WHO Immunization Implementation Guide
0.2.0 - ci-build
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 |
{
"resourceType" : "PlanDefinition",
"id" : "IMMZD5DTRabiesContraindications",
"meta" : {
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🔗 "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-recommendationdefinition"🔗 ,
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"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n<div>\n <table class=\"grid dict\">\n \n <tr>\n <th scope=\"row\"><b>Id: </b></th>\n <td style=\"padding-left: 4px;\">IMMZD5DTRabiesContraindications</td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Url: </b></th>\n <td style=\"padding-left: 4px;\"><a href=\"PlanDefinition-IMMZD5DTRabiesContraindications.html\">IMMZ.D5.DT.Rabies contraindications</a></td>\n </tr>\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\n \n <tr>\n <th scope=\"row\"><b>Title: </b></th>\n <td style=\"padding-left: 4px;\">IMMZ.D5.DT.Rabies contraindications</td>\n </tr>\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-plan-definition-type.html\">http://terminology.hl7.org/CodeSystem/plan-definition-type</a></span>\n </p>\n \n \n <p style=\"margin-bottom: 5px;\">\n <b>code: </b> <span>eca-rule</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>IMMZ.D5.DT.Rabies contraindications\nIMMZ.D5.DT.Rabies contraindications</p>\n</div></td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Knowledge Capability: </b></th>\n <td style=\"padding-left: 4px;\">\n \n computable \n </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 <tr>\n <th scope=\"row\"><b>Related Artifacts: </b></th>\n <td style=\"padding-left: 4px;\">\n \n \n <p><b>References</b></p>\n <ul>\n \n <li><div><p>WHO recommendations for routine immunization - summary tables (January 2025)</p>\n</div><br/><a href=\"null\"/></li>\n \n </ul>\n \n \n \n \n \n \n </td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Libraries: </b></th>\n <td style=\"padding-left: 4px;\">\n <table class=\"grid-dict\">\n \n <tr>\n <td><a href=\"Library-IMMZD5DTRabiesContraindicationsLogic.html\">IMMZD5DTRabiesContraindicationsLogic</a></td>\n </tr>\n \n </table>\n </td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Actions: </b></th>\n <td style=\"padding-left: 4px;\">\n <table class=\"grid-dict\">\n \n <tr>\n <td>\n \n <b> Check for Guidance for the patient regarding IMMZ.D5.DT.Rabies contraindications.:</b> Show Guidance for the patient regarding IMMZ.D5.DT.Rabies contraindications.\n \n <br/>\n \n \n <b>If:</b>\n \n <i>Applicability:</i>\n \n Has Guidance\n \n <i>(Has Guidance)</i>\n <br/>\n \n \n \n \n <b>Then:</b> <i>Definition:</i> <a href=\"ActivityDefinition-IMMZD2DTCR.html\">IMMZ.D2.DT.CR</a><br/>\n \n <i>Dynamic Values:</i><br/>\n \n status: <i>('active')</i>\n <br/>\n \n payload.contentString: <i>(Guidance)</i>\n <br/>\n \n category.coding: <i>(Code { system: 'http://terminology.hl7.org/CodeSystem/communication-category', code: 'alert' })</i>\n <br/>\n \n priority: <i>(Code { system: 'http://hl7.org/fhir/request-priority', code: 'routine' })</i>\n <br/>\n \n \n \n \n </td>\n </tr>\n \n </table>\n </td>\n </tr>\n \n </table>\n</div>\n</div>"
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"code" : "DE161",
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"valueCoding" : {
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"code" : "DE167",
"display" : "Severe allergic reactions"
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"valueCoding" : {
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"valueCoding" : {
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"code" : "relapse"
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{
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"valueString" : "Potential contraindications"
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"url" : "statement",
"valueString" : "/*\n@internal: Potential contraindications observations\n*/\ndefine \"Potential contraindications\":\n ([Observation: Concepts.\"Potential contraindications\"]).complete()"
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{
"extension" : [
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"url" : "libraryName",
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{
"url" : "name",
"valueString" : "CI Severe allergic reactions Observation"
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{
"url" : "statement",
"valueString" : "/*\n@internal: Observation for Severe allergic reactions\n*/\ndefine \"CI Severe allergic reactions Observation\":\n \"Potential contraindications\" O\n where O.value ~ Concepts.\"CI-Severe allergic reactions\""
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"url" : "name",
"valueString" : "CI Severe allergic reactions Observation"
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"url" : "statement",
"valueString" : "/*\n@internal: Observation for Severe allergic reactions\n*/\ndefine \"CI Severe allergic reactions Observation\":\n Elements.\"CI Severe allergic reactions Observation\".encounterOrOnBefore(EncounterId, Today)"
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"url" : "statement",
"valueString" : "/*\n@internal: Condition for Severe allergic reactions\n*/\ndefine \"CI Severe allergic reactions Condition\":\n Elements.\"CI Severe allergic reactions Condition\" C\n where C.prevalenceInterval() includes Today"
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"url" : "name",
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"url" : "statement",
"valueString" : "/*\n@input: The client has history of severe allergic reactions\n@pseudocode: \"Potential contraindications\" = \"Severe allergic reactions\"\n*/\ndefine \"The client has history of severe allergic reactions\":\n exists \"CI Severe allergic reactions Observation\"\n or exists \"CI Severe allergic reactions Condition\""
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"extension" : [
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"url" : "libraryName",
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"url" : "name",
"valueString" : "The client has history of severe allergic reactions"
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"url" : "statement",
"valueString" : "/*\n@input: The client has history of severe allergic reactions\n@pseudocode: \"Potential contraindications\" = \"Severe allergic reactions\"\n@code: The client has history of severe allergic reactions-59\n@decision: IMMZ.D5.DT.Rabies contraindications\n*/\ndefine \"The client has history of severe allergic reactions\":\n Encounter.\"The client has history of severe allergic reactions\""
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"valueString" : "IMMZD5DTRabiesContraindicationsLogic"
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{
"url" : "name",
"valueString" : "Clinical judgement is required. Create a clinical note"
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{
"url" : "statement",
"valueString" : "/*\n@output: Clinical judgement is required. Create a clinical note\n@pseudocode: \"Immunization recommendation status\" = \"Further evaluation needed\"\n*/\ndefine \"Clinical judgement is required. Create a clinical note\":\n Encounter.\"The client has history of severe allergic reactions\""
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"url" : "statement",
"valueString" : "/*\n@output: Clinical judgement is required. Create a clinical note Guidance\n@guidance: Check if the client has a history of severe hypersensitivity to any of the components or to excipients listed by the vaccine manufacturer. If so, provide an alternative rabies vaccine product for PreP.\n*/\ndefine \"Clinical judgement is required. Create a clinical note Guidance\":\n 'Check if the client has a history of severe hypersensitivity to any of the components or to excipients listed by the vaccine manufacturer. If so, provide an alternative rabies vaccine product for PreP.'"
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"url" : "statement",
"valueString" : "/*\n@dynamicValue: Guidance\n*/\ndefine \"Guidance\":\n case \n when \"Clinical judgement is required. Create a clinical note\" then \"Clinical judgement is required. Create a clinical note Guidance\" \n else ''\n end"
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"valueString" : "IMMZD5DTRabiesContraindicationsLogic"
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"url" : "name",
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"url" : "statement",
"valueString" : "define \"Has Guidance\":\n \"Guidance\" is not null and \"Guidance\" != ''"
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"valueString" : "IMMZCommon"
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"url" : "name",
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"valueString" : "/**\n * @description: Gets observation from an encounter or on or before a date\n */\ndefine fluent function encounterOrOnBefore(observations List<Observation>, EncounterId String, beforeDate Date):\n observations O where\n (O.encounter.references(EncounterId)\n or O.effective.toInterval() starts same day or before beforeDate)"
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"valueString" : "WHOCommon"
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{
"url" : "name",
"valueString" : "references"
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"valueString" : "/*\n@description: Returns true if the given reference is to the given resourceId\n@comment: Returns true if the `resourceId` parameter exactly equals the tail of the given reference.\nNOTE: This function assumes resources from the same source server.\n*/\ndefine fluent function references(reference FHIR.Reference, resourceId String):\n resourceId = Last(Split(reference.reference, '/'))"
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"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
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"valueString" : "FHIRHelpers"
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"url" : "name",
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"valueString" : "define function ToString(value ObservationStatus): value.value"
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"url" : "displaySequence",
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],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
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"valueString" : "define function ToConcept(concept FHIR.CodeableConcept):\n if concept is null then\n null\n else\n System.Concept {\n codes: concept.coding C return ToCode(C),\n display: concept.text.value\n }"
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"valueString" : "FHIRHelpers"
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"valueString" : "define function ToCode(coding FHIR.Coding):\n if coding is null then\n null\n else\n System.Code {\n code: coding.code.value,\n system: coding.system.value,\n version: coding.version.value,\n display: coding.display.value\n }"
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"url" : "libraryName",
"valueString" : "WHOCommon"
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{
"url" : "name",
"valueString" : "prevalenceInterval"
},
{
"url" : "statement",
"valueString" : "/*\n@description: Returns an interval representing the normalized prevalence period of a given Condition resource.\n@comment: Uses the toInterval and toAbatementInterval functions to determine the widest potential interval from\nonset to abatement as specified in the given Condition.\n*/\ndefine fluent function prevalenceInterval(condition Condition):\nif condition.clinicalStatus ~ \"active\"\n or condition.clinicalStatus ~ \"recurrence\"\n or condition.clinicalStatus ~ \"relapse\" then\n Interval[start of condition.onset.toInterval(), end of condition.abatementInterval()]\nelse\n (end of condition.abatementInterval()) abatementDate\n return \n\t if abatementDate is null then\n Interval[start of condition.onset.toInterval(), abatementDate)\n else\n Interval[start of condition.onset.toInterval(), abatementDate]"
},
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],
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{
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"url" : "libraryName",
"valueString" : "WHOCommon"
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{
"url" : "name",
"valueString" : "abatementInterval"
},
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"url" : "statement",
"valueString" : "// Was getting error on this for this particular choice set not being found\n\n\n/*\n@description: Returns an interval representing the normalized Abatement of a given Condition resource.\n@comment: NOTE: Due to the complexity of determining an interval from a String, this function will throw\na run-time exception if used with a Condition instance that has a String as the abatement value.\n*/\ndefine fluent function abatementInterval(condition Condition):\n if condition.abatement is FHIR.dateTime then\n Interval[FHIRHelpers.ToDateTime(condition.abatement as FHIR.dateTime), FHIRHelpers.ToDateTime(condition.abatement as FHIR.dateTime)]\n else if condition.abatement is FHIR.Period then\n FHIRHelpers.ToInterval(condition.abatement as FHIR.Period)\n else if condition.abatement is FHIR.string then\n Message(null as Interval<DateTime>, true, 'NOT_IMPLEMENTED', 'Error', 'Calculation of an interval from a String value is not supported')\n else if condition.abatement is FHIR.Age then\n Interval[FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity(condition.abatement as FHIR.Age),\n FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity(condition.abatement as FHIR.Age) + 1 year)\n else if condition.abatement is FHIR.Range then\n Interval[FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity((condition.abatement as FHIR.Range).low),\n FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity((condition.abatement as FHIR.Range).high) + 1 year)\n else if condition.abatement is FHIR.boolean then\n Interval[end of condition.onset.toInterval(), condition.recordedDate)\n else \n null"
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{
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"url" : "name",
"valueString" : "ToDateTime"
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"url" : "statement",
"valueString" : "define function ToDateTime(value dateTime): value.value"
},
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"valueInteger" : 20
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "FHIRHelpers"
},
{
"url" : "name",
"valueString" : "ToInterval"
},
{
"url" : "statement",
"valueString" : "define function ToInterval(period FHIR.Period):\n if period is null then\n null\n else\n if period.\"start\" is null then\n Interval(period.\"start\".value, period.\"end\".value]\n else\n Interval[period.\"start\".value, period.\"end\".value]"
},
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"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
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{
"extension" : [
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"url" : "libraryName",
"valueString" : "FHIRHelpers"
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{
"url" : "name",
"valueString" : "ToDate"
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{
"url" : "statement",
"valueString" : "define function ToDate(value date): value.value"
},
{
"url" : "displaySequence",
"valueInteger" : 22
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"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
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{
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"url" : "libraryName",
"valueString" : "FHIRHelpers"
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{
"url" : "name",
"valueString" : "ToQuantity"
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{
"url" : "statement",
"valueString" : "define function ToQuantity(quantity FHIR.Quantity):\n case\n when quantity is null then null\n when quantity.value is null then null\n when quantity.comparator is not null then\n Message(null, true, 'FHIRHelpers.ToQuantity.ComparatorQuantityNotSupported', 'Error', 'FHIR Quantity value has a comparator and cannot be converted to a System.Quantity value.')\n when quantity.system is null or quantity.system.value = 'http://unitsofmeasure.org'\n or quantity.system.value = 'http://hl7.org/fhirpath/CodeSystem/calendar-units' then\n System.Quantity { value: quantity.value.value, unit: ToCalendarUnit(Coalesce(quantity.code.value, quantity.unit.value, '1')) }\n else\n Message(null, true, 'FHIRHelpers.ToQuantity.InvalidFHIRQuantity', 'Error', 'Invalid FHIR Quantity code: ' & quantity.unit.value & ' (' & quantity.system.value & '|' & quantity.code.value & ')')\n end"
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{
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"url" : "libraryName",
"valueString" : "FHIRHelpers"
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{
"url" : "name",
"valueString" : "ToCalendarUnit"
},
{
"url" : "statement",
"valueString" : "define function ToCalendarUnit(unit System.String):\n case unit\n when 'ms' then 'millisecond'\n when 's' then 'second'\n when 'min' then 'minute'\n when 'h' then 'hour'\n when 'd' then 'day'\n when 'wk' then 'week'\n when 'mo' then 'month'\n when 'a' then 'year'\n else unit\n end"
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],
"name" : "EffectiveDataRequirements",
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