{
  "resourceType" : "PlanDefinition",
  "id" : "IMMZD2DTMeaslesSupplementaryDose",
  "meta" : {
    "profile" : ["http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-recommendationdefinition",
    "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareableplandefinition",
    "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-publishableplandefinition"]
  },
  "text" : {
    "status" : "extensions",
    "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;\">IMMZD2DTMeaslesSupplementaryDose</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-IMMZD2DTMeaslesSupplementaryDose.html\">IMMZ.D2.DT.Measles.Supplementary dose</a></td>\n        </tr>\n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Version: </b></th>\n            <td style=\"padding-left: 4px;\">0.2.0</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.Measles.Supplementary dose</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;\">2026-03-25 23:30:34+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.Measles.Supplementary dose\nMeasles-containing vaccine (MCV) supplementary dose administration</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-IMMZD2DTMeaslesSupplementaryDoseLogic.html\">IMMZD2DTMeaslesSupplementaryDoseLogic</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> Check for Guidance for the patient regarding IMMZ.D2.DT.Measles.Supplementary dose.:</b> Show Guidance for the patient regarding IMMZ.D2.DT.Measles.Supplementary dose.\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>"
  },
  "contained" : [{
    "resourceType" : "Library",
    "id" : "effective-data-requirements",
    "extension" : [{
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
      "valueCoding" : {
        "system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
        "code" : "DE203",
        "display" : "Completed the primary vaccination series"
      }
    },
    {
      "extension" : [{
        "url" : "libraryName",
        "valueString" : "IMMZElements"
      },
      {
        "url" : "name",
        "valueString" : "Doses Administered to Patient"
      },
      {
        "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"
      },
      {
        "url" : "displaySequence",
        "valueInteger" : 0
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
    },
    {
      "extension" : [{
        "url" : "libraryName",
        "valueString" : "IMMZD2DTMeaslesElements"
      },
      {
        "url" : "name",
        "valueString" : "MCV Doses Administered to Patient"
      },
      {
        "url" : "statement",
        "valueString" : "/*\n@internal: MCV Doses Administered to Patient\n*/\ndefine \"MCV Doses Administered to Patient\":\n  Elements.\"Doses Administered to Patient\" I\n  where\n    I.vaccineCode in Concepts.\"Measles-containing vaccines\""
      },
      {
        "url" : "displaySequence",
        "valueInteger" : 1
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
    },
    {
      "extension" : [{
        "url" : "libraryName",
        "valueString" : "IMMZD2DTMeaslesElements"
      },
      {
        "url" : "name",
        "valueString" : "MCV Supplementary Doses Administered to Patient"
      },
      {
        "url" : "statement",
        "valueString" : "/*\n@internal: MCV Supplementary Doses Administered to Patient\n*/\ndefine \"MCV Supplementary Doses Administered to Patient\":\n  \"MCV Doses Administered to Patient\".seriesSupplementary()"
      },
      {
        "url" : "displaySequence",
        "valueInteger" : 2
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
    },
    {
      "extension" : [{
        "url" : "libraryName",
        "valueString" : "IMMZD2DTMeaslesEncounterElements"
      },
      {
        "url" : "name",
        "valueString" : "MCV Supplementary Doses Administered to Patient"
      },
      {
        "url" : "statement",
        "valueString" : "/*\n@internal: MCV Supplementary Doses Administered to Patient\n*/\ndefine \"MCV Supplementary Doses Administered to Patient\":\n  MeaslesElements.\"MCV Supplementary Doses Administered to Patient\".onOrBefore(Today)"
      },
      {
        "url" : "displaySequence",
        "valueInteger" : 3
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
    },
    {
      "extension" : [{
        "url" : "libraryName",
        "valueString" : "IMMZD2DTMeaslesEncounterElements"
      },
      {
        "url" : "name",
        "valueString" : "Number of MCV Supplementary Doses Administered"
      },
      {
        "url" : "statement",
        "valueString" : "/*\n@internal: Number of MCV Supplementary Doses Administered\n*/\ndefine \"Number of MCV Supplementary Doses Administered\":\n  Count(\"MCV Supplementary Doses Administered to Patient\")"
      },
      {
        "url" : "displaySequence",
        "valueInteger" : 4
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
    },
    {
      "extension" : [{
        "url" : "libraryName",
        "valueString" : "IMMZD2DTMeaslesEncounterElements"
      },
      {
        "url" : "name",
        "valueString" : "Measles supplementary dose was not administered"
      },
      {
        "url" : "statement",
        "valueString" : "/*\n@input: Measles supplementary dose was not administered\n@pseudocode: Count of vaccines administered (where \"Vaccine type\" = \"Measles-containing vaccines\" and \"Type of dose\" = \"Supplementary dose\") = 0\n@code: Measles supplementary dose was not administered-131\n@decision: IMMZ.D2.DT.Measles.Supplementary dose: Measles-containing vaccine (MCV) supplementary dose administration\n*/\ndefine \"Measles supplementary dose was not administered\":\n  \"Number of MCV Supplementary Doses Administered\" = 0"
      },
      {
        "url" : "displaySequence",
        "valueInteger" : 5
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
    },
    {
      "extension" : [{
        "url" : "libraryName",
        "valueString" : "IMMZD2DTMeaslesElements"
      },
      {
        "url" : "name",
        "valueString" : "MCV Primary Series Doses Administered to Patient"
      },
      {
        "url" : "statement",
        "valueString" : "/*\n@internal: MCV Primary Series Doses Administered to Patient\n*/\ndefine \"MCV Primary Series Doses Administered to Patient\":\n  \"MCV Doses Administered to Patient\".seriesPrimary()"
      },
      {
        "url" : "displaySequence",
        "valueInteger" : 6
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
    },
    {
      "extension" : [{
        "url" : "libraryName",
        "valueString" : "IMMZD2DTMeaslesEncounterElements"
      },
      {
        "url" : "name",
        "valueString" : "MCV Primary Series Doses Administered to Patient"
      },
      {
        "url" : "statement",
        "valueString" : "/*\n@internal: MCV Primary Series Doses Administered to Patient\n*/\ndefine \"MCV Primary Series Doses Administered to Patient\":\n  MeaslesElements.\"MCV Primary Series Doses Administered to Patient\".onOrBefore(Today)"
      },
      {
        "url" : "displaySequence",
        "valueInteger" : 7
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
    },
    {
      "extension" : [{
        "url" : "libraryName",
        "valueString" : "IMMZD2DTMeaslesEncounterElements"
      },
      {
        "url" : "name",
        "valueString" : "Number of MCV Primary Series Doses Administered"
      },
      {
        "url" : "statement",
        "valueString" : "/*\n@internal: Number of MCV Primary Series Doses Administered\n*/\ndefine \"Number of MCV Primary Series Doses Administered\":\n  Count(\"MCV Primary Series Doses Administered to Patient\")"
      },
      {
        "url" : "displaySequence",
        "valueInteger" : 8
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
    },
    {
      "extension" : [{
        "url" : "libraryName",
        "valueString" : "IMMZD2DTMeaslesEncounterElements"
      },
      {
        "url" : "name",
        "valueString" : "MCV2 was administered"
      },
      {
        "url" : "statement",
        "valueString" : "/*\n@input: MCV2 was administered\n@pseudocode: Count of vaccines administered (where \"Vaccine type\" = \"Measles-containing vaccines\" and \"Type of dose\" = \"Primary series\") = 2\n@code: MCV2 was administered-127\n@decision: IMMZ.D2.DT.Measles.Ongoing transmission: Countries with ongoing transmission in which the risk of measles mortality remains high (countries that provide first dose of measles-containing vaccine (MCV) at 9 months and second dose of MCV at 15 months)\n@decision: IMMZ.D2.DT.Measles.Low transmission: Countries with low levels of measles transmission (countries that provide first dose of measles-containing vaccine (MCV) at 12 months and second dose of MCV at 15 months)\n*/\ndefine \"MCV2 was administered\":\n  \"Number of MCV Primary Series Doses Administered\" = 2"
      },
      {
        "url" : "displaySequence",
        "valueInteger" : 9
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
    },
    {
      "extension" : [{
        "url" : "libraryName",
        "valueString" : "IMMZD2DTMeaslesEncounterElements"
      },
      {
        "url" : "name",
        "valueString" : "MCV Doses Administered to Patient"
      },
      {
        "url" : "statement",
        "valueString" : "/*\n@internal: MCV Doses Administered to Patient\n*/\ndefine \"MCV Doses Administered to Patient\":\n  MeaslesElements.\"MCV Doses Administered to Patient\".onOrBefore(Today)"
      },
      {
        "url" : "displaySequence",
        "valueInteger" : 10
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
    },
    {
      "extension" : [{
        "url" : "libraryName",
        "valueString" : "IMMZElements"
      },
      {
        "url" : "name",
        "valueString" : "Completed the primary vaccination series Observation"
      },
      {
        "url" : "statement",
        "valueString" : "/*\n@internal: Completed the primary vaccination series Observation\n*/\ndefine \"Completed the primary vaccination series Observation\":\n  ([Observation: Concepts.\"Completed the primary vaccination series\"]).complete()"
      },
      {
        "url" : "displaySequence",
        "valueInteger" : 11
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
    },
    {
      "extension" : [{
        "url" : "libraryName",
        "valueString" : "IMMZEncounterElements"
      },
      {
        "url" : "name",
        "valueString" : "Completed the primary vaccination series Observation"
      },
      {
        "url" : "statement",
        "valueString" : "/*\n@internal: Completed the primary vaccination series Observation\n*/\ndefine \"Completed the primary vaccination series Observation\":\n  Elements.\"Completed the primary vaccination series Observation\".encounterOrOnBefore(EncounterId, Today)"
      },
      {
        "url" : "displaySequence",
        "valueInteger" : 12
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
    },
    {
      "extension" : [{
        "url" : "libraryName",
        "valueString" : "IMMZD2DTMeaslesEncounterElements"
      },
      {
        "url" : "name",
        "valueString" : "Measles routine immunization schedule is complete"
      },
      {
        "url" : "statement",
        "valueString" : "/*\n@input: Measles routine immunization schedule is complete\n@pseudocode: \"Completed the primary vaccination series\" = TRUE (where \"Vaccine type\" = \"Measles-containing vaccines\")\n@code: Measles routine immunization schedule is complete-104\n@decision: IMMZ.D2.DT.Measles.Supplementary dose: Measles-containing vaccine (MCV) supplementary dose administration\n*/\ndefine \"Measles routine immunization schedule is complete\":\n  \"MCV2 was administered\"\n  or\n  Coalesce(\n    \"MCV Doses Administered to Patient\" Dose\n    aggregate Result: Encounter.\"Completed the primary vaccination series Observation\".partOf.references(Dose) or Result,\n    false )"
      },
      {
        "url" : "displaySequence",
        "valueInteger" : 13
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
    },
    {
      "extension" : [{
        "url" : "libraryName",
        "valueString" : "IMMZElements"
      },
      {
        "url" : "name",
        "valueString" : "Live Attenuated Vaccines"
      },
      {
        "url" : "statement",
        "valueString" : "/*\n  @dataElement: Live attenuated vaccines\n*/\ndefine \"Live Attenuated Vaccines\":\n  \"Doses Administered to Patient\" I \n    where I.vaccineCode in Concepts.\"Live Attenuated\""
      },
      {
        "url" : "displaySequence",
        "valueInteger" : 14
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
    },
    {
      "extension" : [{
        "url" : "libraryName",
        "valueString" : "IMMZEncounterElements"
      },
      {
        "url" : "name",
        "valueString" : "Live Attenuated Vaccines"
      },
      {
        "url" : "statement",
        "valueString" : "/*\n@dataElement Live attenuated vaccines\n*/\ndefine \"Live Attenuated Vaccines\":\n  Elements.\"Live Attenuated Vaccines\" I\n    where I.occurrence.toInterval() same day or before Today"
      },
      {
        "url" : "displaySequence",
        "valueInteger" : 15
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
    },
    {
      "extension" : [{
        "url" : "libraryName",
        "valueString" : "IMMZEncounterElements"
      },
      {
        "url" : "name",
        "valueString" : "Date of Latest Live Attenuated Vaccine"
      },
      {
        "url" : "statement",
        "valueString" : "/*\n@dataElement Date and time of last live attenuated vaccine\n*/\ndefine \"Date of Latest Live Attenuated Vaccine\":\n  date from start of \"Live Attenuated Vaccines\".mostRecent().occurrence.toInterval()"
      },
      {
        "url" : "displaySequence",
        "valueInteger" : 16
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
    },
    {
      "extension" : [{
        "url" : "libraryName",
        "valueString" : "IMMZEncounterElements"
      },
      {
        "url" : "name",
        "valueString" : "Live vaccine was administered in the last 4 weeks"
      },
      {
        "url" : "statement",
        "valueString" : "/*\n@input: Live vaccine was administered in the last 4 weeks\n@pseudocode: Today's date − latest \"Date and time of vaccination\" (where \"Live vaccine\" = TRUE) < 4 weeks\n*/\ndefine \"Live vaccine was administered in the last 4 weeks\":\n\t\"Date of Latest Live Attenuated Vaccine\" is not null \n    and duration in weeks between \"Date of Latest Live Attenuated Vaccine\" and Today < 4"
      },
      {
        "url" : "displaySequence",
        "valueInteger" : 17
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
    },
    {
      "extension" : [{
        "url" : "libraryName",
        "valueString" : "IMMZD2DTMeaslesEncounterElements"
      },
      {
        "url" : "name",
        "valueString" : "Live vaccine was administered in the last 4 weeks"
      },
      {
        "url" : "statement",
        "valueString" : "/*\n@input: Live vaccine was administered in the last 4 weeks\n@pseudocode: Today's date − latest \"Date and time of vaccination\" (where \"Live vaccine\" = TRUE) < 4 weeks\n@code: Live vaccine was administered in the last 4 weeks-92\n@decision: IMMZ.D2.DT.Measles.Ongoing transmission: Countries with ongoing transmission in which the risk of measles mortality remains high (countries that provide first dose of measles-containing vaccine (MCV) at 9 months and second dose of MCV at 15 months)\n@decision: IMMZ.D2.DT.Measles.Low transmission: Countries with low levels of measles transmission (countries that provide first dose of measles-containing vaccine (MCV) at 12 months and second dose of MCV at 15 months)\n@decision: IMMZ.D2.DT.Measles.MCV dose 0: Measles-containing vaccine dose 0 (MCV0) administration\n*/\ndefine \"Live vaccine was administered in the last 4 weeks\":\n  Encounter.\"Live vaccine was administered in the last 4 weeks\""
      },
      {
        "url" : "displaySequence",
        "valueInteger" : 18
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
    },
    {
      "extension" : [{
        "url" : "libraryName",
        "valueString" : "IMMZD2DTMeaslesEncounterElements"
      },
      {
        "url" : "name",
        "valueString" : "Live vaccine was administered in the past 4 weeks"
      },
      {
        "url" : "statement",
        "valueString" : "/*\n@input: Live vaccine was administered in the past 4 weeks\n@pseudocode: Today's date − latest \"Date and time of vaccination\" (where \"Live vaccine\" = TRUE) < 4 weeks\n@code: Live vaccine was administered in the past 4 weeks-92\n@decision: IMMZ.D2.DT.Measles.Supplementary dose: Measles-containing vaccine (MCV) supplementary dose administration\n*/\ndefine \"Live vaccine was administered in the past 4 weeks\":\n  \"Live vaccine was administered in the last 4 weeks\""
      },
      {
        "url" : "displaySequence",
        "valueInteger" : 19
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
    },
    {
      "extension" : [{
        "url" : "libraryName",
        "valueString" : "IMMZD2DTMeaslesSupplementaryDoseLogic"
      },
      {
        "url" : "name",
        "valueString" : "Client is not due for measles supplementary dose"
      },
      {
        "url" : "statement",
        "valueString" : "/*\n@output: Client is not due for measles supplementary dose\n@pseudocode: \"Immunization recommendation status\" = \"Not due\"\n*/\ndefine \"Client is not due for measles supplementary dose\":\n  Encounter.\"Measles supplementary dose was not administered\"\n    and Encounter.\"Measles routine immunization schedule is complete\"\n    and Encounter.\"Live vaccine was administered in the past 4 weeks\""
      },
      {
        "url" : "displaySequence",
        "valueInteger" : 20
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
    },
    {
      "extension" : [{
        "url" : "libraryName",
        "valueString" : "IMMZD2DTMeaslesSupplementaryDoseLogic"
      },
      {
        "url" : "name",
        "valueString" : "Client is not due for measles supplementary dose Guidance"
      },
      {
        "url" : "statement",
        "valueString" : "/*\n@output: Client is not due for measles supplementary dose Guidance\n@guidance: Should not vaccinate client with measles supplementary dose as live vaccine was administered in the past 4 weeks.\nCheck for any vaccines due and inform the caregiver of when to come back for supplementary dose.\n*/\ndefine \"Client is not due for measles supplementary dose Guidance\":\n  'Should not vaccinate client with measles supplementary dose as live vaccine was administered in the past 4 weeks.\nCheck for any vaccines due and inform the caregiver of when to come back for supplementary dose.'"
      },
      {
        "url" : "displaySequence",
        "valueInteger" : 21
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
    },
    {
      "extension" : [{
        "url" : "libraryName",
        "valueString" : "IMMZEncounterElements"
      },
      {
        "url" : "name",
        "valueString" : "No live vaccine was administered in the last 4 weeks"
      },
      {
        "url" : "statement",
        "valueString" : "/*\n@input: No live vaccine was administered in the last 4 weeks\n@pseudocode: Today's date − latest \"Date and time of vaccination\" (where \"Live vaccine\" = TRUE) ≥ 4 weeks\n*/\ndefine \"No live vaccine was administered in the last 4 weeks\":\n  not(\"Live vaccine was administered in the last 4 weeks\")"
      },
      {
        "url" : "displaySequence",
        "valueInteger" : 22
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
    },
    {
      "extension" : [{
        "url" : "libraryName",
        "valueString" : "IMMZD2DTMeaslesEncounterElements"
      },
      {
        "url" : "name",
        "valueString" : "No live vaccine was administered in the last 4 weeks"
      },
      {
        "url" : "statement",
        "valueString" : "/*\n@input: No live vaccine was administered in the last 4 weeks\n@pseudocode: Today's date − latest \"Date and time of vaccination\" (where \"Live vaccine\" = TRUE) ≥ 4 weeks\n@code: No live vaccine was administered in the last 4 weeks-92\n@decision: IMMZ.D2.DT.Measles.Ongoing transmission: Countries with ongoing transmission in which the risk of measles mortality remains high (countries that provide first dose of measles-containing vaccine (MCV) at 9 months and second dose of MCV at 15 months)\n@decision: IMMZ.D2.DT.Measles.Low transmission: Countries with low levels of measles transmission (countries that provide first dose of measles-containing vaccine (MCV) at 12 months and second dose of MCV at 15 months)\n@decision: IMMZ.D2.DT.Measles.MCV dose 0: Measles-containing vaccine dose 0 (MCV0) administration\n*/\ndefine \"No live vaccine was administered in the last 4 weeks\":\n  Encounter.\"No live vaccine was administered in the last 4 weeks\""
      },
      {
        "url" : "displaySequence",
        "valueInteger" : 23
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
    },
    {
      "extension" : [{
        "url" : "libraryName",
        "valueString" : "IMMZD2DTMeaslesEncounterElements"
      },
      {
        "url" : "name",
        "valueString" : "No live vaccine was administered in the past 4 weeks"
      },
      {
        "url" : "statement",
        "valueString" : "/*\n@input: No live vaccine was administered in the past 4 weeks\n@pseudocode: Today's date − latest \"Date and time of vaccination\" (where \"Live vaccine\" = TRUE) ≥ 4 weeks\n@code: No live vaccine was administered in the past 4 weeks-92\n@decision: IMMZ.D2.DT.Measles.Supplementary dose: Measles-containing vaccine (MCV) supplementary dose administration\n*/\ndefine \"No live vaccine was administered in the past 4 weeks\":\n  \"No live vaccine was administered in the last 4 weeks\""
      },
      {
        "url" : "displaySequence",
        "valueInteger" : 24
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
    },
    {
      "extension" : [{
        "url" : "libraryName",
        "valueString" : "IMMZD2DTMeaslesSupplementaryDoseLogic"
      },
      {
        "url" : "name",
        "valueString" : "Consider measles supplementary dose. Create a clinical note"
      },
      {
        "url" : "statement",
        "valueString" : "/*\n@output: Consider measles supplementary dose. Create a clinical note\n@pseudocode: \"Immunization recommendation status\" = \"Further evaluation needed\"\n*/\ndefine \"Consider measles supplementary dose. Create a clinical note\":\n  Encounter.\"Measles supplementary dose was not administered\"\n    and Encounter.\"Measles routine immunization schedule is complete\"\n    and Encounter.\"No live vaccine was administered in the past 4 weeks\""
      },
      {
        "url" : "displaySequence",
        "valueInteger" : 25
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
    },
    {
      "extension" : [{
        "url" : "libraryName",
        "valueString" : "IMMZD2DTMeaslesSupplementaryDoseLogic"
      },
      {
        "url" : "name",
        "valueString" : "Consider measles supplementary dose. Create a clinical note Guidance"
      },
      {
        "url" : "statement",
        "valueString" : "/*\n@output: Consider measles supplementary dose. Create a clinical note Guidance\n@guidance: May vaccinate client with measles supplementary dose as supplementary dose was not administered, measles routine immunization schedule is complete and no live vaccine administered in the past 4 weeks.\nCheck if one of the measles supplementary dose specific scenarios is applicable.\n*/\ndefine \"Consider measles supplementary dose. Create a clinical note Guidance\":\n  'May vaccinate client with measles supplementary dose as supplementary dose was not administered, measles routine immunization schedule is complete and no live vaccine administered in the past 4 weeks.\nCheck if one of the measles supplementary dose specific scenarios is applicable.'"
      },
      {
        "url" : "displaySequence",
        "valueInteger" : 26
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
    },
    {
      "extension" : [{
        "url" : "libraryName",
        "valueString" : "IMMZD2DTMeaslesEncounterElements"
      },
      {
        "url" : "name",
        "valueString" : "Measles supplementary dose was administered"
      },
      {
        "url" : "statement",
        "valueString" : "/*\n@input: Measles supplementary dose was administered\n@pseudocode: Count of vaccines administered (where \"Vaccine type\" = \"Measles-containing vaccines\" and \"Type of dose\" = \"Supplementary dose\") = 1\n@code: Measles supplementary dose was administered-131\n@decision: IMMZ.D2.DT.Measles.Supplementary dose: Measles-containing vaccine (MCV) supplementary dose administration\n*/\ndefine \"Measles supplementary dose was administered\":\n  \"Number of MCV Supplementary Doses Administered\" = 1"
      },
      {
        "url" : "displaySequence",
        "valueInteger" : 27
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
    },
    {
      "extension" : [{
        "url" : "libraryName",
        "valueString" : "IMMZD2DTMeaslesSupplementaryDoseLogic"
      },
      {
        "url" : "name",
        "valueString" : "Measles immunization schedule is complete"
      },
      {
        "url" : "statement",
        "valueString" : "/*\n@output: Measles immunization schedule is complete\n@pseudocode: \"Immunization recommendation status\" = \"Complete\"\n*/\ndefine \"Measles immunization schedule is complete\":\n  Encounter.\"Measles supplementary dose was administered\""
      },
      {
        "url" : "displaySequence",
        "valueInteger" : 28
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
    },
    {
      "extension" : [{
        "url" : "libraryName",
        "valueString" : "IMMZD2DTMeaslesSupplementaryDoseLogic"
      },
      {
        "url" : "name",
        "valueString" : "Measles immunization schedule is complete Guidance"
      },
      {
        "url" : "statement",
        "valueString" : "/*\n@output: Measles immunization schedule is complete Guidance\n@guidance: Measles immunization schedule is complete. Measles supplementary dose was administered.\n*/\ndefine \"Measles immunization schedule is complete Guidance\":\n  'Measles immunization schedule is complete. Measles supplementary dose was administered.'"
      },
      {
        "url" : "displaySequence",
        "valueInteger" : 29
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
    },
    {
      "extension" : [{
        "url" : "libraryName",
        "valueString" : "IMMZD2DTMeaslesSupplementaryDoseLogic"
      },
      {
        "url" : "name",
        "valueString" : "Guidance"
      },
      {
        "url" : "statement",
        "valueString" : "/*\n@dynamicValue: Guidance\n*/\ndefine \"Guidance\":\n  case \n    when \"Client is not due for measles supplementary dose\" then \"Client is not due for measles supplementary dose Guidance\"\n    when \"Consider measles supplementary dose. Create a clinical note\" then \"Consider measles supplementary dose. Create a clinical note Guidance\"\n    when \"Measles immunization schedule is complete\" then \"Measles immunization schedule is complete Guidance\" \n    else ''\n  end"
      },
      {
        "url" : "displaySequence",
        "valueInteger" : 30
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
    },
    {
      "extension" : [{
        "url" : "libraryName",
        "valueString" : "IMMZD2DTMeaslesSupplementaryDoseLogic"
      },
      {
        "url" : "name",
        "valueString" : "Has Guidance"
      },
      {
        "url" : "statement",
        "valueString" : "define \"Has Guidance\":\n  \"Guidance\" is not null and \"Guidance\" != ''"
      },
      {
        "url" : "displaySequence",
        "valueInteger" : 31
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
    },
    {
      "extension" : [{
        "url" : "libraryName",
        "valueString" : "IMMZCommon"
      },
      {
        "url" : "name",
        "valueString" : "onOrBefore"
      },
      {
        "url" : "statement",
        "valueString" : "/**\n * @description: Gets immunizations on or before a date\n */\ndefine fluent function onOrBefore(immunizations List<Immunization>, beforeDate Date):\n  immunizations I where\n    I.occurrence.toInterval() same day or before beforeDate"
      },
      {
        "url" : "displaySequence",
        "valueInteger" : 32
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
    },
    {
      "extension" : [{
        "url" : "libraryName",
        "valueString" : "IMMZCommon"
      },
      {
        "url" : "name",
        "valueString" : "seriesSupplementary"
      },
      {
        "url" : "statement",
        "valueString" : "/**\n * @description: Gets the doses from the Supplementary series\n */\ndefine fluent function seriesSupplementary(immunizations List<Immunization>):\n  immunizations I where\n    exists( I.protocolApplied pa where pa.series = 'Supplementary dose' )"
      },
      {
        "url" : "displaySequence",
        "valueInteger" : 33
      }],
      "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" : 34
      }],
      "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" : 35
      }],
      "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" : 36
      }],
      "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" : 37
      }],
      "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" : 38
      }],
      "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" : 39
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
    },
    {
      "extension" : [{
        "url" : "libraryName",
        "valueString" : "WHOCommon"
      },
      {
        "url" : "name",
        "valueString" : "references"
      },
      {
        "url" : "statement",
        "valueString" : "/*\n@description: Returns true if any of the given references are to the given resource\n@comment: Returns true if the `id` element of the given resource exactly equals the tail of any of the given references.\nNOTE: This function assumes resources from the same source server.\n*/\ndefine fluent function references(references List<FHIR.Reference>, resource FHIR.Resource):\n  exists (references R where R.references(resource))"
      },
      {
        "url" : "displaySequence",
        "valueInteger" : 40
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
    },
    {
      "extension" : [{
        "url" : "libraryName",
        "valueString" : "WHOCommon"
      },
      {
        "url" : "name",
        "valueString" : "references"
      },
      {
        "url" : "statement",
        "valueString" : "/*\n@description: Returns true if the given reference is to the given resource\n@comment: Returns true if the `id` element of the given resource exactly equals the tail of the given reference.\nNOTE: This function assumes resources from the same source server.\n*/\ndefine fluent function references(reference FHIR.Reference, resource FHIR.Resource):\n  resource.id = Last(Split(reference.reference, '/'))"
      },
      {
        "url" : "displaySequence",
        "valueInteger" : 41
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
    },
    {
      "extension" : [{
        "url" : "libraryName",
        "valueString" : "IMMZCommon"
      },
      {
        "url" : "name",
        "valueString" : "encounterOrOnBefore"
      },
      {
        "url" : "statement",
        "valueString" : "/**\n * @description: Gets observation from an encounter or on or before a date\n */\ndefine fluent function encounterOrOnBefore(observations List<Observation>, EncounterId String, beforeDate Date):\n  observations O where\n    (O.encounter.references(EncounterId)\n      or O.effective.toInterval() starts same day or before beforeDate)"
      },
      {
        "url" : "displaySequence",
        "valueInteger" : 42
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
    },
    {
      "extension" : [{
        "url" : "libraryName",
        "valueString" : "WHOCommon"
      },
      {
        "url" : "name",
        "valueString" : "references"
      },
      {
        "url" : "statement",
        "valueString" : "/*\n@description: Returns true if the given reference is to the given resourceId\n@comment: Returns true if the `resourceId` parameter exactly equals the tail of the given reference.\nNOTE: This function assumes resources from the same source server.\n*/\ndefine fluent function references(reference FHIR.Reference, resourceId String):\n  resourceId = Last(Split(reference.reference, '/'))"
      },
      {
        "url" : "displaySequence",
        "valueInteger" : 43
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
    },
    {
      "extension" : [{
        "url" : "libraryName",
        "valueString" : "WHOCommon"
      },
      {
        "url" : "name",
        "valueString" : "complete"
      },
      {
        "url" : "statement",
        "valueString" : "define fluent function complete(observations List<Observation>):\n  observations O where O.status in { 'final', 'amended', 'corrected' }"
      },
      {
        "url" : "displaySequence",
        "valueInteger" : 44
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
    },
    {
      "extension" : [{
        "url" : "libraryName",
        "valueString" : "FHIRHelpers"
      },
      {
        "url" : "name",
        "valueString" : "ToString"
      },
      {
        "url" : "statement",
        "valueString" : "define function ToString(value ObservationStatus): value.value"
      },
      {
        "url" : "displaySequence",
        "valueInteger" : 45
      }],
      "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" : 46
      }],
      "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/IMMZD2DTMeaslesEncounterElements"
    },
    {
      "type" : "depends-on",
      "display" : "Library Common",
      "resource" : "http://smart.who.int/immunizations/Library/IMMZCommon"
    },
    {
      "type" : "depends-on",
      "display" : "Library WC",
      "resource" : "http://smart.who.int/immunizations/Library/WHOCommon"
    },
    {
      "type" : "depends-on",
      "display" : "Library MeaslesElements",
      "resource" : "http://smart.who.int/immunizations/Library/IMMZD2DTMeaslesElements"
    },
    {
      "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 FHIRHelpers",
      "resource" : "http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1"
    },
    {
      "type" : "depends-on",
      "display" : "Library Concepts",
      "resource" : "http://smart.who.int/immunizations/Library/IMMZConcepts"
    },
    {
      "type" : "depends-on",
      "display" : "Library WC",
      "resource" : "http://smart.who.int/immunizations/Library/WHOCommon"
    },
    {
      "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 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" : "Code system IMMZD",
      "resource" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D"
    },
    {
      "type" : "depends-on",
      "display" : "Value set Measles-containing vaccines",
      "resource" : "http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE9"
    },
    {
      "type" : "depends-on",
      "display" : "Value set Live Attenuated",
      "resource" : "http://smart.who.int/immunizations/ValueSet/IMMZ.Z.LiveAttenuated"
    }],
    "parameter" : [{
      "name" : "Today",
      "use" : "in",
      "min" : 0,
      "max" : "1",
      "type" : "date"
    },
    {
      "name" : "EncounterId",
      "use" : "in",
      "min" : 0,
      "max" : "1",
      "type" : "string"
    },
    {
      "name" : "Guidance",
      "use" : "out",
      "min" : 0,
      "max" : "1",
      "type" : "string"
    },
    {
      "name" : "Has Guidance",
      "use" : "out",
      "min" : 0,
      "max" : "1",
      "type" : "boolean"
    }],
    "dataRequirement" : [{
      "type" : "Immunization",
      "profile" : ["http://hl7.org/fhir/StructureDefinition/Immunization"],
      "mustSupport" : ["status",
      "isSubpotent"]
    },
    {
      "type" : "Immunization",
      "profile" : ["http://hl7.org/fhir/StructureDefinition/Immunization"],
      "mustSupport" : ["status",
      "isSubpotent",
      "vaccineCode"]
    },
    {
      "type" : "Observation",
      "profile" : ["http://hl7.org/fhir/StructureDefinition/Observation"],
      "mustSupport" : ["code"],
      "codeFilter" : [{
        "path" : "code",
        "code" : [{
          "system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
          "code" : "DE203",
          "display" : "Completed the primary vaccination series"
        }]
      }]
    },
    {
      "type" : "Immunization",
      "profile" : ["http://hl7.org/fhir/StructureDefinition/Immunization"],
      "mustSupport" : ["status",
      "isSubpotent",
      "vaccineCode"]
    },
    {
      "type" : "Immunization",
      "profile" : ["http://hl7.org/fhir/StructureDefinition/Immunization"],
      "mustSupport" : ["status",
      "isSubpotent",
      "vaccineCode",
      "occurrence"]
    },
    {
      "type" : "Immunization",
      "profile" : ["http://hl7.org/fhir/StructureDefinition/Immunization"],
      "mustSupport" : ["status",
      "isSubpotent",
      "vaccineCode"]
    },
    {
      "type" : "Immunization",
      "profile" : ["http://hl7.org/fhir/StructureDefinition/Immunization"],
      "mustSupport" : ["status",
      "isSubpotent",
      "vaccineCode"]
    },
    {
      "type" : "Immunization",
      "profile" : ["http://hl7.org/fhir/StructureDefinition/Immunization"],
      "mustSupport" : ["status",
      "isSubpotent",
      "vaccineCode"]
    },
    {
      "type" : "Immunization",
      "profile" : ["http://hl7.org/fhir/StructureDefinition/Immunization"],
      "mustSupport" : ["status",
      "isSubpotent",
      "vaccineCode"]
    },
    {
      "type" : "Immunization",
      "profile" : ["http://hl7.org/fhir/StructureDefinition/Immunization"],
      "mustSupport" : ["status",
      "isSubpotent",
      "vaccineCode"]
    },
    {
      "type" : "Observation",
      "profile" : ["http://hl7.org/fhir/StructureDefinition/Observation"],
      "mustSupport" : ["code"],
      "codeFilter" : [{
        "path" : "code",
        "code" : [{
          "system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
          "code" : "DE203",
          "display" : "Completed the primary vaccination series"
        }]
      }]
    }]
  }],
  "extension" : [{
    "url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeCapability",
    "valueCode" : "computable"
  },
  {
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    "valueCanonical" : "#effective-data-requirements"
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  "date" : "2026-03-25T23:30:34+00:00",
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      "system" : "url",
      "value" : "http://who.int"
    }]
  }],
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  "relatedArtifact" : [{
    "type" : "citation",
    "citation" : "WHO recommendations for routine immunization - summary tables (January 2025)"
  }],
  "library" : ["http://smart.who.int/immunizations/Library/IMMZD2DTMeaslesSupplementaryDoseLogic"],
  "action" : [{
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      "expression" : {
        "description" : "Has Guidance",
        "language" : "text/cql-identifier",
        "expression" : "Has Guidance"
      }
    }],
    "definitionCanonical" : "http://smart.who.int/immunizations/ActivityDefinition/IMMZD2DTCR",
    "dynamicValue" : [{
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      "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",
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        "description" : "Alert priority",
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    }]
  }]
}