/*
  * Library: IMMZD2DTPneumococcalElements
  */
library IMMZD2DTPneumococcalElements

using FHIR version '4.0.1'
include FHIRHelpers version '4.0.1'

include WHOConcepts
include WHOCommon called WC
include WHOElements called WE

include IMMZCommon called Common
include IMMZConcepts called Concepts
include IMMZElements called Elements

context Patient

/*
@internal: Pneumococcal containing Doses Administered to Patient
*/
define "Pneumococcal Doses Administered to Patient":
  Elements."Doses Administered to Patient" I
  where
    I.vaccineCode in Concepts."Pneumococcal vaccines"

/*
@internal: Date and time of first Pneumococcal dose
*/
define "Date of First Pneumococcal Dose":
  date from start of "Pneumococcal Doses Administered to Patient".earliest().occurrence.toInterval()

/*
@internal: Date and time of last Pneumococcal dose
*/
define "Date of Latest Pneumococcal Dose":
  date from start of "Pneumococcal Doses Administered to Patient".mostRecent().occurrence.toInterval()

/*
@internal: Pneumococcal containing Doses Administered to Patient that are in the Primary series
*/
define "Pneumococcal Primary Series Doses Administered to Patient":
  "Pneumococcal Doses Administered to Patient".seriesPrimary()

/*
@internal: Number of Pneumococcal Primary Series doses
*/
define "Number of Pneumococcal Primary Series Doses Administered":
  Count("Pneumococcal Primary Series Doses Administered to Patient")

/*
@input: No pneumococcal primary series doses were administered
@pseudocode: Count of vaccines administered (where "Vaccine type" = "Pneumococcal vaccines" and "Type of dose" = "Primary series") = 0
@decision: 2 primary doses with a booster dose (2p+1)
*/
define "No pneumococcal primary series doses were administered":
  "Number of Pneumococcal Primary Series Doses Administered" = 0

/*
@input: One pneumococcal primary series dose was administered
@pseudocode: Count of vaccines administered (where "Vaccine type" = "Pneumococcal vaccines" and "Type of dose" = "Primary series") = 1
@decision: 2 primary doses with a booster dose (2p+1)
@decision: 3 primary doses (3p+0)
*/
define "One pneumococcal primary series dose was administered":
  "Number of Pneumococcal Primary Series Doses Administered" = 1

/*
@input: Two pneumococcal primary series doses were administered
@pseudocode: Count of vaccines administered (where "Vaccine type" = "Pneumococcal vaccines" and "Type of dose" = "Primary series") = 2
@decision: 2 primary doses with a booster dose (2p+1)
@decision: 3 primary doses (3p+0)
*/
define "Two pneumococcal primary series doses were administered":
  "Number of Pneumococcal Primary Series Doses Administered" = 2

/*
@input: Three pneumococcal primary series doses were administered
@pseudocode: Count of vaccines administered (where "Vaccine type" = "Pneumococcal vaccines" and "Type of dose" = "Primary series") = 3
@decision: 3 primary doses (3p+0)
*/
define "Three pneumococcal primary series doses were administered":
  "Number of Pneumococcal Primary Series Doses Administered" = 3

/*
@internal: Pneumococcal containing Doses Administered to Patient that are in the Booster series
*/
define "Pneumococcal Booster Series Doses Administered to Patient":
  "Pneumococcal Doses Administered to Patient".seriesBooster()

/*
@internal: Number of Pneumococcal Booster Series doses
*/
define "Number of Pneumococcal Booster Series Doses Administered":
  Count("Pneumococcal Booster Series Doses Administered to Patient")

/*
@input: No pneumococcal booster dose was administered
@pseudocode: Count of vaccines administered (where "Vaccine type" = "Pneumococcal vaccines" and "Type of dose" = "Booster dose") = 0
@decision: 2 primary doses with a booster dose (2p+1)
@decision: 3 primary doses (3p+0)
*/
define "No pneumococcal booster dose was administered":
  "Number of Pneumococcal Booster Series Doses Administered" = 0

/*
@input: One pneumococcal booster dose was administered
@pseudocode: Count of vaccines administered (where "Vaccine type" = "Pneumococcal vaccines" and "Type of dose" = "Booster dose") = 1
@decision: 2 primary doses with a booster dose (2p+1)
@decision: 3 primary doses (3p+0)
*/
define "One pneumococcal booster dose was administered":
  "Number of Pneumococcal Booster Series Doses Administered" = 1

/*
@input: Two pneumococcal booster doses were administered
@pseudocode: Count of vaccines administered (where "Vaccine type" = "Pneumococcal vaccines" and "Type of dose" = "Booster dose") = 2
@decision: 2 primary doses with a booster dose (2p+1)
*/
define "Two pneumococcal booster doses were administered":
  "Number of Pneumococcal Booster Series Doses Administered" = 2

/*
@input: The client's age is less than 6 weeks
@pseudocode: Today's date − "Date of birth" < 6 weeks
@decision: 2 primary doses with a booster dose (2p+1)
@decision: 3 primary doses (3p+0)
*/
define "The client's age is less than 6 weeks":
  Elements."Current Patient Age In Weeks" < 6

/*
@input: The client's age is between 6 weeks and 5 years
@pseudocode: 6 weeks ≤ Today's date − "Date of birth" ≤ 5 years
@decision: 2 primary doses with a booster dose (2p+1)
@decision: 3 primary doses (3p+0)
*/
define "The client's age is between 6 weeks and 5 years":
  6 <= Elements."Current Patient Age In Weeks" 
  and Elements."Current Patient Age In Years" <= 5

/*
@input: The client's age is less than or equal to 5 years
@pseudocode: 'Today's date − "Date of birth" ≤ 5 years
@decision: 2 primary doses with a booster dose (2p+1)
@decision: 3 primary doses (3p+0)
*/
define "The client's age is less than or equal to 5 years":
  Elements."Current Patient Age In Years" <= 5

/*
@input: The client's age is less than or equal to five years
@pseudocode: Today's date − "Date of birth" ≤ 5 years
@decision: 3 primary doses (3p+0)
*/
define "The client's age is less than or equal to five years":
  "The client's age is less than or equal to 5 years"

/*
@input: The client's age is less than 12 months
@pseudocode: Today's date − "Date of birth" < 12 months
@decision: 2 primary doses with a booster dose (2p+1)
*/
define "The client's age is less than 12 months":
  Elements."Current Patient Age In Months" < 12

/*
@input: The client's age is more than or equal to 12 months and less than 24 months
@pseudocode: 12 months ≤ Today's date − "Date of birth" < 24 months
@decision: 2 primary doses with a booster dose (2p+1)
*/
define "The client's age is more than or equal to 12 months and less than 24 months":
  12 <= Elements."Current Patient Age In Months" 
  and Elements."Current Patient Age In Months" < 24

/*
@input: The client's age is less than 24 months
@pseudocode: Today's date − "Date of birth" < 24 months
@decision: 3 primary doses (3p+0)
*/
define "The client's age is less than 24 months":
  Elements."Current Patient Age In Months" < 24

/*
@input: The client's age is more than or equal to 24 months
@pseudocode: Today's date − "Date of birth" ≥ 24 months
@decision: 2 primary doses with a booster dose (2p+1)
*/
define "The client's age is more than or equal to 24 months":
  Elements."Current Patient Age In Months" >= 24

/*
@input: The client's age is more than 5 years
@pseudocode: Today's date − "Date of birth" > 5 years
@decision: 2 primary doses with a booster dose (2p+1)
@decision: 3 primary doses (3p+0)

*/
define "The client's age is more than 5 years":
  Elements."Current Patient Age In Months" > 5
  
/*
@input: The first pneumococcal dose was administered within 24 months post birth
@pseudocode: "Date and time of vaccination" (where "Vaccine type" = "Pneumococcal vaccines") − "Date of birth" < 24 months
@decision: 2 primary doses with a booster dose (2p+1)
*/
define "The first pneumococcal dose was administered within 24 months post birth":
  AgeInMonthsAt("Date of First Pneumococcal Dose") < 24

/*
@input: The first pneumococcal dose was administered after 24 months post birth
@pseudocode: "Date and time of vaccination" (where "Vaccine type" = "Pneumococcal vaccines") − "Date of birth" ≥ 24 months
@decision: 2 primary doses with a booster dose (2p+1)
@decision: 3 primary doses (3p+0)
*/
define "The first pneumococcal dose was administered after 24 months post birth":
  AgeInMonthsAt("Date of First Pneumococcal Dose") >= 24

/*
@input: The first pneumococcal dose was administered within 12 months post birth
@pseudocode: "Date and time of vaccination" (where "Vaccine type" = "Pneumococcal vaccines" AND "Dose number" = 1) − "Date of birth" < 12 months
@decision: 2 primary doses with a booster dose (2p+1)
@decision: 3 primary doses (3p+0)
*/
define "The first pneumococcal dose was administered within 12 months post birth":
  AgeInMonthsAt("Date of First Pneumococcal Dose") < 12

/*
@input: The first pneumococcal dose was administered after 12 months post birth
@pseudocode: "Date and time of vaccination" (where "Vaccine type" = "Pneumococcal vaccines" AND "Dose number" = 1) − "Date of birth" ≥ 12 months
@decision: 2 primary doses with a booster dose (2p+1)
@decision: 3 primary doses (3p+0)
*/
define "The first pneumococcal dose was administered after 12 months post birth":
  AgeInMonthsAt("Date of First Pneumococcal Dose") >= 12

/*
@input: The first pneumococcal dose was administered at 12–24 months post birth
@pseudocode: 12 months ≤ "Date and time of vaccination" (where "Vaccine type" = "Pneumococcal vaccines") − "Date of birth" < 24 months
@decision: 3 primary doses (3p+0)
*/
define "The first pneumococcal dose was administered at 12–24 months post birth":
  AgeInMonthsAt("Date of First Pneumococcal Dose") >= 12
  and AgeInMonthsAt("Date of First Pneumococcal Dose") < 24

/*
@input: The latest pneumococcal dose was administered within 12 months post birth
@pseudocode: Latest "Date and time of vaccination" (where "Vaccine type" = "Pneumococcal vaccines") − "Date of birth" < 12 months
@decision: 2 primary doses with a booster dose (2p+1)
@decision: 3 primary doses (3p+0)
*/
define "The latest pneumococcal dose was administered within 12 months post birth":
  AgeInMonthsAt("Date of Latest Pneumococcal Dose") < 12

/*
@input: The latest pneumococcal dose was administered after 12 months post birth
@pseudocode: Latest "Date and time of vaccination" (where "Vaccine type" = "Pneumococcal vaccines") − "Date of birth" ≥ 12 months
@decision: 2 primary doses with a booster dose (2p+1)
@decision: 3 primary doses (3p+0)
*/
define "The latest pneumococcal dose was administered after 12 months post birth":
  AgeInMonthsAt("Date of Latest Pneumococcal Dose") >= 12

/*
@input: The latest pneumococcal dose was administered less than 4 weeks ago
@pseudocode: Today's date − "Date and time of vaccination" (where "Vaccine type" = "Pneumococcal vaccines") < 4 weeks
@decision: 3 primary doses (3p+0)
*/
define "The latest pneumococcal dose was administered less than 4 weeks ago":
  "Date of Latest Pneumococcal Dose" is not null
    and duration in weeks between "Date of Latest Pneumococcal Dose" and Now() < 4

/*
@input: The latest pneumococcal dose was administered more than 4 weeks ago
@pseudocode: Today's date − "Date and time of vaccination" (where "Vaccine type" = "Pneumococcal vaccines") ≥ 4 weeks
@decision: 3 primary doses (3p+0)
*/
define "The latest pneumococcal dose was administered more than 4 weeks ago":
  not "The latest pneumococcal dose was administered less than 4 weeks ago"

/*
@input: The latest pneumococcal dose was administered less than 8 weeks ago
@pseudocode: Today's date − "Date and time of vaccination" (where "Vaccine type" = "Pneumococcal vaccines") < 8 weeks
@decision: 2 primary doses with a booster dose (2p+1)
@decision: 3 primary doses (3p+0)
*/
define "The latest pneumococcal dose was administered less than 8 weeks ago":
  "Date of Latest Pneumococcal Dose" is not null
    and duration in weeks between "Date of Latest Pneumococcal Dose" and Now() < 8

/*
@input: The latest pneumococcal dose was administered more than 8 weeks ago
@pseudocode: Today's date − "Date and time of vaccination" (where "Vaccine type" = "Pneumococcal vaccines") ≥ 8 weeks
@decision: 2 primary doses with a booster dose (2p+1)
@decision: 3 primary doses (3p+0)
*/
define "The latest pneumococcal dose was administered more than 8 weeks ago":
  not "The latest pneumococcal dose was administered less than 8 weeks ago"


/*
@input: Client is at high risk for pneumococcal infection
@pseudocode: "At high risk for pneumococcal infection" = TRUE
@decision: 2 primary doses with a booster dose (2p+1)
@decision: 3 primary doses (3p+0)
*/
define "Client is at high risk for pneumococcal infection":
  Elements."Client is at high risk for pneumococcal infection"

/*
@input: Client is not at high risk for pneumococcal infection
@pseudocode: "At high risk for pneumococcal infection" = FALSE
@decision: 2 primary doses with a booster dose (2p+1)
@decision: 3 primary doses (3p+0)
*/
define "Client is not at high risk for pneumococcal infection":
  Elements."Client is not at high risk for pneumococcal infection"

/*
@input: Client's HIV status is positive
@pseudocode: "HIV status" = "HIV-positive"
@decision: 2 primary doses with a booster dose (2p+1)
@decision: 3 primary doses (3p+0)
*/
define "Client's HIV status is positive":
  Elements."Client's HIV status is positive"

/*
@input: Client's HIV status is negative or unknown
@pseudocode: "HIV status" ≠ "HIV-positive"
@decision: 2 primary doses with a booster dose (2p+1)
@decision: 3 primary doses (3p+0)
*/
define "Client's HIV status is negative or unknown":
  Elements."Client's HIV status is negative or unknown"

/*
@input: Client had preterm birth
@pseudocode: "Preterm birth" = TRUE
@decision: 2 primary doses with a booster dose (2p+1)
@decision: 3 primary doses (3p+0)
*/
define "Client had preterm birth":
  Elements."Client was a premature infant at birth"

/*
@input: Client did not have preterm birth
@pseudocode: "Preterm birth" ≠ TRUE
@decision: 2 primary doses with a booster dose (2p+1)
@decision: 3 primary doses (3p+0)
*/
define "Client did not have preterm birth":
  Elements."Client was not a premature infant at birth"

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