IMMZD18SDTPPregnancyStartingWith4Doses
type: PlanDefinition
node role: treeRoot
id:
  v: IMMZD18SDTPPregnancyStartingWith4Doses
meta:
  profile:
    v: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-recommendationdefinition
    l: cpg-recommendationdefinition
  profile:
    v: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareableplandefinition
    l: crmi-shareableplandefinition
  profile:
    v: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-publishableplandefinition
    l: crmi-publishableplandefinition
text:
  status:
    v: extensions
  div:
    v: Id: IMMZD18SDTPPregnancyStartingWith4Doses Url: IMMZ.D18.S.DTP.Pregnancy starting with 4 doses schedule Version: 0.2.0 Title: IMMZ.D18.S.DTP.Pregnancy starting with 4 doses schedule Status: draft Type: system: http://terminology.hl7.org/CodeSystem/plan-definition-type code: eca-rule Date: 2026-03-03 13:07:11+0000 Publisher: WHO Description: IMMZ.D18.S.DTP.Pregnancy starting with 4 doses schedule Diphtheria and tetanus vaccination schedule in pregnant women who received 4 childhood diphtheria–tetanus–pertussis (DTP) doses Knowledge Capability: computable Related Artifacts: References WHO recommendations for routine immunization - summary tables (January 2025) Libraries: IMMZD18SDTPPregnancyStartingWith4DosesLogic Actions: Tetanus and diphtheria-containing vaccine booster dose 2 (during pregnancy): Provision of tetanus and diphtheria booster dose 2 for pregnant women who received 4 tetanus-containing vaccines doses during childhood or pre-adulthood Trigger event: The primary DTP series has been completed, first tetanus and diphtheria booster dose was administered and client is currently pregnant Trigger pseudo: "Completed the primary vaccination series" = TRUE (where "Vaccine type" = "DTP-containing vaccines") AND Count of vaccines administered where "Vaccine type" = "Tetanus and diphtheria-containing vaccines" and "Type of dose" = "Booster dose") = 1 AND "Currently pregnant" = TRUE Trigger date: First ANC contact date "Contact date" WHEN "ANC contact number" = 1 Create condition: Women who received 4 tetanus-containing vaccine doses during childhood or pre-adulthood need only 1 booster dose, which should be given at the first opportunity. If: Applicability: Tetanus and diphtheria-containing vaccine booster dose 2 (during pregnancy) (Tetanus and diphtheria-containing vaccine booster dose 2 (during pregnancy)) Then: Definition: IMMZ.D2.DT.CR Dynamic Values: status: ('active') payload.contentString: (Tetanus and diphtheria-containing vaccine booster dose 2 (during pregn…
contained: Library
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    v: effective-data-requirements
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    url:
      v: http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode
      l: cqf-directReferenceCode
    value: Coding
      system:
        v: http://smart.who.int/immunizations/CodeSystem/IMMZ.D
        l: IMMZ.D
      code:
        v: DE161
      display:
        v: Potential contraindications
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode
      l: cqf-directReferenceCode
    value: Coding
      system:
        v: http://smart.who.int/immunizations/CodeSystem/IMMZ.D
        l: IMMZ.D
      code:
        v: DE162
      display:
        v: Currently pregnant
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode
      l: cqf-directReferenceCode
    value: Coding
      system:
        v: http://terminology.hl7.org/CodeSystem/condition-clinical
        l: condition-clinical
      code:
        v: active
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode
      l: cqf-directReferenceCode
    value: Coding
      system:
        v: http://terminology.hl7.org/CodeSystem/condition-clinical
        l: condition-clinical
      code:
        v: recurrence
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode
      l: cqf-directReferenceCode
    value: Coding
      system:
        v: http://terminology.hl7.org/CodeSystem/condition-clinical
        l: condition-clinical
      code:
        v: relapse
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode
      l: cqf-directReferenceCode
    value: Coding
      type: https://loinc.org/rdf/82810-3
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 82810-3
      display:
        v: Pregnancy status
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    url:
      v: http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode
      l: cqf-directReferenceCode
    value: Coding
      type: LA15173-0
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: LA15173-0
      display:
        v: Pregnant
  extension:
    extension:
      url:
        v: libraryName
        l: libraryName
      value: String
        v: IMMZElements
    extension:
      url:
        v: name
        l: name
      value: String
        v: Doses Administered to Patient
    extension:
      url:
        v: statement
        l: statement
      value: String
        v: /** * @dataElement All Doses Administered to Patient */ define "Doses Administered to Patient": [Immunization] I where I.status = 'completed' and I.isSubpotent is not true
    extension:
      url:
        v: displaySequence
        l: displaySequence
      value: Integer
        v: 0
    url:
      v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
      l: cqf-logicDefinition
  extension:
    extension:
      url:
        v: libraryName
        l: libraryName
      value: String
        v: IMMZD2DTDTPElements
    extension:
      url:
        v: name
        l: name
      value: String
        v: Td Doses Administered to Patient
    extension:
      url:
        v: statement
        l: statement
      value: String
        v: /* @internal: Td Doses Administered to Patient */ define "Td Doses Administered to Patient": Elements."Doses Administered to Patient" I where I.vaccineCode in Concepts."Tetanus and diphtheria-containing vaccines"
    extension:
      url:
        v: displaySequence
        l: displaySequence
      value: Integer
        v: 1
    url:
      v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
      l: cqf-logicDefinition
  extension:
    extension:
      url:
        v: libraryName
        l: libraryName
      value: String
        v: IMMZD2DTDTPElements
    extension:
      url:
        v: name
        l: name
      value: String
        v: Td Booster Series Doses Administered to Patient
    extension:
      url:
        v: statement
        l: statement
      value: String
        v: /* @internal: Td Booster Series Doses Administered to Patient */ define "Td Booster Series Doses Administered to Patient": "Td Doses Administered to Patient".seriesBooster()
    extension:
      url:
        v: displaySequence
        l: displaySequence
      value: Integer
        v: 2
    url:
      v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
      l: cqf-logicDefinition
  extension:
    extension:
      url:
        v: libraryName
        l: libraryName
      value: String
        v: IMMZD2DTDTPEncounterElements
    extension:
      url:
        v: name
        l: name
      value: String
        v: Td Booster Series Doses Administered to Patient
    extension:
      url:
        v: statement
        l: statement
      value: String

String
v: /* @internal: Td Booster Series Doses Administered to Patient */ define "Td Booster Series Doses Administered to Patient": DTPElements."Td Booster Series Doses Administered to Patient".onOrBefore(Today)

url:
  v: displaySequence
  l: displaySequence
value: Integer
  v: 3

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTDTPEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: Number of Td Booster Series Doses Administered
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @internal: Number of Td Booster Series Doses Administered */ define "Number of Td Booster Series Doses Administered": Count("Td Booster Series Doses Administered to Patient")
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 4
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTDTPEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: Two tetanus and diphtheria booster doses were administered
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @input: Two tetanus and diphtheria booster doses were administered @pseudocode: Count of vaccines administered (where "Vaccine type" = "Tetanus and diphtheria-containing vaccines" and "Type of dose" = "Booster dose") = 2 @code: Two tetanus and diphtheria booster doses were administered-140 @decision: IMMZ.D2.DT.DTP.On-time start: DTP vaccination schedule, on-time start (at ≤ 12 months of age) @decision: IMMZ.D2.DT.DTP.Delayed or interrupted series: DTP vaccination schedule for the following groups: children ≥ 1 year of age with no previous immunization, adolescents and adults with no previous immunization (including pregnant women) and supplementary immunization activities in high-risk areas, for women of reproductive age @decision: IMMZ.D2.DT.DTP.Pregnancy: Determine whether DTP-containing vaccines are needed for pregnant women @decision: IMMZ.D2.DT.DTP.Pregnancy starting with 3 doses: Diphtheria and tetanus vaccination schedule in pregnant women who received 3 childhood DTP doses @decision: IMMZ.D2.DT.DTP.Pregnancy starting with 4 doses: Diphtheria and tetanus vaccination schedule in pregnant women who received 4 childhood DTP doses */ define "Two tetanus and diphtheria booster doses were administered": "Number of Td Booster Series Doses Administered" = 2
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 5
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
extension:
  url:
    v: name
    l: name
  value: String
    v: Second tetanus and diphtheria booster dose was administered
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @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"
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 6
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTDTPEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: Three tetanus and diphtheria booster doses were administered
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @input: Three tetanus and diphtheria booster doses were administered @pseudocode: Count of vaccines administered (where "Vaccine type" = "Tetanus and diphtheria-containing vaccines" and "Type of dose" = "Booster dose") = 3 @code: Three tetanus and diphtheria booster doses were administered-140 @decision: IMMZ.D2.DT.DTP.On-time start: DTP vaccination schedule, on-time start (at ≤ 12 months of age) @decision: IMMZ.D2.DT.DTP.Pregnancy: Determine whether DTP-containing vaccines are needed for pregnant women @decision: IMMZ.D2.DT.DTP.Pregnancy starting with 3 doses: Diphtheria and tetanus vaccination schedule in pregnant women who received 3 childhood DTP doses @decision: IMMZ.D2.DT.DTP.Pregnancy starting with 4 doses: Diphtheria and tetanus vaccination schedule in pregnant women who received 4 childhood DTP doses */ define "Three tetanus and diphtheria booster doses were administered": "Number of Td Booster Series Doses Administered" = 3
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 7
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
extension:
  url:
    v: name
    l: name
  value: String
    v: Third tetanus and diphtheria-containing booster dose was administered. Tetanus and diphtheria immunization schedule has been completed.
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @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"
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 8
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
extension:
  url:
    v: name
    l: name
  value: String
    v: Tetanus and diphtheria-containing vaccine booster dose 3
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @output: Tetanus and diphtheria-containing vaccine booster dose 3 @description: Provision of tetanus and diphtheria booster dose 3 for pregnant women who received 4 tetanus-containing vaccines doses during childhood or pre-adulthood @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."
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 9
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTDTPElements
extension:
  url:
    v: name
    l: name
  value: String
    v: DTP Doses Administered to Patient
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @internal: DTP containing Doses Administered to Patient */ define "DTP Doses Administered to Patient": Elements."Doses Administered to Patient" I where I.vaccineCode in Concepts."DTP-containing vaccines"
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 10
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTDTPElements
extension:
  url:
    v: name
    l: name
  value: String
    v: DTP Primary Series Doses Administered to Patient
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @internal: DTP containing Doses Administered to Patient that are in the Primary series */ define "DTP Primary Series Doses Administered to Patient": "DTP Doses Administered to Patient".seriesPrimary()
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 11
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTDTPEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: DTP Primary Series Doses Administered to Patient
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @internal: DTP containing Doses Administered to Patient that are in the Primary series */ define "DTP Primary Series Doses Administered to Patient": DTPElements."DTP Primary Series Doses Administered to Patient".onOrBefore(Today)
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 12
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTDTPEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: Number of DTP Primary Series Doses Administered
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @internal: Number of DTP Primary Series doses */ define "Number of DTP Primary Series Doses Administered": Count("DTP Primary Series Doses Administered to Patient")
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 13
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTDTPEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: Three DTP primary series doses were administered
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @input: Three DTP primary series doses were administered @pseudocode: Count of vaccines administered (where "Vaccine type" = "DTP-containing vaccines" and "Type of dose" = "Primary series") = 3 @code: Three DTP primary series doses were administered-123 @decision: IMMZ.D2.DT.DTP.On-time start: DTP vaccination schedule, on-time start (at ≤ 12 months of age) @decision: IMMZ.D2.DT.DTP.Delayed or interrupted series: DTP vaccination schedule for the following groups: children ≥ 1 year of age with no previous immunization, adolescents and adults with no previous immunization (including pregnant women) and supplementary immunization activities in high-risk areas, for women of reproductive age @decision: IMMZ.D2.DT.DTP.Pregnancy: Determine whether DTP-containing vaccines are needed for pregnant women @decision: IMMZ.D2.DT.DTP.Pregnancy starting with 3 doses: Diphtheria and tetanus vaccination schedule in pregnant women who received 3 childhood DTP doses @decision: IMMZ.D2.DT.DTP.Pregnancy starting with 4 doses: Diphtheria and tetanus vaccination schedule in pregnant women who received 4 childhood DTP doses */ define "Three DTP primary series doses were administered": "Number of DTP Primary Series Doses Administered" = 3
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 14
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTDTPEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: One tetanus and diphtheria booster dose was administered
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @input: One 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 @code: One tetanus and diphtheria booster dose was administered-140 @decision: IMMZ.D2.DT.DTP.On-time start: DTP vaccination schedule, on-time start (at ≤ 12 months of age) @decision: IMMZ.D2.DT.DTP.Delayed or interrupted series: DTP vaccination schedule for the following groups: children ≥ 1 year of age with no previous immunization, adolescents and adults with no previous immunization (including pregnant women) and supplementary immunization activities in high-risk areas, for women of reproductive age @decision: IMMZ.D2.DT.DTP.Pregnancy: Determine whether DTP-containing vaccines are needed for pregnant women @decision: IMMZ.D2.DT.DTP.Pregnancy starting with 4 doses: Diphtheria and tetanus vaccination schedule in pregnant women who received 4 childhood DTP doses */ define "One tetanus and diphtheria booster dose was administered": "Number of Td Booster Series Doses Administered" = 1
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 15
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZElements
extension:
  url:
    v: name
    l: name
  value: String
    v: Potential contraindications
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @internal: Potential contraindications observations */ define "Potential contraindications": ([Observation: Concepts."Potential contraindications"]).complete()
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 16
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZElements
extension:
  url:
    v: name
    l: name
  value: String
    v: CI Currently pregnant Observation
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @internal: Observation for currently pregnant */ define "CI Currently pregnant Observation": "Potential contraindications" O where O.value ~ Concepts."CI-Currently pregnant"
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 17
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: CI Currently pregnant Observation
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @internal: Observation for currently pregnant */ define "CI Currently pregnant Observation": Elements."CI Currently pregnant Observation" O where O.encounter.references(EncounterId) or O.effective.toInterval() starts same day or after Today - 9 months
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 18
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZElements
extension:
  url:
    v: name
    l: name
  value: String
    v: CI Currently pregnant Condition
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @internal: Condition for currently pregnant */ define "CI Currently pregnant Condition": [Condition: Concepts."CI-Currently pregnant"]
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 19
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: CI Currently pregnant Condition
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @internal: Condition for currently pregnant */ define "CI Currently pregnant Condition": Elements."CI Currently pregnant Condition" C where C.prevalenceInterval() includes Today
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 20
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: WHOElements
extension:
  url:
    v: name
    l: name
  value: String
    v: Pregnancy Status Observation
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define "Pregnancy Status Observation": [Observation: Concepts."Pregnancy status"] O where O.status in { 'final', 'amended', 'corrected' }
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 21
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: WHOElements
extension:
  url:
    v: name
    l: name
  value: String
    v: Pregnant Observation
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define "Pregnant Observation": "Pregnancy Status Observation" O where O.value ~ Concepts."Pregnant"
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 22
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: WHOEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: Pregnant Observation
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define "Pregnant Observation": Elements."Pregnant Observation" O where O.encounter.references(EncounterId) or O.effective.toInterval() starts same day or after AsOf - 9 months
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 23
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: The client is pregnant
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @input: The client is pregnant @pseudocode: "Potential contraindications" = "Currently pregnant" */ define "The client is pregnant": exists "CI Currently pregnant Observation" or exists "CI Currently pregnant Condition" or exists WE."Pregnant Observation"
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 24
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTDTPEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: Client is currently pregnant
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @input: Client is currently pregnant @pseudocode: "Currently pregnant" = TRUE @code: Client is currently pregnant-27 @decision: IMMZ.D2.DT.DTP.Pregnancy: Determine whether DTP-containing vaccines are needed for pregnant women @decision: IMMZ.D2.DT.DTP.Pregnancy starting with 3 doses: Diphtheria and tetanus vaccination schedule in pregnant women who received 3 childhood DTP doses @decision: IMMZ.D2.DT.DTP.Pregnancy starting with 4 doses: Diphtheria and tetanus vaccination schedule in pregnant women who received 4 childhood DTP doses */ define "Client is currently pregnant": Encounter."The client is pregnant"
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 25
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
extension:
  url:
    v: name
    l: name
  value: String
    v: Tetanus and diphtheria-containing vaccine booster dose 2 (during pregnancy)
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @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 4 tetanus-containing vaccines doses during childhood or pre-adulthood @trigger: The primary DTP series has been completed, first tetanus and diphtheria booster dose was administered and client is currently pregnant @pseudo: "Completed the primary vaccination series" = TRUE (where "Vaccine type" = "DTP-containing vaccines") AND Count of vaccines administered where "Vaccine type" = "Tetanus and diphtheria-containing vaccines" and "Type of dose" = "Booster dose") = 1 AND "Currently pregnant" = TRUE @triggerDate: First ANC contact date "Contact date" WHEN "ANC contact number" = 1 */ define "Tetanus and diphtheria-containing vaccine booster dose 2 (during pregnancy)": Encounter."Three DTP primary series doses were administered" and Encounter."One tetanus and diphtheria booster dose was administered" and Encounter."Client is currently pregnant" and not "Second tetanus and diphtheria booster dose was administered"
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 26
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
extension:
  url:
    v: name
    l: name
  value: String
    v: Tetanus and diphtheria-containing vaccine booster dose 2 (during pregnancy) Due Date
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @dynamicValue: Tetanus and diphtheria-containing vaccine booster dose 2 (during pregnancy) Due Date @pseudocode: "Contact date" WHEN "ANC contact number" = 1 */ 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 Today else null
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 27
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
extension:
  url:
    v: name
    l: name
  value: String
    v: Tetanus and diphtheria-containing vaccine booster dose 2 (during pregnancy) Overdue
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @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 Today else null
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 28
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
extension:
  url:
    v: name
    l: name
  value: String
    v: Tetanus and diphtheria-containing vaccine booster dose 2 (during pregnancy) Expiration
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @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 "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
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 29
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
extension:
  url:
    v: name
    l: name
  value: String
    v: Tetanus and diphtheria-containing vaccine booster dose 2 (during pregnancy) Create
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @output: Tetanus and diphtheria-containing vaccine booster dose 2 (during pregnancy) Create @create: Women who received 4 tetanus-containing vaccine doses during childhood or pre-adulthood need only 1 booster dose, which should be given at the first opportunity. */ define "Tetanus and diphtheria-containing vaccine booster dose 2 (during pregnancy) Create": if "Tetanus and diphtheria-containing vaccine booster dose 2 (during pregnancy)" then 'Women who received 4 tetanus-containing vaccine doses during childhood or pre-adulthood need only 1 booster dose, which should be given at the first opportunity.' + ' 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 ''
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 30
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTDTPEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: Td Doses Administered to Patient
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @internal: Td Doses Administered to Patient */ define "Td Doses Administered to Patient": DTPElements."Td Doses Administered to Patient".onOrBefore(Today)
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 31
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZD2DTDTPEncounterElements
extension:
  url:
    v: name
    l: name
  value: String
    v: Date of Latest Td Dose
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @internal: Date of Latest Td Dose */ define "Date of Latest Td Dose": date from start of "Td Doses Administered to Patient".mostRecent().occurrence.toInterval()
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 32
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
extension:
  url:
    v: name
    l: name
  value: String
    v: Tetanus and diphtheria-containing vaccine booster dose 3 Due Date
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @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
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 33
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
extension:
  url:
    v: name
    l: name
  value: String
    v: Tetanus and diphtheria-containing vaccine booster dose 3 Create
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @output: Tetanus and diphtheria-containing vaccine booster dose 3 Create @create: To provide lifelong protection for tetanus, a sixth dose should be provided at least 1 year after the fifth dose, or in next pregnancy. */ define "Tetanus and diphtheria-containing vaccine booster dose 3 Create": if "Tetanus and diphtheria-containing vaccine booster dose 3" then 'To provide lifelong protection for tetanus, a sixth dose should be provided at least 1 year after the fifth dose, or in next pregnancy.' + ' Due Date: ' + ToString("Tetanus and diphtheria-containing vaccine booster dose 3 Due Date") else ''
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 34
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZCommon
extension:
  url:
    v: name
    l: name
  value: String
    v: onOrBefore
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /** * @description: Gets immunizations on or before a date */ define fluent function onOrBefore(immunizations List<Immunization>, beforeDate Date): immunizations I where I.occurrence.toInterval() same day or before beforeDate
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 35
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZCommon
extension:
  url:
    v: name
    l: name
  value: String
    v: seriesBooster
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /** * @description: Gets the doses from the Booster series */ define fluent function seriesBooster(immunizations List<Immunization>): immunizations I where exists( I.protocolApplied pa where pa.series = 'Booster dose' )
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 36
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: FHIRHelpers
extension:
  url:
    v: name
    l: name
  value: String
    v: ToString
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define function ToString(value string): value.value
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 37
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: FHIRHelpers
extension:
  url:
    v: name
    l: name
  value: String
    v: ToString
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define function ToString(value ImmunizationStatus): value.value
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 38
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: FHIRHelpers
extension:
  url:
    v: name
    l: name
  value: String
    v: ToBoolean
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define function ToBoolean(value boolean): value.value
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 39
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: FHIRHelpers
extension:
  url:
    v: name
    l: name
  value: String
    v: ToConcept
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define function ToConcept(concept FHIR.CodeableConcept): if concept is null then null else System.Concept { codes: concept.coding C return ToCode(C), display: concept.text.value }
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 40
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: FHIRHelpers
extension:
  url:
    v: name
    l: name
  value: String
    v: ToCode
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define function ToCode(coding FHIR.Coding): if coding is null then null else System.Code { code: coding.code.value, system: coding.system.value, version: coding.version.value, display: coding.display.value }
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 41
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: IMMZCommon
extension:
  url:
    v: name
    l: name
  value: String
    v: seriesPrimary
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /** * @description: Gets the doses from the primary series */ define fluent function seriesPrimary(immunizations List<Immunization>): immunizations I where exists( I.protocolApplied pa where pa.series = 'Primary series' )
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 42
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: WHOCommon
extension:
  url:
    v: name
    l: name
  value: String
    v: complete
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define fluent function complete(observations List<Observation>): observations O where O.status in { 'final', 'amended', 'corrected' }
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 43
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: FHIRHelpers
extension:
  url:
    v: name
    l: name
  value: String
    v: ToString
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define function ToString(value ObservationStatus): value.value
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 44
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: WHOCommon
extension:
  url:
    v: name
    l: name
  value: String
    v: references
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @description: Returns true if the given reference is to the given resourceId @comment: Returns true if the `resourceId` parameter exactly equals the tail of the given reference. NOTE: This function assumes resources from the same source server. */ define fluent function references(reference FHIR.Reference, resourceId String): resourceId = Last(Split(reference.reference, '/'))
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 45
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: WHOCommon
extension:
  url:
    v: name
    l: name
  value: String
    v: prevalenceInterval
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @description: Returns an interval representing the normalized prevalence period of a given Condition resource. @comment: Uses the toInterval and toAbatementInterval functions to determine the widest potential interval from onset to abatement as specified in the given Condition. */ define fluent function prevalenceInterval(condition Condition): if condition.clinicalStatus ~ "active" or condition.clinicalStatus ~ "recurrence" or condition.clinicalStatus ~ "relapse" then Interval[start of condition.onset.toInterval(), end of condition.abatementInterval()] else (end of condition.abatementInterval()) abatementDate return if abatementDate is null then Interval[start of condition.onset.toInterval(), abatementDate) else Interval[start of condition.onset.toInterval(), abatementDate]
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 46
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: WHOCommon
extension:
  url:
    v: name
    l: name
  value: String
    v: abatementInterval
extension:
  url:
    v: statement
    l: statement
  value: String
    v: // Was getting error on this for this particular choice set not being found /* @description: Returns an interval representing the normalized Abatement of a given Condition resource. @comment: NOTE: Due to the complexity of determining an interval from a String, this function will throw a run-time exception if used with a Condition instance that has a String as the abatement value. */ define fluent function abatementInterval(condition Condition): if condition.abatement is FHIR.dateTime then Interval[FHIRHelpers.ToDateTime(condition.abatement as FHIR.dateTime), FHIRHelpers.ToDateTime(condition.abatement as FHIR.dateTime)] else if condition.abatement is FHIR.Period then FHIRHelpers.ToInterval(condition.abatement as FHIR.Period) else if condition.abatement is FHIR.string then Message(null as Interval<DateTime>, true, 'NOT_IMPLEMENTED', 'Error', 'Calculation of an interval from a String value is not supported') else if condition.abatement is FHIR.Age then Interval[FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity(condition.abatement as FHIR.Age), FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity(condition.abatement as FHIR.Age) + 1 year) else if condition.abatement is FHIR.Range then Interval[FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity((condition.abatement as FHIR.Range).low), FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity((condition.abatement as FHIR.Range).high) + 1 year) else if condition.abatement is FHIR.boolean then Interval[end of condition.onset.toInterval(), condition.recordedDate) else null
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 47
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: FHIRHelpers
extension:
  url:
    v: name
    l: name
  value: String
    v: ToDateTime
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define function ToDateTime(value dateTime): value.value
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 48
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: FHIRHelpers
extension:
  url:
    v: name
    l: name
  value: String
    v: ToInterval
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define function ToInterval(period FHIR.Period): if period is null then null else if period."start" is null then Interval(period."start".value, period."end".value] else Interval[period."start".value, period."end".value]
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 49
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: FHIRHelpers
extension:
  url:
    v: name
    l: name
  value: String
    v: ToDate
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define function ToDate(value date): value.value
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 50
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: FHIRHelpers
extension:
  url:
    v: name
    l: name
  value: String
    v: ToQuantity
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define function ToQuantity(quantity FHIR.Quantity): case when quantity is null then null when quantity.value is null then null when quantity.comparator is not null then Message(null, true, 'FHIRHelpers.ToQuantity.ComparatorQuantityNotSupported', 'Error', 'FHIR Quantity value has a comparator and cannot be converted to a System.Quantity value.') when quantity.system is null or quantity.system.value = 'http://unitsofmeasure.org' or quantity.system.value = 'http://hl7.org/fhirpath/CodeSystem/calendar-units' then System.Quantity { value: quantity.value.value, unit: ToCalendarUnit(Coalesce(quantity.code.value, quantity.unit.value, '1')) } else Message(null, true, 'FHIRHelpers.ToQuantity.InvalidFHIRQuantity', 'Error', 'Invalid FHIR Quantity code: ' & quantity.unit.value & ' (' & quantity.system.value & '|' & quantity.code.value & ')') end
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 51
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: FHIRHelpers
extension:
  url:
    v: name
    l: name
  value: String
    v: ToCalendarUnit
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define function ToCalendarUnit(unit System.String): case unit when 'ms' then 'millisecond' when 's' then 'second' when 'min' then 'minute' when 'h' then 'hour' when 'd' then 'day' when 'wk' then 'week' when 'mo' then 'month' when 'a' then 'year' else unit end
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 52
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: WHOCommon
extension:
  url:
    v: name
    l: name
  value: String
    v: mostRecent
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define fluent function mostRecent(immunizations List<Immunization>): Last( immunizations I sort by start of occurrence.toInterval() )
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 53
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

v: EffectiveDataRequirements

v: active

coding:
  system:
    v: http://terminology.hl7.org/CodeSystem/library-type
    l: library-type
  code:
    v: module-definition

type:
  v: depends-on
display:
  v: FHIR model information
resource:
  v: http://fhir.org/guides/cqf/common/Library/FHIR-ModelInfo|4.0.1
  l: http://fhir.org/guides/cqf/common/Library/FHIR-ModelInfo

type:
  v: depends-on
display:
  v: Library Encounter
resource:
  v: http://smart.who.int/immunizations/Library/IMMZD2DTDTPEncounterElements
  l: IMMZD2DTDTPEncounterElements

type:
  v: depends-on
display:
  v: Library Common
resource:
  v: http://smart.who.int/immunizations/Library/IMMZCommon
  l: IMMZCommon

type:
  v: depends-on
display:
  v: Library WC
resource:
  v: http://smart.who.int/immunizations/Library/WHOCommon
  l: WHOCommon

type:
  v: depends-on
display:
  v: Library DTPElements
resource:
  v: http://smart.who.int/immunizations/Library/IMMZD2DTDTPElements
  l: IMMZD2DTDTPElements

type:
  v: depends-on
display:
  v: Library FHIRHelpers
resource:
  v: http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1
  l: http://fhir.org/guides/cqf/common/Library/FHIRHelpers

type:
  v: depends-on
display:
  v: Library Elements
resource:
  v: http://smart.who.int/immunizations/Library/IMMZElements
  l: IMMZElements

type:
  v: depends-on
display:
  v: Library FHIRHelpers
resource:
  v: http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1
  l: http://fhir.org/guides/cqf/common/Library/FHIRHelpers

type:
  v: depends-on
display:
  v: Library Concepts
resource:
  v: http://smart.who.int/immunizations/Library/IMMZConcepts
  l: IMMZConcepts

type:
  v: depends-on
display:
  v: Library Encounter
resource:
  v: http://smart.who.int/immunizations/Library/IMMZEncounterElements
  l: IMMZEncounterElements

type:
  v: depends-on
display:
  v: Library Elements
resource:
  v: http://smart.who.int/immunizations/Library/IMMZElements
  l: IMMZElements

type:
  v: depends-on
display:
  v: Library WC
resource:
  v: http://smart.who.int/immunizations/Library/WHOCommon
  l: WHOCommon

type:
  v: depends-on
display:
  v: Library Concepts
resource:
  v: http://smart.who.int/immunizations/Library/IMMZConcepts
  l: IMMZConcepts

type:
  v: depends-on
display:
  v: Library WE
resource:
  v: http://smart.who.int/immunizations/Library/WHOEncounterElements
  l: WHOEncounterElements

type:
  v: depends-on
display:
  v: Library Elements
resource:
  v: http://smart.who.int/immunizations/Library/WHOElements
  l: WHOElements

type:
  v: depends-on
display:
  v: Library Concepts
resource:
  v: http://smart.who.int/immunizations/Library/WHOConcepts
  l: WHOConcepts

type:
  v: depends-on
display:
  v: Library Common
resource:
  v: http://smart.who.int/immunizations/Library/WHOCommon
  l: WHOCommon

type:
  v: depends-on
display:
  v: Library WC
resource:
  v: http://smart.who.int/immunizations/Library/WHOCommon
  l: WHOCommon

type:
  v: depends-on
display:
  v: Code system IMMZD
resource:
  v: http://smart.who.int/immunizations/CodeSystem/IMMZ.D
  l: IMMZ.D

type:
  v: depends-on
display:
  v: Code system ConditionClinicalStatusCodes
resource:
  v: http://terminology.hl7.org/CodeSystem/condition-clinical
  l: condition-clinical

type:
  v: depends-on
display:
  v: Code system LOINC
resource:
  v: http://loinc.org
  l: loinc.org

type:
  v: depends-on
display:
  v: Value set Tetanus and diphtheria-containing vaccines
resource:
  v: http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE28
  l: IMMZ.Z.DE28

type:
  v: depends-on
display:
  v: Value set DTP-containing vaccines
resource:
  v: http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE24
  l: IMMZ.Z.DE24

name:
  v: Today
use:
  v: in
min:
  v: 0
max:
  v: 1
type:
  v: date

name:
  v: EncounterId
use:
  v: in
min:
  v: 0
max:
  v: 1
type:
  v: string

name:
  v: AsOf
use:
  v: in
min:
  v: 0
max:
  v: 1
type:
  v: date

name:
  v: Tetanus and diphtheria-containing vaccine booster dose 3
use:
  v: out
min:
  v: 0
max:
  v: 1
type:
  v: boolean

name:
  v: Tetanus and diphtheria-containing vaccine booster dose 2 (during pregnancy) Create
use:
  v: out
min:
  v: 0
max:
  v: 1
type:
  v: string

name:
  v: Tetanus and diphtheria-containing vaccine booster dose 3 Create
use:
  v: out
min:
  v: 0
max:
  v: 1
type:
  v: string

name:
  v: Tetanus and diphtheria-containing vaccine booster dose 2 (during pregnancy)
use:
  v: out
min:
  v: 0
max:
  v: 1
type:
  v: boolean

type:
  v: Immunization
profile:
  v: http://hl7.org/fhir/StructureDefinition/Immunization
  l: Immunization
must support:
  v: status
must support:
  v: isSubpotent

type:
  v: Immunization
profile:
  v: http://hl7.org/fhir/StructureDefinition/Immunization
  l: Immunization
must support:
  v: status
must support:
  v: isSubpotent
must support:
  v: vaccineCode

type:
  v: Immunization
profile:
  v: http://hl7.org/fhir/StructureDefinition/Immunization
  l: Immunization
must support:
  v: status
must support:
  v: isSubpotent
must support:
  v: vaccineCode

type:
  v: Observation
profile:
  v: http://hl7.org/fhir/StructureDefinition/Observation
  l: Observation
must support:
  v: code
code filter:
  path:
    v: code
  code:
    system:
      v: http://smart.who.int/immunizations/CodeSystem/IMMZ.D
      l: IMMZ.D
    code:
      v: DE161
    display:
      v: Potential contraindications

type:
  v: Observation
profile:
  v: http://hl7.org/fhir/StructureDefinition/Observation
  l: Observation
must support:
  v: code
must support:
  v: value
code filter:
  path:
    v: code
  code:
    system:
      v: http://smart.who.int/immunizations/CodeSystem/IMMZ.D
      l: IMMZ.D
    code:
      v: DE161
    display:
      v: Potential contraindications

type:
  v: Observation
profile:
  v: http://hl7.org/fhir/StructureDefinition/Observation
  l: Observation
must support:
  v: code
must support:
  v: value
must support:
  v: encounter
must support:
  v: effective
code filter:
  path:
    v: code
  code:
    system:
      v: http://smart.who.int/immunizations/CodeSystem/IMMZ.D
      l: IMMZ.D
    code:
      v: DE161
    display:
      v: Potential contraindications

type:
  v: Condition
profile:
  v: http://hl7.org/fhir/StructureDefinition/Condition
  l: Condition
must support:
  v: code
code filter:
  path:
    v: code
  code:
    system:
      v: http://smart.who.int/immunizations/CodeSystem/IMMZ.D
      l: IMMZ.D
    code:
      v: DE162
    display:
      v: Currently pregnant

type:
  v: Patient
profile:
  v: http://hl7.org/fhir/StructureDefinition/Patient
  l: Patient

type:
  v: Condition
profile:
  v: http://hl7.org/fhir/StructureDefinition/Condition
  l: Condition
must support:
  v: code
code filter:
  path:
    v: code
  code:
    system:
      v: http://smart.who.int/immunizations/CodeSystem/IMMZ.D
      l: IMMZ.D
    code:
      v: DE162
    display:
      v: Currently pregnant

type:
  v: Observation
profile:
  v: http://hl7.org/fhir/StructureDefinition/Observation
  l: Observation
must support:
  v: code
must support:
  v: status
code filter:
  path:
    v: code
  code: https://loinc.org/rdf/82810-3
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 82810-3
    display:
      v: Pregnancy status

type:
  v: Observation
profile:
  v: http://hl7.org/fhir/StructureDefinition/Observation
  l: Observation
must support:
  v: code
must support:
  v: status
must support:
  v: value
code filter:
  path:
    v: code
  code: https://loinc.org/rdf/82810-3
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 82810-3
    display:
      v: Pregnancy status

type:
  v: Observation
profile:
  v: http://hl7.org/fhir/StructureDefinition/Observation
  l: Observation
must support:
  v: code
must support:
  v: status
must support:
  v: value
must support:
  v: encounter
must support:
  v: effective
code filter:
  path:
    v: code
  code: https://loinc.org/rdf/82810-3
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 82810-3
    display:
      v: Pregnancy status

type:
  v: Immunization
profile:
  v: http://hl7.org/fhir/StructureDefinition/Immunization
  l: Immunization
must support:
  v: status
must support:
  v: isSubpotent
must support:
  v: vaccineCode

type:
  v: Immunization
profile:
  v: http://hl7.org/fhir/StructureDefinition/Immunization
  l: Immunization
must support:
  v: status
must support:
  v: isSubpotent
must support:
  v: vaccineCode

type:
  v: Immunization
profile:
  v: http://hl7.org/fhir/StructureDefinition/Immunization
  l: Immunization
must support:
  v: status
must support:
  v: isSubpotent
must support:
  v: vaccineCode

type:
  v: Immunization
profile:
  v: http://hl7.org/fhir/StructureDefinition/Immunization
  l: Immunization
must support:
  v: status
must support:
  v: isSubpotent
must support:
  v: vaccineCode

type:
  v: Immunization
profile:
  v: http://hl7.org/fhir/StructureDefinition/Immunization
  l: Immunization
must support:
  v: status
must support:
  v: isSubpotent
must support:
  v: vaccineCode

url:
  v: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeCapability
  l: cpg-knowledgeCapability
value: Code
  v: computable

url:
  v: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-effectiveDataRequirements
  l: crmi-effectiveDataRequirements
value: Canonical
  v: #effective-data-requirements
  l: effective-data-requirements

v: 0.2.0

v: IMMZD18SDTPPregnancyStartingWith4Doses

v: IMMZ.D18.S.DTP.Pregnancy starting with 4 doses schedule

coding:
  system:
    v: http://terminology.hl7.org/CodeSystem/plan-definition-type
    l: plan-definition-type
  code:
    v: eca-rule

v: draft

v: false

v: 2026-03-03T13:07:11+00:00

v: WHO

name:
  v: WHO
telecom:
  system:
    v: url
  value:
    v: http://who.int

v: IMMZ.D18.S.DTP.Pregnancy starting with 4 doses schedule Diphtheria and tetanus vaccination schedule in pregnant women who received 4 childhood diphtheria–tetanus–pertussis (DTP) doses

type:
  v: citation
citation:
  v: WHO recommendations for routine immunization - summary tables (January 2025)

title:
  v: Tetanus and diphtheria-containing vaccine booster dose 2 (during pregnancy)
description:
  v: Provision of tetanus and diphtheria booster dose 2 for pregnant women who received 4 tetanus-containing vaccines doses during childhood or pre-adulthood Trigger event: The primary DTP series has been completed, first tetanus and diphtheria booster dose was administered and client is currently pregnant Trigger pseudo: "Completed the primary vaccination series" = TRUE (where "Vaccine type" = "DTP-containing vaccines") AND Count of vaccines administered where "Vaccine type" = "Tetanus and diphtheria-containing vaccines" and "Type of dose" = "Booster dose") = 1 AND "Currently pregnant" = TRUE Trigger date: First ANC contact date "Contact date" WHEN "ANC contact number" = 1 Create condition: Women who received 4 tetanus-containing vaccine doses during childhood or pre-adulthood need only 1 booster dose, which should be given at the first opportunity.
condition:
  kind:
    v: applicability
  expression:
    description:
      v: Tetanus and diphtheria-containing vaccine booster dose 2 (during pregnancy)
    language:
      v: text/cql-identifier
    expression:
      v: Tetanus and diphtheria-containing vaccine booster dose 2 (during pregnancy)
definition: Canonical
  v: http://smart.who.int/immunizations/ActivityDefinition/IMMZD2DTCR
  l: IMMZD2DTCR
dynamic value:
  path:
    v: status
  expression:
    language:
      v: text/cql-expression
    expression:
      v: 'active'
dynamic value:
  path:
    v: payload.contentString
  expression:
    language:
      v: text/cql-identifier
    expression:
      v: Tetanus and diphtheria-containing vaccine booster dose 2 (during pregnancy) Create
dynamic value:
  path:
    v: category.coding
  expression:
    description:
      v: Category of communication
    language:
      v: text/cql-expression
    expression:
      v: Code { system: 'http://terminology.hl7.org/CodeSystem/communication-category', code: 'alert' }
dynamic value:
  path:
    v: priority
  expression:
    description:
      v: Alert priority
    language:
      v: text/cql-expression
    expression:
      v: Code { system: 'http://hl7.org/fhir/request-priority', code: 'routine' }

title:
  v: Tetanus and diphtheria-containing vaccine booster dose 3
description:
  v: Provision of tetanus and diphtheria booster dose 3 for pregnant women who received 4 tetanus-containing vaccines doses during childhood or pre-adulthood Trigger event: Second tetanus and diphtheria booster dose was administered Trigger pseudo: Count of vaccines administered (where "Vaccine type" = "Tetanus and diphtheria-containing vaccines" and "Type of dose" = "Booster dose") = 2 Trigger date: Latest "Date and time of vaccination" where "Vaccine type" = "Tetanus and diphtheria-containing vaccines" Create condition: To provide lifelong protection for tetanus, a sixth dose should be provided at least 1 year after the fifth dose, or in next pregnancy.
condition:
  kind:
    v: applicability
  expression:
    description:
      v: Tetanus and diphtheria-containing vaccine booster dose 3
    language:
      v: text/cql-identifier
    expression:
      v: Tetanus and diphtheria-containing vaccine booster dose 3
definition: Canonical
  v: http://smart.who.int/immunizations/ActivityDefinition/IMMZD2DTCR
  l: IMMZD2DTCR
dynamic value:
  path:
    v: status
  expression:
    language:
      v: text/cql-expression
    expression:
      v: 'active'
dynamic value:
  path:
    v: payload.contentString
  expression:
    language:
      v: text/cql-identifier
    expression:
      v: Tetanus and diphtheria-containing vaccine booster dose 3 Create
dynamic value:
  path:
    v: category.coding
  expression:
    description:
      v: Category of communication
    language:
      v: text/cql-expression
    expression:
      v: Code { system: 'http://terminology.hl7.org/CodeSystem/communication-category', code: 'alert' }
dynamic value:
  path:
    v: priority
  expression:
    description:
      v: Alert priority
    language:
      v: text/cql-expression
    expression:
      v: Code { system: 'http://hl7.org/fhir/request-priority', code: 'routine' }