{
  "resourceType": "Library",
  "id": "IMMZD18SDTPDelayedOrInterruptedSeriesLogic",
  "meta": {
    "profile": [
      "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareablelibrary",
      "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-publishablelibrary",
      "http://hl7.org/fhir/uv/cql/StructureDefinition/cql-library",
      "http://hl7.org/fhir/uv/cql/StructureDefinition/cql-module"
    ]
  },
  "text": {
    "status": "extensions",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n<div>\n    <table class=\"grid dict\">\n        \n        \n        <tr>\n            <th scope=\"row\"><b>Title: </b></th>\n            <td style=\"padding-left: 4px;\">IMMZD18SDTPDelayedOrInterruptedSeriesLogic</td>\n        </tr>\n        \n\n        \n        \n        <tr>\n            <th scope=\"row\"><b>Id: </b></th>\n            <td style=\"padding-left: 4px;\">IMMZD18SDTPDelayedOrInterruptedSeriesLogic</td>\n        </tr>\n        \n\n        \n        \n        <tr>\n            <th scope=\"row\"><b>Version: </b></th>\n            <td style=\"padding-left: 4px;\">0.2.0</td>\n        </tr>\n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Url: </b></th>\n            <td style=\"padding-left: 4px;\"><a href=\"Library-IMMZD18SDTPDelayedOrInterruptedSeriesLogic.html\">IMMZD18SDTPDelayedOrInterruptedSeriesLogic</a></td>\n        </tr>\n        \n\n        \n\n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Status: </b></th>\n            <td style=\"padding-left: 4px;\">draft</td>\n        </tr>\n        \n\n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Type: </b></th>\n            <td style=\"padding-left: 4px;\">\n                \n                    \n                        \n                        <p style=\"margin-bottom: 5px;\">\n                            <b>system: </b> <span><a href=\"http://terminology.hl7.org/7.1.0/CodeSystem-library-type.html\">http://terminology.hl7.org/CodeSystem/library-type</a></span>\n                        </p>\n                        \n                        \n                        <p style=\"margin-bottom: 5px;\">\n                            <b>code: </b> <span>logic-library</span>\n                        </p>\n                        \n                        \n                    \n                \n                \n            </td>\n        </tr>\n        \n\n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Date: </b></th>\n            <td style=\"padding-left: 4px;\">2026-03-29 17:23:09+0000</td>\n        </tr>\n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Publisher: </b></th>\n            <td style=\"padding-left: 4px;\">WHO</td>\n        </tr>\n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Description: </b></th>\n            <td style=\"padding-left: 4px;\"><div><p>This library defines decision support logic for the IMMZ.D18.S.DTP.Delayed or interrupted schedule table in the Immunization CPG</p>\n</div></td>\n        </tr>\n        \n\n        \n\n        \n\n        \n\n        \n\n        \n\n        \n\n        \n\n        \n\n        \n\n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Related Artifacts: </b></th>\n            <td style=\"padding-left: 4px;\">\n                \n                \n                \n                <p><b>Dependencies</b></p>\n                <ul>\n                  \n                    <li><a href=\"Library-WHOCommon.html\">WHOCommon</a></li>\n                  \n                    <li><a href=\"Library-IMMZCommon.html\">IMMZCommon</a></li>\n                  \n                    <li><a href=\"Library-IMMZConcepts.html\">IMMZConcepts</a></li>\n                  \n                    <li><a href=\"Library-IMMZEncounterElements.html\">IMMZEncounterElements</a></li>\n                  \n                    <li><a href=\"Library-IMMZD2DTDTPEncounterElements.html\">IMMZD2DTDTPEncounterElements</a></li>\n                  \n                </ul>\n                \n                \n                \n                \n                \n            </td>\n        </tr>\n        \n\n        \n        <tr>\n          <th scope=\"row\"><b>Parameters: </b></th>\n          <td style=\"padding-left: 4px;\">\n            <table class=\"grid-dict\">\n              <tr><th><b>Name</b></th><th><b>Type</b></th><th><b>Min</b></th><th><b>Max</b></th><th><b>In/Out</b></th></tr>\n              \n                <tr><th>Today</th><th>date</th><th>0</th><th>1</th><th>In</th></tr>\n              \n                <tr><th>Patient</th><th>Patient</th><th>0</th><th>1</th><th>Out</th></tr>\n              \n                <tr><th>DTP dose 1 (delayed start)</th><th>boolean</th><th>0</th><th>1</th><th>Out</th></tr>\n              \n                <tr><th>DTP dose 1 (delayed start) Due Date</th><th>date</th><th>0</th><th>1</th><th>Out</th></tr>\n              \n                <tr><th>DTP dose 1 (delayed start) Create</th><th>string</th><th>0</th><th>1</th><th>Out</th></tr>\n              \n                <tr><th>DTP dose 1 (delayed start) Overdue</th><th>Resource</th><th>0</th><th>1</th><th>Out</th></tr>\n              \n                <tr><th>DTP dose 1 (delayed start) Expiration</th><th>Resource</th><th>0</th><th>1</th><th>Out</th></tr>\n              \n                <tr><th>First DTP dose from the primary series was administered</th><th>boolean</th><th>0</th><th>1</th><th>Out</th></tr>\n              \n                <tr><th>Second DTP dose from the primary series was administered</th><th>boolean</th><th>0</th><th>1</th><th>Out</th></tr>\n              \n                <tr><th>DTP dose 2 (delayed start)</th><th>boolean</th><th>0</th><th>1</th><th>Out</th></tr>\n              \n                <tr><th>DTP dose 2 (delayed start) Due Date</th><th>date</th><th>0</th><th>1</th><th>Out</th></tr>\n              \n                <tr><th>DTP dose 2 (delayed start) Create</th><th>string</th><th>0</th><th>1</th><th>Out</th></tr>\n              \n                <tr><th>DTP dose 2 (delayed start) Overdue</th><th>Resource</th><th>0</th><th>1</th><th>Out</th></tr>\n              \n                <tr><th>DTP dose 2 (delayed start) Expiration</th><th>Resource</th><th>0</th><th>1</th><th>Out</th></tr>\n              \n                <tr><th>Third DTP dose from the primary series was administered. The primary DTP series has been completed</th><th>boolean</th><th>0</th><th>1</th><th>Out</th></tr>\n              \n                <tr><th>DTP dose 3 (delayed start)</th><th>boolean</th><th>0</th><th>1</th><th>Out</th></tr>\n              \n                <tr><th>DTP dose 3 (delayed start) Due Date</th><th>date</th><th>0</th><th>1</th><th>Out</th></tr>\n              \n                <tr><th>DTP dose 3 (delayed start) Create</th><th>string</th><th>0</th><th>1</th><th>Out</th></tr>\n              \n                <tr><th>DTP dose 3 (delayed start) Overdue</th><th>Resource</th><th>0</th><th>1</th><th>Out</th></tr>\n              \n                <tr><th>DTP dose 3 (delayed start) Expiration</th><th>Resource</th><th>0</th><th>1</th><th>Out</th></tr>\n              \n                <tr><th>Tetanus and diphtheria-containing vaccine booster dose 1 (delayed start)</th><th>boolean</th><th>0</th><th>1</th><th>Out</th></tr>\n              \n                <tr><th>Tetanus and diphtheria-containing vaccine booster dose 1 (delayed start) Due Date</th><th>date</th><th>0</th><th>1</th><th>Out</th></tr>\n              \n                <tr><th>Tetanus and diphtheria-containing vaccine booster dose 1 (delayed start) Create</th><th>string</th><th>0</th><th>1</th><th>Out</th></tr>\n              \n                <tr><th>Tetanus and diphtheria-containing vaccine booster dose 1 (delayed start) Overdue</th><th>Resource</th><th>0</th><th>1</th><th>Out</th></tr>\n              \n                <tr><th>Tetanus and diphtheria-containing vaccine booster dose 1 (delayed start) Expiration</th><th>Resource</th><th>0</th><th>1</th><th>Out</th></tr>\n              \n                <tr><th>First tetanus and diphtheria booster dose was administered</th><th>boolean</th><th>0</th><th>1</th><th>Out</th></tr>\n              \n                <tr><th>Second tetanus and diphtheria booster dose was administered. Tetanus and diphtheria immunization schedule has been completed</th><th>boolean</th><th>0</th><th>1</th><th>Out</th></tr>\n              \n                <tr><th>Tetanus and diphtheria-containing vaccine booster dose 2 (delayed start)</th><th>boolean</th><th>0</th><th>1</th><th>Out</th></tr>\n              \n                <tr><th>Tetanus and diphtheria-containing vaccine booster dose 2 (delayed start) Due Date</th><th>date</th><th>0</th><th>1</th><th>Out</th></tr>\n              \n                <tr><th>Tetanus and diphtheria-containing vaccine booster dose 2 (delayed start) Create</th><th>string</th><th>0</th><th>1</th><th>Out</th></tr>\n              \n                <tr><th>Tetanus and diphtheria-containing vaccine booster dose 2 (delayed start) Overdue</th><th>Resource</th><th>0</th><th>1</th><th>Out</th></tr>\n              \n                <tr><th>Tetanus and diphtheria-containing vaccine booster dose 2 (delayed start) Expiration</th><th>Resource</th><th>0</th><th>1</th><th>Out</th></tr>\n              \n                <tr><th>Pertussis-containing vaccine booster dose 1 (delayed start) Expiration</th><th>date</th><th>0</th><th>1</th><th>Out</th></tr>\n              \n                <tr><th>Pertussis-containing booster dose was administered. Pertussis immunization schedule has been completed</th><th>boolean</th><th>0</th><th>1</th><th>Out</th></tr>\n              \n                <tr><th>Pertussis-containing vaccine booster dose 1 (delayed start)</th><th>boolean</th><th>0</th><th>1</th><th>Out</th></tr>\n              \n                <tr><th>Pertussis-containing vaccine booster dose 1 (delayed start) Due Date</th><th>date</th><th>0</th><th>1</th><th>Out</th></tr>\n              \n                <tr><th>Pertussis-containing vaccine booster dose 1 (delayed start) Overdue</th><th>date</th><th>0</th><th>1</th><th>Out</th></tr>\n              \n                <tr><th>Pertussis-containing vaccine booster dose 1 (delayed start) Create</th><th>string</th><th>0</th><th>1</th><th>Out</th></tr>\n              \n                <tr><th>Test Validation</th><th>Resource</th><th>0</th><th>1</th><th>Out</th></tr>\n              \n            </table>\n          </td>\n        </tr>\n        \n\n        \n\n        \n        \n        <tr>\n          <td colspan=\"2\">\n            <table>\n              <tr><th><a id=\"cql-content\"><b>Content: </b></a> text/cql</th></tr>\n              <tr><td><pre><code class=\"language-cql\">/*\n * Library: IMMZD18SDTPDelayedOrInterruptedSeriesLogic (IMMZ.D18.S.DTP.Delayed or interrupted schedule)\n * Schedule Table: Diphtheria–tetanus–pertussis (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\n */\nlibrary IMMZD18SDTPDelayedOrInterruptedSeriesLogic\n\nusing FHIR version '4.0.1'\ninclude FHIRHelpers version '4.0.1'\n\ninclude WHOCommon called WC\n\ninclude IMMZCommon called Common\ninclude IMMZConcepts called Concepts\n\ninclude IMMZEncounterElements called IE\ninclude IMMZD2DTDTPEncounterElements called Encounter\n\nparameter Today Date default Today()\n\n\ncontext Patient\n\n\n/*\n@output: DTP dose 1 (delayed start)\n@description: Provision of DTP dose 1 with a delayed start\n@trigger: No DTP doses were administered and client's age is more than 1 year\n@pseudo: Count of vaccines administered (where &quot;Vaccine type&quot; = &quot;DTP-containing vaccines&quot;) = 0 AND Today's date − &quot;Date of birth&quot; &gt; 1 year\n@triggerDate: Date of birth\n*/\ndefine &quot;DTP dose 1 (delayed start)&quot;:\n  Encounter.&quot;No DTP primary series doses were administered&quot;\n  and Encounter.&quot;Client's age is more than 1 year&quot;\n\n\n/*\n@output: DTP dose 1 (delayed start) Create\n@create: For children whose vaccination series has been interrupted, the series should be resumed without repeating previous doses. Children aged 1 year to under 7 years who have not previously been vaccinated should receive 3 doses of vaccine following a 0, 1, 6 month schedule.\n\nIf tetanus vaccination is started during adolescence or adulthood, a total of only 5 appropriately spaced doses are required to obtain lifelong protection.\n\nPregnant women and their newborn infants are protected from birth-associated tetanus if the mother received 5 doses if first vaccinated during adolescence/adulthood.\n*/\ndefine &quot;DTP dose 1 (delayed start) Create&quot;:\n  if &quot;DTP dose 1 (delayed start)&quot;\n  then 'For children whose vaccination series has been interrupted, the series should be resumed without repeating previous doses. Children aged 1 year to under 7 years who have not previously been vaccinated should receive 3 doses of vaccine following a 0, 1, 6 month schedule.\nIf tetanus vaccination is started during adolescence or adulthood, a total of only 5 appropriately spaced doses are required to obtain lifelong protection.\nPregnant women and their newborn infants are protected from birth-associated tetanus if the mother received 5 doses if first vaccinated during adolescence/adulthood.' + '\nDue Date: ' + ToString(&quot;DTP dose 1 (delayed start) Due Date&quot;)\n  else ''\n\n\n/*\n@dynamicValue: DTP dose 1 (delayed start) Due Date\n@pseudocode: As soon as possible\n*/\ndefine &quot;DTP dose 1 (delayed start) Due Date&quot;:\n  if &quot;DTP dose 1 (delayed start)&quot; then Patient.birthDate + 1 year\n  else null\n\n\n/*\n@dynamicValue: DTP dose 1 (delayed start) Overdue\n@pseudocode: To be determined by Member States; however, there is no recommended overdue date.\n*/\ndefine &quot;DTP dose 1 (delayed start) Overdue&quot;:\n  null\n\n\n/*\n@dynamicValue: DTP dose 1 (delayed start) Expiration\n@pseudocode: To be determined by Member States. However, there is no recommended expiration date and individuals remain eligible to be vaccinated.\n*/\ndefine &quot;DTP dose 1 (delayed start) Expiration&quot;:\n  null\n\n  \n/*\n@complete: First DTP dose from the primary series was administered\n@pseudocode: Count of vaccines administered (where &quot;Vaccine type&quot; = &quot;DTP-containing vaccines&quot; and &quot;Type of dose&quot; = &quot;Primary series&quot;) = 1\n*/\ndefine &quot;First DTP dose from the primary series was administered&quot;:\n  Encounter.&quot;One DTP primary series dose was administered&quot;\n\n\n\n/*\n@output: DTP dose 2 (delayed start)\n@description: Provision of DTP dose 2 with a delayed start\n@trigger: First DTP dose from the primary series was administered\n@pseudo: Count of vaccines administered (where &quot;Vaccine type&quot; = &quot;DTP-containing vaccines&quot; and &quot;Type of dose&quot; = &quot;Primary series&quot;) = 1\n@triggerDate: Latest &quot;Date and time of vaccination&quot; (where &quot;Vaccine type&quot; = &quot;DTP-containing vaccines&quot;\n*/\ndefine &quot;DTP dose 2 (delayed start)&quot;:\n  &quot;First DTP dose from the primary series was administered&quot; and\n  not &quot;Second DTP dose from the primary series was administered&quot;\n\n\n/*\n@output: DTP dose 2 (delayed start) Create\n@create: For children whose vaccination series has been interrupted, the series should be resumed without repeating previous doses. Children aged 1 year to under 7 years who have not previously been vaccinated should receive 3 doses of vaccine following a 0, 1, 6 month schedule.\n\nIf tetanus vaccination is started during adolescence or adulthood, a total of only 5 appropriately spaced doses are required to obtain lifelong protection.\n\nPregnant women and their newborn infants are protected from birth-associated tetanus if the mother received 5 doses if first vaccinated during adolescence/adulthood.\n*/\ndefine &quot;DTP dose 2 (delayed start) Create&quot;:\n  if &quot;DTP dose 2 (delayed start)&quot;\n  then 'For children whose vaccination series has been interrupted, the series should be resumed without repeating previous doses. Children aged 1 year to under 7 years who have not previously been vaccinated should receive 3 doses of vaccine following a 0, 1, 6 month schedule.\nIf tetanus vaccination is started during adolescence or adulthood, a total of only 5 appropriately spaced doses are required to obtain lifelong protection.\nPregnant women and their newborn infants are protected from birth-associated tetanus if the mother received 5 doses if first vaccinated during adolescence/adulthood.' + '\nDue Date: ' + ToString(&quot;DTP dose 2 (delayed start) Due Date&quot;)\n  else ''\n\n\n/*\n@dynamicValue: DTP dose 2 (delayed start) Due Date\n@pseudocode: Latest &quot;Date and time of vaccination&quot; (where &quot;Vaccine type&quot; = &quot;DTP-containing vaccines&quot;) + 4 weeks\n*/\ndefine &quot;DTP dose 2 (delayed start) Due Date&quot;:\n  if &quot;DTP dose 2 (delayed start)&quot; then Encounter.&quot;Date of Latest DTP Dose&quot; + 4 weeks\n  else null\n\n\n/*\n@dynamicValue: DTP dose 2 (delayed start) Overdue\n@pseudocode: To be determined by Member States; however, there is no recommended overdue date.\n*/\ndefine &quot;DTP dose 2 (delayed start) Overdue&quot;:\n  null\n\n\n/*\n@dynamicValue: DTP dose 2 (delayed start) Expiration\n@pseudocode: To be determined by Member States. However, there is no recommended expiration date and individuals remain eligible to be vaccinated.\n*/\ndefine &quot;DTP dose 2 (delayed start) Expiration&quot;:\n  null\n\n  \n/*\n@complete: Second DTP dose from the primary series was administered\n@pseudocode: Count of vaccines administered (where &quot;Vaccine type&quot; = &quot;DTP-containing vaccines&quot; and &quot;Type of dose&quot; = &quot;Primary series&quot;) = 2\n*/\ndefine &quot;Second DTP dose from the primary series was administered&quot;:\n  Encounter.&quot;Two DTP primary series doses were administered&quot;\n\n\n\n/*\n@output: DTP dose 3 (delayed start)\n@description: Provision of DTP dose 3 with a delayed start\n@trigger: Second DTP dose from the primary series was administered\n@pseudo: Count of vaccines administered (where &quot;Vaccine type&quot; = &quot;DTP-containing vaccines&quot; and &quot;Type of dose&quot; = &quot;Primary series&quot;) = 2\n@triggerDate: Latest &quot;Date and time of vaccination&quot; (where &quot;Vaccine type&quot; = &quot;DTP-containing vaccines&quot;\n*/\ndefine &quot;DTP dose 3 (delayed start)&quot;:\n  &quot;Second DTP dose from the primary series was administered&quot; and\n  not &quot;Third DTP dose from the primary series was administered. The primary DTP series has been completed&quot;\n\n\n/*\n@output: DTP dose 3 (delayed start) Create\n@create: For children whose vaccination series has been interrupted, the series should be resumed without repeating previous doses. Children aged 1 year to under 7 years who have not previously been vaccinated should receive 3 doses of vaccine following a 0, 1, 6 month schedule.\n\nIf tetanus vaccination is started during adolescence or adulthood, a total of only 5 appropriately spaced doses are required to obtain lifelong protection.\n\nPregnant women and their newborn infants are protected from birth-associated tetanus if the mother received 5 doses if first vaccinated during adolescence/adulthood.\n*/\ndefine &quot;DTP dose 3 (delayed start) Create&quot;:\n  if &quot;DTP dose 3 (delayed start)&quot;\n  then 'For children whose vaccination series has been interrupted, the series should be resumed without repeating previous doses. Children aged 1 year to under 7 years who have not previously been vaccinated should receive 3 doses of vaccine following a 0, 1, 6 month schedule.\nIf tetanus vaccination is started during adolescence or adulthood, a total of only 5 appropriately spaced doses are required to obtain lifelong protection.\nPregnant women and their newborn infants are protected from birth-associated tetanus if the mother received 5 doses if first vaccinated during adolescence/adulthood.' + '\nDue Date: ' + ToString(&quot;DTP dose 3 (delayed start) Due Date&quot;)\n  else ''\n\n\n/*\n@dynamicValue: DTP dose 3 (delayed start) Due Date\n@pseudocode: Latest &quot;Date and time of vaccination&quot; (where &quot;Vaccine type&quot; = &quot;DTP-containing vaccines&quot;) + 6 months\n*/\ndefine &quot;DTP dose 3 (delayed start) Due Date&quot;:\n  if &quot;DTP dose 3 (delayed start)&quot; then Encounter.&quot;Date of Latest DTP Dose&quot; + 6 months\n  else null\n\n\n/*\n@dynamicValue: DTP dose 3 (delayed start) Overdue\n@pseudocode: To be determined by Member States; however, there is no recommended overdue date.\n*/\ndefine &quot;DTP dose 3 (delayed start) Overdue&quot;:\n  null\n\n\n/*\n@dynamicValue: DTP dose 3 (delayed start) Expiration\n@pseudocode: To be determined by Member States. However, there is no recommended expiration date and individuals remain eligible to be vaccinated.\n*/\ndefine &quot;DTP dose 3 (delayed start) Expiration&quot;:\n  null\n\n  \n/*\n@complete: Third DTP dose from the primary series was administered. The primary DTP series has been completed\n@pseudocode: Count of vaccines administered (where &quot;Vaccine type&quot; = &quot;DTP-containing vaccines&quot; and &quot;Type of dose&quot; = &quot;Primary series&quot;) = 3\n&quot;Completed the primary vaccination series&quot; = TRUE (where &quot;Vaccine type&quot; = &quot;DTP-containing vaccines&quot;)\n*/\ndefine &quot;Third DTP dose from the primary series was administered. The primary DTP series has been completed&quot;:\n  Encounter.&quot;Three DTP primary series doses were administered&quot;\n\n\n\n/*\n@output: Tetanus and diphtheria-containing vaccine booster dose 1 (delayed start)\n@description: Provision of tetanus and diphtheria booster dose 1\n@trigger: The primary DTP series has been completed\n@pseudo: &quot;Completed the primary vaccination series&quot; = TRUE (where &quot;Vaccine type&quot; = &quot;DTP-containing vaccines&quot;)\n@triggerDate: Latest &quot;Date and time of vaccination&quot; (where &quot;Vaccine type&quot; = &quot;DTP-containing vaccines&quot;\n*/\ndefine &quot;Tetanus and diphtheria-containing vaccine booster dose 1 (delayed start)&quot;:\n  &quot;Third DTP dose from the primary series was administered. The primary DTP series has been completed&quot; and\n  Encounter.&quot;No tetanus and diphtheria booster doses were administered&quot;\n\n\n/*\n@output: Tetanus and diphtheria-containing vaccine booster dose 1 (delayed start) Create\n@create: Two subsequent booster doses using tetanus toxoid with reduced diphteria toxoid (Td) or Td with acellular pertussis (TdaP) combination vaccines are needed with an interval of at least 1 year between doses.\n*/\ndefine &quot;Tetanus and diphtheria-containing vaccine booster dose 1 (delayed start) Create&quot;:\n  if &quot;Tetanus and diphtheria-containing vaccine booster dose 1 (delayed start)&quot;\n  then 'Two subsequent booster doses using tetanus toxoid with reduced diphteria toxoid (Td) or Td with acellular pertussis (TdaP) combination vaccines are needed with an interval of at least 1 year between doses.' + '\nDue Date: ' + ToString(&quot;Tetanus and diphtheria-containing vaccine booster dose 1 (delayed start) Due Date&quot;)\n  else ''\n\n\n/*\n@dynamicValue: Tetanus and diphtheria-containing vaccine booster dose 1 (delayed start) Due Date\n@pseudocode: Latest &quot;Date and time of vaccination&quot; (where &quot;Vaccine type&quot; = &quot;DTP-containing vaccines&quot;) + 1 year\n*/\ndefine &quot;Tetanus and diphtheria-containing vaccine booster dose 1 (delayed start) Due Date&quot;:\n  if &quot;Tetanus and diphtheria-containing vaccine booster dose 1 (delayed start)&quot; then Encounter.&quot;Date of Latest DTP Dose&quot; + 1 year\n  else null\n\n\n/*\n@dynamicValue: Tetanus and diphtheria-containing vaccine booster dose 1 (delayed start) Overdue\n@pseudocode: To be determined by Member States; however, there is no recommended overdue date.\n*/\ndefine &quot;Tetanus and diphtheria-containing vaccine booster dose 1 (delayed start) Overdue&quot;:\n  null\n\n\n/*\n@dynamicValue: Tetanus and diphtheria-containing vaccine booster dose 1 (delayed start) Expiration\n@pseudocode: To be determined by Member States. However, there is no recommended expiration date and individuals remain eligible to be vaccinated.\n*/\ndefine &quot;Tetanus and diphtheria-containing vaccine booster dose 1 (delayed start) Expiration&quot;:\n  null\n\n  \n/*\n@complete: First tetanus and diphtheria booster dose was administered\n@pseudocode: Count of vaccines administered (where &quot;Vaccine type&quot; = &quot;Tetanus and diphtheria-containing vaccines&quot; and &quot;Type of dose&quot; = &quot;Booster dose&quot;) = 1\n*/\ndefine &quot;First tetanus and diphtheria booster dose was administered&quot;:\n  Encounter.&quot;One tetanus and diphtheria booster dose was administered&quot;\n\n\n\n/*\n@output: Tetanus and diphtheria-containing vaccine booster dose 2 (delayed start)\n@description: Provision of tetanus and diphtheria booster dose 2\n@trigger: First tetanus and diphtheria booster dose was administered\n@pseudo: Count of vaccines administered (where &quot;Vaccine type&quot; = &quot;Tetanus and diphtheria-containing vaccines&quot; and &quot;Type of dose&quot; = &quot;Booster dose&quot;) = 1\n@triggerDate: Latest &quot;Date and time of vaccination&quot; (where &quot;Vaccine type&quot; = &quot;Tetanus and diphtheria-containing vaccines&quot;)\n*/\ndefine &quot;Tetanus and diphtheria-containing vaccine booster dose 2 (delayed start)&quot;:\n  &quot;First tetanus and diphtheria booster dose was administered&quot; and\n  not &quot;Second tetanus and diphtheria booster dose was administered. Tetanus and diphtheria immunization schedule has been completed&quot;\n\n\n/*\n@output: Tetanus and diphtheria-containing vaccine booster dose 2 (delayed start) Create\n@create: Two subsequent booster doses using tetanus toxoid with reduced diphteria toxoid (Td) or Td with acellular pertussis (TdaP) combination vaccines are needed with an interval of at least 1 year between doses.\n*/\ndefine &quot;Tetanus and diphtheria-containing vaccine booster dose 2 (delayed start) Create&quot;:\n  if &quot;Tetanus and diphtheria-containing vaccine booster dose 2 (delayed start)&quot;\n  then 'Two subsequent booster doses using tetanus toxoid with reduced diphteria toxoid (Td) or Td with acellular pertussis (TdaP) combination vaccines are needed with an interval of at least 1 year between doses.' + '\nDue Date: ' + ToString(&quot;Tetanus and diphtheria-containing vaccine booster dose 2 (delayed start) Due Date&quot;)\n  else ''\n\n\n/*\n@dynamicValue: Tetanus and diphtheria-containing vaccine booster dose 2 (delayed start) Due Date\n@pseudocode: Latest &quot;Date and time of vaccination&quot; (where &quot;Vaccine type&quot; = &quot;Tetanus and diphtheria-containing vaccines&quot;) + 1 year\n*/\ndefine &quot;Tetanus and diphtheria-containing vaccine booster dose 2 (delayed start) Due Date&quot;:\n  if &quot;Tetanus and diphtheria-containing vaccine booster dose 2 (delayed start)&quot; then Encounter.&quot;Date of Latest Td Dose&quot; + 1 year\n  else null\n\n\n/*\n@dynamicValue: Tetanus and diphtheria-containing vaccine booster dose 2 (delayed start) Overdue\n@pseudocode: To be determined by Member States; however, there is no recommended overdue date.\n*/\ndefine &quot;Tetanus and diphtheria-containing vaccine booster dose 2 (delayed start) Overdue&quot;:\n  null\n\n\n/*\n@dynamicValue: Tetanus and diphtheria-containing vaccine booster dose 2 (delayed start) Expiration\n@pseudocode: To be determined by Member States. However, there is no recommended expiration date and individuals remain eligible to be vaccinated.\n*/\ndefine &quot;Tetanus and diphtheria-containing vaccine booster dose 2 (delayed start) Expiration&quot;:\n  null\n\n  \n/*\n@complete: Second tetanus and diphtheria booster dose was administered. Tetanus and diphtheria immunization schedule has been completed\n@pseudocode: Count of vaccines administered (where &quot;Vaccine type&quot; = &quot;Tetanus and diphtheria-containing vaccines&quot; and &quot;Type of dose&quot; = &quot;Booster dose&quot;) = 2\n&quot;Immunization recommendation status&quot; = &quot;Complete&quot; (where &quot;Vaccine type&quot; = &quot;Tetanus and diphtheria-containing vaccines&quot;)\n*/\ndefine &quot;Second tetanus and diphtheria booster dose was administered. Tetanus and diphtheria immunization schedule has been completed&quot;:\n  Encounter.&quot;Two tetanus and diphtheria booster doses were administered&quot;\n\n\n\n/*\n@output: Pertussis-containing vaccine booster dose 1 (delayed start)\n@description: Provision of the pertussis-containing booster dose 1\n@trigger: The primary DTP series has been completed and client's age is between 1 year and 6 years\n@pseudo: &quot;Completed the primary vaccination series&quot; = TRUE (where &quot;Vaccine type&quot; = &quot;DTP-containing vaccines&quot;) AND 1 year ≤ Today's date − &quot;Date of birth&quot; ≤ 6 years\n@triggerDate: Latest &quot;Date and time of vaccination&quot; (where &quot;Vaccine type&quot; = &quot;DTP-containing vaccines&quot;)\n*/\ndefine &quot;Pertussis-containing vaccine booster dose 1 (delayed start)&quot;:\n  &quot;Third DTP dose from the primary series was administered. The primary DTP series has been completed&quot; and\n  Encounter.&quot;Client's age is between 1 year and 6 years&quot; and\n  &quot;Pertussis-containing vaccine booster dose 1 (delayed start) Expiration&quot; after day of Today and\n  not &quot;Pertussis-containing booster dose was administered. Pertussis immunization schedule has been completed&quot;\n\n\n/*\n@output: Pertussis-containing vaccine booster dose 1 (delayed start) Create\n@create: A booster dose is recommended for children aged 1–6 years, preferably during the second year of life (≥ 6 months after last primary dose).\n*/\ndefine &quot;Pertussis-containing vaccine booster dose 1 (delayed start) Create&quot;:\n  if &quot;Pertussis-containing vaccine booster dose 1 (delayed start)&quot;\n  then 'A booster dose is recommended for children aged 1–6 years, preferably during the second year of life (≥ 6 months after last primary dose).' + '\nDue Date: ' + ToString(&quot;Pertussis-containing vaccine booster dose 1 (delayed start) Due Date&quot;) + '\nOverdue: ' + ToString(&quot;Pertussis-containing vaccine booster dose 1 (delayed start) Overdue&quot;) + '\nExpiration: ' + ToString(&quot;Pertussis-containing vaccine booster dose 1 (delayed start) Expiration&quot;)\n  else ''\n\n\n/*\n@dynamicValue: Pertussis-containing vaccine booster dose 1 (delayed start) Due Date\n@pseudocode: Latest &quot;Date and time of vaccination&quot; (where &quot;Vaccine type&quot; = &quot;Pertussis-containing vaccines&quot;) + 6 months\n*/\ndefine &quot;Pertussis-containing vaccine booster dose 1 (delayed start) Due Date&quot;:\n  if &quot;Pertussis-containing vaccine booster dose 1 (delayed start)&quot; then Encounter.&quot;Date of Latest Pertussis Dose&quot; + 6 months\n  else null\n\n\n/*\n@dynamicValue: Pertussis-containing vaccine booster dose 1 (delayed start) Overdue\n@pseudocode: &quot;Date of birth&quot; + 7 years\n*/\ndefine &quot;Pertussis-containing vaccine booster dose 1 (delayed start) Overdue&quot;:\n  if &quot;Pertussis-containing vaccine booster dose 1 (delayed start)&quot; then Patient.birthDate + 7 years\n  else null\n\n\n/*\n@dynamicValue: Pertussis-containing vaccine booster dose 1 (delayed start) Expiration\n@pseudocode: &quot;Date of birth&quot; + 7 years\n*/\ndefine &quot;Pertussis-containing vaccine booster dose 1 (delayed start) Expiration&quot;:\n  Patient.birthDate + 7 years\n\n  \n/*\n@complete: Pertussis-containing booster dose was administered. Pertussis immunization schedule has been completed\n@pseudocode: Count of vaccines administered (where &quot;Vaccine type&quot; = &quot;Pertussis-containing vaccines&quot; and &quot;Type of dose&quot; = &quot;Booster dose&quot;) = 1\n&quot;Immunization recommendation status&quot; = &quot;Complete&quot; (where &quot;Vaccine type&quot; = &quot;Pertussis-containing vaccines&quot;)\n*/\ndefine &quot;Pertussis-containing booster dose was administered. Pertussis immunization schedule has been completed&quot;:\n  Encounter.&quot;One pertussis booster dose was administered&quot;\n\n\n\n/*\n@test: Test expected results based on example patients\n*/\ndefine &quot;Test Validation&quot;:\n  case\n    when Patient.id = 'DTP33.2' then &quot;DTP dose 1 (delayed start)&quot;\n    when Patient.id = 'DTP34.2' then &quot;DTP dose 2 (delayed start)&quot;\n    when Patient.id = 'DTP35.2' then &quot;DTP dose 2 (delayed start)&quot;\n    when Patient.id = 'DTP36.2' then &quot;DTP dose 3 (delayed start)&quot;\n    when Patient.id = 'DTP37.2' then &quot;DTP dose 3 (delayed start)&quot;\n    when Patient.id = 'DTP38.3' then &quot;Tetanus and diphtheria-containing vaccine booster dose 1 (delayed start)&quot; and &quot;Pertussis-containing vaccine booster dose 1 (delayed start)&quot;\n    when Patient.id = 'DTP39.3' then &quot;Tetanus and diphtheria-containing vaccine booster dose 1 (delayed start)&quot; and &quot;Pertussis-containing vaccine booster dose 1 (delayed start)&quot;\n    when Patient.id = 'DTP40.3' then &quot;Tetanus and diphtheria-containing vaccine booster dose 2 (delayed start)&quot; and &quot;Pertussis-containing vaccine booster dose 1 (delayed start)&quot;\n    when Patient.id = 'DTP41.3' then &quot;Tetanus and diphtheria-containing vaccine booster dose 2 (delayed start)&quot; and &quot;Pertussis-containing vaccine booster dose 1 (delayed start)&quot;\n    when Patient.id = 'DTP42.2' then &quot;Second tetanus and diphtheria booster dose was administered. Tetanus and diphtheria immunization schedule has been completed&quot; and &quot;Pertussis-containing vaccine booster dose 1 (delayed start)&quot;\n    when Patient.id = 'DTP43.4' then &quot;Pertussis-containing vaccine booster dose 1 (delayed start)&quot; and &quot;Tetanus and diphtheria-containing vaccine booster dose 1 (delayed start)&quot;\n    when Patient.id = 'DTP44.4' then &quot;Pertussis-containing vaccine booster dose 1 (delayed start)&quot; and &quot;Tetanus and diphtheria-containing vaccine booster dose 1 (delayed start)&quot;\n    when Patient.id = 'DTP45.3' then not &quot;Pertussis-containing vaccine booster dose 1 (delayed start)&quot; and &quot;Tetanus and diphtheria-containing vaccine booster dose 1 (delayed start)&quot;\n    when Patient.id = 'DTP46.2' then &quot;Pertussis-containing booster dose was administered. Pertussis immunization schedule has been completed&quot; and &quot;Tetanus and diphtheria-containing vaccine booster dose 1 (delayed start)&quot;\n    else 'No test case set'\n  end\n</code></pre></td></tr>\n            </table>\n          </td>\n        </tr>\n        \n        \n        \n        \n        \n        <tr>\n          <td colspan=\"2\">\n            <table>\n              <tr><th><b>Content: </b> application/elm+xml</th></tr>\n              <tr><td><pre><code>Encoded data (178176 characters)</code></pre></td></tr>\n            </table>\n          </td>\n        </tr>\n        \n        \n    </table>\n</div>\n</div>"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability",
      "valueCode": "computable"
    }
  ],
  "url": "http://smart.who.int/immunizations/Library/IMMZD18SDTPDelayedOrInterruptedSeriesLogic",
  "version": "0.2.0",
  "name": "IMMZD18SDTPDelayedOrInterruptedSeriesLogic",
  "title": "IMMZD18SDTPDelayedOrInterruptedSeriesLogic",
  "status": "draft",
  "experimental": false,
  "type": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/library-type",
        "code": "logic-library"
      }
    ]
  },
  "date": "2026-03-29T17:23:09+00:00",
  "publisher": "WHO",
  "contact": [
    {
      "name": "WHO",
      "telecom": [
        {
          "system": "url",
          "value": "http://who.int"
        }
      ]
    }
  ],
  "description": "This library defines decision support logic for the IMMZ.D18.S.DTP.Delayed or interrupted schedule table in the Immunization CPG",
  "relatedArtifact": [
    {
      "type": "depends-on",
      "display": "Library WC",
      "resource": "http://smart.who.int/immunizations/Library/WHOCommon"
    },
    {
      "type": "depends-on",
      "display": "Library Common",
      "resource": "http://smart.who.int/immunizations/Library/IMMZCommon"
    },
    {
      "type": "depends-on",
      "display": "Library Concepts",
      "resource": "http://smart.who.int/immunizations/Library/IMMZConcepts"
    },
    {
      "type": "depends-on",
      "display": "Library IE",
      "resource": "http://smart.who.int/immunizations/Library/IMMZEncounterElements"
    },
    {
      "type": "depends-on",
      "display": "Library Encounter",
      "resource": "http://smart.who.int/immunizations/Library/IMMZD2DTDTPEncounterElements"
    }
  ],
  "parameter": [
    {
      "name": "Today",
      "use": "in",
      "min": 0,
      "max": "1",
      "type": "date"
    },
    {
      "name": "Patient",
      "use": "out",
      "min": 0,
      "max": "1",
      "type": "Patient"
    },
    {
      "name": "DTP dose 1 (delayed start)",
      "use": "out",
      "min": 0,
      "max": "1",
      "type": "boolean"
    },
    {
      "name": "DTP dose 1 (delayed start) Due Date",
      "use": "out",
      "min": 0,
      "max": "1",
      "type": "date"
    },
    {
      "name": "DTP dose 1 (delayed start) Create",
      "use": "out",
      "min": 0,
      "max": "1",
      "type": "string"
    },
    {
      "name": "DTP dose 1 (delayed start) Overdue",
      "use": "out",
      "min": 0,
      "max": "1",
      "type": "Resource"
    },
    {
      "name": "DTP dose 1 (delayed start) Expiration",
      "use": "out",
      "min": 0,
      "max": "1",
      "type": "Resource"
    },
    {
      "name": "First DTP dose from the primary series was administered",
      "use": "out",
      "min": 0,
      "max": "1",
      "type": "boolean"
    },
    {
      "name": "Second DTP dose from the primary series was administered",
      "use": "out",
      "min": 0,
      "max": "1",
      "type": "boolean"
    },
    {
      "name": "DTP dose 2 (delayed start)",
      "use": "out",
      "min": 0,
      "max": "1",
      "type": "boolean"
    },
    {
      "name": "DTP dose 2 (delayed start) Due Date",
      "use": "out",
      "min": 0,
      "max": "1",
      "type": "date"
    },
    {
      "name": "DTP dose 2 (delayed start) Create",
      "use": "out",
      "min": 0,
      "max": "1",
      "type": "string"
    },
    {
      "name": "DTP dose 2 (delayed start) Overdue",
      "use": "out",
      "min": 0,
      "max": "1",
      "type": "Resource"
    },
    {
      "name": "DTP dose 2 (delayed start) Expiration",
      "use": "out",
      "min": 0,
      "max": "1",
      "type": "Resource"
    },
    {
      "name": "Third DTP dose from the primary series was administered. The primary DTP series has been completed",
      "use": "out",
      "min": 0,
      "max": "1",
      "type": "boolean"
    },
    {
      "name": "DTP dose 3 (delayed start)",
      "use": "out",
      "min": 0,
      "max": "1",
      "type": "boolean"
    },
    {
      "name": "DTP dose 3 (delayed start) Due Date",
      "use": "out",
      "min": 0,
      "max": "1",
      "type": "date"
    },
    {
      "name": "DTP dose 3 (delayed start) Create",
      "use": "out",
      "min": 0,
      "max": "1",
      "type": "string"
    },
    {
      "name": "DTP dose 3 (delayed start) Overdue",
      "use": "out",
      "min": 0,
      "max": "1",
      "type": "Resource"
    },
    {
      "name": "DTP dose 3 (delayed start) Expiration",
      "use": "out",
      "min": 0,
      "max": "1",
      "type": "Resource"
    },
    {
      "name": "Tetanus and diphtheria-containing vaccine booster dose 1 (delayed start)",
      "use": "out",
      "min": 0,
      "max": "1",
      "type": "boolean"
    },
    {
      "name": "Tetanus and diphtheria-containing vaccine booster dose 1 (delayed start) Due Date",
      "use": "out",
      "min": 0,
      "max": "1",
      "type": "date"
    },
    {
      "name": "Tetanus and diphtheria-containing vaccine booster dose 1 (delayed start) Create",
      "use": "out",
      "min": 0,
      "max": "1",
      "type": "string"
    },
    {
      "name": "Tetanus and diphtheria-containing vaccine booster dose 1 (delayed start) Overdue",
      "use": "out",
      "min": 0,
      "max": "1",
      "type": "Resource"
    },
    {
      "name": "Tetanus and diphtheria-containing vaccine booster dose 1 (delayed start) Expiration",
      "use": "out",
      "min": 0,
      "max": "1",
      "type": "Resource"
    },
    {
      "name": "First tetanus and diphtheria booster dose was administered",
      "use": "out",
      "min": 0,
      "max": "1",
      "type": "boolean"
    },
    {
      "name": "Second tetanus and diphtheria booster dose was administered. Tetanus and diphtheria immunization schedule has been completed",
      "use": "out",
      "min": 0,
      "max": "1",
      "type": "boolean"
    },
    {
      "name": "Tetanus and diphtheria-containing vaccine booster dose 2 (delayed start)",
      "use": "out",
      "min": 0,
      "max": "1",
      "type": "boolean"
    },
    {
      "name": "Tetanus and diphtheria-containing vaccine booster dose 2 (delayed start) Due Date",
      "use": "out",
      "min": 0,
      "max": "1",
      "type": "date"
    },
    {
      "name": "Tetanus and diphtheria-containing vaccine booster dose 2 (delayed start) Create",
      "use": "out",
      "min": 0,
      "max": "1",
      "type": "string"
    },
    {
      "name": "Tetanus and diphtheria-containing vaccine booster dose 2 (delayed start) Overdue",
      "use": "out",
      "min": 0,
      "max": "1",
      "type": "Resource"
    },
    {
      "name": "Tetanus and diphtheria-containing vaccine booster dose 2 (delayed start) Expiration",
      "use": "out",
      "min": 0,
      "max": "1",
      "type": "Resource"
    },
    {
      "name": "Pertussis-containing vaccine booster dose 1 (delayed start) Expiration",
      "use": "out",
      "min": 0,
      "max": "1",
      "type": "date"
    },
    {
      "name": "Pertussis-containing booster dose was administered. Pertussis immunization schedule has been completed",
      "use": "out",
      "min": 0,
      "max": "1",
      "type": "boolean"
    },
    {
      "name": "Pertussis-containing vaccine booster dose 1 (delayed start)",
      "use": "out",
      "min": 0,
      "max": "1",
      "type": "boolean"
    },
    {
      "name": "Pertussis-containing vaccine booster dose 1 (delayed start) Due Date",
      "use": "out",
      "min": 0,
      "max": "1",
      "type": "date"
    },
    {
      "name": "Pertussis-containing vaccine booster dose 1 (delayed start) Overdue",
      "use": "out",
      "min": 0,
      "max": "1",
      "type": "date"
    },
    {
      "name": "Pertussis-containing vaccine booster dose 1 (delayed start) Create",
      "use": "out",
      "min": 0,
      "max": "1",
      "type": "string"
    },
    {
      "name": "Test Validation",
      "use": "out",
      "min": 0,
      "max": "1",
      "type": "Resource"
    }
  ],
  "content": [
    {
      "contentType": "text/cql",
      "url": "Library-IMMZD18SDTPDelayedOrInterruptedSeriesLogic.cql"
    },
    {
      "contentType": "application/elm+xml",
      "url": "Library-IMMZD18SDTPDelayedOrInterruptedSeriesLogic.elm.xml"
    }
  ]
}