WHO Immunization Implementation Guide
0.2.0 - ci-build

WHO Immunization Implementation Guide, published by WHO. This guide is not an authorized publication; it is the continuous build for version 0.2.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/WorldHealthOrganization/smart-immunizations/ and changes regularly. See the Directory of published versions

Library: IMMZD2DTSeasonalinfluenzaElements

Official URL: http://smart.who.int/immunizations/Library/IMMZD2DTSeasonalinfluenzaElements Version: 0.2.0
Draft as of 2025-08-08 Computable Name: IMMZD2DTSeasonalinfluenzaElements

This library defines context-independent elements for Seasonal influenza used throughout the Immunization CPG

Title: IMMZD2DTSeasonalinfluenzaElements
Id: IMMZD2DTSeasonalinfluenzaElements
Version: 0.2.0
Url: IMMZD2DTSeasonalinfluenzaElements
Status: draft
Type:

system: http://terminology.hl7.org/CodeSystem/library-type

code: logic-library

Date: 2025-08-08 19:12:11+0000
Publisher: WHO
Description:

This library defines context-independent elements for Seasonal influenza used throughout the Immunization CPG

Related Artifacts:

Dependencies

Parameters:
NameTypeMinMaxIn/Out
PatientPatient01Out
Seasonal influenza Doses Administered to PatientImmunization0*Out
Seasonal influenza Primary Series Doses Administered to PatientImmunization0*Out
Number of Seasonal influenza Primary Series Doses Administeredinteger01Out
Date of Latest Seasonal influenza Dosedate01Out
No seasonal influenza primary series doses were administeredboolean01Out
One seasonal influenza primary series doses were administeredboolean01Out
Two seasonal influenza primary series doses were administeredboolean01Out
Client's age is less than 6 monthsboolean01Out
Client's age is more than or equal to 6 monthsboolean01Out
Client's age is less than 9 yearsboolean01Out
Client's age is more than or equal to 9 yearsboolean01Out
The latest seasonal influenza dose was administered less than 4 weeks agoboolean01Out
The latest seasonal influenza dose was administered more than 4 weeks agoboolean01Out
The latest seasonal influenza dose was administered less than 1 year agoboolean01Out
The latest seasonal influenza dose was administered more than 1 year agoboolean01Out
Content: text/cql

/*
  * Library: IMMZD2DTSeasonalinfluenzaElements
  */
library IMMZD2DTSeasonalinfluenzaElements

using FHIR version '4.0.1'
include FHIRHelpers version '4.0.1'

include WHOConcepts
include WHOCommon called WC
include WHOElements called WE

include IMMZCommon called Common
include IMMZConcepts called Concepts
include IMMZElements called Elements

context Patient

/*
@internal: Seasonal influenza containing Doses Administered to Patient
*/
define "Seasonal influenza Doses Administered to Patient":
  Elements."Doses Administered to Patient" I
  where
    I.vaccineCode in Concepts."Seasonal influenza vaccines"

/*
@internal: Seasonal influenza containing Doses Administered to Patient that are in the Primary series
*/
define "Seasonal influenza Primary Series Doses Administered to Patient":
  "Seasonal influenza Doses Administered to Patient".seriesPrimary()

/*
@internal: Number of Seasonal influenza Primary Series doses
*/
define "Number of Seasonal influenza Primary Series Doses Administered":
  Count("Seasonal influenza Primary Series Doses Administered to Patient")

/*
@internal: Date and time of last Seasonal influenza dose
*/
define "Date of Latest Seasonal influenza Dose":
  date from start of "Seasonal influenza Doses Administered to Patient".mostRecent().occurrence.toInterval()

/*
@input: No seasonal influenza primary series doses were administered
@pseudocode: Count of vaccines administered (where "Vaccine type" = "Seasonal influenza vaccines" and "Type of dose" = "Primary series") = 0
@decision: Inactivated trivalent and quadrivalent vaccines, 2-dose schedule
*/
define "No seasonal influenza primary series doses were administered":
  "Number of Seasonal influenza Primary Series Doses Administered" = 0

/*
@input: One seasonal influenza primary series doses were administered
@pseudocode: Count of vaccines administered (where "Vaccine type" = "Seasonal influenza vaccines" and "Type of dose" = "Primary series") = 1
@decision: Inactivated trivalent and quadrivalent vaccines, 2-dose schedule
*/
define "One seasonal influenza primary series doses were administered":
  "Number of Seasonal influenza Primary Series Doses Administered" = 1

/*
@input: Two seasonal influenza primary series doses were administered
@pseudocode: Count of vaccines administered (where "Vaccine type" = "Seasonal influenza vaccines" and "Type of dose" = "Primary series") = 2
@decision: Inactivated trivalent and quadrivalent vaccines, 2-dose schedule
*/
define "Two seasonal influenza primary series doses were administered":
  "Number of Seasonal influenza Primary Series Doses Administered" = 2

/*
@input: Client's age is less than 6 months
@pseudocode: Today's date − "Date of birth" < 6 months
@decision: Inactivated trivalent and quadrivalent vaccines, 2-dose schedule
*/
define "Client's age is less than 6 months":
  Elements."Current Patient Age In Months" < 6

/*
@input: Client's age is more than or equal to 6 months
@pseudocode: Today's date − "Date of birth" ≥ 6 months
@decision: Inactivated trivalent and quadrivalent vaccines, 2-dose schedule
*/
define "Client's age is more than or equal to 6 months":
  Elements."Current Patient Age In Months" >= 6

/*
@input: Client's age is less than 9 years
@pseudocode: Today's date − "Date of birth" < 9 years
@decision: Inactivated trivalent and quadrivalent vaccines, 2-dose schedule
*/
define "Client's age is less than 9 years":
  Elements."Current Patient Age In Years" < 9

/*
@input: Client's age is more than or equal to 9 years
@pseudocode: Today's date − "Date of birth" ≥ 9 years
@decision: Inactivated trivalent and quadrivalent vaccines, 2-dose schedule
*/
define "Client's age is more than or equal to 9 years":
  Elements."Current Patient Age In Years" >= 9

/*
@input: The latest seasonal influenza dose was administered less than 4 weeks ago
@pseudocode: Today's date − "Date and time of vaccination" (where "Vaccine type" = "Seasonal influenza vaccines") < 4 weeks
@decision: Inactivated trivalent and quadrivalent vaccines, 2-dose schedule
*/
define "The latest seasonal influenza dose was administered less than 4 weeks ago":
  "Date of Latest Seasonal influenza Dose" is not null 
  and duration in weeks between "Date of Latest Seasonal influenza Dose" and Now() < 4
/*
@input: The latest seasonal influenza dose was administered more than 4 weeks ago
@pseudocode: Today's date − "Date and time of vaccination" (where "Vaccine type" = "Seasonal influenza vaccines") ≥ 4 weeks
@decision: Inactivated trivalent and quadrivalent vaccines, 2-dose schedule
*/
define "The latest seasonal influenza dose was administered more than 4 weeks ago":
  not "The latest seasonal influenza dose was administered less than 4 weeks ago"

/*
@input: The latest seasonal influenza dose was administered less than 1 year ago
@pseudocode: Today's date − "Date and time of vaccination" (where "Vaccine type" = "Seasonal influenza vaccines") < 1 year
@decision: Inactivated trivalent and quadrivalent vaccines, 2-dose schedule
*/
define "The latest seasonal influenza dose was administered less than 1 year ago":
  "Date of Latest Seasonal influenza Dose" is not null 
  and duration in years between "Date of Latest Seasonal influenza Dose" and Now() < 1

/*
@input: The latest seasonal influenza dose was administered more than 1 year ago
@pseudocode: Today's date − "Date and time of vaccination" (where "Vaccine type" = "Seasonal influenza vaccines") ≥ 1 year
@decision: Inactivated trivalent and quadrivalent vaccines, 2-dose schedule
*/
define "The latest seasonal influenza dose was administered more than 1 year ago":
  not "The latest seasonal influenza dose was administered less than 1 year ago"

Content: application/elm+xml
Encoded data (48412 characters)