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.Quadrivalent conjugate vaccines 2 doses - 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/IMMZD2DTMeningococcalQuadrivalentConjugateVaccines2Doses> a fhir:PlanDefinition ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "IMMZD2DTMeningococcalQuadrivalentConjugateVaccines2Doses"] ;
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     ], [
       fhir:value "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareableplandefinition" ;
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       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>
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  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;\">IMMZD2DTMeningococcalQuadrivalentConjugateVaccines2Doses</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-IMMZD2DTMeningococcalQuadrivalentConjugateVaccines2Doses.html\">IMMZ.D2.DT.Meningococcal.Quadrivalent conjugate vaccines 2 doses</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.Quadrivalent conjugate vaccines 2 doses</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.Quadrivalent conjugate vaccines 2 doses\nQuadrivalent conjugate vaccines (A,C,W135,Y-D), 2-dose schedule</p>\n</div></td>\n        </tr>\n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Knowledge Capability: </b></th>\n            <td style=\"padding-left: 4px;\">\n                \n                computable \n            </td>\n        </tr>\n        \n\n        \n\n        \n\n        \n\n        \n\n        \n\n        \n\n        \n\n        \n\n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Related Artifacts: </b></th>\n            <td style=\"padding-left: 4px;\">\n                \n                \n                <p><b>References</b></p>\n                <ul>\n                    \n                    <li><div><p>WHO recommendations for routine immunization - summary tables (January 2025)</p>\n</div><br/><a href=\"null\"/></li>\n                    \n                </ul>\n                \n                \n                \n                \n                \n                \n            </td>\n        </tr>\n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Libraries: </b></th>\n            <td style=\"padding-left: 4px;\">\n                <table class=\"grid-dict\">\n                    \n                    <tr>\n                        <td><a href=\"Library-IMMZD2DTMeningococcalQuadrivalentConjugateVaccines2DosesLogic.html\">IMMZD2DTMeningococcalQuadrivalentConjugateVaccines2DosesLogic</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.\nQuadrivalent conjugate vaccines (A,C,W135,Y-D), 2-dose schedule\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.Quadrivalent conjugate vaccines 2 doses.:</b> Show Guidance for the patient regarding IMMZ.D2.DT.Meningococcal.Quadrivalent conjugate vaccines 2 doses.\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:Extension.valueString [ fhir:value "Current Patient Age In Months" ]
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       ], [
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         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\"" ]
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       ], [
         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 1 ;
         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 ;
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       ], [
         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" ]
       ], [
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       ], [
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       ], [
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       ], [
         fhir:index 3 ;
         fhir:Extension.url [ fhir:value "displaySequence" ] ;
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         fhir:index 2 ;
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       ], [
         fhir:index 1 ;
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         fhir:Extension.valueString [ fhir:value "The latest meningococcal dose was administered less than 3 months ago" ]
       ], [
         fhir:index 2 ;
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         fhir:Extension.valueString [ fhir:value "/*\n@input: The latest meningococcal dose was administered less than 3 months ago\n@pseudocode: Today's date − \"Date and time of vaccination\" (where \"Vaccine type\" = \"Meningococcal vaccines\") < 3 months\n@code: The latest meningococcal dose was administered less than 3 months ago-106\n@decision: IMMZ.D2.DT.Meningococcal.Quadrivalent conjugate vaccines 2 doses: Quadrivalent conjugate vaccines (A,C,W135,Y-D), 2-dose schedule\n*/\ndefine \"The latest meningococcal dose was administered less than 3 months ago\":\n  \"Date of Latest Primary Meningococcal Dose\" is not null\n  and duration in months between \"Date of Latest Primary Meningococcal Dose\" and Today < 3" ]
       ], [
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     ], [
       fhir:index 13 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "libraryName" ] ;
         fhir:Extension.valueString [ fhir:value "IMMZD2DTMeningococcalQuadrivalentConjugateVaccines2DosesLogic" ]
       ], [
         fhir:index 1 ;
         fhir:Extension.url [ fhir:value "name" ] ;
         fhir:Extension.valueString [ fhir:value "Client is not due for meningococcal vaccination Case 2" ]
       ], [
         fhir:index 2 ;
         fhir:Extension.url [ fhir:value "statement" ] ;
         fhir:Extension.valueString [ fhir:value "/*\n@output: Client is not due for meningococcal vaccination Case 2\n@pseudocode: \"Immunization recommendation status\" = \"Not due\"\n*/\ndefine \"Client is not due for meningococcal vaccination Case 2\":\n  Encounter.\"One meningococcal primary series dose was administered\"\n    and Encounter.\"Client's age was less than or equal to 23 months when the primary series was started\"\n    and Encounter.\"The latest meningococcal dose was administered less than 3 months ago\"" ]
       ], [
         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 "IMMZD2DTMeningococcalQuadrivalentConjugateVaccines2DosesLogic" ]
       ], [
         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  \"Client is not due for meningococcal vaccination Case 1\"\n    or \"Client is not due for meningococcal vaccination Case 2\"" ]
       ], [
         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 "IMMZD2DTMeningococcalQuadrivalentConjugateVaccines2DosesLogic" ]
       ], [
         fhir:index 1 ;
         fhir:Extension.url [ fhir:value "name" ] ;
         fhir:Extension.valueString [ fhir:value "Client is not due for meningococcal vaccination Guidance" ]
       ], [
         fhir:index 2 ;
         fhir:Extension.url [ fhir:value "statement" ] ;
         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 9 months. \nCheck for any vaccines due and inform the caregiver of when to come back for the first dose.\n@guidance = Should not vaccinate client with second meningococcal dose as the latest meningococcal dose was administered less than 3 months ago. \nCheck for any other vaccines due and inform the caregiver of when to come back for the second dose.\n*/\ndefine \"Client is not due for meningococcal vaccination Guidance\":\n  case\n    when \"Client is not due for meningococcal vaccination Case 1\" then 'Should not vaccinate client with first meningococcal dose as client\\'s age is less than 9 months. \nCheck for any vaccines due and inform the caregiver of when to come back for the first dose.'\n    when \"Client is not due for meningococcal vaccination Case 2\" then 'Should not vaccinate client with second meningococcal dose as the latest meningococcal dose was administered less than 3 months ago. \nCheck for any other vaccines due and inform the caregiver of when to come back for the second dose.'\n    else ''\n  end" ]
       ], [
         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 "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 ;
         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 "IMMZD2DTMeningococcalEncounterElements" ]
       ], [
         fhir:index 1 ;
         fhir:Extension.url [ fhir:value "name" ] ;
         fhir:Extension.valueString [ fhir:value "Client's age is more than 9 months" ]
       ], [
         fhir:index 2 ;
         fhir:Extension.url [ fhir:value "statement" ] ;
         fhir:Extension.valueString [ fhir:value "/*\n@input: Client's age is more than 9 months\n@pseudocode: Today's date − \"Date of birth\" ≥ 9 months\n@code: Client's age is more than 9 months-41\n@decision: IMMZ.D2.DT.Meningococcal.MenA conjugate vaccine 1 dose: MenA conjugate vaccine, 1-dose schedule\n*/\ndefine \"Client's age is more than 9 months\":\n  Encounter.\"Current Patient Age In Months\" >= 9" ]
       ], [
         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 "IMMZD2DTMeningococcalEncounterElements" ]
       ], [
         fhir:index 1 ;
         fhir:Extension.url [ fhir:value "name" ] ;
         fhir:Extension.valueString [ fhir:value "Client's age is more than or equal to 9 months" ]
       ], [
         fhir:index 2 ;
         fhir:Extension.url [ fhir:value "statement" ] ;
         fhir:Extension.valueString [ fhir:value "/*\n@input: Client's age is more than or equal to 9 months\n@pseudocode: Today's date − \"Date of birth\" ≥ 9 months\n@code: Client's age is more than or equal to 9 months-41\n@decision: IMMZ.D2.DT.Meningococcal.Quadrivalent conjugate vaccines 2 doses: Quadrivalent conjugate vaccines (A,C,W135,Y-D), 2-dose schedule\n*/\ndefine \"Client's age is more than or equal to 9 months\":\n  \"Client's age is more than 9 months\"" ]
       ], [
         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 "IMMZD2DTMeningococcalQuadrivalentConjugateVaccines2DosesLogic" ]
       ], [
         fhir:index 1 ;
         fhir:Extension.url [ fhir:value "name" ] ;
         fhir:Extension.valueString [ fhir:value "Client is due for meningococcal vaccination Case 1" ]
       ], [
         fhir:index 2 ;
         fhir:Extension.url [ fhir:value "statement" ] ;
         fhir:Extension.valueString [ fhir:value "/*\n@output: Client is due for meningococcal vaccination Case 1\n@pseudocode: \"Immunization recommendation status\" = \"Due\"\n*/\ndefine \"Client is due for meningococcal vaccination Case 1\":\n  Encounter.\"No meningococcal primary series dose was administered\"\n    and Encounter.\"Client's age is more than or equal to 9 months\"" ]
       ], [
         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 "The latest meningococcal dose was administered more than 3 months 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 months ago\n@pseudocode: Today's date − \"Date and time of vaccination\" (where \"Vaccine type\" = \"Meningococcal vaccines\") ≥ 3 months\n@code: The latest meningococcal dose was administered more than 3 months ago-106\n@decision: IMMZ.D2.DT.Meningococcal.Quadrivalent conjugate vaccines 2 doses: Quadrivalent conjugate vaccines (A,C,W135,Y-D), 2-dose schedule\n*/\ndefine \"The latest meningococcal dose was administered more than 3 months ago\":\n  not \"The latest meningococcal dose was administered less than 3 months ago\"" ]
       ], [
         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 "IMMZD2DTMeningococcalQuadrivalentConjugateVaccines2DosesLogic" ]
       ], [
         fhir:index 1 ;
         fhir:Extension.url [ fhir:value "name" ] ;
         fhir:Extension.valueString [ fhir:value "Client is due for meningococcal vaccination Case 2" ]
       ], [
         fhir:index 2 ;
         fhir:Extension.url [ fhir:value "statement" ] ;
         fhir:Extension.valueString [ fhir:value "/*\n@output: Client is due for meningococcal vaccination Case 2\n@pseudocode: \"Immunization recommendation status\" = \"Due\"\n*/\ndefine \"Client is due for meningococcal vaccination Case 2\":\n  Encounter.\"One meningococcal primary series dose was administered\"\n    and Encounter.\"Client's age was less than or equal to 23 months when the primary series was started\"\n    and Encounter.\"The latest meningococcal dose was administered more than 3 months 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 "IMMZD2DTMeningococcalQuadrivalentConjugateVaccines2DosesLogic" ]
       ], [
         fhir:index 1 ;
         fhir:Extension.url [ fhir:value "name" ] ;
         fhir:Extension.valueString [ fhir:value "Client is due for meningococcal vaccination" ]
       ], [
         fhir:index 2 ;
         fhir:Extension.url [ fhir:value "statement" ] ;
         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  \"Client is due for meningococcal vaccination Case 1\"\n    or \"Client is due for meningococcal vaccination Case 2\"" ]
       ], [
         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 "IMMZD2DTMeningococcalQuadrivalentConjugateVaccines2DosesLogic" ]
       ], [
         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@guidance = Should vaccinate client with second meningococcal dose as client's age was less than 23 months when the primary series was started and the latest meningococcal dose was administered more than 3 months ago. \nCheck for contraindications.\n*/\ndefine \"Client is due for meningococcal vaccination Guidance\":\n  case\n    when \"Client is due for meningococcal vaccination Case 1\" then 'Should vaccinate client with first meningococcal dose as no meningococcal doses were administered and client is within appropriate age range.\nCheck for contraindications.'\n    when \"Client is due for meningococcal vaccination Case 2\" then 'Should vaccinate client with second meningococcal dose as client\\'s age was less than 23 months when the primary series was started and the latest meningococcal dose was administered more than 3 months ago. \nCheck for contraindications.'\n    else ''\n  end" ]
       ], [
         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 "IMMZD2DTMeningococcalEncounterElements" ]
       ], [
         fhir:index 1 ;
         fhir:Extension.url [ fhir:value "name" ] ;
         fhir:Extension.valueString [ fhir:value "Client's age was more than 23 months when the primary series was started" ]
       ], [
         fhir:index 2 ;
         fhir:Extension.url [ fhir:value "statement" ] ;
         fhir:Extension.valueString [ fhir:value "/*\n@input: Client's age was more than 23 months when the primary series was started\n@pseudocode: \"Date and time of vaccination\" (where \"Vaccine type\" = \"Meningococcal vaccines\") - \"Date of birth\" > 23 months\n@code: Client's age was more than 23 months when the primary series was started-110\n@decision: IMMZ.D2.DT.Meningococcal.Quadrivalent conjugate vaccines 2 doses: Quadrivalent conjugate vaccines (A,C,W135,Y-D), 2-dose schedule\n*/\ndefine \"Client's age was more than 23 months when the primary series was started\":\n  AgeInMonthsAt(\"Date of First Primary Series Meningococcal Dose\") > 23" ]
       ], [
         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 "IMMZD2DTMeningococcalQuadrivalentConjugateVaccines2DosesLogic" ]
       ], [
         fhir:index 1 ;
         fhir:Extension.url [ fhir:value "name" ] ;
         fhir:Extension.valueString [ fhir:value "Meningococcal immunization schedule is complete Case 1" ]
       ], [
         fhir:index 2 ;
         fhir:Extension.url [ fhir:value "statement" ] ;
         fhir:Extension.valueString [ fhir:value "/*\n@output: Meningococcal immunization schedule is complete Case 1\n@pseudocode: \"Immunization recommendation status\" = \"Complete\"\n\"Completed the primary vaccination series\" (where \"Vaccine type\" = \"Meningococcal vaccines\") = TRUE\n*/\ndefine \"Meningococcal immunization schedule is complete Case 1\":\n  Encounter.\"One meningococcal primary series dose was administered\"\n    and Encounter.\"Client's age was more than 23 months when the primary series was started\"" ]
       ], [
         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 "IMMZD2DTMeningococcalEncounterElements" ]
       ], [
         fhir:index 1 ;
         fhir:Extension.url [ fhir:value "name" ] ;
         fhir:Extension.valueString [ fhir:value "Two meningococcal primary series doses were administered" ]
       ], [
         fhir:index 2 ;
         fhir:Extension.url [ fhir:value "statement" ] ;
         fhir:Extension.valueString [ fhir:value "/*\n@input: Two meningococcal primary series doses were administered\n@pseudocode: Count of vaccines administered (where \"Vaccine type\" = \"Meningococcal vaccines\" and \"Type of dose\" = \"Primary series\") = 2\n@code: Two meningococcal primary series doses were administered-122\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 2 doses: Quadrivalent conjugate vaccines (A,C,W135,Y-D), 2-dose schedule\n*/\ndefine \"Two meningococcal primary series doses were administered\":\n  \"Number of Meningococcal Primary Series Doses Administered\" = 2" ]
       ], [
         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 "IMMZD2DTMeningococcalQuadrivalentConjugateVaccines2DosesLogic" ]
       ], [
         fhir:index 1 ;
         fhir:Extension.url [ fhir:value "name" ] ;
         fhir:Extension.valueString [ fhir:value "Meningococcal immunization schedule is complete Case 2" ]
       ], [
         fhir:index 2 ;
         fhir:Extension.url [ fhir:value "statement" ] ;
         fhir:Extension.valueString [ fhir:value "/*\n@output: Meningococcal immunization schedule is complete Case 2\n@pseudocode: \"Immunization recommendation status\" = \"Complete\"\n\"Completed the primary vaccination series\" (where \"Vaccine type\" = \"Meningococcal vaccines\") = TRUE\n*/\ndefine \"Meningococcal immunization schedule is complete Case 2\":\n  Encounter.\"Two meningococcal primary series 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 "IMMZD2DTMeningococcalQuadrivalentConjugateVaccines2DosesLogic" ]
       ], [
         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\"Completed the primary vaccination series\" (where \"Vaccine type\" = \"Meningococcal vaccines\") = TRUE\n*/\ndefine \"Meningococcal immunization schedule is complete\":\n  \"Meningococcal immunization schedule is complete Case 1\"\n    or \"Meningococcal immunization schedule is complete Case 2\"" ]
       ], [
         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 "IMMZD2DTMeningococcalQuadrivalentConjugateVaccines2DosesLogic" ]
       ], [
         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 as client's age was more than 23 months when primary series was started. One primary series dose was administered. \nCheck for any other vaccines due.\n@guidance = Meningococcal immunization schedule is complete. Two primary series doses were administered. \nCheck for any other vaccines due.\n*/\ndefine \"Meningococcal immunization schedule is complete Guidance\":\n  case\n    when \"Meningococcal immunization schedule is complete Case 1\" then 'Meningococcal immunization schedule is complete as client\\'s age was more than 23 months when primary series was started. One primary series dose was administered. \nCheck for any other vaccines due.'\n    when \"Meningococcal immunization schedule is complete Case 2\" then 'Meningococcal immunization schedule is complete. Two primary series doses were administered. \nCheck for any other vaccines due.'\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 "IMMZD2DTMeningococcalQuadrivalentConjugateVaccines2DosesLogic" ]
       ], [
         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 \"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 "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 "IMMZD2DTMeningococcalQuadrivalentConjugateVaccines2DosesLogic" ]
       ], [
         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 "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 "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 "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 "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 "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 "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 "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 "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 "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 "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 "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 "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 "37"^^xsd:integer ]
       ] ;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ]
     ], [
       fhir:index 38 ;
       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 "38"^^xsd:integer ]
       ] ;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ]
     ], [
       fhir:index 39 ;
       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 "39"^^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 "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 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: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/IMMZD2DTMeningococcalQuadrivalentConjugateVaccines2Doses"] ;
  fhir:PlanDefinition.version [ fhir:value "0.2.0"] ;
  fhir:PlanDefinition.name [ fhir:value "IMMZD2DTMeningococcalQuadrivalentConjugateVaccines2Doses"] ;
  fhir:PlanDefinition.title [ fhir:value "IMMZ.D2.DT.Meningococcal.Quadrivalent conjugate vaccines 2 doses"] ;
  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.Quadrivalent conjugate vaccines 2 doses\nQuadrivalent conjugate vaccines (A,C,W135,Y-D), 2-dose schedule"] ;
  fhir:PlanDefinition.relatedArtifact [
     fhir:index 0 ;
     fhir:RelatedArtifact.type [ fhir:value "citation" ] ;
     fhir:RelatedArtifact.citation [ fhir:value "WHO recommendations for routine immunization - summary tables (January 2025)" ]
  ] ;
  fhir:PlanDefinition.library [
     fhir:value "http://smart.who.int/immunizations/Library/IMMZD2DTMeningococcalQuadrivalentConjugateVaccines2DosesLogic" ;
     fhir:index 0 ;
     fhir:link <http://smart.who.int/immunizations/Library/IMMZD2DTMeningococcalQuadrivalentConjugateVaccines2DosesLogic>
  ] ;
  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 "Quadrivalent conjugate vaccines (A,C,W135,Y-D and A,C,W135,Y-CRM) should be administered as one \nsingle intramuscular dose to individuals aged ≥ 2 years. A,C,W135,Y-D is also licensed for children aged 9–23 \nmonths and given as a 2-dose series 3 months apart, beginning at 9 months of age." ]
     ] ;
     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.\nQuadrivalent conjugate vaccines (A,C,W135,Y-D), 2-dose schedule" ] ;
     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.Quadrivalent conjugate vaccines 2 doses." ] ;
     fhir:PlanDefinition.action.description [ fhir:value "Show Guidance for the patient regarding IMMZ.D2.DT.Meningococcal.Quadrivalent conjugate vaccines 2 doses." ] ;
     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/IMMZD2DTMeningococcalQuadrivalentConjugateVaccines2Doses.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl ;
  owl:versionIRI <http://build.fhir.org/PlanDefinition/IMMZD2DTMeningococcalQuadrivalentConjugateVaccines2Doses.ttl> .