<?xml version="1.0" encoding="UTF-8"?>

<PlanDefinition xmlns="http://hl7.org/fhir">
  <id value="IMMZD2DTDTPPregnancy"/>
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<div>
    <table class="grid dict">
        
        <tr>
            <th scope="row"><b>Id: </b></th>
            <td style="padding-left: 4px;">IMMZD2DTDTPPregnancy</td>
        </tr>
        

        
        <tr>
            <th scope="row"><b>Url: </b></th>
            <td style="padding-left: 4px;"><a href="PlanDefinition-IMMZD2DTDTPPregnancy.html">IMMZ.D2.DT.DTP.Pregnancy</a></td>
        </tr>
        

        
        <tr>
            <th scope="row"><b>Version: </b></th>
            <td style="padding-left: 4px;">1.0.0</td>
        </tr>
        

        

        
        <tr>
            <th scope="row"><b>Title: </b></th>
            <td style="padding-left: 4px;">IMMZ.D2.DT.DTP.Pregnancy</td>
        </tr>
        

        

        
        <tr>
            <th scope="row"><b>Status: </b></th>
            <td style="padding-left: 4px;">draft</td>
        </tr>
        

        

        
        <tr>
            <th scope="row"><b>Type: </b></th>
            <td style="padding-left: 4px;">
                
                    
                        
                        <p style="margin-bottom: 5px;">
                            <b>system: </b> <span><a href="http://terminology.hl7.org/7.1.0/CodeSystem-plan-definition-type.html">http://terminology.hl7.org/CodeSystem/plan-definition-type</a></span>
                        </p>
                        
                        
                        <p style="margin-bottom: 5px;">
                            <b>code: </b> <span>eca-rule</span>
                        </p>
                        
                        
                    
                
                
            </td>
        </tr>
        

        

        
        <tr>
            <th scope="row"><b>Date: </b></th>
            <td style="padding-left: 4px;">2026-03-31 13:54:17+0000</td>
        </tr>
        

        
        <tr>
            <th scope="row"><b>Publisher: </b></th>
            <td style="padding-left: 4px;">WHO</td>
        </tr>
        

        
        <tr>
            <th scope="row"><b>Description: </b></th>
            <td style="padding-left: 4px;"><div><p>IMMZ.D2.DT.DTP.Pregnancy
Determine whether DTP-containing vaccines are needed for pregnant women</p>
</div></td>
        </tr>
        

        
        <tr>
            <th scope="row"><b>Knowledge Capability: </b></th>
            <td style="padding-left: 4px;">
                
                computable 
            </td>
        </tr>
        

        

        

        

        

        

        

        

        

        

        
        <tr>
            <th scope="row"><b>Related Artifacts: </b></th>
            <td style="padding-left: 4px;">
                
                
                <p><b>References</b></p>
                <ul>
                    
                    <li><div><p>WHO recommendations for routine immunization - summary tables (January 2025)</p>
</div><br/><a href="null"/></li>
                    
                </ul>
                
                
                
                
                
                
            </td>
        </tr>
        

        
        <tr>
            <th scope="row"><b>Libraries: </b></th>
            <td style="padding-left: 4px;">
                <table class="grid-dict">
                    
                    <tr>
                        <td><a href="Library-IMMZD2DTDTPPregnancyLogic.html">IMMZD2DTDTPPregnancyLogic</a></td>
                    </tr>
                    
                </table>
            </td>
        </tr>
        

        
        <tr>
            <th scope="row"><b>Actions: </b></th>
            <td style="padding-left: 4px;">
                <table class="grid-dict">
                    
                    <tr>
                        <td>
                            
                            <b> Check for Guidance for the patient regarding IMMZ.D2.DT.DTP.Pregnancy.:</b> Show Guidance for the patient regarding IMMZ.D2.DT.DTP.Pregnancy.
                            
                            <br/>
                            
                            
                            <b>If:</b>
                            
                            <i>Applicability:</i>
                            
                            Has Guidance
                            
                            <i>(Has Guidance)</i>
                            <br/>
                            
                            
                            
                            
                            <b>Then:</b> <i>Definition:</i> <a href="ActivityDefinition-IMMZD2DTCR.html">IMMZ.D2.DT.CR</a><br/>
                            
                            <i>Dynamic Values:</i><br/>
                            
                            status: <i>('active')</i>
                            <br/>
                            
                            payload.contentString: <i>(Guidance)</i>
                            <br/>
                            
                            category.coding: <i>(Code { system: 'http://terminology.hl7.org/CodeSystem/communication-category', code: 'alert' })</i>
                            <br/>
                            
                            priority: <i>(Code { system: 'http://hl7.org/fhir/request-priority', code: 'routine' })</i>
                            <br/>
                            
                            
                            
                            
                        </td>
                    </tr>
                    
                </table>
            </td>
        </tr>
        
    </table>
</div>
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        <extension url="libraryName">
          <valueString value="IMMZD2DTDTPEncounterElements"/>
        </extension>
        <extension url="name">
          <valueString value="No tetanus and diphtheria booster doses were administered"/>
        </extension>
        <extension url="statement">
          <valueString value="/*&#xA;@input: No tetanus and diphtheria booster doses were administered&#xA;@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;) = 0&#xA;@code: No tetanus and diphtheria booster doses were administered-140&#xA;@decision: IMMZ.D2.DT.DTP.On-time start: DTP vaccination schedule, on-time start (at ≤ 12 months of age)&#xA;@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&#xA;@decision: IMMZ.D2.DT.DTP.Pregnancy starting with 3 doses: Diphtheria and tetanus vaccination schedule in pregnant women who received 3 childhood DTP doses&#xA;*/&#xA;define &quot;No tetanus and diphtheria booster doses were administered&quot;:&#xA;  &quot;Number of Td Booster Series Doses Administered&quot; = 0"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="23"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZD2DTDTPEncounterElements"/>
        </extension>
        <extension url="name">
          <valueString value="No tetanus and diphtheria booster dose was administered"/>
        </extension>
        <extension url="statement">
          <valueString value="/*&#xA;@input: No tetanus and diphtheria booster dose was administered&#xA;@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;) = 0&#xA;@code: No tetanus and diphtheria booster dose was administered-140&#xA;@decision: IMMZ.D2.DT.DTP.Pregnancy: Determine whether DTP-containing vaccines are needed for pregnant women&#xA;*/&#xA;define &quot;No tetanus and diphtheria booster dose was administered&quot;:&#xA;  &quot;No tetanus and diphtheria booster doses were administered&quot;"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="24"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZD2DTDTPPregnancyLogic"/>
        </extension>
        <extension url="name">
          <valueString value="Client should follow 'pregnancy starting with 3 doses' decision logic"/>
        </extension>
        <extension url="statement">
          <valueString value="/*&#xA;@output: Client should follow 'pregnancy starting with 3 doses' decision logic&#xA;@pseudocode: &#xA;*/&#xA;define &quot;Client should follow 'pregnancy starting with 3 doses' decision logic&quot;:&#xA;  Encounter.&quot;Three DTP primary series doses were administered&quot;&#xA;    and Encounter.&quot;No tetanus and diphtheria booster dose was administered&quot;&#xA;    and Encounter.&quot;Client is currently pregnant&quot;"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="25"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZD2DTDTPPregnancyLogic"/>
        </extension>
        <extension url="name">
          <valueString value="Client should follow 'pregnancy starting with 3 doses' decision logic Guidance"/>
        </extension>
        <extension url="statement">
          <valueString value="/*&#xA;@output: Client should follow 'pregnancy starting with 3 doses' decision logic Guidance&#xA;@guidance: The client has received 3 tetanus-containing vaccine doses during childhood. Please follow the 'pregnancy starting with 3 doses' schedule.&#xA;*/&#xA;define &quot;Client should follow 'pregnancy starting with 3 doses' decision logic Guidance&quot;:&#xA;  'The client has received 3 tetanus-containing vaccine doses during childhood. Please follow the \'pregnancy starting with 3 doses\' schedule.'"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="26"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZD2DTDTPEncounterElements"/>
        </extension>
        <extension url="name">
          <valueString value="One tetanus and diphtheria booster dose was administered"/>
        </extension>
        <extension url="statement">
          <valueString value="/*&#xA;@input: One tetanus and diphtheria booster dose was administered&#xA;@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&#xA;@code: One tetanus and diphtheria booster dose was administered-140&#xA;@decision: IMMZ.D2.DT.DTP.On-time start: DTP vaccination schedule, on-time start (at ≤ 12 months of age)&#xA;@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&#xA;@decision: IMMZ.D2.DT.DTP.Pregnancy: Determine whether DTP-containing vaccines are needed for pregnant women&#xA;@decision: IMMZ.D2.DT.DTP.Pregnancy starting with 4 doses: Diphtheria and tetanus vaccination schedule in pregnant women who received 4 childhood DTP doses&#xA;*/&#xA;define &quot;One tetanus and diphtheria booster dose was administered&quot;:&#xA;  &quot;Number of Td Booster Series Doses Administered&quot; = 1"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="27"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZD2DTDTPPregnancyLogic"/>
        </extension>
        <extension url="name">
          <valueString value="Client should follow 'pregnancy starting with 4 doses' decision logic"/>
        </extension>
        <extension url="statement">
          <valueString value="/*&#xA;@output: Client should follow 'pregnancy starting with 4 doses' decision logic&#xA;@pseudocode: &#xA;*/&#xA;define &quot;Client should follow 'pregnancy starting with 4 doses' decision logic&quot;:&#xA;  Encounter.&quot;Three DTP primary series doses were administered&quot;&#xA;    and Encounter.&quot;One tetanus and diphtheria booster dose was administered&quot;&#xA;    and Encounter.&quot;Client is currently pregnant&quot;"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="28"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZD2DTDTPPregnancyLogic"/>
        </extension>
        <extension url="name">
          <valueString value="Client should follow 'pregnancy starting with 4 doses' decision logic Guidance"/>
        </extension>
        <extension url="statement">
          <valueString value="/*&#xA;@output: Client should follow 'pregnancy starting with 4 doses' decision logic Guidance&#xA;@guidance: The client has received 4 tetanus-containing vaccines doses during childhood or pre-adulthood. Please follow the 'pregnancy starting with 4 doses' schedule.&#xA;*/&#xA;define &quot;Client should follow 'pregnancy starting with 4 doses' decision logic Guidance&quot;:&#xA;  'The client has received 4 tetanus-containing vaccines doses during childhood or pre-adulthood. Please follow the \'pregnancy starting with 4 doses\' schedule.'"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="29"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZD2DTDTPEncounterElements"/>
        </extension>
        <extension url="name">
          <valueString value="Two tetanus and diphtheria booster doses were administered"/>
        </extension>
        <extension url="statement">
          <valueString value="/*&#xA;@input: Two tetanus and diphtheria booster doses were administered&#xA;@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&#xA;@code: Two tetanus and diphtheria booster doses were administered-140&#xA;@decision: IMMZ.D2.DT.DTP.On-time start: DTP vaccination schedule, on-time start (at ≤ 12 months of age)&#xA;@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&#xA;@decision: IMMZ.D2.DT.DTP.Pregnancy: Determine whether DTP-containing vaccines are needed for pregnant women&#xA;@decision: IMMZ.D2.DT.DTP.Pregnancy starting with 3 doses: Diphtheria and tetanus vaccination schedule in pregnant women who received 3 childhood DTP doses&#xA;@decision: IMMZ.D2.DT.DTP.Pregnancy starting with 4 doses: Diphtheria and tetanus vaccination schedule in pregnant women who received 4 childhood DTP doses&#xA;*/&#xA;define &quot;Two tetanus and diphtheria booster doses were administered&quot;:&#xA;  &quot;Number of Td Booster Series Doses Administered&quot; = 2"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="30"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZD2DTDTPPregnancyLogic"/>
        </extension>
        <extension url="name">
          <valueString value="Tetanus and diphtheria immunization schedule is complete Case 1"/>
        </extension>
        <extension url="statement">
          <valueString value="/*&#xA;@output: Tetanus and diphtheria immunization schedule is complete Case 1&#xA;@pseudocode: &quot;Immunization recommendation status&quot; = &quot;Complete&quot; (where &quot;Vaccine type&quot; = &quot;Tetanus and diphtheria-containing vaccines&quot;)&#xA;*/&#xA;define &quot;Tetanus and diphtheria immunization schedule is complete Case 1&quot;:&#xA;  Encounter.&quot;Three DTP primary series doses were administered&quot;&#xA;    and Encounter.&quot;Two tetanus and diphtheria booster doses were administered&quot;"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="31"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZD2DTDTPEncounterElements"/>
        </extension>
        <extension url="name">
          <valueString value="Three tetanus and diphtheria booster doses were administered"/>
        </extension>
        <extension url="statement">
          <valueString value="/*&#xA;@input: Three tetanus and diphtheria booster doses were administered&#xA;@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;) = 3&#xA;@code: Three tetanus and diphtheria booster doses were administered-140&#xA;@decision: IMMZ.D2.DT.DTP.On-time start: DTP vaccination schedule, on-time start (at ≤ 12 months of age)&#xA;@decision: IMMZ.D2.DT.DTP.Pregnancy: Determine whether DTP-containing vaccines are needed for pregnant women&#xA;@decision: IMMZ.D2.DT.DTP.Pregnancy starting with 3 doses: Diphtheria and tetanus vaccination schedule in pregnant women who received 3 childhood DTP doses&#xA;@decision: IMMZ.D2.DT.DTP.Pregnancy starting with 4 doses: Diphtheria and tetanus vaccination schedule in pregnant women who received 4 childhood DTP doses&#xA;*/&#xA;define &quot;Three tetanus and diphtheria booster doses were administered&quot;:&#xA;  &quot;Number of Td Booster Series Doses Administered&quot; = 3"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="32"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZD2DTDTPPregnancyLogic"/>
        </extension>
        <extension url="name">
          <valueString value="Tetanus and diphtheria immunization schedule is complete Case 2"/>
        </extension>
        <extension url="statement">
          <valueString value="/*&#xA;@output: Tetanus and diphtheria immunization schedule is complete Case 2&#xA;@pseudocode: &quot;Immunization recommendation status&quot; = &quot;Complete&quot; (where &quot;Vaccine type&quot; = &quot;Tetanus and diphtheria-containing vaccines&quot;)&#xA;*/&#xA;define &quot;Tetanus and diphtheria immunization schedule is complete Case 2&quot;:&#xA;  Encounter.&quot;Three DTP primary series doses were administered&quot;&#xA;    and Encounter.&quot;Three tetanus and diphtheria booster doses were administered&quot;"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="33"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZD2DTDTPPregnancyLogic"/>
        </extension>
        <extension url="name">
          <valueString value="Tetanus and diphtheria immunization schedule is complete"/>
        </extension>
        <extension url="statement">
          <valueString value="/*&#xA;@output: Tetanus and diphtheria immunization schedule is complete&#xA;@pseudocode: &quot;Immunization recommendation status&quot; = &quot;Complete&quot; (where &quot;Vaccine type&quot; = &quot;Tetanus and diphtheria-containing vaccines&quot;)&#xA;*/&#xA;define &quot;Tetanus and diphtheria immunization schedule is complete&quot;:&#xA;  &quot;Tetanus and diphtheria immunization schedule is complete Case 1&quot;&#xA;    or &quot;Tetanus and diphtheria immunization schedule is complete Case 2&quot;"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="34"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZD2DTDTPPregnancyLogic"/>
        </extension>
        <extension url="name">
          <valueString value="Tetanus and diphtheria immunization schedule is complete Guidance"/>
        </extension>
        <extension url="statement">
          <valueString value="/*&#xA;@output: Tetanus and diphtheria immunization schedule is complete Guidance&#xA;@guidance = Tetanus and diphtheria immunization schedule is complete.Three DTP primary series doses and two tetanus and diphtheria booster doses were administered. There is no need for any additional tetanus and diphtheria doses.&#xA;Check for any other vaccines due.&#xA;@guidance = Tetanus and diphtheria immunization schedule is complete.Three DTP primary series doses and three tetanus and diphtheria booster doses were administered. There is no need for any additional tetanus and diphtheria doses.&#xA;Check for any other vaccines due.&#xA;*/&#xA;define &quot;Tetanus and diphtheria immunization schedule is complete Guidance&quot;:&#xA;  case&#xA;    when &quot;Tetanus and diphtheria immunization schedule is complete Case 1&quot; then 'Tetanus and diphtheria immunization schedule is complete.Three DTP primary series doses and two tetanus and diphtheria booster doses were administered. There is no need for any additional tetanus and diphtheria doses.&#xA;Check for any other vaccines due.'&#xA;    when &quot;Tetanus and diphtheria immunization schedule is complete Case 2&quot; then 'Tetanus and diphtheria immunization schedule is complete.Three DTP primary series doses and three tetanus and diphtheria booster doses were administered. There is no need for any additional tetanus and diphtheria doses.&#xA;Check for any other vaccines due.'&#xA;    else ''&#xA;  end"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="35"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZD2DTDTPPregnancyLogic"/>
        </extension>
        <extension url="name">
          <valueString value="Guidance"/>
        </extension>
        <extension url="statement">
          <valueString value="/*&#xA;@dynamicValue: Guidance&#xA;*/&#xA;define &quot;Guidance&quot;:&#xA;  case &#xA;    when &quot;Client should follow 'delayed or interrupted series' decision logic&quot; then &quot;Client should follow 'delayed or interrupted series' decision logic Guidance&quot;&#xA;    when &quot;Client should follow 'pregnancy starting with 3 doses' decision logic&quot; then &quot;Client should follow 'pregnancy starting with 3 doses' decision logic Guidance&quot;&#xA;    when &quot;Client should follow 'pregnancy starting with 4 doses' decision logic&quot; then &quot;Client should follow 'pregnancy starting with 4 doses' decision logic Guidance&quot;&#xA;    when &quot;Tetanus and diphtheria immunization schedule is complete&quot; then &quot;Tetanus and diphtheria immunization schedule is complete Guidance&quot; &#xA;    else ''&#xA;  end"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="36"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZD2DTDTPPregnancyLogic"/>
        </extension>
        <extension url="name">
          <valueString value="Has Guidance"/>
        </extension>
        <extension url="statement">
          <valueString value="define &quot;Has Guidance&quot;:&#xA;  &quot;Guidance&quot; is not null and &quot;Guidance&quot; != ''"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="37"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZCommon"/>
        </extension>
        <extension url="name">
          <valueString value="onOrBefore"/>
        </extension>
        <extension url="statement">
          <valueString value="/**&#xA; * @description: Gets immunizations on or before a date&#xA; */&#xA;define fluent function onOrBefore(immunizations List&lt;Immunization&gt;, beforeDate Date):&#xA;  immunizations I where&#xA;    I.occurrence.toInterval() same day or before beforeDate"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="38"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="WHOCommon"/>
        </extension>
        <extension url="name">
          <valueString value="toInterval"/>
        </extension>
        <extension url="statement">
          <valueString value="/*&#xA;From FHIRCommon 4.1.0:&#xA;*/&#xA;&#xA;/*&#xA;@description: Normalizes a value that is a choice of timing-valued types to an equivalent interval&#xA;@comment: Normalizes a choice type of FHIR.dateTime, FHIR.Period, FHIR.Timing, FHIR.instance, FHIR.string, FHIR.Age, or FHIR.Range types&#xA;to an equivalent interval. This selection of choice types is a superset of the majority of choice types that are used as possible&#xA;representations for timing-valued elements in FHIR, allowing this function to be used across any resource.&#xA;&#xA;The input can be provided as a dateTime, Period, Timing, instant, string, Age, or Range.&#xA;The intent of this function is to provide a clear and concise mechanism to treat single&#xA;elements that have multiple possible representations as intervals so that logic doesn't have to account&#xA;for the variability. More complex calculations (such as medication request period or dispense period&#xA;calculation) need specific guidance and consideration. That guidance may make use of this function, but&#xA;the focus of this function is on single element calculations where the semantics are unambiguous.&#xA;If the input is a dateTime, the result a DateTime Interval beginning and ending on that dateTime.&#xA;If the input is a Period, the result is a DateTime Interval.&#xA;If the input is a Timing, an error is raised indicating a single interval cannot be computed from a Timing.&#xA;If the input is an instant, the result is a DateTime Interval beginning and ending on that instant.&#xA;If the input is a string, an error is raised indicating a single interval cannot be computed from a string.&#xA;If the input is an Age, the result is a DateTime Interval beginning when the patient was the given Age,&#xA;and ending immediately prior to when the patient was the given Age plus one year.&#xA;If the input is a Range, the result is a DateTime Interval beginning when the patient was the Age given&#xA;by the low end of the Range, and ending immediately prior to when the patient was the Age given by the&#xA;high end of the Range plus one year.&#xA;&#xA;NOTE: Due to the&#xA;complexity of determining a single interval from a Timing or String type, this function will throw a run-time exception if it is used&#xA;with a Timing or String.&#xA;*/&#xA;define fluent function toInterval(choice Choice&lt;FHIR.dateTime, FHIR.Period, FHIR.Timing, FHIR.instant, FHIR.string, FHIR.Age, FHIR.Range&gt;):&#xA;  case&#xA;    when choice is FHIR.dateTime then&#xA;      Interval[FHIRHelpers.ToDateTime(choice as FHIR.dateTime), FHIRHelpers.ToDateTime(choice as FHIR.dateTime)]&#xA;    when choice is FHIR.Period then&#xA;      FHIRHelpers.ToInterval(choice as FHIR.Period)&#xA;    when choice is FHIR.instant then&#xA;      Interval[FHIRHelpers.ToDateTime(choice as FHIR.instant), FHIRHelpers.ToDateTime(choice as FHIR.instant)]&#xA;    when choice is FHIR.Age then&#xA;      Interval[FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity(choice as FHIR.Age),&#xA;        FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity(choice as FHIR.Age) + 1 year)&#xA;    when choice is FHIR.Range then&#xA;      Interval[FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity((choice as FHIR.Range).low),&#xA;        FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity((choice as FHIR.Range).high) + 1 year)&#xA;    when choice is FHIR.Timing then&#xA;      Message(null as Interval&lt;DateTime&gt;, true, 'NOT_IMPLEMENTED', 'Error', 'Calculation of an interval from a Timing value is not supported')&#xA;    when choice is FHIR.string then&#xA;      Message(null as Interval&lt;DateTime&gt;, true, 'NOT_IMPLEMENTED', 'Error', 'Calculation of an interval from a String value is not supported')&#xA;    else&#xA;      null as Interval&lt;DateTime&gt;&#xA;  end"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="39"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="FHIRHelpers"/>
        </extension>
        <extension url="name">
          <valueString value="ToDateTime"/>
        </extension>
        <extension url="statement">
          <valueString value="define function ToDateTime(value dateTime): value.value"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="40"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="FHIRHelpers"/>
        </extension>
        <extension url="name">
          <valueString value="ToInterval"/>
        </extension>
        <extension url="statement">
          <valueString value="define function ToInterval(period FHIR.Period):&#xA;    if period is null then&#xA;        null&#xA;    else&#xA;        if period.&quot;start&quot; is null then&#xA;            Interval(period.&quot;start&quot;.value, period.&quot;end&quot;.value]&#xA;        else&#xA;            Interval[period.&quot;start&quot;.value, period.&quot;end&quot;.value]"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="41"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="FHIRHelpers"/>
        </extension>
        <extension url="name">
          <valueString value="ToDateTime"/>
        </extension>
        <extension url="statement">
          <valueString value="define function ToDateTime(value instant): value.value"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="42"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="FHIRHelpers"/>
        </extension>
        <extension url="name">
          <valueString value="ToDate"/>
        </extension>
        <extension url="statement">
          <valueString value="define function ToDate(value date): value.value"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="43"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="FHIRHelpers"/>
        </extension>
        <extension url="name">
          <valueString value="ToQuantity"/>
        </extension>
        <extension url="statement">
          <valueString value="define function ToQuantity(quantity FHIR.Quantity):&#xA;    case&#xA;        when quantity is null then null&#xA;        when quantity.value is null then null&#xA;        when quantity.comparator is not null then&#xA;            Message(null, true, 'FHIRHelpers.ToQuantity.ComparatorQuantityNotSupported', 'Error', 'FHIR Quantity value has a comparator and cannot be converted to a System.Quantity value.')&#xA;        when quantity.system is null or quantity.system.value = 'http://unitsofmeasure.org'&#xA;              or quantity.system.value = 'http://hl7.org/fhirpath/CodeSystem/calendar-units' then&#xA;            System.Quantity { value: quantity.value.value, unit: ToCalendarUnit(Coalesce(quantity.code.value, quantity.unit.value, '1')) }&#xA;        else&#xA;            Message(null, true, 'FHIRHelpers.ToQuantity.InvalidFHIRQuantity', 'Error', 'Invalid FHIR Quantity code: ' &amp; quantity.unit.value &amp; ' (' &amp; quantity.system.value &amp; '|' &amp; quantity.code.value &amp; ')')&#xA;    end"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="44"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="FHIRHelpers"/>
        </extension>
        <extension url="name">
          <valueString value="ToCalendarUnit"/>
        </extension>
        <extension url="statement">
          <valueString value="define function ToCalendarUnit(unit System.String):&#xA;    case unit&#xA;        when 'ms' then 'millisecond'&#xA;        when 's' then 'second'&#xA;        when 'min' then 'minute'&#xA;        when 'h' then 'hour'&#xA;        when 'd' then 'day'&#xA;        when 'wk' then 'week'&#xA;        when 'mo' then 'month'&#xA;        when 'a' then 'year'&#xA;        else unit&#xA;    end"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="45"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZCommon"/>
        </extension>
        <extension url="name">
          <valueString value="seriesPrimary"/>
        </extension>
        <extension url="statement">
          <valueString value="/**&#xA; * @description: Gets the doses from the primary series&#xA; */&#xA;define fluent function seriesPrimary(immunizations List&lt;Immunization&gt;):&#xA;  immunizations I where&#xA;    exists( I.protocolApplied pa where pa.series = 'Primary series' )"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="46"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="FHIRHelpers"/>
        </extension>
        <extension url="name">
          <valueString value="ToString"/>
        </extension>
        <extension url="statement">
          <valueString value="define function ToString(value string): value.value"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="47"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="FHIRHelpers"/>
        </extension>
        <extension url="name">
          <valueString value="ToString"/>
        </extension>
        <extension url="statement">
          <valueString value="define function ToString(value ImmunizationStatus): value.value"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="48"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="FHIRHelpers"/>
        </extension>
        <extension url="name">
          <valueString value="ToBoolean"/>
        </extension>
        <extension url="statement">
          <valueString value="define function ToBoolean(value boolean): value.value"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="49"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="FHIRHelpers"/>
        </extension>
        <extension url="name">
          <valueString value="ToConcept"/>
        </extension>
        <extension url="statement">
          <valueString value="define function ToConcept(concept FHIR.CodeableConcept):&#xA;    if concept is null then&#xA;        null&#xA;    else&#xA;        System.Concept {&#xA;            codes: concept.coding C return ToCode(C),&#xA;            display: concept.text.value&#xA;        }"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="50"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="FHIRHelpers"/>
        </extension>
        <extension url="name">
          <valueString value="ToCode"/>
        </extension>
        <extension url="statement">
          <valueString value="define function ToCode(coding FHIR.Coding):&#xA;    if coding is null then&#xA;        null&#xA;    else&#xA;        System.Code {&#xA;          code: coding.code.value,&#xA;          system: coding.system.value,&#xA;          version: coding.version.value,&#xA;          display: coding.display.value&#xA;        }"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="51"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="WHOCommon"/>
        </extension>
        <extension url="name">
          <valueString value="complete"/>
        </extension>
        <extension url="statement">
          <valueString value="define fluent function complete(observations List&lt;Observation&gt;):&#xA;  observations O where O.status in { 'final', 'amended', 'corrected' }"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="52"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="FHIRHelpers"/>
        </extension>
        <extension url="name">
          <valueString value="ToString"/>
        </extension>
        <extension url="statement">
          <valueString value="define function ToString(value ObservationStatus): value.value"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="53"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="WHOCommon"/>
        </extension>
        <extension url="name">
          <valueString value="references"/>
        </extension>
        <extension url="statement">
          <valueString value="/*&#xA;@description: Returns true if the given reference is to the given resourceId&#xA;@comment: Returns true if the `resourceId` parameter exactly equals the tail of the given reference.&#xA;NOTE: This function assumes resources from the same source server.&#xA;*/&#xA;define fluent function references(reference FHIR.Reference, resourceId String):&#xA;  resourceId = Last(Split(reference.reference, '/'))"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="54"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="WHOCommon"/>
        </extension>
        <extension url="name">
          <valueString value="prevalenceInterval"/>
        </extension>
        <extension url="statement">
          <valueString value="/*&#xA;@description: Returns an interval representing the normalized prevalence period of a given Condition resource.&#xA;@comment: Uses the toInterval and toAbatementInterval functions to determine the widest potential interval from&#xA;onset to abatement as specified in the given Condition.&#xA;*/&#xA;define fluent function prevalenceInterval(condition Condition):&#xA;if condition.clinicalStatus ~ &quot;active&quot;&#xA;  or condition.clinicalStatus ~ &quot;recurrence&quot;&#xA;  or condition.clinicalStatus ~ &quot;relapse&quot; then&#xA;  Interval[start of condition.onset.toInterval(), end of condition.abatementInterval()]&#xA;else&#xA;  (end of condition.abatementInterval()) abatementDate&#xA;    return &#xA;&#x9;  if abatementDate is null then&#xA;        Interval[start of condition.onset.toInterval(), abatementDate)&#xA;      else&#xA;        Interval[start of condition.onset.toInterval(), abatementDate]"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="55"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="WHOCommon"/>
        </extension>
        <extension url="name">
          <valueString value="abatementInterval"/>
        </extension>
        <extension url="statement">
          <valueString value="// Was getting error on this for this particular choice set not being found&#xA;&#xA;&#xA;/*&#xA;@description: Returns an interval representing the normalized Abatement of a given Condition resource.&#xA;@comment: NOTE: Due to the complexity of determining an interval from a String, this function will throw&#xA;a run-time exception if used with a Condition instance that has a String as the abatement value.&#xA;*/&#xA;define fluent function abatementInterval(condition Condition):&#xA;  if condition.abatement is FHIR.dateTime then&#xA;    Interval[FHIRHelpers.ToDateTime(condition.abatement as FHIR.dateTime), FHIRHelpers.ToDateTime(condition.abatement as FHIR.dateTime)]&#xA;  else if condition.abatement is FHIR.Period then&#xA;    FHIRHelpers.ToInterval(condition.abatement as FHIR.Period)&#xA;  else if condition.abatement is FHIR.string then&#xA;    Message(null as Interval&lt;DateTime&gt;, true, 'NOT_IMPLEMENTED', 'Error', 'Calculation of an interval from a String value is not supported')&#xA;  else if condition.abatement is FHIR.Age then&#xA;    Interval[FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity(condition.abatement as FHIR.Age),&#xA;      FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity(condition.abatement as FHIR.Age) + 1 year)&#xA;  else if condition.abatement is FHIR.Range then&#xA;    Interval[FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity((condition.abatement as FHIR.Range).low),&#xA;      FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity((condition.abatement as FHIR.Range).high) + 1 year)&#xA;  else if condition.abatement is FHIR.boolean then&#xA;    Interval[end of condition.onset.toInterval(), condition.recordedDate)&#xA;  else &#xA;    null"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="56"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZCommon"/>
        </extension>
        <extension url="name">
          <valueString value="seriesBooster"/>
        </extension>
        <extension url="statement">
          <valueString value="/**&#xA; * @description: Gets the doses from the Booster series&#xA; */&#xA;define fluent function seriesBooster(immunizations List&lt;Immunization&gt;):&#xA;  immunizations I where&#xA;    exists( I.protocolApplied pa where pa.series = 'Booster dose' )"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="57"/>
        </extension>
      </extension>
      <name value="EffectiveDataRequirements"/>
      <status value="active"/>
      <type>
        <coding>
          <system value="http://terminology.hl7.org/CodeSystem/library-type"/>
          <code value="module-definition"/>
        </coding>
      </type>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="FHIR model information"/>
        <resource value="http://fhir.org/guides/cqf/common/Library/FHIR-ModelInfo|4.0.1"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Library Encounter"/>
        <resource value="http://smart.who.int/immunizations/Library/IMMZD2DTDTPEncounterElements"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Library Common"/>
        <resource value="http://smart.who.int/immunizations/Library/IMMZCommon"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Library WC"/>
        <resource value="http://smart.who.int/immunizations/Library/WHOCommon"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Library FHIRHelpers"/>
        <resource value="http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Library DTPElements"/>
        <resource value="http://smart.who.int/immunizations/Library/IMMZD2DTDTPElements"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Library Elements"/>
        <resource value="http://smart.who.int/immunizations/Library/IMMZElements"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Library Concepts"/>
        <resource value="http://smart.who.int/immunizations/Library/IMMZConcepts"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Library Encounter"/>
        <resource value="http://smart.who.int/immunizations/Library/IMMZEncounterElements"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Library WE"/>
        <resource value="http://smart.who.int/immunizations/Library/WHOEncounterElements"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Library Elements"/>
        <resource value="http://smart.who.int/immunizations/Library/WHOElements"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Library Concepts"/>
        <resource value="http://smart.who.int/immunizations/Library/WHOConcepts"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Code system IMMZD"/>
        <resource value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Code system ConditionClinicalStatusCodes"/>
        <resource value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Code system LOINC"/>
        <resource value="http://loinc.org"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Value set DTP-containing vaccines"/>
        <resource value="http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE24"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Value set Tetanus and diphtheria-containing vaccines"/>
        <resource value="http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE28"/>
      </relatedArtifact>
      <parameter>
        <name value="Today"/>
        <use value="in"/>
        <min value="0"/>
        <max value="1"/>
        <type value="date"/>
      </parameter>
      <parameter>
        <name value="EncounterId"/>
        <use value="in"/>
        <min value="0"/>
        <max value="1"/>
        <type value="string"/>
      </parameter>
      <parameter>
        <name value="AsOf"/>
        <use value="in"/>
        <min value="0"/>
        <max value="1"/>
        <type value="date"/>
      </parameter>
      <parameter>
        <name value="Guidance"/>
        <use value="out"/>
        <min value="0"/>
        <max value="1"/>
        <type value="string"/>
      </parameter>
      <parameter>
        <name value="Has Guidance"/>
        <use value="out"/>
        <min value="0"/>
        <max value="1"/>
        <type value="boolean"/>
      </parameter>
      <dataRequirement>
        <type value="Patient"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Patient"/>
        <mustSupport value="birthDate"/>
      </dataRequirement>
      <dataRequirement>
        <type value="Immunization"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Immunization"/>
        <mustSupport value="status"/>
        <mustSupport value="isSubpotent"/>
        <mustSupport value="occurrence"/>
        <mustSupport value="protocolApplied"/>
        <codeFilter>
          <path value="status"/>
          <code>
            <code value="completed"/>
          </code>
        </codeFilter>
      </dataRequirement>
      <dataRequirement>
        <type value="Immunization"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Immunization"/>
        <mustSupport value="status"/>
        <mustSupport value="isSubpotent"/>
        <mustSupport value="vaccineCode"/>
        <mustSupport value="occurrence"/>
        <mustSupport value="protocolApplied"/>
        <codeFilter>
          <path value="status"/>
          <code>
            <code value="completed"/>
          </code>
        </codeFilter>
        <codeFilter>
          <path value="vaccineCode"/>
          <valueSet value="http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE24"/>
        </codeFilter>
      </dataRequirement>
      <dataRequirement>
        <type value="Immunization"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Immunization"/>
        <mustSupport value="status"/>
        <mustSupport value="isSubpotent"/>
        <mustSupport value="vaccineCode"/>
        <mustSupport value="occurrence"/>
        <mustSupport value="protocolApplied"/>
        <codeFilter>
          <path value="status"/>
          <code>
            <code value="completed"/>
          </code>
        </codeFilter>
        <codeFilter>
          <path value="vaccineCode"/>
          <valueSet value="http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE28"/>
        </codeFilter>
      </dataRequirement>
      <dataRequirement>
        <type value="Observation"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Observation"/>
        <mustSupport value="code"/>
        <mustSupport value="status"/>
        <codeFilter>
          <path value="code"/>
          <code>
            <system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
            <code value="DE161"/>
            <display value="Potential contraindications"/>
          </code>
        </codeFilter>
      </dataRequirement>
      <dataRequirement>
        <type value="Observation"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Observation"/>
        <mustSupport value="code"/>
        <mustSupport value="value"/>
        <mustSupport value="status"/>
        <mustSupport value="encounter"/>
        <mustSupport value="effective"/>
        <codeFilter>
          <path value="code"/>
          <code>
            <system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
            <code value="DE161"/>
            <display value="Potential contraindications"/>
          </code>
        </codeFilter>
        <codeFilter>
          <path value="value"/>
        </codeFilter>
      </dataRequirement>
      <dataRequirement>
        <type value="Observation"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Observation"/>
        <mustSupport value="code"/>
        <mustSupport value="status"/>
        <codeFilter>
          <path value="code"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="82810-3"/>
            <display value="Pregnancy status"/>
          </code>
        </codeFilter>
      </dataRequirement>
      <dataRequirement>
        <type value="Observation"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Observation"/>
        <mustSupport value="code"/>
        <mustSupport value="status"/>
        <mustSupport value="value"/>
        <mustSupport value="encounter"/>
        <mustSupport value="effective"/>
        <codeFilter>
          <path value="code"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="82810-3"/>
            <display value="Pregnancy status"/>
          </code>
        </codeFilter>
        <codeFilter>
          <path value="value"/>
        </codeFilter>
      </dataRequirement>
      <dataRequirement>
        <type value="Condition"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Condition"/>
        <mustSupport value="abatement"/>
        <mustSupport value="onset"/>
        <mustSupport value="recordedDate"/>
        <mustSupport value="clinicalStatus"/>
      </dataRequirement>
      <dataRequirement>
        <type value="Condition"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Condition"/>
        <mustSupport value="code"/>
        <codeFilter>
          <path value="code"/>
          <code>
            <system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
            <code value="DE162"/>
            <display value="Currently pregnant"/>
          </code>
        </codeFilter>
      </dataRequirement>
    </Library>
  </contained>
  <extension url="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeCapability">
    <valueCode value="computable"/>
  </extension>
  <extension url="http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-effectiveDataRequirements">
    <valueCanonical value="#effective-data-requirements"/>
  </extension>
  <url value="http://smart.who.int/immunizations/PlanDefinition/IMMZD2DTDTPPregnancy"/>
  <version value="1.0.0"/>
  <name value="IMMZD2DTDTPPregnancy"/>
  <title value="IMMZ.D2.DT.DTP.Pregnancy"/>
  <type>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/plan-definition-type"/>
      <code value="eca-rule"/>
    </coding>
  </type>
  <status value="draft"/>
  <experimental value="false"/>
  <date value="2026-03-31T13:54:17+00:00"/>
  <publisher value="WHO"/>
  <contact>
    <name value="WHO"/>
    <telecom>
      <system value="url"/>
      <value value="http://who.int"/>
    </telecom>
  </contact>
  <description value="IMMZ.D2.DT.DTP.Pregnancy&#xA;Determine whether DTP-containing vaccines are needed for pregnant women"/>
  <relatedArtifact>
    <type value="citation"/>
    <citation value="WHO recommendations for routine immunization - summary tables (January 2025)"/>
  </relatedArtifact>
  <library value="http://smart.who.int/immunizations/Library/IMMZD2DTDTPPregnancyLogic"/>
  <action>
    <title value="Check for Guidance for the patient regarding IMMZ.D2.DT.DTP.Pregnancy."/>
    <description value="Show Guidance for the patient regarding IMMZ.D2.DT.DTP.Pregnancy."/>
    <condition>
      <kind value="applicability"/>
      <expression>
        <description value="Has Guidance"/>
        <language value="text/cql-identifier"/>
        <expression value="Has Guidance"/>
      </expression>
    </condition>
    <definitionCanonical value="http://smart.who.int/immunizations/ActivityDefinition/IMMZD2DTCR"/>
    <dynamicValue>
      <path value="status"/>
      <expression>
        <language value="text/cql-expression"/>
        <expression value="'active'"/>
      </expression>
    </dynamicValue>
    <dynamicValue>
      <path value="payload.contentString"/>
      <expression>
        <language value="text/cql-identifier"/>
        <expression value="Guidance"/>
      </expression>
    </dynamicValue>
    <dynamicValue>
      <path value="category.coding"/>
      <expression>
        <description value="Category of communication"/>
        <language value="text/cql-expression"/>
        <expression value="Code { system: 'http://terminology.hl7.org/CodeSystem/communication-category', code: 'alert' }"/>
      </expression>
    </dynamicValue>
    <dynamicValue>
      <path value="priority"/>
      <expression>
        <description value="Alert priority"/>
        <language value="text/cql-expression"/>
        <expression value="Code { system: 'http://hl7.org/fhir/request-priority', code: 'routine' }"/>
      </expression>
    </dynamicValue>
  </action>
</PlanDefinition>