/*
* Library: IMMZD5DTDTPContraindicationsLogic (IMMZ.D5.DT.DTP contraindications)
* Rule: Check for contraindications before administering the vaccine(s) due
* Decision Table: IMMZ.D5.DT.DTP contraindications
* Trigger: IMMZ.D5 Determine vaccine(s) to be administered based on contraindications
*/
library IMMZD5DTDTPContraindicationsLogicusing FHIR version '4.0.1'include FHIRHelpers version '4.0.1'include IMMZD5DTDTPEncounterElements called Encounterparameter Today Date default Today()/*
@dynamicValue: Draft Medication Request ID for DTP dose
*/
define "Draft Medication Request ID for Tetanus dose":
First(Encounter."Draft Medication Request for Tetanus dose").id/*
@output: Tetanus and pertussis vaccination could be contraindicated. Clinical judgement is required. Create a clinical note
@pseudocode: "Immunization recommendation status" = "Further evaluation needed" (where "Vaccine type" = "Pertussis-containing vaccines")
AND
"Immunization recommendation status" = "Further evaluation needed" (where "Vaccine type" = "Tetanus-containing vaccines")
*/
define "Tetanus and pertussis vaccination could be contraindicated. Clinical judgement is required. Create a clinical note":
Encounter."The client has a history of anaphylactic reactions"/*
@output: Tetanus and pertussis vaccination could be contraindicated. Clinical judgement is required. Create a clinical note Guidance
@guidance: Do not vaccinate client with pertussis and/or tetanus if the client has had a severe anaphylactic reaction to a vaccine component or reaction following a prior dose.
*/
define "Tetanus and pertussis vaccination could be contraindicated. Clinical judgement is required. Create a clinical note Guidance":
'Do not vaccinate client with pertussis and/or tetanus if the client has had a severe anaphylactic reaction to a vaccine component or reaction following a prior dose.'/*
@output: Tetanus vaccination is contraindicated
@pseudocode: "Immunization recommendation status" = "Contraindicated" (where "Vaccine type" = "Tetanus -containing vaccines")
*/
define "Tetanus vaccination is contraindicated":
Encounter."The client currently has a severe acute illness"/*
@output: Tetanus vaccination is contraindicated Guidance
@guidance: Do not vaccinate client with tetanus as tetanus vaccination is contraindicated for clients with severe acute illness
*/
define "Tetanus vaccination is contraindicated Guidance":
'Do not vaccinate client with tetanus as tetanus vaccination is contraindicated for clients with severe acute illness'/*
@dynamicValue: Guidance
*/
define "Guidance":
case
when "Tetanus and pertussis vaccination could be contraindicated. Clinical judgement is required. Create a clinical note" then "Tetanus and pertussis vaccination could be contraindicated. Clinical judgement is required. Create a clinical note Guidance"when "Tetanus vaccination is contraindicated" then "Tetanus vaccination is contraindicated Guidance"
else ''
enddefine "Has Guidance":
"Guidance" is not null and "Guidance" != ''/*
@test: Test expected results based on example patients
*/
define "Test Validation":
case
when Patient.id = 'DTP88.1' then "Tetanus and pertussis vaccination could be contraindicated. Clinical judgement is required. Create a clinical note" and "Guidance" = 'Do not vaccinate client with pertussis and/or tetanus if the client has had a severe anaphylactic reaction to a vaccine component or reaction following a prior dose.'when Patient.id = 'DTP89.1' then "Tetanus vaccination is contraindicated" and "Guidance" = 'Do not vaccinate client with tetanus as tetanus vaccination is contraindicated for clients with severe acute illness'
else 'No test case set'
end