immunize Patient for Meningococcal - No Doses",
      "description" : "Provide Meningococcal immunizations – using the \"MenA conjugate vaccine (5µg) immunization – NO PREVIOUS\" schedule (1 dose scheme)",
      "condition" : [
        {
          "kind" : "applicability",
          "expression" : {
            "description" : "\"Meningococcal vaccine immunization history\" = \"No-doses\"",
            "language" : "text/cql",
            "expression" : "Should vaccinate patient with MenA conjugate vaccine (5µg) on 1 dose scheme"
          }
        },
        {
          "kind" : "applicability",
          "expression" : {
            "description" : "\"Current Patient Age in Months\" >= 9",
            "language" : "text/cql",
            "expression" : "Should vaccinate patient with MenA conjugate vaccine (5µg) on 1 dose scheme"
          }
        },
        {
          "kind" : "applicability",
          "expression" : {
            "description" : "\"Current Patient Age in Months\" <= 24",
            "language" : "text/cql",
            "expression" : "Should vaccinate patient with MenA conjugate vaccine (5µg) on 1 dose scheme"
          }
        },
        {
          "kind" : "applicability",
          "expression" : {
            "description" : "\"Region recommends Meningococcal vaccination\" = TRUE",
            "language" : "text/cql",
            "expression" : "Should vaccinate patient with MenA conjugate vaccine (5µg) on 1 dose scheme"
          }
        }
      ],
      "definitionCanonical" : "http://fhir.org/guides/who/smart-immunization/ActivityDefinition/IMMZ.DT.16.Meningococcal.03"
    },
    {
      "title" : "Immunize Patient for Meningococcal - Non-recurring Booster",
      "description" : "Provide Meningococcal immunizations – using the \"MenA conjugate vaccine (5µg) immunization – Single non-recurring BOOSTER\" schedule (1 dose booster)",
      "condition" : [
        {
          "kind" : "applicability",
          "expression" : {
            "description" : "\"Patient has completed Meningococcal primary series\" = TRUE",
            "language" : "text/cql",
            "expression" : "Should vaccinate patient with MenA conjugate vaccine (5µg) non-recurring booster 3-5 years after last shot"
          }
        },
        {
          "kind" : "applicability",
          "expression" : {
            "description" : "\"Date last Meningococcal dose given\" >= \"3 years\"",
            "language" : "text/cql",
            "expression" : "Should vaccinate patient with MenA conjugate vaccine (5µg) non-recurring booster 3-5 years after last shot"
          }
        },
        {
          "kind" : "applicability",
          "expression" : {
            "description" : "\"Date last Meningococcal dose given\" <= \"5 years\"",
            "language" : "text/cql",
            "expression" : "Should vaccinate patient with MenA conjugate vaccine (5µg) non-recurring booster 3-5 years after last shot"
          }
        },
        {
          "kind" : "applicability",
          "expression" : {
            "description" : "\"Type of last Meningococcal dose\" = \"MenA conjugate vaccine (5µg)\"",
            "language" : "text/cql",
            "expression" : "Should vaccinate patient with MenA conjugate vaccine (5µg) non-recurring booster 3-5 years after last shot"
          }
        },
        {
          "kind" : "applicability",
          "expression" : {
            "description" : "\"Individual has a continued high risk of exposure (including health workers)\" = TRUE",
            "language" : "text/cql",
            "expression" : "Should vaccinate patient with MenA conjugate vaccine (5µg) non-recurring booster 3-5 years after last shot"
          }
        },
        {
          "kind" : "applicability",
          "expression" : {
            "description" : "\"Region recommends Meningococcal vaccination\" = TRUE",
            "language" : "text/cql",
            "expression" : "Should vaccinate patient with MenA conjugate vaccine (5µg) non-recurring booster 3-5 years after last shot"
          }
        }
      ],
      "definitionCanonical" : "http://fhir.org/guides/who/smart-immunization/ActivityDefinition/IMMZ.DT.16.Meningococcal.04"
    },
    {
      "title" : "Immunize Patient for Meningococcal - No Doses",
      "description" : "Provide Meningococcal immunizations – using the \"monovalent MenC conjugate vaccine immunization – NO PREVIOUS\" schedule (1 dose scheme)",
      "condition" : [
        {
          "kind" : "applicability",
          "expression" : {
            "description" : "\"Meningococcal vaccine immunization history\" = \"No-doses\"",
            "language" : "text/cql",
            "expression" : "Should vaccinate patient with monovalent MenC conjugate vaccine because no dose on 1 dose scheme"
          }
        },
        {
          "kind" : "applicability",
          "expression" : {
            "description" : "\"Current Patient Age in Months\" >= 12",
            "language" : "text/cql",
            "expression" : "Should vaccinate patient with monovalent MenC conjugate vaccine because no dose on 1 dose scheme"
          }
        },
        {
          "kind" : "applicability",
          "expression" : {
            "description" : "\"Region recommends Meningococcal vaccination\" = TRUE",
            "language" : "text/cql",
            "expression" : "Should vaccinate patient with monovalent MenC conjugate vaccine because no dose on 1 dose scheme"
          }
        }
      ],
      "definitionCanonical" : "http://fhir.org/guides/who/smart-immunization/ActivityDefinition/IMMZ.DT.16.Meningococcal.05"
    },
    {
      "title" : "Immunize Patient for Meningococcal - No Doses",
      "description" : "Provide Meningococcal immunizations – using the \"monovalent MenC conjugate vaccine immunization – NO PREVIOUS\" schedule (2 dose scheme)",
      "condition" : [
        {
          "kind" : "applicability",
          "expression" : {
            "description" : "\"Meningococcal vaccine immunization history\" = \"No-doses\"",
            "language" : "text/cql",
            "expression" : "Should vaccinate patient with monovalent MenC conjugate vaccine because no dose on 2 dose scheme"
          }
        },
        {
          "kind" : "applicability",
          "expression" : {
            "description" : "\"Current Patient Age in Months\" >= 2",
            "language" : "text/cql",
            "expression" : "Should vaccinate patient with monovalent MenC conjugate vaccine because no dose on 2 dose scheme"
          }
        },
        {
          "kind" : "applicability",
          "expression" : {
            "description" : "\"Current Patient Age in Months\" <= 11",
            "language" : "text/cql",
            "expression" : "Should vaccinate patient with monovalent MenC conjugate vaccine because no dose on 2 dose scheme"
          }
        },
        {
          "kind" : "applicability",
          "expression" : {
            "description" : "\"Region recommends Meningococcal vaccination\" = TRUE",
            "language" : "text/cql",
            "expression" : "Should vaccinate patient with monovalent MenC conjugate vaccine because no dose on 2 dose scheme"
          }
        }
      ],
      "definitionCanonical" : "http://fhir.org/guides/who/smart-immunization/ActivityDefinition/IMMZ.DT.16.Meningococcal.06"
    },
    {
      "title" : "Immunize Patient for Meningococcal - 1 Dose",
      "description" : "Provide Meningococcal immunizations – using the \"monovalent MenC conjugate vaccine immunization – 1 PREVIOUS\" schedule (2 dose scheme)",
      "condition" : [
        {
          "kind" : "applicability",
          "expression" : {
            "description" : "\"Meningococcal vaccine immunization history\" = \"1 dose\"",
            "language" : "text/cql",
            "expression" : "Should vaccinate patient with monovalent MenC conjugate vaccine because 1 dose on 2 dose scheme"
          }
        },
        {
          "kind" : "applicability",
          "expression" : {
            "description" : "\"Current Patient Age in Months\" >= 2",
            "language" : "text/cql",
            "expression" : "Should vaccinate patient with monovalent MenC conjugate vaccine because 1 dose on 2 dose scheme"
          }
        },
        {
          "kind" : "applicability",
          "expression" : {
            "description" : "\"Current Patient Age in Months\" <= 11",
            "language" : "text/cql",
            "expression" : "Should vaccinate patient with monovalent MenC conjugate vaccine because 1 dose on 2 dose scheme"
          }
        },
        {
          "kind" : "applicability",
          "expression" : {
            "description" : "\"Date last Meningococcal dose given\" >= \"8 weeks\"",
            "language" : "text/cql",
            "expression" : "Should vaccinate patient with monovalent MenC conjugate vaccine because 1 dose on 2 dose scheme"
          }
        },
        {
          "kind" : "applicability",
          "expression" : {
            "description" : "\"Type of last Meningococcal dose\" = \"monovalent MenC conjugate\"",
            "language" : "text/cql",
            "expression" : "Should vaccinate patient with monovalent MenC conjugate vaccine because 1 dose on 2 dose scheme"
          }
        }
      ],
      "definitionCanonical" : "http://fhir.org/guides/who/smart-immunization/ActivityDefinition/IMMZ.DT.16.Meningococcal.07"
    },
    {
      "title" : "Immunize Patient for Meningococcal - Non-recurring Booster",
      "description" : "Provide Meningococcal immunizations – using the \"monovalent MenC conjugate vaccine immunization – Single non-recurring BOOSTER\" schedule (1 dose booster)",
      "condition" : [
        {
          "kind" : "applicability",
          "expression" : {
            "description" : "\"Meningococcal vaccine immunization history\" = \"2 doses\"",
            "language" : "text/cql",
            "expression" : "Should vaccinate patient with monovalent MenC conjugate vaccine non-recurring booster because 1 year after last shot"
          }
        },
        {
          "kind" : "applicability",
          "expression" : {
            "description" : "\"Date last Meningococcal dose given\" >= \"1 year\"",
            "language" : "text/cql",
            "expression" : "Should vaccinate patient with monovalent MenC conjugate vaccine non-recurring booster because 1 year after last shot"
          }
        },
        {
          "kind" : "applicability",
          "expression" : {
            "description" : "\"Type of last Meningococcal dose\" = \"monovalent MenC conjugate\"",
            "language" : "text/cql",
            "expression" : "Should vaccinate patient with monovalent MenC conjugate vaccine non-recurring booster because 1 year after last shot"
          }
        },
        {
          "kind" : "applicability",
          "expression" : {
            "description" : "\"Age when patient received 1st dose\" >= \"2 months\"",
            "language" : "text/cql",
            "expression" : "Should vaccinate patient with monovalent MenC conjugate vaccine non-recurring booster because 1 year after last shot"
          }
        },
        {
          "kind" : "applicability",
          "expression" : {
            "description" : "\"Age when patient received 1st dose\" <= \"11 months\"",
            "language" : "text/cql",
            "expression" : "Should vaccinate patient with monovalent MenC conjugate vaccine non-recurring booster because 1 year after last shot"
          }
        },
        {
          "kind" : "applicability",
          "expression" : {
            "description" : "\"Region recommends Meningococcal vaccination\" = TRUE",
            "language" : "text/cql",
            "expression" : "Should vaccinate patient with monovalent MenC conjugate vaccine non-recurring booster because 1 year after last shot"
          }
        }
      ],
      "definitionCanonical" : "http://fhir.org/guides/who/smart-immunization/ActivityDefinition/IMMZ.DT.16.Meningococcal.08"
    },
    {
      "title" : "Immunize Patient for Meningococcal - Non-recurring Booster",
      "description" : "Provide Meningococcal immunizations – using the \"monovalent MenC conjugate immunization – Single non-recurring BOOSTER\" schedule (1 dose booster)",
      "condition" : [
        {
          "kind" : "applicability",
          "expression" : {
            "description" : "\"Patient has completed Meningococcal primary series\" = TRUE",
            "language" : "text/cql",
            "expression" : "Should vaccinate patient with monovalent MenC conjugate non-recurring booster 3-5 years after last shot"
          }
        },
        {
          "kind" : "applicability",
          "expression" : {
            "description" : "\"Date last Meningococcal dose given\" >= \"3 years\"",
            "language" : "text/cql",
            "expression" : "Should vaccinate patient with monovalent MenC conjugate non-recurring booster 3-5 years after last shot"
          }
        },
        {
          "kind" : "applicability",
          "expression" : {
            "description" : "\"Date last Meningococcal dose given\" <= \"5 years\"",
            "language" : "text/cql",
            "expression" : "Should vaccinate patient with monovalent MenC conjugate non-recurring booster 3-5 years after last shot"
          }
        },
        {
          "kind" : "applicability",
          "expression" : {
            "description" : "\"Type of last Meningococcal dose\" = \"monovalent MenC conjugate\"",
            "language" : "text/cql",
            "expression" : "Should vaccinate patient with monovalent MenC conjugate non-recurring booster 3-5 years after last shot"
          }
        },
        {
          "kind" : "applicability",
          "expression" : {
            "description" : "\"Individual has a continued high risk of exposure (including health workers)\" = TRUE",
            "language" : "text/cql",
            "expression" : "Should vaccinate patient with monovalent MenC conjugate non-recurring booster 3-5 years after last shot"
          }
        },
        {
          "kind" : "applicability",
          "expression" : {
            "description" : "\"Region recommends Meningococcal vaccination\" = TRUE",
            "language" : "text/cql",
            "expression" : "Should vaccinate patient with monovalent MenC conjugate non-recurring booster 3-5 years after last shot"
          }
        }
      ],
      "definitionCanonical" : "http://fhir.org/guides/who/smart-immunization/ActivityDefinition/IMMZ.DT.16.Meningococcal.09"
    },
    {
      "title" : "Immunize Patient for Meningococcal - No Doses",
      "description" : "Provide Meningococcal immunizations – using the \"Quadrivalent conjugate vaccines (A,C,W135,Y-D and A,C,W135,Y-CRM) immunization – NO PREVIOUS\" schedule (1 dose scheme)",
      "condition" : [
        {
          "kind" : "applicability",
          "expression" : {
            "description" : "\"Meningococcal vaccine immunization history\" = \"No-doses\"",
            "language" : "text/cql",
            "expression" : "Should vaccinate patient with Quadrivalent conjugate vaccines (A,C,W135,Y-D and A,C,W135,Y-CRM) because no dose on 1 dose scheme"
          }
        },
        {
          "kind" : "applicability",
          "expression" : {
            "description" : "\"Current Patient Age in Years\" >= 2",
            "language" : "text/cql",
            "expression" : "Should vaccinate patient with Quadrivalent conjugate vaccines (A,C,W135,Y-D and A,C,W135,Y-CRM) because no dose on 1 dose scheme"
          }
        },
        {
          "kind" : "applicability",
          "expression" : {
            "description" : "\"Region recommends Meningococcal vaccination\" = TRUE",
            "language" : "text/cql",
            "expression" : "Should vaccinate patient with Quadrivalent conjugate vaccines (A,C,W135,Y-D and A,C,W135,Y-CRM) because no dose on 1 dose scheme"
          }
        }
      ],
      "definitionCanonical" : "http://fhir.org/guides/who/smart-immunization/ActivityDefinition/IMMZ.DT.16.Meningococcal.10"
    },
    {
      "title" : "Immunize Patient for Meningococcal - No Doses",
      "description" : "Provide Meningococcal immunizations – using the \"Quadrivalent conjugate vaccines (A,C,W135,Y-D) immunization – NO PREVIOUS\" schedule (2 dose scheme)",
      "condition" : [
        {
          "kind" : "applicability",
          "expression" : {
            "description" : "\"Meningococcal vaccine immunization history\" = \"No-doses\"",
            "language" : "text/cql",
            "expression" : "Should vaccinate patient with Quadrivalent conjugate vaccines (A,C,W135,Y-D) because no dose on 2 dose scheme"
          }
        },
        {
          "kind" : "applicability",
          "expression" : {
            "description" : "\"Current Patient Age in Months\" >= 9",
            "language" : "text/cql",
            "expression" : "Should vaccinate patient with Quadrivalent conjugate vaccines (A,C,W135,Y-D) because no dose on 2 dose scheme"
          }
        },
        {
          "kind" : "applicability",
          "expression" : {
            "description" : "\"Current Patient Age in Months\" <= 23",
            "language" : "text/cql",
            "expression" : "Should vaccinate patient with Quadrivalent conjugate vaccines (A,C,W135,Y-D) because no dose on 2 dose scheme"
          }
        },
        {
          "kind" : "applicability",
          "expression" : {
            "description" : "\"Region recommends Meningococcal vaccination\" = TRUE",
            "language" : "text/cql",
            "expression" : "Should vaccinate patient with Quadrivalent conjugate vaccines (A,C,W135,Y-D) because no dose on 2 dose scheme"
          }
        }
      ],
      "definitionCanonical" : "http://fhir.org/guides/who/smart-immunization/ActivityDefinition/IMMZ.DT.16.Meningococcal.11"
    },
    {
      "title" : "Immunize Patient for Meningococcal - 1 Dose",
      "description" : "Provide Meningococcal immunizations – using the \"Quadrivalent conjugate vaccines (A,C,W135,Y-D) immunization – 1 PREVIOUS\" schedule (2 dose scheme)",
      "condition" : [
        {
          "kind" : "applicability",
          "expression" : {
            "description" : "\"Meningococcal vaccine immunization history\" = \"1 dose\"",
            "language" : "text/cql",
            "expression" : "Should vaccinate patient with Quadrivalent conjugate vaccines (A,C,W135,Y-D) on 2 dose scheme"
          }
        },
        {
          "kind" : "applicability",
          "expression" : {
            "description" : "\"Date last Meningococcal dose given \" >= \"12 weeks\"",
            "language" : "text/cql",
            "expression" : "Should vaccinate patient with Quadrivalent conjugate vaccines (A,C,W135,Y-D) on 2 dose scheme"
          }
        },
        {
          "kind" : "applicability",
          "expression" : {
            "description" : "\"Type of last Meningococcal dose\" = \"Quadrivalent conjugate\"",
            "language" : "text/cql",
            "expression" : "Should vaccinate patient with Quadrivalent conjugate vaccines (A,C,W135,Y-D) on 2 dose scheme"
          }
        }
      ],
      "definitionCanonical" : "http://fhir.org/guides/who/smart-immunization/ActivityDefinition/IMMZ.DT.16.Meningococcal.12"
    },
    {
      "title" : "Immunize Patient for Meningococcal - Non-recurring Booster",
      "description" : "Provide Meningococcal immunizations – using the \"Quadrivalent conjugate vaccines (A,C,W135,Y-D) immunization – Single non-recurring BOOSTER\" schedule (1 dose booster)",
      "condition" : [
        {
          "kind" : "applicability",
          "expression" : {
            "description" : "\"Patient has completed Meningococcal primary series\" = TRUE",
            "language" : "text/cql",
            "expression" : "Should vaccinate patient with Quadrivalent conjugate vaccines (A,C,W135,Y-D) non-recurring booster 3-5 years after last shot"
          }
        },
        {
          "kind" : "applicability",
          "expression" : {
            "description" : "\"Date last Meningococcal dose given\" >= \"3 years\"",
            "language" : "text/cql",
            "expression" : "Should vaccinate patient with Quadrivalent conjugate vaccines (A,C,W135,Y-D) non-recurring booster 3-5 years after last shot"
          }
        },
        {
          "kind" : "applicability",
          "expression" : {
            "description" : "\"Date last Meningococcal dose given\" <= \"5 years\"",
            "language" : "text/cql",
            "expression" : "Should vaccinate patient with Quadrivalent conjugate vaccines (A,C,W135,Y-D) non-recurring booster 3-5 years after last shot"
          }
        },
        {
          "kind" : "applicability",
          "expression" : {
            "description" : "\"Type of last Meningococcal dose\" = \"Quadrivalent conjugate\"",
            "language" : "text/cql",
            "expression" : "Should vaccinate patient with Quadrivalent conjugate vaccines (A,C,W135,Y-D) non-recurring booster 3-5 years after last shot"
          }
        },
        {
          "kind" : "applicability",
          "expression" : {
            "description" : "\"Individual has a continued high risk of exposure (including health workers)\" = TRUE",
            "language" : "text/cql",
            "expression" : "Should vaccinate patient with Quadrivalent conjugate vaccines (A,C,W135,Y-D) non-recurring booster 3-5 years after last shot"
          }
        },
        {
          "kind" : "applicability",
          "expression" : {
            "description" : "\"Region recommends Meningococcal vaccination\" = TRUE",
            "language" : "text/cql",
            "expression" : "Should vaccinate patient with Quadrivalent conjugate vaccines (A,C,W135,Y-D) non-recurring booster 3-5 years after last shot"
          }
        }
      ],
      "definitionCanonical" : "http://fhir.org/guides/who/smart-immunization/ActivityDefinition/IMMZ.DT.16.Meningococcal.13"
    }
  ]
}