IMMZD2DTTyphoidTy21a
type: PlanDefinition
node role: treeRoot
id:
  v: IMMZD2DTTyphoidTy21a
meta:
  profile:
    v: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-recommendationdefinition
    l: cpg-recommendationdefinition
  profile:
    v: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareableplandefinition
    l: crmi-shareableplandefinition
  profile:
    v: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-publishableplandefinition
    l: crmi-publishableplandefinition
text:
  status:
    v: extensions
  div:
    v: Id: IMMZD2DTTyphoidTy21a Url: IMMZ.D2.DT.Typhoid.Ty21a Version: 0.2.0 Title: IMMZ.D2.DT.Typhoid.Ty21a Status: draft Type: system: http://terminology.hl7.org/CodeSystem/plan-definition-type code: eca-rule Date: 2026-03-25 23:30:34+0000 Publisher: WHO Description: IMMZ.D2.DT.Typhoid.Ty21a Live attenuated Ty21a vaccine schedule Knowledge Capability: computable Related Artifacts: References WHO recommendations for routine immunization - summary tables (January 2025) Libraries: IMMZD2DTTyphoidTy21aLogic Actions: Determine if the client is due for Typhoid.: Determine if the client is due for Typhoid vaccine according to the national immunization protocol. Live attenuated Ty21a vaccine schedule If: Applicability: Client is due for Typhoid vaccination (Client is due for Typhoid vaccination) Then: Definition: IMMZD2DTMR Dynamic Values: status: ('draft') intent: ('proposal') medication: (Concept { codes: { Code { system: 'http://smart.who.int/immunizations/CodeSystem/IMMZ.Z', code: 'DE21', display: 'Typhoid vaccines' } }, display: 'Typhoid vaccines' }) Determine if the client is due for Typhoid.: Determine if the client is due for Typhoid vaccine according to the national immunization protocol. Live attenuated Ty21a vaccine schedule If: Applicability: Client is due for typhoid booster dose (Client is due for typhoid booster dose) Then: Definition: IMMZD2DTMR Dynamic Values: status: ('draft') intent: ('proposal') medication: (Concept { codes: { Code { system: 'http://smart.who.int/immunizations/CodeSystem/IMMZ.Z', code: 'DE21', display: 'Typhoid vaccines' } }, display: 'Typhoid vaccines' }) Check for Guidance for the patient regarding IMMZ.D2.DT.Typhoid.Ty21a.: Show Guidance for the patient regarding IMMZ.D2.DT.Typhoid.Ty21a. If: Applicability: Has Guidance (Has Guidance) Then: Definition: IMMZ.D2.DT.CR Dynamic Values: status: ('active') payload.contentString: (Guidance) category.coding: (Code { system: 'http://terminology.hl7.org/CodeSystem/communication-category', code: 'ale…
contained: Library
  id:
    v: effective-data-requirements
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode
      l: cqf-directReferenceCode
    value: Coding
      system:
        v: http://smart.who.int/immunizations/CodeSystem/IMMZ.D
        l: IMMZ.D
      code:
        v: DE203
      display:
        v: Completed the primary vaccination series
  extension:
    extension:
      url:
        v: libraryName
        l: libraryName
      value: String
        v: IMMZEncounterElements
    extension:
      url:
        v: name
        l: name
      value: String
        v: Current Patient Age In Years
    extension:
      url:
        v: statement
        l: statement
      value: String
        v: /** * @dataElement Patient age in years */ define "Current Patient Age In Years": AgeInYearsAt(Today)
    extension:
      url:
        v: displaySequence
        l: displaySequence
      value: Integer
        v: 0
    url:
      v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
      l: cqf-logicDefinition
  extension:
    extension:
      url:
        v: libraryName
        l: libraryName
      value: String
        v: IMMZD2DTTyphoidEncounterElements
    extension:
      url:
        v: name
        l: name
      value: String
        v: Client's age is less than 6 years
    extension:
      url:
        v: statement
        l: statement
      value: String
        v: /* @input: Client's age is less than 6 years @pseudocode: Today's date − "Date of birth" < 6 years @code: Client's age is less than 6 years-40 @decision: IMMZ.D2.DT.Typhoid.Ty21a: Live attenuated Ty21a vaccine schedule */ define "Client's age is less than 6 years": Encounter."Current Patient Age In Years" < 6
    extension:
      url:
        v: displaySequence
        l: displaySequence
      value: Integer
        v: 1
    url:
      v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
      l: cqf-logicDefinition
  extension:
    extension:
      url:
        v: libraryName
        l: libraryName
      value: String
        v: IMMZD2DTTyphoidTy21aLogic
    extension:
      url:
        v: name
        l: name
      value: String
        v: Client is not due for Typhoid vaccination Case 1
    extension:
      url:
        v: statement
        l: statement
      value: String
        v: /* @output: Client is not due for Typhoid vaccination Case 1 @pseudocode: "Immunization recommendation status" = "Not due" */ define "Client is not due for Typhoid vaccination Case 1": Encounter."Client's age is less than 6 years"
    extension:
      url:
        v: displaySequence
        l: displaySequence
      value: Integer
        v: 2
    url:
      v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
      l: cqf-logicDefinition
  extension:
    extension:
      url:
        v: libraryName
        l: libraryName
      value: String
        v: IMMZD2DTTyphoidEncounterElements
    extension:
      url:
        v: name
        l: name
      value: String
        v: Client's age is more than or equal to 6 years
    extension:
      url:
        v: statement
        l: statement
      value: String
        v: /* @input: Client's age is more than or equal to 6 years @pseudocode: Today's date − "Date of birth" ≥ 6 years @code: Client's age is more than or equal to 6 years-40 @decision: IMMZ.D2.DT.Typhoid.Ty21a: Live attenuated Ty21a vaccine schedule */ define "Client's age is more than or equal to 6 years": Encounter."Current Patient Age In Years" >= 6
    extension:
      url:
        v: displaySequence
        l: displaySequence
      value: Integer
        v: 3
    url:
      v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
      l: cqf-logicDefinition
  extension:
    extension:
      url:
        v: libraryName
        l: libraryName
      value: String
        v: IMMZElements
    extension:
      url:
        v: name
        l: name
      value: String
        v: Doses Administered to Patient
    extension:
      url:
        v: statement
        l: statement
      value: String
        v: /** * @dataElement All Doses Administered to Patient */ define "Doses Administered to Patient": [Immunization] I where I.status = 'completed' and I.isSubpotent is not true
    extension:
      url:
        v: displaySequence
        l: displaySequence
      value: Integer
        v: 4
    url:
      v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
      l: cqf-logicDefinition
  extension:
    extension:
      url:
        v: libraryName
        l: libraryName
      value: String
        v: IMMZEncounterElements
    extension:
      url:
        v: name
        l: name
      value: String
        v: Doses Administered to Patient
    extension:
      url:
        v: statement
        l: statement
      value: String
        v: /** * @dataElement All Doses Administered to Patient */ define "Doses Administered to Patient": Elements."Doses Administered to Patient" I where I.occurrence.toInterval() same day or before Today
    extension:
      url:
        v: displaySequence
        l: displaySequence
      value: Integer
        v: 5
    url:
      v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
      l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTTyphoidEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: Typhoid Doses Administered to Patient
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @internal: Typhoid containing Doses Administered to Patient */ define "Typhoid Doses Administered to Patient": Encounter."Doses Administered to Patient" I where I.vaccineCode in Concepts."Typhoid vaccines"
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 6
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTTyphoidEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: Typhoid Primary Series Doses Administered to Patient
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @internal: Typhoid containing Doses Administered to Patient that are in the Primary series */ define "Typhoid Primary Series Doses Administered to Patient": "Typhoid Doses Administered to Patient".seriesPrimary()
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 7
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTTyphoidEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: Number of Typhoid Primary Series Doses Administered
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @internal: Number of Typhoid Primary Series doses */ define "Number of Typhoid Primary Series Doses Administered": Count("Typhoid Primary Series Doses Administered to Patient")
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 8
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTTyphoidEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: One typhoid primary series dose was administered
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @input: One typhoid primary series dose was administered @pseudocode: Count of vaccines administered (where "Vaccine type" = "Typhoid vaccines" and "Type of dose" = "Primary series") = 1 @code: One typhoid primary series dose was administered-116 @decision: IMMZ.D2.DT.Typhoid.TCV: Typhoid conjugate vaccine (TCV) schedule @decision: IMMZ.D2.DT.Typhoid.ViPS: Unconjugated Vi polysaccharide (ViPS) schedule */ define "One typhoid primary series dose was administered": "Number of Typhoid Primary Series Doses Administered" = 1
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 9
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZElements
extension:
  url:
    v: name
    l: name
  value: String
    v: Completed the primary vaccination series Observation
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @internal: Completed the primary vaccination series Observation */ define "Completed the primary vaccination series Observation": ([Observation: Concepts."Completed the primary vaccination series"]).complete()
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 10
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: Completed the primary vaccination series Observation
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @internal: Completed the primary vaccination series Observation */ define "Completed the primary vaccination series Observation": Elements."Completed the primary vaccination series Observation".encounterOrOnBefore(EncounterId, Today)
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 11
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTTyphoidEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: Primary series is complete
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @input: Primary series is complete @pseudocode: "Completed the primary vaccination series" (where "Vaccine type" = "Typhoid vaccines") = TRUE @code: Primary series is complete-93 @decision: IMMZ.D2.DT.Typhoid.Ty21a: Live attenuated Ty21a vaccine schedule */ define "Primary series is complete": "One typhoid primary series dose was administered" or Coalesce( "Typhoid Doses Administered to Patient" Dose aggregate Result: Encounter."Completed the primary vaccination series Observation".partOf.references(Dose) or Result, false )
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 12
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTTyphoidEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: Primary series is not complete
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @input: Primary series is not complete @pseudocode: "Completed the primary vaccination series" (where "Vaccine type" = "Typhoid vaccines") ≠ TRUE @code: Primary series is not complete-93 @decision: IMMZ.D2.DT.Typhoid.Ty21a: Live attenuated Ty21a vaccine schedule */ define "Primary series is not complete": not "Primary series is complete"
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 13
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZElements
extension:
  url:
    v: name
    l: name
  value: String
    v: Live Attenuated Vaccines
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @dataElement: Live attenuated vaccines */ define "Live Attenuated Vaccines": "Doses Administered to Patient" I where I.vaccineCode in Concepts."Live Attenuated"
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 14
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: Live Attenuated Vaccines
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @dataElement Live attenuated vaccines */ define "Live Attenuated Vaccines": Elements."Live Attenuated Vaccines" I where I.occurrence.toInterval() same day or before Today
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 15
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: Date of Latest Live Attenuated Vaccine
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @dataElement Date and time of last live attenuated vaccine */ define "Date of Latest Live Attenuated Vaccine": date from start of "Live Attenuated Vaccines".mostRecent().occurrence.toInterval()
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 16
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: Live vaccine was administered in the last 4 weeks
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @input: Live vaccine was administered in the last 4 weeks @pseudocode: Today's date − latest "Date and time of vaccination" (where "Live vaccine" = TRUE) < 4 weeks */ define "Live vaccine was administered in the last 4 weeks": "Date of Latest Live Attenuated Vaccine" is not null and duration in weeks between "Date of Latest Live Attenuated Vaccine" and Today < 4
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 17
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTTyphoidEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: Live vaccine, other than typhoid, was administered in the past 4 weeks
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @input: Live vaccine, other than typhoid, was administered in the past 4 weeks @pseudocode: Today's date − latest "Date and time of vaccination" (where "Live vaccine" = TRUE AND "Vaccine type" ≠ "Typhoid vaccines") < 4 weeks @code: Live vaccine, other than typhoid, was administered in the past 4 weeks-132 @decision: IMMZ.D2.DT.Typhoid.Ty21a: Live attenuated Ty21a vaccine schedule */ define "Live vaccine, other than typhoid, was administered in the past 4 weeks": Encounter."Live vaccine was administered in the last 4 weeks"
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 18
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTTyphoidTy21aLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: Client is not due for Typhoid vaccination Case 2
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @output: Client is not due for Typhoid vaccination Case 2 @pseudocode: "Immunization recommendation status" = "Not due" */ define "Client is not due for Typhoid vaccination Case 2": Encounter."Client's age is more than or equal to 6 years" and Encounter."Primary series is not complete" and Encounter."Live vaccine, other than typhoid, was administered in the past 4 weeks"
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 19
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTTyphoidTy21aLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: Client is not due for Typhoid vaccination
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @output: Client is not due for Typhoid vaccination @pseudocode: "Immunization recommendation status" = "Not due" */ define "Client is not due for Typhoid vaccination": "Client is not due for Typhoid vaccination Case 1" or "Client is not due for Typhoid vaccination Case 2"
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 20
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTTyphoidTy21aLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: Client is not due for Typhoid vaccination Guidance
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @output: Client is not due for Typhoid vaccination Guidance @guidance = Should not vaccinate client with typhoid dose as client's age is less than 6 years. Check for any other vaccines due and inform the caregiver of when to come back for the first dose. @guidance = Should not vaccinate client with typhoid dose as live vaccine was administered in the past 4 weeks. Check for other vaccines due and inform the caregiver or the client when the next dose should be administered. */ define "Client is not due for Typhoid vaccination Guidance": case when "Client is not due for Typhoid vaccination Case 1" then 'Should not vaccinate client with typhoid dose as client\'s age is less than 6 years. Check for any other vaccines due and inform the caregiver of when to come back for the first dose.' when "Client is not due for Typhoid vaccination Case 2" then 'Should not vaccinate client with typhoid dose as live vaccine was administered in the past 4 weeks. Check for other vaccines due and inform the caregiver or the client when the next dose should be administered.' else '' end
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 21
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: No live vaccine was administered in the last 4 weeks
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @input: No live vaccine was administered in the last 4 weeks @pseudocode: Today's date − latest "Date and time of vaccination" (where "Live vaccine" = TRUE) ≥ 4 weeks */ define "No live vaccine was administered in the last 4 weeks": not("Live vaccine was administered in the last 4 weeks")
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 22
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTTyphoidEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: No live vaccine, other than typhoid, was administered in the past 4 weeks
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @input: No live vaccine, other than typhoid, was administered in the past 4 weeks @pseudocode: Today's date − latest "Date and time of vaccination" (where "Live vaccine" = TRUE AND "Vaccine type" ≠ "Typhoid vaccines") ≥ 4 weeks @code: No live vaccine, other than typhoid, was administered in the past 4 weeks-132 @decision: IMMZ.D2.DT.Typhoid.Ty21a: Live attenuated Ty21a vaccine schedule */ define "No live vaccine, other than typhoid, was administered in the past 4 weeks": Encounter."No live vaccine was administered in the last 4 weeks"
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 23
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTTyphoidTy21aLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: Client is due for Typhoid vaccination
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @output: Client is due for Typhoid vaccination @pseudocode: "Immunization recommendation status" = "Due" */ define "Client is due for Typhoid vaccination": Encounter."Client's age is more than or equal to 6 years" and Encounter."Primary series is not complete" and Encounter."No live vaccine, other than typhoid, was administered in the past 4 weeks"
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 24
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTTyphoidTy21aLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: Client is due for Typhoid vaccination Guidance
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @output: Client is due for Typhoid vaccination Guidance @guidance: Prescribe the Ty21a primary series (if not done yet). Should vaccinate client with typhoid dose as primary series has not been completed and no live vaccines was administered in the past 4 weeks. Check for contraindications. */ define "Client is due for Typhoid vaccination Guidance": 'Prescribe the Ty21a primary series (if not done yet). Should vaccinate client with typhoid dose as primary series has not been completed and no live vaccines was administered in the past 4 weeks. Check for contraindications.'
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 25
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTTyphoidEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: Date of Latest Typhoid Dose
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @internal: Date of Latest Typhoid Dose */ define "Date of Latest Typhoid Dose": date from start of "Typhoid Doses Administered to Patient".mostRecent().occurrence.toInterval()
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 26
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTTyphoidEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: The latest typhoid dose was administered less than 3 years ago
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @input: The latest typhoid dose was administered less than 3 years ago @pseudocode: Today's date − latest "Date and time of vaccination" (where "Vaccine type" = "Typhoid vaccines") < 3 years @code: The latest typhoid dose was administered less than 3 years ago-106 @decision: IMMZ.D2.DT.Typhoid.ViPS: Unconjugated Vi polysaccharide (ViPS) schedule @decision: IMMZ.D2.DT.Typhoid.Ty21a: Live attenuated Ty21a vaccine schedule */ define "The latest typhoid dose was administered less than 3 years ago": "Date of Latest Typhoid Dose" is not null and duration in years between "Date of Latest Typhoid Dose" and Today < 3
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 27
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTTyphoidTy21aLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: Client is not due for typhoid booster dose Case 1
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @output: Client is not due for typhoid booster dose Case 1 @pseudocode: "Immunization recommendation status" = "Not due" */ define "Client is not due for typhoid booster dose Case 1": Encounter."Client's age is more than or equal to 6 years" and Encounter."Primary series is complete" and Encounter."The latest typhoid dose was administered less than 3 years ago"
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 28
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTTyphoidEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: The latest typhoid dose was administered more than 3 years ago
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @input: The latest typhoid dose was administered more than 3 years ago @pseudocode: Today's date − latest "Date and time of vaccination" (where "Vaccine type" = "Typhoid vaccines") ≥ 3 years @code: The latest typhoid dose was administered more than 3 years ago-106 @decision: IMMZ.D2.DT.Typhoid.ViPS: Unconjugated Vi polysaccharide (ViPS) schedule @decision: IMMZ.D2.DT.Typhoid.Ty21a: Live attenuated Ty21a vaccine schedule */ define "The latest typhoid dose was administered more than 3 years ago": not "The latest typhoid dose was administered less than 3 years ago"
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 29
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTTyphoidTy21aLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: Client is not due for typhoid booster dose Case 2
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @output: Client is not due for typhoid booster dose Case 2 @pseudocode: "Immunization recommendation status" = "Not due" */ define "Client is not due for typhoid booster dose Case 2": Encounter."Client's age is more than or equal to 6 years" and Encounter."Primary series is complete" and Encounter."The latest typhoid dose was administered more than 3 years ago" and Encounter."Live vaccine, other than typhoid, was administered in the past 4 weeks"
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 30
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTTyphoidTy21aLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: Client is not due for typhoid booster dose
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @output: Client is not due for typhoid booster dose @pseudocode: "Immunization recommendation status" = "Not due" */ define "Client is not due for typhoid booster dose": "Client is not due for typhoid booster dose Case 1" or "Client is not due for typhoid booster dose Case 2"
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 31
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTTyphoidTy21aLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: Client is not due for typhoid booster dose Guidance
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @output: Client is not due for typhoid booster dose Guidance @guidance = Should not vaccinate client with typhoid booster dose as the latest typhoid dose was administered less than 3 years ago. Check for any other vaccines due and inform the caregiver or the client when the next dose should be administered. @guidance = Should not vaccinate client with typhoid booster dose as live vaccine was administered in the past 4 weeks. Check for any other vaccines due and inform the caregiver or the client when the next dose should be administered */ define "Client is not due for typhoid booster dose Guidance": case when "Client is not due for typhoid booster dose Case 1" then 'Should not vaccinate client with typhoid booster dose as the latest typhoid dose was administered less than 3 years ago. Check for any other vaccines due and inform the caregiver or the client when the next dose should be administered.' when "Client is not due for typhoid booster dose Case 2" then 'Should not vaccinate client with typhoid booster dose as live vaccine was administered in the past 4 weeks. Check for any other vaccines due and inform the caregiver or the client when the next dose should be administered' else '' end
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 32
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTTyphoidTy21aLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: Client is due for typhoid booster dose
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @output: Client is due for typhoid booster dose @pseudocode: "Immunization recommendation status" = "Due" */ define "Client is due for typhoid booster dose": Encounter."Client's age is more than or equal to 6 years" and Encounter."Primary series is complete" and Encounter."The latest typhoid dose was administered more than 3 years ago" and Encounter."No live vaccine, other than typhoid, was administered in the past 4 weeks"
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 33
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTTyphoidTy21aLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: Client is due for typhoid booster dose Guidance
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @output: Client is due for typhoid booster dose Guidance @guidance: Prescribe the Ty21a booster series. Should vaccinate client with typhoid booster dose as primary series has been completed, the latest typhoid dose was administered more than 3 years ago and no live vaccine was administered in the past 4 weeks. Check for contraindications. */ define "Client is due for typhoid booster dose Guidance": 'Prescribe the Ty21a booster series. Should vaccinate client with typhoid booster dose as primary series has been completed, the latest typhoid dose was administered more than 3 years ago and no live vaccine was administered in the past 4 weeks. Check for contraindications.'
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 34
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTTyphoidTy21aLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: Guidance
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @dynamicValue: Guidance */ define "Guidance": case when "Client is not due for Typhoid vaccination" then "Client is not due for Typhoid vaccination Guidance" when "Client is due for Typhoid vaccination" then "Client is due for Typhoid vaccination Guidance" when "Client is not due for typhoid booster dose" then "Client is not due for typhoid booster dose Guidance" when "Client is due for typhoid booster dose" then "Client is due for typhoid booster dose Guidance" else '' end
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 35
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTTyphoidTy21aLogic
extension:
  url:
    v: name
    l: name
  value: String
    v: Has Guidance
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define "Has Guidance": "Guidance" is not null and "Guidance" != ''
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 36
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZCommon
extension:
  url:
    v: name
    l: name
  value: String
    v: seriesPrimary
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /** * @description: Gets the doses from the primary series */ define fluent function seriesPrimary(immunizations List<Immunization>): immunizations I where exists( I.protocolApplied pa where pa.series = 'Primary series' )
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 37
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: FHIRHelpers
extension:
  url:
    v: name
    l: name
  value: String
    v: ToString
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define function ToString(value string): value.value
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 38
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: FHIRHelpers
extension:
  url:
    v: name
    l: name
  value: String
    v: ToString
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define function ToString(value ImmunizationStatus): value.value
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 39
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: FHIRHelpers
extension:
  url:
    v: name
    l: name
  value: String
    v: ToBoolean
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define function ToBoolean(value boolean): value.value
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 40
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: FHIRHelpers
extension:
  url:
    v: name
    l: name
  value: String
    v: ToConcept
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define function ToConcept(concept FHIR.CodeableConcept): if concept is null then null else System.Concept { codes: concept.coding C return ToCode(C), display: concept.text.value }
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 41
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: FHIRHelpers
extension:
  url:
    v: name
    l: name
  value: String
    v: ToCode
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define function ToCode(coding FHIR.Coding): if coding is null then null else System.Code { code: coding.code.value, system: coding.system.value, version: coding.version.value, display: coding.display.value }
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 42
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: WHOCommon
extension:
  url:
    v: name
    l: name
  value: String
    v: references
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @description: Returns true if any of the given references are to the given resource @comment: Returns true if the `id` element of the given resource exactly equals the tail of any of the given references. NOTE: This function assumes resources from the same source server. */ define fluent function references(references List<FHIR.Reference>, resource FHIR.Resource): exists (references R where R.references(resource))
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 43
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: WHOCommon
extension:
  url:
    v: name
    l: name
  value: String
    v: references
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @description: Returns true if the given reference is to the given resource @comment: Returns true if the `id` element of the given resource exactly equals the tail of the given reference. NOTE: This function assumes resources from the same source server. */ define fluent function references(reference FHIR.Reference, resource FHIR.Resource): resource.id = Last(Split(reference.reference, '/'))
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 44
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZCommon
extension:
  url:
    v: name
    l: name
  value: String
    v: encounterOrOnBefore
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /** * @description: Gets observation from an encounter or on or before a date */ define fluent function encounterOrOnBefore(observations List<Observation>, EncounterId String, beforeDate Date): observations O where (O.encounter.references(EncounterId) or O.effective.toInterval() starts same day or before beforeDate)
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 45
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: WHOCommon
extension:
  url:
    v: name
    l: name
  value: String
    v: references
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @description: Returns true if the given reference is to the given resourceId @comment: Returns true if the `resourceId` parameter exactly equals the tail of the given reference. NOTE: This function assumes resources from the same source server. */ define fluent function references(reference FHIR.Reference, resourceId String): resourceId = Last(Split(reference.reference, '/'))
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 46
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: WHOCommon
extension:
  url:
    v: name
    l: name
  value: String
    v: complete
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define fluent function complete(observations List<Observation>): observations O where O.status in { 'final', 'amended', 'corrected' }
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 47
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

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

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: WHOCommon
extension:
  url:
    v: name
    l: name
  value: String
    v: mostRecent
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define fluent function mostRecent(immunizations List<Immunization>): Last( immunizations I sort by start of occurrence.toInterval() )
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 49
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

v: EffectiveDataRequirements

v: active

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

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

type:
  v: depends-on
display:
  v: Library Encounter
resource:
  v: http://smart.who.int/immunizations/Library/IMMZD2DTTyphoidEncounterElements
  l: IMMZD2DTTyphoidEncounterElements

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

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

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

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

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

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

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

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

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

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

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

type:
  v: depends-on
display:
  v: Code system IMMZD
resource:
  v: http://smart.who.int/immunizations/CodeSystem/IMMZ.D
  l: IMMZ.D

type:
  v: depends-on
display:
  v: Value set Typhoid vaccines
resource:
  v: http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE21
  l: IMMZ.Z.DE21

type:
  v: depends-on
display:
  v: Value set Live Attenuated
resource:
  v: http://smart.who.int/immunizations/ValueSet/IMMZ.Z.LiveAttenuated
  l: IMMZ.Z.LiveAttenuated

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

name:
  v: EncounterId
use:
  v: in
min:
  v: 0
max:
  v: 1
type:
  v: string

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

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

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

name:
  v: Client is due for typhoid booster dose
use:
  v: out
min:
  v: 0
max:
  v: 1
type:
  v: boolean

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

type:
  v: Immunization
profile:
  v: http://hl7.org/fhir/StructureDefinition/Immunization
  l: Immunization
must support:
  v: status
must support:
  v: isSubpotent

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

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

type:
  v: Observation
profile:
  v: http://hl7.org/fhir/StructureDefinition/Observation
  l: Observation
must support:
  v: code
code filter:
  path:
    v: code
  code:
    system:
      v: http://smart.who.int/immunizations/CodeSystem/IMMZ.D
      l: IMMZ.D
    code:
      v: DE203
    display:
      v: Completed the primary vaccination series

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

type:
  v: Immunization
profile:
  v: http://hl7.org/fhir/StructureDefinition/Immunization
  l: Immunization
must support:
  v: status
must support:
  v: isSubpotent
must support:
  v: vaccineCode

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

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

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

type:
  v: Observation
profile:
  v: http://hl7.org/fhir/StructureDefinition/Observation
  l: Observation
must support:
  v: code
code filter:
  path:
    v: code
  code:
    system:
      v: http://smart.who.int/immunizations/CodeSystem/IMMZ.D
      l: IMMZ.D
    code:
      v: DE203
    display:
      v: Completed the primary vaccination series

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

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

v: 0.2.0

v: IMMZD2DTTyphoidTy21a

v: IMMZ.D2.DT.Typhoid.Ty21a

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

v: draft

v: false

v: 2026-03-25T23:30:34+00:00

v: WHO

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

v: IMMZ.D2.DT.Typhoid.Ty21a Live attenuated Ty21a vaccine schedule

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

extension:
  url:
    v: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-rationale
    l: cpg-rationale
  value: Markdown
    v: For Ty21a, a 3-dose oral immunization schedule, administering the vaccine every second (alternate) day, is recommended above 6 years of age. If interruption between doses is > 21 days, restart primary series.
title:
  v: Determine if the client is due for Typhoid.
description:
  v: Determine if the client is due for Typhoid vaccine according to the national immunization protocol. Live attenuated Ty21a vaccine schedule
condition:
  kind:
    v: applicability
  expression:
    description:
      v: Client is due for Typhoid vaccination
    language:
      v: text/cql-identifier
    expression:
      v: Client is due for Typhoid vaccination
definition: Canonical
  v: http://smart.who.int/immunizations/ActivityDefinition/IMMZD2DTMR
  l: IMMZD2DTMR
dynamic value:
  path:
    v: status
  expression:
    language:
      v: text/cql-expression
    expression:
      v: 'draft'
dynamic value:
  path:
    v: intent
  expression:
    language:
      v: text/cql-expression
    expression:
      v: 'proposal'
dynamic value:
  path:
    v: medication
  expression:
    language:
      v: text/cql-expression
    expression:
      v: Concept { codes: { Code { system: 'http://smart.who.int/immunizations/CodeSystem/IMMZ.Z', code: 'DE21', display: 'Typhoid vaccines' } }, display: 'Typhoid vaccines' }

extension:
  url:
    v: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-rationale
    l: cpg-rationale
  value: Markdown
    v: Revaccination is recommended every 3–7 years for Ty21a (every 1 to 7 years for travellers from non-endemic to endemic areas, depending on national policies). As a general rule, any live vaccine may be given either simultaneously or at an interval of 4 weeks.
title:
  v: Determine if the client is due for Typhoid.
description:
  v: Determine if the client is due for Typhoid vaccine according to the national immunization protocol. Live attenuated Ty21a vaccine schedule
condition:
  kind:
    v: applicability
  expression:
    description:
      v: Client is due for typhoid booster dose
    language:
      v: text/cql-identifier
    expression:
      v: Client is due for typhoid booster dose
definition: Canonical
  v: http://smart.who.int/immunizations/ActivityDefinition/IMMZD2DTMR
  l: IMMZD2DTMR
dynamic value:
  path:
    v: status
  expression:
    language:
      v: text/cql-expression
    expression:
      v: 'draft'
dynamic value:
  path:
    v: intent
  expression:
    language:
      v: text/cql-expression
    expression:
      v: 'proposal'
dynamic value:
  path:
    v: medication
  expression:
    language:
      v: text/cql-expression
    expression:
      v: Concept { codes: { Code { system: 'http://smart.who.int/immunizations/CodeSystem/IMMZ.Z', code: 'DE21', display: 'Typhoid vaccines' } }, display: 'Typhoid vaccines' }

title:
  v: Check for Guidance for the patient regarding IMMZ.D2.DT.Typhoid.Ty21a.
description:
  v: Show Guidance for the patient regarding IMMZ.D2.DT.Typhoid.Ty21a.
condition:
  kind:
    v: applicability
  expression:
    description:
      v: Has Guidance
    language:
      v: text/cql-identifier
    expression:
      v: Has Guidance
definition: Canonical
  v: http://smart.who.int/immunizations/ActivityDefinition/IMMZD2DTCR
  l: IMMZD2DTCR
dynamic value:
  path:
    v: status
  expression:
    language:
      v: text/cql-expression
    expression:
      v: 'active'
dynamic value:
  path:
    v: payload.contentString
  expression:
    language:
      v: text/cql-identifier
    expression:
      v: Guidance
dynamic value:
  path:
    v: category.coding
  expression:
    description:
      v: Category of communication
    language:
      v: text/cql-expression
    expression:
      v: Code { system: 'http://terminology.hl7.org/CodeSystem/communication-category', code: 'alert' }
dynamic value:
  path:
    v: priority
  expression:
    description:
      v: Alert priority
    language:
      v: text/cql-expression
    expression:
      v: Code { system: 'http://hl7.org/fhir/request-priority', code: 'routine' }