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

: IMMZ.D18.S.Varicella.2-dose schedule - TTL Representation

Draft as of 2026-07-07

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

<http://hl7.org/fhir/PlanDefinition/IMMZD18SVaricella2Doses> a fhir:PlanDefinition ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "IMMZD18SVaricella2Doses"] ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-recommendationdefinition" ;
       fhir:index 0 ;
       fhir:link <http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-recommendationdefinition>
     ], [
       fhir:value "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareableplandefinition" ;
       fhir:index 1 ;
       fhir:link <http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareableplandefinition>
     ], [
       fhir:value "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-publishableplandefinition" ;
       fhir:index 2 ;
       fhir:link <http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-publishableplandefinition>
     ]
  ] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "extensions" ] ;
     fhir:Narrative.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;\">IMMZD18SVaricella2Doses</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-IMMZD18SVaricella2Doses.html\">IMMZ.D18.S.Varicella.2-dose schedule</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.D18.S.Varicella.2-dose schedule</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/7.2.0/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;\">2026-07-07 22:09:13+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.D18.S.Varicella.2-dose schedule\n2-dose schedule</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-IMMZD18SVaricella2DosesLogic.html\">IMMZD18SVaricella2DosesLogic</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> Varicella dose 1:</b> Provision of the varicella dose 1\nTrigger event: Child's birth\nTrigger pseudo: \nTrigger date: \"Date of birth\"\nCreate condition: Depending on the goal of the vaccination programme, 1–2 doses should be given with the first dose administered at 12–18 months of age.\n                            \n                            <br/>\n                            \n                            \n                            <b>If:</b>\n                            \n                            <i>Applicability:</i>\n                            \n                            Varicella dose 1\n                            \n                            <i>(Varicella dose 1)</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>(Varicella dose 1 Create)</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                    <tr>\n                        <td>\n                            \n                            <b> Varicella dose 2:</b> Provision of the varicella dose 2\nTrigger event: First varicella dose from the primary series was administered\nTrigger pseudo: Count of vaccines administered (where \"Vaccine type\" = \"Varicella-containing vaccines\" and \"Type of dose\" = \"Primary series\") =1\nTrigger date: \"Date and time of vaccination\" (where \"Vaccine type\" = \"Varicella-containing vaccines\")\nCreate condition: The minimum interval between doses should be as recommended by the manufacturer, ranging from 4 weeks to 3 months.\n                            \n                            <br/>\n                            \n                            \n                            <b>If:</b>\n                            \n                            <i>Applicability:</i>\n                            \n                            Varicella dose 2\n                            \n                            <i>(Varicella dose 2)</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>(Varicella dose 2 Create)</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>"
  ] ;
  fhir:DomainResource.contained [
     a fhir:Library ;
     fhir:index 0 ;
     fhir:Resource.id [ fhir:value "effective-data-requirements" ] ;
     fhir:DomainResource.extension [
       fhir:index 0 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "libraryName" ] ;
         fhir:Extension.valueString [ fhir:value "IMMZElements" ]
       ], [
         fhir:index 1 ;
         fhir:Extension.url [ fhir:value "name" ] ;
         fhir:Extension.valueString [ fhir:value "Doses Administered to Patient" ]
       ], [
         fhir:index 2 ;
         fhir:Extension.url [ fhir:value "statement" ] ;
         fhir:Extension.valueString [ fhir:value "/**\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" ]
       ], [
         fhir:index 3 ;
         fhir:Extension.url [ fhir:value "displaySequence" ] ;
         fhir:Extension.valueInteger [ fhir:value "0"^^xsd:integer ]
       ] ;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ]
     ], [
       fhir:index 1 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "libraryName" ] ;
         fhir:Extension.valueString [ fhir:value "IMMZEncounterElements" ]
       ], [
         fhir:index 1 ;
         fhir:Extension.url [ fhir:value "name" ] ;
         fhir:Extension.valueString [ fhir:value "Doses Administered to Patient" ]
       ], [
         fhir:index 2 ;
         fhir:Extension.url [ fhir:value "statement" ] ;
         fhir:Extension.valueString [ fhir:value "/**\n * @dataElement All Doses Administered to Patient\n */\ndefine \"Doses Administered to Patient\":\n  Elements.\"Doses Administered to Patient\" I\n    where I.occurrence.toInterval() same day or before Today" ]
       ], [
         fhir:index 3 ;
         fhir:Extension.url [ fhir:value "displaySequence" ] ;
         fhir:Extension.valueInteger [ fhir:value "1"^^xsd:integer ]
       ] ;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ]
     ], [
       fhir:index 2 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "libraryName" ] ;
         fhir:Extension.valueString [ fhir:value "IMMZD2DTVaricellaEncounterElements" ]
       ], [
         fhir:index 1 ;
         fhir:Extension.url [ fhir:value "name" ] ;
         fhir:Extension.valueString [ fhir:value "Varicella Doses Administered to Patient" ]
       ], [
         fhir:index 2 ;
         fhir:Extension.url [ fhir:value "statement" ] ;
         fhir:Extension.valueString [ fhir:value "/*\n@internal: Varicella containing Doses Administered to Patient\n*/\ndefine \"Varicella Doses Administered to Patient\":\n  Encounter.\"Doses Administered to Patient\" I\n  where\n    I.vaccineCode in Concepts.\"Varicella-containing vaccines\"" ]
       ], [
         fhir:index 3 ;
         fhir:Extension.url [ fhir:value "displaySequence" ] ;
         fhir:Extension.valueInteger [ fhir:value "2"^^xsd:integer ]
       ] ;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ]
     ], [
       fhir:index 3 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "libraryName" ] ;
         fhir:Extension.valueString [ fhir:value "IMMZD2DTVaricellaEncounterElements" ]
       ], [
         fhir:index 1 ;
         fhir:Extension.url [ fhir:value "name" ] ;
         fhir:Extension.valueString [ fhir:value "Varicella Primary Series Doses Administered to Patient" ]
       ], [
         fhir:index 2 ;
         fhir:Extension.url [ fhir:value "statement" ] ;
         fhir:Extension.valueString [ fhir:value "/*\n@internal: Varicella containing Doses Administered to Patient that are in the Primary series\n*/\ndefine \"Varicella Primary Series Doses Administered to Patient\":\n  \"Varicella Doses Administered to Patient\".seriesPrimary()" ]
       ], [
         fhir:index 3 ;
         fhir:Extension.url [ fhir:value "displaySequence" ] ;
         fhir:Extension.valueInteger [ fhir:value "3"^^xsd:integer ]
       ] ;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ]
     ], [
       fhir:index 4 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "libraryName" ] ;
         fhir:Extension.valueString [ fhir:value "IMMZD2DTVaricellaEncounterElements" ]
       ], [
         fhir:index 1 ;
         fhir:Extension.url [ fhir:value "name" ] ;
         fhir:Extension.valueString [ fhir:value "Number of Varicella Primary Series Doses Administered" ]
       ], [
         fhir:index 2 ;
         fhir:Extension.url [ fhir:value "statement" ] ;
         fhir:Extension.valueString [ fhir:value "/*\n@internal: Number of Varicella Primary Series doses\n*/\ndefine \"Number of Varicella Primary Series Doses Administered\":\n  Count(\"Varicella Primary Series Doses Administered to Patient\")" ]
       ], [
         fhir:index 3 ;
         fhir:Extension.url [ fhir:value "displaySequence" ] ;
         fhir:Extension.valueInteger [ fhir:value "4"^^xsd:integer ]
       ] ;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ]
     ], [
       fhir:index 5 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "libraryName" ] ;
         fhir:Extension.valueString [ fhir:value "IMMZD2DTVaricellaEncounterElements" ]
       ], [
         fhir:index 1 ;
         fhir:Extension.url [ fhir:value "name" ] ;
         fhir:Extension.valueString [ fhir:value "One varicella primary series dose was administered" ]
       ], [
         fhir:index 2 ;
         fhir:Extension.url [ fhir:value "statement" ] ;
         fhir:Extension.valueString [ fhir:value "/*\n@input: One varicella primary series dose was administered\n@pseudocode: Count of vaccines administered (where \"Vaccine type\" = \"Varicella-containing vaccines\" and \"Type of dose\" = \"Primary series\") = 1\n@code: One varicella primary series dose was administered-129\n@decision: IMMZ.D2.DT.Varicella.1 dose: Countries where varicella is an important public health burden could consider introducing varicella vaccination in the routine childhood immunization programme. However, resources should be sufficient to ensure reaching and sustaining vaccine coverage ≥ 80%. Decision-making on childhood varicella vaccination should also include consideration of the possible impact on herpes zoster.\nThe number of doses recommended is dependent on the goal of the vaccination programme. One dose is sufficient to reduce mortality and severe morbidity from varicella but not to prevent limited virus circulation and outbreaks. Two doses have higher effectiveness and should therefore be recommended in countries where the programmatic goal is, in addition to decreasing mortality and severe morbidity, to further reduce the number of cases and outbreaks.\n@decision: IMMZ.D2.DT.Varicella.2 doses: Countries where varicella is an important public health burden could consider introducing varicella vaccination in the routine childhood immunization programme. However, resources should be sufficient to ensure reaching and sustaining vaccine coverage ≥ 80%. Decision-making on childhood varicella vaccination should also include consideration of the possible impact on herpes zoster.\nThe number of doses recommended is dependent on the goal of the vaccination programme. One dose is sufficient to reduce mortality and severe morbidity from varicella but not to prevent limited virus circulation and outbreaks. Two doses have higher effectiveness and should therefore be recommended in countries where the programmatic goal is, in addition to decreasing mortality and severe morbidity, to further reduce the number of cases and outbreaks.\n*/\ndefine \"One varicella primary series dose was administered\":\n  \"Number of Varicella Primary Series Doses Administered\" = 1" ]
       ], [
         fhir:index 3 ;
         fhir:Extension.url [ fhir:value "displaySequence" ] ;
         fhir:Extension.valueInteger [ fhir:value "5"^^xsd:integer ]
       ] ;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ]
     ], [
       fhir:index 6 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "libraryName" ] ;
         fhir:Extension.valueString [ fhir:value "IMMZD18SVaricella2DosesLogic" ]
       ], [
         fhir:index 1 ;
         fhir:Extension.url [ fhir:value "name" ] ;
         fhir:Extension.valueString [ fhir:value "First varicella dose from the primary series was administered" ]
       ], [
         fhir:index 2 ;
         fhir:Extension.url [ fhir:value "statement" ] ;
         fhir:Extension.valueString [ fhir:value "/*\n@complete: First varicella dose from the primary series was administered\n@pseudocode: Count of vaccines administered (where \"Vaccine type\" = \"Varicella-containing vaccines\" and \"Type of dose\" = \"Primary series\") =1\n*/\ndefine \"First varicella dose from the primary series was administered\":\n  Encounter.\"One varicella primary series dose was administered\"" ]
       ], [
         fhir:index 3 ;
         fhir:Extension.url [ fhir:value "displaySequence" ] ;
         fhir:Extension.valueInteger [ fhir:value "6"^^xsd:integer ]
       ] ;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ]
     ], [
       fhir:index 7 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "libraryName" ] ;
         fhir:Extension.valueString [ fhir:value "IMMZD2DTVaricellaEncounterElements" ]
       ], [
         fhir:index 1 ;
         fhir:Extension.url [ fhir:value "name" ] ;
         fhir:Extension.valueString [ fhir:value "Two varicella primary series doses were administered" ]
       ], [
         fhir:index 2 ;
         fhir:Extension.url [ fhir:value "statement" ] ;
         fhir:Extension.valueString [ fhir:value "/*\n@input: Two varicella primary series doses were administered\n@pseudocode: Count of vaccines administered (where \"Vaccine type\" = \"Varicella-containing vaccines\" and \"Type of dose\" = \"Primary series\") = 2\n@code: Two varicella primary series doses were administered-129\n@decision: IMMZ.D2.DT.Varicella.2 doses: Countries where varicella is an important public health burden could consider introducing varicella vaccination in the routine childhood immunization programme. However, resources should be sufficient to ensure reaching and sustaining vaccine coverage ≥ 80%. Decision-making on childhood varicella vaccination should also include consideration of the possible impact on herpes zoster.\nThe number of doses recommended is dependent on the goal of the vaccination programme. One dose is sufficient to reduce mortality and severe morbidity from varicella but not to prevent limited virus circulation and outbreaks. Two doses have higher effectiveness and should therefore be recommended in countries where the programmatic goal is, in addition to decreasing mortality and severe morbidity, to further reduce the number of cases and outbreaks.\n*/\ndefine \"Two varicella primary series doses were administered\":\n  \"Number of Varicella Primary Series Doses Administered\" = 2" ]
       ], [
         fhir:index 3 ;
         fhir:Extension.url [ fhir:value "displaySequence" ] ;
         fhir:Extension.valueInteger [ fhir:value "7"^^xsd:integer ]
       ] ;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ]
     ], [
       fhir:index 8 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "libraryName" ] ;
         fhir:Extension.valueString [ fhir:value "IMMZD18SVaricella2DosesLogic" ]
       ], [
         fhir:index 1 ;
         fhir:Extension.url [ fhir:value "name" ] ;
         fhir:Extension.valueString [ fhir:value "Second varicella dose from the primary series was administered. The primary series has been completed" ]
       ], [
         fhir:index 2 ;
         fhir:Extension.url [ fhir:value "statement" ] ;
         fhir:Extension.valueString [ fhir:value "/*\n@complete: Second varicella dose from the primary series was administered. The primary series has been completed\n@pseudocode: \"Completed the primary vaccination series\" = TRUE (where \"Vaccine type\" = \"Varicella-containing vaccines\")\"\n*/\ndefine \"Second varicella dose from the primary series was administered. The primary series has been completed\":\n  Encounter.\"Two varicella primary series doses were administered\"" ]
       ], [
         fhir:index 3 ;
         fhir:Extension.url [ fhir:value "displaySequence" ] ;
         fhir:Extension.valueInteger [ fhir:value "8"^^xsd:integer ]
       ] ;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ]
     ], [
       fhir:index 9 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "libraryName" ] ;
         fhir:Extension.valueString [ fhir:value "IMMZD18SVaricella2DosesLogic" ]
       ], [
         fhir:index 1 ;
         fhir:Extension.url [ fhir:value "name" ] ;
         fhir:Extension.valueString [ fhir:value "Varicella dose 2" ]
       ], [
         fhir:index 2 ;
         fhir:Extension.url [ fhir:value "statement" ] ;
         fhir:Extension.valueString [ fhir:value "/*\n@output: Varicella dose 2\n@description: Provision of the varicella dose 2\n@trigger: First varicella dose from the primary series was administered\n@pseudo: Count of vaccines administered (where \"Vaccine type\" = \"Varicella-containing vaccines\" and \"Type of dose\" = \"Primary series\") =1\n@triggerDate: \"Date and time of vaccination\" (where \"Vaccine type\" = \"Varicella-containing vaccines\")\n*/\ndefine \"Varicella dose 2\":\n  \"First varicella dose from the primary series was administered\"\n  and not \"Second varicella dose from the primary series was administered. The primary series has been completed\"" ]
       ], [
         fhir:index 3 ;
         fhir:Extension.url [ fhir:value "displaySequence" ] ;
         fhir:Extension.valueInteger [ fhir:value "9"^^xsd:integer ]
       ] ;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ]
     ], [
       fhir:index 10 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "libraryName" ] ;
         fhir:Extension.valueString [ fhir:value "IMMZD2DTVaricellaEncounterElements" ]
       ], [
         fhir:index 1 ;
         fhir:Extension.url [ fhir:value "name" ] ;
         fhir:Extension.valueString [ fhir:value "Date of Latest Varicella Dose" ]
       ], [
         fhir:index 2 ;
         fhir:Extension.url [ fhir:value "statement" ] ;
         fhir:Extension.valueString [ fhir:value "/*\n@internal: Date of Latest Varicella Dose\n*/\ndefine \"Date of Latest Varicella Dose\":\n  date from start of \"Varicella Doses Administered to Patient\".mostRecent().occurrence.toInterval()" ]
       ], [
         fhir:index 3 ;
         fhir:Extension.url [ fhir:value "displaySequence" ] ;
         fhir:Extension.valueInteger [ fhir:value "10"^^xsd:integer ]
       ] ;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ]
     ], [
       fhir:index 11 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "libraryName" ] ;
         fhir:Extension.valueString [ fhir:value "IMMZD18SVaricella2DosesLogic" ]
       ], [
         fhir:index 1 ;
         fhir:Extension.url [ fhir:value "name" ] ;
         fhir:Extension.valueString [ fhir:value "Varicella dose 2 Due Date" ]
       ], [
         fhir:index 2 ;
         fhir:Extension.url [ fhir:value "statement" ] ;
         fhir:Extension.valueString [ fhir:value "/*\n@dynamicValue: Varicella dose 2 Due Date\n@pseudocode: \"Date and time of vaccination\" (where \"Vaccine type\" = \"Varicella-containing vaccines\") + 4 weeks\n*/\ndefine \"Varicella dose 2 Due Date\":\n  if \"Varicella dose 2\" then Encounter.\"Date of Latest Varicella Dose\" + 4 weeks\n  else null" ]
       ], [
         fhir:index 3 ;
         fhir:Extension.url [ fhir:value "displaySequence" ] ;
         fhir:Extension.valueInteger [ fhir:value "11"^^xsd:integer ]
       ] ;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ]
     ], [
       fhir:index 12 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "libraryName" ] ;
         fhir:Extension.valueString [ fhir:value "IMMZD18SVaricella2DosesLogic" ]
       ], [
         fhir:index 1 ;
         fhir:Extension.url [ fhir:value "name" ] ;
         fhir:Extension.valueString [ fhir:value "Varicella dose 2 Create" ]
       ], [
         fhir:index 2 ;
         fhir:Extension.url [ fhir:value "statement" ] ;
         fhir:Extension.valueString [ fhir:value "/*\n@output: Varicella dose 2 Create\n@create: The minimum interval between doses should be as recommended by the manufacturer, ranging from 4 weeks to 3 months.\n*/\ndefine \"Varicella dose 2 Create\":\n  if \"Varicella dose 2\"\n  then 'The minimum interval between doses should be as recommended by the manufacturer, ranging from 4 weeks to 3 months.' + '\nDue Date: ' + ToString(\"Varicella dose 2 Due Date\")\n  else ''" ]
       ], [
         fhir:index 3 ;
         fhir:Extension.url [ fhir:value "displaySequence" ] ;
         fhir:Extension.valueInteger [ fhir:value "12"^^xsd:integer ]
       ] ;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ]
     ], [
       fhir:index 13 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "libraryName" ] ;
         fhir:Extension.valueString [ fhir:value "IMMZD2DTVaricellaEncounterElements" ]
       ], [
         fhir:index 1 ;
         fhir:Extension.url [ fhir:value "name" ] ;
         fhir:Extension.valueString [ fhir:value "No varicella primary series dose was administered" ]
       ], [
         fhir:index 2 ;
         fhir:Extension.url [ fhir:value "statement" ] ;
         fhir:Extension.valueString [ fhir:value "/*\n@input: No varicella primary series dose was administered\n@pseudocode: Count of vaccines administered (where \"Vaccine type\" = \"Varicella-containing vaccines\" and \"Type of dose\" = \"Primary series\") = 0\n@code: No varicella primary series dose was administered-129\n@decision: IMMZ.D2.DT.Varicella.1 dose: Countries where varicella is an important public health burden could consider introducing varicella vaccination in the routine childhood immunization programme. However, resources should be sufficient to ensure reaching and sustaining vaccine coverage ≥ 80%. Decision-making on childhood varicella vaccination should also include consideration of the possible impact on herpes zoster.\nThe number of doses recommended is dependent on the goal of the vaccination programme. One dose is sufficient to reduce mortality and severe morbidity from varicella but not to prevent limited virus circulation and outbreaks. Two doses have higher effectiveness and should therefore be recommended in countries where the programmatic goal is, in addition to decreasing mortality and severe morbidity, to further reduce the number of cases and outbreaks.\n*/\ndefine \"No varicella primary series dose was administered\":\n  \"Number of Varicella Primary Series Doses Administered\" = 0" ]
       ], [
         fhir:index 3 ;
         fhir:Extension.url [ fhir:value "displaySequence" ] ;
         fhir:Extension.valueInteger [ fhir:value "13"^^xsd:integer ]
       ] ;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ]
     ], [
       fhir:index 14 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "libraryName" ] ;
         fhir:Extension.valueString [ fhir:value "IMMZD2DTVaricellaEncounterElements" ]
       ], [
         fhir:index 1 ;
         fhir:Extension.url [ fhir:value "name" ] ;
         fhir:Extension.valueString [ fhir:value "No varicella primary series doses were administered" ]
       ], [
         fhir:index 2 ;
         fhir:Extension.url [ fhir:value "statement" ] ;
         fhir:Extension.valueString [ fhir:value "/*\n@input: No varicella primary series doses were administered\n@pseudocode: Count of vaccines administered (where \"Vaccine type\" = \"Varicella-containing vaccines\" and \"Type of dose\" = \"Primary series\") = 0\n@code: No varicella primary series doses were administered-129\n@decision: IMMZ.D2.DT.Varicella.2 doses: Countries where varicella is an important public health burden could consider introducing varicella vaccination in the routine childhood immunization programme. However, resources should be sufficient to ensure reaching and sustaining vaccine coverage ≥ 80%. Decision-making on childhood varicella vaccination should also include consideration of the possible impact on herpes zoster.\nThe number of doses recommended is dependent on the goal of the vaccination programme. One dose is sufficient to reduce mortality and severe morbidity from varicella but not to prevent limited virus circulation and outbreaks. Two doses have higher effectiveness and should therefore be recommended in countries where the programmatic goal is, in addition to decreasing mortality and severe morbidity, to further reduce the number of cases and outbreaks.\n*/\ndefine \"No varicella primary series doses were administered\":\n  \"No varicella primary series dose was administered\"" ]
       ], [
         fhir:index 3 ;
         fhir:Extension.url [ fhir:value "displaySequence" ] ;
         fhir:Extension.valueInteger [ fhir:value "14"^^xsd:integer ]
       ] ;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ]
     ], [
       fhir:index 15 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "libraryName" ] ;
         fhir:Extension.valueString [ fhir:value "IMMZD18SVaricella2DosesLogic" ]
       ], [
         fhir:index 1 ;
         fhir:Extension.url [ fhir:value "name" ] ;
         fhir:Extension.valueString [ fhir:value "Varicella dose 1" ]
       ], [
         fhir:index 2 ;
         fhir:Extension.url [ fhir:value "statement" ] ;
         fhir:Extension.valueString [ fhir:value "/*\n@output: Varicella dose 1\n@description: Provision of the varicella dose 1\n@trigger: Child's birth\n@pseudo: \n@triggerDate: \"Date of birth\"\n*/\ndefine \"Varicella dose 1\":\n  Encounter.\"No varicella primary series doses were administered\"\n  and not \"First varicella dose from the primary series was administered\"" ]
       ], [
         fhir:index 3 ;
         fhir:Extension.url [ fhir:value "displaySequence" ] ;
         fhir:Extension.valueInteger [ fhir:value "15"^^xsd:integer ]
       ] ;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ]
     ], [
       fhir:index 16 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "libraryName" ] ;
         fhir:Extension.valueString [ fhir:value "IMMZD18SVaricella2DosesLogic" ]
       ], [
         fhir:index 1 ;
         fhir:Extension.url [ fhir:value "name" ] ;
         fhir:Extension.valueString [ fhir:value "Varicella dose 1 Due Date" ]
       ], [
         fhir:index 2 ;
         fhir:Extension.url [ fhir:value "statement" ] ;
         fhir:Extension.valueString [ fhir:value "/*\n@dynamicValue: Varicella dose 1 Due Date\n@pseudocode: \"Date of birth\" + 12 months\n*/\ndefine \"Varicella dose 1 Due Date\":\n  if \"Varicella dose 1\" then Patient.birthDate + 12 months\n  else null" ]
       ], [
         fhir:index 3 ;
         fhir:Extension.url [ fhir:value "displaySequence" ] ;
         fhir:Extension.valueInteger [ fhir:value "16"^^xsd:integer ]
       ] ;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ]
     ], [
       fhir:index 17 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "libraryName" ] ;
         fhir:Extension.valueString [ fhir:value "IMMZD18SVaricella2DosesLogic" ]
       ], [
         fhir:index 1 ;
         fhir:Extension.url [ fhir:value "name" ] ;
         fhir:Extension.valueString [ fhir:value "Varicella dose 1 Overdue" ]
       ], [
         fhir:index 2 ;
         fhir:Extension.url [ fhir:value "statement" ] ;
         fhir:Extension.valueString [ fhir:value "/*\n@dynamicValue: Varicella dose 1 Overdue\n@pseudocode: \"Date of birth\" + 18 months\n*/\ndefine \"Varicella dose 1 Overdue\":\n  if \"Varicella dose 1\" then Patient.birthDate + 18 months\n  else null" ]
       ], [
         fhir:index 3 ;
         fhir:Extension.url [ fhir:value "displaySequence" ] ;
         fhir:Extension.valueInteger [ fhir:value "17"^^xsd:integer ]
       ] ;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ]
     ], [
       fhir:index 18 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "libraryName" ] ;
         fhir:Extension.valueString [ fhir:value "IMMZD18SVaricella2DosesLogic" ]
       ], [
         fhir:index 1 ;
         fhir:Extension.url [ fhir:value "name" ] ;
         fhir:Extension.valueString [ fhir:value "Varicella dose 1 Create" ]
       ], [
         fhir:index 2 ;
         fhir:Extension.url [ fhir:value "statement" ] ;
         fhir:Extension.valueString [ fhir:value "/*\n@output: Varicella dose 1 Create\n@create: Depending on the goal of the vaccination programme, 1–2 doses should be given with the first dose administered at 12–18 months of age.\n*/\ndefine \"Varicella dose 1 Create\":\n  if \"Varicella dose 1\"\n  then 'Depending on the goal of the vaccination programme, 1–2 doses should be given with the first dose administered at 12–18 months of age.' + '\nDue Date: ' + ToString(\"Varicella dose 1 Due Date\") + '\nOverdue: ' + ToString(\"Varicella dose 1 Overdue\")\n  else ''" ]
       ], [
         fhir:index 3 ;
         fhir:Extension.url [ fhir:value "displaySequence" ] ;
         fhir:Extension.valueInteger [ fhir:value "18"^^xsd:integer ]
       ] ;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ]
     ], [
       fhir:index 19 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "libraryName" ] ;
         fhir:Extension.valueString [ fhir:value "IMMZCommon" ]
       ], [
         fhir:index 1 ;
         fhir:Extension.url [ fhir:value "name" ] ;
         fhir:Extension.valueString [ fhir:value "seriesPrimary" ]
       ], [
         fhir:index 2 ;
         fhir:Extension.url [ fhir:value "statement" ] ;
         fhir:Extension.valueString [ fhir:value "/**\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' )" ]
       ], [
         fhir:index 3 ;
         fhir:Extension.url [ fhir:value "displaySequence" ] ;
         fhir:Extension.valueInteger [ fhir:value "19"^^xsd:integer ]
       ] ;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ]
     ], [
       fhir:index 20 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "libraryName" ] ;
         fhir:Extension.valueString [ fhir:value "FHIRHelpers" ]
       ], [
         fhir:index 1 ;
         fhir:Extension.url [ fhir:value "name" ] ;
         fhir:Extension.valueString [ fhir:value "ToString" ]
       ], [
         fhir:index 2 ;
         fhir:Extension.url [ fhir:value "statement" ] ;
         fhir:Extension.valueString [ fhir:value "define function ToString(value string): value.value" ]
       ], [
         fhir:index 3 ;
         fhir:Extension.url [ fhir:value "displaySequence" ] ;
         fhir:Extension.valueInteger [ fhir:value "20"^^xsd:integer ]
       ] ;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ]
     ], [
       fhir:index 21 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "libraryName" ] ;
         fhir:Extension.valueString [ fhir:value "FHIRHelpers" ]
       ], [
         fhir:index 1 ;
         fhir:Extension.url [ fhir:value "name" ] ;
         fhir:Extension.valueString [ fhir:value "ToString" ]
       ], [
         fhir:index 2 ;
         fhir:Extension.url [ fhir:value "statement" ] ;
         fhir:Extension.valueString [ fhir:value "define function ToString(value ImmunizationStatus): value.value" ]
       ], [
         fhir:index 3 ;
         fhir:Extension.url [ fhir:value "displaySequence" ] ;
         fhir:Extension.valueInteger [ fhir:value "21"^^xsd:integer ]
       ] ;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ]
     ], [
       fhir:index 22 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "libraryName" ] ;
         fhir:Extension.valueString [ fhir:value "FHIRHelpers" ]
       ], [
         fhir:index 1 ;
         fhir:Extension.url [ fhir:value "name" ] ;
         fhir:Extension.valueString [ fhir:value "ToBoolean" ]
       ], [
         fhir:index 2 ;
         fhir:Extension.url [ fhir:value "statement" ] ;
         fhir:Extension.valueString [ fhir:value "define function ToBoolean(value boolean): value.value" ]
       ], [
         fhir:index 3 ;
         fhir:Extension.url [ fhir:value "displaySequence" ] ;
         fhir:Extension.valueInteger [ fhir:value "22"^^xsd:integer ]
       ] ;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ]
     ], [
       fhir:index 23 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "libraryName" ] ;
         fhir:Extension.valueString [ fhir:value "FHIRHelpers" ]
       ], [
         fhir:index 1 ;
         fhir:Extension.url [ fhir:value "name" ] ;
         fhir:Extension.valueString [ fhir:value "ToConcept" ]
       ], [
         fhir:index 2 ;
         fhir:Extension.url [ fhir:value "statement" ] ;
         fhir:Extension.valueString [ fhir:value "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        }" ]
       ], [
         fhir:index 3 ;
         fhir:Extension.url [ fhir:value "displaySequence" ] ;
         fhir:Extension.valueInteger [ fhir:value "23"^^xsd:integer ]
       ] ;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ]
     ], [
       fhir:index 24 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "libraryName" ] ;
         fhir:Extension.valueString [ fhir:value "FHIRHelpers" ]
       ], [
         fhir:index 1 ;
         fhir:Extension.url [ fhir:value "name" ] ;
         fhir:Extension.valueString [ fhir:value "ToCode" ]
       ], [
         fhir:index 2 ;
         fhir:Extension.url [ fhir:value "statement" ] ;
         fhir:Extension.valueString [ fhir:value "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        }" ]
       ], [
         fhir:index 3 ;
         fhir:Extension.url [ fhir:value "displaySequence" ] ;
         fhir:Extension.valueInteger [ fhir:value "24"^^xsd:integer ]
       ] ;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ]
     ], [
       fhir:index 25 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "libraryName" ] ;
         fhir:Extension.valueString [ fhir:value "WHOCommon" ]
       ], [
         fhir:index 1 ;
         fhir:Extension.url [ fhir:value "name" ] ;
         fhir:Extension.valueString [ fhir:value "mostRecent" ]
       ], [
         fhir:index 2 ;
         fhir:Extension.url [ fhir:value "statement" ] ;
         fhir:Extension.valueString [ fhir:value "define fluent function mostRecent(immunizations List<Immunization>):\n  Last(\n    immunizations I\n      sort by start of occurrence.toInterval()\n  )" ]
       ], [
         fhir:index 3 ;
         fhir:Extension.url [ fhir:value "displaySequence" ] ;
         fhir:Extension.valueInteger [ fhir:value "25"^^xsd:integer ]
       ] ;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ]
     ], [
       fhir:index 26 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "libraryName" ] ;
         fhir:Extension.valueString [ fhir:value "FHIRHelpers" ]
       ], [
         fhir:index 1 ;
         fhir:Extension.url [ fhir:value "name" ] ;
         fhir:Extension.valueString [ fhir:value "ToDate" ]
       ], [
         fhir:index 2 ;
         fhir:Extension.url [ fhir:value "statement" ] ;
         fhir:Extension.valueString [ fhir:value "define function ToDate(value date): value.value" ]
       ], [
         fhir:index 3 ;
         fhir:Extension.url [ fhir:value "displaySequence" ] ;
         fhir:Extension.valueInteger [ fhir:value "26"^^xsd:integer ]
       ] ;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ]
     ] ;
     fhir:Library.name [ fhir:value "EffectiveDataRequirements" ] ;
     fhir:Library.status [ fhir:value "active" ] ;
     fhir:Library.type [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/library-type" ] ;
         fhir:Coding.code [ fhir:value "module-definition" ]
       ]
     ] ;
     fhir:Library.relatedArtifact [
       fhir:index 0 ;
       fhir:RelatedArtifact.type [ fhir:value "depends-on" ] ;
       fhir:RelatedArtifact.display [ fhir:value "FHIR model information" ] ;
       fhir:RelatedArtifact.resource [
         fhir:value "http://fhir.org/guides/cqf/common/Library/FHIR-ModelInfo|4.0.1" ;
         fhir:link <http://fhir.org/guides/cqf/common/Library/FHIR-ModelInfo|4.0.1>
       ]
     ], [
       fhir:index 1 ;
       fhir:RelatedArtifact.type [ fhir:value "depends-on" ] ;
       fhir:RelatedArtifact.display [ fhir:value "Library Encounter" ] ;
       fhir:RelatedArtifact.resource [
         fhir:value "http://smart.who.int/immunizations/Library/IMMZD2DTVaricellaEncounterElements" ;
         fhir:link <http://smart.who.int/immunizations/Library/IMMZD2DTVaricellaEncounterElements>
       ]
     ], [
       fhir:index 2 ;
       fhir:RelatedArtifact.type [ fhir:value "depends-on" ] ;
       fhir:RelatedArtifact.display [ fhir:value "Library Common" ] ;
       fhir:RelatedArtifact.resource [
         fhir:value "http://smart.who.int/immunizations/Library/IMMZCommon" ;
         fhir:link <http://smart.who.int/immunizations/Library/IMMZCommon>
       ]
     ], [
       fhir:index 3 ;
       fhir:RelatedArtifact.type [ fhir:value "depends-on" ] ;
       fhir:RelatedArtifact.display [ fhir:value "Library FHIRHelpers" ] ;
       fhir:RelatedArtifact.resource [
         fhir:value "http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1" ;
         fhir:link <http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1>
       ]
     ], [
       fhir:index 4 ;
       fhir:RelatedArtifact.type [ fhir:value "depends-on" ] ;
       fhir:RelatedArtifact.display [ fhir:value "Library Encounter" ] ;
       fhir:RelatedArtifact.resource [
         fhir:value "http://smart.who.int/immunizations/Library/IMMZEncounterElements" ;
         fhir:link <http://smart.who.int/immunizations/Library/IMMZEncounterElements>
       ]
     ], [
       fhir:index 5 ;
       fhir:RelatedArtifact.type [ fhir:value "depends-on" ] ;
       fhir:RelatedArtifact.display [ fhir:value "Library Elements" ] ;
       fhir:RelatedArtifact.resource [
         fhir:value "http://smart.who.int/immunizations/Library/IMMZElements" ;
         fhir:link <http://smart.who.int/immunizations/Library/IMMZElements>
       ]
     ], [
       fhir:index 6 ;
       fhir:RelatedArtifact.type [ fhir:value "depends-on" ] ;
       fhir:RelatedArtifact.display [ fhir:value "Library WC" ] ;
       fhir:RelatedArtifact.resource [
         fhir:value "http://smart.who.int/immunizations/Library/WHOCommon" ;
         fhir:link <http://smart.who.int/immunizations/Library/WHOCommon>
       ]
     ], [
       fhir:index 7 ;
       fhir:RelatedArtifact.type [ fhir:value "depends-on" ] ;
       fhir:RelatedArtifact.display [ fhir:value "Library FHIRHelpers" ] ;
       fhir:RelatedArtifact.resource [
         fhir:value "http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1" ;
         fhir:link <http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1>
       ]
     ], [
       fhir:index 8 ;
       fhir:RelatedArtifact.type [ fhir:value "depends-on" ] ;
       fhir:RelatedArtifact.display [ fhir:value "Library Concepts" ] ;
       fhir:RelatedArtifact.resource [
         fhir:value "http://smart.who.int/immunizations/Library/IMMZConcepts" ;
         fhir:link <http://smart.who.int/immunizations/Library/IMMZConcepts>
       ]
     ], [
       fhir:index 9 ;
       fhir:RelatedArtifact.type [ fhir:value "depends-on" ] ;
       fhir:RelatedArtifact.display [ fhir:value "Library WC" ] ;
       fhir:RelatedArtifact.resource [
         fhir:value "http://smart.who.int/immunizations/Library/WHOCommon" ;
         fhir:link <http://smart.who.int/immunizations/Library/WHOCommon>
       ]
     ], [
       fhir:index 10 ;
       fhir:RelatedArtifact.type [ fhir:value "depends-on" ] ;
       fhir:RelatedArtifact.display [ fhir:value "Value set Varicella-containing vaccines" ] ;
       fhir:RelatedArtifact.resource [
         fhir:value "http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE22" ;
         fhir:link <http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE22>
       ]
     ] ;
     fhir:Library.parameter [
       fhir:index 0 ;
       fhir:ParameterDefinition.name [ fhir:value "Today" ] ;
       fhir:ParameterDefinition.use [ fhir:value "in" ] ;
       fhir:ParameterDefinition.min [ fhir:value "0"^^xsd:integer ] ;
       fhir:ParameterDefinition.max [ fhir:value "1" ] ;
       fhir:ParameterDefinition.type [ fhir:value "date" ]
     ], [
       fhir:index 1 ;
       fhir:ParameterDefinition.name [ fhir:value "Varicella dose 2 Create" ] ;
       fhir:ParameterDefinition.use [ fhir:value "out" ] ;
       fhir:ParameterDefinition.min [ fhir:value "0"^^xsd:integer ] ;
       fhir:ParameterDefinition.max [ fhir:value "1" ] ;
       fhir:ParameterDefinition.type [ fhir:value "string" ]
     ], [
       fhir:index 2 ;
       fhir:ParameterDefinition.name [ fhir:value "Varicella dose 1 Create" ] ;
       fhir:ParameterDefinition.use [ fhir:value "out" ] ;
       fhir:ParameterDefinition.min [ fhir:value "0"^^xsd:integer ] ;
       fhir:ParameterDefinition.max [ fhir:value "1" ] ;
       fhir:ParameterDefinition.type [ fhir:value "string" ]
     ], [
       fhir:index 3 ;
       fhir:ParameterDefinition.name [ fhir:value "Varicella dose 1" ] ;
       fhir:ParameterDefinition.use [ fhir:value "out" ] ;
       fhir:ParameterDefinition.min [ fhir:value "0"^^xsd:integer ] ;
       fhir:ParameterDefinition.max [ fhir:value "1" ] ;
       fhir:ParameterDefinition.type [ fhir:value "boolean" ]
     ], [
       fhir:index 4 ;
       fhir:ParameterDefinition.name [ fhir:value "Varicella dose 2" ] ;
       fhir:ParameterDefinition.use [ fhir:value "out" ] ;
       fhir:ParameterDefinition.min [ fhir:value "0"^^xsd:integer ] ;
       fhir:ParameterDefinition.max [ fhir:value "1" ] ;
       fhir:ParameterDefinition.type [ fhir:value "boolean" ]
     ] ;
     fhir:Library.dataRequirement [
       fhir:index 0 ;
       fhir:DataRequirement.type [ fhir:value "Immunization" ] ;
       fhir:DataRequirement.profile [
         fhir:value "http://hl7.org/fhir/StructureDefinition/Immunization" ;
         fhir:index 0 ;
         fhir:link <http://hl7.org/fhir/StructureDefinition/Immunization>
       ] ;
       fhir:DataRequirement.mustSupport [
         fhir:value "status" ;
         fhir:index 0
       ], [
         fhir:value "isSubpotent" ;
         fhir:index 1
       ]
     ], [
       fhir:index 1 ;
       fhir:DataRequirement.type [ fhir:value "Immunization" ] ;
       fhir:DataRequirement.profile [
         fhir:value "http://hl7.org/fhir/StructureDefinition/Immunization" ;
         fhir:index 0 ;
         fhir:link <http://hl7.org/fhir/StructureDefinition/Immunization>
       ] ;
       fhir:DataRequirement.mustSupport [
         fhir:value "status" ;
         fhir:index 0
       ], [
         fhir:value "isSubpotent" ;
         fhir:index 1
       ], [
         fhir:value "occurrence" ;
         fhir:index 2
       ]
     ], [
       fhir:index 2 ;
       fhir:DataRequirement.type [ fhir:value "Immunization" ] ;
       fhir:DataRequirement.profile [
         fhir:value "http://hl7.org/fhir/StructureDefinition/Immunization" ;
         fhir:index 0 ;
         fhir:link <http://hl7.org/fhir/StructureDefinition/Immunization>
       ] ;
       fhir:DataRequirement.mustSupport [
         fhir:value "status" ;
         fhir:index 0
       ], [
         fhir:value "isSubpotent" ;
         fhir:index 1
       ], [
         fhir:value "occurrence" ;
         fhir:index 2
       ], [
         fhir:value "vaccineCode" ;
         fhir:index 3
       ]
     ], [
       fhir:index 3 ;
       fhir:DataRequirement.type [ fhir:value "Patient" ] ;
       fhir:DataRequirement.profile [
         fhir:value "http://hl7.org/fhir/StructureDefinition/Patient" ;
         fhir:index 0 ;
         fhir:link <http://hl7.org/fhir/StructureDefinition/Patient>
       ]
     ], [
       fhir:index 4 ;
       fhir:DataRequirement.type [ fhir:value "Immunization" ] ;
       fhir:DataRequirement.profile [
         fhir:value "http://hl7.org/fhir/StructureDefinition/Immunization" ;
         fhir:index 0 ;
         fhir:link <http://hl7.org/fhir/StructureDefinition/Immunization>
       ] ;
       fhir:DataRequirement.mustSupport [
         fhir:value "status" ;
         fhir:index 0
       ], [
         fhir:value "isSubpotent" ;
         fhir:index 1
       ], [
         fhir:value "occurrence" ;
         fhir:index 2
       ], [
         fhir:value "vaccineCode" ;
         fhir:index 3
       ]
     ], [
       fhir:index 5 ;
       fhir:DataRequirement.type [ fhir:value "Immunization" ] ;
       fhir:DataRequirement.profile [
         fhir:value "http://hl7.org/fhir/StructureDefinition/Immunization" ;
         fhir:index 0 ;
         fhir:link <http://hl7.org/fhir/StructureDefinition/Immunization>
       ] ;
       fhir:DataRequirement.mustSupport [
         fhir:value "status" ;
         fhir:index 0
       ], [
         fhir:value "isSubpotent" ;
         fhir:index 1
       ], [
         fhir:value "occurrence" ;
         fhir:index 2
       ], [
         fhir:value "vaccineCode" ;
         fhir:index 3
       ]
     ]
  ] ;
  fhir:DomainResource.extension [
     fhir:index 0 ;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeCapability" ] ;
     fhir:Extension.valueCode [ fhir:value "computable" ]
  ], [
     fhir:index 1 ;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-effectiveDataRequirements" ] ;
     fhir:Extension.valueCanonical [ fhir:value "#effective-data-requirements" ]
  ] ;
  fhir:PlanDefinition.url [ fhir:value "http://smart.who.int/immunizations/PlanDefinition/IMMZD18SVaricella2Doses"] ;
  fhir:PlanDefinition.version [ fhir:value "0.2.0"] ;
  fhir:PlanDefinition.name [ fhir:value "IMMZD18SVaricella2Doses"] ;
  fhir:PlanDefinition.title [ fhir:value "IMMZ.D18.S.Varicella.2-dose schedule"] ;
  fhir:PlanDefinition.type [
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/plan-definition-type" ] ;
       fhir:Coding.code [ fhir:value "eca-rule" ]
     ]
  ] ;
  fhir:PlanDefinition.status [ fhir:value "draft"] ;
  fhir:PlanDefinition.experimental [ fhir:value "false"^^xsd:boolean] ;
  fhir:PlanDefinition.date [ fhir:value "2026-07-07T22:09:13+00:00"^^xsd:dateTime] ;
  fhir:PlanDefinition.publisher [ fhir:value "WHO"] ;
  fhir:PlanDefinition.contact [
     fhir:index 0 ;
     fhir:ContactDetail.name [ fhir:value "WHO" ] ;
     fhir:ContactDetail.telecom [
       fhir:index 0 ;
       fhir:ContactPoint.system [ fhir:value "url" ] ;
       fhir:ContactPoint.value [ fhir:value "http://who.int" ]
     ]
  ] ;
  fhir:PlanDefinition.description [ fhir:value "IMMZ.D18.S.Varicella.2-dose schedule\n2-dose schedule"] ;
  fhir:PlanDefinition.relatedArtifact [
     fhir:index 0 ;
     fhir:RelatedArtifact.type [ fhir:value "citation" ] ;
     fhir:RelatedArtifact.citation [ fhir:value "WHO recommendations for routine immunization - summary tables (January 2025)" ]
  ] ;
  fhir:PlanDefinition.library [
     fhir:value "http://smart.who.int/immunizations/Library/IMMZD18SVaricella2DosesLogic" ;
     fhir:index 0 ;
     fhir:link <http://smart.who.int/immunizations/Library/IMMZD18SVaricella2DosesLogic>
  ] ;
  fhir:PlanDefinition.action [
     fhir:index 0 ;
     fhir:PlanDefinition.action.title [ fhir:value "Varicella dose 1" ] ;
     fhir:PlanDefinition.action.description [ fhir:value "Provision of the varicella dose 1\nTrigger event: Child's birth\nTrigger pseudo: \nTrigger date: \"Date of birth\"\nCreate condition: Depending on the goal of the vaccination programme, 1–2 doses should be given with the first dose administered at 12–18 months of age." ] ;
     fhir:PlanDefinition.action.condition [
       fhir:index 0 ;
       fhir:PlanDefinition.action.condition.kind [ fhir:value "applicability" ] ;
       fhir:PlanDefinition.action.condition.expression [
         fhir:Expression.description [ fhir:value "Varicella dose 1" ] ;
         fhir:Expression.language [ fhir:value "text/cql-identifier" ] ;
         fhir:Expression.expression [ fhir:value "Varicella dose 1" ]
       ]
     ] ;
     fhir:PlanDefinition.action.definitionCanonical [
       fhir:value "http://smart.who.int/immunizations/ActivityDefinition/IMMZD2DTCR" ;
       fhir:link <http://smart.who.int/immunizations/ActivityDefinition/IMMZD2DTCR>
     ] ;
     fhir:PlanDefinition.action.dynamicValue [
       fhir:index 0 ;
       fhir:PlanDefinition.action.dynamicValue.path [ fhir:value "status" ] ;
       fhir:PlanDefinition.action.dynamicValue.expression [
         fhir:Expression.language [ fhir:value "text/cql-expression" ] ;
         fhir:Expression.expression [ fhir:value "'active'" ]
       ]
     ], [
       fhir:index 1 ;
       fhir:PlanDefinition.action.dynamicValue.path [ fhir:value "payload.contentString" ] ;
       fhir:PlanDefinition.action.dynamicValue.expression [
         fhir:Expression.language [ fhir:value "text/cql-identifier" ] ;
         fhir:Expression.expression [ fhir:value "Varicella dose 1 Create" ]
       ]
     ], [
       fhir:index 2 ;
       fhir:PlanDefinition.action.dynamicValue.path [ fhir:value "category.coding" ] ;
       fhir:PlanDefinition.action.dynamicValue.expression [
         fhir:Expression.description [ fhir:value "Category of communication" ] ;
         fhir:Expression.language [ fhir:value "text/cql-expression" ] ;
         fhir:Expression.expression [ fhir:value "Code { system: 'http://terminology.hl7.org/CodeSystem/communication-category', code: 'alert' }" ]
       ]
     ], [
       fhir:index 3 ;
       fhir:PlanDefinition.action.dynamicValue.path [ fhir:value "priority" ] ;
       fhir:PlanDefinition.action.dynamicValue.expression [
         fhir:Expression.description [ fhir:value "Alert priority" ] ;
         fhir:Expression.language [ fhir:value "text/cql-expression" ] ;
         fhir:Expression.expression [ fhir:value "Code { system: 'http://hl7.org/fhir/request-priority', code: 'routine' }" ]
       ]
     ]
  ], [
     fhir:index 1 ;
     fhir:PlanDefinition.action.title [ fhir:value "Varicella dose 2" ] ;
     fhir:PlanDefinition.action.description [ fhir:value "Provision of the varicella dose 2\nTrigger event: First varicella dose from the primary series was administered\nTrigger pseudo: Count of vaccines administered (where \"Vaccine type\" = \"Varicella-containing vaccines\" and \"Type of dose\" = \"Primary series\") =1\nTrigger date: \"Date and time of vaccination\" (where \"Vaccine type\" = \"Varicella-containing vaccines\")\nCreate condition: The minimum interval between doses should be as recommended by the manufacturer, ranging from 4 weeks to 3 months." ] ;
     fhir:PlanDefinition.action.condition [
       fhir:index 0 ;
       fhir:PlanDefinition.action.condition.kind [ fhir:value "applicability" ] ;
       fhir:PlanDefinition.action.condition.expression [
         fhir:Expression.description [ fhir:value "Varicella dose 2" ] ;
         fhir:Expression.language [ fhir:value "text/cql-identifier" ] ;
         fhir:Expression.expression [ fhir:value "Varicella dose 2" ]
       ]
     ] ;
     fhir:PlanDefinition.action.definitionCanonical [
       fhir:value "http://smart.who.int/immunizations/ActivityDefinition/IMMZD2DTCR" ;
       fhir:link <http://smart.who.int/immunizations/ActivityDefinition/IMMZD2DTCR>
     ] ;
     fhir:PlanDefinition.action.dynamicValue [
       fhir:index 0 ;
       fhir:PlanDefinition.action.dynamicValue.path [ fhir:value "status" ] ;
       fhir:PlanDefinition.action.dynamicValue.expression [
         fhir:Expression.language [ fhir:value "text/cql-expression" ] ;
         fhir:Expression.expression [ fhir:value "'active'" ]
       ]
     ], [
       fhir:index 1 ;
       fhir:PlanDefinition.action.dynamicValue.path [ fhir:value "payload.contentString" ] ;
       fhir:PlanDefinition.action.dynamicValue.expression [
         fhir:Expression.language [ fhir:value "text/cql-identifier" ] ;
         fhir:Expression.expression [ fhir:value "Varicella dose 2 Create" ]
       ]
     ], [
       fhir:index 2 ;
       fhir:PlanDefinition.action.dynamicValue.path [ fhir:value "category.coding" ] ;
       fhir:PlanDefinition.action.dynamicValue.expression [
         fhir:Expression.description [ fhir:value "Category of communication" ] ;
         fhir:Expression.language [ fhir:value "text/cql-expression" ] ;
         fhir:Expression.expression [ fhir:value "Code { system: 'http://terminology.hl7.org/CodeSystem/communication-category', code: 'alert' }" ]
       ]
     ], [
       fhir:index 3 ;
       fhir:PlanDefinition.action.dynamicValue.path [ fhir:value "priority" ] ;
       fhir:PlanDefinition.action.dynamicValue.expression [
         fhir:Expression.description [ fhir:value "Alert priority" ] ;
         fhir:Expression.language [ fhir:value "text/cql-expression" ] ;
         fhir:Expression.expression [ fhir:value "Code { system: 'http://hl7.org/fhir/request-priority', code: 'routine' }" ]
       ]
     ]
  ] .

# - ontology header ------------------------------------------------------------

<http://hl7.org/fhir/PlanDefinition/IMMZD18SVaricella2Doses.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl ;
  owl:versionIRI <http://build.fhir.org/PlanDefinition/IMMZD18SVaricella2Doses.ttl> .