{ "resourceType": "Library", "id": "IMMZD2DTDengueElements", "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": "
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Title: IMMZD2DTDengueElements
Id: IMMZD2DTDengueElements
Version: 0.2.0
Url: IMMZD2DTDengueElements
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

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

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

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Related Artifacts: \n \n \n \n

Dependencies

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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
NameTypeMinMaxIn/Out
PatientPatient01Out
Dengue Doses Administered to PatientImmunization0*Out
Dengue Primary Series Doses Administered to PatientImmunization0*Out
Number of Dengue Primary Series Doses Administeredinteger01Out
Client's age is less than 9 yearsboolean01Out
Client's age is more than 45 yearsboolean01Out
Dengue serostatus ObservationObservation0*Out
Client's dengue serostatus is negativeboolean01Out
No dengue primary series doses were administeredboolean01Out
Client's age is between 9 years and 45 yearsboolean01Out
Client's dengue serostatus is positiveboolean01Out
One dengue primary series dose was administeredboolean01Out
Date of Latest Dengue Dosedate01Out
The latest dengue dose was administered less than 6 months agoboolean01Out
The latest dengue dose was administered more than 6 months agoboolean01Out
Two dengue primary series doses were administeredboolean01Out
Three dengue primary series doses were administeredboolean01Out
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Data Requirements:\n \n \n \n \n \n \n \n \n \n
TypeProfileMSCode Filter
Observationhttp://hl7.org/fhir/StructureDefinition/Observation\n \n \n code filter: \n \n
\n \n \n \n path: code\n \n \n
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\n system: http://smart.who.int/immunizations/CodeSystem/IMMZ.D\n

\n \n \n

\n code: DE241\n

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\n display: Dengue serostatus\n

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Content: text/cql
\n/*\n  * Library: IMMZD2DTDengueElements\n  */\nlibrary IMMZD2DTDengueElements\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: Dengue containing Doses Administered to Patient\n*/\ndefine "Dengue Doses Administered to Patient":\n  Elements."Doses Administered to Patient" I\n  where\n    I.vaccineCode in Concepts."Dengue vaccines"\n\n/*\n@internal: Dengue containing Doses Administered to Patient that are in the Primary series\n*/\ndefine "Dengue Primary Series Doses Administered to Patient":\n  "Dengue Doses Administered to Patient".seriesPrimary()\n\n/*\n@internal: Number of Dengue Primary Series doses\n*/\ndefine "Number of Dengue Primary Series Doses Administered":\n  Count("Dengue Primary Series Doses Administered to Patient")\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.Dengue.3 doses with pre-vaccination screening: CYD-TDV (Dengvaxia), 3-dose schedule with pre-vaccination screening, the recommended strategy where feasible (pre-vaccination screening whereby only those tested seropositive would be vaccinated)\n@decision: IMMZ.D2.DT.Dengue.3 doses without pre-vaccination screening: CYD-TDV (Dengvaxia), 3-dose schedule without pre-vaccination screening [when pre-vaccination screening is not feasible and in areas with recent documentation of seroprevalence rates of at least 80% by age 9 years]\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 45 years\n@pseudocode: Today's date − "Date of birth" > 45 years\n@code: Client's age is more than 45 years-41\n@decision: IMMZ.D2.DT.Dengue.3 doses with pre-vaccination screening: CYD-TDV (Dengvaxia), 3-dose schedule with pre-vaccination screening, the recommended strategy where feasible (pre-vaccination screening whereby only those tested seropositive would be vaccinated)\n@decision: IMMZ.D2.DT.Dengue.3 doses without pre-vaccination screening: CYD-TDV (Dengvaxia), 3-dose schedule without pre-vaccination screening [when pre-vaccination screening is not feasible and in areas with recent documentation of seroprevalence rates of at least 80% by age 9 years]\n*/\ndefine "Client's age is more than 45 years":\n  Elements."Current Patient Age In Years" > 45\n\n/*\n@input: Client's dengue serostatus is negative\n@pseudocode: "Dengue serostatus" = "Negative"\n@code: Client's dengue serostatus is negative-32\n@decision: IMMZ.D2.DT.Dengue.3 doses with pre-vaccination screening: CYD-TDV (Dengvaxia), 3-dose schedule with pre-vaccination screening, the recommended strategy where feasible (pre-vaccination screening whereby only those tested seropositive would be vaccinated)\n*/\ndefine "Client's dengue serostatus is negative":\n  First( "Dengue serostatus Observation" ).value ~ Concepts."Dengue-Negative"\n\n/*\n@input: No dengue primary series doses were administered\n@pseudocode: Count of vaccines administered (where "Vaccine type" = "Dengue vaccines" and "Type of dose" = "Primary series") = 0\n@code: No dengue primary series doses were administered-115\n@decision: IMMZ.D2.DT.Dengue.3 doses with pre-vaccination screening: CYD-TDV (Dengvaxia), 3-dose schedule with pre-vaccination screening, the recommended strategy where feasible (pre-vaccination screening whereby only those tested seropositive would be vaccinated)\n@decision: IMMZ.D2.DT.Dengue.3 doses without pre-vaccination screening: CYD-TDV (Dengvaxia), 3-dose schedule without pre-vaccination screening [when pre-vaccination screening is not feasible and in areas with recent documentation of seroprevalence rates of at least 80% by age 9 years]\n*/\ndefine "No dengue primary series doses were administered":\n  "Number of Dengue Primary Series Doses Administered" = 0\n\n/*\n@input: Client's age is between 9 years and 45 years\n@pseudocode: 9 years ≤ Today's date − "Date of birth" ≤ 45 years\n@code: Client's age is between 9 years and 45 years-51\n@decision: IMMZ.D2.DT.Dengue.3 doses with pre-vaccination screening: CYD-TDV (Dengvaxia), 3-dose schedule with pre-vaccination screening, the recommended strategy where feasible (pre-vaccination screening whereby only those tested seropositive would be vaccinated)\n@decision: IMMZ.D2.DT.Dengue.3 doses without pre-vaccination screening: CYD-TDV (Dengvaxia), 3-dose schedule without pre-vaccination screening [when pre-vaccination screening is not feasible and in areas with recent documentation of seroprevalence rates of at least 80% by age 9 years]\n*/\ndefine "Client's age is between 9 years and 45 years":\n  Elements."Current Patient Age In Years" >= 9\n  and Elements."Current Patient Age In Years" <= 45\n\n/*\n@input: Client's dengue serostatus is positive\n@pseudocode: "Dengue serostatus" = "Positive"\n@code: Client's dengue serostatus is positive-32\n@decision: IMMZ.D2.DT.Dengue.3 doses with pre-vaccination screening: CYD-TDV (Dengvaxia), 3-dose schedule with pre-vaccination screening, the recommended strategy where feasible (pre-vaccination screening whereby only those tested seropositive would be vaccinated)\n*/\ndefine "Client's dengue serostatus is positive":\n  First( "Dengue serostatus Observation" ).value ~ Concepts."Dengue-Positive"\n\n/*\n@input: One dengue primary series dose was administered\n@pseudocode: Count of vaccines administered (where "Vaccine type" = "Dengue vaccines" and "Type of dose" = "Primary series") = 1\n@code: One dengue primary series dose was administered-115\n@decision: IMMZ.D2.DT.Dengue.3 doses with pre-vaccination screening: CYD-TDV (Dengvaxia), 3-dose schedule with pre-vaccination screening, the recommended strategy where feasible (pre-vaccination screening whereby only those tested seropositive would be vaccinated)\n@decision: IMMZ.D2.DT.Dengue.3 doses without pre-vaccination screening: CYD-TDV (Dengvaxia), 3-dose schedule without pre-vaccination screening [when pre-vaccination screening is not feasible and in areas with recent documentation of seroprevalence rates of at least 80% by age 9 years]\n*/\ndefine "One dengue primary series dose was administered":\n  "Number of Dengue Primary Series Doses Administered" = 1\n\n/*\n@input: The latest dengue dose was administered less than 6 months ago\n@pseudocode: Today's date - Latest "Date and time of vaccination" (where "Vaccine type" = "Dengue vaccines") < 6 months\n@code: The latest dengue dose was administered less than 6 months ago-106\n@decision: IMMZ.D2.DT.Dengue.3 doses with pre-vaccination screening: CYD-TDV (Dengvaxia), 3-dose schedule with pre-vaccination screening, the recommended strategy where feasible (pre-vaccination screening whereby only those tested seropositive would be vaccinated)\n@decision: IMMZ.D2.DT.Dengue.3 doses without pre-vaccination screening: CYD-TDV (Dengvaxia), 3-dose schedule without pre-vaccination screening [when pre-vaccination screening is not feasible and in areas with recent documentation of seroprevalence rates of at least 80% by age 9 years]\n*/\ndefine "The latest dengue dose was administered less than 6 months ago":\n  "Date of Latest Dengue Dose" is not null\n  and duration in months between "Date of Latest Dengue Dose" and Now() < 6\n\n/*\n@input: The latest dengue dose was administered more than 6 months ago\n@pseudocode: Today's date - Latest "Date and time of vaccination" (where "Vaccine type" = "Dengue vaccines") ≥ 6 months\n@code: The latest dengue dose was administered more than 6 months ago-106\n@decision: IMMZ.D2.DT.Dengue.3 doses with pre-vaccination screening: CYD-TDV (Dengvaxia), 3-dose schedule with pre-vaccination screening, the recommended strategy where feasible (pre-vaccination screening whereby only those tested seropositive would be vaccinated)\n@decision: IMMZ.D2.DT.Dengue.3 doses without pre-vaccination screening: CYD-TDV (Dengvaxia), 3-dose schedule without pre-vaccination screening [when pre-vaccination screening is not feasible and in areas with recent documentation of seroprevalence rates of at least 80% by age 9 years]\n*/\ndefine "The latest dengue dose was administered more than 6 months ago":\n  "Date of Latest Dengue Dose" is not null\n  and duration in months between "Date of Latest Dengue Dose" and Now() >= 6\n\n/*\n@input: Two dengue primary series doses were administered\n@pseudocode: Count of vaccines administered (where "Vaccine type" = "Dengue vaccines" and "Type of dose" = "Primary series") = 2\n@code: Two dengue primary series doses were administered-115\n@decision: IMMZ.D2.DT.Dengue.3 doses with pre-vaccination screening: CYD-TDV (Dengvaxia), 3-dose schedule with pre-vaccination screening, the recommended strategy where feasible (pre-vaccination screening whereby only those tested seropositive would be vaccinated)\n@decision: IMMZ.D2.DT.Dengue.3 doses without pre-vaccination screening: CYD-TDV (Dengvaxia), 3-dose schedule without pre-vaccination screening [when pre-vaccination screening is not feasible and in areas with recent documentation of seroprevalence rates of at least 80% by age 9 years]\n*/\ndefine "Two dengue primary series doses were administered":\n  "Number of Dengue Primary Series Doses Administered" = 2\n\n/*\n@input: Three dengue primary series doses were administered\n@pseudocode: Count of vaccines administered (where "Vaccine type" = "Dengue vaccines" and "Type of dose" = "Primary series") = 3\n@code: Three dengue primary series doses were administered-115\n@decision: IMMZ.D2.DT.Dengue.3 doses with pre-vaccination screening: CYD-TDV (Dengvaxia), 3-dose schedule with pre-vaccination screening, the recommended strategy where feasible (pre-vaccination screening whereby only those tested seropositive would be vaccinated)\n@decision: IMMZ.D2.DT.Dengue.3 doses without pre-vaccination screening: CYD-TDV (Dengvaxia), 3-dose schedule without pre-vaccination screening [when pre-vaccination screening is not feasible and in areas with recent documentation of seroprevalence rates of at least 80% by age 9 years]\n*/\ndefine "Three dengue primary series doses were administered":\n  "Number of Dengue Primary Series Doses Administered" = 3\n\n/*\n@internal: Date of Latest Dengue Dose\n*/\ndefine "Date of Latest Dengue Dose":\n  date from start of "Dengue Doses Administered to Patient".mostRecent().occurrence.toInterval()\n\n/*\n@internal: Dengue serostatus Observation\n*/\ndefine "Dengue serostatus Observation":\n  ([Observation: Concepts."Dengue serostatus"] O\n    sort by end of effective.toInterval() desc).complete()\n
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Content: application/elm+xml
Encoded data (72264 characters)
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" }, "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability", "valueCode": "computable" } ], "url": "http://smart.who.int/immunizations/Library/IMMZD2DTDengueElements", "version": "0.2.0", "name": "IMMZD2DTDengueElements", "title": "IMMZD2DTDengueElements", "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 Dengue 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": "Dengue Doses Administered to Patient", "use": "out", "min": 0, "max": "*", "type": "Immunization" }, { "name": "Dengue Primary Series Doses Administered to Patient", "use": "out", "min": 0, "max": "*", "type": "Immunization" }, { "name": "Number of Dengue Primary Series Doses Administered", "use": "out", "min": 0, "max": "1", "type": "integer" }, { "name": "Client's age is less than 9 years", "use": "out", "min": 0, "max": "1", "type": "boolean" }, { "name": "Client's age is more than 45 years", "use": "out", "min": 0, "max": "1", "type": "boolean" }, { "name": "Dengue serostatus Observation", "use": "out", "min": 0, "max": "*", "type": "Observation" }, { "name": "Client's dengue serostatus is negative", "use": "out", "min": 0, "max": "1", "type": "boolean" }, { "name": "No dengue primary series doses were administered", "use": "out", "min": 0, "max": "1", "type": "boolean" }, { "name": "Client's age is between 9 years and 45 years", "use": "out", "min": 0, "max": "1", "type": "boolean" }, { "name": "Client's dengue serostatus is positive", "use": "out", "min": 0, "max": "1", "type": "boolean" }, { "name": "One dengue primary series dose was administered", "use": "out", "min": 0, "max": "1", "type": "boolean" }, { "name": "Date of Latest Dengue Dose", "use": "out", "min": 0, "max": "1", "type": "date" }, { "name": "The latest dengue dose was administered less than 6 months ago", "use": "out", "min": 0, "max": "1", "type": "boolean" }, { "name": "The latest dengue dose was administered more than 6 months ago", "use": "out", "min": 0, "max": "1", "type": "boolean" }, { "name": "Two dengue primary series doses were administered", "use": "out", "min": 0, "max": "1", "type": "boolean" }, { "name": "Three dengue primary series doses were administered", "use": "out", "min": 0, "max": "1", "type": "boolean" } ], "dataRequirement": [ { "type": "Observation", "profile": [ "http://hl7.org/fhir/StructureDefinition/Observation" ], "codeFilter": [ { "path": "code", "code": [ { "system": "http://smart.who.int/immunizations/CodeSystem/IMMZ.D", "code": "DE241", "display": "Dengue serostatus" } ] } ] } ], "content": [ { "contentType": "text/cql", "url": "Library-IMMZD2DTDengueElements.cql" }, { "contentType": "application/elm+xml", "url": "Library-IMMZD2DTDengueElements.elm.xml" } ] }