WHO Immunization Implementation Guide, published by WHO. This guide is not an authorized publication; it is the continuous build for version 0.2.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/WorldHealthOrganization/smart-immunizations/tree/123/merge and changes regularly. See the Directory of published versions
| Draft as of 2026-03-03 |
@prefix fhir: <http://hl7.org/fhir/> . @prefix owl: <http://www.w3.org/2002/07/owl#> . @prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> . @prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> . @prefix xsd: <http://www.w3.org/2001/XMLSchema#> . # - resource ------------------------------------------------------------------- a fhir:Library ; fhir:nodeRole fhir:treeRoot ; fhir:id [ fhir:v "IMMZD5DTPolioContraindicationsLogic"] ; # fhir:meta [ ( fhir:profile [ fhir:v "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareablelibrary"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareablelibrary> ] [ fhir:v "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-publishablelibrary"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-publishablelibrary> ] [ fhir:v "http://hl7.org/fhir/uv/cql/StructureDefinition/cql-library"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/uv/cql/StructureDefinition/cql-library> ] [ fhir:v "http://hl7.org/fhir/uv/cql/StructureDefinition/cql-module"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/uv/cql/StructureDefinition/cql-module> ] ) ] ; # fhir:text [ fhir:status [ fhir:v "extensions" ] ; fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n<div>\n <table class=\"grid dict\">\n \n \n <tr>\n <th scope=\"row\"><b>Title: </b></th>\n <td style=\"padding-left: 4px;\">IMMZD5DTPolioContraindicationsLogic</td>\n </tr>\n \n\n \n \n <tr>\n <th scope=\"row\"><b>Id: </b></th>\n <td style=\"padding-left: 4px;\">IMMZD5DTPolioContraindicationsLogic</td>\n </tr>\n \n\n \n \n <tr>\n <th scope=\"row\"><b>Version: </b></th>\n <td style=\"padding-left: 4px;\">0.2.0</td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Url: </b></th>\n <td style=\"padding-left: 4px;\"><a href=\"Library-IMMZD5DTPolioContraindicationsLogic.html\">IMMZD5DTPolioContraindicationsLogic</a></td>\n </tr>\n \n\n \n\n \n\n \n <tr>\n <th scope=\"row\"><b>Status: </b></th>\n <td style=\"padding-left: 4px;\">draft</td>\n </tr>\n \n\n \n\n \n <tr>\n <th scope=\"row\"><b>Type: </b></th>\n <td style=\"padding-left: 4px;\">\n \n \n \n <p style=\"margin-bottom: 5px;\">\n <b>system: </b> <span><a href=\"http://terminology.hl7.org/7.0.1/CodeSystem-library-type.html\">http://terminology.hl7.org/CodeSystem/library-type</a></span>\n </p>\n \n \n <p style=\"margin-bottom: 5px;\">\n <b>code: </b> <span>logic-library</span>\n </p>\n \n \n \n \n \n </td>\n </tr>\n \n\n \n\n \n <tr>\n <th scope=\"row\"><b>Date: </b></th>\n <td style=\"padding-left: 4px;\">2026-03-03 13:07:11+0000</td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Publisher: </b></th>\n <td style=\"padding-left: 4px;\">WHO</td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Description: </b></th>\n <td style=\"padding-left: 4px;\"><div><p>This library defines decision support logic for the IMMZ.D5.DT.Polio contraindications decision table in the Immunization CPG</p>\n</div></td>\n </tr>\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n <tr>\n <th scope=\"row\"><b>Related Artifacts: </b></th>\n <td style=\"padding-left: 4px;\">\n \n \n \n <p><b>Dependencies</b></p>\n <ul>\n \n <li><a href=\"Library-IMMZD5DTPolioEncounterElements.html\">IMMZD5DTPolioEncounterElements</a></li>\n \n </ul>\n \n \n \n \n \n </td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Parameters: </b></th>\n <td style=\"padding-left: 4px;\">\n <table class=\"grid-dict\">\n <tr><th><b>Name</b></th><th><b>Type</b></th><th><b>Min</b></th><th><b>Max</b></th><th><b>In/Out</b></th></tr>\n \n <tr><th>Today</th><th>date</th><th>0</th><th>1</th><th>In</th></tr>\n \n <tr><th>Patient</th><th>Patient</th><th>0</th><th>1</th><th>Out</th></tr>\n \n <tr><th>Draft Medication Request ID for bOPV dose</th><th>id</th><th>0</th><th>1</th><th>Out</th></tr>\n \n <tr><th>Poliovirus vaccination could be contraindicated. Clinical judgement required</th><th>boolean</th><th>0</th><th>1</th><th>Out</th></tr>\n \n <tr><th>Poliovirus vaccination could be contraindicated. Clinical judgement required Guidance</th><th>string</th><th>0</th><th>1</th><th>Out</th></tr>\n \n <tr><th>Poliovirus vaccination with bOPV is contraindicated Case 1</th><th>boolean</th><th>0</th><th>1</th><th>Out</th></tr>\n \n <tr><th>Poliovirus vaccination with bOPV is contraindicated Case 2</th><th>boolean</th><th>0</th><th>1</th><th>Out</th></tr>\n \n <tr><th>Poliovirus vaccination with bOPV is contraindicated</th><th>boolean</th><th>0</th><th>1</th><th>Out</th></tr>\n \n <tr><th>Poliovirus vaccination with bOPV is contraindicated Guidance</th><th>string</th><th>0</th><th>1</th><th>Out</th></tr>\n \n <tr><th>Guidance</th><th>string</th><th>0</th><th>1</th><th>Out</th></tr>\n \n <tr><th>Has Guidance</th><th>boolean</th><th>0</th><th>1</th><th>Out</th></tr>\n \n <tr><th>Test Validation</th><th>Resource</th><th>0</th><th>1</th><th>Out</th></tr>\n \n </table>\n </td>\n </tr>\n \n\n \n\n \n \n <tr>\n <td colspan=\"2\">\n <table>\n <tr><th><a id=\"cql-content\"><b>Content: </b></a> text/cql</th></tr>\n <tr><td><pre><code class=\"language-cql\">/*\n * Library: IMMZD5DTPolioContraindicationsLogic (IMMZ.D5.DT.Polio contraindications)\n * Rule: Check for contraindications before administering the vaccine(s) due\n * Decision Table: IMMZ.D5.DT.Polio contraindications\n * Trigger: IMMZ.D5 Determine vaccine(s) to be administered based on contraindications\n */\nlibrary IMMZD5DTPolioContraindicationsLogic\n\nusing FHIR version '4.0.1'\ninclude FHIRHelpers version '4.0.1'\n\ninclude IMMZD5DTPolioEncounterElements called Encounter\n\nparameter Today Date default Today()\n\ncontext Patient\n\n/*\n @dynamicValue: Draft Medication Request ID for Polio dose\n */\n define \"Draft Medication Request ID for bOPV dose\":\n First(Encounter.\"Draft Medication Request for bOPV dose\").id\n\n\n/*\n@dynamicValue: Guidance\n*/\ndefine \"Guidance\":\n case \n when \"Poliovirus vaccination could be contraindicated. Clinical judgement required\" then \"Poliovirus vaccination could be contraindicated. Clinical judgement required Guidance\"\n when \"Poliovirus vaccination with bOPV is contraindicated\" then \"Poliovirus vaccination with bOPV is contraindicated Guidance\" \n else ''\n end\n \ndefine \"Has Guidance\":\n \"Guidance\" is not null and \"Guidance\" != ''\n\n/*\n@output: Poliovirus vaccination could be contraindicated. Clinical judgement required\n@pseudocode: \"Immunization recommendation status\" = \"Further evaluation needed\"\n*/\ndefine \"Poliovirus vaccination could be contraindicated. Clinical judgement required\":\n Encounter.\"The client has history of severe allergic reactions\"\n\n/*\n@output: Poliovirus vaccination could be contraindicated. Clinical judgement required Guidance\n@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.\nDo not vaccinate client with oral polio vaccine (OPV) if client has had a allergic reaction to OPV or to the trace antibiotics contained.\n*/\ndefine \"Poliovirus vaccination could be contraindicated. Clinical judgement required Guidance\":\n '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.\nDo not vaccinate client with oral polio vaccine (OPV) if client has had a allergic reaction to OPV or to the trace antibiotics contained.'\n\n/*\n@output: Poliovirus vaccination with bOPV is contraindicated Case 1\n@pseudocode: Clinical judgement is required if vaccination with IPV is considered\n\"Immunization recommendation status\" = \"Contraindicated\" (where \"Type of poliovirus dose\" = \"bOPV\") AND \"Immunization recommendation status\" = \"Further evaluation needed\" (where \"Type of poliovirus dose\" = \"IPV\")\n*/\ndefine \"Poliovirus vaccination with bOPV is contraindicated Case 1\":\n Encounter.\"The client is severely immunocompromised\"\n\n/*\n@output: Poliovirus vaccination with bOPV is contraindicated Case 2\n@pseudocode: Clinical judgement is required if vaccination with IPV is considered\n\"Immunization recommendation status\" = \"Contraindicated\" (where \"Type of poliovirus dose\" = \"bOPV\") AND \"Immunization recommendation status\" = \"Further evaluation needed\" (where \"Type of poliovirus dose\" = \"IPV\")\n*/\ndefine \"Poliovirus vaccination with bOPV is contraindicated Case 2\":\n Encounter.\"The client has immunodeficiency syndromes\"\n\n/*\n@output: Poliovirus vaccination with bOPV is contraindicated\n@pseudocode: Clinical judgement is required if vaccination with IPV is considered\n\"Immunization recommendation status\" = \"Contraindicated\" (where \"Type of poliovirus dose\" = \"bOPV\") AND \"Immunization recommendation status\" = \"Further evaluation needed\" (where \"Type of poliovirus dose\" = \"IPV\")\n*/\ndefine \"Poliovirus vaccination with bOPV is contraindicated\":\n \"Poliovirus vaccination with bOPV is contraindicated Case 1\"\n or \"Poliovirus vaccination with bOPV is contraindicated Case 2\"\n\n/*\n@output: Poliovirus vaccination with bOPV is contraindicated Guidance\n@guidance = For bOPV dose, do not vaccinate client for bOPV dose as bOPV vaccination is contranindicated in severely immunocompromised clients. \nCheck if vaccination with IPV is appropriate for the client, consider risks of vaccination and make a clinical judgement.\n@guidance = For bOPV dose, do not vaccinate client for bOPV dose as bOPV vaccination is contranindicated in clients with immunodeficiency disorders.\nCheck if vaccination with IPV is appropriate for the client, consider risks of vaccination and make a clinical judgement.\n*/\ndefine \"Poliovirus vaccination with bOPV is contraindicated Guidance\":\n case\n 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. \nCheck if vaccination with IPV is appropriate for the client, consider risks of vaccination and make a clinical judgement.'\n 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.\nCheck if vaccination with IPV is appropriate for the client, consider risks of vaccination and make a clinical judgement.'\n else ''\n end\n\n\n/*\n@test: Test expected results based on example patients\n*/\ndefine \"Test Validation\":\n case\n 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.\nDo not vaccinate client with oral polio vaccine (OPV) if client has had a allergic reaction to OPV or to the trace antibiotics contained.'\n 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. \nCheck if vaccination with IPV is appropriate for the client, consider risks of vaccination and make a clinical judgement.'\n 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.\nCheck if vaccination with IPV is appropriate for the client, consider risks of vaccination and make a clinical judgement.'\n else 'No test case set'\n end\n</code></pre></td></tr>\n </table>\n </td>\n </tr>\n \n \n \n \n \n <tr>\n <td colspan=\"2\">\n <table>\n <tr><th><b>Content: </b> application/elm+xml</th></tr>\n <tr><td><pre><code>Encoded data (49604 characters)</code></pre></td></tr>\n </table>\n </td>\n </tr>\n \n \n </table>\n</div>\n</div>"^^rdf:XMLLiteral ] ] ; # fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability> ] ; fhir:value [ a fhir:Code ; fhir:v "computable" ] ] ) ; # fhir:url [ fhir:v "http://smart.who.int/immunizations/Library/IMMZD5DTPolioContraindicationsLogic"^^xsd:anyURI ; fhir:l <http://smart.who.int/immunizations/Library/IMMZD5DTPolioContraindicationsLogic> ] ; # fhir:version [ fhir:v "0.2.0"] ; # fhir:name [ fhir:v "IMMZD5DTPolioContraindicationsLogic"] ; # fhir:title [ fhir:v "IMMZD5DTPolioContraindicationsLogic"] ; # fhir:status [ fhir:v "draft"] ; # fhir:experimental [ fhir:v false] ; # fhir:type [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/library-type"^^xsd:anyURI ; fhir:l <http://terminology.hl7.org/CodeSystem/library-type> ] ; fhir:code [ fhir:v "logic-library" ] ] ) ] ; # fhir:date [ fhir:v "2026-03-03T13:07:11+00:00"^^xsd:dateTime] ; # fhir:publisher [ fhir:v "WHO"] ; # fhir:contact ( [ fhir:name [ fhir:v "WHO" ] ; ( fhir:telecom [ fhir:system [ fhir:v "url" ] ; fhir:value [ fhir:v "http://who.int" ] ] ) ] ) ; # fhir:description [ fhir:v "This library defines decision support logic for the IMMZ.D5.DT.Polio contraindications decision table in the Immunization CPG"] ; # fhir:relatedArtifact ( [ fhir:type [ fhir:v "depends-on" ] ; fhir:display [ fhir:v "Library Encounter" ] ; fhir:resource [ fhir:v "http://smart.who.int/immunizations/Library/IMMZD5DTPolioEncounterElements"^^xsd:anyURI ; fhir:l <http://smart.who.int/immunizations/Library/IMMZD5DTPolioEncounterElements> ] ] ) ; # fhir:parameter ( [ fhir:name [ fhir:v "Today" ] ; fhir:use [ fhir:v "in" ] ; fhir:min [ fhir:v 0 ] ; fhir:max [ fhir:v "1" ] ; fhir:type [ fhir:v "date" ] ] [ fhir:name [ fhir:v "Patient" ] ; fhir:use [ fhir:v "out" ] ; fhir:min [ fhir:v 0 ] ; fhir:max [ fhir:v "1" ] ; fhir:type [ fhir:v "Patient" ] ] [ fhir:name [ fhir:v "Draft Medication Request ID for bOPV dose" ] ; fhir:use [ fhir:v "out" ] ; fhir:min [ fhir:v 0 ] ; fhir:max [ fhir:v "1" ] ; fhir:type [ fhir:v "id" ] ] [ fhir:name [ fhir:v "Poliovirus vaccination could be contraindicated. Clinical judgement required" ] ; fhir:use [ fhir:v "out" ] ; fhir:min [ fhir:v 0 ] ; fhir:max [ fhir:v "1" ] ; fhir:type [ fhir:v "boolean" ] ] [ fhir:name [ fhir:v "Poliovirus vaccination could be contraindicated. Clinical judgement required Guidance" ] ; fhir:use [ fhir:v "out" ] ; fhir:min [ fhir:v 0 ] ; fhir:max [ fhir:v "1" ] ; fhir:type [ fhir:v "string" ] ] [ fhir:name [ fhir:v "Poliovirus vaccination with bOPV is contraindicated Case 1" ] ; fhir:use [ fhir:v "out" ] ; fhir:min [ fhir:v 0 ] ; fhir:max [ fhir:v "1" ] ; fhir:type [ fhir:v "boolean" ] ] [ fhir:name [ fhir:v "Poliovirus vaccination with bOPV is contraindicated Case 2" ] ; fhir:use [ fhir:v "out" ] ; fhir:min [ fhir:v 0 ] ; fhir:max [ fhir:v "1" ] ; fhir:type [ fhir:v "boolean" ] ] [ fhir:name [ fhir:v "Poliovirus vaccination with bOPV is contraindicated" ] ; fhir:use [ fhir:v "out" ] ; fhir:min [ fhir:v 0 ] ; fhir:max [ fhir:v "1" ] ; fhir:type [ fhir:v "boolean" ] ] [ fhir:name [ fhir:v "Poliovirus vaccination with bOPV is contraindicated Guidance" ] ; fhir:use [ fhir:v "out" ] ; fhir:min [ fhir:v 0 ] ; fhir:max [ fhir:v "1" ] ; fhir:type [ fhir:v "string" ] ] [ fhir:name [ fhir:v "Guidance" ] ; fhir:use [ fhir:v "out" ] ; fhir:min [ fhir:v 0 ] ; fhir:max [ fhir:v "1" ] ; fhir:type [ fhir:v "string" ] ] [ fhir:name [ fhir:v "Has Guidance" ] ; fhir:use [ fhir:v "out" ] ; fhir:min [ fhir:v 0 ] ; fhir:max [ fhir:v "1" ] ; fhir:type [ fhir:v "boolean" ] ] [ fhir:name [ fhir:v "Test Validation" ] ; fhir:use [ fhir:v "out" ] ; fhir:min [ fhir:v 0 ] ; fhir:max [ fhir:v "1" ] ; fhir:type [ fhir:v "Resource" ] ] ) ; # fhir:content ( [ fhir:contentType [ fhir:v "text/cql" ] ; fhir:data [ fhir:v "/*
 * 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 IMMZD5DTPolioContraindicationsLogic

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

include IMMZD5DTPolioEncounterElements called Encounter

parameter Today Date default Today()

context Patient

/*
  @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


/*
@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 ''
  end
  
define "Has Guidance":
  "Guidance" is not null and "Guidance" != ''

/*
@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


/*
@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
"^^xsd:base64Binary ] ] [ fhir:contentType [ fhir:v "application/elm+xml" ] ; fhir:data [ fhir:v "<?xml version="1.0" encoding="UTF-8"?>
<library xmlns="urn:hl7-org:elm:r1" xmlns:t="urn:hl7-org:elm-types:r1" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:xsd="http://www.w3.org/2001/XMLSchema" xmlns:fhir="http://hl7.org/fhir" xmlns:qdm43="urn:healthit-gov:qdm:v4_3" xmlns:qdm53="urn:healthit-gov:qdm:v5_3" xmlns:a="urn:hl7-org:cql-annotations:r1" localId="0">
   <annotation translatorOptions="EnableAnnotations,EnableLocators,DisableListDemotion,DisableListPromotion" signatureLevel="Overloads" xsi:type="a:CqlToElmInfo"/>
   <annotation message="An operand identifier reference is hiding another identifier of the same name." errorType="semantic" errorSeverity="warning" xsi:type="a:CqlToElmError"/>
   <annotation message="An operand identifier reference is hiding another identifier of the same name." errorType="semantic" errorSeverity="warning" xsi:type="a:CqlToElmError"/>
   <annotation message="An operand identifier reference is hiding another identifier of the same name." errorType="semantic" errorSeverity="warning" xsi:type="a:CqlToElmError"/>
   <annotation xsi:type="a:Annotation">
      <a:s r="299">
         <a:s>/*
 * 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 IMMZD5DTPolioContraindicationsLogic</a:s>
      </a:s>
   </annotation>
   <identifier id="IMMZD5DTPolioContraindicationsLogic" system="http://smart.who.int/immunizations"/>
   <schemaIdentifier id="urn:hl7-org:elm" version="r1"/>
   <usings>
      <def localId="1" localIdentifier="System" uri="urn:hl7-org:elm-types:r1" version="1.0.0"/>
      <def localId="206" locator="9:1-9:26" localIdentifier="FHIR" uri="http://hl7.org/fhir" version="4.0.1">
         <annotation xsi:type="a:Annotation">
            <a:s r="206">
               <a:s>using </a:s>
               <a:s>
                  <a:s>FHIR</a:s>
               </a:s>
               <a:s> version '4.0.1'</a:s>
            </a:s>
         </annotation>
      </def>
   </usings>
   <includes>
      <def localId="208" locator="10:1-10:35" localIdentifier="FHIRHelpers" path="http://hl7.org/fhir/FHIRHelpers" version="4.0.1">
         <annotation xsi:type="a:Annotation">
            <a:s r="208">
               <a:s>include </a:s>
               <a:s>
                  <a:s>FHIRHelpers</a:s>
               </a:s>
               <a:s> version '4.0.1'</a:s>
            </a:s>
         </annotation>
      </def>
      <def localId="210" locator="12:1-12:55" localIdentifier="Encounter" path="http://smart.who.int/immunizations/IMMZD5DTPolioEncounterElements">
         <annotation xsi:type="a:Annotation">
            <a:s r="210">
               <a:s>include </a:s>
               <a:s>
                  <a:s>IMMZD5DTPolioEncounterElements</a:s>
               </a:s>
               <a:s> called Encounter</a:s>
            </a:s>
         </annotation>
      </def>
   </includes>
   <parameters>
      <def localId="212" locator="14:1-14:36" name="Today" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:s r="212">
               <a:s>parameter Today </a:s>
               <a:s r="216">
                  <a:s>Date</a:s>
               </a:s>
               <a:s> default </a:s>
               <a:s r="215">
                  <a:s>Today()</a:s>
               </a:s>
            </a:s>
         </annotation>
         <default localId="215" locator="14:30-14:36" xsi:type="Today"/>
         <parameterTypeSpecifier localId="216" locator="14:17-14:20" name="t:Date" xsi:type="NamedTypeSpecifier"/>
      </def>
   </parameters>
   <contexts>
      <def localId="221" locator="16:1-16:15" name="Patient"/>
   </contexts>
   <statements>
      <def localId="219" locator="16:1-16:15" name="Patient" context="Patient">
         <expression localId="220" xsi:type="SingletonFrom">
            <operand localId="218" locator="16:1-16:15" dataType="fhir:Patient" templateId="http://hl7.org/fhir/StructureDefinition/Patient" xsi:type="Retrieve"/>
         </expression>
      </def>
      <def localId="224" locator="21:3-22:64" name="Draft Medication Request ID for bOPV dose" context="Patient" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:t name="dynamicValue" value="Draft Medication Request ID for Polio dose"/>
            <a:s r="224">
               <a:s>/*
  @dynamicValue: Draft Medication Request ID for Polio dose
  */
  define &quot;Draft Medication Request ID for bOPV dose&quot;:
    </a:s>
               <a:s r="230">
                  <a:s r="229">
                     <a:s>First(</a:s>
                     <a:s r="226">
                        <a:s r="225">
                           <a:s>Encounter</a:s>
                        </a:s>
                        <a:s>.</a:s>
                        <a:s r="226">
                           <a:s>&quot;Draft Medication Request for bOPV dose&quot;</a:s>
                        </a:s>
                     </a:s>
                     <a:s>)</a:s>
                  </a:s>
                  <a:s>.</a:s>
                  <a:s r="230">
                     <a:s>id</a:s>
                  </a:s>
               </a:s>
            </a:s>
         </annotation>
         <expression localId="230" locator="22:5-22:64" path="id" xsi:type="Property">
            <source localId="229" locator="22:5-22:61" xsi:type="First">
               <source localId="226" locator="22:11-22:60" name="Draft Medication Request for bOPV dose" libraryName="Encounter" xsi:type="ExpressionRef"/>
            </source>
         </expression>
      </def>
      <def localId="238" locator="42:1-43:65" name="Poliovirus vaccination could be contraindicated. Clinical judgement required" context="Patient" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:t name="output" value="Poliovirus vaccination could be contraindicated. Clinical judgement required"/>
            <a:t name="pseudocode" value="&quot;Immunization recommendation status&quot; = &quot;Further evaluation needed&quot;"/>
            <a:s r="238">
               <a:s>/*
@output: Poliovirus vaccination could be contraindicated. Clinical judgement required
@pseudocode: &quot;Immunization recommendation status&quot; = &quot;Further evaluation needed&quot;
*/
define &quot;Poliovirus vaccination could be contraindicated. Clinical judgement required&quot;:
  </a:s>
               <a:s r="240">
                  <a:s r="239">
                     <a:s>Encounter</a:s>
                  </a:s>
                  <a:s>.</a:s>
                  <a:s r="240">
                     <a:s>&quot;The client has history of severe allergic reactions&quot;</a:s>
                  </a:s>
               </a:s>
            </a:s>
         </annotation>
         <expression localId="240" locator="43:3-43:65" name="The client has history of severe allergic reactions" libraryName="Encounter" xsi:type="ExpressionRef"/>
      </def>
      <def localId="244" locator="50:1-51:306" name="Poliovirus vaccination could be contraindicated. Clinical judgement required Guidance" context="Patient" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:t name="output" value="Poliovirus vaccination could be contraindicated. Clinical judgement required Guidance"/>
            <a:t name="guidance" value="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.&#xa;Do not vaccinate client with oral polio vaccine (OPV) if client has had a allergic reaction to OPV or to the trace antibiotics contained."/>
            <a:s r="244">
               <a:s>/*
@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 &quot;Poliovirus vaccination could be contraindicated. Clinical judgement required Guidance&quot;:
  </a:s>
               <a:s r="245">
                  <a:s>'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.'</a:s>
               </a:s>
            </a:s>
         </annotation>
         <expression localId="245" locator="51:3-51:306" valueType="t:String" value="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.&#xa;Do not vaccinate client with oral polio vaccine (OPV) if client has had a allergic reaction to OPV or to the trace antibiotics contained." xsi:type="Literal"/>
      </def>
      <def localId="255" locator="59:1-60:54" name="Poliovirus vaccination with bOPV is contraindicated Case 1" context="Patient" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:t name="output" value="Poliovirus vaccination with bOPV is contraindicated Case 1"/>
            <a:t name="pseudocode" value="&quot;Immunization recommendation status&quot; = &quot;Contraindicated&quot; (where &quot;Type of poliovirus dose&quot; = &quot;bOPV&quot;) AND &quot;Immunization recommendation status&quot; = &quot;Further evaluation needed&quot; (where &quot;Type of poliovirus dose&quot; = &quot;IPV&quot;)"/>
            <a:s r="255">
               <a:s>/*
@output: Poliovirus vaccination with bOPV is contraindicated Case 1
@pseudocode: Clinical judgement is required if vaccination with IPV is considered
&quot;Immunization recommendation status&quot; = &quot;Contraindicated&quot; (where &quot;Type of poliovirus dose&quot; = &quot;bOPV&quot;) AND &quot;Immunization recommendation status&quot; = &quot;Further evaluation needed&quot; (where &quot;Type of poliovirus dose&quot; = &quot;IPV&quot;)
*/
define &quot;Poliovirus vaccination with bOPV is contraindicated Case 1&quot;:
  </a:s>
               <a:s r="257">
                  <a:s r="256">
                     <a:s>Encounter</a:s>
                  </a:s>
                  <a:s>.</a:s>
                  <a:s r="257">
                     <a:s>&quot;The client is severely immunocompromised&quot;</a:s>
                  </a:s>
               </a:s>
            </a:s>
         </annotation>
         <expression localId="257" locator="60:3-60:54" name="The client is severely immunocompromised" libraryName="Encounter" xsi:type="ExpressionRef"/>
      </def>
      <def localId="261" locator="67:1-68:55" name="Poliovirus vaccination with bOPV is contraindicated Case 2" context="Patient" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:t name="output" value="Poliovirus vaccination with bOPV is contraindicated Case 2"/>
            <a:t name="pseudocode" value="&quot;Immunization recommendation status&quot; = &quot;Contraindicated&quot; (where &quot;Type of poliovirus dose&quot; = &quot;bOPV&quot;) AND &quot;Immunization recommendation status&quot; = &quot;Further evaluation needed&quot; (where &quot;Type of poliovirus dose&quot; = &quot;IPV&quot;)"/>
            <a:s r="261">
               <a:s>/*
@output: Poliovirus vaccination with bOPV is contraindicated Case 2
@pseudocode: Clinical judgement is required if vaccination with IPV is considered
&quot;Immunization recommendation status&quot; = &quot;Contraindicated&quot; (where &quot;Type of poliovirus dose&quot; = &quot;bOPV&quot;) AND &quot;Immunization recommendation status&quot; = &quot;Further evaluation needed&quot; (where &quot;Type of poliovirus dose&quot; = &quot;IPV&quot;)
*/
define &quot;Poliovirus vaccination with bOPV is contraindicated Case 2&quot;:
  </a:s>
               <a:s r="263">
                  <a:s r="262">
                     <a:s>Encounter</a:s>
                  </a:s>
                  <a:s>.</a:s>
                  <a:s r="263">
                     <a:s>&quot;The client has immunodeficiency syndromes&quot;</a:s>
                  </a:s>
               </a:s>
            </a:s>
         </annotation>
         <expression localId="263" locator="68:3-68:55" name="The client has immunodeficiency syndromes" libraryName="Encounter" xsi:type="ExpressionRef"/>
      </def>
      <def localId="251" locator="75:1-77:67" name="Poliovirus vaccination with bOPV is contraindicated" context="Patient" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:t name="output" value="Poliovirus vaccination with bOPV is contraindicated"/>
            <a:t name="pseudocode" value="&quot;Immunization recommendation status&quot; = &quot;Contraindicated&quot; (where &quot;Type of poliovirus dose&quot; = &quot;bOPV&quot;) AND &quot;Immunization recommendation status&quot; = &quot;Further evaluation needed&quot; (where &quot;Type of poliovirus dose&quot; = &quot;IPV&quot;)"/>
            <a:s r="251">
               <a:s>/*
@output: Poliovirus vaccination with bOPV is contraindicated
@pseudocode: Clinical judgement is required if vaccination with IPV is considered
&quot;Immunization recommendation status&quot; = &quot;Contraindicated&quot; (where &quot;Type of poliovirus dose&quot; = &quot;bOPV&quot;) AND &quot;Immunization recommendation status&quot; = &quot;Further evaluation needed&quot; (where &quot;Type of poliovirus dose&quot; = &quot;IPV&quot;)
*/
define &quot;Poliovirus vaccination with bOPV is contraindicated&quot;:
  </a:s>
               <a:s r="252">
                  <a:s r="258">
                     <a:s>&quot;Poliovirus vaccination with bOPV is contraindicated Case 1&quot;</a:s>
                  </a:s>
                  <a:s>
    or </a:s>
                  <a:s r="264">
                     <a:s>&quot;Poliovirus vaccination with bOPV is contraindicated Case 2&quot;</a:s>
                  </a:s>
               </a:s>
            </a:s>
         </annotation>
         <expression localId="252" locator="76:3-77:67" xsi:type="Or">
            <operand localId="258" locator="76:3-76:62" name="Poliovirus vaccination with bOPV is contraindicated Case 1" xsi:type="ExpressionRef"/>
            <operand localId="264" locator="77:8-77:67" name="Poliovirus vaccination with bOPV is contraindicated Case 2" xsi:type="ExpressionRef"/>
         </expression>
      </def>
      <def localId="268" locator="86:1-93:5" name="Poliovirus vaccination with bOPV is contraindicated Guidance" context="Patient" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:t name="output" value="Poliovirus vaccination with bOPV is contraindicated Guidance"/>
            <a:s r="268">
               <a:s>/*
@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 &quot;Poliovirus vaccination with bOPV is contraindicated Guidance&quot;:
  </a:s>
               <a:s r="269">
                  <a:s>case
    </a:s>
                  <a:s r="270">
                     <a:s>when </a:s>
                     <a:s r="271">
                        <a:s>&quot;Poliovirus vaccination with bOPV is contraindicated Case 1&quot;</a:s>
                     </a:s>
                     <a:s> then </a:s>
                     <a:s r="272">
                        <a:s>'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.'</a:s>
                     </a:s>
                  </a:s>
                  <a:s>
    </a:s>
                  <a:s r="274">
                     <a:s>when </a:s>
                     <a:s r="275">
                        <a:s>&quot;Poliovirus vaccination with bOPV is contraindicated Case 2&quot;</a:s>
                     </a:s>
                     <a:s> then </a:s>
                     <a:s r="276">
                        <a:s>'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.'</a:s>
                     </a:s>
                  </a:s>
                  <a:s>
    else </a:s>
                  <a:s r="278">
                     <a:s>''</a:s>
                  </a:s>
                  <a:s>
  end</a:s>
               </a:s>
            </a:s>
         </annotation>
         <expression localId="269" locator="87:3-93:5" xsi:type="Case">
            <caseItem localId="270" locator="88:5-88:331">
               <when localId="271" locator="88:10-88:69" name="Poliovirus vaccination with bOPV is contraindicated Case 1" xsi:type="ExpressionRef"/>
               <then localId="272" locator="88:76-88:331" valueType="t:String" value="For bOPV dose, do not vaccinate client for bOPV dose as bOPV vaccination is contranindicated in severely immunocompromised clients. &#xa;Check if vaccination with IPV is appropriate for the client, consider risks of vaccination and make a clinical judgement." xsi:type="Literal"/>
            </caseItem>
            <caseItem localId="274" locator="90:5-90:335">
               <when localId="275" locator="90:10-90:69" name="Poliovirus vaccination with bOPV is contraindicated Case 2" xsi:type="ExpressionRef"/>
               <then localId="276" locator="90:76-90:335" valueType="t:String" value="For bOPV dose, do not vaccinate client for bOPV dose as bOPV vaccination is contranindicated in clients with immunodeficiency disorders.&#xa;Check if vaccination with IPV is appropriate for the client, consider risks of vaccination and make a clinical judgement." xsi:type="Literal"/>
            </caseItem>
            <else localId="278" locator="92:10-92:11" valueType="t:String" value="" xsi:type="Literal"/>
         </expression>
      </def>
      <def localId="233" locator="28:1-33:5" name="Guidance" context="Patient" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:t name="dynamicValue" value="Guidance"/>
            <a:s r="233">
               <a:s>/*
@dynamicValue: Guidance
*/
define &quot;Guidance&quot;:
  </a:s>
               <a:s r="234">
                  <a:s>case 
    </a:s>
                  <a:s r="235">
                     <a:s>when </a:s>
                     <a:s r="241">
                        <a:s>&quot;Poliovirus vaccination could be contraindicated. Clinical judgement required&quot;</a:s>
                     </a:s>
                     <a:s> then </a:s>
                     <a:s r="247">
                        <a:s>&quot;Poliovirus vaccination could be contraindicated. Clinical judgement required Guidance&quot;</a:s>
                     </a:s>
                  </a:s>
                  <a:s>
    </a:s>
                  <a:s r="248">
                     <a:s>when </a:s>
                     <a:s r="265">
                        <a:s>&quot;Poliovirus vaccination with bOPV is contraindicated&quot;</a:s>
                     </a:s>
                     <a:s> then </a:s>
                     <a:s r="280">
                        <a:s>&quot;Poliovirus vaccination with bOPV is contraindicated Guidance&quot;</a:s>
                     </a:s>
                  </a:s>
                  <a:s> 
    else </a:s>
                  <a:s r="281">
                     <a:s>''</a:s>
                  </a:s>
                  <a:s>
  end</a:s>
               </a:s>
            </a:s>
         </annotation>
         <expression localId="234" locator="29:3-33:5" xsi:type="Case">
            <caseItem localId="235" locator="30:5-30:180">
               <when localId="241" locator="30:10-30:87" name="Poliovirus vaccination could be contraindicated. Clinical judgement required" xsi:type="ExpressionRef"/>
               <then localId="247" locator="30:94-30:180" name="Poliovirus vaccination could be contraindicated. Clinical judgement required Guidance" xsi:type="ExpressionRef"/>
            </caseItem>
            <caseItem localId="248" locator="31:5-31:130">
               <when localId="265" locator="31:10-31:62" name="Poliovirus vaccination with bOPV is contraindicated" xsi:type="ExpressionRef"/>
               <then localId="280" locator="31:69-31:130" name="Poliovirus vaccination with bOPV is contraindicated Guidance" xsi:type="ExpressionRef"/>
            </caseItem>
            <else localId="281" locator="32:10-32:11" valueType="t:String" value="" xsi:type="Literal"/>
         </expression>
      </def>
      <def localId="285" locator="35:1-36:45" name="Has Guidance" context="Patient" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:s r="285">
               <a:s>define &quot;Has Guidance&quot;:
  </a:s>
               <a:s r="286">
                  <a:s r="289">
                     <a:s r="287">
                        <a:s>&quot;Guidance&quot;</a:s>
                     </a:s>
                     <a:s> is not null</a:s>
                  </a:s>
                  <a:s> and </a:s>
                  <a:s r="296">
                     <a:s r="291">
                        <a:s>&quot;Guidance&quot;</a:s>
                     </a:s>
                     <a:s> != </a:s>
                     <a:s r="292">
                        <a:s>''</a:s>
                     </a:s>
                  </a:s>
               </a:s>
            </a:s>
         </annotation>
         <expression localId="286" locator="36:3-36:45" xsi:type="And">
            <operand localId="289" locator="36:3-36:24" xsi:type="Not">
               <operand localId="288" locator="36:3-36:24" xsi:type="IsNull">
                  <operand localId="287" locator="36:3-36:12" name="Guidance" xsi:type="ExpressionRef"/>
               </operand>
            </operand>
            <operand localId="296" locator="36:30-36:45" xsi:type="Not">
               <operand localId="290" locator="36:30-36:45" xsi:type="Equal">
                  <signature localId="294" name="t:String" xsi:type="NamedTypeSpecifier"/>
                  <signature localId="295" name="t:String" xsi:type="NamedTypeSpecifier"/>
                  <operand localId="291" locator="36:30-36:39" name="Guidance" xsi:type="ExpressionRef"/>
                  <operand localId="292" locator="36:44-36:45" valueType="t:String" value="" xsi:type="Literal"/>
               </operand>
            </operand>
         </expression>
      </def>
      <def localId="299" locator="99:1-108:5" name="Test Validation" context="Patient" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:t name="test" value="Test expected results based on example patients"/>
            <a:s r="299">
               <a:s>/*
@test: Test expected results based on example patients
*/
define &quot;Test Validation&quot;:
  </a:s>
               <a:s r="300">
                  <a:s>case
    </a:s>
                  <a:s r="301">
                     <a:s>when </a:s>
                     <a:s r="302">
                        <a:s r="304">
                           <a:s r="303">
                              <a:s>Patient</a:s>
                           </a:s>
                           <a:s>.</a:s>
                           <a:s r="304">
                              <a:s>id</a:s>
                           </a:s>
                        </a:s>
                        <a:s> = </a:s>
                        <a:s r="305">
                           <a:s>'Polio87.1'</a:s>
                        </a:s>
                     </a:s>
                     <a:s> then </a:s>
                     <a:s r="311">
                        <a:s r="312">
                           <a:s>&quot;Poliovirus vaccination could be contraindicated. Clinical judgement required&quot;</a:s>
                        </a:s>
                        <a:s> and </a:s>
                        <a:s r="313">
                           <a:s r="314">
                              <a:s>&quot;Guidance&quot;</a:s>
                           </a:s>
                           <a:s> = </a:s>
                           <a:s r="315">
                              <a:s>'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.'</a:s>
                           </a:s>
                        </a:s>
                     </a:s>
                  </a:s>
                  <a:s>
    </a:s>
                  <a:s r="319">
                     <a:s>when </a:s>
                     <a:s r="320">
                        <a:s r="322">
                           <a:s r="321">
                              <a:s>Patient</a:s>
                           </a:s>
                           <a:s>.</a:s>
                           <a:s r="322">
                              <a:s>id</a:s>
                           </a:s>
                        </a:s>
                        <a:s> = </a:s>
                        <a:s r="323">
                           <a:s>'Polio88.1'</a:s>
                        </a:s>
                     </a:s>
                     <a:s> then </a:s>
                     <a:s r="329">
                        <a:s r="330">
                           <a:s>&quot;Poliovirus vaccination with bOPV is contraindicated Case 1&quot;</a:s>
                        </a:s>
                        <a:s> and </a:s>
                        <a:s r="331">
                           <a:s r="332">
                              <a:s>&quot;Guidance&quot;</a:s>
                           </a:s>
                           <a:s> = </a:s>
                           <a:s r="333">
                              <a:s>'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.'</a:s>
                           </a:s>
                        </a:s>
                     </a:s>
                  </a:s>
                  <a:s>
    </a:s>
                  <a:s r="337">
                     <a:s>when </a:s>
                     <a:s r="338">
                        <a:s r="340">
                           <a:s r="339">
                              <a:s>Patient</a:s>
                           </a:s>
                           <a:s>.</a:s>
                           <a:s r="340">
                              <a:s>id</a:s>
                           </a:s>
                        </a:s>
                        <a:s> = </a:s>
                        <a:s r="341">
                           <a:s>'Polio89.1'</a:s>
                        </a:s>
                     </a:s>
                     <a:s> then </a:s>
                     <a:s r="347">
                        <a:s r="348">
                           <a:s>&quot;Poliovirus vaccination with bOPV is contraindicated Case 2&quot;</a:s>
                        </a:s>
                        <a:s> and </a:s>
                        <a:s r="349">
                           <a:s r="350">
                              <a:s>&quot;Guidance&quot;</a:s>
                           </a:s>
                           <a:s> = </a:s>
                           <a:s r="351">
                              <a:s>'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.'</a:s>
                           </a:s>
                        </a:s>
                     </a:s>
                  </a:s>
                  <a:s>
    else </a:s>
                  <a:s r="355">
                     <a:s>'No test case set'</a:s>
                  </a:s>
                  <a:s>
  end</a:s>
               </a:s>
            </a:s>
         </annotation>
         <expression localId="300" locator="100:3-108:5" xsi:type="Case">
            <caseItem localId="301" locator="101:5-101:439">
               <when localId="302" locator="101:10-101:33" xsi:type="Equal">
                  <signature localId="309" name="t:String" xsi:type="NamedTypeSpecifier"/>
                  <signature localId="310" name="t:String" xsi:type="NamedTypeSpecifier"/>
                  <operand localId="307" name="ToString" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                     <signature localId="308" name="fhir:string" xsi:type="NamedTypeSpecifier"/>
                     <operand localId="304" locator="101:10-101:19" path="id" xsi:type="Property">
                        <source localId="303" locator="101:10-101:16" name="Patient" xsi:type="ExpressionRef"/>
                     </operand>
                  </operand>
                  <operand localId="305" locator="101:23-101:33" valueType="t:String" value="Polio87.1" xsi:type="Literal"/>
               </when>
               <then localId="357" xsi:type="As">
                  <operand localId="311" locator="101:40-101:439" xsi:type="And">
                     <operand localId="312" locator="101:40-101:117" name="Poliovirus vaccination could be contraindicated. Clinical judgement required" xsi:type="ExpressionRef"/>
                     <operand localId="313" locator="101:123-101:439" xsi:type="Equal">
                        <signature localId="317" name="t:String" xsi:type="NamedTypeSpecifier"/>
                        <signature localId="318" name="t:String" xsi:type="NamedTypeSpecifier"/>
                        <operand localId="314" locator="101:123-101:132" name="Guidance" xsi:type="ExpressionRef"/>
                        <operand localId="315" locator="101:136-101:439" valueType="t:String" value="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.&#xa;Do not vaccinate client with oral polio vaccine (OPV) if client has had a allergic reaction to OPV or to the trace antibiotics contained." xsi:type="Literal"/>
                     </operand>
                  </operand>
                  <asTypeSpecifier localId="358" xsi:type="ChoiceTypeSpecifier">
                     <choice localId="359" name="t:Boolean" xsi:type="NamedTypeSpecifier"/>
                     <choice localId="360" name="t:String" xsi:type="NamedTypeSpecifier"/>
                  </asTypeSpecifier>
               </then>
            </caseItem>
            <caseItem localId="319" locator="103:5-103:373">
               <when localId="320" locator="103:10-103:33" xsi:type="Equal">
                  <signature localId="327" name="t:String" xsi:type="NamedTypeSpecifier"/>
                  <signature localId="328" name="t:String" xsi:type="NamedTypeSpecifier"/>
                  <operand localId="325" name="ToString" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                     <signature localId="326" name="fhir:string" xsi:type="NamedTypeSpecifier"/>
                     <operand localId="322" locator="103:10-103:19" path="id" xsi:type="Property">
                        <source localId="321" locator="103:10-103:16" name="Patient" xsi:type="ExpressionRef"/>
                     </operand>
                  </operand>
                  <operand localId="323" locator="103:23-103:33" valueType="t:String" value="Polio88.1" xsi:type="Literal"/>
               </when>
               <then localId="361" xsi:type="As">
                  <operand localId="329" locator="103:40-103:373" xsi:type="And">
                     <operand localId="330" locator="103:40-103:99" name="Poliovirus vaccination with bOPV is contraindicated Case 1" xsi:type="ExpressionRef"/>
                     <operand localId="331" locator="103:105-103:373" xsi:type="Equal">
                        <signature localId="335" name="t:String" xsi:type="NamedTypeSpecifier"/>
                        <signature localId="336" name="t:String" xsi:type="NamedTypeSpecifier"/>
                        <operand localId="332" locator="103:105-103:114" name="Guidance" xsi:type="ExpressionRef"/>
                        <operand localId="333" locator="103:118-103:373" valueType="t:String" value="For bOPV dose, do not vaccinate client for bOPV dose as bOPV vaccination is contranindicated in severely immunocompromised clients. &#xa;Check if vaccination with IPV is appropriate for the client, consider risks of vaccination and make a clinical judgement." xsi:type="Literal"/>
                     </operand>
                  </operand>
                  <asTypeSpecifier localId="362" xsi:type="ChoiceTypeSpecifier">
                     <choice localId="363" name="t:Boolean" xsi:type="NamedTypeSpecifier"/>
                     <choice localId="364" name="t:String" xsi:type="NamedTypeSpecifier"/>
                  </asTypeSpecifier>
               </then>
            </caseItem>
            <caseItem localId="337" locator="105:5-105:377">
               <when localId="338" locator="105:10-105:33" xsi:type="Equal">
                  <signature localId="345" name="t:String" xsi:type="NamedTypeSpecifier"/>
                  <signature localId="346" name="t:String" xsi:type="NamedTypeSpecifier"/>
                  <operand localId="343" name="ToString" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                     <signature localId="344" name="fhir:string" xsi:type="NamedTypeSpecifier"/>
                     <operand localId="340" locator="105:10-105:19" path="id" xsi:type="Property">
                        <source localId="339" locator="105:10-105:16" name="Patient" xsi:type="ExpressionRef"/>
                     </operand>
                  </operand>
                  <operand localId="341" locator="105:23-105:33" valueType="t:String" value="Polio89.1" xsi:type="Literal"/>
               </when>
               <then localId="365" xsi:type="As">
                  <operand localId="347" locator="105:40-105:377" xsi:type="And">
                     <operand localId="348" locator="105:40-105:99" name="Poliovirus vaccination with bOPV is contraindicated Case 2" xsi:type="ExpressionRef"/>
                     <operand localId="349" locator="105:105-105:377" xsi:type="Equal">
                        <signature localId="353" name="t:String" xsi:type="NamedTypeSpecifier"/>
                        <signature localId="354" name="t:String" xsi:type="NamedTypeSpecifier"/>
                        <operand localId="350" locator="105:105-105:114" name="Guidance" xsi:type="ExpressionRef"/>
                        <operand localId="351" locator="105:118-105:377" valueType="t:String" value="For bOPV dose, do not vaccinate client for bOPV dose as bOPV vaccination is contranindicated in clients with immunodeficiency disorders.&#xa;Check if vaccination with IPV is appropriate for the client, consider risks of vaccination and make a clinical judgement." xsi:type="Literal"/>
                     </operand>
                  </operand>
                  <asTypeSpecifier localId="366" xsi:type="ChoiceTypeSpecifier">
                     <choice localId="367" name="t:Boolean" xsi:type="NamedTypeSpecifier"/>
                     <choice localId="368" name="t:String" xsi:type="NamedTypeSpecifier"/>
                  </asTypeSpecifier>
               </then>
            </caseItem>
            <else localId="369" xsi:type="As">
               <operand localId="355" locator="107:10-107:27" valueType="t:String" value="No test case set" xsi:type="Literal"/>
               <asTypeSpecifier localId="370" xsi:type="ChoiceTypeSpecifier">
                  <choice localId="371" name="t:Boolean" xsi:type="NamedTypeSpecifier"/>
                  <choice localId="372" name="t:String" xsi:type="NamedTypeSpecifier"/>
               </asTypeSpecifier>
            </else>
         </expression>
      </def>
   </statements>
</library>
"^^xsd:base64Binary ] ] ) . #
IG © 2023+ WHO. Package smart.who.int.immunizations#0.2.0 based on FHIR 4.0.1. Generated 2026-03-03
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