/*
* Library: IMMZD5DTPolioContraindicationsLogic (IMMZ.D5.DT.Polio contraindications)
* Rule: Check for contraindications before administering the vaccine(s) due
* Decision Table: IMMZ.D5.DT.Polio contraindications
* Trigger: IMMZ.D5 Determine vaccine(s) to be administered based on contraindications
*/
library IMMZD5DTPolioContraindicationsLogicusing FHIR version '4.0.1'include FHIRHelpers version '4.0.1'include IMMZD5DTPolioEncounterElements called Encounterparameter Today Date default Today()/*
@dynamicValue: Draft Medication Request ID for Polio dose
*/
define "Draft Medication Request ID for bOPV dose":
First(Encounter."Draft Medication Request for bOPV dose").id/*
@output: Poliovirus vaccination could be contraindicated. Clinical judgement required
@pseudocode: "Immunization recommendation status" = "Further evaluation needed"
*/
define "Poliovirus vaccination could be contraindicated. Clinical judgement required":
Encounter."The client has history of severe allergic reactions"/*
@output: Poliovirus vaccination could be contraindicated. Clinical judgement required Guidance
@guidance: Do not vaccinate client with inactivated polio vaccine (IPV) if client has had a previous severe reaction or known allergy to streptomycin, neomycin or polymyxin B.
Do not vaccinate client with oral polio vaccine (OPV) if client has had a allergic reaction to OPV or to the trace antibiotics contained.
*/
define "Poliovirus vaccination could be contraindicated. Clinical judgement required Guidance":
'Do not vaccinate client with inactivated polio vaccine (IPV) if client has had a previous severe reaction or known allergy to streptomycin, neomycin or polymyxin B.
Do not vaccinate client with oral polio vaccine (OPV) if client has had a allergic reaction to OPV or to the trace antibiotics contained.'/*
@output: Poliovirus vaccination with bOPV is contraindicated Case 1
@pseudocode: Clinical judgement is required if vaccination with IPV is considered
"Immunization recommendation status" = "Contraindicated" (where "Type of poliovirus dose" = "bOPV") AND "Immunization recommendation status" = "Further evaluation needed" (where "Type of poliovirus dose" = "IPV")
*/
define "Poliovirus vaccination with bOPV is contraindicated Case 1":
Encounter."The client is severely immunocompromised"/*
@output: Poliovirus vaccination with bOPV is contraindicated Case 2
@pseudocode: Clinical judgement is required if vaccination with IPV is considered
"Immunization recommendation status" = "Contraindicated" (where "Type of poliovirus dose" = "bOPV") AND "Immunization recommendation status" = "Further evaluation needed" (where "Type of poliovirus dose" = "IPV")
*/
define "Poliovirus vaccination with bOPV is contraindicated Case 2":
Encounter."The client has immunodeficiency syndromes"/*
@output: Poliovirus vaccination with bOPV is contraindicated
@pseudocode: Clinical judgement is required if vaccination with IPV is considered
"Immunization recommendation status" = "Contraindicated" (where "Type of poliovirus dose" = "bOPV") AND "Immunization recommendation status" = "Further evaluation needed" (where "Type of poliovirus dose" = "IPV")
*/
define "Poliovirus vaccination with bOPV is contraindicated":
"Poliovirus vaccination with bOPV is contraindicated Case 1"
or "Poliovirus vaccination with bOPV is contraindicated Case 2"/*
@output: Poliovirus vaccination with bOPV is contraindicated Guidance
@guidance = For bOPV dose, do not vaccinate client for bOPV dose as bOPV vaccination is contranindicated in severely immunocompromised clients.
Check if vaccination with IPV is appropriate for the client, consider risks of vaccination and make a clinical judgement.
@guidance = For bOPV dose, do not vaccinate client for bOPV dose as bOPV vaccination is contranindicated in clients with immunodeficiency disorders.
Check if vaccination with IPV is appropriate for the client, consider risks of vaccination and make a clinical judgement.
*/
define "Poliovirus vaccination with bOPV is contraindicated Guidance":
case
when "Poliovirus vaccination with bOPV is contraindicated Case 1" then 'For bOPV dose, do not vaccinate client for bOPV dose as bOPV vaccination is contranindicated in severely immunocompromised clients.
Check if vaccination with IPV is appropriate for the client, consider risks of vaccination and make a clinical judgement.'when "Poliovirus vaccination with bOPV is contraindicated Case 2" then 'For bOPV dose, do not vaccinate client for bOPV dose as bOPV vaccination is contranindicated in clients with immunodeficiency disorders.
Check if vaccination with IPV is appropriate for the client, consider risks of vaccination and make a clinical judgement.'
else ''
end/*
@dynamicValue: Guidance
*/
define "Guidance":
case
when "Poliovirus vaccination could be contraindicated. Clinical judgement required" then "Poliovirus vaccination could be contraindicated. Clinical judgement required Guidance"when "Poliovirus vaccination with bOPV is contraindicated" then "Poliovirus vaccination with bOPV 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 = 'Polio87.1' then "Poliovirus vaccination could be contraindicated. Clinical judgement required" and "Guidance" = 'Do not vaccinate client with inactivated polio vaccine (IPV) if client has had a previous severe reaction or known allergy to streptomycin, neomycin or polymyxin B.
Do not vaccinate client with oral polio vaccine (OPV) if client has had a allergic reaction to OPV or to the trace antibiotics contained.'when Patient.id = 'Polio88.1' then "Poliovirus vaccination with bOPV is contraindicated Case 1" and "Guidance" = 'For bOPV dose, do not vaccinate client for bOPV dose as bOPV vaccination is contranindicated in severely immunocompromised clients.
Check if vaccination with IPV is appropriate for the client, consider risks of vaccination and make a clinical judgement.'when Patient.id = 'Polio89.1' then "Poliovirus vaccination with bOPV is contraindicated Case 2" and "Guidance" = 'For bOPV dose, do not vaccinate client for bOPV dose as bOPV vaccination is contranindicated in clients with immunodeficiency disorders.
Check if vaccination with IPV is appropriate for the client, consider risks of vaccination and make a clinical judgement.'
else 'No test case set'
end