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.Meningococcal.Polysaccharide vaccines - 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/IMMZD2DTMeningococcalPolysaccharideVaccines> a fhir:PlanDefinition ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "IMMZD2DTMeningococcalPolysaccharideVaccines"] ;
  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;\">IMMZD2DTMeningococcalPolysaccharideVaccines</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-IMMZD2DTMeningococcalPolysaccharideVaccines.html\">IMMZ.D2.DT.Meningococcal.Polysaccharide vaccines</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.Meningococcal.Polysaccharide vaccines</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.Meningococcal.Polysaccharide vaccines\nPolysaccharide vaccines schedule\n(Polysaccharide vaccines can be used to control outbreaks in countries where limited economic resources or insufficient supply restrict the use of meningococcal conjugate vaccines)</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-IMMZD2DTMeningococcalPolysaccharideVaccinesLogic.html\">IMMZD2DTMeningococcalPolysaccharideVaccinesLogic</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 Meningococcal.:</b> Determine if the client is due for Meningococcal vaccine according to the national immunization protocol.\nPolysaccharide vaccines schedule \n(Polysaccharide vaccines can be used to control outbreaks in countries where limited economic resources \nor insufficient supply restrict the use of meningococcal conjugate vaccines)\n                            \n                            <br/>\n                            \n                            \n                            <b>If:</b>\n                            \n                            <i>Applicability:</i>\n                            \n                            Client is due for meningococcal vaccination\n                            \n                            <i>(Client is due for meningococcal 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: 'DE10', display: 'Meningococcal vaccines' } }, display: 'Meningococcal 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.Meningococcal.Polysaccharide vaccines.:</b> Show Guidance for the patient regarding IMMZ.D2.DT.Meningococcal.Polysaccharide vaccines.\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>"
  ] ;
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     fhir:DomainResource.extension [
       fhir:index 0 ;
       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 Years" ]
       ], [
         fhir:index 2 ;
         fhir:Extension.url [ fhir:value "statement" ] ;
         fhir:Extension.valueString [ fhir:value "/** \n * @dataElement Patient age in years\n */\ndefine \"Current Patient Age In Years\":\n  AgeInYearsAt(Today)" ]
       ], [
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         fhir:Extension.url [ fhir:value "displaySequence" ] ;
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       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 "IMMZD2DTMeningococcalEncounterElements" ]
       ], [
         fhir:index 1 ;
         fhir:Extension.url [ fhir:value "name" ] ;
         fhir:Extension.valueString [ fhir:value "Client's age is less than 2 years" ]
       ], [
         fhir:index 2 ;
         fhir:Extension.url [ fhir:value "statement" ] ;
         fhir:Extension.valueString [ fhir:value "/*\n@input: Client's age is less than 2 years\n@pseudocode: Today's date − \"Date of birth\" < 2 years\n@code: Client's age is less than 2 years-40\n@decision: IMMZ.D2.DT.Meningococcal.Quadrivalent conjugate vaccines 1 dose: Quadrivalent conjugate vaccines (A,C,W135,Y-CRM), 1-dose schedule\n@decision: IMMZ.D2.DT.Meningococcal.Polysaccharide vaccines: Polysaccharide vaccines schedule\n(Polysaccharide vaccines can be used to control outbreaks in countries where limited economic resources or insufficient supply restrict the use of meningococcal conjugate vaccines)\n*/\ndefine \"Client's age is less than 2 years\":\n  Encounter.\"Current Patient Age In Years\" < 2" ]
       ], [
         fhir:index 3 ;
         fhir:Extension.url [ fhir:value "displaySequence" ] ;
         fhir:Extension.valueInteger [ fhir:value "1"^^xsd:integer ]
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       fhir:index 2 ;
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         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "libraryName" ] ;
         fhir:Extension.valueString [ fhir:value "IMMZD2DTMeningococcalPolysaccharideVaccinesLogic" ]
       ], [
         fhir:index 1 ;
         fhir:Extension.url [ fhir:value "name" ] ;
         fhir:Extension.valueString [ fhir:value "Client is not due for meningococcal vaccination" ]
       ], [
         fhir:index 2 ;
         fhir:Extension.url [ fhir:value "statement" ] ;
         fhir:Extension.valueString [ fhir:value "/*\n@output: Client is not due for meningococcal vaccination\n@pseudocode: \"Immunization recommendation status\" = \"Not due\"\n*/\ndefine \"Client is not due for meningococcal vaccination\":\n  Encounter.\"Client's age is less than 2 years\"" ]
       ], [
         fhir:index 3 ;
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         fhir:Extension.valueString [ fhir:value "Client is not due for meningococcal vaccination Guidance" ]
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         fhir:Extension.valueString [ fhir:value "/*\n@output: Client is not due for meningococcal vaccination Guidance\n@guidance: Should not vaccinate client with first meningococcal dose as client's age is less than 2 years. Check for any other vaccines due and inform the caregiver of when to come back for the first dose.\n*/\ndefine \"Client is not due for meningococcal vaccination Guidance\":\n  'Should not vaccinate client with first meningococcal dose as client\\'s age is less than 2 years. Check for any other vaccines due and inform the caregiver of when to come back for the first dose.'" ]
       ], [
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         fhir:Extension.valueString [ fhir:value "IMMZElements" ]
       ], [
         fhir:index 1 ;
         fhir:Extension.url [ fhir:value "name" ] ;
         fhir:Extension.valueString [ fhir:value "Doses Administered to Patient" ]
       ], [
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         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" ]
       ], [
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         fhir:Extension.url [ fhir:value "libraryName" ] ;
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         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 ;
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       ] ;
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     ], [
       fhir:index 6 ;
       fhir:Element.extension [
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         fhir:Extension.url [ fhir:value "libraryName" ] ;
         fhir:Extension.valueString [ fhir:value "IMMZD2DTMeningococcalEncounterElements" ]
       ], [
         fhir:index 1 ;
         fhir:Extension.url [ fhir:value "name" ] ;
         fhir:Extension.valueString [ fhir:value "Meningococcal Doses Administered to Patient" ]
       ], [
         fhir:index 2 ;
         fhir:Extension.url [ fhir:value "statement" ] ;
         fhir:Extension.valueString [ fhir:value "/*\n@internal: Meningococcal containing Doses Administered to Patient\n*/\ndefine \"Meningococcal Doses Administered to Patient\":\n  Encounter.\"Doses Administered to Patient\" I\n  where\n    I.vaccineCode in Concepts.\"Meningococcal vaccines\"" ]
       ], [
         fhir:index 3 ;
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         fhir:Extension.valueInteger [ fhir:value "6"^^xsd:integer ]
       ] ;
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       fhir:index 7 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "libraryName" ] ;
         fhir:Extension.valueString [ fhir:value "IMMZD2DTMeningococcalEncounterElements" ]
       ], [
         fhir:index 1 ;
         fhir:Extension.url [ fhir:value "name" ] ;
         fhir:Extension.valueString [ fhir:value "Meningococcal Primary Series Doses Administered to Patient" ]
       ], [
         fhir:index 2 ;
         fhir:Extension.url [ fhir:value "statement" ] ;
         fhir:Extension.valueString [ fhir:value "/*\n@internal: Meningococcal containing Doses Administered to Patient that are in the Primary series\n*/\ndefine \"Meningococcal Primary Series Doses Administered to Patient\":\n  \"Meningococcal Doses Administered to Patient\".seriesPrimary()" ]
       ], [
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       fhir:index 8 ;
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         fhir:Extension.url [ fhir:value "name" ] ;
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       ], [
         fhir:index 2 ;
         fhir:Extension.url [ fhir:value "statement" ] ;
         fhir:Extension.valueString [ fhir:value "/*\n@internal: Number of Meningococcal Primary Series doses\n*/\ndefine \"Number of Meningococcal Primary Series Doses Administered\":\n  Count(\"Meningococcal Primary Series Doses Administered to Patient\")" ]
       ], [
         fhir:index 3 ;
         fhir:Extension.url [ fhir:value "displaySequence" ] ;
         fhir:Extension.valueInteger [ fhir:value "8"^^xsd:integer ]
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       fhir:index 9 ;
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       ], [
         fhir:index 1 ;
         fhir:Extension.url [ fhir:value "name" ] ;
         fhir:Extension.valueString [ fhir:value "No meningococcal primary series dose was administered" ]
       ], [
         fhir:index 2 ;
         fhir:Extension.url [ fhir:value "statement" ] ;
         fhir:Extension.valueString [ fhir:value "/*\n@input: No meningococcal primary series dose was administered\n@pseudocode: Count of vaccines administered (where \"Vaccine type\" = \"Meningococcal vaccines\" and \"Type of dose\" = \"Primary series\") = 0\n@code: No meningococcal primary series dose was administered-122\n@decision: IMMZ.D2.DT.Meningococcal.MenA conjugate vaccine 1 dose: MenA conjugate vaccine, 1-dose schedule\n@decision: IMMZ.D2.DT.Meningococcal.MenA conjugate vaccine 2 doses: MenA conjugate vaccine, 2-dose schedule (specific context where there is a compelling reason to vaccinate infants aged under 9 months)\n@decision: IMMZ.D2.DT.Meningococcal.Monovalent MenC conjugate vaccine: Monovalent MenC conjugate vaccine schedule\n@decision: IMMZ.D2.DT.Meningococcal.Quadrivalent conjugate vaccines 1 dose: Quadrivalent conjugate vaccines (A,C,W135,Y-CRM), 1-dose schedule\n@decision: IMMZ.D2.DT.Meningococcal.Quadrivalent conjugate vaccines 2 doses: Quadrivalent conjugate vaccines (A,C,W135,Y-D), 2-dose schedule\n@decision: IMMZ.D2.DT.Meningococcal.Polysaccharide vaccines: Polysaccharide vaccines schedule\n(Polysaccharide vaccines can be used to control outbreaks in countries where limited economic resources or insufficient supply restrict the use of meningococcal conjugate vaccines)\n*/\ndefine \"No meningococcal primary series dose was administered\":\n  \"Number of Meningococcal Primary Series Doses Administered\" = 0" ]
       ], [
         fhir:index 3 ;
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       ], [
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       ], [
         fhir:index 2 ;
         fhir:Extension.url [ fhir:value "statement" ] ;
         fhir:Extension.valueString [ fhir:value "/*\n@input: Client's age is more than 2 years\n@pseudocode: Today's date − \"Date of birth\" ≥ 2 years\n@code: Client's age is more than 2 years-40\n@decision: IMMZ.D2.DT.Meningococcal.Polysaccharide vaccines: Polysaccharide vaccines schedule\n(Polysaccharide vaccines can be used to control outbreaks in countries where limited economic resources or insufficient supply restrict the use of meningococcal conjugate vaccines)\n*/\ndefine \"Client's age is more than 2 years\":\n  \"Client's age is more than or equal to 2 years\"" ]
       ], [
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         fhir:index 1 ;
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       ], [
         fhir:index 2 ;
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         fhir:Extension.valueString [ fhir:value "/*\n@output: Client is due for meningococcal vaccination\n@pseudocode: \"Immunization recommendation status\" = \"Due\"\n*/\ndefine \"Client is due for meningococcal vaccination\":\n  Encounter.\"No meningococcal primary series dose was administered\"\n    and Encounter.\"Client's age is more than 2 years\"" ]
       ], [
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         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "libraryName" ] ;
         fhir:Extension.valueString [ fhir:value "IMMZD2DTMeningococcalPolysaccharideVaccinesLogic" ]
       ], [
         fhir:index 1 ;
         fhir:Extension.url [ fhir:value "name" ] ;
         fhir:Extension.valueString [ fhir:value "Client is due for meningococcal vaccination Guidance" ]
       ], [
         fhir:index 2 ;
         fhir:Extension.url [ fhir:value "statement" ] ;
         fhir:Extension.valueString [ fhir:value "/*\n@output: Client is due for meningococcal vaccination Guidance\n@guidance: Should vaccinate client with first meningococcal dose as no meningococcal doses were administered and client is within appropriate age range.\nCheck for contraindications.\n*/\ndefine \"Client is due for meningococcal vaccination Guidance\":\n  'Should vaccinate client with first meningococcal dose as no meningococcal doses were administered and client is within appropriate age range.\nCheck for contraindications.'" ]
       ], [
         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 "IMMZD2DTMeningococcalEncounterElements" ]
       ], [
         fhir:index 1 ;
         fhir:Extension.url [ fhir:value "name" ] ;
         fhir:Extension.valueString [ fhir:value "One meningococcal primary series dose was administered" ]
       ], [
         fhir:index 2 ;
         fhir:Extension.url [ fhir:value "statement" ] ;
         fhir:Extension.valueString [ fhir:value "/*\n@input: One meningococcal primary series dose was administered\n@pseudocode: Count of vaccines administered (where \"Vaccine type\" = \"Meningococcal vaccines\" and \"Type of dose\" = \"Primary series\") = 1\n@code: One meningococcal primary series dose was administered-122\n@decision: IMMZ.D2.DT.Meningococcal.MenA conjugate vaccine 1 dose: MenA conjugate vaccine, 1-dose schedule\n@decision: IMMZ.D2.DT.Meningococcal.MenA conjugate vaccine 2 doses: MenA conjugate vaccine, 2-dose schedule (specific context where there is a compelling reason to vaccinate infants aged under 9 months)\n@decision: IMMZ.D2.DT.Meningococcal.Monovalent MenC conjugate vaccine: Monovalent MenC conjugate vaccine schedule\n@decision: IMMZ.D2.DT.Meningococcal.Quadrivalent conjugate vaccines 1 dose: Quadrivalent conjugate vaccines (A,C,W135,Y-CRM), 1-dose schedule\n@decision: IMMZ.D2.DT.Meningococcal.Quadrivalent conjugate vaccines 2 doses: Quadrivalent conjugate vaccines (A,C,W135,Y-D), 2-dose schedule\n@decision: IMMZ.D2.DT.Meningococcal.Polysaccharide vaccines: Polysaccharide vaccines schedule\n(Polysaccharide vaccines can be used to control outbreaks in countries where limited economic resources or insufficient supply restrict the use of meningococcal conjugate vaccines)\n*/\ndefine \"One meningococcal primary series dose was administered\":\n  \"Number of Meningococcal Primary Series Doses Administered\" = 1" ]
       ], [
         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 "IMMZD2DTMeningococcalEncounterElements" ]
       ], [
         fhir:index 1 ;
         fhir:Extension.url [ fhir:value "name" ] ;
         fhir:Extension.valueString [ fhir:value "Date of Latest Primary Meningococcal Dose" ]
       ], [
         fhir:index 2 ;
         fhir:Extension.url [ fhir:value "statement" ] ;
         fhir:Extension.valueString [ fhir:value "/*\n@internal: Date of Latest Primary Meningococcal Dose\n*/\ndefine \"Date of Latest Primary Meningococcal Dose\":\n  date from start of \"Meningococcal Primary Series Doses Administered to Patient\".mostRecent().occurrence.toInterval()" ]
       ], [
         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 "IMMZD2DTMeningococcalEncounterElements" ]
       ], [
         fhir:index 1 ;
         fhir:Extension.url [ fhir:value "name" ] ;
         fhir:Extension.valueString [ fhir:value "The latest meningococcal dose was administered less than 3 years ago" ]
       ], [
         fhir:index 2 ;
         fhir:Extension.url [ fhir:value "statement" ] ;
         fhir:Extension.valueString [ fhir:value "/*\n@input: The latest meningococcal dose was administered less than 3 years ago\n@pseudocode: Today's date − \"Date and time of vaccination\" (where \"Vaccine type\" = \"Meningococcal vaccines\") < 3 years\n@code: The latest meningococcal dose was administered less than 3 years ago-105\n@decision: IMMZ.D2.DT.Meningococcal.Polysaccharide vaccines: Polysaccharide vaccines schedule\n(Polysaccharide vaccines can be used to control outbreaks in countries where limited economic resources or insufficient supply restrict the use of meningococcal conjugate vaccines)\n*/\ndefine \"The latest meningococcal dose was administered less than 3 years ago\":\n  \"Date of Latest Primary Meningococcal Dose\" is not null\n  and duration in years between \"Date of Latest Primary Meningococcal Dose\" and Today < 3" ]
       ], [
         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 "IMMZD2DTMeningococcalPolysaccharideVaccinesLogic" ]
       ], [
         fhir:index 1 ;
         fhir:Extension.url [ fhir:value "name" ] ;
         fhir:Extension.valueString [ fhir:value "The primary series is complete. Client is not due for meningococcal booster dose." ]
       ], [
         fhir:index 2 ;
         fhir:Extension.url [ fhir:value "statement" ] ;
         fhir:Extension.valueString [ fhir:value "/*\n@output: The primary series is complete. Client is not due for meningococcal booster dose.\n@pseudocode: \"Immunization recommendation status\" = \"Not due\"\n\"Completed the primary vaccination series\" (where \"Vaccine type\" = \"Meningococcal vaccines\") = TRUE\n*/\ndefine \"The primary series is complete. Client is not due for meningococcal booster dose.\":\n  Encounter.\"One meningococcal primary series dose was administered\"\n    and Encounter.\"The latest meningococcal dose was administered less than 3 years ago\"" ]
       ], [
         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 "IMMZD2DTMeningococcalPolysaccharideVaccinesLogic" ]
       ], [
         fhir:index 1 ;
         fhir:Extension.url [ fhir:value "name" ] ;
         fhir:Extension.valueString [ fhir:value "The primary series is complete. Client is not due for meningococcal booster dose. Guidance" ]
       ], [
         fhir:index 2 ;
         fhir:Extension.url [ fhir:value "statement" ] ;
         fhir:Extension.valueString [ fhir:value "/*\n@output: The primary series is complete. Client is not due for meningococcal booster dose. Guidance\n@guidance: Should not vaccinate client with meningococcal booster dose as the latest meningococcal dose was administered less than 3 years ago.\nCheck for any other vaccines due and inform the caregiver of when to come back for the booster dose.\n*/\ndefine \"The primary series is complete. Client is not due for meningococcal booster dose. Guidance\":\n  'Should not vaccinate client with meningococcal booster dose as the latest meningococcal dose was administered less than 3 years ago.\nCheck for any other vaccines due and inform the caregiver of when to come back for the booster dose.'" ]
       ], [
         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 "IMMZD2DTMeningococcalEncounterElements" ]
       ], [
         fhir:index 1 ;
         fhir:Extension.url [ fhir:value "name" ] ;
         fhir:Extension.valueString [ fhir:value "The latest meningococcal dose was administered more than 3 years ago" ]
       ], [
         fhir:index 2 ;
         fhir:Extension.url [ fhir:value "statement" ] ;
         fhir:Extension.valueString [ fhir:value "/*\n@input: The latest meningococcal dose was administered more than 3 years ago\n@pseudocode: Today's date − \"Date and time of vaccination\" (where \"Vaccine type\" = \"Meningococcal vaccines\") ≥ 3 years\n@code: The latest meningococcal dose was administered more than 3 years ago-105\n@decision: IMMZ.D2.DT.Meningococcal.Polysaccharide vaccines: Polysaccharide vaccines schedule\n(Polysaccharide vaccines can be used to control outbreaks in countries where limited economic resources or insufficient supply restrict the use of meningococcal conjugate vaccines)\n*/\ndefine \"The latest meningococcal dose was administered more than 3 years ago\":\n  not \"The latest meningococcal dose was administered less than 3 years ago\"" ]
       ], [
         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 "IMMZD2DTMeningococcalEncounterElements" ]
       ], [
         fhir:index 1 ;
         fhir:Extension.url [ fhir:value "name" ] ;
         fhir:Extension.valueString [ fhir:value "Meningococcal Booster Series Doses Administered to Patient" ]
       ], [
         fhir:index 2 ;
         fhir:Extension.url [ fhir:value "statement" ] ;
         fhir:Extension.valueString [ fhir:value "/*\n@internal: Meningococcal Booster Series Doses Administered to Patient\n*/\ndefine \"Meningococcal Booster Series Doses Administered to Patient\":\n  \"Meningococcal Doses Administered to Patient\".seriesBooster()" ]
       ], [
         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 "IMMZD2DTMeningococcalEncounterElements" ]
       ], [
         fhir:index 1 ;
         fhir:Extension.url [ fhir:value "name" ] ;
         fhir:Extension.valueString [ fhir:value "Number of Meningococcal Booster Series Doses Administered" ]
       ], [
         fhir:index 2 ;
         fhir:Extension.url [ fhir:value "statement" ] ;
         fhir:Extension.valueString [ fhir:value "/*\n@internal: Number of Meningococcal Booster Series Doses Administered\n*/\ndefine \"Number of Meningococcal Booster Series Doses Administered\":\n  Count(\"Meningococcal Booster Series Doses Administered to Patient\")" ]
       ], [
         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 "IMMZD2DTMeningococcalEncounterElements" ]
       ], [
         fhir:index 1 ;
         fhir:Extension.url [ fhir:value "name" ] ;
         fhir:Extension.valueString [ fhir:value "No meningococcal booster dose was administered" ]
       ], [
         fhir:index 2 ;
         fhir:Extension.url [ fhir:value "statement" ] ;
         fhir:Extension.valueString [ fhir:value "/*\n@input: No meningococcal booster dose was administered\n@pseudocode: Count of vaccines administered (where \"Vaccine type\" = \"Meningococcal vaccines\" and \"Type of dose\" = \"Booster dose\") = 0\n@code: No meningococcal booster dose was administered-120\n@decision: IMMZ.D2.DT.Meningococcal.Monovalent MenC conjugate vaccine: Monovalent MenC conjugate vaccine schedule\n@decision: IMMZ.D2.DT.Meningococcal.Polysaccharide vaccines: Polysaccharide vaccines schedule\n(Polysaccharide vaccines can be used to control outbreaks in countries where limited economic resources or insufficient supply restrict the use of meningococcal conjugate vaccines)\n*/\ndefine \"No meningococcal booster dose was administered\":\n  \"Number of Meningococcal Booster Series Doses Administered\" = 0" ]
       ], [
         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 "IMMZD2DTMeningococcalPolysaccharideVaccinesLogic" ]
       ], [
         fhir:index 1 ;
         fhir:Extension.url [ fhir:value "name" ] ;
         fhir:Extension.valueString [ fhir:value "The primary series is complete. Clinical judgement is required for meningococcal booster dose. Create a clinical note" ]
       ], [
         fhir:index 2 ;
         fhir:Extension.url [ fhir:value "statement" ] ;
         fhir:Extension.valueString [ fhir:value "/*\n@output: The primary series is complete. Clinical judgement is required for meningococcal booster dose. Create a clinical note\n@pseudocode: \"Immunization recommendation status\" = \"Further evaluation needed\"\n\"Completed the primary vaccination series\" (where \"Vaccine type\" = \"Meningococcal vaccines\") = TRUE\n*/\ndefine \"The primary series is complete. Clinical judgement is required for meningococcal booster dose. Create a clinical note\":\n  Encounter.\"One meningococcal primary series dose was administered\"\n    and Encounter.\"The latest meningococcal dose was administered more than 3 years ago\"\n    and Encounter.\"No meningococcal booster dose was administered\"" ]
       ], [
         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 "IMMZD2DTMeningococcalPolysaccharideVaccinesLogic" ]
       ], [
         fhir:index 1 ;
         fhir:Extension.url [ fhir:value "name" ] ;
         fhir:Extension.valueString [ fhir:value "The primary series is complete. Clinical judgement is required for meningococcal booster dose. Create a clinical note Guidance" ]
       ], [
         fhir:index 2 ;
         fhir:Extension.url [ fhir:value "statement" ] ;
         fhir:Extension.valueString [ fhir:value "/*\n@output: The primary series is complete. Clinical judgement is required for meningococcal booster dose. Create a clinical note Guidance\n@guidance: May administer meningococcal booster dose if the client is considered to be at continued high risk of exposure. Evaluate the client and use clinical judgement.\n*/\ndefine \"The primary series is complete. Clinical judgement is required for meningococcal booster dose. Create a clinical note Guidance\":\n  'May administer meningococcal booster dose if the client is considered to be at continued high risk of exposure. Evaluate the client and use clinical judgement.'" ]
       ], [
         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 "IMMZD2DTMeningococcalEncounterElements" ]
       ], [
         fhir:index 1 ;
         fhir:Extension.url [ fhir:value "name" ] ;
         fhir:Extension.valueString [ fhir:value "Meningococcal booster dose was administered" ]
       ], [
         fhir:index 2 ;
         fhir:Extension.url [ fhir:value "statement" ] ;
         fhir:Extension.valueString [ fhir:value "/*\n@input: Meningococcal booster dose was administered\n@pseudocode: Count of vaccines administered (where \"Vaccine type\" = \"Meningococcal vaccines\" and \"Type of dose\" = \"Booster dose\") = 1\n@code: Meningococcal booster dose was administered-120\n@decision: IMMZ.D2.DT.Meningococcal.Monovalent MenC conjugate vaccine: Monovalent MenC conjugate vaccine schedule\n@decision: IMMZ.D2.DT.Meningococcal.Polysaccharide vaccines: Polysaccharide vaccines schedule\n(Polysaccharide vaccines can be used to control outbreaks in countries where limited economic resources or insufficient supply restrict the use of meningococcal conjugate vaccines)\n*/\ndefine \"Meningococcal booster dose was administered\":\n  \"Number of Meningococcal Booster Series Doses Administered\" = 1" ]
       ], [
         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 "IMMZD2DTMeningococcalPolysaccharideVaccinesLogic" ]
       ], [
         fhir:index 1 ;
         fhir:Extension.url [ fhir:value "name" ] ;
         fhir:Extension.valueString [ fhir:value "Meningococcal immunization schedule is complete" ]
       ], [
         fhir:index 2 ;
         fhir:Extension.url [ fhir:value "statement" ] ;
         fhir:Extension.valueString [ fhir:value "/*\n@output: Meningococcal immunization schedule is complete\n@pseudocode: \"Immunization recommendation status\" = \"Complete\"\n*/\ndefine \"Meningococcal immunization schedule is complete\":\n  Encounter.\"One meningococcal primary series dose was administered\"\n    and Encounter.\"The latest meningococcal dose was administered more than 3 years ago\"\n    and Encounter.\"Meningococcal booster dose was administered\"" ]
       ], [
         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 "IMMZD2DTMeningococcalPolysaccharideVaccinesLogic" ]
       ], [
         fhir:index 1 ;
         fhir:Extension.url [ fhir:value "name" ] ;
         fhir:Extension.valueString [ fhir:value "Meningococcal immunization schedule is complete Guidance" ]
       ], [
         fhir:index 2 ;
         fhir:Extension.url [ fhir:value "statement" ] ;
         fhir:Extension.valueString [ fhir:value "/*\n@output: Meningococcal immunization schedule is complete Guidance\n@guidance: Meningococcal immunization schedule is complete. One primary series dose and one booster dose have been administered.\nCheck for any other vaccines due.\n*/\ndefine \"Meningococcal immunization schedule is complete Guidance\":\n  'Meningococcal immunization schedule is complete. One primary series dose and one booster dose have been administered.\nCheck for any other vaccines due.'" ]
       ], [
         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 "IMMZD2DTMeningococcalPolysaccharideVaccinesLogic" ]
       ], [
         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 not due for meningococcal vaccination\" then \"Client is not due for meningococcal vaccination Guidance\"\n    when \"Client is due for meningococcal vaccination\" then \"Client is due for meningococcal vaccination Guidance\"\n    when \"The primary series is complete. Client is not due for meningococcal booster dose.\" then \"The primary series is complete. Client is not due for meningococcal booster dose. Guidance\"\n    when \"The primary series is complete. Clinical judgement is required for meningococcal booster dose. Create a clinical note\" then \"The primary series is complete. Clinical judgement is required for meningococcal booster dose. Create a clinical note Guidance\"\n    when \"Meningococcal immunization schedule is complete\" then \"Meningococcal immunization schedule is complete Guidance\" \n    else ''\n  end" ]
       ], [
         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 "IMMZD2DTMeningococcalPolysaccharideVaccinesLogic" ]
       ], [
         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 "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 "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 "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 "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 "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 "IMMZCommon" ]
       ], [
         fhir:index 1 ;
         fhir:Extension.url [ fhir:value "name" ] ;
         fhir:Extension.valueString [ fhir:value "seriesBooster" ]
       ], [
         fhir:index 2 ;
         fhir:Extension.url [ fhir:value "statement" ] ;
         fhir:Extension.valueString [ fhir:value "/**\n * @description: Gets the doses from the Booster series\n */\ndefine fluent function seriesBooster(immunizations List<Immunization>):\n  immunizations I where\n    exists( I.protocolApplied pa where pa.series = 'Booster dose' )" ]
       ], [
         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/IMMZD2DTMeningococcalEncounterElements" ;
         fhir:link <http://smart.who.int/immunizations/Library/IMMZD2DTMeningococcalEncounterElements>
       ]
     ], [
       fhir:index 2 ;
       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 3 ;
       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 4 ;
       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 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 Meningococcal vaccines" ] ;
       fhir:RelatedArtifact.resource [
         fhir:value "http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE10" ;
         fhir:link <http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE10>
       ]
     ] ;
     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 "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 2 ;
       fhir:ParameterDefinition.name [ fhir:value "Client is due for meningococcal 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 3 ;
       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 "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 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: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: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 "occurrence" ;
         fhir:index 2
       ], [
         fhir:value "vaccineCode" ;
         fhir:index 3
       ]
     ], [
       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:index 6 ;
       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 7 ;
       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/IMMZD2DTMeningococcalPolysaccharideVaccines"] ;
  fhir:PlanDefinition.version [ fhir:value "0.2.0"] ;
  fhir:PlanDefinition.name [ fhir:value "IMMZD2DTMeningococcalPolysaccharideVaccines"] ;
  fhir:PlanDefinition.title [ fhir:value "IMMZ.D2.DT.Meningococcal.Polysaccharide vaccines"] ;
  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.Meningococcal.Polysaccharide vaccines\nPolysaccharide vaccines schedule\n(Polysaccharide vaccines can be used to control outbreaks in countries where limited economic resources or insufficient supply restrict the use of meningococcal conjugate vaccines)"] ;
  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/IMMZD2DTMeningococcalPolysaccharideVaccinesLogic" ;
     fhir:index 0 ;
     fhir:link <http://smart.who.int/immunizations/Library/IMMZD2DTMeningococcalPolysaccharideVaccinesLogic>
  ] ;
  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 "Polysaccharide vaccines should be administered to individuals aged ≥ 2 years as one single dose.\nOne booster 3–5 years after the primary dose may be given to persons considered to be a continued high risk of exposure, including some health workers." ]
     ] ;
     fhir:PlanDefinition.action.title [ fhir:value "Determine if the client is due for Meningococcal." ] ;
     fhir:PlanDefinition.action.description [ fhir:value "Determine if the client is due for Meningococcal vaccine according to the national immunization protocol.\nPolysaccharide vaccines schedule \n(Polysaccharide vaccines can be used to control outbreaks in countries where limited economic resources \nor insufficient supply restrict the use of meningococcal conjugate vaccines)" ] ;
     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 meningococcal vaccination" ] ;
         fhir:Expression.language [ fhir:value "text/cql-identifier" ] ;
         fhir:Expression.expression [ fhir:value "Client is due for meningococcal 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: 'DE10', display: 'Meningococcal vaccines' } }, display: 'Meningococcal vaccines' }" ]
       ]
     ]
  ], [
     fhir:index 1 ;
     fhir:PlanDefinition.action.title [ fhir:value "Check for Guidance for the patient regarding IMMZ.D2.DT.Meningococcal.Polysaccharide vaccines." ] ;
     fhir:PlanDefinition.action.description [ fhir:value "Show Guidance for the patient regarding IMMZ.D2.DT.Meningococcal.Polysaccharide vaccines." ] ;
     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/IMMZD2DTMeningococcalPolysaccharideVaccines.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl ;
  owl:versionIRI <http://build.fhir.org/PlanDefinition/IMMZD2DTMeningococcalPolysaccharideVaccines.ttl> .