FHIR IG Statistics: PlanDefinition/IMMZD18SDTPDelayed

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Source

{
  "resourceType": "PlanDefinition",
  "id": "IMMZD18SDTPDelayed",
  "meta": {
    "profile": [
      "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-recommendationdefinition",
      "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareableplandefinition",
      "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-publishableplandefinition"
    ]
  },
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeCapability",
      "valueCode": "computable"
    }
  ],
  "url": "http://smart.who.int/immunizations/PlanDefinition/IMMZD18SDTPDelayed",
  "version": "0.2.0",
  "name": "IMMZD18SDTPDelayed",
  "title": "IMMZ.D18.S.DTP.Delayed or interrupted schedule",
  "type": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/plan-definition-type",
        "code": "eca-rule"
      }
    ]
  },
  "status": "draft",
  "experimental": false,
  "date": "2025-08-08T19:12:11+00:00",
  "publisher": "WHO",
  "contact": [
    {
      "name": "WHO",
      "telecom": [
        {
          "system": "url",
          "value": "http://who.int"
        }
      ]
    }
  ],
  "description": "IMMZ.D18.S.DTP.Delayed or interrupted schedule\nDiphtheria–tetanus–pertussis (DTP) vaccination schedule for the following groups: children ≥ 1 year of age with no previous immunization, adolescents and adults with no previous immunization (including pregnant women) and supplementary immunization activities in high-risk areas, for women of reproductive age",
  "relatedArtifact": [
    {
      "type": "citation",
      "citation": "WHO recommendations for routine immunization - summary tables (January 2025)"
    }
  ],
  "library": [
    "http://smart.who.int/immunizations/Library/IMMZD18SDTPDelayedLogic"
  ],
  "action": [
    {
      "title": "DTP dose 1 (delayed start)",
      "description": "Provision of DTP dose 1 with a delayed start\nTrigger event: No DTP doses were administered and client's age is more than 1 year \nCount of vaccines administered (where \"Vaccine type\" = \"DTP-containing vaccines\") = 0 AND Today's date − \"Date of birth\" > 1 year\nTrigger date: Date of birth\nCreate condition: For children whose vaccination series has been interrupted, the series should be resumed without repeating previous doses. Children aged 1 year to under 7 years who have not previously been vaccinated should receive 3 doses of vaccine following a 0, 1, 6 month schedule.\n\nIf tetanus vaccination is started during adolescence or adulthood, a total of only 5 appropriately spaced doses are required to obtain lifelong protection.\n\nPregnant women and their newborn infants are protected from birth-associated tetanus if the mother received 5 doses if first vaccinated during adolescence/adulthood.",
      "condition": [
        {
          "kind": "applicability",
          "expression": {
            "description": "DTP dose 1 (delayed start)",
            "language": "text/cql-identifier",
            "expression": "DTP dose 1 (delayed start)"
          }
        }
      ],
      "definitionCanonical": "http://smart.who.int/immunizations/ActivityDefinition/IMMZD2DTCR",
      "dynamicValue": [
        {
          "path": "status",
          "expression": {
            "language": "text/cql-expression",
            "expression": "'active'"
          }
        },
        {
          "path": "payload.contentString",
          "expression": {
            "language": "text/cql-identifier",
            "expression": "DTP dose 1 (delayed start) Create"
          }
        },
        {
          "path": "category.coding",
          "expression": {
            "description": "Category of communication",
            "language": "text/cql-expression",
            "expression": "Code { system: 'http://terminology.hl7.org/CodeSystem/communication-category', code: 'alert' }"
          }
        },
        {
          "path": "priority",
          "expression": {
            "description": "Alert priority",
            "language": "text/cql-expression",
            "expression": "Code { system: 'http://hl7.org/fhir/request-priority', code: 'routine' }"
          }
        }
      ]
    },
    {
      "title": "DTP dose 2 (delayed start)",
      "description": "Provision of DTP dose 2 with a delayed start\nTrigger event: First DTP dose from the primary series was administered \nCount of vaccines administered (where \"Vaccine type\" = \"DTP-containing vaccines\" and \"Type of dose\" = \"Primary series\") = 1\nTrigger date: Latest \"Date and time of vaccination\" (where \"Vaccine type\" = \"DTP-containing vaccines\"\nCreate condition: For children whose vaccination series has been interrupted, the series should be resumed without repeating previous doses. Children aged 1 year to under 7 years who have not previously been vaccinated should receive 3 doses of vaccine following a 0, 1, 6 month schedule.\n\nIf tetanus vaccination is started during adolescence or adulthood, a total of only 5 appropriately spaced doses are required to obtain lifelong protection.\n\nPregnant women and their newborn infants are protected from birth-associated tetanus if the mother received 5 doses if first vaccinated during adolescence/adulthood.",
      "condition": [
        {
          "kind": "applicability",
          "expression": {
            "description": "DTP dose 2 (delayed start)",
            "language": "text/cql-identifier",
            "expression": "DTP dose 2 (delayed start)"
          }
        }
      ],
      "definitionCanonical": "http://smart.who.int/immunizations/ActivityDefinition/IMMZD2DTCR",
      "dynamicValue": [
        {
          "path": "status",
          "expression": {
            "language": "text/cql-expression",
            "expression": "'active'"
          }
        },
        {
          "path": "payload.contentString",
          "expression": {
            "language": "text/cql-identifier",
            "expression": "DTP dose 2 (delayed start) Create"
          }
        },
        {
          "path": "category.coding",
          "expression": {
            "description": "Category of communication",
            "language": "text/cql-expression",
            "expression": "Code { system: 'http://terminology.hl7.org/CodeSystem/communication-category', code: 'alert' }"
          }
        },
        {
          "path": "priority",
          "expression": {
            "description": "Alert priority",
            "language": "text/cql-expression",
            "expression": "Code { system: 'http://hl7.org/fhir/request-priority', code: 'routine' }"
          }
        }
      ]
    },
    {
      "title": "DTP dose 3 (delayed start)",
      "description": "Provision of DTP dose 3 with a delayed start\nTrigger event: Second DTP dose from the primary series was administered \nCount of vaccines administered (where \"Vaccine type\" = \"DTP-containing vaccines\" and \"Type of dose\" = \"Primary series\") = 2\nTrigger date: Latest \"Date and time of vaccination\" (where \"Vaccine type\" = \"DTP-containing vaccines\"\nCreate condition: For children whose vaccination series has been interrupted, the series should be resumed without repeating previous doses. Children aged 1 year to under 7 years who have not previously been vaccinated should receive 3 doses of vaccine following a 0, 1, 6 month schedule.\n\nIf tetanus vaccination is started during adolescence or adulthood, a total of only 5 appropriately spaced doses are required to obtain lifelong protection.\n\nPregnant women and their newborn infants are protected from birth-associated tetanus if the mother received 5 doses if first vaccinated during adolescence/adulthood.",
      "condition": [
        {
          "kind": "applicability",
          "expression": {
            "description": "DTP dose 3 (delayed start)",
            "language": "text/cql-identifier",
            "expression": "DTP dose 3 (delayed start)"
          }
        }
      ],
      "definitionCanonical": "http://smart.who.int/immunizations/ActivityDefinition/IMMZD2DTCR",
      "dynamicValue": [
        {
          "path": "status",
          "expression": {
            "language": "text/cql-expression",
            "expression": "'active'"
          }
        },
        {
          "path": "payload.contentString",
          "expression": {
            "language": "text/cql-identifier",
            "expression": "DTP dose 3 (delayed start) Create"
          }
        },
        {
          "path": "category.coding",
          "expression": {
            "description": "Category of communication",
            "language": "text/cql-expression",
            "expression": "Code { system: 'http://terminology.hl7.org/CodeSystem/communication-category', code: 'alert' }"
          }
        },
        {
          "path": "priority",
          "expression": {
            "description": "Alert priority",
            "language": "text/cql-expression",
            "expression": "Code { system: 'http://hl7.org/fhir/request-priority', code: 'routine' }"
          }
        }
      ]
    },
    {
      "title": "Tetanus and diphtheria-containing vaccine booster dose 1 (delayed start)",
      "description": "Provision of tetanus and diphtheria booster dose 1\nTrigger event: The primary DTP series has been completed\n\"Completed the primary vaccination series\" = TRUE (where \"Vaccine type\" = \"DTP-containing vaccines\")\nTrigger date: Latest \"Date and time of vaccination\" (where \"Vaccine type\" = \"DTP-containing vaccines\"\nCreate condition: Two subsequent booster doses using tetanus toxoid with reduced diphteria toxoid (Td) or Td with acellular pertussis (TdaP) combination vaccines are needed with an interval of at least 1 year between doses.",
      "condition": [
        {
          "kind": "applicability",
          "expression": {
            "description": "Tetanus and diphtheria-containing vaccine booster dose 1 (delayed start)",
            "language": "text/cql-identifier",
            "expression": "Tetanus and diphtheria-containing vaccine booster dose 1 (delayed start)"
          }
        }
      ],
      "definitionCanonical": "http://smart.who.int/immunizations/ActivityDefinition/IMMZD2DTCR",
      "dynamicValue": [
        {
          "path": "status",
          "expression": {
            "language": "text/cql-expression",
            "expression": "'active'"
          }
        },
        {
          "path": "payload.contentString",
          "expression": {
            "language": "text/cql-identifier",
            "expression": "Tetanus and diphtheria-containing vaccine booster dose 1 (delayed start) Create"
          }
        },
        {
          "path": "category.coding",
          "expression": {
            "description": "Category of communication",
            "language": "text/cql-expression",
            "expression": "Code { system: 'http://terminology.hl7.org/CodeSystem/communication-category', code: 'alert' }"
          }
        },
        {
          "path": "priority",
          "expression": {
            "description": "Alert priority",
            "language": "text/cql-expression",
            "expression": "Code { system: 'http://hl7.org/fhir/request-priority', code: 'routine' }"
          }
        }
      ]
    },
    {
      "title": "Tetanus and diphtheria-containing vaccine booster dose 2 (delayed start)",
      "description": "Provision of tetanus and diphtheria booster dose 2\nTrigger event: First tetanus and diphtheria booster dose was administered \nCount of vaccines administered (where \"Vaccine type\" = \"Tetanus and diphtheria-containing vaccines\" and \"Type of dose\" = \"Booster dose\") = 1\nTrigger date: Latest \"Date and time of vaccination\" (where \"Vaccine type\" = \"Tetanus and diphtheria-containing vaccines\")\nCreate condition: Two subsequent booster doses using tetanus toxoid with reduced diphteria toxoid (Td) or Td with acellular pertussis (TdaP) combination vaccines are needed with an interval of at least 1 year between doses.",
      "condition": [
        {
          "kind": "applicability",
          "expression": {
            "description": "Tetanus and diphtheria-containing vaccine booster dose 2 (delayed start)",
            "language": "text/cql-identifier",
            "expression": "Tetanus and diphtheria-containing vaccine booster dose 2 (delayed start)"
          }
        }
      ],
      "definitionCanonical": "http://smart.who.int/immunizations/ActivityDefinition/IMMZD2DTCR",
      "dynamicValue": [
        {
          "path": "status",
          "expression": {
            "language": "text/cql-expression",
            "expression": "'active'"
          }
        },
        {
          "path": "payload.contentString",
          "expression": {
            "language": "text/cql-identifier",
            "expression": "Tetanus and diphtheria-containing vaccine booster dose 2 (delayed start) Create"
          }
        },
        {
          "path": "category.coding",
          "expression": {
            "description": "Category of communication",
            "language": "text/cql-expression",
            "expression": "Code { system: 'http://terminology.hl7.org/CodeSystem/communication-category', code: 'alert' }"
          }
        },
        {
          "path": "priority",
          "expression": {
            "description": "Alert priority",
            "language": "text/cql-expression",
            "expression": "Code { system: 'http://hl7.org/fhir/request-priority', code: 'routine' }"
          }
        }
      ]
    },
    {
      "title": "Pertussis-containing vaccine booster dose 1 (delayed start)",
      "description": "Provision of the pertussis-containing booster dose 1\nTrigger event: The primary DTP series has been completed and client's age is between 1 year and 6 years\n\"Completed the primary vaccination series\" = TRUE (where \"Vaccine type\" = \"DTP-containing vaccines\") AND 1 year ≤  Today's date − \"Date of birth\" ≤  6 years\nTrigger date: Latest \"Date and time of vaccination\" (where \"Vaccine type\" = \"DTP-containing vaccines\")\nCreate condition: A booster dose is recommended for children aged 1–6 years, preferably during the second year of life (≥ 6 months after last primary dose).",
      "condition": [
        {
          "kind": "applicability",
          "expression": {
            "description": "Pertussis-containing vaccine booster dose 1 (delayed start)",
            "language": "text/cql-identifier",
            "expression": "Pertussis-containing vaccine booster dose 1 (delayed start)"
          }
        }
      ],
      "definitionCanonical": "http://smart.who.int/immunizations/ActivityDefinition/IMMZD2DTCR",
      "dynamicValue": [
        {
          "path": "status",
          "expression": {
            "language": "text/cql-expression",
            "expression": "'active'"
          }
        },
        {
          "path": "payload.contentString",
          "expression": {
            "language": "text/cql-identifier",
            "expression": "Pertussis-containing vaccine booster dose 1 (delayed start) Create"
          }
        },
        {
          "path": "category.coding",
          "expression": {
            "description": "Category of communication",
            "language": "text/cql-expression",
            "expression": "Code { system: 'http://terminology.hl7.org/CodeSystem/communication-category', code: 'alert' }"
          }
        },
        {
          "path": "priority",
          "expression": {
            "description": "Alert priority",
            "language": "text/cql-expression",
            "expression": "Code { system: 'http://hl7.org/fhir/request-priority', code: 'routine' }"
          }
        }
      ]
    }
  ]
}