{ "resourceType": "Library", "id": "IMMZD2DTDTPElements", "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": "
\n
\n \n \n \n \n \n \n \n \n\n \n \n \n \n \n \n \n\n \n \n \n \n \n \n \n\n \n \n \n \n \n \n\n \n\n \n\n \n \n \n \n \n \n\n \n\n \n \n \n \n \n \n\n \n\n \n \n \n \n \n \n\n \n \n \n \n \n \n\n \n \n \n \n \n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n \n \n \n \n \n\n \n \n \n \n \n \n\n \n\n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n
Title: IMMZD2DTDTPElements
Id: IMMZD2DTDTPElements
Version: 0.2.0
Url: IMMZD2DTDTPElements
Status: draft
Type: \n \n \n \n

\n system: http://terminology.hl7.org/CodeSystem/library-type\n

\n \n \n

\n code: logic-library\n

\n \n \n \n \n \n
Date: 2026-03-29 17:23:09+0000
Publisher: WHO
Description:

This library defines context-independent elements for DTP used throughout the Immunization CPG

\n
Related Artifacts: \n \n \n \n

Dependencies

\n \n \n \n \n \n \n
Parameters: \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n
NameTypeMinMaxIn/Out
PatientPatient01Out
DTP Doses Administered to PatientImmunization0*Out
DTP Primary Series Doses Administered to PatientImmunization0*Out
Number of DTP Primary Series Doses Administeredinteger01Out
Client's age is less than 6 weeksboolean01Out
No DTP primary series doses were administeredboolean01Out
Client's age is between 6 weeks and 1 yearboolean01Out
One DTP primary series dose was administeredboolean01Out
Date of Latest DTP Dosedate01Out
The latest DTP dose was administered less than 4 weeks agoboolean01Out
The latest DTP dose was administered more than 4 weeks agoboolean01Out
Two DTP primary series doses were administeredboolean01Out
Three DTP primary series doses were administeredboolean01Out
Td Doses Administered to PatientImmunization0*Out
Td Booster Series Doses Administered to PatientImmunization0*Out
Number of Td Booster Series Doses Administeredinteger01Out
No tetanus and diphtheria booster doses were administeredboolean01Out
Client's age is less than 12 monthsboolean01Out
Client's age is more than or equal to 12 monthsboolean01Out
One tetanus and diphtheria booster dose was administeredboolean01Out
Client's age is less than 4 yearsboolean01Out
Client's age is more than or equal to 4 yearsboolean01Out
Two tetanus and diphtheria booster doses were administeredboolean01Out
Client's age is less than 9 yearsboolean01Out
Client's age is more than or equal to 9 yearsboolean01Out
Three tetanus and diphtheria booster doses were administeredboolean01Out
Pertussis Doses Administered to PatientImmunization0*Out
Pertussis Booster Series Doses Administered to PatientImmunization0*Out
Number of Pertussis Booster Series Doses Administeredinteger01Out
No pertussis booster doses were administeredboolean01Out
Client's age is less than 1 yearboolean01Out
Client's age is between 1 year and 6 yearsboolean01Out
The latest DTP dose was administered less than 6 months agoboolean01Out
The latest DTP dose was administered more than 6 months agoboolean01Out
Client's age is more than 6 yearsboolean01Out
One pertussis booster dose was administeredboolean01Out
Client's age is more than 1 yearboolean01Out
The latest DTP dose was administered less than 1 year agoboolean01Out
The latest DTP dose was administered more than 1 year agoboolean01Out
Date of Latest Td Dosedate01Out
The latest tetanus and diphtheria dose was administered less than 1 year agoboolean01Out
The latest tetanus and diphtheria dose was administered more than 1 year agoboolean01Out
Client is currently pregnantboolean01Out
No tetanus and diphtheria booster dose was administeredboolean01Out
One tetanus and diphtheria booster doses were administeredboolean01Out
The latest tetanus and diphtheria dose was administered less than 4 weeks agoboolean01Out
The latest tetanus and diphtheria dose was administered more than 4 weeks agoboolean01Out
\n
\n \n \n \n
Content: text/cql
\n/*\n  * Library: IMMZD2DTDTPElements\n  */\nlibrary IMMZD2DTDTPElements\n\nusing FHIR version '4.0.1'\ninclude FHIRHelpers version '4.0.1'\n\ninclude WHOConcepts\ninclude WHOCommon called WC\ninclude WHOElements called WE\n\ninclude IMMZCommon called Common\ninclude IMMZConcepts called Concepts\ninclude IMMZElements called Elements\n\n\ncontext Patient\n\n/*\n@internal: DTP containing Doses Administered to Patient\n*/\ndefine "DTP Doses Administered to Patient":\n  Elements."Doses Administered to Patient" I\n  where\n    I.vaccineCode in Concepts."DTP-containing vaccines"\n\n/*\n@internal: DTP containing Doses Administered to Patient that are in the Primary series\n*/\ndefine "DTP Primary Series Doses Administered to Patient":\n  "DTP Doses Administered to Patient".seriesPrimary()\n\n/*\n@internal: Number of DTP Primary Series doses\n*/\ndefine "Number of DTP Primary Series Doses Administered":\n  Count("DTP Primary Series Doses Administered to Patient")\n\n/*\n@input: Client's age is less than 6 weeks\n@pseudocode: Today's date − "Date of birth" < 6 weeks\n@code: Client's age is less than 6 weeks-40\n@decision: IMMZ.D2.DT.DTP.On-time start: DTP vaccination schedule, on-time start (at ≤ 12 months of age)\n*/\ndefine "Client's age is less than 6 weeks":\n  Elements."Current Patient Age In Weeks" < 6\n\n/*\n@input: No DTP primary series doses were administered\n@pseudocode: Count of vaccines administered (where "Vaccine type" = "DTP-containing vaccines" and "Type of dose" = "Primary series") = 0\n@code: No DTP primary series doses were administered-123\n@decision: IMMZ.D2.DT.DTP.On-time start: DTP vaccination schedule, on-time start (at ≤ 12 months of age)\n@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\n@decision: IMMZ.D2.DT.DTP.Pregnancy: Determine whether DTP-containing vaccines are needed for pregnant women\n*/\ndefine "No DTP primary series doses were administered":\n  "Number of DTP Primary Series Doses Administered" = 0\n\n/*\n@input: Client's age is between 6 weeks and 1 year\n@pseudocode: 6 weeks ≤ Today's date − "Date of birth" < 1 year\n@code: Client's age is between 6 weeks and 1 year-49\n@decision: IMMZ.D2.DT.DTP.On-time start: DTP vaccination schedule, on-time start (at ≤ 12 months of age)\n*/\ndefine "Client's age is between 6 weeks and 1 year":\n  6 <= Elements."Current Patient Age In Weeks"\n  and Elements."Current Patient Age In Years" < 1\n\n/*\n@input: One DTP primary series dose was administered\n@pseudocode: Count of vaccines administered (where "Vaccine type" = "DTP-containing vaccines" and "Type of dose" = "Primary series") = 1\n@code: One DTP primary series dose was administered-123\n@decision: IMMZ.D2.DT.DTP.On-time start: DTP vaccination schedule, on-time start (at ≤ 12 months of age)\n@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\n*/\ndefine "One DTP primary series dose was administered":\n  "Number of DTP Primary Series Doses Administered" = 1\n\n/*\n@input: The latest DTP dose was administered less than 4 weeks ago\n@pseudocode: Today's date − latest "Date and time of vaccination" (where "Vaccine type" = "DTP-containing vaccines") < 4 weeks\n@code: The latest DTP dose was administered less than 4 weeks ago-113\n@decision: IMMZ.D2.DT.DTP.On-time start: DTP vaccination schedule, on-time start (at ≤ 12 months of age)\n@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\n*/\ndefine "The latest DTP dose was administered less than 4 weeks ago":\n  "Date of Latest DTP Dose" is not null\n    and duration in weeks between "Date of Latest DTP Dose" and Now() < 4\n\n/*\n@input: The latest DTP dose was administered more than 4 weeks ago\n@pseudocode: Today's date − latest "Date and time of vaccination" (where "Vaccine type" = "DTP-containing vaccines") ≥ 4 weeks\n@code: The latest DTP dose was administered more than 4 weeks ago-113\n@decision: IMMZ.D2.DT.DTP.On-time start: DTP vaccination schedule, on-time start (at ≤ 12 months of age)\n@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\n*/\ndefine "The latest DTP dose was administered more than 4 weeks ago":\n  not("The latest DTP dose was administered less than 4 weeks ago")\n\n/*\n@input: Two DTP primary series doses were administered\n@pseudocode: Count of vaccines administered (where "Vaccine type" = "DTP-containing vaccines" and "Type of dose" = "Primary series") = 2\n@code: Two DTP primary series doses were administered-123\n@decision: IMMZ.D2.DT.DTP.On-time start: DTP vaccination schedule, on-time start (at ≤ 12 months of age)\n@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\n*/\ndefine "Two DTP primary series doses were administered":\n  "Number of DTP Primary Series Doses Administered" = 2\n\n/*\n@input: Three DTP primary series doses were administered\n@pseudocode: Count of vaccines administered (where "Vaccine type" = "DTP-containing vaccines" and "Type of dose" = "Primary series") = 3\n@code: Three DTP primary series doses were administered-123\n@decision: IMMZ.D2.DT.DTP.On-time start: DTP vaccination schedule, on-time start (at ≤ 12 months of age)\n@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\n@decision: IMMZ.D2.DT.DTP.Pregnancy: Determine whether DTP-containing vaccines are needed for pregnant women\n@decision: IMMZ.D2.DT.DTP.Pregnancy starting with 3 doses: Diphtheria and tetanus vaccination schedule in pregnant women who received 3 childhood DTP doses\n@decision: IMMZ.D2.DT.DTP.Pregnancy starting with 4 doses: Diphtheria and tetanus vaccination schedule in pregnant women who received 4 childhood DTP doses\n*/\ndefine "Three DTP primary series doses were administered":\n  "Number of DTP Primary Series Doses Administered" = 3\n\n/*\n@input: No tetanus and diphtheria booster doses were administered\n@pseudocode: Count of vaccines administered (where "Vaccine type" = "Tetanus and diphtheria-containing vaccines" and "Type of dose" = "Booster dose") = 0\n@code: No tetanus and diphtheria booster doses were administered-140\n@decision: IMMZ.D2.DT.DTP.On-time start: DTP vaccination schedule, on-time start (at ≤ 12 months of age)\n@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\n@decision: IMMZ.D2.DT.DTP.Pregnancy starting with 3 doses: Diphtheria and tetanus vaccination schedule in pregnant women who received 3 childhood DTP doses\n*/\ndefine "No tetanus and diphtheria booster doses were administered":\n  "Number of Td Booster Series Doses Administered" = 0\n\n/*\n@input: Client's age is less than 12 months\n@pseudocode: Today's date − "Date of birth" < 12 months\n@code: Client's age is less than 12 months-42\n@decision: IMMZ.D2.DT.DTP.On-time start: DTP vaccination schedule, on-time start (at ≤ 12 months of age)\n*/\ndefine "Client's age is less than 12 months":\n  Elements."Current Patient Age In Months" < 12\n\n/*\n@input: Client's age is more than or equal to 12 months\n@pseudocode: Today's date − "Date of birth" ≥ 12 months\n@code: Client's age is more than or equal to 12 months-42\n@decision: IMMZ.D2.DT.DTP.On-time start: DTP vaccination schedule, on-time start (at ≤ 12 months of age)\n*/\ndefine "Client's age is more than or equal to 12 months":\n  Elements."Current Patient Age In Months" >= 12\n\n/*\n@input: One tetanus and diphtheria booster dose was administered\n@pseudocode: Count of vaccines administered (where "Vaccine type" = "Tetanus and diphtheria-containing vaccines" and "Type of dose" = "Booster dose") = 1\n@code: One tetanus and diphtheria booster dose was administered-140\n@decision: IMMZ.D2.DT.DTP.On-time start: DTP vaccination schedule, on-time start (at ≤ 12 months of age)\n@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\n@decision: IMMZ.D2.DT.DTP.Pregnancy: Determine whether DTP-containing vaccines are needed for pregnant women\n@decision: IMMZ.D2.DT.DTP.Pregnancy starting with 4 doses: Diphtheria and tetanus vaccination schedule in pregnant women who received 4 childhood DTP doses\n*/\ndefine "One tetanus and diphtheria booster dose was administered":\n  "Number of Td Booster Series Doses Administered" = 1\n\n/*\n@input: Client's age is less than 4 years\n@pseudocode: Today's date − "Date of birth" < 4 years\n@code: Client's age is less than 4 years-40\n@decision: IMMZ.D2.DT.DTP.On-time start: DTP vaccination schedule, on-time start (at ≤ 12 months of age)\n*/\ndefine "Client's age is less than 4 years":\n  Elements."Current Patient Age In Years" < 4\n\n/*\n@input: Client's age is more than or equal to 4 years\n@pseudocode: Today's date − "Date of birth" ≥ 4 years\n@code: Client's age is more than or equal to 4 years-40\n@decision: IMMZ.D2.DT.DTP.On-time start: DTP vaccination schedule, on-time start (at ≤ 12 months of age)\n*/\ndefine "Client's age is more than or equal to 4 years":\n  Elements."Current Patient Age In Years" >= 4\n\n/*\n@input: Two tetanus and diphtheria booster doses were administered\n@pseudocode: Count of vaccines administered (where "Vaccine type" = "Tetanus and diphtheria-containing vaccines" and "Type of dose" = "Booster dose") = 2\n@code: Two tetanus and diphtheria booster doses were administered-140\n@decision: IMMZ.D2.DT.DTP.On-time start: DTP vaccination schedule, on-time start (at ≤ 12 months of age)\n@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\n@decision: IMMZ.D2.DT.DTP.Pregnancy: Determine whether DTP-containing vaccines are needed for pregnant women\n@decision: IMMZ.D2.DT.DTP.Pregnancy starting with 3 doses: Diphtheria and tetanus vaccination schedule in pregnant women who received 3 childhood DTP doses\n@decision: IMMZ.D2.DT.DTP.Pregnancy starting with 4 doses: Diphtheria and tetanus vaccination schedule in pregnant women who received 4 childhood DTP doses\n*/\ndefine "Two tetanus and diphtheria booster doses were administered":\n  "Number of Td Booster Series Doses Administered" = 2\n\n/*\n@input: Client's age is less than 9 years\n@pseudocode: Today's date − "Date of birth" < 9 years\n@code: Client's age is less than 9 years-40\n@decision: IMMZ.D2.DT.DTP.On-time start: DTP vaccination schedule, on-time start (at ≤ 12 months of age)\n*/\ndefine "Client's age is less than 9 years":\n  Elements."Current Patient Age In Years" < 9\n\n/*\n@input: Client's age is more than or equal to 9 years\n@pseudocode: Today's date − "Date of birth" ≥ 9 years\n@code: Client's age is more than or equal to 9 years-40\n@decision: IMMZ.D2.DT.DTP.On-time start: DTP vaccination schedule, on-time start (at ≤ 12 months of age)\n*/\ndefine "Client's age is more than or equal to 9 years":\n  Elements."Current Patient Age In Years" >= 9\n\n/*\n@input: Three tetanus and diphtheria booster doses were administered\n@pseudocode: Count of vaccines administered (where "Vaccine type" = "Tetanus and diphtheria-containing vaccines" and "Type of dose" = "Booster dose") = 3\n@code: Three tetanus and diphtheria booster doses were administered-140\n@decision: IMMZ.D2.DT.DTP.On-time start: DTP vaccination schedule, on-time start (at ≤ 12 months of age)\n@decision: IMMZ.D2.DT.DTP.Pregnancy: Determine whether DTP-containing vaccines are needed for pregnant women\n@decision: IMMZ.D2.DT.DTP.Pregnancy starting with 3 doses: Diphtheria and tetanus vaccination schedule in pregnant women who received 3 childhood DTP doses\n@decision: IMMZ.D2.DT.DTP.Pregnancy starting with 4 doses: Diphtheria and tetanus vaccination schedule in pregnant women who received 4 childhood DTP doses\n*/\ndefine "Three tetanus and diphtheria booster doses were administered":\n  "Number of Td Booster Series Doses Administered" = 3\n\n/*\n@input: No pertussis booster doses were administered\n@pseudocode: Count of vaccines administered (where "Vaccine type" = "Pertussis-containing vaccines" and "Type of dose" = "Booster dose") = 0\n@code: No pertussis booster doses were administered-127\n@decision: IMMZ.D2.DT.DTP.On-time start: DTP vaccination schedule, on-time start (at ≤ 12 months of age)\n@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\n*/\ndefine "No pertussis booster doses were administered":\n  "Number of Pertussis Booster Series Doses Administered" = 0\n\n/*\n@input: Client's age is less than 1 year\n@pseudocode: Today's date − "Date of birth" < 1 year\n@code: Client's age is less than 1 year-39\n@decision: IMMZ.D2.DT.DTP.On-time start: DTP vaccination schedule, on-time start (at ≤ 12 months of age)\n*/\ndefine "Client's age is less than 1 year":\n  Elements."Current Patient Age In Years" < 1\n\n/*\n@input: Client's age is between 1 year and 6 years\n@pseudocode: 1 year ≤ Today's date − "Date of birth" ≤ 6 years\n@code: Client's age is between 1 year and 6 years-49\n@decision: IMMZ.D2.DT.DTP.On-time start: DTP vaccination schedule, on-time start (at ≤ 12 months of age)\n@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\n*/\ndefine "Client's age is between 1 year and 6 years":\n  1 <= Elements."Current Patient Age In Years"\n  and Elements."Current Patient Age In Years" <= 6\n\n/*\n@input: The latest DTP dose was administered less than 6 months ago\n@pseudocode: Today's date − latest "Date and time of vaccination" (where "Vaccine type" = "DTP-containing vaccines") < 6 months\n@code: The latest DTP dose was administered less than 6 months ago-114\n@decision: IMMZ.D2.DT.DTP.On-time start: DTP vaccination schedule, on-time start (at ≤ 12 months of age)\n@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\n*/\ndefine "The latest DTP dose was administered less than 6 months ago":\n  "Date of Latest DTP Dose" is not null\n    and duration in months between "Date of Latest DTP Dose" and Now() < 6\n\n/*\n@input: The latest DTP dose was administered more than 6 months ago\n@pseudocode: Today's date − latest "Date and time of vaccination" (where "Vaccine type" = "DTP-containing vaccines") ≥ 6 months\n@code: The latest DTP dose was administered more than 6 months ago-114\n@decision: IMMZ.D2.DT.DTP.On-time start: DTP vaccination schedule, on-time start (at ≤ 12 months of age)\n@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\n*/\ndefine "The latest DTP dose was administered more than 6 months ago":\n  not("The latest DTP dose was administered less than 6 months ago")\n\n/*\n@input: Client's age is more than 6 years\n@pseudocode: Today's date − "Date of birth" > 6 years\n@code: Client's age is more than 6 years-40\n@decision: IMMZ.D2.DT.DTP.On-time start: DTP vaccination schedule, on-time start (at ≤ 12 months of age)\n@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\n*/\ndefine "Client's age is more than 6 years":\n  Elements."Current Patient Age In Years" > 6\n\n/*\n@input: One pertussis booster dose was administered\n@pseudocode: Count of vaccines administered (where "Vaccine type" = "Pertussis-containing vaccines" and "Type of dose" = "Booster dose") = 1\n@code: One pertussis booster dose was administered-127\n@decision: IMMZ.D2.DT.DTP.On-time start: DTP vaccination schedule, on-time start (at ≤ 12 months of age)\n@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\n*/\ndefine "One pertussis booster dose was administered":\n  "Number of Pertussis Booster Series Doses Administered" = 1\n\n/*\n@input: Client's age is more than 1 year\n@pseudocode: Today's date − "Date of birth" > 1 year\n@code: Client's age is more than 1 year-39\n@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\n*/\ndefine "Client's age is more than 1 year":\n  Elements."Current Patient Age In Years" >= 1\n\n/*\n@input: The latest DTP dose was administered less than 1 year ago\n@pseudocode: Today's date − latest "Date and time of vaccination" (where "Vaccine type" = "DTP-containing vaccines") < 1 year\n@code: The latest DTP dose was administered less than 1 year ago-112\n@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\n*/\ndefine "The latest DTP dose was administered less than 1 year ago":\n  "Date of Latest DTP Dose" is not null\n    and duration in years between "Date of Latest DTP Dose" and Now() < 1\n\n/*\n@input: The latest DTP dose was administered more than 1 year ago\n@pseudocode: Today's date − latest "Date and time of vaccination" (where "Vaccine type" = "DTP-containing vaccines") ≥ 1 year\n@code: The latest DTP dose was administered more than 1 year ago-112\n@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\n*/\ndefine "The latest DTP dose was administered more than 1 year ago":\n  not("The latest DTP dose was administered less than 1 year ago")\n\n/*\n@input: The latest tetanus and diphtheria dose was administered less than 1 year ago\n@pseudocode: Today's date − latest "Date and time of vaccination" (where "Vaccine type" = "Tetanus and diphtheria-containing vaccines") < 1 year\n@code: The latest tetanus and diphtheria dose was administered less than 1 year ago-131\n@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\n@decision: IMMZ.D2.DT.DTP.Pregnancy starting with 3 doses: Diphtheria and tetanus vaccination schedule in pregnant women who received 3 childhood DTP doses\n@decision: IMMZ.D2.DT.DTP.Pregnancy starting with 4 doses: Diphtheria and tetanus vaccination schedule in pregnant women who received 4 childhood DTP doses\n*/\ndefine "The latest tetanus and diphtheria dose was administered less than 1 year ago":\n  "Date of Latest Td Dose" is not null\n    and duration in years between "Date of Latest Td Dose" and Now() < 1\n\n/*\n@input: The latest tetanus and diphtheria dose was administered more than 1 year ago\n@pseudocode: Today's date − latest "Date and time of vaccination" (where "Vaccine type" = "Tetanus and diphtheria-containing vaccines") ≥ 1 year\n@code: The latest tetanus and diphtheria dose was administered more than 1 year ago-131\n@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\n@decision: IMMZ.D2.DT.DTP.Pregnancy starting with 3 doses: Diphtheria and tetanus vaccination schedule in pregnant women who received 3 childhood DTP doses\n@decision: IMMZ.D2.DT.DTP.Pregnancy starting with 4 doses: Diphtheria and tetanus vaccination schedule in pregnant women who received 4 childhood DTP doses\n*/\ndefine "The latest tetanus and diphtheria dose was administered more than 1 year ago":\n  not("The latest tetanus and diphtheria dose was administered less than 1 year ago")\n\n/*\n@input: Client is currently pregnant\n@pseudocode: "Currently pregnant" = TRUE\n@code: Client is currently pregnant-27\n@decision: IMMZ.D2.DT.DTP.Pregnancy: Determine whether DTP-containing vaccines are needed for pregnant women\n@decision: IMMZ.D2.DT.DTP.Pregnancy starting with 3 doses: Diphtheria and tetanus vaccination schedule in pregnant women who received 3 childhood DTP doses\n@decision: IMMZ.D2.DT.DTP.Pregnancy starting with 4 doses: Diphtheria and tetanus vaccination schedule in pregnant women who received 4 childhood DTP doses\n*/\ndefine "Client is currently pregnant":\n  Elements."The client is pregnant"\n\n/*\n@input: No tetanus and diphtheria booster dose was administered\n@pseudocode: Count of vaccines administered (where "Vaccine type" = "Tetanus and diphtheria-containing vaccines" and "Type of dose" = "Booster dose") = 0\n@code: No tetanus and diphtheria booster dose was administered-140\n@decision: IMMZ.D2.DT.DTP.Pregnancy: Determine whether DTP-containing vaccines are needed for pregnant women\n*/\ndefine "No tetanus and diphtheria booster dose was administered":\n  "No tetanus and diphtheria booster doses were administered"\n\n/*\n@input: One tetanus and diphtheria booster doses were administered\n@pseudocode: Count of vaccines administered (where "Vaccine type" = "Tetanus and diphtheria-containing vaccines" and "Type of dose" = "Booster dose") = 1\n@code: One tetanus and diphtheria booster doses were administered-140\n@decision: IMMZ.D2.DT.DTP.Pregnancy starting with 3 doses: Diphtheria and tetanus vaccination schedule in pregnant women who received 3 childhood DTP doses\n*/\ndefine "One tetanus and diphtheria booster doses were administered":\n  "One tetanus and diphtheria booster dose was administered"\n\n/*\n@input: The latest tetanus and diphtheria dose was administered less than 4 weeks ago\n@pseudocode: Today's date − latest "Date and time of vaccination" (where "Vaccine type" = "Tetanus and diphtheria-containing vaccines") < 4 weeks\n@code: The latest tetanus and diphtheria dose was administered less than 4 weeks ago-132\n@decision: IMMZ.D2.DT.DTP.Pregnancy starting with 3 doses: Diphtheria and tetanus vaccination schedule in pregnant women who received 3 childhood DTP doses\n*/\ndefine "The latest tetanus and diphtheria dose was administered less than 4 weeks ago":\n  "Date of Latest Td Dose" is not null\n    and duration in weeks between "Date of Latest Td Dose" and Now() < 4\n\n/*\n@input: The latest tetanus and diphtheria dose was administered more than 4 weeks ago\n@pseudocode: Today's date − latest "Date and time of vaccination" (where "Vaccine type" = "Tetanus and diphtheria-containing vaccines") > 4 weeks\n@code: The latest tetanus and diphtheria dose was administered more than 4 weeks ago-132\n@decision: IMMZ.D2.DT.DTP.Pregnancy starting with 3 doses: Diphtheria and tetanus vaccination schedule in pregnant women who received 3 childhood DTP doses\n*/\ndefine "The latest tetanus and diphtheria dose was administered more than 4 weeks ago":\n  not("The latest tetanus and diphtheria dose was administered less than 4 weeks ago")\n\n/*\n@internal: Td Doses Administered to Patient\n*/\ndefine "Td Doses Administered to Patient":\n  Elements."Doses Administered to Patient" I\n  where\n    I.vaccineCode in Concepts."Tetanus and diphtheria-containing vaccines"\n\n/*\n@internal: Pertussis Doses Administered to Patient\n*/\ndefine "Pertussis Doses Administered to Patient":\n  Elements."Doses Administered to Patient" I\n  where\n    I.vaccineCode in Concepts."Pertussis-containing vaccines"\n\n/*\n@internal: Date of Latest DTP Dose\n*/\ndefine "Date of Latest DTP Dose":\n  date from start of "DTP Doses Administered to Patient".mostRecent().occurrence.toInterval()\n\n/*\n@internal: Date of Latest Td Dose\n*/\ndefine "Date of Latest Td Dose":\n  date from start of "Td Doses Administered to Patient".mostRecent().occurrence.toInterval()\n\n/*\n@internal: Td Booster Series Doses Administered to Patient\n*/\ndefine "Td Booster Series Doses Administered to Patient":\n  "Td Doses Administered to Patient".seriesBooster()\n\n/*\n@internal: Number of Td Booster Series Doses Administered\n*/\ndefine "Number of Td Booster Series Doses Administered":\n  Count("Td Booster Series Doses Administered to Patient")\n\n/*\n@internal: Pertussis Booster Series Doses Administered to Patient\n*/\ndefine "Pertussis Booster Series Doses Administered to Patient":\n  "Pertussis Doses Administered to Patient".seriesBooster()\n\n/*\n@internal: Number of Pertussis Booster Series Doses Administered\n*/\ndefine "Number of Pertussis Booster Series Doses Administered":\n  Count("Pertussis Booster Series Doses Administered to Patient")\n
\n
\n \n \n \n
Content: application/elm+xml
Encoded data (165968 characters)
\n
\n
\n
" }, "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability", "valueCode": "computable" } ], "url": "http://smart.who.int/immunizations/Library/IMMZD2DTDTPElements", "version": "0.2.0", "name": "IMMZD2DTDTPElements", "title": "IMMZD2DTDTPElements", "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 context-independent elements for DTP used throughout the Immunization CPG", "relatedArtifact": [ { "type": "depends-on", "display": "Library WHOConcepts", "resource": "http://smart.who.int/immunizations/Library/WHOConcepts" }, { "type": "depends-on", "display": "Library WC", "resource": "http://smart.who.int/immunizations/Library/WHOCommon" }, { "type": "depends-on", "display": "Library WE", "resource": "http://smart.who.int/immunizations/Library/WHOElements" }, { "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 Elements", "resource": "http://smart.who.int/immunizations/Library/IMMZElements" } ], "parameter": [ { "name": "Patient", "use": "out", "min": 0, "max": "1", "type": "Patient" }, { "name": "DTP Doses Administered to Patient", "use": "out", "min": 0, "max": "*", "type": "Immunization" }, { "name": "DTP Primary Series Doses Administered to Patient", "use": "out", "min": 0, "max": "*", "type": "Immunization" }, { "name": "Number of DTP Primary Series Doses Administered", "use": "out", "min": 0, "max": "1", "type": "integer" }, { "name": "Client's age is less than 6 weeks", "use": "out", "min": 0, "max": "1", "type": "boolean" }, { "name": "No DTP primary series doses were administered", "use": "out", "min": 0, "max": "1", "type": "boolean" }, { "name": "Client's age is between 6 weeks and 1 year", "use": "out", "min": 0, "max": "1", "type": "boolean" }, { "name": "One DTP primary series dose was administered", "use": "out", "min": 0, "max": "1", "type": "boolean" }, { "name": "Date of Latest DTP Dose", "use": "out", "min": 0, "max": "1", "type": "date" }, { "name": "The latest DTP dose was administered less than 4 weeks ago", "use": "out", "min": 0, "max": "1", "type": "boolean" }, { "name": "The latest DTP dose was administered more than 4 weeks ago", "use": "out", "min": 0, "max": "1", "type": "boolean" }, { "name": "Two DTP primary series doses were administered", "use": "out", "min": 0, "max": "1", "type": "boolean" }, { "name": "Three DTP primary series doses were administered", "use": "out", "min": 0, "max": "1", "type": "boolean" }, { "name": "Td Doses Administered to Patient", "use": "out", "min": 0, "max": "*", "type": "Immunization" }, { "name": "Td Booster Series Doses Administered to Patient", "use": "out", "min": 0, "max": "*", "type": "Immunization" }, { "name": "Number of Td Booster Series Doses Administered", "use": "out", "min": 0, "max": "1", "type": "integer" }, { "name": "No tetanus and diphtheria booster doses were administered", "use": "out", "min": 0, "max": "1", "type": "boolean" }, { "name": "Client's age is less than 12 months", "use": "out", "min": 0, "max": "1", "type": "boolean" }, { "name": "Client's age is more than or equal to 12 months", "use": "out", "min": 0, "max": "1", "type": "boolean" }, { "name": "One tetanus and diphtheria booster dose was administered", "use": "out", "min": 0, "max": "1", "type": "boolean" }, { "name": "Client's age is less than 4 years", "use": "out", "min": 0, "max": "1", "type": "boolean" }, { "name": "Client's age is more than or equal to 4 years", "use": "out", "min": 0, "max": "1", "type": "boolean" }, { "name": "Two tetanus and diphtheria booster doses were administered", "use": "out", "min": 0, "max": "1", "type": "boolean" }, { "name": "Client's age is less than 9 years", "use": "out", "min": 0, "max": "1", "type": "boolean" }, { "name": "Client's age is more than or equal to 9 years", "use": "out", "min": 0, "max": "1", "type": "boolean" }, { "name": "Three tetanus and diphtheria booster doses were administered", "use": "out", "min": 0, "max": "1", "type": "boolean" }, { "name": "Pertussis Doses Administered to Patient", "use": "out", "min": 0, "max": "*", "type": "Immunization" }, { "name": "Pertussis Booster Series Doses Administered to Patient", "use": "out", "min": 0, "max": "*", "type": "Immunization" }, { "name": "Number of Pertussis Booster Series Doses Administered", "use": "out", "min": 0, "max": "1", "type": "integer" }, { "name": "No pertussis booster doses were administered", "use": "out", "min": 0, "max": "1", "type": "boolean" }, { "name": "Client's age is less than 1 year", "use": "out", "min": 0, "max": "1", "type": "boolean" }, { "name": "Client's age is between 1 year and 6 years", "use": "out", "min": 0, "max": "1", "type": "boolean" }, { "name": "The latest DTP dose was administered less than 6 months ago", "use": "out", "min": 0, "max": "1", "type": "boolean" }, { "name": "The latest DTP dose was administered more than 6 months ago", "use": "out", "min": 0, "max": "1", "type": "boolean" }, { "name": "Client's age is more than 6 years", "use": "out", "min": 0, "max": "1", "type": "boolean" }, { "name": "One pertussis booster dose was administered", "use": "out", "min": 0, "max": "1", "type": "boolean" }, { "name": "Client's age is more than 1 year", "use": "out", "min": 0, "max": "1", "type": "boolean" }, { "name": "The latest DTP dose was administered less than 1 year ago", "use": "out", "min": 0, "max": "1", "type": "boolean" }, { "name": "The latest DTP dose was administered more than 1 year ago", "use": "out", "min": 0, "max": "1", "type": "boolean" }, { "name": "Date of Latest Td Dose", "use": "out", "min": 0, "max": "1", "type": "date" }, { "name": "The latest tetanus and diphtheria dose was administered less than 1 year ago", "use": "out", "min": 0, "max": "1", "type": "boolean" }, { "name": "The latest tetanus and diphtheria dose was administered more than 1 year ago", "use": "out", "min": 0, "max": "1", "type": "boolean" }, { "name": "Client is currently pregnant", "use": "out", "min": 0, "max": "1", "type": "boolean" }, { "name": "No tetanus and diphtheria booster dose was administered", "use": "out", "min": 0, "max": "1", "type": "boolean" }, { "name": "One tetanus and diphtheria booster doses were administered", "use": "out", "min": 0, "max": "1", "type": "boolean" }, { "name": "The latest tetanus and diphtheria dose was administered less than 4 weeks ago", "use": "out", "min": 0, "max": "1", "type": "boolean" }, { "name": "The latest tetanus and diphtheria dose was administered more than 4 weeks ago", "use": "out", "min": 0, "max": "1", "type": "boolean" } ], "content": [ { "contentType": "text/cql", "url": "Library-IMMZD2DTDTPElements.cql" }, { "contentType": "application/elm+xml", "url": "Library-IMMZD2DTDTPElements.elm.xml" } ] }