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.D2.DT.Hepatitis B.Delayed start - 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/IMMZD2DTHepatitisBDelayedStart> a fhir:PlanDefinition ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "IMMZD2DTHepatitisBDelayedStart"] ;
  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;\">IMMZD2DTHepatitisBDelayedStart</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-IMMZD2DTHepatitisBDelayedStart.html\">IMMZ.D2.DT.Hepatitis B.Delayed start</a></td>\n        </tr>\n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Version: </b></th>\n            <td style=\"padding-left: 4px;\">0.2.0</td>\n        </tr>\n        \n\n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Title: </b></th>\n            <td style=\"padding-left: 4px;\">IMMZ.D2.DT.Hepatitis B.Delayed start</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.D2.DT.Hepatitis B.Delayed start\n3-dose schedule (no birth dose + 3 doses), delayed start</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-IMMZD2DTHepatitisBDelayedStartLogic.html\">IMMZD2DTHepatitisBDelayedStartLogic</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> Determine if the client is due for a hepatitis B vaccination according to the national immunization schedule:</b> Determine if the client is due for a hepatitis B vaccination according to the national immunization schedule\n3-dose schedule (no birth dose + 3 doses), delayed start\n                            \n                            <br/>\n                            \n                            \n                            <b>If:</b>\n                            \n                            <i>Applicability:</i>\n                            \n                            Client is due for hepatitis B vaccination\n                            \n                            <i>(Client is due for hepatitis B vaccination)</i>\n                            <br/>\n                            \n                            \n                            \n                            \n                            <b>Then:</b> <i>Definition:</i> <a href=\"ActivityDefinition-IMMZD2DTMR.html\">IMMZD2DTMR</a><br/>\n                            \n                            <i>Dynamic Values:</i><br/>\n                            \n                            status: <i>('draft')</i>\n                            <br/>\n                            \n                            intent: <i>('proposal')</i>\n                            <br/>\n                            \n                            medication: <i>(Concept { codes: { Code { system: 'http://smart.who.int/immunizations/CodeSystem/IMMZ.Z', code: 'DE6', display: 'Hepatitis B-containing vaccines' } }, display: 'Hepatitis B-containing vaccines' })</i>\n                            <br/>\n                            \n                            \n                            \n                            \n                        </td>\n                    </tr>\n                    \n                    <tr>\n                        <td>\n                            \n                            <b> Determine if the client is due for a hepatitis B vaccination according to the national immunization schedule:</b> Determine if the client is due for a hepatitis B vaccination according to the national immunization schedule\n3-dose schedule (no birth dose + 3 doses), delayed start\n                            \n                            <br/>\n                            \n                            \n                            <b>If:</b>\n                            \n                            <i>Applicability:</i>\n                            \n                            Client is due for a hepatitis B vaccination\n                            \n                            <i>(Client is due for a hepatitis B vaccination)</i>\n                            <br/>\n                            \n                            \n                            \n                            \n                            <b>Then:</b> <i>Definition:</i> <a href=\"ActivityDefinition-IMMZD2DTMR.html\">IMMZD2DTMR</a><br/>\n                            \n                            <i>Dynamic Values:</i><br/>\n                            \n                            status: <i>('draft')</i>\n                            <br/>\n                            \n                            intent: <i>('proposal')</i>\n                            <br/>\n                            \n                            medication: <i>(Concept { codes: { Code { system: 'http://smart.who.int/immunizations/CodeSystem/IMMZ.Z', code: 'DE6', display: 'Hepatitis B-containing vaccines' } }, display: 'Hepatitis B-containing vaccines' })</i>\n                            <br/>\n                            \n                            \n                            \n                            \n                        </td>\n                    </tr>\n                    \n                    <tr>\n                        <td>\n                            \n                            <b> Check for Guidance for the patient regarding IMMZ.D2.DT.Hepatitis B.Delayed start.:</b> Show Guidance for the patient regarding IMMZ.D2.DT.Hepatitis B.Delayed start.\n                            \n                            <br/>\n                            \n                            \n                            <b>If:</b>\n                            \n                            <i>Applicability:</i>\n                            \n                            Has Guidance\n                            \n                            <i>(Has Guidance)</i>\n                            <br/>\n                            \n                            \n                            \n                            \n                            <b>Then:</b> <i>Definition:</i> <a href=\"ActivityDefinition-IMMZD2DTCR.html\">IMMZ.D2.DT.CR</a><br/>\n                            \n                            <i>Dynamic Values:</i><br/>\n                            \n                            status: <i>('active')</i>\n                            <br/>\n                            \n                            payload.contentString: <i>(Guidance)</i>\n                            <br/>\n                            \n                            category.coding: <i>(Code { system: 'http://terminology.hl7.org/CodeSystem/communication-category', code: 'alert' })</i>\n                            <br/>\n                            \n                            priority: <i>(Code { system: 'http://hl7.org/fhir/request-priority', code: 'routine' })</i>\n                            <br/>\n                            \n                            \n                            \n                            \n                        </td>\n                    </tr>\n                    \n                </table>\n            </td>\n        </tr>\n        \n    </table>\n</div>\n</div>"
  ] ;
  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 "IMMZD2DTHepatitisBElements" ]
       ], [
         fhir:index 1 ;
         fhir:Extension.url [ fhir:value "name" ] ;
         fhir:Extension.valueString [ fhir:value "Hepatitis B Doses Administered to Patient" ]
       ], [
         fhir:index 2 ;
         fhir:Extension.url [ fhir:value "statement" ] ;
         fhir:Extension.valueString [ fhir:value "/*\n@internal: Hepatitis B containing Doses Administered to Patient\n*/\ndefine \"Hepatitis B Doses Administered to Patient\":\n  Elements.\"Doses Administered to Patient\" I\n  where\n    I.vaccineCode in Concepts.\"Hepatitis B-containing vaccines\"" ]
       ], [
         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 "IMMZD2DTHepatitisBEncounterElements" ]
       ], [
         fhir:index 1 ;
         fhir:Extension.url [ fhir:value "name" ] ;
         fhir:Extension.valueString [ fhir:value "Hepatitis B Doses Administered to Patient" ]
       ], [
         fhir:index 2 ;
         fhir:Extension.url [ fhir:value "statement" ] ;
         fhir:Extension.valueString [ fhir:value "/*\n@internal: Hepatitis B containing Doses Administered to Patient\n*/\ndefine \"Hepatitis B Doses Administered to Patient\":\n  HepatitisBElements.\"Hepatitis B Doses Administered to Patient\".onOrBefore(Today)" ]
       ], [
         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 "IMMZD2DTHepatitisBEncounterElements" ]
       ], [
         fhir:index 1 ;
         fhir:Extension.url [ fhir:value "name" ] ;
         fhir:Extension.valueString [ fhir:value "Number of Hepatitis B Doses Administered" ]
       ], [
         fhir:index 2 ;
         fhir:Extension.url [ fhir:value "statement" ] ;
         fhir:Extension.valueString [ fhir:value "/*\n@internal: Number of Hepatitis B Doses Administered\n*/\ndefine \"Number of Hepatitis B Doses Administered\":\n  Count(\"Hepatitis B Doses Administered to Patient\")" ]
       ], [
         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 "IMMZD2DTHepatitisBEncounterElements" ]
       ], [
         fhir:index 1 ;
         fhir:Extension.url [ fhir:value "name" ] ;
         fhir:Extension.valueString [ fhir:value "No hepatitis B doses were administered" ]
       ], [
         fhir:index 2 ;
         fhir:Extension.url [ fhir:value "statement" ] ;
         fhir:Extension.valueString [ fhir:value "/*\n@input: No hepatitis B doses were administered\n@pseudocode: Count of vaccines administered (where \"Vaccine type\" = \"Hepatitis B-containing vaccines\") = 0\n@code: No hepatitis B doses were administered-93\n@decision: IMMZ.D2.DT.Hepatitis B.Delayed start: 3-dose schedule (no birth dose + 3 doses), delayed start\n*/\ndefine \"No hepatitis B doses were administered\":\n  \"Number of Hepatitis B Doses Administered\" = 0" ]
       ], [
         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 "IMMZEncounterElements" ]
       ], [
         fhir:index 1 ;
         fhir:Extension.url [ fhir:value "name" ] ;
         fhir:Extension.valueString [ fhir:value "Current Patient Age In Days" ]
       ], [
         fhir:index 2 ;
         fhir:Extension.url [ fhir:value "statement" ] ;
         fhir:Extension.valueString [ fhir:value "/** \n * @dataElement Patient age in days\n */\ndefine \"Current Patient Age In Days\":\n  AgeInDaysAt(Today)" ]
       ], [
         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 "IMMZD2DTHepatitisBEncounterElements" ]
       ], [
         fhir:index 1 ;
         fhir:Extension.url [ fhir:value "name" ] ;
         fhir:Extension.valueString [ fhir:value "Client's age is more than {Member States defined lower limit}" ]
       ], [
         fhir:index 2 ;
         fhir:Extension.url [ fhir:value "statement" ] ;
         fhir:Extension.valueString [ fhir:value "/*\n@input: Client's age is more than {Member States defined lower limit}\n@pseudocode: Today's date − \"Date of birth\" > Member States defined lower limit\n@code: Client's age is more than {Member States defined lower limit}-66\n@decision: IMMZ.D2.DT.Hepatitis B.Delayed start: 3-dose schedule (no birth dose + 3 doses), delayed start\n*/\ndefine \"Client's age is more than {Member States defined lower limit}\":\n  Encounter.\"Current Patient Age In Days\" >= HepBBirthDoseAgeLimitDays" ]
       ], [
         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 "IMMZD2DTHepatitisBDelayedStartLogic" ]
       ], [
         fhir:index 1 ;
         fhir:Extension.url [ fhir:value "name" ] ;
         fhir:Extension.valueString [ fhir:value "Client is due for hepatitis B vaccination" ]
       ], [
         fhir:index 2 ;
         fhir:Extension.url [ fhir:value "statement" ] ;
         fhir:Extension.valueString [ fhir:value "/*\n@output: Client is due for hepatitis B vaccination\n@pseudocode: \"Immunization recommendation status\" = \"Due\"\n*/\ndefine \"Client is due for hepatitis B vaccination\":\n  Encounter.\"No hepatitis B doses were administered\"\n    and Encounter.\"Client's age is more than {Member States defined lower limit}\"" ]
       ], [
         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 "IMMZD2DTHepatitisBDelayedStartLogic" ]
       ], [
         fhir:index 1 ;
         fhir:Extension.url [ fhir:value "name" ] ;
         fhir:Extension.valueString [ fhir:value "Client is due for hepatitis B vaccination Guidance" ]
       ], [
         fhir:index 2 ;
         fhir:Extension.url [ fhir:value "statement" ] ;
         fhir:Extension.valueString [ fhir:value "/*\n@output: Client is due for hepatitis B vaccination Guidance\n@guidance: Should vaccinate client with first hepatitis B dose as hepatitis B birth dose was not administered. The first hepatitis B dose should be administered as soon as possible. \nCheck for contraindications.\n*/\ndefine \"Client is due for hepatitis B vaccination Guidance\":\n  'Should vaccinate client with first hepatitis B dose as hepatitis B birth dose was not administered. The first hepatitis B dose should be administered as soon as possible. \nCheck for contraindications.'" ]
       ], [
         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 "IMMZD2DTHepatitisBEncounterElements" ]
       ], [
         fhir:index 1 ;
         fhir:Extension.url [ fhir:value "name" ] ;
         fhir:Extension.valueString [ fhir:value "One hepatitis B dose was administered" ]
       ], [
         fhir:index 2 ;
         fhir:Extension.url [ fhir:value "statement" ] ;
         fhir:Extension.valueString [ fhir:value "/*\n@input: One hepatitis B dose was administered\n@pseudocode: Count of vaccines administered (where \"Vaccine type\" = \"Hepatitis B-containing vaccines\") = 1\n@code: One hepatitis B dose was administered-93\n@decision: IMMZ.D2.DT.Hepatitis B.Delayed start: 3-dose schedule (no birth dose + 3 doses), delayed start\n*/\ndefine \"One hepatitis B dose was administered\":\n  \"Number of Hepatitis B Doses Administered\" = 1" ]
       ], [
         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 "IMMZD2DTHepatitisBEncounterElements" ]
       ], [
         fhir:index 1 ;
         fhir:Extension.url [ fhir:value "name" ] ;
         fhir:Extension.valueString [ fhir:value "Date of Latest Hepatitis B Dose" ]
       ], [
         fhir:index 2 ;
         fhir:Extension.url [ fhir:value "statement" ] ;
         fhir:Extension.valueString [ fhir:value "/*\n@internal: Date of Latest Hepatitis B Dose\n*/\ndefine \"Date of Latest Hepatitis B Dose\":\n  date from start of \"Hepatitis B Doses Administered to Patient\".mostRecent().occurrence.toInterval()" ]
       ], [
         fhir:index 3 ;
         fhir:Extension.url [ fhir:value "displaySequence" ] ;
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       ] ;
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     ], [
       fhir:index 11 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "libraryName" ] ;
         fhir:Extension.valueString [ fhir:value "IMMZD2DTHepatitisBEncounterElements" ]
       ], [
         fhir:index 1 ;
         fhir:Extension.url [ fhir:value "name" ] ;
         fhir:Extension.valueString [ fhir:value "The latest hepatitis B dose was administered less than 4 weeks ago" ]
       ], [
         fhir:index 2 ;
         fhir:Extension.url [ fhir:value "statement" ] ;
         fhir:Extension.valueString [ fhir:value "/*\n@input: The latest hepatitis B dose was administered less than 4 weeks ago\n@pseudocode: Today's date − latest \"Date and time of vaccination\" (where \"Vaccine type\" = \"Hepatitis B-containing vaccines\") < 4 weeks\n@code: The latest hepatitis B dose was administered less than 4 weeks ago-121\n@decision: IMMZ.D2.DT.Hepatitis B.3 doses: 3-dose schedule (birth dose + 2 primary series doses), on-time start\n@decision: IMMZ.D2.DT.Hepatitis B.4 doses: 4-dose schedule (birth dose + 3 primary series doses), on-time start\n@decision: IMMZ.D2.DT.Hepatitis B.Delayed start: 3-dose schedule (no birth dose + 3 doses), delayed start\n*/\ndefine \"The latest hepatitis B dose was administered less than 4 weeks ago\":\n  \"Date of Latest Hepatitis B Dose\" is not null\n    and duration in weeks between \"Date of Latest Hepatitis B Dose\" and Today < 4" ]
       ], [
         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 "IMMZD2DTHepatitisBDelayedStartLogic" ]
       ], [
         fhir:index 1 ;
         fhir:Extension.url [ fhir:value "name" ] ;
         fhir:Extension.valueString [ fhir:value "Client is not due for a hepatitis B vaccination Case 1" ]
       ], [
         fhir:index 2 ;
         fhir:Extension.url [ fhir:value "statement" ] ;
         fhir:Extension.valueString [ fhir:value "/*\n@output: Client is not due for a hepatitis B vaccination Case 1\n@pseudocode: \"Immunization recommendation status\" = \"Not due\"\n*/\ndefine \"Client is not due for a hepatitis B vaccination Case 1\":\n  Encounter.\"One hepatitis B dose was administered\"\n    and Encounter.\"The latest hepatitis B dose was administered less than 4 weeks ago\"" ]
       ], [
         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 "IMMZD2DTHepatitisBEncounterElements" ]
       ], [
         fhir:index 1 ;
         fhir:Extension.url [ fhir:value "name" ] ;
         fhir:Extension.valueString [ fhir:value "Two hepatitis B doses were administered" ]
       ], [
         fhir:index 2 ;
         fhir:Extension.url [ fhir:value "statement" ] ;
         fhir:Extension.valueString [ fhir:value "/*\n@input: Two hepatitis B doses were administered\n@pseudocode: Count of vaccines administered (where \"Vaccine type\" = \"Hepatitis B-containing vaccines\") = 2\n@code: Two hepatitis B doses were administered-93\n@decision: IMMZ.D2.DT.Hepatitis B.Delayed start: 3-dose schedule (no birth dose + 3 doses), delayed start\n*/\ndefine \"Two hepatitis B doses were administered\":\n  \"Number of Hepatitis B Doses Administered\" = 2" ]
       ], [
         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 "IMMZD2DTHepatitisBDelayedStartLogic" ]
       ], [
         fhir:index 1 ;
         fhir:Extension.url [ fhir:value "name" ] ;
         fhir:Extension.valueString [ fhir:value "Client is not due for a hepatitis B vaccination Case 2" ]
       ], [
         fhir:index 2 ;
         fhir:Extension.url [ fhir:value "statement" ] ;
         fhir:Extension.valueString [ fhir:value "/*\n@output: Client is not due for a hepatitis B vaccination Case 2\n@pseudocode: \"Immunization recommendation status\" = \"Not due\"\n*/\ndefine \"Client is not due for a hepatitis B vaccination Case 2\":\n  Encounter.\"Two hepatitis B doses were administered\"\n    and Encounter.\"The latest hepatitis B dose was administered less than 4 weeks ago\"" ]
       ], [
         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 "IMMZD2DTHepatitisBEncounterElements" ]
       ], [
         fhir:index 1 ;
         fhir:Extension.url [ fhir:value "name" ] ;
         fhir:Extension.valueString [ fhir:value "The latest hepatitis B dose was administered more than 4 weeks ago" ]
       ], [
         fhir:index 2 ;
         fhir:Extension.url [ fhir:value "statement" ] ;
         fhir:Extension.valueString [ fhir:value "/*\n@input: The latest hepatitis B dose was administered more than 4 weeks ago\n@pseudocode: Today's date − latest \"Date and time of vaccination\" (where \"Vaccine type\" = \"Hepatitis B-containing vaccines\") ≥ 4 weeks\n@code: The latest hepatitis B dose was administered more than 4 weeks ago-121\n@decision: IMMZ.D2.DT.Hepatitis B.3 doses: 3-dose schedule (birth dose + 2 primary series doses), on-time start\n@decision: IMMZ.D2.DT.Hepatitis B.4 doses: 4-dose schedule (birth dose + 3 primary series doses), on-time start\n@decision: IMMZ.D2.DT.Hepatitis B.Delayed start: 3-dose schedule (no birth dose + 3 doses), delayed start\n*/\ndefine \"The latest hepatitis B dose was administered more than 4 weeks ago\":\n  not(\"The latest hepatitis B dose was administered less than 4 weeks ago\")" ]
       ], [
         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 "IMMZD2DTHepatitisBEncounterElements" ]
       ], [
         fhir:index 1 ;
         fhir:Extension.url [ fhir:value "name" ] ;
         fhir:Extension.valueString [ fhir:value "Date of First Hepatitis B Dose" ]
       ], [
         fhir:index 2 ;
         fhir:Extension.url [ fhir:value "statement" ] ;
         fhir:Extension.valueString [ fhir:value "/*\n@internal: Date of First Hepatitis B Dose\n*/\ndefine \"Date of First Hepatitis B Dose\":\n  date from start of \"Hepatitis B Doses Administered to Patient\".earliest().occurrence.toInterval()" ]
       ], [
         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 "IMMZD2DTHepatitisBEncounterElements" ]
       ], [
         fhir:index 1 ;
         fhir:Extension.url [ fhir:value "name" ] ;
         fhir:Extension.valueString [ fhir:value "The first hepatitis B dose was administered less than 6 months ago" ]
       ], [
         fhir:index 2 ;
         fhir:Extension.url [ fhir:value "statement" ] ;
         fhir:Extension.valueString [ fhir:value "/*\n@input: The first hepatitis B dose was administered less than 6 months ago\n@pseudocode: Today's date − \"Date and time of vaccination\" (where \"Vaccine type\" = \"Hepatitis B-containing vaccines\" and \"Dose number\" = 1) < 6 months\n@code: The first hepatitis B dose was administered less than 6 months ago-137\n@decision: IMMZ.D2.DT.Hepatitis B.Delayed start: 3-dose schedule (no birth dose + 3 doses), delayed start\n*/\ndefine \"The first hepatitis B dose was administered less than 6 months ago\":\n  \"Date of First Hepatitis B Dose\" is not null\n    and duration in months between \"Date of First Hepatitis B Dose\" and Today < 6" ]
       ], [
         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 "IMMZD2DTHepatitisBDelayedStartLogic" ]
       ], [
         fhir:index 1 ;
         fhir:Extension.url [ fhir:value "name" ] ;
         fhir:Extension.valueString [ fhir:value "Client is not due for a hepatitis B vaccination Case 3" ]
       ], [
         fhir:index 2 ;
         fhir:Extension.url [ fhir:value "statement" ] ;
         fhir:Extension.valueString [ fhir:value "/*\n@output: Client is not due for a hepatitis B vaccination Case 3\n@pseudocode: \"Immunization recommendation status\" = \"Not due\"\n*/\ndefine \"Client is not due for a hepatitis B vaccination Case 3\":\n  Encounter.\"Two hepatitis B doses were administered\"\n    and Encounter.\"The latest hepatitis B dose was administered more than 4 weeks ago\"\n    and Encounter.\"The first hepatitis B dose was administered less than 6 months ago\"" ]
       ], [
         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 "IMMZD2DTHepatitisBDelayedStartLogic" ]
       ], [
         fhir:index 1 ;
         fhir:Extension.url [ fhir:value "name" ] ;
         fhir:Extension.valueString [ fhir:value "Client is not due for a hepatitis B vaccination" ]
       ], [
         fhir:index 2 ;
         fhir:Extension.url [ fhir:value "statement" ] ;
         fhir:Extension.valueString [ fhir:value "/*\n@output: Client is not due for a hepatitis B vaccination\n@pseudocode: \"Immunization recommendation status\" = \"Not due\"\n*/\ndefine \"Client is not due for a hepatitis B vaccination\":\n  \"Client is not due for a hepatitis B vaccination Case 1\"\n    or \"Client is not due for a hepatitis B vaccination Case 2\"\n    or \"Client is not due for a hepatitis B vaccination Case 3\"" ]
       ], [
         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 "IMMZD2DTHepatitisBDelayedStartLogic" ]
       ], [
         fhir:index 1 ;
         fhir:Extension.url [ fhir:value "name" ] ;
         fhir:Extension.valueString [ fhir:value "Client is not due for a hepatitis B vaccination Guidance" ]
       ], [
         fhir:index 2 ;
         fhir:Extension.url [ fhir:value "statement" ] ;
         fhir:Extension.valueString [ fhir:value "/*\n@output: Client is not due for a hepatitis B vaccination Guidance\n@guidance = Should not vaccinate client with second hepatitis B dose as the latest hepatitis B dose was administered less than 4 weeks ago. \nCheck for any other vaccines due, and inform the caregiver of when to come back for the next dose.\n@guidance = Should not vaccinate client with second hepatitis B dose as the latest hepatitis B dose was administered less than 4 weeks ago. Two hepatitis B doses have been administered to the client. \nCheck for any other vaccines due, and inform the caregiver of when to come back for the next dose.\n@guidance = Should not vaccinate client with third hepatitis B dose as the first hepatitis B dose was administered less than 6 months ago. \nCheck for any other vaccines due, and inform the caregiver of when to come back for the next dose.\n*/\ndefine \"Client is not due for a hepatitis B vaccination Guidance\":\n  case\n    when \"Client is not due for a hepatitis B vaccination Case 1\" then 'Should not vaccinate client with second hepatitis B dose as the latest hepatitis B dose was administered less than 4 weeks ago. \nCheck for any other vaccines due, and inform the caregiver of when to come back for the next dose.'\n    when \"Client is not due for a hepatitis B vaccination Case 2\" then 'Should not vaccinate client with second hepatitis B dose as the latest hepatitis B dose was administered less than 4 weeks ago. Two hepatitis B doses have been administered to the client. \nCheck for any other vaccines due, and inform the caregiver of when to come back for the next dose.'\n    when \"Client is not due for a hepatitis B vaccination Case 3\" then 'Should not vaccinate client with third hepatitis B dose as the first hepatitis B dose was administered less than 6 months ago. \nCheck for any other vaccines due, and inform the caregiver of when to come back for the next dose.'\n    else ''\n  end" ]
       ], [
         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 "IMMZD2DTHepatitisBDelayedStartLogic" ]
       ], [
         fhir:index 1 ;
         fhir:Extension.url [ fhir:value "name" ] ;
         fhir:Extension.valueString [ fhir:value "Client is due for a hepatitis B vaccination Case 1" ]
       ], [
         fhir:index 2 ;
         fhir:Extension.url [ fhir:value "statement" ] ;
         fhir:Extension.valueString [ fhir:value "/*\n@output: Client is due for a hepatitis B vaccination Case 1\n@pseudocode: \"Immunization recommendation status\" = \"Due\"\n*/\ndefine \"Client is due for a hepatitis B vaccination Case 1\":\n  Encounter.\"One hepatitis B dose was administered\"\n    and Encounter.\"The latest hepatitis B dose was administered more than 4 weeks ago\"" ]
       ], [
         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 "IMMZD2DTHepatitisBEncounterElements" ]
       ], [
         fhir:index 1 ;
         fhir:Extension.url [ fhir:value "name" ] ;
         fhir:Extension.valueString [ fhir:value "The first hepatitis B dose was administered more than 6 months ago" ]
       ], [
         fhir:index 2 ;
         fhir:Extension.url [ fhir:value "statement" ] ;
         fhir:Extension.valueString [ fhir:value "/*\n@input: The first hepatitis B dose was administered more than 6 months ago\n@pseudocode: Today's date − \"Date and time of vaccination\" (where \"Vaccine type\" = \"Hepatitis B-containing vaccines\" and \"Dose number\" = 1) ≥ 6 months\n@code: The first hepatitis B dose was administered more than 6 months ago-137\n@decision: IMMZ.D2.DT.Hepatitis B.Delayed start: 3-dose schedule (no birth dose + 3 doses), delayed start\n*/\ndefine \"The first hepatitis B dose was administered more than 6 months ago\":\n  not(\"The first hepatitis B dose was administered less than 6 months ago\")" ]
       ], [
         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 "IMMZD2DTHepatitisBDelayedStartLogic" ]
       ], [
         fhir:index 1 ;
         fhir:Extension.url [ fhir:value "name" ] ;
         fhir:Extension.valueString [ fhir:value "Client is due for a hepatitis B vaccination Case 2" ]
       ], [
         fhir:index 2 ;
         fhir:Extension.url [ fhir:value "statement" ] ;
         fhir:Extension.valueString [ fhir:value "/*\n@output: Client is due for a hepatitis B vaccination Case 2\n@pseudocode: \"Immunization recommendation status\" = \"Due\"\n*/\ndefine \"Client is due for a hepatitis B vaccination Case 2\":\n  Encounter.\"Two hepatitis B doses were administered\"\n    and Encounter.\"The latest hepatitis B dose was administered more than 4 weeks ago\"\n    and Encounter.\"The first hepatitis B dose was administered more than 6 months ago\"" ]
       ], [
         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 "IMMZD2DTHepatitisBDelayedStartLogic" ]
       ], [
         fhir:index 1 ;
         fhir:Extension.url [ fhir:value "name" ] ;
         fhir:Extension.valueString [ fhir:value "Client is due for a hepatitis B vaccination" ]
       ], [
         fhir:index 2 ;
         fhir:Extension.url [ fhir:value "statement" ] ;
         fhir:Extension.valueString [ fhir:value "/*\n@output: Client is due for a hepatitis B vaccination\n@pseudocode: \"Immunization recommendation status\" = \"Due\"\n*/\ndefine \"Client is due for a hepatitis B vaccination\":\n  \"Client is due for a hepatitis B vaccination Case 1\"\n    or \"Client is due for a hepatitis B vaccination Case 2\"" ]
       ], [
         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 "IMMZD2DTHepatitisBDelayedStartLogic" ]
       ], [
         fhir:index 1 ;
         fhir:Extension.url [ fhir:value "name" ] ;
         fhir:Extension.valueString [ fhir:value "Client is due for a hepatitis B vaccination Guidance" ]
       ], [
         fhir:index 2 ;
         fhir:Extension.url [ fhir:value "statement" ] ;
         fhir:Extension.valueString [ fhir:value "/*\n@output: Client is due for a hepatitis B vaccination Guidance\n@guidance = Should vaccinate client with second hepatitis B dose as the latest hepatitis B dose was administered less than 4 weeks ago. \nCheck for contraindications.\n@guidance = Should vaccinate client with third hepatitis B dose as the first hepatitis B dose was administered more than 6 months ago and the latest hepatitis B dose was administered more than 4 weeks ago. \nCheck for contraindications.\n*/\ndefine \"Client is due for a hepatitis B vaccination Guidance\":\n  case\n    when \"Client is due for a hepatitis B vaccination Case 1\" then 'Should vaccinate client with second hepatitis B dose as the latest hepatitis B dose was administered less than 4 weeks ago. \nCheck for contraindications.'\n    when \"Client is due for a hepatitis B vaccination Case 2\" then 'Should vaccinate client with third hepatitis B dose as the first hepatitis B dose was administered more than 6 months ago and the latest hepatitis B dose was administered more than 4 weeks ago. \nCheck for contraindications.'\n    else ''\n  end" ]
       ], [
         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 "IMMZD2DTHepatitisBEncounterElements" ]
       ], [
         fhir:index 1 ;
         fhir:Extension.url [ fhir:value "name" ] ;
         fhir:Extension.valueString [ fhir:value "Three hepatitis B doses were administered" ]
       ], [
         fhir:index 2 ;
         fhir:Extension.url [ fhir:value "statement" ] ;
         fhir:Extension.valueString [ fhir:value "/*\n@input: Three hepatitis B doses were administered\n@pseudocode: Count of vaccines administered (where \"Vaccine type\" = \"Hepatitis B-containing vaccines\") = 3\n@code: Three hepatitis B doses were administered-93\n@decision: IMMZ.D2.DT.Hepatitis B.Delayed start: 3-dose schedule (no birth dose + 3 doses), delayed start\n*/\ndefine \"Three hepatitis B doses were administered\":\n  \"Number of Hepatitis B Doses Administered\" = 3" ]
       ], [
         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:index 27 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "libraryName" ] ;
         fhir:Extension.valueString [ fhir:value "IMMZD2DTHepatitisBDelayedStartLogic" ]
       ], [
         fhir:index 1 ;
         fhir:Extension.url [ fhir:value "name" ] ;
         fhir:Extension.valueString [ fhir:value "Hepatitis B immunization schedule is complete" ]
       ], [
         fhir:index 2 ;
         fhir:Extension.url [ fhir:value "statement" ] ;
         fhir:Extension.valueString [ fhir:value "/*\n@output: Hepatitis B immunization schedule is complete\n@pseudocode: '\"Immunization recommendation status\" = \"Complete\"\n\"Completed the primary vaccination series\" = TRUE (where \"Vaccine type\" = \"Hepatitis B-containing vaccines\")\n*/\ndefine \"Hepatitis B immunization schedule is complete\":\n  Encounter.\"Three hepatitis B doses were administered\"" ]
       ], [
         fhir:index 3 ;
         fhir:Extension.url [ fhir:value "displaySequence" ] ;
         fhir:Extension.valueInteger [ fhir:value "27"^^xsd:integer ]
       ] ;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ]
     ], [
       fhir:index 28 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "libraryName" ] ;
         fhir:Extension.valueString [ fhir:value "IMMZD2DTHepatitisBDelayedStartLogic" ]
       ], [
         fhir:index 1 ;
         fhir:Extension.url [ fhir:value "name" ] ;
         fhir:Extension.valueString [ fhir:value "Hepatitis B immunization schedule is complete Guidance" ]
       ], [
         fhir:index 2 ;
         fhir:Extension.url [ fhir:value "statement" ] ;
         fhir:Extension.valueString [ fhir:value "/*\n@output: Hepatitis B immunization schedule is complete Guidance\n@guidance: Hepatitis B immunization schedule is complete. Three hepatitis B primary series doses were administered. \nCheck for any other vaccines due.\n*/\ndefine \"Hepatitis B immunization schedule is complete Guidance\":\n  'Hepatitis B immunization schedule is complete. Three hepatitis B primary series doses were administered. \nCheck for any other vaccines due.'" ]
       ], [
         fhir:index 3 ;
         fhir:Extension.url [ fhir:value "displaySequence" ] ;
         fhir:Extension.valueInteger [ fhir:value "28"^^xsd:integer ]
       ] ;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ]
     ], [
       fhir:index 29 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "libraryName" ] ;
         fhir:Extension.valueString [ fhir:value "IMMZD2DTHepatitisBDelayedStartLogic" ]
       ], [
         fhir:index 1 ;
         fhir:Extension.url [ fhir:value "name" ] ;
         fhir:Extension.valueString [ fhir:value "Guidance" ]
       ], [
         fhir:index 2 ;
         fhir:Extension.url [ fhir:value "statement" ] ;
         fhir:Extension.valueString [ fhir:value "/*\n@dynamicValue: Guidance\n*/\ndefine \"Guidance\":\n  case \n    when \"Client is due for hepatitis B vaccination\" then \"Client is due for hepatitis B vaccination Guidance\"\n    when \"Client is not due for a hepatitis B vaccination\" then \"Client is not due for a hepatitis B vaccination Guidance\"\n    when \"Client is due for a hepatitis B vaccination\" then \"Client is due for a hepatitis B vaccination Guidance\"\n    when \"Hepatitis B immunization schedule is complete\" then \"Hepatitis B immunization schedule is complete Guidance\" \n    else ''\n  end" ]
       ], [
         fhir:index 3 ;
         fhir:Extension.url [ fhir:value "displaySequence" ] ;
         fhir:Extension.valueInteger [ fhir:value "29"^^xsd:integer ]
       ] ;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ]
     ], [
       fhir:index 30 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "libraryName" ] ;
         fhir:Extension.valueString [ fhir:value "IMMZD2DTHepatitisBDelayedStartLogic" ]
       ], [
         fhir:index 1 ;
         fhir:Extension.url [ fhir:value "name" ] ;
         fhir:Extension.valueString [ fhir:value "Has Guidance" ]
       ], [
         fhir:index 2 ;
         fhir:Extension.url [ fhir:value "statement" ] ;
         fhir:Extension.valueString [ fhir:value "define \"Has Guidance\":\n  \"Guidance\" is not null and \"Guidance\" != ''" ]
       ], [
         fhir:index 3 ;
         fhir:Extension.url [ fhir:value "displaySequence" ] ;
         fhir:Extension.valueInteger [ fhir:value "30"^^xsd:integer ]
       ] ;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ]
     ], [
       fhir:index 31 ;
       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 "onOrBefore" ]
       ], [
         fhir:index 2 ;
         fhir:Extension.url [ fhir:value "statement" ] ;
         fhir:Extension.valueString [ fhir:value "/**\n * @description: Gets immunizations on or before a date\n */\ndefine fluent function onOrBefore(immunizations List<Immunization>, beforeDate Date):\n  immunizations I where\n    I.occurrence.toInterval() same day or before beforeDate" ]
       ], [
         fhir:index 3 ;
         fhir:Extension.url [ fhir:value "displaySequence" ] ;
         fhir:Extension.valueInteger [ fhir:value "31"^^xsd:integer ]
       ] ;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ]
     ], [
       fhir:index 32 ;
       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 "32"^^xsd:integer ]
       ] ;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ]
     ], [
       fhir:index 33 ;
       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 "33"^^xsd:integer ]
       ] ;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ]
     ], [
       fhir:index 34 ;
       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 "34"^^xsd:integer ]
       ] ;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ]
     ], [
       fhir:index 35 ;
       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 "35"^^xsd:integer ]
       ] ;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ]
     ], [
       fhir:index 36 ;
       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 "36"^^xsd:integer ]
       ] ;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ]
     ], [
       fhir:index 37 ;
       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 "earliest" ]
       ], [
         fhir:index 2 ;
         fhir:Extension.url [ fhir:value "statement" ] ;
         fhir:Extension.valueString [ fhir:value "define fluent function earliest(immunizations List<Immunization>):\n  First(\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 "37"^^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/IMMZD2DTHepatitisBEncounterElements" ;
         fhir:link <http://smart.who.int/immunizations/Library/IMMZD2DTHepatitisBEncounterElements>
       ]
     ], [
       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 WC" ] ;
       fhir:RelatedArtifact.resource [
         fhir:value "http://smart.who.int/immunizations/Library/WHOCommon" ;
         fhir:link <http://smart.who.int/immunizations/Library/WHOCommon>
       ]
     ], [
       fhir:index 4 ;
       fhir:RelatedArtifact.type [ fhir:value "depends-on" ] ;
       fhir:RelatedArtifact.display [ fhir:value "Library HepatitisBElements" ] ;
       fhir:RelatedArtifact.resource [
         fhir:value "http://smart.who.int/immunizations/Library/IMMZD2DTHepatitisBElements" ;
         fhir:link <http://smart.who.int/immunizations/Library/IMMZD2DTHepatitisBElements>
       ]
     ], [
       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 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 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 Encounter" ] ;
       fhir:RelatedArtifact.resource [
         fhir:value "http://smart.who.int/immunizations/Library/IMMZEncounterElements" ;
         fhir:link <http://smart.who.int/immunizations/Library/IMMZEncounterElements>
       ]
     ], [
       fhir:index 10 ;
       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 11 ;
       fhir:RelatedArtifact.type [ fhir:value "depends-on" ] ;
       fhir:RelatedArtifact.display [ fhir:value "Value set Hepatitis B-containing vaccines" ] ;
       fhir:RelatedArtifact.resource [
         fhir:value "http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE6" ;
         fhir:link <http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE6>
       ]
     ] ;
     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 "HepBBirthDoseAgeLimitDays" ] ;
       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 "integer" ]
     ], [
       fhir:index 2 ;
       fhir:ParameterDefinition.name [ fhir:value "Guidance" ] ;
       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 "Client is due for hepatitis B vaccination" ] ;
       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 "Client is due for a hepatitis B vaccination" ] ;
       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 5 ;
       fhir:ParameterDefinition.name [ fhir:value "Has Guidance" ] ;
       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 "vaccineCode" ;
         fhir:index 2
       ]
     ], [
       fhir:index 2 ;
       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 3 ;
       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 "vaccineCode" ;
         fhir:index 2
       ]
     ]
  ] ;
  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/IMMZD2DTHepatitisBDelayedStart"] ;
  fhir:PlanDefinition.version [ fhir:value "0.2.0"] ;
  fhir:PlanDefinition.name [ fhir:value "IMMZD2DTHepatitisBDelayedStart"] ;
  fhir:PlanDefinition.title [ fhir:value "IMMZ.D2.DT.Hepatitis B.Delayed start"] ;
  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.D2.DT.Hepatitis B.Delayed start\n3-dose schedule (no birth dose + 3 doses), delayed start"] ;
  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/IMMZD2DTHepatitisBDelayedStartLogic" ;
     fhir:index 0 ;
     fhir:link <http://smart.who.int/immunizations/Library/IMMZD2DTHepatitisBDelayedStartLogic>
  ] ;
  fhir:PlanDefinition.action [
     fhir:index 0 ;
     fhir:Element.extension [
       fhir:index 0 ;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-rationale" ] ;
       fhir:Extension.valueMarkdown [ fhir:value "If delayed or interrupted scheduling of vaccination for children, adolescents and adults, 3 doses are recommended, \n  with the second dose administered at least 1 month after the first, and the third dose 6 months after the first dose. If the \n  vaccination schedule is interrupted, it is not necessary to restart the vaccine series." ]
     ] ;
     fhir:PlanDefinition.action.title [ fhir:value "Determine if the client is due for a hepatitis B vaccination according to the national immunization schedule" ] ;
     fhir:PlanDefinition.action.description [ fhir:value "Determine if the client is due for a hepatitis B vaccination according to the national immunization schedule\n3-dose schedule (no birth dose + 3 doses), delayed start" ] ;
     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 "Client is due for hepatitis B vaccination" ] ;
         fhir:Expression.language [ fhir:value "text/cql-identifier" ] ;
         fhir:Expression.expression [ fhir:value "Client is due for hepatitis B vaccination" ]
       ]
     ] ;
     fhir:PlanDefinition.action.definitionCanonical [
       fhir:value "http://smart.who.int/immunizations/ActivityDefinition/IMMZD2DTMR" ;
       fhir:link <http://smart.who.int/immunizations/ActivityDefinition/IMMZD2DTMR>
     ] ;
     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 "'draft'" ]
       ]
     ], [
       fhir:index 1 ;
       fhir:PlanDefinition.action.dynamicValue.path [ fhir:value "intent" ] ;
       fhir:PlanDefinition.action.dynamicValue.expression [
         fhir:Expression.language [ fhir:value "text/cql-expression" ] ;
         fhir:Expression.expression [ fhir:value "'proposal'" ]
       ]
     ], [
       fhir:index 2 ;
       fhir:PlanDefinition.action.dynamicValue.path [ fhir:value "medication" ] ;
       fhir:PlanDefinition.action.dynamicValue.expression [
         fhir:Expression.language [ fhir:value "text/cql-expression" ] ;
         fhir:Expression.expression [ fhir:value "Concept { codes: { Code { system: 'http://smart.who.int/immunizations/CodeSystem/IMMZ.Z', code: 'DE6', display: 'Hepatitis B-containing vaccines' } }, display: 'Hepatitis B-containing vaccines' }" ]
       ]
     ]
  ], [
     fhir:index 1 ;
     fhir:Element.extension [
       fhir:index 0 ;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-rationale" ] ;
       fhir:Extension.valueMarkdown [ fhir:value "If delayed or interrupted scheduling of vaccination for children, adolescents and adults, 3 doses are recommended, \n  with the second dose administered at least 1 month after the first, and the third dose 6 months after the first dose. If the \n  vaccination schedule is interrupted, it is not necessary to restart the vaccine series." ]
     ] ;
     fhir:PlanDefinition.action.title [ fhir:value "Determine if the client is due for a hepatitis B vaccination according to the national immunization schedule" ] ;
     fhir:PlanDefinition.action.description [ fhir:value "Determine if the client is due for a hepatitis B vaccination according to the national immunization schedule\n3-dose schedule (no birth dose + 3 doses), delayed start" ] ;
     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 "Client is due for a hepatitis B vaccination" ] ;
         fhir:Expression.language [ fhir:value "text/cql-identifier" ] ;
         fhir:Expression.expression [ fhir:value "Client is due for a hepatitis B vaccination" ]
       ]
     ] ;
     fhir:PlanDefinition.action.definitionCanonical [
       fhir:value "http://smart.who.int/immunizations/ActivityDefinition/IMMZD2DTMR" ;
       fhir:link <http://smart.who.int/immunizations/ActivityDefinition/IMMZD2DTMR>
     ] ;
     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 "'draft'" ]
       ]
     ], [
       fhir:index 1 ;
       fhir:PlanDefinition.action.dynamicValue.path [ fhir:value "intent" ] ;
       fhir:PlanDefinition.action.dynamicValue.expression [
         fhir:Expression.language [ fhir:value "text/cql-expression" ] ;
         fhir:Expression.expression [ fhir:value "'proposal'" ]
       ]
     ], [
       fhir:index 2 ;
       fhir:PlanDefinition.action.dynamicValue.path [ fhir:value "medication" ] ;
       fhir:PlanDefinition.action.dynamicValue.expression [
         fhir:Expression.language [ fhir:value "text/cql-expression" ] ;
         fhir:Expression.expression [ fhir:value "Concept { codes: { Code { system: 'http://smart.who.int/immunizations/CodeSystem/IMMZ.Z', code: 'DE6', display: 'Hepatitis B-containing vaccines' } }, display: 'Hepatitis B-containing vaccines' }" ]
       ]
     ]
  ], [
     fhir:index 2 ;
     fhir:PlanDefinition.action.title [ fhir:value "Check for Guidance for the patient regarding IMMZ.D2.DT.Hepatitis B.Delayed start." ] ;
     fhir:PlanDefinition.action.description [ fhir:value "Show Guidance for the patient regarding IMMZ.D2.DT.Hepatitis B.Delayed start." ] ;
     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 "Has Guidance" ] ;
         fhir:Expression.language [ fhir:value "text/cql-identifier" ] ;
         fhir:Expression.expression [ fhir:value "Has Guidance" ]
       ]
     ] ;
     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 "Guidance" ]
       ]
     ], [
       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/IMMZD2DTHepatitisBDelayedStart.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl ;
  owl:versionIRI <http://build.fhir.org/PlanDefinition/IMMZD2DTHepatitisBDelayedStart.ttl> .