/* * Library: IMMZD5DTTBEContraindicationsLogic (IMMZ.D5.DT.TBE contraindications) * Rule: Check for contraindications before administering the vaccine(s) due * Decision Table: IMMZ.D5.DT.TBE contraindications * Trigger: IMMZ.D5 Determine vaccine(s) to be administered based on contraindications */ library IMMZD5DTTBEContraindicationsLogic using FHIR version '4.0.1' include FHIRHelpers version '4.0.1' include IMMZD5DTTBEEncounterElements called Encounter parameter Today Date default Today() /* @dynamicValue: Draft Medication Request ID for TBE dose */ define "Draft Medication Request ID for TBE dose": First( Encounter . "Draft Medication Request for TBE dose" ) . id /* @output: Clinical judgement is required. Create a clinical note Case 1 @pseudocode: "Immunization recommendation status" = "Further evaluation needed" */ define "Clinical judgement is required. Create a clinical note Case 1": Encounter . "The client is currently pregnant" /* @output: Clinical judgement is required. Create a clinical note Case 2 @pseudocode: "Immunization recommendation status" = "Further evaluation needed" */ define "Clinical judgement is required. Create a clinical note Case 2": Encounter . "The client has moderate to severe fever" /* @output: Clinical judgement is required. Create a clinical note @pseudocode: "Immunization recommendation status" = "Further evaluation needed" */ define "Clinical judgement is required. Create a clinical note": "Clinical judgement is required. Create a clinical note Case 1" or "Clinical judgement is required. Create a clinical note Case 2" /* @output: Clinical judgement is required. Create a clinical note Guidance @guidance = Conduct a risk–benefit assessment considering the incidence of the disease, consider risks of vaccination and make a clinical judgement. @guidance = Consider postponing the vaccination if the client has fever > 38.5°C or other signs of serious disease. Consider risks of vaccination and make a clinical judgement. */ define "Clinical judgement is required. Create a clinical note Guidance": case when "Clinical judgement is required. Create a clinical note Case 1" then 'Conduct a risk–benefit assessment considering the incidence of the disease, consider risks of vaccination and make a clinical judgement.' when "Clinical judgement is required. Create a clinical note Case 2" then 'Consider postponing the vaccination if the client has fever > 38.5°C or other signs of serious disease. Consider risks of vaccination and make a clinical judgement.' else '' end /* @dynamicValue: Guidance */ define "Guidance": case when "Clinical judgement is required. Create a clinical note" then "Clinical judgement is required. Create a clinical note Guidance" else '' end define "Has Guidance": "Guidance" is not null and "Guidance" != '' /* @test: Test expected results based on example patients */ define "Test Validation": case when Patient . id = 'TBE69.1' then "Clinical judgement is required. Create a clinical note Case 1" and "Guidance" = 'Conduct a risk–benefit assessment considering the incidence of the disease, consider risks of vaccination and make a clinical judgement.' when Patient . id = 'TBE70.1' then "Clinical judgement is required. Create a clinical note Case 2" and "Guidance" = 'Consider postponing the vaccination if the client has fever > 38.5°C or other signs of serious disease. Consider risks of vaccination and make a clinical judgement.' else 'No test case set' end