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
| Draft as of 2026-07-07 |
@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/IMMZD2DTPneumococcal2DosesWithBoosterDose> a fhir:PlanDefinition ; fhir:nodeRole fhir:treeRoot ; fhir:Resource.id [ fhir:value "IMMZD2DTPneumococcal2DosesWithBoosterDose"] ; 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;\">IMMZD2DTPneumococcal2DosesWithBoosterDose</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-IMMZD2DTPneumococcal2DosesWithBoosterDose.html\">IMMZ.D2.DT.Pneumococcal.2 doses with booster dose</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.Pneumococcal.2 doses with booster dose</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.Pneumococcal.2 doses with booster dose\n2 primary doses with a booster dose (2p+1)</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-IMMZD2DTPneumococcal2DosesWithBoosterDoseLogic.html\">IMMZD2DTPneumococcal2DosesWithBoosterDoseLogic</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 BCG.:</b> Determine if the client is due for BCG vaccine according to the national immunization protocol.\n2 primary doses with a booster dose (2p+1)\n \n <br/>\n \n \n <b>If:</b>\n \n <i>Applicability:</i>\n \n Client is due for pneumococcal vaccination\n \n <i>(Client is due for pneumococcal 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: 'DE13', display: 'Pneumococcal vaccines' } }, display: 'Pneumococcal vaccines' })</i>\n <br/>\n \n \n \n \n </td>\n </tr>\n \n <tr>\n <td>\n \n <b> Determine if the client is due for BCG.:</b> Determine if the client is due for BCG vaccine according to the national immunization protocol.\n2 primary doses with a booster dose (2p+1)\n \n <br/>\n \n \n <b>If:</b>\n \n <i>Applicability:</i>\n \n Client is due for pneumococcal booster dose\n \n <i>(Client is due for pneumococcal booster dose)</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: 'DE13', display: 'Pneumococcal vaccines' } }, display: 'Pneumococcal 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.Pneumococcal.2 doses with booster dose.:</b> Show Guidance for the patient regarding IMMZ.D2.DT.Pneumococcal.2 doses with booster dose.\n \n <br/>\n \n \n <b>If:</b>\n \n <i>Applicability:</i>\n \n Has Guidance\n \n <i>(Has Guidance)</i>\n <br/>\n \n \n \n \n <b>Then:</b> <i>Definition:</i> <a href=\"ActivityDefinition-IMMZD2DTCR.html\">IMMZ.D2.DT.CR</a><br/>\n \n <i>Dynamic Values:</i><br/>\n \n status: <i>('active')</i>\n <br/>\n \n payload.contentString: <i>(Guidance)</i>\n <br/>\n \n category.coding: <i>(Code { system: 'http://terminology.hl7.org/CodeSystem/communication-category', code: 'alert' })</i>\n <br/>\n \n priority: <i>(Code { system: 'http://hl7.org/fhir/request-priority', code: 'routine' })</i>\n <br/>\n \n \n \n \n </td>\n </tr>\n \n </table>\n </td>\n </tr>\n \n </table>\n</div>\n</div>" ] ; fhir:DomainResource.contained [ a fhir:Library ; fhir:index 0 ; fhir:Resource.id [ fhir:value "effective-data-requirements" ] ; fhir:DomainResource.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode" ] ; fhir:Extension.valueCoding [ fhir:Coding.system [ fhir:value "http://smart.who.int/immunizations/CodeSystem/IMMZ.D" ] ; fhir:Coding.code [ fhir:value "DE251" ] ; fhir:Coding.display [ fhir:value "At high risk for pneumococcal infection" ] ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode" ] ; fhir:Extension.valueCoding [ fhir:Coding.system [ fhir:value "http://smart.who.int/immunizations/CodeSystem/IMMZ.D" ] ; fhir:Coding.code [ fhir:value "DE204" ] ; fhir:Coding.display [ fhir:value "HIV status" ] ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode" ] ; fhir:Extension.valueCoding [ fhir:Coding.system [ fhir:value "http://smart.who.int/immunizations/CodeSystem/IMMZ.D" ] ; fhir:Coding.code [ fhir:value "DE205" ] ; fhir:Coding.display [ fhir:value "HIV-positive" ] ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode" ] ; fhir:Extension.valueCoding [ fhir:Coding.system [ fhir:value "http://smart.who.int/immunizations/CodeSystem/IMMZ.D" ] ; fhir:Coding.code [ fhir:value "DE208" ] ; fhir:Coding.display [ fhir:value "Preterm birth" ] ] ], [ fhir:index 4 ; 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 Weeks" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/** \n * @dataElement Patient age in weeks\n */\ndefine \"Current Patient Age In Weeks\":\n AgeInWeeksAt(Today)" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "0"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 5 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZD2DTPneumococcalEncounterElements" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "The client's age is less than 6 weeks" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@input: The client's age is less than 6 weeks\n@pseudocode: Today's date − \"Date of birth\" < 6 weeks\n@code: The client's age is less than 6 weeks-40\n@decision: IMMZ.D2.DT.Pneumococcal.2 doses with booster dose: 2 primary doses with a booster dose (2p+1)\n@decision: IMMZ.D2.DT.Pneumococcal.3 doses: 3 primary doses (3p+0)\n*/\ndefine \"The client's age is less than 6 weeks\":\n Encounter.\"Current Patient Age In Weeks\" < 6" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "1"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 6 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZD2DTPneumococcal2DosesWithBoosterDoseLogic" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "Client is not due for pneumococcal vaccination Case 1" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@output: Client is not due for pneumococcal vaccination Case 1\n@pseudocode: \"Immunization recommendation status\" = \"Not due\"\n*/\ndefine \"Client is not due for pneumococcal vaccination Case 1\":\n Encounter.\"The client's age is less than 6 weeks\"" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "2"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 7 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZElements" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "Doses Administered to Patient" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/**\n * @dataElement All Doses Administered to Patient\n */\ndefine \"Doses Administered to Patient\":\n [Immunization] I\n where I.status = 'completed'\n and I.isSubpotent is not true" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "3"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 8 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZEncounterElements" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "Doses Administered to Patient" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/**\n * @dataElement All Doses Administered to Patient\n */\ndefine \"Doses Administered to Patient\":\n Elements.\"Doses Administered to Patient\" I\n where I.occurrence.toInterval() same day or before Today" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "4"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 9 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZD2DTPneumococcalEncounterElements" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "Pneumococcal Doses Administered to Patient" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@internal: Pneumococcal containing Doses Administered to Patient\n*/\ndefine \"Pneumococcal Doses Administered to Patient\":\n Encounter.\"Doses Administered to Patient\" I\n where\n I.vaccineCode in Concepts.\"Pneumococcal vaccines\"" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "5"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 10 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZD2DTPneumococcalEncounterElements" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "Pneumococcal Primary Series Doses Administered to Patient" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@internal: Pneumococcal containing Doses Administered to Patient that are in the Primary series\n*/\ndefine \"Pneumococcal Primary Series Doses Administered to Patient\":\n \"Pneumococcal Doses Administered to Patient\".seriesPrimary()" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "6"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 11 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZD2DTPneumococcalEncounterElements" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "Number of Pneumococcal Primary Series Doses Administered" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@internal: Number of Pneumococcal Primary Series doses\n*/\ndefine \"Number of Pneumococcal Primary Series Doses Administered\":\n Count(\"Pneumococcal Primary Series Doses Administered to Patient\")" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "7"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 12 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZD2DTPneumococcalEncounterElements" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "One pneumococcal primary series dose was administered" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@input: One pneumococcal primary series dose was administered\n@pseudocode: Count of vaccines administered (where \"Vaccine type\" = \"Pneumococcal vaccines\" and \"Type of dose\" = \"Primary series\") = 1\n@code: One pneumococcal primary series dose was administered-121\n@decision: IMMZ.D2.DT.Pneumococcal.2 doses with booster dose: 2 primary doses with a booster dose (2p+1)\n@decision: IMMZ.D2.DT.Pneumococcal.3 doses: 3 primary doses (3p+0)\n*/\ndefine \"One pneumococcal primary series dose was administered\":\n \"Number of Pneumococcal Primary Series Doses Administered\" = 1" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "8"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 13 ; 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)" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "9"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 14 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZD2DTPneumococcalEncounterElements" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "The client's age is less than or equal to 5 years" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@input: The client's age is less than or equal to 5 years\n@pseudocode: 'Today's date − \"Date of birth\" ≤ 5 years\n@code: The client's age is less than or equal to 5 years-41\n@decision: IMMZ.D2.DT.Pneumococcal.2 doses with booster dose: 2 primary doses with a booster dose (2p+1)\n*/\ndefine \"The client's age is less than or equal to 5 years\":\n Encounter.\"Current Patient Age In Years\" <= 5" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "10"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 15 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZD2DTPneumococcalEncounterElements" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "Date of First Pneumococcal Dose" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@internal: Date of First Pneumococcal Dose\n*/\ndefine \"Date of First Pneumococcal Dose\":\n date from start of \"Pneumococcal Doses Administered to Patient\".earliest().occurrence.toInterval()" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "11"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 16 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZD2DTPneumococcalEncounterElements" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "The first pneumococcal dose was administered within 24 months post birth" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@input: The first pneumococcal dose was administered within 24 months post birth\n@pseudocode: \"Date and time of vaccination\" (where \"Vaccine type\" = \"Pneumococcal vaccines\") − \"Date of birth\" < 24 months\n@code: The first pneumococcal dose was administered within 24 months post birth-109\n@decision: IMMZ.D2.DT.Pneumococcal.2 doses with booster dose: 2 primary doses with a booster dose (2p+1)\n*/\ndefine \"The first pneumococcal dose was administered within 24 months post birth\":\n AgeInMonthsAt(\"Date of First Pneumococcal Dose\") < 24" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "12"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 17 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZD2DTPneumococcalEncounterElements" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "Date of Latest Pneumococcal Dose" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@internal: Date of Latest Pneumococcal Dose\n*/\ndefine \"Date of Latest Pneumococcal Dose\":\n date from start of \"Pneumococcal Doses Administered to Patient\".mostRecent().occurrence.toInterval()" ] ], [ 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 18 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZD2DTPneumococcalEncounterElements" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "The latest pneumococcal dose was administered less than 8 weeks ago" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@input: The latest pneumococcal dose was administered less than 8 weeks ago\n@pseudocode: Today's date − \"Date and time of vaccination\" (where \"Vaccine type\" = \"Pneumococcal vaccines\") < 8 weeks\n@code: The latest pneumococcal dose was administered less than 8 weeks ago-104\n@decision: IMMZ.D2.DT.Pneumococcal.2 doses with booster dose: 2 primary doses with a booster dose (2p+1)\n@decision: IMMZ.D2.DT.Pneumococcal.3 doses: 3 primary doses (3p+0)\n*/\ndefine \"The latest pneumococcal dose was administered less than 8 weeks ago\":\n \"Date of Latest Pneumococcal Dose\" is not null\n and duration in weeks between \"Date of Latest Pneumococcal Dose\" and Today < 8" ] ], [ 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 19 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZD2DTPneumococcal2DosesWithBoosterDoseLogic" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "Client is not due for pneumococcal vaccination Case 2" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@output: Client is not due for pneumococcal vaccination Case 2\n@pseudocode: \"Immunization recommendation status\" = \"Not due\"\n*/\ndefine \"Client is not due for pneumococcal vaccination Case 2\":\n Encounter.\"One pneumococcal primary series dose was administered\"\n and Encounter.\"The client's age is less than or equal to 5 years\"\n and Encounter.\"The first pneumococcal dose was administered within 24 months post birth\"\n and Encounter.\"The latest pneumococcal dose was administered less than 8 weeks ago\"" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "15"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 20 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZD2DTPneumococcalEncounterElements" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "The first pneumococcal dose was administered after 24 months post birth" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@input: The first pneumococcal dose was administered after 24 months post birth\n@pseudocode: \"Date and time of vaccination\" (where \"Vaccine type\" = \"Pneumococcal vaccines\") − \"Date of birth\" ≥ 24 months\n@code: The first pneumococcal dose was administered after 24 months post birth-109\n@decision: IMMZ.D2.DT.Pneumococcal.2 doses with booster dose: 2 primary doses with a booster dose (2p+1)\n@decision: IMMZ.D2.DT.Pneumococcal.3 doses: 3 primary doses (3p+0)\n*/\ndefine \"The first pneumococcal dose was administered after 24 months post birth\":\n AgeInMonthsAt(\"Date of First Pneumococcal Dose\") >= 24" ] ], [ 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 21 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZElements" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "At high risk for pneumococcal infection Observation" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@internal: At high risk for pneumococcal infection Observation\n*/\ndefine \"At high risk for pneumococcal infection Observation\":\n ([Observation: Concepts.\"At high risk for pneumococcal infection\"]).complete()" ] ], [ 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 22 ; 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 "At high risk for pneumococcal infection Observation" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@internal: At high risk for pneumococcal infection Observation\n*/\ndefine \"At high risk for pneumococcal infection Observation\":\n Elements.\"At high risk for pneumococcal infection Observation\".encounterOrOnBefore(EncounterId, Today)" ] ], [ 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 23 ; 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 "Client is at high risk for pneumococcal infection" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@input: Client is at high risk for pneumococcal infection\n@pseudocode: \"At high risk for pneumococcal infection\" = TRUE\n*/\ndefine \"Client is at high risk for pneumococcal infection\":\n exists( \"At high risk for pneumococcal infection Observation\" O where O.value = true )" ] ], [ 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 24 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZD2DTPneumococcalEncounterElements" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "Client is at high risk for pneumococcal infection" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@input: Client is at high risk for pneumococcal infection\n@pseudocode: \"At high risk for pneumococcal infection\" = TRUE\n@code: Client is at high risk for pneumococcal infection-48\n@decision: IMMZ.D2.DT.Pneumococcal.2 doses with booster dose: 2 primary doses with a booster dose (2p+1)\n@decision: IMMZ.D2.DT.Pneumococcal.3 doses: 3 primary doses (3p+0)\n*/\ndefine \"Client is at high risk for pneumococcal infection\":\n Encounter.\"Client is at high risk for pneumococcal infection\"" ] ], [ 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 25 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZD2DTPneumococcal2DosesWithBoosterDoseLogic" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "Client is not due for pneumococcal vaccination Case 3" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@output: Client is not due for pneumococcal vaccination Case 3\n@pseudocode: \"Immunization recommendation status\" = \"Not due\"\n*/\ndefine \"Client is not due for pneumococcal vaccination Case 3\":\n Encounter.\"One pneumococcal primary series dose was administered\"\n and Encounter.\"The client's age is less than or equal to 5 years\"\n and Encounter.\"The first pneumococcal dose was administered after 24 months post birth\"\n and Encounter.\"The latest pneumococcal dose was administered less than 8 weeks ago\"\n and Encounter.\"Client is at high risk for pneumococcal infection\"" ] ], [ 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 26 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZD2DTPneumococcal2DosesWithBoosterDoseLogic" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "Client is not due for pneumococcal vaccination" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@output: Client is not due for pneumococcal vaccination\n@pseudocode: \"Immunization recommendation status\" = \"Not due\"\n*/\ndefine \"Client is not due for pneumococcal vaccination\":\n \"Client is not due for pneumococcal vaccination Case 1\"\n or \"Client is not due for pneumococcal vaccination Case 2\"\n or \"Client is not due for pneumococcal vaccination Case 3\"" ] ], [ 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 27 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZD2DTPneumococcal2DosesWithBoosterDoseLogic" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "Client is not due for pneumococcal vaccination Guidance" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@output: Client is not due for pneumococcal vaccination Guidance\n@guidance = Should not vaccinate client with first pneumococcal dose as client's age is less than 6 weeks. Check 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 pneumococcal dose as the latest pneumococcal dose was administered less than 8 weeks ago. \nCheck for any other vaccines due and inform the caregiver of when to come back for the next dose.\n@guidance = Should not vaccinate client with second pneumococcal dose as the latest pneumococcal dose was administered less than 8 weeks ago and client is at high risk for pneumococcal infection. \nCheck for any other vaccines due and inform the caregiver of when to come back for the next dose.\n*/\ndefine \"Client is not due for pneumococcal vaccination Guidance\":\n case\n when \"Client is not due for pneumococcal vaccination Case 1\" then 'Should not vaccinate client with first pneumococcal dose as client\\'s age is less than 6 weeks. Check for any vaccines due and inform the caregiver of when to come back for the first dose.'\n when \"Client is not due for pneumococcal vaccination Case 2\" then 'Should not vaccinate client with second pneumococcal dose as the latest pneumococcal dose was administered less than 8 weeks ago. \nCheck for any other vaccines due and inform the caregiver of when to come back for the next dose.'\n when \"Client is not due for pneumococcal vaccination Case 3\" then 'Should not vaccinate client with second pneumococcal dose as the latest pneumococcal dose was administered less than 8 weeks ago and client is at high risk for pneumococcal infection. \nCheck for any other vaccines due and inform the caregiver of when to come back for the next dose.'\n else ''\n end" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "23"^^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 "IMMZD2DTPneumococcalEncounterElements" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "No pneumococcal primary series doses were administered" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@input: No pneumococcal primary series doses were administered\n@pseudocode: Count of vaccines administered (where \"Vaccine type\" = \"Pneumococcal vaccines\" and \"Type of dose\" = \"Primary series\") = 0\n@code: No pneumococcal primary series doses were administered-121\n@decision: IMMZ.D2.DT.Pneumococcal.2 doses with booster dose: 2 primary doses with a booster dose (2p+1)\n@decision: IMMZ.D2.DT.Pneumococcal.3 doses: 3 primary doses (3p+0)\n*/\ndefine \"No pneumococcal primary series doses were administered\":\n \"Number of Pneumococcal Primary Series Doses Administered\" = 0" ] ], [ 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 29 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZD2DTPneumococcalEncounterElements" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "The client's age is between 6 weeks and 5 years" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@input: The client's age is between 6 weeks and 5 years\n@pseudocode: 6 weeks ≤ Today's date − \"Date of birth\" ≤ 5 years\n@code: The client's age is between 6 weeks and 5 years-50\n@decision: IMMZ.D2.DT.Pneumococcal.2 doses with booster dose: 2 primary doses with a booster dose (2p+1)\n@decision: IMMZ.D2.DT.Pneumococcal.3 doses: 3 primary doses (3p+0)\n*/\ndefine \"The client's age is between 6 weeks and 5 years\":\n 6 <= Encounter.\"Current Patient Age In Weeks\"\n and Encounter.\"Current Patient Age In Years\" <= 5" ] ], [ 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 30 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZD2DTPneumococcal2DosesWithBoosterDoseLogic" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "Client is due for pneumococcal vaccination Case 1" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@output: Client is due for pneumococcal vaccination Case 1\n@pseudocode: \"Immunization recommendation status\" = \"Due\"\n*/\ndefine \"Client is due for pneumococcal vaccination Case 1\":\n Encounter.\"No pneumococcal primary series doses were administered\"\n and Encounter.\"The client's age is between 6 weeks and 5 years\"" ] ], [ 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 31 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZD2DTPneumococcalEncounterElements" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "The latest pneumococcal dose was administered more than 8 weeks ago" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@input: The latest pneumococcal dose was administered more than 8 weeks ago\n@pseudocode: Today's date − \"Date and time of vaccination\" (where \"Vaccine type\" = \"Pneumococcal vaccines\") ≥ 8 weeks\n@code: The latest pneumococcal dose was administered more than 8 weeks ago-104\n@decision: IMMZ.D2.DT.Pneumococcal.2 doses with booster dose: 2 primary doses with a booster dose (2p+1)\n@decision: IMMZ.D2.DT.Pneumococcal.3 doses: 3 primary doses (3p+0)\n*/\ndefine \"The latest pneumococcal dose was administered more than 8 weeks ago\":\n not \"The latest pneumococcal dose was administered less than 8 weeks ago\"" ] ], [ 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 32 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZD2DTPneumococcal2DosesWithBoosterDoseLogic" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "Client is due for pneumococcal vaccination Case 2" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@output: Client is due for pneumococcal vaccination Case 2\n@pseudocode: \"Immunization recommendation status\" = \"Due\"\n*/\ndefine \"Client is due for pneumococcal vaccination Case 2\":\n Encounter.\"One pneumococcal primary series dose was administered\"\n and Encounter.\"The client's age is less than or equal to 5 years\"\n and Encounter.\"The first pneumococcal dose was administered within 24 months post birth\"\n and Encounter.\"The latest pneumococcal dose was administered more than 8 weeks ago\"" ] ], [ 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 33 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZD2DTPneumococcal2DosesWithBoosterDoseLogic" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "Client is due for pneumococcal vaccination Case 3" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@output: Client is due for pneumococcal vaccination Case 3\n@pseudocode: \"Immunization recommendation status\" = \"Due\"\n*/\ndefine \"Client is due for pneumococcal vaccination Case 3\":\n Encounter.\"One pneumococcal primary series dose was administered\"\n and Encounter.\"The client's age is less than or equal to 5 years\"\n and Encounter.\"The first pneumococcal dose was administered after 24 months post birth\"\n and Encounter.\"The latest pneumococcal dose was administered more than 8 weeks ago\"\n and Encounter.\"Client is at high risk for pneumococcal infection\"" ] ], [ 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 34 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZD2DTPneumococcal2DosesWithBoosterDoseLogic" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "Client is due for pneumococcal vaccination" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@output: Client is due for pneumococcal vaccination\n@pseudocode: \"Immunization recommendation status\" = \"Due\"\n*/\ndefine \"Client is due for pneumococcal vaccination\":\n \"Client is due for pneumococcal vaccination Case 1\"\n or \"Client is due for pneumococcal vaccination Case 2\"\n or \"Client is due for pneumococcal vaccination Case 3\"" ] ], [ 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 35 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZD2DTPneumococcal2DosesWithBoosterDoseLogic" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "Client is due for pneumococcal vaccination Guidance" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@output: Client is due for pneumococcal vaccination Guidance\n@guidance = Should vaccinate client with first pneumococcal dose as no pneumococcal doses were administered and client is within the appropriate age range.\nCheck for contraindications.\n@guidance = Should vaccinate client with second pneumococcal dose as the latest pneumococcal dose was administered more than 8 weeks ago. \nCheck for contraindications.\n@guidance = Should vaccinate client with second pneumococcal dose as the latest pneumococcal dose was administered more than 8 weeks ago and client is at high risk for pneumococcal infection. \nCheck for contraindications.\n*/\ndefine \"Client is due for pneumococcal vaccination Guidance\":\n case\n when \"Client is due for pneumococcal vaccination Case 1\" then 'Should vaccinate client with first pneumococcal dose as no pneumococcal doses were administered and client is within the appropriate age range.\nCheck for contraindications.'\n when \"Client is due for pneumococcal vaccination Case 2\" then 'Should vaccinate client with second pneumococcal dose as the latest pneumococcal dose was administered more than 8 weeks ago. \nCheck for contraindications.'\n when \"Client is due for pneumococcal vaccination Case 3\" then 'Should vaccinate client with second pneumococcal dose as the latest pneumococcal dose was administered more than 8 weeks ago and client is at high risk for pneumococcal infection. \nCheck for contraindications.'\n else ''\n end" ] ], [ 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 36 ; 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 "Client is not at high risk for pneumococcal infection" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@input: Client is not at high risk for pneumococcal infection\n@pseudocode: \"At high risk for pneumococcal infection\" = FALSE\n*/\ndefine \"Client is not at high risk for pneumococcal infection\":\n exists( \"At high risk for pneumococcal infection Observation\" O where O.value = false )" ] ], [ 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 37 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZD2DTPneumococcalEncounterElements" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "Client is not at high risk for pneumococcal infection" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@input: Client is not at high risk for pneumococcal infection\n@pseudocode: \"At high risk for pneumococcal infection\" = FALSE\n@code: Client is not at high risk for pneumococcal infection-49\n@decision: IMMZ.D2.DT.Pneumococcal.2 doses with booster dose: 2 primary doses with a booster dose (2p+1)\n@decision: IMMZ.D2.DT.Pneumococcal.3 doses: 3 primary doses (3p+0)\n*/\ndefine \"Client is not at high risk for pneumococcal infection\":\n Encounter.\"Client is not at high risk for pneumococcal infection\"" ] ], [ 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 38 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZD2DTPneumococcal2DosesWithBoosterDoseLogic" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "Pneumococcal immunization schedule is complete Case 1" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@output: Pneumococcal immunization schedule is complete Case 1\n@pseudocode: \"Immunization recommendation status\" = \"Complete\"\n\"Completed the primary vaccination series\" = TRUE (where \"Vaccine type\" = \"Pneumococcal vaccines\")\n*/\ndefine \"Pneumococcal immunization schedule is complete Case 1\":\n Encounter.\"One pneumococcal primary series dose was administered\"\n and Encounter.\"The client's age is less than or equal to 5 years\"\n and Encounter.\"The first pneumococcal dose was administered after 24 months post birth\"\n and Encounter.\"Client is not at high risk for pneumococcal infection\"" ] ], [ 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 39 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZD2DTPneumococcalEncounterElements" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "Two pneumococcal primary series doses were administered" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@input: Two pneumococcal primary series doses were administered\n@pseudocode: Count of vaccines administered (where \"Vaccine type\" = \"Pneumococcal vaccines\" and \"Type of dose\" = \"Primary series\") = 2\n@code: Two pneumococcal primary series doses were administered-121\n@decision: IMMZ.D2.DT.Pneumococcal.2 doses with booster dose: 2 primary doses with a booster dose (2p+1)\n@decision: IMMZ.D2.DT.Pneumococcal.3 doses: 3 primary doses (3p+0)\n*/\ndefine \"Two pneumococcal primary series doses were administered\":\n \"Number of Pneumococcal Primary Series Doses Administered\" = 2" ] ], [ 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 40 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZD2DTPneumococcalEncounterElements" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "Pneumococcal Booster Series Doses Administered to Patient" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@internal: Pneumococcal Booster Series Doses Administered to Patient\n*/\ndefine \"Pneumococcal Booster Series Doses Administered to Patient\":\n \"Pneumococcal Doses Administered to Patient\".seriesBooster()" ] ], [ 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 41 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZD2DTPneumococcalEncounterElements" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "Number of Pneumococcal Booster Series Doses Administered" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@internal: Number of Pneumococcal Booster Series Doses Administered\n*/\ndefine \"Number of Pneumococcal Booster Series Doses Administered\":\n Count(\"Pneumococcal Booster Series Doses Administered to Patient\")" ] ], [ 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 42 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZD2DTPneumococcalEncounterElements" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "No pneumococcal booster dose was administered" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@input: No pneumococcal booster dose was administered\n@pseudocode: Count of vaccines administered (where \"Vaccine type\" = \"Pneumococcal vaccines\" and \"Type of dose\" = \"Booster dose\") = 0\n@code: No pneumococcal booster dose was administered-119\n@decision: IMMZ.D2.DT.Pneumococcal.2 doses with booster dose: 2 primary doses with a booster dose (2p+1)\n@decision: IMMZ.D2.DT.Pneumococcal.3 doses: 3 primary doses (3p+0)\n*/\ndefine \"No pneumococcal booster dose was administered\":\n \"Number of Pneumococcal Booster Series Doses Administered\" = 0" ] ], [ 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 43 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZD2DTPneumococcalEncounterElements" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "The first pneumococcal dose was administered after 12 months post birth" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@input: The first pneumococcal dose was administered after 12 months post birth\n@pseudocode: \"Date and time of vaccination\" (where \"Vaccine type\" = \"Pneumococcal vaccines\" AND \"Dose number\" = 1) − \"Date of birth\" ≥ 12 months\n@code: The first pneumococcal dose was administered after 12 months post birth-131\n@decision: IMMZ.D2.DT.Pneumococcal.2 doses with booster dose: 2 primary doses with a booster dose (2p+1)\n@decision: IMMZ.D2.DT.Pneumococcal.3 doses: 3 primary doses (3p+0)\n*/\ndefine \"The first pneumococcal dose was administered after 12 months post birth\":\n AgeInMonthsAt(\"Date of First Pneumococcal Dose\") >= 12" ] ], [ 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:index 44 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZD2DTPneumococcal2DosesWithBoosterDoseLogic" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "Pneumococcal immunization schedule is complete Case 2" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@output: Pneumococcal immunization schedule is complete Case 2\n@pseudocode: \"Immunization recommendation status\" = \"Complete\"\n\"Completed the primary vaccination series\" = TRUE (where \"Vaccine type\" = \"Pneumococcal vaccines\")\n*/\ndefine \"Pneumococcal immunization schedule is complete Case 2\":\n Encounter.\"Two pneumococcal primary series doses were administered\"\n and Encounter.\"No pneumococcal booster dose was administered\"\n and Encounter.\"The client's age is less than or equal to 5 years\"\n and Encounter.\"The first pneumococcal dose was administered after 12 months post birth\"" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "40"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 45 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZD2DTPneumococcalEncounterElements" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "One pneumococcal booster dose was administered" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@input: One pneumococcal booster dose was administered\n@pseudocode: Count of vaccines administered (where \"Vaccine type\" = \"Pneumococcal vaccines\" and \"Type of dose\" = \"Booster dose\") = 1\n@code: One pneumococcal booster dose was administered-119\n@decision: IMMZ.D2.DT.Pneumococcal.2 doses with booster dose: 2 primary doses with a booster dose (2p+1)\n@decision: IMMZ.D2.DT.Pneumococcal.3 doses: 3 primary doses (3p+0)\n*/\ndefine \"One pneumococcal booster dose was administered\":\n \"Number of Pneumococcal Booster Series Doses Administered\" = 1" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "41"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 46 ; 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 Months" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/** \n * @dataElement Patient age in months\n */\ndefine \"Current Patient Age In Months\":\n AgeInMonthsAt(Today)" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "42"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 47 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZD2DTPneumococcalEncounterElements" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "The client's age is more than or equal to 12 months and less than 24 months" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@input: The client's age is more than or equal to 12 months and less than 24 months\n@pseudocode: 12 months ≤ Today's date − \"Date of birth\" < 24 months\n@code: The client's age is more than or equal to 12 months and less than 24 months-54\n@decision: IMMZ.D2.DT.Pneumococcal.2 doses with booster dose: 2 primary doses with a booster dose (2p+1)\n*/\ndefine \"The client's age is more than or equal to 12 months and less than 24 months\":\n 12 <= Encounter.\"Current Patient Age In Months\"\n and Encounter.\"Current Patient Age In Months\" < 24" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "43"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 48 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZD2DTPneumococcalEncounterElements" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "The latest pneumococcal dose was administered after 12 months post birth" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@input: The latest pneumococcal dose was administered after 12 months post birth\n@pseudocode: Latest \"Date and time of vaccination\" (where \"Vaccine type\" = \"Pneumococcal vaccines\") − \"Date of birth\" ≥ 12 months\n@code: The latest pneumococcal dose was administered after 12 months post birth-116\n@decision: IMMZ.D2.DT.Pneumococcal.2 doses with booster dose: 2 primary doses with a booster dose (2p+1)\n@decision: IMMZ.D2.DT.Pneumococcal.3 doses: 3 primary doses (3p+0)\n*/\ndefine \"The latest pneumococcal dose was administered after 12 months post birth\":\n AgeInMonthsAt(\"Date of Latest Pneumococcal Dose\") >= 12" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "44"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 49 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZD2DTPneumococcal2DosesWithBoosterDoseLogic" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "Pneumococcal immunization schedule is complete Case 3" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@output: Pneumococcal immunization schedule is complete Case 3\n@pseudocode: \"Immunization recommendation status\" = \"Complete\"\n*/\ndefine \"Pneumococcal immunization schedule is complete Case 3\":\n Encounter.\"Two pneumococcal primary series doses were administered\"\n and Encounter.\"One pneumococcal booster dose was administered\"\n and Encounter.\"The client's age is more than or equal to 12 months and less than 24 months\"\n and Encounter.\"The latest pneumococcal dose was administered after 12 months post birth\"" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "45"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 50 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZElements" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "HIV status Observation" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@internal: HIV Status Observation\n*/\ndefine \"HIV status Observation\":\n ([Observation: Concepts.\"HIV status\"]).complete()" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "46"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 51 ; 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 "Client's HIV status is positive" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@input: Client's HIV status is positive\n@pseudocode: \"HIV status\" = \"HIV-positive\"\n*/\ndefine \"Client's HIV status is positive\":\n exists( (Elements.\"HIV status Observation\".encounterOrOnBefore(EncounterId, Today)) O\n where O.value ~ Concepts.\"HIV-positive\" )" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "47"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 52 ; 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 "Client's HIV status is negative or unknown" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@input: Client's HIV status is negative or unknown\n@pseudocode: \"HIV status\" ≠ \"HIV-positive\"\n*/\ndefine \"Client's HIV status is negative or unknown\":\n not \"Client's HIV status is positive\"" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "48"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 53 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZD2DTPneumococcalEncounterElements" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "Client's HIV status is negative or unknown" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@input: Client's HIV status is negative or unknown\n@pseudocode: \"HIV status\" ≠ \"HIV-positive\"\n@code: Client's HIV status is negative or unknown-29\n@decision: IMMZ.D2.DT.Pneumococcal.2 doses with booster dose: 2 primary doses with a booster dose (2p+1)\n@decision: IMMZ.D2.DT.Pneumococcal.3 doses: 3 primary doses (3p+0)\n*/\ndefine \"Client's HIV status is negative or unknown\":\n Encounter.\"Client's HIV status is negative or unknown\"" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "49"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 54 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZElements" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "Preterm birth Observation" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@internal: Preterm birth Observation\n*/\ndefine \"Preterm birth Observation\":\n ([Observation: Concepts.\"Preterm birth\"]).complete()" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "50"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 55 ; 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 "Preterm birth Observation" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@internal: Preterm birth Observation\n*/\ndefine \"Preterm birth Observation\":\n Elements.\"Preterm birth Observation\".encounterOrOnBefore(EncounterId, Today)" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "51"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 56 ; 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 "Client was a premature infant at birth" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@input: Client was a premature infant at birth\n@pseudocode: \"Preterm birth\" = TRUE\n*/\ndefine \"Client was a premature infant at birth\":\n exists( \"Preterm birth Observation\" O where O.value = true )" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "52"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 57 ; 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 "Client was not a premature infant at birth" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@input: Client was not a premature infant at birth\n@pseudocode: \"Preterm birth\" ≠ TRUE\n*/\ndefine \"Client was not a premature infant at birth\":\n not(\"Client was a premature infant at birth\")" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "53"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 58 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZD2DTPneumococcalEncounterElements" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "Client did not have preterm birth" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@input: Client did not have preterm birth\n@pseudocode: \"Preterm birth\" ≠ TRUE\n@code: Client did not have preterm birth-22\n@decision: IMMZ.D2.DT.Pneumococcal.2 doses with booster dose: 2 primary doses with a booster dose (2p+1)\n@decision: IMMZ.D2.DT.Pneumococcal.3 doses: 3 primary doses (3p+0)\n*/\ndefine \"Client did not have preterm birth\":\n Encounter.\"Client was not a premature infant at birth\"" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "54"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 59 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZD2DTPneumococcal2DosesWithBoosterDoseLogic" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "Pneumococcal immunization schedule is complete Case 4" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@output: Pneumococcal immunization schedule is complete Case 4\n@pseudocode: \"Immunization recommendation status\" = \"Complete\"\n*/\ndefine \"Pneumococcal immunization schedule is complete Case 4\":\n Encounter.\"Two pneumococcal primary series doses were administered\"\n and Encounter.\"One pneumococcal booster dose was administered\"\n and Encounter.\"Client's HIV status is negative or unknown\"\n and Encounter.\"Client did not have preterm birth\"" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "55"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 60 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZD2DTPneumococcalEncounterElements" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "The client's age is more than or equal to 24 months" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@input: The client's age is more than or equal to 24 months\n@pseudocode: Today's date − \"Date of birth\" ≥ 24 months\n@code: The client's age is more than or equal to 24 months-42\n@decision: IMMZ.D2.DT.Pneumococcal.2 doses with booster dose: 2 primary doses with a booster dose (2p+1)\n@decision: IMMZ.D2.DT.Pneumococcal.3 doses: 3 primary doses (3p+0)\n*/\ndefine \"The client's age is more than or equal to 24 months\":\n Encounter.\"Current Patient Age In Months\" >= 24" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "56"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 61 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZD2DTPneumococcal2DosesWithBoosterDoseLogic" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "Pneumococcal immunization schedule is complete Case 5" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@output: Pneumococcal immunization schedule is complete Case 5\n@pseudocode: \"Immunization recommendation status\" = \"Complete\"\n*/\ndefine \"Pneumococcal immunization schedule is complete Case 5\":\n Encounter.\"Two pneumococcal primary series doses were administered\"\n and Encounter.\"One pneumococcal booster dose was administered\"\n and Encounter.\"The client's age is more than or equal to 24 months\"" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "57"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 62 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZD2DTPneumococcalEncounterElements" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "Two pneumococcal booster doses were administered" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@input: Two pneumococcal booster doses were administered\n@pseudocode: Count of vaccines administered (where \"Vaccine type\" = \"Pneumococcal vaccines\" and \"Type of dose\" = \"Booster dose\") = 2\n@code: Two pneumococcal booster doses were administered-119\n@decision: IMMZ.D2.DT.Pneumococcal.2 doses with booster dose: 2 primary doses with a booster dose (2p+1)\n*/\ndefine \"Two pneumococcal booster doses were administered\":\n \"Number of Pneumococcal Booster Series Doses Administered\" = 2" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "58"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 63 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZD2DTPneumococcal2DosesWithBoosterDoseLogic" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "Pneumococcal immunization schedule is complete Case 6" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@output: Pneumococcal immunization schedule is complete Case 6\n@pseudocode: \"Immunization recommendation status\" = \"Complete\"\n*/\ndefine \"Pneumococcal immunization schedule is complete Case 6\":\n Encounter.\"Two pneumococcal primary series doses were administered\"\n and Encounter.\"Two pneumococcal booster doses were administered\"" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "59"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 64 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZD2DTPneumococcal2DosesWithBoosterDoseLogic" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "Pneumococcal immunization schedule is complete" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@output: Pneumococcal immunization schedule is complete\n@pseudocode: \"Immunization recommendation status\" = \"Complete\"\n\"Completed the primary vaccination series\" = TRUE (where \"Vaccine type\" = \"Pneumococcal vaccines\")\n*/\ndefine \"Pneumococcal immunization schedule is complete\":\n \"Pneumococcal immunization schedule is complete Case 1\"\n or \"Pneumococcal immunization schedule is complete Case 2\"\n or \"Pneumococcal immunization schedule is complete Case 3\"\n or \"Pneumococcal immunization schedule is complete Case 4\"\n or \"Pneumococcal immunization schedule is complete Case 5\"\n or \"Pneumococcal immunization schedule is complete Case 6\"" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "60"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 65 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZD2DTPneumococcal2DosesWithBoosterDoseLogic" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "Pneumococcal immunization schedule is complete Guidance" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@output: Pneumococcal immunization schedule is complete Guidance\n@guidance = Pneumococcal immunization schedule is complete. One primary series dose was administered. \nCheck for any other vaccines due.\n@guidance = Pneumococcal immunization schedule is complete. Two pneumococcal primary series doses were administered. \nCheck for any other vaccines due.\n@guidance = Pneumococcal immunization schedule is complete. Two pneumococcal primary series doses and one booster dose were administered.\nCheck for any other vaccines due.\n@guidance = Pneumococcal immunization schedule is complete. Two pneumococcal primary series doses and one booster dose were administered.\nCheck for any other vaccines due.\n@guidance = Pneumococcal immunization schedule is complete. Two pneumococcal primary series doses and one booster dose were administered.\nCheck for any other vaccines due.\n@guidance = Pneumococcal immunization schedule is complete. Two pneumococcal primary series doses and two booster doses were administered. \nCheck for any other vaccines due.\n*/\ndefine \"Pneumococcal immunization schedule is complete Guidance\":\n case\n when \"Pneumococcal immunization schedule is complete Case 1\" then 'Pneumococcal immunization schedule is complete. One primary series dose was administered. \nCheck for any other vaccines due.'\n when \"Pneumococcal immunization schedule is complete Case 2\" then 'Pneumococcal immunization schedule is complete. Two pneumococcal primary series doses were administered. \nCheck for any other vaccines due.'\n when \"Pneumococcal immunization schedule is complete Case 3\" then 'Pneumococcal immunization schedule is complete. Two pneumococcal primary series doses and one booster dose were administered.\nCheck for any other vaccines due.'\n when \"Pneumococcal immunization schedule is complete Case 4\" then 'Pneumococcal immunization schedule is complete. Two pneumococcal primary series doses and one booster dose were administered.\nCheck for any other vaccines due.'\n when \"Pneumococcal immunization schedule is complete Case 5\" then 'Pneumococcal immunization schedule is complete. Two pneumococcal primary series doses and one booster dose were administered.\nCheck for any other vaccines due.'\n when \"Pneumococcal immunization schedule is complete Case 6\" then 'Pneumococcal immunization schedule is complete. Two pneumococcal primary series doses and two booster 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 "61"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 66 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZD2DTPneumococcalEncounterElements" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "The first pneumococcal dose was administered within 12 months post birth" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@input: The first pneumococcal dose was administered within 12 months post birth\n@pseudocode: \"Date and time of vaccination\" (where \"Vaccine type\" = \"Pneumococcal vaccines\" AND \"Dose number\" = 1) − \"Date of birth\" < 12 months\n@code: The first pneumococcal dose was administered within 12 months post birth-131\n@decision: IMMZ.D2.DT.Pneumococcal.2 doses with booster dose: 2 primary doses with a booster dose (2p+1)\n@decision: IMMZ.D2.DT.Pneumococcal.3 doses: 3 primary doses (3p+0)\n*/\ndefine \"The first pneumococcal dose was administered within 12 months post birth\":\n AgeInMonthsAt(\"Date of First Pneumococcal Dose\") < 12" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "62"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 67 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZD2DTPneumococcal2DosesWithBoosterDoseLogic" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "Client is due for pneumococcal booster dose Case 1" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@output: Client is due for pneumococcal booster dose Case 1\n@pseudocode: \"Immunization recommendation status\" = \"Due\"\n*/\ndefine \"Client is due for pneumococcal booster dose Case 1\":\n Encounter.\"Two pneumococcal primary series doses were administered\"\n and Encounter.\"No pneumococcal booster dose was administered\"\n and Encounter.\"The client's age is less than or equal to 5 years\"\n and Encounter.\"The first pneumococcal dose was administered within 12 months post birth\"" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "63"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 68 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZD2DTPneumococcalEncounterElements" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "The latest pneumococcal dose was administered within 12 months post birth" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@input: The latest pneumococcal dose was administered within 12 months post birth\n@pseudocode: Latest \"Date and time of vaccination\" (where \"Vaccine type\" = \"Pneumococcal vaccines\") − \"Date of birth\" < 12 months\n@code: The latest pneumococcal dose was administered within 12 months post birth-116\n@decision: IMMZ.D2.DT.Pneumococcal.2 doses with booster dose: 2 primary doses with a booster dose (2p+1)\n@decision: IMMZ.D2.DT.Pneumococcal.3 doses: 3 primary doses (3p+0)\n*/\ndefine \"The latest pneumococcal dose was administered within 12 months post birth\":\n AgeInMonthsAt(\"Date of Latest Pneumococcal Dose\") < 12" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "64"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 69 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZD2DTPneumococcalEncounterElements" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "Client's HIV status is positive" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@input: Client's HIV status is positive\n@pseudocode: \"HIV status\" = \"HIV-positive\"\n@code: Client's HIV status is positive-29\n@decision: IMMZ.D2.DT.Pneumococcal.2 doses with booster dose: 2 primary doses with a booster dose (2p+1)\n@decision: IMMZ.D2.DT.Pneumococcal.3 doses: 3 primary doses (3p+0)\n*/\ndefine \"Client's HIV status is positive\":\n Encounter.\"Client's HIV status is positive\"" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "65"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 70 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZD2DTPneumococcal2DosesWithBoosterDoseLogic" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "Client is due for pneumococcal booster dose Case 2" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@output: Client is due for pneumococcal booster dose Case 2\n@pseudocode: \"Immunization recommendation status\" = \"Due\"\n*/\ndefine \"Client is due for pneumococcal booster dose Case 2\":\n Encounter.\"Two pneumococcal primary series doses were administered\"\n and Encounter.\"One pneumococcal booster dose was administered\"\n and Encounter.\"The client's age is more than or equal to 12 months and less than 24 months\"\n and Encounter.\"The latest pneumococcal dose was administered within 12 months post birth\"\n and Encounter.\"Client's HIV status is positive\"" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "66"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 71 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZD2DTPneumococcalEncounterElements" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "Client had preterm birth" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@input: Client had preterm birth\n@pseudocode: \"Preterm birth\" = TRUE\n@code: Client had preterm birth-22\n@decision: IMMZ.D2.DT.Pneumococcal.2 doses with booster dose: 2 primary doses with a booster dose (2p+1)\n@decision: IMMZ.D2.DT.Pneumococcal.3 doses: 3 primary doses (3p+0)\n*/\ndefine \"Client had preterm birth\":\n Encounter.\"Client was a premature infant at birth\"" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "67"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 72 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZD2DTPneumococcal2DosesWithBoosterDoseLogic" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "Client is due for pneumococcal booster dose Case 3" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@output: Client is due for pneumococcal booster dose Case 3\n@pseudocode: \"Immunization recommendation status\" = \"Due\"\n*/\ndefine \"Client is due for pneumococcal booster dose Case 3\":\n Encounter.\"Two pneumococcal primary series doses were administered\"\n and Encounter.\"One pneumococcal booster dose was administered\"\n and Encounter.\"The client's age is more than or equal to 12 months and less than 24 months\"\n and Encounter.\"The latest pneumococcal dose was administered within 12 months post birth\"\n and Encounter.\"Client had preterm birth\"" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "68"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 73 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZD2DTPneumococcal2DosesWithBoosterDoseLogic" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "Client is due for pneumococcal booster dose" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@output: Client is due for pneumococcal booster dose\n@pseudocode: \"Immunization recommendation status\" = \"Due\"\n*/\ndefine \"Client is due for pneumococcal booster dose\":\n \"Client is due for pneumococcal booster dose Case 1\"\n or \"Client is due for pneumococcal booster dose Case 2\"\n or \"Client is due for pneumococcal booster dose Case 3\"" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "69"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 74 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZD2DTPneumococcal2DosesWithBoosterDoseLogic" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "Client is due for pneumococcal booster dose Guidance" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@output: Client is due for pneumococcal booster dose Guidance\n@guidance = Should vaccinate client with first pneumococcal booster dose as first pneumococcal dose was administered within 12 months post birth. \nCheck for contraindications.\n@guidance = Should vaccinate client with second pneumococcal booster dose as client is HIV positive and latest pneumococcal dose was administered within 12 months post birth.\nCheck for contraindications.\n@guidance = Should vaccinate client with second pneumococcal booster dose as client had preterm birth and latest pneumococcal dose was administered within 12 months post birth.\nCheck for contraindications.\n*/\ndefine \"Client is due for pneumococcal booster dose Guidance\":\n case\n when \"Client is due for pneumococcal booster dose Case 1\" then 'Should vaccinate client with first pneumococcal booster dose as first pneumococcal dose was administered within 12 months post birth. \nCheck for contraindications.'\n when \"Client is due for pneumococcal booster dose Case 2\" then 'Should vaccinate client with second pneumococcal booster dose as client is HIV positive and latest pneumococcal dose was administered within 12 months post birth.\nCheck for contraindications.'\n when \"Client is due for pneumococcal booster dose Case 3\" then 'Should vaccinate client with second pneumococcal booster dose as client had preterm birth and latest pneumococcal dose was administered within 12 months post birth.\nCheck for contraindications.'\n else ''\n end" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "70"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 75 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZD2DTPneumococcalEncounterElements" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "The client's age is less than 12 months" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@input: The client's age is less than 12 months\n@pseudocode: Today's date − \"Date of birth\" < 12 months\n@code: The client's age is less than 12 months-42\n@decision: IMMZ.D2.DT.Pneumococcal.2 doses with booster dose: 2 primary doses with a booster dose (2p+1)\n*/\ndefine \"The client's age is less than 12 months\":\n Encounter.\"Current Patient Age In Months\" < 12" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "71"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 76 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZD2DTPneumococcal2DosesWithBoosterDoseLogic" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "Client is not due for pneumococcal booster dose Case 1" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@output: Client is not due for pneumococcal booster dose Case 1\n@pseudocode: \"Immunization recommendation status\" = \"Not due\"\n*/\ndefine \"Client is not due for pneumococcal booster dose Case 1\":\n Encounter.\"Two pneumococcal primary series doses were administered\"\n and Encounter.\"One pneumococcal booster dose was administered\"\n and Encounter.\"The client's age is less than 12 months\"\n and Encounter.\"Client's HIV status is positive\"" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "72"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 77 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZD2DTPneumococcal2DosesWithBoosterDoseLogic" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "Client is not due for pneumococcal booster dose Case 2" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@output: Client is not due for pneumococcal booster dose Case 2\n@pseudocode: \"Immunization recommendation status\" = \"Not due\"\n*/\ndefine \"Client is not due for pneumococcal booster dose Case 2\":\n Encounter.\"Two pneumococcal primary series doses were administered\"\n and Encounter.\"One pneumococcal booster dose was administered\"\n and Encounter.\"The client's age is less than 12 months\"\n and Encounter.\"Client had preterm birth\"" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "73"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 78 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZD2DTPneumococcal2DosesWithBoosterDoseLogic" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "Client is not due for pneumococcal booster dose" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@output: Client is not due for pneumococcal booster dose\n@pseudocode: \"Immunization recommendation status\" = \"Not due\"\n*/\ndefine \"Client is not due for pneumococcal booster dose\":\n \"Client is not due for pneumococcal booster dose Case 1\"\n or \"Client is not due for pneumococcal booster dose Case 2\"" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "74"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 79 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZD2DTPneumococcal2DosesWithBoosterDoseLogic" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "Client is not due for pneumococcal booster dose Guidance" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@output: Client is not due for pneumococcal booster dose Guidance\n@guidance = Should not vaccinate client with second pneumococcal booster dose as client's age is less than 12 months and client is HIV positive. \nCheck for any other vaccines due and inform the caregiver of when to come back for the next dose.\n@guidance = Should not vaccinate client with second pneumococcal booster dose as client's age is less than 12 months and client had preterm birth. \nCheck for any other vaccines due and inform the caregiver of when to come back for the next dose.\n*/\ndefine \"Client is not due for pneumococcal booster dose Guidance\":\n case\n when \"Client is not due for pneumococcal booster dose Case 1\" then 'Should not vaccinate client with second pneumococcal booster dose as client\\'s age is less than 12 months and client is HIV positive. \nCheck for any other vaccines due and inform the caregiver of when to come back for the next dose.'\n when \"Client is not due for pneumococcal booster dose Case 2\" then 'Should not vaccinate client with second pneumococcal booster dose as client\\'s age is less than 12 months and client had preterm birth. \nCheck for any other vaccines due and inform the caregiver of when to come back for the next dose.'\n else ''\n end" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "75"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 80 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZD2DTPneumococcalEncounterElements" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "The client's age is more than 5 years" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@input: The client's age is more than 5 years\n@pseudocode: Today's date − \"Date of birth\" > 5 years\n@code: The client's age is more than 5 years-40\n@decision: IMMZ.D2.DT.Pneumococcal.2 doses with booster dose: 2 primary doses with a booster dose (2p+1)\n@decision: IMMZ.D2.DT.Pneumococcal.3 doses: 3 primary doses (3p+0)\n*/\ndefine \"The client's age is more than 5 years\":\n Encounter.\"Current Patient Age In Months\" > 5" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "76"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 81 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZD2DTPneumococcal2DosesWithBoosterDoseLogic" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "Clinical judgement is required. Create a clinical note" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@output: Clinical judgement is required. Create a clinical note\n@pseudocode: \"Immunization recommendation status\" = \"Further evaluation needed\"\n*/\ndefine \"Clinical judgement is required. Create a clinical note\":\n Encounter.\"The client's age is more than 5 years\"" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "77"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 82 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZD2DTPneumococcal2DosesWithBoosterDoseLogic" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "Clinical judgement is required. Create a clinical note Guidance" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@output: Clinical judgement is required. Create a clinical note Guidance\n@guidance: Members States should update this action according to the national immunization programme.\n*/\ndefine \"Clinical judgement is required. Create a clinical note Guidance\":\n 'Members States should update this action according to the national immunization programme.'" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "78"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 83 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZD2DTPneumococcal2DosesWithBoosterDoseLogic" ] ], [ 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 pneumococcal vaccination\" then \"Client is not due for pneumococcal vaccination Guidance\"\n when \"Client is due for pneumococcal vaccination\" then \"Client is due for pneumococcal vaccination Guidance\"\n when \"Pneumococcal immunization schedule is complete\" then \"Pneumococcal immunization schedule is complete Guidance\"\n when \"Client is due for pneumococcal booster dose\" then \"Client is due for pneumococcal booster dose Guidance\"\n when \"Client is not due for pneumococcal booster dose\" then \"Client is not due for pneumococcal booster dose Guidance\"\n when \"Clinical judgement is required. Create a clinical note\" then \"Clinical judgement is required. Create a clinical note Guidance\" \n else ''\n end" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "79"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 84 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZD2DTPneumococcal2DosesWithBoosterDoseLogic" ] ], [ 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 "80"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 85 ; 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 "81"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 86 ; 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 "82"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 87 ; 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 "83"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 88 ; 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 "84"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 89 ; 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 "85"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 90 ; 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 "86"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 91 ; 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 "87"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 92 ; 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 "88"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 93 ; 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 "encounterOrOnBefore" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/**\n * @description: Gets observation from an encounter or on or before a date\n */\ndefine fluent function encounterOrOnBefore(observations List<Observation>, EncounterId String, beforeDate Date):\n observations O where\n (O.encounter.references(EncounterId)\n or O.effective.toInterval() starts same day or before beforeDate)" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "89"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 94 ; 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 "references" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@description: Returns true if the given reference is to the given resourceId\n@comment: Returns true if the `resourceId` parameter exactly equals the tail of the given reference.\nNOTE: This function assumes resources from the same source server.\n*/\ndefine fluent function references(reference FHIR.Reference, resourceId String):\n resourceId = Last(Split(reference.reference, '/'))" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "90"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 95 ; 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 "complete" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "define fluent function complete(observations List<Observation>):\n observations O where O.status in { 'final', 'amended', 'corrected' }" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "91"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 96 ; 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 ObservationStatus): value.value" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "92"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 97 ; 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 "93"^^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/IMMZD2DTPneumococcalEncounterElements" ; fhir:link <http://smart.who.int/immunizations/Library/IMMZD2DTPneumococcalEncounterElements> ] ], [ 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 "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 11 ; 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 12 ; 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 13 ; fhir:RelatedArtifact.type [ fhir:value "depends-on" ] ; fhir:RelatedArtifact.display [ fhir:value "Code system IMMZD" ] ; fhir:RelatedArtifact.resource [ fhir:value "http://smart.who.int/immunizations/CodeSystem/IMMZ.D" ; fhir:link <http://smart.who.int/immunizations/CodeSystem/IMMZ.D> ] ], [ fhir:index 14 ; fhir:RelatedArtifact.type [ fhir:value "depends-on" ] ; fhir:RelatedArtifact.display [ fhir:value "Value set Pneumococcal vaccines" ] ; fhir:RelatedArtifact.resource [ fhir:value "http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE13" ; fhir:link <http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE13> ] ] ; 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 "EncounterId" ] ; 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 "string" ] ], [ fhir:index 2 ; fhir:ParameterDefinition.name [ fhir:value "Guidance" ] ; fhir:ParameterDefinition.use [ fhir:value "out" ] ; fhir:ParameterDefinition.min [ fhir:value "0"^^xsd:integer ] ; fhir:ParameterDefinition.max [ fhir:value "1" ] ; fhir:ParameterDefinition.type [ fhir:value "string" ] ], [ fhir:index 3 ; fhir:ParameterDefinition.name [ fhir:value "Client is due for pneumococcal vaccination" ] ; fhir:ParameterDefinition.use [ fhir:value "out" ] ; fhir:ParameterDefinition.min [ fhir:value "0"^^xsd:integer ] ; fhir:ParameterDefinition.max [ fhir:value "1" ] ; fhir:ParameterDefinition.type [ fhir:value "boolean" ] ], [ fhir:index 4 ; fhir:ParameterDefinition.name [ fhir:value "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:index 5 ; fhir:ParameterDefinition.name [ fhir:value "Client is due for pneumococcal booster dose" ] ; 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 "Observation" ] ; fhir:DataRequirement.profile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Observation" ; fhir:index 0 ; fhir:link <http://hl7.org/fhir/StructureDefinition/Observation> ] ; fhir:DataRequirement.mustSupport [ fhir:value "code" ; fhir:index 0 ] ; fhir:DataRequirement.codeFilter [ fhir:index 0 ; fhir:DataRequirement.codeFilter.path [ fhir:value "code" ] ; fhir:DataRequirement.codeFilter.code [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://smart.who.int/immunizations/CodeSystem/IMMZ.D" ] ; fhir:Coding.code [ fhir:value "DE251" ] ; fhir:Coding.display [ fhir:value "At high risk for pneumococcal infection" ] ] ] ], [ fhir:index 6 ; fhir:DataRequirement.type [ fhir:value "Observation" ] ; fhir:DataRequirement.profile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Observation" ; fhir:index 0 ; fhir:link <http://hl7.org/fhir/StructureDefinition/Observation> ] ; fhir:DataRequirement.mustSupport [ fhir:value "code" ; fhir:index 0 ] ; fhir:DataRequirement.codeFilter [ fhir:index 0 ; fhir:DataRequirement.codeFilter.path [ fhir:value "code" ] ; fhir:DataRequirement.codeFilter.code [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://smart.who.int/immunizations/CodeSystem/IMMZ.D" ] ; fhir:Coding.code [ fhir:value "DE204" ] ; fhir:Coding.display [ fhir:value "HIV status" ] ] ] ], [ fhir:index 7 ; fhir:DataRequirement.type [ fhir:value "Observation" ] ; fhir:DataRequirement.profile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Observation" ; fhir:index 0 ; fhir:link <http://hl7.org/fhir/StructureDefinition/Observation> ] ; fhir:DataRequirement.mustSupport [ fhir:value "code" ; fhir:index 0 ] ; fhir:DataRequirement.codeFilter [ fhir:index 0 ; fhir:DataRequirement.codeFilter.path [ fhir:value "code" ] ; fhir:DataRequirement.codeFilter.code [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://smart.who.int/immunizations/CodeSystem/IMMZ.D" ] ; fhir:Coding.code [ fhir:value "DE208" ] ; fhir:Coding.display [ fhir:value "Preterm birth" ] ] ] ], [ fhir:index 8 ; 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 9 ; 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 10 ; fhir:DataRequirement.type [ fhir:value "Observation" ] ; fhir:DataRequirement.profile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Observation" ; fhir:index 0 ; fhir:link <http://hl7.org/fhir/StructureDefinition/Observation> ] ; fhir:DataRequirement.mustSupport [ fhir:value "code" ; fhir:index 0 ] ; fhir:DataRequirement.codeFilter [ fhir:index 0 ; fhir:DataRequirement.codeFilter.path [ fhir:value "code" ] ; fhir:DataRequirement.codeFilter.code [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://smart.who.int/immunizations/CodeSystem/IMMZ.D" ] ; fhir:Coding.code [ fhir:value "DE251" ] ; fhir:Coding.display [ fhir:value "At high risk for pneumococcal infection" ] ] ] ], [ fhir:index 11 ; 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 12 ; 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 13 ; fhir:DataRequirement.type [ fhir:value "Observation" ] ; fhir:DataRequirement.profile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Observation" ; fhir:index 0 ; fhir:link <http://hl7.org/fhir/StructureDefinition/Observation> ] ; fhir:DataRequirement.mustSupport [ fhir:value "code" ; fhir:index 0 ] ; fhir:DataRequirement.codeFilter [ fhir:index 0 ; fhir:DataRequirement.codeFilter.path [ fhir:value "code" ] ; fhir:DataRequirement.codeFilter.code [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://smart.who.int/immunizations/CodeSystem/IMMZ.D" ] ; fhir:Coding.code [ fhir:value "DE208" ] ; fhir:Coding.display [ fhir:value "Preterm birth" ] ] ] ] ] ; 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/IMMZD2DTPneumococcal2DosesWithBoosterDose"] ; fhir:PlanDefinition.version [ fhir:value "0.2.0"] ; fhir:PlanDefinition.name [ fhir:value "IMMZD2DTPneumococcal2DosesWithBoosterDose"] ; fhir:PlanDefinition.title [ fhir:value "IMMZ.D2.DT.Pneumococcal.2 doses with booster dose"] ; 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.Pneumococcal.2 doses with booster dose\n2 primary doses with a booster dose (2p+1)"] ; 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/IMMZD2DTPneumococcal2DosesWithBoosterDoseLogic" ; fhir:index 0 ; fhir:link <http://smart.who.int/immunizations/Library/IMMZD2DTPneumococcal2DosesWithBoosterDoseLogic> ] ; 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 "For administration of pneumococcal vaccine to infants, WHO recommends a 3-dose schedule \n administered either as 2p+1 or as 3p+0, starting as early as 6 weeks of age." ] ] ; fhir:PlanDefinition.action.title [ fhir:value "Determine if the client is due for BCG." ] ; fhir:PlanDefinition.action.description [ fhir:value "Determine if the client is due for BCG vaccine according to the national immunization protocol.\n2 primary doses with a booster dose (2p+1)" ] ; 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 pneumococcal vaccination" ] ; fhir:Expression.language [ fhir:value "text/cql-identifier" ] ; fhir:Expression.expression [ fhir:value "Client is due for pneumococcal 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: 'DE13', display: 'Pneumococcal vaccines' } }, display: 'Pneumococcal vaccines' }" ] ] ] ], [ fhir:index 1 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-rationale" ] ; fhir:Extension.valueMarkdown [ fhir:value "HIV-positive infants and preterm neonates who have received their 3 primary vaccine doses \n before 12 months of age may benefit from a booster dose in the second year of life. There is no defined \n minimum or maximum interval between the primary series and the booster dose." ] ] ; fhir:PlanDefinition.action.title [ fhir:value "Determine if the client is due for BCG." ] ; fhir:PlanDefinition.action.description [ fhir:value "Determine if the client is due for BCG vaccine according to the national immunization protocol.\n2 primary doses with a booster dose (2p+1)" ] ; 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 pneumococcal booster dose" ] ; fhir:Expression.language [ fhir:value "text/cql-identifier" ] ; fhir:Expression.expression [ fhir:value "Client is due for pneumococcal booster dose" ] ] ] ; 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: 'DE13', display: 'Pneumococcal vaccines' } }, display: 'Pneumococcal vaccines' }" ] ] ] ], [ fhir:index 2 ; fhir:PlanDefinition.action.title [ fhir:value "Check for Guidance for the patient regarding IMMZ.D2.DT.Pneumococcal.2 doses with booster dose." ] ; fhir:PlanDefinition.action.description [ fhir:value "Show Guidance for the patient regarding IMMZ.D2.DT.Pneumococcal.2 doses with booster dose." ] ; 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/IMMZD2DTPneumococcal2DosesWithBoosterDose.ttl> a owl:Ontology ; owl:imports fhir:fhir.ttl ; owl:versionIRI <http://build.fhir.org/PlanDefinition/IMMZD2DTPneumococcal2DosesWithBoosterDose.ttl> .
IG © 2023+ WHO. Package smart.who.int.immunizations#0.2.0 based on FHIR 4.0.1. Generated 2026-07-07
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