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/IMMZD2DTPolioSequentialIPVbOPV> a fhir:PlanDefinition ; fhir:nodeRole fhir:treeRoot ; fhir:Resource.id [ fhir:value "IMMZD2DTPolioSequentialIPVbOPV"] ; 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;\">IMMZD2DTPolioSequentialIPVbOPV</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-IMMZD2DTPolioSequentialIPVbOPV.html\">IMMZ.D2.DT.Polio.Sequential IPV–bOPV</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.Polio.Sequential IPV–bOPV</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.Polio.Sequential IPV–bOPV\nSequential \"Bivalent oral polio vaccine (bOPV)–inactivated polio vaccine (IPV)\" schedule (in countries with high vaccination coverage [e.g. 90–95%] and low importation risk [where neighbouring countries and/or countries that share substantial population movement have a similarly high coverage])</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-IMMZD2DTPolioSequentialIPVbOPVLogic.html\">IMMZD2DTPolioSequentialIPVbOPVLogic</a></td>\n </tr>\n \n </table>\n </td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Actions: </b></th>\n <td style=\"padding-left: 4px;\">\n <table class=\"grid-dict\">\n \n <tr>\n <td>\n \n <b> Determine if the client is due for a poliovirus vaccination according to the national immunization schedule:</b> Determine if the client is due for a poliovirus vaccination according to the national immunization schedule\nSequential \"Bivalent oral polio vaccine (bOPV)–inactivated polio vaccine (IPV)\" schedule (in countries with high \nvaccination coverage [e.g. 90–95%] and low importation risk [where neighbouring countries and/or countries that share \nsubstantial population movement have a similarly high coverage])\n \n <br/>\n \n \n <b>If:</b>\n \n <i>Applicability:</i>\n \n Client is due for IPV vaccination\n \n <i>(Client is due for IPV 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: 'DE31', display: 'Inactivated polio vaccines' } }, display: 'Inactivated polio vaccines' })</i>\n <br/>\n \n \n \n \n </td>\n </tr>\n \n <tr>\n <td>\n \n <b> Determine if the client is due for a poliovirus vaccination according to the national immunization schedule:</b> Determine if the client is due for a poliovirus vaccination according to the national immunization schedule\nSequential \"Bivalent oral polio vaccine (bOPV)–inactivated polio vaccine (IPV)\" schedule (in countries with high \nvaccination coverage [e.g. 90–95%] and low importation risk [where neighbouring countries and/or countries that share \nsubstantial population movement have a similarly high coverage])\n \n <br/>\n \n \n <b>If:</b>\n \n <i>Applicability:</i>\n \n Client is due for bOPV vaccination\n \n <i>(Client is due for bOPV 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: 'DE30', display: 'Oral polio vaccines' } }, display: 'Oral polio 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.Polio.Sequential IPV–bOPV.:</b> Show Guidance for the patient regarding IMMZ.D2.DT.Polio.Sequential IPV–bOPV.\n \n <br/>\n \n \n <b>If:</b>\n \n <i>Applicability:</i>\n \n Has Guidance\n \n <i>(Has Guidance)</i>\n <br/>\n \n \n \n \n <b>Then:</b> <i>Definition:</i> <a href=\"ActivityDefinition-IMMZD2DTCR.html\">IMMZ.D2.DT.CR</a><br/>\n \n <i>Dynamic Values:</i><br/>\n \n status: <i>('active')</i>\n <br/>\n \n payload.contentString: <i>(Guidance)</i>\n <br/>\n \n category.coding: <i>(Code { system: 'http://terminology.hl7.org/CodeSystem/communication-category', code: 'alert' })</i>\n <br/>\n \n priority: <i>(Code { system: 'http://hl7.org/fhir/request-priority', code: 'routine' })</i>\n <br/>\n \n \n \n \n </td>\n </tr>\n \n </table>\n </td>\n </tr>\n \n </table>\n</div>\n</div>" ] ; fhir:DomainResource.contained [ a fhir:Library ; fhir:index 0 ; fhir:Resource.id [ fhir:value "effective-data-requirements" ] ; fhir:DomainResource.extension [ fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZElements" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "Doses Administered to Patient" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/**\n * @dataElement All Doses Administered to Patient\n */\ndefine \"Doses Administered to Patient\":\n [Immunization] I\n where I.status = 'completed'\n and I.isSubpotent is not true" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "0"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 1 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZD2DTPolioElements" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "Polio Doses Administered to Patient" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@internal: Polio containing Doses Administered to Patient\n*/\ndefine \"Polio Doses Administered to Patient\":\n Elements.\"Doses Administered to Patient\" I\n where\n I.vaccineCode in Concepts.\"Poliovirus-containing vaccines\"" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "1"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 2 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZD2DTPolioElements" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "Polio Primary Series Doses Administered to Patient" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@internal: Polio containing Doses Administered to Patient that are in the Primary series\n*/\ndefine \"Polio Primary Series Doses Administered to Patient\":\n \"Polio Doses Administered to Patient\".seriesPrimary()" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "2"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 3 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZD2DTPolioEncounterElements" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "Polio Primary Series Doses Administered to Patient" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@internal: Polio containing Doses Administered to Patient that are in the Primary series\n*/\ndefine \"Polio Primary Series Doses Administered to Patient\":\n PolioElements.\"Polio Primary Series Doses Administered to Patient\".onOrBefore(Today)" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "3"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 4 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZD2DTPolioEncounterElements" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "Number of Polio Primary Series Doses Administered" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@internal: Number of Polio Primary Series doses\n*/\ndefine \"Number of Polio Primary Series Doses Administered\":\n Count(\"Polio Primary Series Doses Administered to Patient\")" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "4"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 5 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZD2DTPolioEncounterElements" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "No poliovirus primary series doses were administered" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@input: No poliovirus primary series doses were administered\n@pseudocode: Count of vaccines administered (where \"Vaccine type\" = \"Poliovirus-containing vaccines\" and \"Type of dose\" = \"Primary series\") = 0\n@code: No poliovirus primary series doses were administered-130\n@decision: IMMZ.D2.DT.Polio.bOPV plus IPV: \"Bivalent oral polio vaccine (bOPV) plus inactivated polio vaccine (IPV)\" schedule (applicable for all countries)\n@decision: IMMZ.D2.DT.Polio.Sequential IPV–bOPV: Sequential \"Bivalent oral polio vaccine (bOPV)–inactivated polio vaccine (IPV)\" schedule (in countries with high vaccination coverage [e.g. 90–95%] and low importation risk [where neighbouring countries and/or countries that share substantial population movement have a similarly high coverage])\n@decision: IMMZ.D2.DT.Polio.IPV-only: Inactivated polio vaccine (IPV)-only (in countries, in polio-free regions, with a very low risk of importation and sustained high routine immunization coverage (third dose of the diphtheria–tetanus–pertussis vaccine [DTP3] > 90%)\n*/\ndefine \"No poliovirus primary series doses were administered\":\n \"Number of Polio Primary Series Doses Administered\" = 0" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "5"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 6 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "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 "6"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 7 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZD2DTPolioEncounterElements" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "Client's age is less than 8 weeks" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@input: Client's age is less than 8 weeks\n@pseudocode: Today's date − \"Date of birth\" < 8 weeks\n@code: Client's age is less than 8 weeks-40\n@decision: IMMZ.D2.DT.Polio.Sequential IPV–bOPV: Sequential \"Bivalent oral polio vaccine (bOPV)–inactivated polio vaccine (IPV)\" schedule (in countries with high vaccination coverage [e.g. 90–95%] and low importation risk [where neighbouring countries and/or countries that share substantial population movement have a similarly high coverage])\n*/\ndefine \"Client's age is less than 8 weeks\":\n Encounter.\"Current Patient Age In Weeks\" < 8" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "7"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 8 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZD2DTPolioSequentialIPVbOPVLogic" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "Client is not due for IPV vaccination Case 1" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@output: Client is not due for IPV vaccination Case 1\n@pseudocode: \"Immunization recommendation status\" = \"Not due\"\n*/\ndefine \"Client is not due for IPV vaccination Case 1\":\n Encounter.\"No poliovirus primary series doses were administered\"\n and Encounter.\"Client's age is less than 8 weeks\"" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "8"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 9 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZD2DTPolioEncounterElements" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "One poliovirus primary series dose was administered" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@input: One poliovirus primary series dose was administered\n@pseudocode: Count of vaccines administered (where \"Vaccine type\" = \"Poliovirus-containing vaccines\" and \"Type of dose\" = \"Primary series\") = 1\n@code: One poliovirus primary series dose was administered-130\n@decision: IMMZ.D2.DT.Polio.bOPV plus IPV: \"Bivalent oral polio vaccine (bOPV) plus inactivated polio vaccine (IPV)\" schedule (applicable for all countries)\n@decision: IMMZ.D2.DT.Polio.Sequential IPV–bOPV: Sequential \"Bivalent oral polio vaccine (bOPV)–inactivated polio vaccine (IPV)\" schedule (in countries with high vaccination coverage [e.g. 90–95%] and low importation risk [where neighbouring countries and/or countries that share substantial population movement have a similarly high coverage])\n@decision: IMMZ.D2.DT.Polio.IPV-only: Inactivated polio vaccine (IPV)-only (in countries, in polio-free regions, with a very low risk of importation and sustained high routine immunization coverage (third dose of the diphtheria–tetanus–pertussis vaccine [DTP3] > 90%)\n*/\ndefine \"One poliovirus primary series dose was administered\":\n \"Number of Polio Primary Series Doses Administered\" = 1" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "9"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 10 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZD2DTPolioEncounterElements" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "Polio Doses Administered to Patient" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@internal: Polio containing Doses Administered to Patient\n*/\ndefine \"Polio Doses Administered to Patient\":\n PolioElements.\"Polio Doses Administered to Patient\".onOrBefore(Today)" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "10"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 11 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZD2DTPolioEncounterElements" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "Date of Latest Polio Dose" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@internal: Date of Latest Polio Dose\n*/\ndefine \"Date of Latest Polio Dose\":\n date from start of \"Polio Doses Administered to Patient\".mostRecent().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 12 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZD2DTPolioEncounterElements" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "The latest poliovirus dose was administered less than 4 weeks ago" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@input: The latest poliovirus dose was administered less than 4 weeks ago\n@pseudocode: Today's date − Latest \"Date and time of vaccination\" (where \"Vaccine type\" = \"Poliovirus-containing vaccines\") < 4 weeks\n@code: The latest poliovirus dose was administered less than 4 weeks ago-120\n@decision: IMMZ.D2.DT.Polio.Sequential IPV–bOPV: Sequential \"Bivalent oral polio vaccine (bOPV)–inactivated polio vaccine (IPV)\" schedule (in countries with high vaccination coverage [e.g. 90–95%] and low importation risk [where neighbouring countries and/or countries that share substantial population movement have a similarly high coverage])\n@decision: IMMZ.D2.DT.Polio.IPV-only: Inactivated polio vaccine (IPV)-only (in countries, in polio-free regions, with a very low risk of importation and sustained high routine immunization coverage (third dose of the diphtheria–tetanus–pertussis vaccine [DTP3] > 90%)\n*/\ndefine \"The latest poliovirus dose was administered less than 4 weeks ago\":\n \"Date of Latest Polio Dose\" is not null\n and duration in weeks between \"Date of Latest Polio Dose\" and Today < 4" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "12"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 13 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZD2DTPolioSequentialIPVbOPVLogic" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "Client is not due for IPV vaccination Case 2" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@output: Client is not due for IPV vaccination Case 2\n@pseudocode: \"Immunization recommendation status\" = \"Not due\"\n*/\ndefine \"Client is not due for IPV vaccination Case 2\":\n Encounter.\"One poliovirus primary series dose was administered\"\n and Encounter.\"The latest poliovirus dose was administered less than 4 weeks ago\"" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "13"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 14 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZD2DTPolioSequentialIPVbOPVLogic" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "Client is not due for IPV vaccination" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@output: Client is not due for IPV vaccination\n@pseudocode: \"Immunization recommendation status\" = \"Not due\"\n*/\ndefine \"Client is not due for IPV vaccination\":\n \"Client is not due for IPV vaccination Case 1\"\n or \"Client is not due for IPV vaccination Case 2\"" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "14"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 15 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZD2DTPolioSequentialIPVbOPVLogic" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "Client is not due for IPV vaccination Guidance" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@output: Client is not due for IPV vaccination Guidance\n@guidance = Should not vaccinate client with first IPV dose as client's age is less than 8 weeks. \nCheck for any other vaccines due and inform the caregiver of when to come back for the first poliovirus dose.\n@guidance = Should not vaccinate client with second IPV dose as the latest IPV dose was administered less than 4 weeks ago. \nCheck for any other vaccines due and inform the caregiver of when to come back for the next dose.\n*/\ndefine \"Client is not due for IPV vaccination Guidance\":\n case\n when \"Client is not due for IPV vaccination Case 1\" then 'Should not vaccinate client with first IPV dose as client\\'s age is less than 8 weeks. \nCheck for any other vaccines due and inform the caregiver of when to come back for the first poliovirus dose.'\n when \"Client is not due for IPV vaccination Case 2\" then 'Should not vaccinate client with second IPV dose as the latest IPV dose was administered less than 4 weeks ago. \nCheck for any other vaccines due and inform the caregiver of when to come back for the next dose.'\n else ''\n end" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "15"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 16 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZD2DTPolioEncounterElements" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "Client's age is more than or equal to 8 weeks" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@input: Client's age is more than or equal to 8 weeks\n@pseudocode: Today's date − \"Date of birth\" ≥ 8 weeks\n@code: Client's age is more than or equal to 8 weeks-40\n@decision: IMMZ.D2.DT.Polio.Sequential IPV–bOPV: Sequential \"Bivalent oral polio vaccine (bOPV)–inactivated polio vaccine (IPV)\" schedule (in countries with high vaccination coverage [e.g. 90–95%] and low importation risk [where neighbouring countries and/or countries that share substantial population movement have a similarly high coverage])\n*/\ndefine \"Client's age is more than or equal to 8 weeks\":\n Encounter.\"Current Patient Age In Weeks\" >= 8" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "16"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 17 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZD2DTPolioSequentialIPVbOPVLogic" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "Client is due for IPV vaccination Case 1" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@output: Client is due for IPV vaccination Case 1\n@pseudocode: \"Immunization recommendation status\" = \"Due\" (where \"Type of poliovirus dose\" = \"IPV\")\n*/\ndefine \"Client is due for IPV vaccination Case 1\":\n Encounter.\"No poliovirus primary series doses were administered\"\n and Encounter.\"Client's age is more than or equal to 8 weeks\"" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "17"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 18 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZD2DTPolioEncounterElements" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "The latest poliovirus dose was administered more than 4 weeks ago" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@input: The latest poliovirus dose was administered more than 4 weeks ago\n@pseudocode: Today's date − Latest \"Date and time of vaccination\" (where \"Vaccine type\" = \"Poliovirus-containing vaccines\") ≥ 4 weeks\n@code: The latest poliovirus dose was administered more than 4 weeks ago-120\n@decision: IMMZ.D2.DT.Polio.Sequential IPV–bOPV: Sequential \"Bivalent oral polio vaccine (bOPV)–inactivated polio vaccine (IPV)\" schedule (in countries with high vaccination coverage [e.g. 90–95%] and low importation risk [where neighbouring countries and/or countries that share substantial population movement have a similarly high coverage])\n@decision: IMMZ.D2.DT.Polio.IPV-only: Inactivated polio vaccine (IPV)-only (in countries, in polio-free regions, with a very low risk of importation and sustained high routine immunization coverage (third dose of the diphtheria–tetanus–pertussis vaccine [DTP3] > 90%)\n*/\ndefine \"The latest poliovirus dose was administered more than 4 weeks ago\":\n not(\"The latest poliovirus dose was administered less than 4 weeks ago\")" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "18"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 19 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZD2DTPolioSequentialIPVbOPVLogic" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "Client is due for IPV vaccination Case 2" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@output: Client is due for IPV vaccination Case 2\n@pseudocode: \"Immunization recommendation status\" = \"Due\" (where \"Type of poliovirus dose\" = \"IPV\")\n*/\ndefine \"Client is due for IPV vaccination Case 2\":\n Encounter.\"One poliovirus primary series dose was administered\"\n and Encounter.\"The latest poliovirus dose was administered more than 4 weeks ago\"" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "19"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 20 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZD2DTPolioSequentialIPVbOPVLogic" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "Client is due for IPV vaccination" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@output: Client is due for IPV vaccination\n@pseudocode: \"Immunization recommendation status\" = \"Due\" (where \"Type of poliovirus dose\" = \"IPV\")\n*/\ndefine \"Client is due for IPV vaccination\":\n \"Client is due for IPV vaccination Case 1\"\n or \"Client is due for IPV vaccination Case 2\"" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "20"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 21 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZD2DTPolioSequentialIPVbOPVLogic" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "Client is due for IPV vaccination Guidance" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@output: Client is due for IPV vaccination Guidance\n@guidance = Should vaccinate client with first IPV dose as client is within appropriate age range and IPV dose was not administered. \nCheck for contraindications.\n@guidance = Should vaccinate client with second IPV dose as the latest IPV dose was administered more than 4 weeks ago.\nCheck for contraindications.\n*/\ndefine \"Client is due for IPV vaccination Guidance\":\n case\n when \"Client is due for IPV vaccination Case 1\" then 'Should vaccinate client with first IPV dose as client is within appropriate age range and IPV dose was not administered. \nCheck for contraindications.'\n when \"Client is due for IPV vaccination Case 2\" then 'Should vaccinate client with second IPV dose as the latest IPV dose was administered more than 4 weeks ago.\nCheck for contraindications.'\n else ''\n end" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "21"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 22 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZD2DTPolioEncounterElements" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "Two poliovirus primary series doses were administered" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@input: Two poliovirus primary series doses were administered\n@pseudocode: Count of vaccines administered (where \"Vaccine type\" = \"Poliovirus-containing vaccines\" and \"Type of dose\" = \"Primary series\") = 2\n@code: Two poliovirus primary series doses were administered-130\n@decision: IMMZ.D2.DT.Polio.bOPV plus IPV: \"Bivalent oral polio vaccine (bOPV) plus inactivated polio vaccine (IPV)\" schedule (applicable for all countries)\n@decision: IMMZ.D2.DT.Polio.Sequential IPV–bOPV: Sequential \"Bivalent oral polio vaccine (bOPV)–inactivated polio vaccine (IPV)\" schedule (in countries with high vaccination coverage [e.g. 90–95%] and low importation risk [where neighbouring countries and/or countries that share substantial population movement have a similarly high coverage])\n@decision: IMMZ.D2.DT.Polio.IPV-only: Inactivated polio vaccine (IPV)-only (in countries, in polio-free regions, with a very low risk of importation and sustained high routine immunization coverage (third dose of the diphtheria–tetanus–pertussis vaccine [DTP3] > 90%)\n*/\ndefine \"Two poliovirus primary series doses were administered\":\n \"Number of Polio Primary Series Doses Administered\" = 2" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "22"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 23 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZD2DTPolioSequentialIPVbOPVLogic" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "Client is due for bOPV vaccination Case 1" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@output: Client is due for bOPV vaccination Case 1\n@pseudocode: \"Immunization recommendation status\" = \"Due\" (where \"Type of poliovirus dose\" = \"bOPV\")\n*/\ndefine \"Client is due for bOPV vaccination Case 1\":\n Encounter.\"Two poliovirus primary series doses were administered\"" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "23"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 24 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZD2DTPolioEncounterElements" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "Three poliovirus primary series doses were administered" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@input: Three poliovirus primary series doses were administered\n@pseudocode: Count of vaccines administered (where \"Vaccine type\" = \"Poliovirus-containing vaccines\" and \"Type of dose\" = \"Primary series\") = 3\n@code: Three poliovirus primary series doses were administered-130\n@decision: IMMZ.D2.DT.Polio.bOPV plus IPV: \"Bivalent oral polio vaccine (bOPV) plus inactivated polio vaccine (IPV)\" schedule (applicable for all countries)\n@decision: IMMZ.D2.DT.Polio.Sequential IPV–bOPV: Sequential \"Bivalent oral polio vaccine (bOPV)–inactivated polio vaccine (IPV)\" schedule (in countries with high vaccination coverage [e.g. 90–95%] and low importation risk [where neighbouring countries and/or countries that share substantial population movement have a similarly high coverage])\n@decision: IMMZ.D2.DT.Polio.IPV-only: Inactivated polio vaccine (IPV)-only (in countries, in polio-free regions, with a very low risk of importation and sustained high routine immunization coverage (third dose of the diphtheria–tetanus–pertussis vaccine [DTP3] > 90%)\n*/\ndefine \"Three poliovirus primary series doses were administered\":\n \"Number of Polio Primary Series Doses Administered\" = 3" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "24"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 25 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZD2DTPolioSequentialIPVbOPVLogic" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "Client is due for bOPV vaccination Case 2" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@output: Client is due for bOPV vaccination Case 2\n@pseudocode: \"Immunization recommendation status\" = \"Due\" (where \"Type of poliovirus dose\" = \"bOPV\")\n*/\ndefine \"Client is due for bOPV vaccination Case 2\":\n Encounter.\"Three poliovirus primary series doses were administered\"\n and Encounter.\"The latest poliovirus dose was administered more than 4 weeks ago\"" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "25"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 26 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZD2DTPolioSequentialIPVbOPVLogic" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "Client is due for bOPV vaccination" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@output: Client is due for bOPV vaccination\n@pseudocode: \"Immunization recommendation status\" = \"Due\" (where \"Type of poliovirus dose\" = \"bOPV\")\n*/\ndefine \"Client is due for bOPV vaccination\":\n \"Client is due for bOPV vaccination Case 1\"\n or \"Client is due for bOPV vaccination Case 2\"" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "26"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 27 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZD2DTPolioSequentialIPVbOPVLogic" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "Client is due for bOPV vaccination Guidance" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@output: Client is due for bOPV vaccination Guidance\n@guidance = Should vaccinate client with first bOPV dose as two IPV doses were administered.\nCheck for contraindications.\n@guidance = Should vaccinate client with second bOPV dose as the latest bOPV dose was administered more than 4 weeks ago.\nCheck for contraindications.\n*/\ndefine \"Client is due for bOPV vaccination Guidance\":\n case\n when \"Client is due for bOPV vaccination Case 1\" then 'Should vaccinate client with first bOPV dose as two IPV doses were administered.\nCheck for contraindications.'\n when \"Client is due for bOPV vaccination Case 2\" then 'Should vaccinate client with second bOPV dose as the latest bOPV dose was administered more than 4 weeks ago.\nCheck for contraindications.'\n else ''\n end" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "27"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 28 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZD2DTPolioSequentialIPVbOPVLogic" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "Client is not due for bOPV vaccination" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@output: Client is not due for bOPV vaccination\n@pseudocode: \"Immunization recommendation status\" = \"Not due\"\n*/\ndefine \"Client is not due for bOPV vaccination\":\n Encounter.\"Three poliovirus primary series doses were administered\"\n and Encounter.\"The latest poliovirus dose was administered less than 4 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 29 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZD2DTPolioSequentialIPVbOPVLogic" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "Client is not due for bOPV vaccination Guidance" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@output: Client is not due for bOPV vaccination Guidance\n@guidance: Should not vaccinate client with second bOPV dose as the latest bOPV dose was administered less than 4 weeks ago. \nCheck for any other vaccines due and inform the caregiver of when to come back for the next dose\n*/\ndefine \"Client is not due for bOPV vaccination Guidance\":\n 'Should not vaccinate client with second bOPV dose as the latest bOPV dose was administered less than 4 weeks ago. \nCheck for any other vaccines due and inform the caregiver of when to come back for the next dose'" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "29"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 30 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZD2DTPolioEncounterElements" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "Four poliovirus primary series doses were administered" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@input: Four poliovirus primary series doses were administered\n@pseudocode: Count of vaccines administered (where \"Vaccine type\" = \"Poliovirus-containing vaccines\" and \"Type of dose\" = \"Primary series\") = 4\n@code: Four poliovirus primary series doses were administered-130\n@decision: IMMZ.D2.DT.Polio.bOPV plus IPV: \"Bivalent oral polio vaccine (bOPV) plus inactivated polio vaccine (IPV)\" schedule (applicable for all countries)\n@decision: IMMZ.D2.DT.Polio.Sequential IPV–bOPV: Sequential \"Bivalent oral polio vaccine (bOPV)–inactivated polio vaccine (IPV)\" schedule (in countries with high vaccination coverage [e.g. 90–95%] and low importation risk [where neighbouring countries and/or countries that share substantial population movement have a similarly high coverage])\n*/\ndefine \"Four poliovirus primary series doses were administered\":\n \"Number of Polio Primary Series Doses Administered\" = 4" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "30"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 31 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZD2DTPolioSequentialIPVbOPVLogic" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "Primary series is complete" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@output: Primary series is complete\n@pseudocode: \"Immunization recommendation status\" = \"Further evaluation needed\"\n\"Completed the primary vaccination series\" = TRUE (where \"Vaccine type\" = \"Poliovirus-containing vaccines\")\n*/\ndefine \"Primary series is complete\":\n Encounter.\"Four poliovirus primary series doses were administered\"" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "31"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 32 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZD2DTPolioSequentialIPVbOPVLogic" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "Primary series is complete Guidance" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@output: Primary series is complete Guidance\n@guidance: Poliovirus primary series is complete. Assess if supplementary bOPV dose(s) are necessary and create a clinical note.\nCheck for any other vaccines due.\n*/\ndefine \"Primary series is complete Guidance\":\n 'Poliovirus primary series is complete. Assess if supplementary bOPV dose(s) are necessary and create a clinical note.\nCheck for any other vaccines due.'" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "32"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 33 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZD2DTPolioSequentialIPVbOPVLogic" ] ], [ 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 IPV vaccination\" then \"Client is not due for IPV vaccination Guidance\"\n when \"Client is due for IPV vaccination\" then \"Client is due for IPV vaccination Guidance\"\n when \"Client is due for bOPV vaccination\" then \"Client is due for bOPV vaccination Guidance\"\n when \"Client is not due for bOPV vaccination\" then \"Client is not due for bOPV vaccination Guidance\"\n when \"Primary series is complete\" then \"Primary series is complete Guidance\" \n else ''\n end" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "33"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 34 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZD2DTPolioSequentialIPVbOPVLogic" ] ], [ 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 "34"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 35 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZCommon" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "onOrBefore" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/**\n * @description: Gets immunizations on or before a date\n */\ndefine fluent function onOrBefore(immunizations List<Immunization>, beforeDate Date):\n immunizations I where\n I.occurrence.toInterval() same day or before beforeDate" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "35"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 36 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "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 "36"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 37 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "FHIRHelpers" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "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 "37"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 38 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "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 "38"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 39 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "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 "39"^^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 "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 "40"^^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 "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 "41"^^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 "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 "42"^^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/IMMZD2DTPolioEncounterElements" ; fhir:link <http://smart.who.int/immunizations/Library/IMMZD2DTPolioEncounterElements> ] ], [ fhir:index 2 ; fhir:RelatedArtifact.type [ fhir:value "depends-on" ] ; fhir:RelatedArtifact.display [ fhir:value "Library Common" ] ; fhir:RelatedArtifact.resource [ fhir:value "http://smart.who.int/immunizations/Library/IMMZCommon" ; fhir:link <http://smart.who.int/immunizations/Library/IMMZCommon> ] ], [ fhir:index 3 ; fhir:RelatedArtifact.type [ fhir:value "depends-on" ] ; fhir:RelatedArtifact.display [ fhir:value "Library WC" ] ; fhir:RelatedArtifact.resource [ fhir:value "http://smart.who.int/immunizations/Library/WHOCommon" ; fhir:link <http://smart.who.int/immunizations/Library/WHOCommon> ] ], [ fhir:index 4 ; fhir:RelatedArtifact.type [ fhir:value "depends-on" ] ; fhir:RelatedArtifact.display [ fhir:value "Library PolioElements" ] ; fhir:RelatedArtifact.resource [ fhir:value "http://smart.who.int/immunizations/Library/IMMZD2DTPolioElements" ; fhir:link <http://smart.who.int/immunizations/Library/IMMZD2DTPolioElements> ] ], [ fhir:index 5 ; 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 6 ; 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 7 ; fhir:RelatedArtifact.type [ fhir:value "depends-on" ] ; fhir:RelatedArtifact.display [ fhir:value "Library FHIRHelpers" ] ; fhir:RelatedArtifact.resource [ fhir:value "http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1" ; fhir:link <http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1> ] ], [ fhir:index 8 ; fhir:RelatedArtifact.type [ fhir:value "depends-on" ] ; fhir:RelatedArtifact.display [ fhir:value "Library Concepts" ] ; fhir:RelatedArtifact.resource [ fhir:value "http://smart.who.int/immunizations/Library/IMMZConcepts" ; fhir:link <http://smart.who.int/immunizations/Library/IMMZConcepts> ] ], [ fhir:index 9 ; fhir:RelatedArtifact.type [ fhir:value "depends-on" ] ; fhir:RelatedArtifact.display [ fhir:value "Library Encounter" ] ; fhir:RelatedArtifact.resource [ fhir:value "http://smart.who.int/immunizations/Library/IMMZEncounterElements" ; fhir:link <http://smart.who.int/immunizations/Library/IMMZEncounterElements> ] ], [ fhir:index 10 ; fhir:RelatedArtifact.type [ fhir:value "depends-on" ] ; fhir:RelatedArtifact.display [ fhir:value "Library WC" ] ; fhir:RelatedArtifact.resource [ fhir:value "http://smart.who.int/immunizations/Library/WHOCommon" ; fhir:link <http://smart.who.int/immunizations/Library/WHOCommon> ] ], [ fhir:index 11 ; fhir:RelatedArtifact.type [ fhir:value "depends-on" ] ; fhir:RelatedArtifact.display [ fhir:value "Value set Poliovirus-containing vaccines" ] ; fhir:RelatedArtifact.resource [ fhir:value "http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE14" ; fhir:link <http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE14> ] ] ; fhir:Library.parameter [ fhir:index 0 ; fhir:ParameterDefinition.name [ fhir:value "Today" ] ; fhir:ParameterDefinition.use [ fhir:value "in" ] ; fhir:ParameterDefinition.min [ fhir:value "0"^^xsd:integer ] ; fhir:ParameterDefinition.max [ fhir:value "1" ] ; fhir:ParameterDefinition.type [ fhir:value "date" ] ], [ fhir:index 1 ; fhir:ParameterDefinition.name [ fhir:value "Guidance" ] ; fhir:ParameterDefinition.use [ fhir:value "out" ] ; fhir:ParameterDefinition.min [ fhir:value "0"^^xsd:integer ] ; fhir:ParameterDefinition.max [ fhir:value "1" ] ; fhir:ParameterDefinition.type [ fhir:value "string" ] ], [ fhir:index 2 ; fhir:ParameterDefinition.name [ fhir:value "Client is due for bOPV vaccination" ] ; fhir:ParameterDefinition.use [ fhir:value "out" ] ; fhir:ParameterDefinition.min [ fhir:value "0"^^xsd:integer ] ; fhir:ParameterDefinition.max [ fhir:value "1" ] ; fhir:ParameterDefinition.type [ fhir:value "boolean" ] ], [ fhir:index 3 ; fhir:ParameterDefinition.name [ fhir:value "Client is due for IPV 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:Library.dataRequirement [ fhir:index 0 ; fhir:DataRequirement.type [ fhir:value "Immunization" ] ; fhir:DataRequirement.profile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Immunization" ; fhir:index 0 ; fhir:link <http://hl7.org/fhir/StructureDefinition/Immunization> ] ; fhir:DataRequirement.mustSupport [ fhir:value "status" ; fhir:index 0 ], [ fhir:value "isSubpotent" ; fhir:index 1 ] ], [ fhir:index 1 ; fhir:DataRequirement.type [ fhir:value "Immunization" ] ; fhir:DataRequirement.profile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Immunization" ; fhir:index 0 ; fhir:link <http://hl7.org/fhir/StructureDefinition/Immunization> ] ; fhir:DataRequirement.mustSupport [ fhir:value "status" ; fhir:index 0 ], [ fhir:value "isSubpotent" ; fhir:index 1 ], [ fhir:value "vaccineCode" ; fhir:index 2 ] ], [ fhir:index 2 ; fhir:DataRequirement.type [ fhir:value "Patient" ] ; fhir:DataRequirement.profile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Patient" ; fhir:index 0 ; fhir:link <http://hl7.org/fhir/StructureDefinition/Patient> ] ], [ fhir:index 3 ; fhir:DataRequirement.type [ fhir:value "Immunization" ] ; fhir:DataRequirement.profile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Immunization" ; fhir:index 0 ; fhir:link <http://hl7.org/fhir/StructureDefinition/Immunization> ] ; fhir:DataRequirement.mustSupport [ fhir:value "status" ; fhir:index 0 ], [ fhir:value "isSubpotent" ; fhir:index 1 ], [ fhir:value "vaccineCode" ; fhir:index 2 ] ], [ fhir:index 4 ; fhir:DataRequirement.type [ fhir:value "Immunization" ] ; fhir:DataRequirement.profile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Immunization" ; fhir:index 0 ; fhir:link <http://hl7.org/fhir/StructureDefinition/Immunization> ] ; fhir:DataRequirement.mustSupport [ fhir:value "status" ; fhir:index 0 ], [ fhir:value "isSubpotent" ; fhir:index 1 ], [ fhir:value "vaccineCode" ; fhir:index 2 ] ], [ fhir:index 5 ; fhir:DataRequirement.type [ fhir:value "Immunization" ] ; fhir:DataRequirement.profile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Immunization" ; fhir:index 0 ; fhir:link <http://hl7.org/fhir/StructureDefinition/Immunization> ] ; fhir:DataRequirement.mustSupport [ fhir:value "status" ; fhir:index 0 ], [ fhir:value "isSubpotent" ; fhir:index 1 ], [ fhir:value "vaccineCode" ; fhir:index 2 ] ] ] ; fhir:DomainResource.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeCapability" ] ; fhir:Extension.valueCode [ fhir:value "computable" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-effectiveDataRequirements" ] ; fhir:Extension.valueCanonical [ fhir:value "#effective-data-requirements" ] ] ; fhir:PlanDefinition.url [ fhir:value "http://smart.who.int/immunizations/PlanDefinition/IMMZD2DTPolioSequentialIPVbOPV"] ; fhir:PlanDefinition.version [ fhir:value "0.2.0"] ; fhir:PlanDefinition.name [ fhir:value "IMMZD2DTPolioSequentialIPVbOPV"] ; fhir:PlanDefinition.title [ fhir:value "IMMZ.D2.DT.Polio.Sequential IPV–bOPV"] ; 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.Polio.Sequential IPV–bOPV\nSequential \"Bivalent oral polio vaccine (bOPV)–inactivated polio vaccine (IPV)\" schedule (in countries with high vaccination coverage [e.g. 90–95%] and low importation risk [where neighbouring countries and/or countries that share substantial population movement have a similarly high coverage])"] ; 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/IMMZD2DTPolioSequentialIPVbOPVLogic" ; fhir:index 0 ; fhir:link <http://smart.who.int/immunizations/Library/IMMZD2DTPolioSequentialIPVbOPVLogic> ] ; 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 sequential IPV– bOPV schedules, WHO recommends that the first dose of IPV be given starting from 8 weeks of \n age with an interval of 4–8 weeks before administration of the second IPV dose. This should be followed by at least 2 doses \n of bOPV separated by 4–8 weeks depending on the risk of exposure to poliovirus in early childhood. Where a sequential IPV–bOPV \n schedule is used, the initial administration of 2 doses of IPV should be followed by ≥2 doses of bOPV to ensure sufficient \n levels of protection in the intestinal mucosa as well as a decrease in the burden of vaccine-associated paralytic polio (VAPP)." ] ] ; fhir:PlanDefinition.action.title [ fhir:value "Determine if the client is due for a poliovirus vaccination according to the national immunization schedule" ] ; fhir:PlanDefinition.action.description [ fhir:value "Determine if the client is due for a poliovirus vaccination according to the national immunization schedule\nSequential \"Bivalent oral polio vaccine (bOPV)–inactivated polio vaccine (IPV)\" schedule (in countries with high \nvaccination coverage [e.g. 90–95%] and low importation risk [where neighbouring countries and/or countries that share \nsubstantial population movement have a similarly high coverage])" ] ; 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 IPV vaccination" ] ; fhir:Expression.language [ fhir:value "text/cql-identifier" ] ; fhir:Expression.expression [ fhir:value "Client is due for IPV 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: 'DE31', display: 'Inactivated polio vaccines' } }, display: 'Inactivated polio 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 "For sequential IPV– bOPV schedules, WHO recommends that the first dose of IPV be given starting from 8 weeks of \n age with an interval of 4–8 weeks before administration of the second IPV dose. This should be followed by at least 2 doses \n of bOPV separated by 4–8 weeks depending on the risk of exposure to poliovirus in early childhood. Where a sequential IPV–bOPV \n schedule is used, the initial administration of 2 doses of IPV should be followed by ≥2 doses of bOPV to ensure sufficient \n levels of protection in the intestinal mucosa as well as a decrease in the burden of vaccine-associated paralytic polio (VAPP)." ] ] ; fhir:PlanDefinition.action.title [ fhir:value "Determine if the client is due for a poliovirus vaccination according to the national immunization schedule" ] ; fhir:PlanDefinition.action.description [ fhir:value "Determine if the client is due for a poliovirus vaccination according to the national immunization schedule\nSequential \"Bivalent oral polio vaccine (bOPV)–inactivated polio vaccine (IPV)\" schedule (in countries with high \nvaccination coverage [e.g. 90–95%] and low importation risk [where neighbouring countries and/or countries that share \nsubstantial population movement have a similarly high coverage])" ] ; 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 bOPV vaccination" ] ; fhir:Expression.language [ fhir:value "text/cql-identifier" ] ; fhir:Expression.expression [ fhir:value "Client is due for bOPV 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: 'DE30', display: 'Oral polio vaccines' } }, display: 'Oral polio vaccines' }" ] ] ] ], [ fhir:index 2 ; fhir:PlanDefinition.action.title [ fhir:value "Check for Guidance for the patient regarding IMMZ.D2.DT.Polio.Sequential IPV–bOPV." ] ; fhir:PlanDefinition.action.description [ fhir:value "Show Guidance for the patient regarding IMMZ.D2.DT.Polio.Sequential IPV–bOPV." ] ; 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/IMMZD2DTPolioSequentialIPVbOPV.ttl> a owl:Ontology ; owl:imports fhir:fhir.ttl ; owl:versionIRI <http://build.fhir.org/PlanDefinition/IMMZD2DTPolioSequentialIPVbOPV.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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