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 2025-08-08 |
@prefix fhir: <http://hl7.org/fhir/> . @prefix owl: <http://www.w3.org/2002/07/owl#> . @prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> . @prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> . @prefix xsd: <http://www.w3.org/2001/XMLSchema#> . # - resource ------------------------------------------------------------------- a fhir:PlanDefinition ; fhir:nodeRole fhir:treeRoot ; fhir:id [ fhir:v "IMMZD2DTPoliobOPVIPV"] ; # fhir:meta [ ( fhir:profile [ fhir:v "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-recommendationdefinition"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-recommendationdefinition> ] [ fhir:v "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareableplandefinition"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareableplandefinition> ] [ fhir:v "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-publishableplandefinition"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-publishableplandefinition> ] ) ] ; # fhir:text [ fhir:status [ fhir:v "extensions" ] ; fhir: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;\">IMMZD2DTPoliobOPVIPV</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-IMMZD2DTPoliobOPVIPV.html\">IMMZ.D2.DT.Polio.bOPV plus IPV</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.bOPV plus IPV</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/6.5.0/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;\">2025-08-08 19:12:11+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.bOPV plus IPV\n\"Bivalent oral polio vaccine (bOPV) plus inactivated polio vaccine (IPV)\" schedule (applicable for all countries)</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-IMMZD2DTPoliobOPVIPVLogic.html\">IMMZD2DTPoliobOPVIPVLogic</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\n\"Bivalent oral polio vaccine (bOPV) plus inactivated polio vaccine (IPV)\" schedule (applicable for all countries)\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-IMMZD2DTPolioOPVMR.html\">IMMZ.D2.DT.Polio.OPV.MR</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 \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\n\"Bivalent oral polio vaccine (bOPV) plus inactivated polio vaccine (IPV)\" schedule (applicable for all countries)\n \n <br/>\n \n \n <b>If:</b>\n \n <i>Applicability:</i>\n \n Client is due for bOPV and IPV vaccination\n \n <i>(Client is due for bOPV and IPV vaccination)</i>\n <br/>\n \n \n \n \n <b>Then:</b> <i>Definition:</i> <a href=\"ActivityDefinition-IMMZD2DTPolioOPVMR.html\">IMMZ.D2.DT.Polio.OPV.MR</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 \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\n\"Bivalent oral polio vaccine (bOPV) plus inactivated polio vaccine (IPV)\" schedule (applicable for all countries)\n \n <br/>\n \n \n <b>If:</b>\n \n <i>Applicability:</i>\n \n Client is due for bOPV and IPV vaccination\n \n <i>(Client is due for bOPV and IPV vaccination)</i>\n <br/>\n \n \n \n \n <b>Then:</b> <i>Definition:</i> <a href=\"ActivityDefinition-IMMZD2DTPolioIPVMR.html\">IMMZ.D2.DT.Polio.IPV.MR</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 \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\n\"Bivalent oral polio vaccine (bOPV) plus inactivated polio vaccine (IPV)\" schedule (applicable for all countries)\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-IMMZD2DTPolioIPVMR.html\">IMMZ.D2.DT.Polio.IPV.MR</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 \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.bOPV plus IPV.:</b> Show Guidance for the patient regarding IMMZ.D2.DT.Polio.bOPV plus IPV.\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>"^^rdf:XMLLiteral ] ; # fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeCapability"^^xsd:anyURI ] ; fhir:value [ a fhir:code ; fhir:v "computable" ] ] ) ; # fhir:url [ fhir:v "http://smart.who.int/immunizations/PlanDefinition/IMMZD2DTPoliobOPVIPV"^^xsd:anyURI] ; # fhir:version [ fhir:v "0.2.0"] ; # fhir:name [ fhir:v "IMMZD2DTPoliobOPVIPV"] ; # fhir:title [ fhir:v "IMMZ.D2.DT.Polio.bOPV plus IPV"] ; # fhir:type [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/plan-definition-type"^^xsd:anyURI ] ; fhir:code [ fhir:v "eca-rule" ] ] ) ] ; # fhir:status [ fhir:v "draft"] ; # fhir:experimental [ fhir:v false] ; # fhir:date [ fhir:v "2025-08-08T19:12:11+00:00"^^xsd:dateTime] ; # fhir:publisher [ fhir:v "WHO"] ; # fhir:contact ( [ fhir:name [ fhir:v "WHO" ] ; ( fhir:telecom [ fhir:system [ fhir:v "url" ] ; fhir:value [ fhir:v "http://who.int" ] ] ) ] ) ; # fhir:description [ fhir:v "IMMZ.D2.DT.Polio.bOPV plus IPV\n \"Bivalent oral polio vaccine (bOPV) plus inactivated polio vaccine (IPV)\" schedule (applicable for all countries)"] ; # fhir:relatedArtifact ( [ fhir:type [ fhir:v "citation" ] ; fhir:citation [ fhir:v "WHO recommendations for routine immunization - summary tables (January 2025)" ] ] ) ; # fhir:library ( [ fhir:v "http://smart.who.int/immunizations/Library/IMMZD2DTPoliobOPVIPVLogic"^^xsd:anyURI ; fhir:link <http://smart.who.int/immunizations/Library/IMMZD2DTPoliobOPVIPVLogic> ] ) ; # fhir:action ( [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-rationale"^^xsd:anyURI ] ; fhir:value [ a fhir:markdown ; fhir:v "For all countries using OPV in their national immunization programme, WHO recommends 3 doses of bOPV and 2 doses of IPV. \n The preferred schedule is to administer the 3 doses of bOPV starting from the minimum age of 6 weeks, with at least a 4 week-interval \n between doses. The first IPV dose should be administered from a minimum of 14 weeks of age (with the third dose of the \n diphtheria–tetanus–pertussis vaccine [DTP3] or pentavalent vaccine [penta3]), with the second IPV dose being given at least \n 4 months later (possibly coinciding with other vaccines administered at 9 months of age). Note: Based on local epidemiology, \n programmatic implications and feasibility of delivery, countries may choose an alternative “early IPV schedule” starting with \n the first IPV dose at 6 weeks of age (with DTP1/penta1) and the second IPV dose at 14 weeks (with DTP3/penta3)." ] ] ) ; fhir:title [ fhir:v "Determine if the client is due for a poliovirus vaccination according to the national immunization schedule" ] ; fhir:description [ fhir:v "Determine if the client is due for a poliovirus vaccination according to the national immunization schedule\n\"Bivalent oral polio vaccine (bOPV) plus inactivated polio vaccine (IPV)\" schedule (applicable for all countries)" ] ; ( fhir:condition [ fhir:kind [ fhir:v "applicability" ] ; fhir:expression [ fhir:description [ fhir:v "Client is due for bOPV vaccination" ] ; fhir:language [ fhir:v "text/cql-identifier" ] ; fhir:expression [ fhir:v "Client is due for bOPV vaccination" ] ] ] ) ; fhir:definition [ a fhir:canonical ; fhir:v "http://smart.who.int/immunizations/ActivityDefinition/IMMZD2DTPolioOPVMR"^^xsd:anyURI ; fhir:link <http://smart.who.int/immunizations/ActivityDefinition/IMMZD2DTPolioOPVMR> ] ; ( fhir:dynamicValue [ fhir:path [ fhir:v "status" ] ; fhir:expression [ fhir:language [ fhir:v "text/cql-expression" ] ; fhir:expression [ fhir:v "'draft'" ] ] ] [ fhir:path [ fhir:v "intent" ] ; fhir:expression [ fhir:language [ fhir:v "text/cql-expression" ] ; fhir:expression [ fhir:v "'proposal'" ] ] ] ) ] [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-rationale"^^xsd:anyURI ] ; fhir:value [ a fhir:markdown ; fhir:v "For all countries using OPV in their national immunization programme, WHO recommends 3 doses of bOPV and 2 doses of IPV. \n The preferred schedule is to administer the 3 doses of bOPV starting from the minimum age of 6 weeks, with at least a 4 week-interval \n between doses. The first IPV dose should be administered from a minimum of 14 weeks of age (with the third dose of the \n diphtheria–tetanus–pertussis vaccine [DTP3] or pentavalent vaccine [penta3]), with the second IPV dose being given at least \n 4 months later (possibly coinciding with other vaccines administered at 9 months of age). Note: Based on local epidemiology, \n programmatic implications and feasibility of delivery, countries may choose an alternative “early IPV schedule” starting with \n the first IPV dose at 6 weeks of age (with DTP1/penta1) and the second IPV dose at 14 weeks (with DTP3/penta3)." ] ] ) ; fhir:title [ fhir:v "Determine if the client is due for a poliovirus vaccination according to the national immunization schedule" ] ; fhir:description [ fhir:v "Determine if the client is due for a poliovirus vaccination according to the national immunization schedule\n\"Bivalent oral polio vaccine (bOPV) plus inactivated polio vaccine (IPV)\" schedule (applicable for all countries)" ] ; ( fhir:condition [ fhir:kind [ fhir:v "applicability" ] ; fhir:expression [ fhir:description [ fhir:v "Client is due for bOPV and IPV vaccination" ] ; fhir:language [ fhir:v "text/cql-identifier" ] ; fhir:expression [ fhir:v "Client is due for bOPV and IPV vaccination" ] ] ] ) ; fhir:definition [ a fhir:canonical ; fhir:v "http://smart.who.int/immunizations/ActivityDefinition/IMMZD2DTPolioOPVMR"^^xsd:anyURI ; fhir:link <http://smart.who.int/immunizations/ActivityDefinition/IMMZD2DTPolioOPVMR> ] ; ( fhir:dynamicValue [ fhir:path [ fhir:v "status" ] ; fhir:expression [ fhir:language [ fhir:v "text/cql-expression" ] ; fhir:expression [ fhir:v "'draft'" ] ] ] [ fhir:path [ fhir:v "intent" ] ; fhir:expression [ fhir:language [ fhir:v "text/cql-expression" ] ; fhir:expression [ fhir:v "'proposal'" ] ] ] ) ] [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-rationale"^^xsd:anyURI ] ; fhir:value [ a fhir:markdown ; fhir:v "For all countries using OPV in their national immunization programme, WHO recommends 3 doses of bOPV and 2 doses of IPV. \n The preferred schedule is to administer the 3 doses of bOPV starting from the minimum age of 6 weeks, with at least a 4 week-interval \n between doses. The first IPV dose should be administered from a minimum of 14 weeks of age (with the third dose of the \n diphtheria–tetanus–pertussis vaccine [DTP3] or pentavalent vaccine [penta3]), with the second IPV dose being given at least \n 4 months later (possibly coinciding with other vaccines administered at 9 months of age). Note: Based on local epidemiology, \n programmatic implications and feasibility of delivery, countries may choose an alternative “early IPV schedule” starting with \n the first IPV dose at 6 weeks of age (with DTP1/penta1) and the second IPV dose at 14 weeks (with DTP3/penta3)." ] ] ) ; fhir:title [ fhir:v "Determine if the client is due for a poliovirus vaccination according to the national immunization schedule" ] ; fhir:description [ fhir:v "Determine if the client is due for a poliovirus vaccination according to the national immunization schedule\n\"Bivalent oral polio vaccine (bOPV) plus inactivated polio vaccine (IPV)\" schedule (applicable for all countries)" ] ; ( fhir:condition [ fhir:kind [ fhir:v "applicability" ] ; fhir:expression [ fhir:description [ fhir:v "Client is due for bOPV and IPV vaccination" ] ; fhir:language [ fhir:v "text/cql-identifier" ] ; fhir:expression [ fhir:v "Client is due for bOPV and IPV vaccination" ] ] ] ) ; fhir:definition [ a fhir:canonical ; fhir:v "http://smart.who.int/immunizations/ActivityDefinition/IMMZD2DTPolioIPVMR"^^xsd:anyURI ; fhir:link <http://smart.who.int/immunizations/ActivityDefinition/IMMZD2DTPolioIPVMR> ] ; ( fhir:dynamicValue [ fhir:path [ fhir:v "status" ] ; fhir:expression [ fhir:language [ fhir:v "text/cql-expression" ] ; fhir:expression [ fhir:v "'draft'" ] ] ] [ fhir:path [ fhir:v "intent" ] ; fhir:expression [ fhir:language [ fhir:v "text/cql-expression" ] ; fhir:expression [ fhir:v "'proposal'" ] ] ] ) ] [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-rationale"^^xsd:anyURI ] ; fhir:value [ a fhir:markdown ; fhir:v "For all countries using OPV in their national immunization programme, WHO recommends 3 doses of bOPV and 2 doses of IPV. \n The preferred schedule is to administer the 3 doses of bOPV starting from the minimum age of 6 weeks, with at least a 4 week-interval \n between doses. The first IPV dose should be administered from a minimum of 14 weeks of age (with the third dose of the \n diphtheria–tetanus–pertussis vaccine [DTP3] or pentavalent vaccine [penta3]), with the second IPV dose being given at least \n 4 months later (possibly coinciding with other vaccines administered at 9 months of age). Note: Based on local epidemiology, \n programmatic implications and feasibility of delivery, countries may choose an alternative “early IPV schedule” starting with \n the first IPV dose at 6 weeks of age (with DTP1/penta1) and the second IPV dose at 14 weeks (with DTP3/penta3)." ] ] ) ; fhir:title [ fhir:v "Determine if the client is due for a poliovirus vaccination according to the national immunization schedule" ] ; fhir:description [ fhir:v "Determine if the client is due for a poliovirus vaccination according to the national immunization schedule\n\"Bivalent oral polio vaccine (bOPV) plus inactivated polio vaccine (IPV)\" schedule (applicable for all countries)" ] ; ( fhir:condition [ fhir:kind [ fhir:v "applicability" ] ; fhir:expression [ fhir:description [ fhir:v "Client is due for IPV vaccination" ] ; fhir:language [ fhir:v "text/cql-identifier" ] ; fhir:expression [ fhir:v "Client is due for IPV vaccination" ] ] ] ) ; fhir:definition [ a fhir:canonical ; fhir:v "http://smart.who.int/immunizations/ActivityDefinition/IMMZD2DTPolioIPVMR"^^xsd:anyURI ; fhir:link <http://smart.who.int/immunizations/ActivityDefinition/IMMZD2DTPolioIPVMR> ] ; ( fhir:dynamicValue [ fhir:path [ fhir:v "status" ] ; fhir:expression [ fhir:language [ fhir:v "text/cql-expression" ] ; fhir:expression [ fhir:v "'draft'" ] ] ] [ fhir:path [ fhir:v "intent" ] ; fhir:expression [ fhir:language [ fhir:v "text/cql-expression" ] ; fhir:expression [ fhir:v "'proposal'" ] ] ] ) ] [ fhir:title [ fhir:v "Check for Guidance for the patient regarding IMMZ.D2.DT.Polio.bOPV plus IPV." ] ; fhir:description [ fhir:v "Show Guidance for the patient regarding IMMZ.D2.DT.Polio.bOPV plus IPV." ] ; ( fhir:condition [ fhir:kind [ fhir:v "applicability" ] ; fhir:expression [ fhir:description [ fhir:v "Has Guidance" ] ; fhir:language [ fhir:v "text/cql-identifier" ] ; fhir:expression [ fhir:v "Has Guidance" ] ] ] ) ; fhir:definition [ a fhir:canonical ; fhir:v "http://smart.who.int/immunizations/ActivityDefinition/IMMZD2DTCR"^^xsd:anyURI ; fhir:link <http://smart.who.int/immunizations/ActivityDefinition/IMMZD2DTCR> ] ; ( fhir:dynamicValue [ fhir:path [ fhir:v "status" ] ; fhir:expression [ fhir:language [ fhir:v "text/cql-expression" ] ; fhir:expression [ fhir:v "'active'" ] ] ] [ fhir:path [ fhir:v "payload.contentString" ] ; fhir:expression [ fhir:language [ fhir:v "text/cql-identifier" ] ; fhir:expression [ fhir:v "Guidance" ] ] ] [ fhir:path [ fhir:v "category.coding" ] ; fhir:expression [ fhir:description [ fhir:v "Category of communication" ] ; fhir:language [ fhir:v "text/cql-expression" ] ; fhir:expression [ fhir:v "Code { system: 'http://terminology.hl7.org/CodeSystem/communication-category', code: 'alert' }" ] ] ] [ fhir:path [ fhir:v "priority" ] ; fhir:expression [ fhir:description [ fhir:v "Alert priority" ] ; fhir:language [ fhir:v "text/cql-expression" ] ; fhir:expression [ fhir:v "Code { system: 'http://hl7.org/fhir/request-priority', code: 'routine' }" ] ] ] ) ] ) . #
IG © 2023+ WHO. Package smart.who.int.immunizations#0.2.0 based on FHIR 4.0.1. Generated 2025-08-08
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