WHO Immunization Implementation Guide
0.2.0 - ci-build
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/tree/123/merge and changes regularly. See the Directory of published versions
| Draft as of 2026-03-03 |
<PlanDefinition xmlns="http://hl7.org/fhir">
<id value="IMMZD2DTDTPPregnancy"/>
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<table class="grid dict">
<tr>
<th scope="row"><b>Id: </b></th>
<td style="padding-left: 4px;">IMMZD2DTDTPPregnancy</td>
</tr>
<tr>
<th scope="row"><b>Url: </b></th>
<td style="padding-left: 4px;"><a href="PlanDefinition-IMMZD2DTDTPPregnancy.html">IMMZ.D2.DT.DTP.Pregnancy</a></td>
</tr>
<tr>
<th scope="row"><b>Version: </b></th>
<td style="padding-left: 4px;">0.2.0</td>
</tr>
<tr>
<th scope="row"><b>Title: </b></th>
<td style="padding-left: 4px;">IMMZ.D2.DT.DTP.Pregnancy</td>
</tr>
<tr>
<th scope="row"><b>Status: </b></th>
<td style="padding-left: 4px;">draft</td>
</tr>
<tr>
<th scope="row"><b>Type: </b></th>
<td style="padding-left: 4px;">
<p style="margin-bottom: 5px;">
<b>system: </b> <span><a href="http://terminology.hl7.org/7.0.1/CodeSystem-plan-definition-type.html">http://terminology.hl7.org/CodeSystem/plan-definition-type</a></span>
</p>
<p style="margin-bottom: 5px;">
<b>code: </b> <span>eca-rule</span>
</p>
</td>
</tr>
<tr>
<th scope="row"><b>Date: </b></th>
<td style="padding-left: 4px;">2026-03-03 13:07:11+0000</td>
</tr>
<tr>
<th scope="row"><b>Publisher: </b></th>
<td style="padding-left: 4px;">WHO</td>
</tr>
<tr>
<th scope="row"><b>Description: </b></th>
<td style="padding-left: 4px;"><div><p>IMMZ.D2.DT.DTP.Pregnancy
Determine whether DTP-containing vaccines are needed for pregnant women</p>
</div></td>
</tr>
<tr>
<th scope="row"><b>Knowledge Capability: </b></th>
<td style="padding-left: 4px;">
computable
</td>
</tr>
<tr>
<th scope="row"><b>Related Artifacts: </b></th>
<td style="padding-left: 4px;">
<p><b>References</b></p>
<ul>
<li><div><p>WHO recommendations for routine immunization - summary tables (January 2025)</p>
</div><br/><a href="null"/></li>
</ul>
</td>
</tr>
<tr>
<th scope="row"><b>Libraries: </b></th>
<td style="padding-left: 4px;">
<table class="grid-dict">
<tr>
<td><a href="Library-IMMZD2DTDTPPregnancyLogic.html">IMMZD2DTDTPPregnancyLogic</a></td>
</tr>
</table>
</td>
</tr>
<tr>
<th scope="row"><b>Actions: </b></th>
<td style="padding-left: 4px;">
<table class="grid-dict">
<tr>
<td>
<b> Check for Guidance for the patient regarding IMMZ.D2.DT.DTP.Pregnancy.:</b> Show Guidance for the patient regarding IMMZ.D2.DT.DTP.Pregnancy.
<br/>
<b>If:</b>
<i>Applicability:</i>
Has Guidance
<i>(Has Guidance)</i>
<br/>
<b>Then:</b> <i>Definition:</i> <a href="ActivityDefinition-IMMZD2DTCR.html">IMMZ.D2.DT.CR</a><br/>
<i>Dynamic Values:</i><br/>
status: <i>('active')</i>
<br/>
payload.contentString: <i>(Guidance)</i>
<br/>
category.coding: <i>(Code { system: 'http://terminology.hl7.org/CodeSystem/communication-category', code: 'alert' })</i>
<br/>
priority: <i>(Code { system: 'http://hl7.org/fhir/request-priority', code: 'routine' })</i>
<br/>
</td>
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<valueCoding>
<system
value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
<code value="DE161"/>
<display value="Potential contraindications"/>
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url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
<valueCoding>
<system
value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
<code value="DE162"/>
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<system
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url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
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<system
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<code value="relapse"/>
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url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
<valueCoding>
<system value="http://loinc.org"/>
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<valueCoding>
<system value="http://loinc.org"/>
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<extension url="libraryName">
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<valueString value="Doses Administered to Patient"/>
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<extension url="statement">
<valueString
value="/**
* @dataElement All Doses Administered to Patient
*/
define "Doses Administered to Patient":
[Immunization] I
where I.status = 'completed'
and I.isSubpotent is not true"/>
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<valueString
value="/*
@internal: DTP containing Doses Administered to Patient
*/
define "DTP Doses Administered to Patient":
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I.vaccineCode in Concepts."DTP-containing vaccines""/>
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@internal: DTP containing Doses Administered to Patient that are in the Primary series
*/
define "DTP Primary Series Doses Administered to Patient":
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@internal: DTP containing Doses Administered to Patient that are in the Primary series
*/
define "DTP Primary Series Doses Administered to Patient":
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@internal: Number of DTP Primary Series doses
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<valueString value="IMMZD2DTDTPEncounterElements"/>
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<valueString value="No DTP primary series doses were administered"/>
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<valueString
value="/*
@input: No DTP primary series doses were administered
@pseudocode: Count of vaccines administered (where "Vaccine type" = "DTP-containing vaccines" and "Type of dose" = "Primary series") = 0
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@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
*/
define "No DTP primary series doses were administered":
"Number of DTP Primary Series Doses Administered" = 0"/>
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url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
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<valueString value="IMMZElements"/>
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<valueString value="Potential contraindications"/>
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value="/*
@internal: Potential contraindications observations
*/
define "Potential contraindications":
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<valueString value="CI Currently pregnant Observation"/>
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value="/*
@internal: Observation for currently pregnant
*/
define "CI Currently pregnant Observation":
"Potential contraindications" O
where O.value ~ Concepts."CI-Currently pregnant""/>
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<valueString value="CI Currently pregnant Observation"/>
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<valueString
value="/*
@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"/>
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<extension url="libraryName">
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@internal: Condition for currently pregnant
*/
define "CI Currently pregnant Condition":
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@internal: Condition for currently pregnant
*/
define "CI Currently pregnant Condition":
Elements."CI Currently pregnant Condition" C
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url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="WHOEncounterElements"/>
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value="define "Pregnant Observation":
Elements."Pregnant Observation" O
where O.encounter.references(EncounterId)
or O.effective.toInterval() starts same day or after AsOf - 9 months"/>
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url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZEncounterElements"/>
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<valueString value="The client is pregnant"/>
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<extension url="statement">
<valueString
value="/*
@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""/>
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<valueInteger value="14"/>
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url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTDTPEncounterElements"/>
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<extension url="name">
<valueString value="Client is currently pregnant"/>
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<extension url="statement">
<valueString
value="/*
@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""/>
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<extension url="displaySequence">
<valueInteger value="15"/>
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<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTDTPPregnancyLogic"/>
</extension>
<extension url="name">
<valueString
value="Client should follow 'delayed or interrupted series' decision logic"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Client should follow 'delayed or interrupted series' decision logic
@pseudocode:
*/
define "Client should follow 'delayed or interrupted series' decision logic":
Encounter."No DTP primary series doses were administered"
and Encounter."Client is currently pregnant""/>
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url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
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<valueString
value="Client should follow 'delayed or interrupted series' decision logic Guidance"/>
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value="/*
@output: Client should follow 'delayed or interrupted series' decision logic Guidance
@guidance: The client has a delayed start. Please follow the 'delayed or interrupted' schedule.
*/
define "Client should follow 'delayed or interrupted series' decision logic Guidance":
'The client has a delayed start. Please follow the \'delayed or interrupted\' schedule.'"/>
</extension>
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url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTDTPEncounterElements"/>
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<extension url="name">
<valueString
value="Three DTP primary series doses were administered"/>
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<valueString
value="/*
@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"/>
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<valueInteger value="18"/>
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<extension url="libraryName">
<valueString value="IMMZD2DTDTPElements"/>
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<valueString value="Td Doses Administered to Patient"/>
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<extension url="statement">
<valueString
value="/*
@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""/>
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<valueInteger value="19"/>
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<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTDTPElements"/>
</extension>
<extension url="name">
<valueString
value="Td Booster Series Doses Administered to Patient"/>
</extension>
<extension url="statement">
<valueString
value="/*
@internal: Td Booster Series Doses Administered to Patient
*/
define "Td Booster Series Doses Administered to Patient":
"Td Doses Administered to Patient".seriesBooster()"/>
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<valueString
value="Td Booster Series Doses Administered to Patient"/>
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<valueString
value="/*
@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)"/>
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<valueInteger value="21"/>
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url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
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<extension url="name">
<valueString
value="Number of Td Booster Series Doses Administered"/>
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<extension url="statement">
<valueString
value="/*
@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>
<extension url="displaySequence">
<valueInteger value="22"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTDTPEncounterElements"/>
</extension>
<extension url="name">
<valueString
value="No tetanus and diphtheria booster doses were administered"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: No 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") = 0
@code: No 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 starting with 3 doses: Diphtheria and tetanus vaccination schedule in pregnant women who received 3 childhood DTP doses
*/
define "No tetanus and diphtheria booster doses were administered":
"Number of Td Booster Series Doses Administered" = 0"/>
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<extension url="displaySequence">
<valueInteger value="23"/>
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<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTDTPEncounterElements"/>
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<extension url="name">
<valueString
value="No tetanus and diphtheria booster dose was administered"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: No 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") = 0
@code: No tetanus and diphtheria booster dose was administered-140
@decision: IMMZ.D2.DT.DTP.Pregnancy: Determine whether DTP-containing vaccines are needed for pregnant women
*/
define "No tetanus and diphtheria booster dose was administered":
"No tetanus and diphtheria booster doses were administered""/>
</extension>
<extension url="displaySequence">
<valueInteger value="24"/>
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</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTDTPPregnancyLogic"/>
</extension>
<extension url="name">
<valueString
value="Client should follow 'pregnancy starting with 3 doses' decision logic"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Client should follow 'pregnancy starting with 3 doses' decision logic
@pseudocode:
*/
define "Client should follow 'pregnancy starting with 3 doses' decision logic":
Encounter."Three DTP primary series doses were administered"
and Encounter."No tetanus and diphtheria booster dose was administered"
and Encounter."Client is currently pregnant""/>
</extension>
<extension url="displaySequence">
<valueInteger value="25"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTDTPPregnancyLogic"/>
</extension>
<extension url="name">
<valueString
value="Client should follow 'pregnancy starting with 3 doses' decision logic Guidance"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Client should follow 'pregnancy starting with 3 doses' decision logic Guidance
@guidance: The client has received 3 tetanus-containing vaccine doses during childhood. Please follow the 'pregnancy starting with 3 doses' schedule.
*/
define "Client should follow 'pregnancy starting with 3 doses' decision logic Guidance":
'The client has received 3 tetanus-containing vaccine doses during childhood. Please follow the \'pregnancy starting with 3 doses\' schedule.'"/>
</extension>
<extension url="displaySequence">
<valueInteger value="26"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTDTPEncounterElements"/>
</extension>
<extension url="name">
<valueString
value="One tetanus and diphtheria booster dose was administered"/>
</extension>
<extension url="statement">
<valueString
value="/*
@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>
<extension url="displaySequence">
<valueInteger value="27"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTDTPPregnancyLogic"/>
</extension>
<extension url="name">
<valueString
value="Client should follow 'pregnancy starting with 4 doses' decision logic"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Client should follow 'pregnancy starting with 4 doses' decision logic
@pseudocode:
*/
define "Client should follow 'pregnancy starting with 4 doses' decision logic":
Encounter."Three DTP primary series doses were administered"
and Encounter."One tetanus and diphtheria booster dose was administered"
and Encounter."Client is currently pregnant""/>
</extension>
<extension url="displaySequence">
<valueInteger value="28"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTDTPPregnancyLogic"/>
</extension>
<extension url="name">
<valueString
value="Client should follow 'pregnancy starting with 4 doses' decision logic Guidance"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Client should follow 'pregnancy starting with 4 doses' decision logic Guidance
@guidance: The client has received 4 tetanus-containing vaccines doses during childhood or pre-adulthood. Please follow the 'pregnancy starting with 4 doses' schedule.
*/
define "Client should follow 'pregnancy starting with 4 doses' decision logic Guidance":
'The client has received 4 tetanus-containing vaccines doses during childhood or pre-adulthood. Please follow the \'pregnancy starting with 4 doses\' schedule.'"/>
</extension>
<extension url="displaySequence">
<valueInteger value="29"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTDTPEncounterElements"/>
</extension>
<extension url="name">
<valueString
value="Two tetanus and diphtheria booster doses were administered"/>
</extension>
<extension url="statement">
<valueString
value="/*
@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>
<extension url="displaySequence">
<valueInteger value="30"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTDTPPregnancyLogic"/>
</extension>
<extension url="name">
<valueString
value="Tetanus and diphtheria immunization schedule is complete Case 1"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Tetanus and diphtheria immunization schedule is complete Case 1
@pseudocode: "Immunization recommendation status" = "Complete" (where "Vaccine type" = "Tetanus and diphtheria-containing vaccines")
*/
define "Tetanus and diphtheria immunization schedule is complete Case 1":
Encounter."Three DTP primary series doses were administered"
and Encounter."Two tetanus and diphtheria booster doses were administered""/>
</extension>
<extension url="displaySequence">
<valueInteger value="31"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTDTPEncounterElements"/>
</extension>
<extension url="name">
<valueString
value="Three tetanus and diphtheria booster doses were administered"/>
</extension>
<extension url="statement">
<valueString
value="/*
@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>
<extension url="displaySequence">
<valueInteger value="32"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTDTPPregnancyLogic"/>
</extension>
<extension url="name">
<valueString
value="Tetanus and diphtheria immunization schedule is complete Case 2"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Tetanus and diphtheria immunization schedule is complete Case 2
@pseudocode: "Immunization recommendation status" = "Complete" (where "Vaccine type" = "Tetanus and diphtheria-containing vaccines")
*/
define "Tetanus and diphtheria immunization schedule is complete Case 2":
Encounter."Three DTP primary series doses were administered"
and Encounter."Three tetanus and diphtheria booster doses were administered""/>
</extension>
<extension url="displaySequence">
<valueInteger value="33"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTDTPPregnancyLogic"/>
</extension>
<extension url="name">
<valueString
value="Tetanus and diphtheria immunization schedule is complete"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Tetanus and diphtheria immunization schedule is complete
@pseudocode: "Immunization recommendation status" = "Complete" (where "Vaccine type" = "Tetanus and diphtheria-containing vaccines")
*/
define "Tetanus and diphtheria immunization schedule is complete":
"Tetanus and diphtheria immunization schedule is complete Case 1"
or "Tetanus and diphtheria immunization schedule is complete Case 2""/>
</extension>
<extension url="displaySequence">
<valueInteger value="34"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTDTPPregnancyLogic"/>
</extension>
<extension url="name">
<valueString
value="Tetanus and diphtheria immunization schedule is complete Guidance"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Tetanus and diphtheria immunization schedule is complete Guidance
@guidance = Tetanus and diphtheria immunization schedule is complete.Three DTP primary series doses and two tetanus and diphtheria booster doses were administered. There is no need for any additional tetanus and diphtheria doses.
Check for any other vaccines due.
@guidance = Tetanus and diphtheria immunization schedule is complete.Three DTP primary series doses and three tetanus and diphtheria booster doses were administered. There is no need for any additional tetanus and diphtheria doses.
Check for any other vaccines due.
*/
define "Tetanus and diphtheria immunization schedule is complete Guidance":
case
when "Tetanus and diphtheria immunization schedule is complete Case 1" then 'Tetanus and diphtheria immunization schedule is complete.Three DTP primary series doses and two tetanus and diphtheria booster doses were administered. There is no need for any additional tetanus and diphtheria doses.
Check for any other vaccines due.'
when "Tetanus and diphtheria immunization schedule is complete Case 2" then 'Tetanus and diphtheria immunization schedule is complete.Three DTP primary series doses and three tetanus and diphtheria booster doses were administered. There is no need for any additional tetanus and diphtheria doses.
Check for any other vaccines due.'
else ''
end"/>
</extension>
<extension url="displaySequence">
<valueInteger value="35"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTDTPPregnancyLogic"/>
</extension>
<extension url="name">
<valueString value="Guidance"/>
</extension>
<extension url="statement">
<valueString
value="/*
@dynamicValue: Guidance
*/
define "Guidance":
case
when "Client should follow 'delayed or interrupted series' decision logic" then "Client should follow 'delayed or interrupted series' decision logic Guidance"
when "Client should follow 'pregnancy starting with 3 doses' decision logic" then "Client should follow 'pregnancy starting with 3 doses' decision logic Guidance"
when "Client should follow 'pregnancy starting with 4 doses' decision logic" then "Client should follow 'pregnancy starting with 4 doses' decision logic Guidance"
when "Tetanus and diphtheria immunization schedule is complete" then "Tetanus and diphtheria immunization schedule is complete Guidance"
else ''
end"/>
</extension>
<extension url="displaySequence">
<valueInteger value="36"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD2DTDTPPregnancyLogic"/>
</extension>
<extension url="name">
<valueString value="Has Guidance"/>
</extension>
<extension url="statement">
<valueString
value="define "Has Guidance":
"Guidance" is not null and "Guidance" != ''"/>
</extension>
<extension url="displaySequence">
<valueInteger value="37"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZCommon"/>
</extension>
<extension url="name">
<valueString value="onOrBefore"/>
</extension>
<extension url="statement">
<valueString
value="/**
* @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>
<extension url="displaySequence">
<valueInteger value="38"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZCommon"/>
</extension>
<extension url="name">
<valueString value="seriesPrimary"/>
</extension>
<extension url="statement">
<valueString
value="/**
* @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>
<extension url="displaySequence">
<valueInteger value="39"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="FHIRHelpers"/>
</extension>
<extension url="name">
<valueString value="ToString"/>
</extension>
<extension url="statement">
<valueString
value="define function ToString(value string): value.value"/>
</extension>
<extension url="displaySequence">
<valueInteger value="40"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="FHIRHelpers"/>
</extension>
<extension url="name">
<valueString value="ToString"/>
</extension>
<extension url="statement">
<valueString
value="define function ToString(value ImmunizationStatus): value.value"/>
</extension>
<extension url="displaySequence">
<valueInteger value="41"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="FHIRHelpers"/>
</extension>
<extension url="name">
<valueString value="ToBoolean"/>
</extension>
<extension url="statement">
<valueString
value="define function ToBoolean(value boolean): value.value"/>
</extension>
<extension url="displaySequence">
<valueInteger value="42"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="FHIRHelpers"/>
</extension>
<extension url="name">
<valueString value="ToConcept"/>
</extension>
<extension url="statement">
<valueString
value="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>
<extension url="displaySequence">
<valueInteger value="43"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="FHIRHelpers"/>
</extension>
<extension url="name">
<valueString value="ToCode"/>
</extension>
<extension url="statement">
<valueString
value="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>
<extension url="displaySequence">
<valueInteger value="44"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="WHOCommon"/>
</extension>
<extension url="name">
<valueString value="complete"/>
</extension>
<extension url="statement">
<valueString
value="define fluent function complete(observations List<Observation>):
observations O where O.status in { 'final', 'amended', 'corrected' }"/>
</extension>
<extension url="displaySequence">
<valueInteger value="45"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="FHIRHelpers"/>
</extension>
<extension url="name">
<valueString value="ToString"/>
</extension>
<extension url="statement">
<valueString
value="define function ToString(value ObservationStatus): value.value"/>
</extension>
<extension url="displaySequence">
<valueInteger value="46"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="WHOCommon"/>
</extension>
<extension url="name">
<valueString value="references"/>
</extension>
<extension url="statement">
<valueString
value="/*
@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>
<extension url="displaySequence">
<valueInteger value="47"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="WHOCommon"/>
</extension>
<extension url="name">
<valueString value="prevalenceInterval"/>
</extension>
<extension url="statement">
<valueString
value="/*
@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>
<extension url="displaySequence">
<valueInteger value="48"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="WHOCommon"/>
</extension>
<extension url="name">
<valueString value="abatementInterval"/>
</extension>
<extension url="statement">
<valueString
value="// 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>
<extension url="displaySequence">
<valueInteger value="49"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="FHIRHelpers"/>
</extension>
<extension url="name">
<valueString value="ToDateTime"/>
</extension>
<extension url="statement">
<valueString
value="define function ToDateTime(value dateTime): value.value"/>
</extension>
<extension url="displaySequence">
<valueInteger value="50"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="FHIRHelpers"/>
</extension>
<extension url="name">
<valueString value="ToInterval"/>
</extension>
<extension url="statement">
<valueString
value="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>
<extension url="displaySequence">
<valueInteger value="51"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="FHIRHelpers"/>
</extension>
<extension url="name">
<valueString value="ToDate"/>
</extension>
<extension url="statement">
<valueString
value="define function ToDate(value date): value.value"/>
</extension>
<extension url="displaySequence">
<valueInteger value="52"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="FHIRHelpers"/>
</extension>
<extension url="name">
<valueString value="ToQuantity"/>
</extension>
<extension url="statement">
<valueString
value="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>
<extension url="displaySequence">
<valueInteger value="53"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="FHIRHelpers"/>
</extension>
<extension url="name">
<valueString value="ToCalendarUnit"/>
</extension>
<extension url="statement">
<valueString
value="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>
<extension url="displaySequence">
<valueInteger value="54"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZCommon"/>
</extension>
<extension url="name">
<valueString value="seriesBooster"/>
</extension>
<extension url="statement">
<valueString
value="/**
* @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>
<extension url="displaySequence">
<valueInteger value="55"/>
</extension>
</extension>
<name value="EffectiveDataRequirements"/>
<status value="active"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/library-type"/>
<code value="module-definition"/>
</coding>
</type>
<relatedArtifact>
<type value="depends-on"/>
<display value="FHIR model information"/>
<resource
value="http://fhir.org/guides/cqf/common/Library/FHIR-ModelInfo|4.0.1"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Library Encounter"/>
<resource
value="http://smart.who.int/immunizations/Library/IMMZD2DTDTPEncounterElements"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Library Common"/>
<resource
value="http://smart.who.int/immunizations/Library/IMMZCommon"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Library WC"/>
<resource
value="http://smart.who.int/immunizations/Library/WHOCommon"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Library DTPElements"/>
<resource
value="http://smart.who.int/immunizations/Library/IMMZD2DTDTPElements"/>
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<relatedArtifact>
<type value="depends-on"/>
<display value="Library FHIRHelpers"/>
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value="http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1"/>
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<relatedArtifact>
<type value="depends-on"/>
<display value="Library Elements"/>
<resource
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<relatedArtifact>
<type value="depends-on"/>
<display value="Library FHIRHelpers"/>
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<relatedArtifact>
<type value="depends-on"/>
<display value="Library Concepts"/>
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value="http://smart.who.int/immunizations/Library/IMMZConcepts"/>
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<relatedArtifact>
<type value="depends-on"/>
<display value="Library Encounter"/>
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value="http://smart.who.int/immunizations/Library/IMMZEncounterElements"/>
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<relatedArtifact>
<type value="depends-on"/>
<display value="Library Elements"/>
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<relatedArtifact>
<type value="depends-on"/>
<display value="Library WC"/>
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value="http://smart.who.int/immunizations/Library/WHOCommon"/>
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<relatedArtifact>
<type value="depends-on"/>
<display value="Library Concepts"/>
<resource
value="http://smart.who.int/immunizations/Library/IMMZConcepts"/>
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<type value="depends-on"/>
<display value="Library WE"/>
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value="http://smart.who.int/immunizations/Library/WHOEncounterElements"/>
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<relatedArtifact>
<type value="depends-on"/>
<display value="Library Elements"/>
<resource
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<relatedArtifact>
<type value="depends-on"/>
<display value="Library Concepts"/>
<resource
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<type value="depends-on"/>
<display value="Library Common"/>
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<relatedArtifact>
<type value="depends-on"/>
<display value="Code system IMMZD"/>
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<relatedArtifact>
<type value="depends-on"/>
<display value="Code system ConditionClinicalStatusCodes"/>
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<display value="Code system LOINC"/>
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<relatedArtifact>
<type value="depends-on"/>
<display value="Value set DTP-containing vaccines"/>
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value="http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE24"/>
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<relatedArtifact>
<type value="depends-on"/>
<display
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<parameter>
<name value="Today"/>
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<parameter>
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<parameter>
<name value="AsOf"/>
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<parameter>
<name value="Guidance"/>
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<type value="string"/>
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<parameter>
<name value="Has Guidance"/>
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<max value="1"/>
<type value="boolean"/>
</parameter>
<dataRequirement>
<type value="Immunization"/>
<profile
value="http://hl7.org/fhir/StructureDefinition/Immunization"/>
<mustSupport value="status"/>
<mustSupport value="isSubpotent"/>
</dataRequirement>
<dataRequirement>
<type value="Immunization"/>
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value="http://hl7.org/fhir/StructureDefinition/Immunization"/>
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<mustSupport value="isSubpotent"/>
<mustSupport value="vaccineCode"/>
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<dataRequirement>
<type value="Observation"/>
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<codeFilter>
<path value="code"/>
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<system
value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
<code value="DE161"/>
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value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
<code value="DE161"/>
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<mustSupport value="value"/>
<mustSupport value="encounter"/>
<mustSupport value="effective"/>
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<path value="code"/>
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<system
value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
<code value="DE161"/>
<display value="Potential contraindications"/>
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</codeFilter>
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<dataRequirement>
<type value="Condition"/>
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<codeFilter>
<path value="code"/>
<code>
<system
value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
<code value="DE162"/>
<display value="Currently pregnant"/>
</code>
</codeFilter>
</dataRequirement>
<dataRequirement>
<type value="Patient"/>
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</dataRequirement>
<dataRequirement>
<type value="Condition"/>
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<path value="code"/>
<code>
<system
value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
<code value="DE162"/>
<display value="Currently pregnant"/>
</code>
</codeFilter>
</dataRequirement>
<dataRequirement>
<type value="Observation"/>
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<mustSupport value="code"/>
<mustSupport value="status"/>
<codeFilter>
<path value="code"/>
<code>
<system value="http://loinc.org"/>
<code value="82810-3"/>
<display value="Pregnancy status"/>
</code>
</codeFilter>
</dataRequirement>
<dataRequirement>
<type value="Observation"/>
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<path value="code"/>
<code>
<system value="http://loinc.org"/>
<code value="82810-3"/>
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<mustSupport value="encounter"/>
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<path value="code"/>
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<system value="http://loinc.org"/>
<code value="82810-3"/>
<display value="Pregnancy status"/>
</code>
</codeFilter>
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<dataRequirement>
<type value="Immunization"/>
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<mustSupport value="vaccineCode"/>
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<dataRequirement>
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<mustSupport value="vaccineCode"/>
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<dataRequirement>
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<mustSupport value="vaccineCode"/>
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<mustSupport value="vaccineCode"/>
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<dataRequirement>
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<mustSupport value="vaccineCode"/>
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</Library>
</contained>
<extension
url="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeCapability">
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<extension
url="http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-effectiveDataRequirements">
<valueCanonical value="#effective-data-requirements"/>
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<url
value="http://smart.who.int/immunizations/PlanDefinition/IMMZD2DTDTPPregnancy"/>
<version value="0.2.0"/>
<name value="IMMZD2DTDTPPregnancy"/>
<title value="IMMZ.D2.DT.DTP.Pregnancy"/>
<type>
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value="http://terminology.hl7.org/CodeSystem/plan-definition-type"/>
<code value="eca-rule"/>
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</type>
<status value="draft"/>
<experimental value="false"/>
<date value="2026-03-03T13:07:11+00:00"/>
<publisher value="WHO"/>
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</contact>
<description
value="IMMZ.D2.DT.DTP.Pregnancy
Determine whether DTP-containing vaccines are needed for pregnant women"/>
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<type value="citation"/>
<citation
value="WHO recommendations for routine immunization - summary tables (January 2025)"/>
</relatedArtifact>
<library
value="http://smart.who.int/immunizations/Library/IMMZD2DTDTPPregnancyLogic"/>
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<title
value="Check for Guidance for the patient regarding IMMZ.D2.DT.DTP.Pregnancy."/>
<description
value="Show Guidance for the patient regarding IMMZ.D2.DT.DTP.Pregnancy."/>
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<kind value="applicability"/>
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<description value="Has Guidance"/>
<language value="text/cql-identifier"/>
<expression value="Has Guidance"/>
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</condition>
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value="http://smart.who.int/immunizations/ActivityDefinition/IMMZD2DTCR"/>
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<path value="status"/>
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<language value="text/cql-expression"/>
<expression value="'active'"/>
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<path value="payload.contentString"/>
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<language value="text/cql-identifier"/>
<expression value="Guidance"/>
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<path value="category.coding"/>
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<description value="Category of communication"/>
<language value="text/cql-expression"/>
<expression
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</expression>
</dynamicValue>
<dynamicValue>
<path value="priority"/>
<expression>
<description value="Alert priority"/>
<language value="text/cql-expression"/>
<expression
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</expression>
</dynamicValue>
</action>
</PlanDefinition>