/*
* Library: IMMZD18SDTPPregnancyStartingWith3DosesLogic (IMMZ.D18.S.DTP.Pregnancy starting with 3 doses schedule)
* Schedule Table: Diphtheria and tetanus vaccination schedule in pregnant women who received 3 childhood diphtheria–tetanus–pertussis (DTP) doses
*/
library IMMZD18SDTPPregnancyStartingWith3DosesLogicusing FHIR version '4.0.1'include FHIRHelpers version '4.0.1'include WHOCommon called WCinclude IMMZCommon called Commoninclude IMMZConcepts called Conceptsinclude IMMZEncounterElements called IEinclude IMMZD2DTDTPEncounterElements called Encounterparameter Today Date default Today()/*
@complete: First tetanus and diphtheria booster dose was administered
@pseudocode: Count of vaccines administered (where "Vaccine type" = "Tetanus and diphtheria-containing vaccines" and "Type of dose" = "Booster dose") = 1
*/
define "First tetanus and diphtheria booster dose was administered":
Encounter."One tetanus and diphtheria booster dose was administered"/*
@output: Tetanus and diphtheria-containing vaccine booster dose 1 (during pregnancy)
@description: Provision of tetanus and diphtheria booster dose 1 for pregnant women who received only 3 doses of DTP during childhood without booster doses
@trigger: The primary DTP series has been completed and client is currently pregnant
@pseudo: "Completed the primary vaccination series" = TRUE (where "Vaccine type" = "DTP-containing vaccines") AND "Currently pregnant" = TRUE
@triggerDate: "Contact date" WHEN "ANC contact number" = 1
*/
define "Tetanus and diphtheria-containing vaccine booster dose 1 (during pregnancy)":
Encounter."Three DTP primary series doses were administered"
and Encounter."Client is currently pregnant"
and not("First tetanus and diphtheria booster dose was administered")/*
@dynamicValue: Tetanus and diphtheria-containing vaccine booster dose 1 (during pregnancy) Due Date
@pseudocode: "Contact date" WHEN "ANC contact number" = 1
*/
define "Tetanus and diphtheria-containing vaccine booster dose 1 (during pregnancy) Due Date":
if "Tetanus and diphtheria-containing vaccine booster dose 1 (during pregnancy)" then Today
else null/*
@dynamicValue: Tetanus and diphtheria-containing vaccine booster dose 1 (during pregnancy) Overdue
@pseudocode: Every subsequent contact until 38 weeks
*/
define "Tetanus and diphtheria-containing vaccine booster dose 1 (during pregnancy) Overdue":
if "Tetanus and diphtheria-containing vaccine booster dose 1 (during pregnancy)" then Today
else null/*
@dynamicValue: Tetanus and diphtheria-containing vaccine booster dose 1 (during pregnancy) Expiration
@pseudocode: Two weeks before birth for the pregnancy; however, individuals remain eligible to be vaccinated.
"Gestational age" < 38 weeks
*/
define "Tetanus and diphtheria-containing vaccine booster dose 1 (during pregnancy) Expiration":
if "Tetanus and diphtheria-containing vaccine booster dose 1 (during pregnancy)" then 'Two weeks before birth'
else null/*
@output: Tetanus and diphtheria-containing vaccine booster dose 1 (during pregnancy) Create
@create: Pregnant women who have received only 3 doses of tetanus-containing vaccines during childhood without booster doses should receive 2 doses of tetanus-containing vaccines at the earliest opportunity during pregnancy with a minimal interval of 4 weeks between doses and the second dose at least 2 weeks before giving birth.
*/
define "Tetanus and diphtheria-containing vaccine booster dose 1 (during pregnancy) Create":
if "Tetanus and diphtheria-containing vaccine booster dose 1 (during pregnancy)"
then 'Pregnant women who have received only 3 doses of tetanus-containing vaccines during childhood without booster doses should receive 2 doses of tetanus-containing vaccines at the earliest opportunity during pregnancy with a minimal interval of 4 weeks between doses and the second dose at least 2 weeks before giving birth.' + '
Due Date: ' + ToString("Tetanus and diphtheria-containing vaccine booster dose 1 (during pregnancy) Due Date") + '
Overdue: ' + ToString("Tetanus and diphtheria-containing vaccine booster dose 1 (during pregnancy) Overdue") + '
Expiration: ' + "Tetanus and diphtheria-containing vaccine booster dose 1 (during pregnancy) Expiration"
else ''/*
@complete: Second tetanus and diphtheria booster dose was administered
@pseudocode: Count of vaccines administered (where "Vaccine type" = "Tetanus and diphtheria-containing vaccines" and "Type of dose" = "Booster dose") = 2
*/
define "Second tetanus and diphtheria booster dose was administered":
Encounter."Two tetanus and diphtheria booster doses were administered"/*
@output: Tetanus and diphtheria-containing vaccine booster dose 2 (during pregnancy)
@description: Provision of tetanus and diphtheria booster dose 2 for pregnant women who received only 3 doses of DTP during childhood without booster doses
@trigger: First tetanus and diphtheria booster dose was administered
@pseudo: Count of vaccines administered (where "Vaccine type" = "Tetanus and diphtheria-containing vaccines" and "Type of dose" = "Booster dose") = 1
@triggerDate: Latest "Date and time of vaccination" where "Vaccine type" = "Tetanus and diphtheria-containing vaccines"
*/
define "Tetanus and diphtheria-containing vaccine booster dose 2 (during pregnancy)":
"First tetanus and diphtheria booster dose was administered" and
Encounter."Client is currently pregnant" and
not "Second tetanus and diphtheria booster dose was administered"/*
@dynamicValue: Tetanus and diphtheria-containing vaccine booster dose 2 (during pregnancy) Due Date
@pseudocode: Latest "Date and time of vaccination" (where "Vaccine type" = "Tetanus and diphtheria-containing vaccines") + 4 'week'
*/
define "Tetanus and diphtheria-containing vaccine booster dose 2 (during pregnancy) Due Date":
if "Tetanus and diphtheria-containing vaccine booster dose 2 (during pregnancy)" then Encounter."Date of Latest Td Dose" + 4 weeks
else null/*
@dynamicValue: Tetanus and diphtheria-containing vaccine booster dose 2 (during pregnancy) Overdue
@pseudocode: Every subsequent contact until 38 weeks
*/
define "Tetanus and diphtheria-containing vaccine booster dose 2 (during pregnancy) Overdue":
if "Tetanus and diphtheria-containing vaccine booster dose 2 (during pregnancy)" then Encounter."Date of Latest Td Dose" + 4 weeks
else null/*
@dynamicValue: Tetanus and diphtheria-containing vaccine booster dose 2 (during pregnancy) Expiration
@pseudocode: Two weeks before birth for the pregnancy; however, individuals remain eligible to be vaccinated after giving birth.
"Gestational age" < 38 weeks
*/
define "Tetanus and diphtheria-containing vaccine booster dose 2 (during pregnancy) Expiration":
if "Tetanus and diphtheria-containing vaccine booster dose 2 (during pregnancy)" then 'Two weeks before birth'
else null/*
@output: Tetanus and diphtheria-containing vaccine booster dose 2 (during pregnancy) Create
@create: Pregnant women who have received only 3 doses of tetanus-containing vaccines during childhood without booster doses should receive 2 doses of tetanus-containing vaccines at the earliest opportunity during pregnancy with a minimal interval of 4 weeks between doses and the second dose at least 2 weeks before giving birth.
*/
define "Tetanus and diphtheria-containing vaccine booster dose 2 (during pregnancy) Create":
if "Tetanus and diphtheria-containing vaccine booster dose 2 (during pregnancy)"
then 'Pregnant women who have received only 3 doses of tetanus-containing vaccines during childhood without booster doses should receive 2 doses of tetanus-containing vaccines at the earliest opportunity during pregnancy with a minimal interval of 4 weeks between doses and the second dose at least 2 weeks before giving birth.' + '
Due Date: ' + ToString("Tetanus and diphtheria-containing vaccine booster dose 2 (during pregnancy) Due Date") + '
Overdue: ' + ToString("Tetanus and diphtheria-containing vaccine booster dose 2 (during pregnancy) Overdue") + '
Expiration: ' + "Tetanus and diphtheria-containing vaccine booster dose 2 (during pregnancy) Expiration"
else ''/*
@complete: Third tetanus and diphtheria-containing booster dose was administered. Tetanus and diphtheria immunization schedule has been completed
@pseudocode: Count of vaccines administered (where "Vaccine type" = "Tetanus and diphtheria-containing vaccines" and "Type of dose" = "Booster dose") = 3
"Immunization recommendation status" = "Complete" (where "Vaccine type" = "Tetanus and diphtheria-containing vaccines")
*/
define "Third tetanus and diphtheria-containing booster dose was administered. Tetanus and diphtheria immunization schedule has been completed":
Encounter."Three tetanus and diphtheria booster doses were administered"/*
@output: Tetanus and diphtheria-containing vaccine booster dose 3
@description: Provision of tetanus and diphtheria booster dose 3 for pregnant women who received only 3 doses of DTP during childhood without booster doses
@trigger: Second tetanus and diphtheria booster dose was administered
@pseudo: Count of vaccines administered (where "Vaccine type" = "Tetanus and diphtheria-containing vaccines" and "Type of dose" = "Booster dose") = 2
@triggerDate: Latest "Date and time of vaccination" where "Vaccine type" = "Tetanus and diphtheria-containing vaccines"
*/
define "Tetanus and diphtheria-containing vaccine booster dose 3":
"Second tetanus and diphtheria booster dose was administered" and
not "Third tetanus and diphtheria-containing booster dose was administered. Tetanus and diphtheria immunization schedule has been completed"/*
@dynamicValue: Tetanus and diphtheria-containing vaccine booster dose 3 Due Date
@pseudocode: Latest "Date and time of vaccination" (where "Vaccine type" = "Tetanus and diphtheria-containing vaccines") + 1 year or during next pregnancy
*/
define "Tetanus and diphtheria-containing vaccine booster dose 3 Due Date":
if "Tetanus and diphtheria-containing vaccine booster dose 3" then Encounter."Date of Latest Td Dose" + 1 year
else null/*
@output: Tetanus and diphtheria-containing vaccine booster dose 3 Create
@create: A sixth dose would be needed at least 1 year after the fifth dose, or during the next pregnancy.
*/
define "Tetanus and diphtheria-containing vaccine booster dose 3 Create":
if "Tetanus and diphtheria-containing vaccine booster dose 3"
then 'A sixth dose would be needed at least 1 year after the fifth dose, or during the next pregnancy.' + '
Due Date: ' + ToString("Tetanus and diphtheria-containing vaccine booster dose 3 Due Date")
else ''/*
@dynamicValue: Tetanus and diphtheria-containing vaccine booster dose 3 Overdue
@pseudocode: To be determined by Member States
*/
define "Tetanus and diphtheria-containing vaccine booster dose 3 Overdue":
null/*
@dynamicValue: Tetanus and diphtheria-containing vaccine booster dose 3 Expiration
@pseudocode: To be determined by Member States. However, there is no recommended expiration date and individuals remain eligible to be vaccinated.
*/
define "Tetanus and diphtheria-containing vaccine booster dose 3 Expiration":
null/*
@test: Test expected results based on example patients
*/
define "Test Validation":
case
when Patient.id = 'DTP66.3' then "Tetanus and diphtheria-containing vaccine booster dose 1 (during pregnancy)"when Patient.id = 'DTP67.4' then "Tetanus and diphtheria-containing vaccine booster dose 2 (during pregnancy)"when Patient.id = 'DTP68.4' then "Tetanus and diphtheria-containing vaccine booster dose 2 (during pregnancy)"when Patient.id = 'DTP69.3' then "Tetanus and diphtheria-containing vaccine booster dose 3"when Patient.id = 'DTP70.3' then "Tetanus and diphtheria-containing vaccine booster dose 3"when Patient.id = 'DTP71.2' then "Third tetanus and diphtheria-containing booster dose was administered. Tetanus and diphtheria immunization schedule has been completed"
else 'No test case set'
end