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 |
<PlanDefinition xmlns="http://hl7.org/fhir">
<id value="IMMZD5DTYellowFeverContraindications"/>
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<div xmlns="http://www.w3.org/1999/xhtml">
<div>
<table class="grid dict">
<tr>
<th scope="row"><b>Id: </b></th>
<td style="padding-left: 4px;">IMMZD5DTYellowFeverContraindications</td>
</tr>
<tr>
<th scope="row"><b>Url: </b></th>
<td style="padding-left: 4px;"><a href="PlanDefinition-IMMZD5DTYellowFeverContraindications.html">IMMZ.D5.DT.Yellow fever contraindications</a></td>
</tr>
<tr>
<th scope="row"><b>Version: </b></th>
<td style="padding-left: 4px;">0.2.0</td>
</tr>
<tr>
<th scope="row"><b>Title: </b></th>
<td style="padding-left: 4px;">IMMZ.D5.DT.Yellow fever contraindications</td>
</tr>
<tr>
<th scope="row"><b>Status: </b></th>
<td style="padding-left: 4px;">draft</td>
</tr>
<tr>
<th scope="row"><b>Type: </b></th>
<td style="padding-left: 4px;">
<p style="margin-bottom: 5px;">
<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>
</p>
<p style="margin-bottom: 5px;">
<b>code: </b> <span>eca-rule</span>
</p>
</td>
</tr>
<tr>
<th scope="row"><b>Date: </b></th>
<td style="padding-left: 4px;">2026-03-03 13:07:11+0000</td>
</tr>
<tr>
<th scope="row"><b>Publisher: </b></th>
<td style="padding-left: 4px;">WHO</td>
</tr>
<tr>
<th scope="row"><b>Description: </b></th>
<td style="padding-left: 4px;"><div><p>IMMZ.D5.DT.Yellow fever contraindications
IMMZ.D5.DT.Yellow fever contraindications</p>
</div></td>
</tr>
<tr>
<th scope="row"><b>Knowledge Capability: </b></th>
<td style="padding-left: 4px;">
computable
</td>
</tr>
<tr>
<th scope="row"><b>Related Artifacts: </b></th>
<td style="padding-left: 4px;">
<p><b>References</b></p>
<ul>
<li><div><p>WHO recommendations for routine immunization - summary tables (January 2025)</p>
</div><br/><a href="null"/></li>
</ul>
</td>
</tr>
<tr>
<th scope="row"><b>Libraries: </b></th>
<td style="padding-left: 4px;">
<table class="grid-dict">
<tr>
<td><a href="Library-IMMZD5DTYellowFeverContraindicationsLogic.html">IMMZD5DTYellowFeverContraindicationsLogic</a></td>
</tr>
</table>
</td>
</tr>
<tr>
<th scope="row"><b>Actions: </b></th>
<td style="padding-left: 4px;">
<table class="grid-dict">
<tr>
<td>
<b> Check for contraindications before administering the vaccine(s) due:</b> Contraindication for Yellow fever immunization
<br/>
<b>If:</b>
<i>Applicability:</i>
Yellow fever vaccination is contraindicated
<i>(Yellow fever vaccination is contraindicated)</i>
<br/>
<b>Then:</b> <i>Definition:</i> <a href="ActivityDefinition-IMMZD5DTMR.html">IMMZD5DTMR</a><br/>
<i>Dynamic Values:</i><br/>
id: <i>(Draft Medication Request ID for Yellow fever dose)</i>
<br/>
medication: <i>(Concept { codes: { Code { system: 'http://smart.who.int/immunizations/CodeSystem/IMMZ.Z', code: 'DE23', display: 'Yellow fever vaccines' } }, display: 'Yellow fever vaccines' })</i>
<br/>
</td>
</tr>
<tr>
<td>
<b> Check for Guidance for the patient regarding IMMZ.D5.DT.Yellow fever contraindications.:</b> Show Guidance for the patient regarding IMMZ.D5.DT.Yellow fever contraindications.
<br/>
<b>If:</b>
<i>Applicability:</i>
Has Guidance
<i>(Has Guidance)</i>
<br/>
<b>Then:</b> <i>Definition:</i> <a href="ActivityDefinition-IMMZD2DTCR.html">IMMZ.D2.DT.CR</a><br/>
<i>Dynamic Values:</i><br/>
status: <i>('active')</i>
<br/>
payload.contentString: <i>(Guidance)</i>
<br/>
category.coding: <i>(Code { system: 'http://terminology.hl7.org/CodeSystem/communication-category', code: 'alert' })</i>
<br/>
priority: <i>(Code { system: 'http://hl7.org/fhir/request-priority', code: 'routine' })</i>
<br/>
</td>
</tr>
</table>
</td>
</tr>
</table>
</div>
</div>
</text>
<contained>
<Library>
<id value="effective-data-requirements"/>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
<valueCoding>
<system
value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
<code value="DE161"/>
<display value="Potential contraindications"/>
</valueCoding>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
<valueCoding>
<system
value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
<code value="DE200"/>
<display value="Severely immunocompromised"/>
</valueCoding>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
<valueCoding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
<code value="active"/>
</valueCoding>
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<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
<valueCoding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
<code value="recurrence"/>
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<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
<valueCoding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
<code value="relapse"/>
</valueCoding>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
<valueCoding>
<system
value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
<code value="DE162"/>
<display value="Currently pregnant"/>
</valueCoding>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
<valueCoding>
<system value="http://loinc.org"/>
<code value="82810-3"/>
<display value="Pregnancy status"/>
</valueCoding>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA15173-0"/>
<display value="Pregnant"/>
</valueCoding>
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<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
<valueCoding>
<system
value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
<code value="DE191"/>
<display value="Breastfeeding"/>
</valueCoding>
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<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
<valueCoding>
<system
value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
<code value="DE167"/>
<display value="Severe allergic reactions"/>
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url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZEncounterElements"/>
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<extension url="name">
<valueString value="Current Patient Age In Months"/>
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<extension url="statement">
<valueString
value="/**
* @dataElement Patient age in months
*/
define "Current Patient Age In Months":
AgeInMonthsAt(Today)"/>
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<extension url="displaySequence">
<valueInteger value="0"/>
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<extension url="libraryName">
<valueString value="IMMZD5DTYellowfeverEncounterElements"/>
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<extension url="name">
<valueString value="Client's age is less than 6 months"/>
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<extension url="statement">
<valueString
value="/*
@input: Client's age is less than 6 months
@pseudocode: Today's date − "Date of birth" < 6 months
@code: Client's age is less than 6 months-41
@decision: IMMZ.D5.DT.Yellow fever contraindications
*/
define "Client's age is less than 6 months":
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<extension url="libraryName">
<valueString value="IMMZD5DTYellowFeverContraindicationsLogic"/>
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<extension url="name">
<valueString
value="Yellow fever vaccination is contraindicated Case 1"/>
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<extension url="statement">
<valueString
value="/*
@output: Yellow fever vaccination is contraindicated Case 1
@pseudocode: "Immunization recommendation status" = "Contraindicated"
*/
define "Yellow fever vaccination is contraindicated Case 1":
Encounter."Client's age is less than 6 months""/>
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url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZElements"/>
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<valueString value="Potential contraindications"/>
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<extension url="statement">
<valueString
value="/*
@internal: Potential contraindications observations
*/
define "Potential contraindications":
([Observation: Concepts."Potential contraindications"]).complete()"/>
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<valueInteger value="3"/>
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<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZElements"/>
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<extension url="name">
<valueString value="CI Severely immunocompromised Observation"/>
</extension>
<extension url="statement">
<valueString
value="/*
@internal: Observation for Severely immunocompromised
*/
define "CI Severely immunocompromised Observation":
"Potential contraindications" O
where O.value ~ Concepts."CI-Severely immunocompromised""/>
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url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZEncounterElements"/>
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<extension url="name">
<valueString value="CI Severely immunocompromised Observation"/>
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<extension url="statement">
<valueString
value="/*
@internal: Observation for Severely immunocompromised
*/
define "CI Severely immunocompromised Observation":
Elements."CI Severely immunocompromised Observation".encounterOrOnBefore(EncounterId, Today)"/>
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<extension url="displaySequence">
<valueInteger value="5"/>
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<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZElements"/>
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<extension url="name">
<valueString value="CI Severely immunocompromised Condition"/>
</extension>
<extension url="statement">
<valueString
value="/*
@internal: Condition for Severely immunocompromised
*/
define "CI Severely immunocompromised Condition":
[Condition: Concepts."CI-Severely immunocompromised"]"/>
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url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZEncounterElements"/>
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<valueString value="CI Severely immunocompromised Condition"/>
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<valueString
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@internal: Condition for Severely immunocompromised
*/
define "CI Severely immunocompromised Condition":
Elements."CI Severely immunocompromised Condition" C
where C.prevalenceInterval() includes Today"/>
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<valueInteger value="7"/>
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url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZEncounterElements"/>
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<extension url="name">
<valueString value="The client is severely immunocompromised"/>
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<extension url="statement">
<valueString
value="/*
@input: The client is severely immunocompromised
@pseudocode: "Potential contraindications" = "Severely immunocompromised"
*/
define "The client is severely immunocompromised":
exists "CI Severely immunocompromised Observation"
or exists "CI Severely immunocompromised Condition""/>
</extension>
<extension url="displaySequence">
<valueInteger value="8"/>
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<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD5DTYellowfeverEncounterElements"/>
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<extension url="name">
<valueString value="The client is severely immunocompromised"/>
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<extension url="statement">
<valueString
value="/*
@input: The client is severely immunocompromised
@pseudocode: "Potential contraindications" = "Severely immunocompromised"
@code: The client is severely immunocompromised-60
@decision: IMMZ.D5.DT.Yellow fever contraindications
*/
define "The client is severely immunocompromised":
Encounter."The client is severely immunocompromised""/>
</extension>
<extension url="displaySequence">
<valueInteger value="9"/>
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</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD5DTYellowFeverContraindicationsLogic"/>
</extension>
<extension url="name">
<valueString
value="Yellow fever vaccination is contraindicated Case 2"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Yellow fever vaccination is contraindicated Case 2
@pseudocode: "Immunization recommendation status" = "Contraindicated"
*/
define "Yellow fever vaccination is contraindicated Case 2":
Encounter."The client is severely immunocompromised""/>
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<valueInteger value="10"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD5DTYellowFeverContraindicationsLogic"/>
</extension>
<extension url="name">
<valueString value="Yellow fever vaccination is contraindicated"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Yellow fever vaccination is contraindicated
@pseudocode: "Immunization recommendation status" = "Contraindicated"
*/
define "Yellow fever vaccination is contraindicated":
"Yellow fever vaccination is contraindicated Case 1"
or "Yellow fever vaccination is contraindicated Case 2""/>
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<valueInteger value="11"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD5DTYellowFeverContraindicationsLogic"/>
</extension>
<extension url="name">
<valueString
value="Yellow fever vaccination is contraindicated Guidance"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Yellow fever vaccination is contraindicated Guidance
@guidance = Do not vaccinate client with yellow fever as yellow fever vaccination is contraindicated in client's aged less than 6 months.
@guidance = Do not vaccinate client with yellow fever as yellow fever vaccination is contraindicated in severely immunocompromised clients.
*/
define "Yellow fever vaccination is contraindicated Guidance":
case
when "Yellow fever vaccination is contraindicated Case 1" then 'Do not vaccinate client with yellow fever as yellow fever vaccination is contraindicated in client\'s aged less than 6 months.'
when "Yellow fever vaccination is contraindicated Case 2" then 'Do not vaccinate client with yellow fever as yellow fever vaccination is contraindicated in severely immunocompromised clients.'
else ''
end"/>
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<valueInteger value="12"/>
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<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD5DTYellowfeverEncounterElements"/>
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<extension url="name">
<valueString value="Client's age is 6–9 months"/>
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<extension url="statement">
<valueString
value="/*
@input: Client's age is 6–9 months
@pseudocode: 6 months ≤ Today's date − "Date of birth" < 9 months
@code: Client's age is 6–9 months-52
@decision: IMMZ.D5.DT.Yellow fever contraindications
*/
define "Client's age is 6–9 months":
6 <= Encounter."Current Patient Age In Months"
and Encounter."Current Patient Age In Months" < 9"/>
</extension>
<extension url="displaySequence">
<valueInteger value="13"/>
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<extension
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<valueString
value="Clinical judgement is required. Create a clinical note Case 1"/>
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<valueString
value="/*
@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."Client's age is 6–9 months""/>
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<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZEncounterElements"/>
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<valueString value="Current Patient Age In Years"/>
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<extension url="statement">
<valueString
value="/**
* @dataElement Patient age in years
*/
define "Current Patient Age In Years":
AgeInYearsAt(Today)"/>
</extension>
<extension url="displaySequence">
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url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
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<extension url="name">
<valueString
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<extension url="statement">
<valueString
value="/*
@input: Client's age is more than or equal to 60 years
@pseudocode: Today's date − "Date of birth" ≥ 60 years
@code: Client's age is more than or equal to 60 years-41
@decision: IMMZ.D5.DT.Yellow fever contraindications
*/
define "Client's age is more than or equal to 60 years":
Encounter."Current Patient Age In Years" >= 60"/>
</extension>
<extension url="displaySequence">
<valueInteger value="16"/>
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<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD5DTYellowFeverContraindicationsLogic"/>
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<valueString
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</extension>
<extension url="statement">
<valueString
value="/*
@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."Client's age is more than or equal to 60 years""/>
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<extension url="displaySequence">
<valueInteger value="17"/>
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</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZElements"/>
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<extension url="name">
<valueString value="CI Currently pregnant Observation"/>
</extension>
<extension url="statement">
<valueString
value="/*
@internal: Observation for currently pregnant
*/
define "CI Currently pregnant Observation":
"Potential contraindications" O
where O.value ~ Concepts."CI-Currently pregnant""/>
</extension>
<extension url="displaySequence">
<valueInteger value="18"/>
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</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZEncounterElements"/>
</extension>
<extension url="name">
<valueString value="CI Currently pregnant Observation"/>
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<extension url="statement">
<valueString
value="/*
@internal: Observation for currently pregnant
*/
define "CI Currently pregnant Observation":
Elements."CI Currently pregnant Observation" O
where O.encounter.references(EncounterId)
or O.effective.toInterval() starts same day or after Today - 9 months"/>
</extension>
<extension url="displaySequence">
<valueInteger value="19"/>
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</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZElements"/>
</extension>
<extension url="name">
<valueString value="CI Currently pregnant Condition"/>
</extension>
<extension url="statement">
<valueString
value="/*
@internal: Condition for currently pregnant
*/
define "CI Currently pregnant Condition":
[Condition: Concepts."CI-Currently pregnant"]"/>
</extension>
<extension url="displaySequence">
<valueInteger value="20"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZEncounterElements"/>
</extension>
<extension url="name">
<valueString value="CI Currently pregnant Condition"/>
</extension>
<extension url="statement">
<valueString
value="/*
@internal: Condition for currently pregnant
*/
define "CI Currently pregnant Condition":
Elements."CI Currently pregnant Condition" C
where C.prevalenceInterval() includes Today"/>
</extension>
<extension url="displaySequence">
<valueInteger value="21"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="WHOElements"/>
</extension>
<extension url="name">
<valueString value="Pregnancy Status Observation"/>
</extension>
<extension url="statement">
<valueString
value="define "Pregnancy Status Observation":
[Observation: Concepts."Pregnancy status"] O
where O.status in { 'final', 'amended', 'corrected' }"/>
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<extension url="displaySequence">
<valueInteger value="22"/>
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<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="WHOElements"/>
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<extension url="name">
<valueString value="Pregnant Observation"/>
</extension>
<extension url="statement">
<valueString
value="define "Pregnant Observation":
"Pregnancy Status Observation" O
where O.value ~ Concepts."Pregnant""/>
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</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="WHOEncounterElements"/>
</extension>
<extension url="name">
<valueString value="Pregnant Observation"/>
</extension>
<extension url="statement">
<valueString
value="define "Pregnant Observation":
Elements."Pregnant Observation" O
where O.encounter.references(EncounterId)
or O.effective.toInterval() starts same day or after AsOf - 9 months"/>
</extension>
<extension url="displaySequence">
<valueInteger value="24"/>
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</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZEncounterElements"/>
</extension>
<extension url="name">
<valueString value="The client is pregnant"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: The client is pregnant
@pseudocode: "Potential contraindications" = "Currently pregnant"
*/
define "The client is pregnant":
exists "CI Currently pregnant Observation"
or exists "CI Currently pregnant Condition"
or exists WE."Pregnant Observation""/>
</extension>
<extension url="displaySequence">
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</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD5DTYellowfeverEncounterElements"/>
</extension>
<extension url="name">
<valueString value="The client is currently pregnant"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: The client is currently pregnant
@pseudocode: "Potential contraindications" = "Currently pregnant"
@code: The client is currently pregnant-52
@decision: IMMZ.D5.DT.Yellow fever contraindications
*/
define "The client is currently pregnant":
Encounter."The client is pregnant""/>
</extension>
<extension url="displaySequence">
<valueInteger value="26"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD5DTYellowFeverContraindicationsLogic"/>
</extension>
<extension url="name">
<valueString
value="Clinical judgement is required. Create a clinical note Case 3"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Clinical judgement is required. Create a clinical note Case 3
@pseudocode: "Immunization recommendation status" = "Further evaluation needed"
*/
define "Clinical judgement is required. Create a clinical note Case 3":
Encounter."The client is currently pregnant""/>
</extension>
<extension url="displaySequence">
<valueInteger value="27"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZElements"/>
</extension>
<extension url="name">
<valueString value="CI Breastfeeding Observation"/>
</extension>
<extension url="statement">
<valueString
value="/*
@internal: Observation for Breastfeeding
*/
define "CI Breastfeeding Observation":
"Potential contraindications" O
where O.value ~ Concepts."CI-Breastfeeding""/>
</extension>
<extension url="displaySequence">
<valueInteger value="28"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZEncounterElements"/>
</extension>
<extension url="name">
<valueString value="CI Breastfeeding Observation"/>
</extension>
<extension url="statement">
<valueString
value="/*
@internal: Observation for Breastfeeding
*/
define "CI Breastfeeding Observation":
Elements."CI Breastfeeding Observation".encounterOrOnBefore(EncounterId, Today)"/>
</extension>
<extension url="displaySequence">
<valueInteger value="29"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZElements"/>
</extension>
<extension url="name">
<valueString value="CI Breastfeeding Condition"/>
</extension>
<extension url="statement">
<valueString
value="/*
@internal: Condition for Breastfeeding
*/
define "CI Breastfeeding Condition":
[Condition: Concepts."CI-Breastfeeding"]"/>
</extension>
<extension url="displaySequence">
<valueInteger value="30"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZEncounterElements"/>
</extension>
<extension url="name">
<valueString value="CI Breastfeeding Condition"/>
</extension>
<extension url="statement">
<valueString
value="/*
@internal: Condition for Breastfeeding
*/
define "CI Breastfeeding Condition":
Elements."CI Breastfeeding Condition" C
where C.prevalenceInterval() includes Today"/>
</extension>
<extension url="displaySequence">
<valueInteger value="31"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZEncounterElements"/>
</extension>
<extension url="name">
<valueString value="The client is lactating"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: The client is lactating
@pseudocode: "Potential contraindications" = "Breastfeeding"
*/
define "The client is lactating":
exists "CI Breastfeeding Observation"
or exists "CI Breastfeeding Condition""/>
</extension>
<extension url="displaySequence">
<valueInteger value="32"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD5DTYellowfeverEncounterElements"/>
</extension>
<extension url="name">
<valueString value="The client is lactating"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: The client is lactating
@pseudocode: "Potential contraindications" = "Breastfeeding"
@code: The client is lactating-47
@decision: IMMZ.D5.DT.Yellow fever contraindications
*/
define "The client is lactating":
Encounter."The client is lactating""/>
</extension>
<extension url="displaySequence">
<valueInteger value="33"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD5DTYellowFeverContraindicationsLogic"/>
</extension>
<extension url="name">
<valueString
value="Clinical judgement is required. Create a clinical note Case 4"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Clinical judgement is required. Create a clinical note Case 4
@pseudocode: "Immunization recommendation status" = "Further evaluation needed"
*/
define "Clinical judgement is required. Create a clinical note Case 4":
Encounter."The client is lactating""/>
</extension>
<extension url="displaySequence">
<valueInteger value="34"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD5DTYellowFeverContraindicationsLogic"/>
</extension>
<extension url="name">
<valueString
value="Clinical judgement is required. Create a clinical note"/>
</extension>
<extension url="statement">
<valueString
value="/*
@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"
or "Clinical judgement is required. Create a clinical note Case 3"
or "Clinical judgement is required. Create a clinical note Case 4""/>
</extension>
<extension url="displaySequence">
<valueInteger value="35"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD5DTYellowFeverContraindicationsLogic"/>
</extension>
<extension url="name">
<valueString
value="Clinical judgement is required. Create a clinical note Guidance"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Clinical judgement is required. Create a clinical note Guidance
@guidance = Check if exceptions to age range is being met, consider risks of vaccination and make a clinical judgement. Vaccine is not recommended for those aged 6–8 months, except during epidemics when the risk of infection with the yellow fever virus is very high.
@guidance = Conduct a risk–benefit assessment taking into account the risk of acquiring yellow fever disease, consider risks of potential adverse events following immunization and make a clinical judgement.
@guidance = Conduct a risk–benefit assessment since yellow fever is a live vaccine and make a clinical judgement. Pregnant women may be vaccinated during epidemics at the direction of local health authorities.
@guidance = Conduct a risk–benefit assessment since yellow fever is a live vaccine and make a clinical judgement. Lactating women should be advised that the benefits of breastfeeding far outweigh alternatives.
*/
define "Clinical judgement is required. Create a clinical note Guidance":
case
when "Clinical judgement is required. Create a clinical note Case 1" then 'Check if exceptions to age range is being met, consider risks of vaccination and make a clinical judgement. Vaccine is not recommended for those aged 6–8 months, except during epidemics when the risk of infection with the yellow fever virus is very high.'
when "Clinical judgement is required. Create a clinical note Case 2" then 'Conduct a risk–benefit assessment taking into account the risk of acquiring yellow fever disease, consider risks of potential adverse events following immunization and make a clinical judgement.'
when "Clinical judgement is required. Create a clinical note Case 3" then 'Conduct a risk–benefit assessment since yellow fever is a live vaccine and make a clinical judgement. Pregnant women may be vaccinated during epidemics at the direction of local health authorities.'
when "Clinical judgement is required. Create a clinical note Case 4" then 'Conduct a risk–benefit assessment since yellow fever is a live vaccine and make a clinical judgement. Lactating women should be advised that the benefits of breastfeeding far outweigh alternatives.'
else ''
end"/>
</extension>
<extension url="displaySequence">
<valueInteger value="36"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZElements"/>
</extension>
<extension url="name">
<valueString value="CI Severe allergic reactions Observation"/>
</extension>
<extension url="statement">
<valueString
value="/*
@internal: Observation for Severe allergic reactions
*/
define "CI Severe allergic reactions Observation":
"Potential contraindications" O
where O.value ~ Concepts."CI-Severe allergic reactions""/>
</extension>
<extension url="displaySequence">
<valueInteger value="37"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZEncounterElements"/>
</extension>
<extension url="name">
<valueString value="CI Severe allergic reactions Observation"/>
</extension>
<extension url="statement">
<valueString
value="/*
@internal: Observation for Severe allergic reactions
*/
define "CI Severe allergic reactions Observation":
Elements."CI Severe allergic reactions Observation".encounterOrOnBefore(EncounterId, Today)"/>
</extension>
<extension url="displaySequence">
<valueInteger value="38"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZElements"/>
</extension>
<extension url="name">
<valueString value="CI Severe allergic reactions Condition"/>
</extension>
<extension url="statement">
<valueString
value="/*
@internal: Condition for Severe allergic reactions
*/
define "CI Severe allergic reactions Condition":
[Condition: Concepts."CI-Severe allergic reactions"]"/>
</extension>
<extension url="displaySequence">
<valueInteger value="39"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZEncounterElements"/>
</extension>
<extension url="name">
<valueString value="CI Severe allergic reactions Condition"/>
</extension>
<extension url="statement">
<valueString
value="/*
@internal: Condition for Severe allergic reactions
*/
define "CI Severe allergic reactions Condition":
Elements."CI Severe allergic reactions Condition" C
where C.prevalenceInterval() includes Today"/>
</extension>
<extension url="displaySequence">
<valueInteger value="40"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZEncounterElements"/>
</extension>
<extension url="name">
<valueString
value="The client has history of severe allergic reactions"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: The client has history of severe allergic reactions
@pseudocode: "Potential contraindications" = "Severe allergic reactions"
*/
define "The client has history of severe allergic reactions":
exists "CI Severe allergic reactions Observation"
or exists "CI Severe allergic reactions Condition""/>
</extension>
<extension url="displaySequence">
<valueInteger value="41"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD5DTYellowfeverEncounterElements"/>
</extension>
<extension url="name">
<valueString
value="The client has a history of severe allergic reactions"/>
</extension>
<extension url="statement">
<valueString
value="/*
@input: The client has a history of severe allergic reactions
@pseudocode: "Potential contraindications" = "Severe allergic reactions"
@code: The client has a history of severe allergic reactions-59
@decision: IMMZ.D5.DT.Yellow fever contraindications
*/
define "The client has a history of severe allergic reactions":
Encounter."The client has history of severe allergic reactions""/>
</extension>
<extension url="displaySequence">
<valueInteger value="42"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD5DTYellowFeverContraindicationsLogic"/>
</extension>
<extension url="name">
<valueString
value="Yellow fever vaccination could be contraindicated. Clinical judgement is required. Create a clinical note"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Yellow fever vaccination could be contraindicated. Clinical judgement is required. Create a clinical note
@pseudocode: "Immunization recommendation status" = "Further evaluation needed"
*/
define "Yellow fever vaccination could be contraindicated. Clinical judgement is required. Create a clinical note":
Encounter."The client has a history of severe allergic reactions""/>
</extension>
<extension url="displaySequence">
<valueInteger value="43"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD5DTYellowFeverContraindicationsLogic"/>
</extension>
<extension url="name">
<valueString
value="Yellow fever vaccination could be contraindicated. Clinical judgement is required. Create a clinical note Guidance"/>
</extension>
<extension url="statement">
<valueString
value="/*
@output: Yellow fever vaccination could be contraindicated. Clinical judgement is required. Create a clinical note Guidance
@guidance: Do not vaccinate client with yellow fever if client has severe hypersensitivity to egg antigens.
*/
define "Yellow fever vaccination could be contraindicated. Clinical judgement is required. Create a clinical note Guidance":
'Do not vaccinate client with yellow fever if client has severe hypersensitivity to egg antigens.'"/>
</extension>
<extension url="displaySequence">
<valueInteger value="44"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD5DTYellowFeverContraindicationsLogic"/>
</extension>
<extension url="name">
<valueString value="Guidance"/>
</extension>
<extension url="statement">
<valueString
value="/*
@dynamicValue: Guidance
*/
define "Guidance":
case
when "Yellow fever vaccination is contraindicated" then "Yellow fever vaccination is contraindicated Guidance"
when "Clinical judgement is required. Create a clinical note" then "Clinical judgement is required. Create a clinical note Guidance"
when "Yellow fever vaccination could be contraindicated. Clinical judgement is required. Create a clinical note" then "Yellow fever vaccination could be contraindicated. Clinical judgement is required. Create a clinical note Guidance"
else ''
end"/>
</extension>
<extension url="displaySequence">
<valueInteger value="45"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZElements"/>
</extension>
<extension url="name">
<valueString value="Draft Medication Request for Patient"/>
</extension>
<extension url="statement">
<valueString
value="/*
@dataElement: Draft Medication Request for Patient
*/
define "Draft Medication Request for Patient":
[MedicationRequest] MR where MR.status = 'draft' and MR.intent = 'proposal'
sort by date from (authoredOn as FHIR.dateTime) desc"/>
</extension>
<extension url="displaySequence">
<valueInteger value="46"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZEncounterElements"/>
</extension>
<extension url="name">
<valueString value="Draft Medication Request for Patient"/>
</extension>
<extension url="statement">
<valueString
value="/*
@dataElement: Draft Medication Request for Patient
*/
define "Draft Medication Request for Patient":
Elements."Draft Medication Request for Patient" MR
where MR.encounter.references(EncounterId)
or MR.authoredOn.toInterval() same day or before Today
sort by date from (authoredOn as FHIR.dateTime) desc"/>
</extension>
<extension url="displaySequence">
<valueInteger value="47"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD5DTYellowfeverEncounterElements"/>
</extension>
<extension url="name">
<valueString
value="Draft Medication Request for Yellow fever dose"/>
</extension>
<extension url="statement">
<valueString
value="/*
@internal: Draft Medication Request for Yellow fever dose
*/
define "Draft Medication Request for Yellow fever dose":
Encounter."Draft Medication Request for Patient" MR
where MR.medication in Concepts."Yellow fever vaccines""/>
</extension>
<extension url="displaySequence">
<valueInteger value="48"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD5DTYellowFeverContraindicationsLogic"/>
</extension>
<extension url="name">
<valueString
value="Draft Medication Request ID for Yellow fever dose"/>
</extension>
<extension url="statement">
<valueString
value="/*
@dynamicValue: Draft Medication Request ID for Yellow fever dose
*/
define "Draft Medication Request ID for Yellow fever dose":
First(Encounter."Draft Medication Request for Yellow fever dose").id"/>
</extension>
<extension url="displaySequence">
<valueInteger value="49"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZD5DTYellowFeverContraindicationsLogic"/>
</extension>
<extension url="name">
<valueString value="Has Guidance"/>
</extension>
<extension url="statement">
<valueString
value="define "Has Guidance":
"Guidance" is not null and "Guidance" != ''"/>
</extension>
<extension url="displaySequence">
<valueInteger value="50"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZCommon"/>
</extension>
<extension url="name">
<valueString value="encounterOrOnBefore"/>
</extension>
<extension url="statement">
<valueString
value="/**
* @description: Gets observation from an encounter or on or before a date
*/
define fluent function encounterOrOnBefore(observations List<Observation>, EncounterId String, beforeDate Date):
observations O where
(O.encounter.references(EncounterId)
or O.effective.toInterval() starts same day or before beforeDate)"/>
</extension>
<extension url="displaySequence">
<valueInteger value="51"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="WHOCommon"/>
</extension>
<extension url="name">
<valueString value="references"/>
</extension>
<extension url="statement">
<valueString
value="/*
@description: Returns true if the given reference is to the given resourceId
@comment: Returns true if the `resourceId` parameter exactly equals the tail of the given reference.
NOTE: This function assumes resources from the same source server.
*/
define fluent function references(reference FHIR.Reference, resourceId String):
resourceId = Last(Split(reference.reference, '/'))"/>
</extension>
<extension url="displaySequence">
<valueInteger value="52"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="FHIRHelpers"/>
</extension>
<extension url="name">
<valueString value="ToString"/>
</extension>
<extension url="statement">
<valueString
value="define function ToString(value string): value.value"/>
</extension>
<extension url="displaySequence">
<valueInteger value="53"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="WHOCommon"/>
</extension>
<extension url="name">
<valueString value="complete"/>
</extension>
<extension url="statement">
<valueString
value="define fluent function complete(observations List<Observation>):
observations O where O.status in { 'final', 'amended', 'corrected' }"/>
</extension>
<extension url="displaySequence">
<valueInteger value="54"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="FHIRHelpers"/>
</extension>
<extension url="name">
<valueString value="ToString"/>
</extension>
<extension url="statement">
<valueString
value="define function ToString(value ObservationStatus): value.value"/>
</extension>
<extension url="displaySequence">
<valueInteger value="55"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="FHIRHelpers"/>
</extension>
<extension url="name">
<valueString value="ToConcept"/>
</extension>
<extension url="statement">
<valueString
value="define function ToConcept(concept FHIR.CodeableConcept):
if concept is null then
null
else
System.Concept {
codes: concept.coding C return ToCode(C),
display: concept.text.value
}"/>
</extension>
<extension url="displaySequence">
<valueInteger value="56"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="FHIRHelpers"/>
</extension>
<extension url="name">
<valueString value="ToCode"/>
</extension>
<extension url="statement">
<valueString
value="define function ToCode(coding FHIR.Coding):
if coding is null then
null
else
System.Code {
code: coding.code.value,
system: coding.system.value,
version: coding.version.value,
display: coding.display.value
}"/>
</extension>
<extension url="displaySequence">
<valueInteger value="57"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="WHOCommon"/>
</extension>
<extension url="name">
<valueString value="prevalenceInterval"/>
</extension>
<extension url="statement">
<valueString
value="/*
@description: Returns an interval representing the normalized prevalence period of a given Condition resource.
@comment: Uses the toInterval and toAbatementInterval functions to determine the widest potential interval from
onset to abatement as specified in the given Condition.
*/
define fluent function prevalenceInterval(condition Condition):
if condition.clinicalStatus ~ "active"
or condition.clinicalStatus ~ "recurrence"
or condition.clinicalStatus ~ "relapse" then
Interval[start of condition.onset.toInterval(), end of condition.abatementInterval()]
else
(end of condition.abatementInterval()) abatementDate
return
if abatementDate is null then
Interval[start of condition.onset.toInterval(), abatementDate)
else
Interval[start of condition.onset.toInterval(), abatementDate]"/>
</extension>
<extension url="displaySequence">
<valueInteger value="58"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="WHOCommon"/>
</extension>
<extension url="name">
<valueString value="abatementInterval"/>
</extension>
<extension url="statement">
<valueString
value="// Was getting error on this for this particular choice set not being found
/*
@description: Returns an interval representing the normalized Abatement of a given Condition resource.
@comment: NOTE: Due to the complexity of determining an interval from a String, this function will throw
a run-time exception if used with a Condition instance that has a String as the abatement value.
*/
define fluent function abatementInterval(condition Condition):
if condition.abatement is FHIR.dateTime then
Interval[FHIRHelpers.ToDateTime(condition.abatement as FHIR.dateTime), FHIRHelpers.ToDateTime(condition.abatement as FHIR.dateTime)]
else if condition.abatement is FHIR.Period then
FHIRHelpers.ToInterval(condition.abatement as FHIR.Period)
else if condition.abatement is FHIR.string then
Message(null as Interval<DateTime>, true, 'NOT_IMPLEMENTED', 'Error', 'Calculation of an interval from a String value is not supported')
else if condition.abatement is FHIR.Age then
Interval[FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity(condition.abatement as FHIR.Age),
FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity(condition.abatement as FHIR.Age) + 1 year)
else if condition.abatement is FHIR.Range then
Interval[FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity((condition.abatement as FHIR.Range).low),
FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity((condition.abatement as FHIR.Range).high) + 1 year)
else if condition.abatement is FHIR.boolean then
Interval[end of condition.onset.toInterval(), condition.recordedDate)
else
null"/>
</extension>
<extension url="displaySequence">
<valueInteger value="59"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="FHIRHelpers"/>
</extension>
<extension url="name">
<valueString value="ToDateTime"/>
</extension>
<extension url="statement">
<valueString
value="define function ToDateTime(value dateTime): value.value"/>
</extension>
<extension url="displaySequence">
<valueInteger value="60"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="FHIRHelpers"/>
</extension>
<extension url="name">
<valueString value="ToInterval"/>
</extension>
<extension url="statement">
<valueString
value="define function ToInterval(period FHIR.Period):
if period is null then
null
else
if period."start" is null then
Interval(period."start".value, period."end".value]
else
Interval[period."start".value, period."end".value]"/>
</extension>
<extension url="displaySequence">
<valueInteger value="61"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="FHIRHelpers"/>
</extension>
<extension url="name">
<valueString value="ToDate"/>
</extension>
<extension url="statement">
<valueString
value="define function ToDate(value date): value.value"/>
</extension>
<extension url="displaySequence">
<valueInteger value="62"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="FHIRHelpers"/>
</extension>
<extension url="name">
<valueString value="ToQuantity"/>
</extension>
<extension url="statement">
<valueString
value="define function ToQuantity(quantity FHIR.Quantity):
case
when quantity is null then null
when quantity.value is null then null
when quantity.comparator is not null then
Message(null, true, 'FHIRHelpers.ToQuantity.ComparatorQuantityNotSupported', 'Error', 'FHIR Quantity value has a comparator and cannot be converted to a System.Quantity value.')
when quantity.system is null or quantity.system.value = 'http://unitsofmeasure.org'
or quantity.system.value = 'http://hl7.org/fhirpath/CodeSystem/calendar-units' then
System.Quantity { value: quantity.value.value, unit: ToCalendarUnit(Coalesce(quantity.code.value, quantity.unit.value, '1')) }
else
Message(null, true, 'FHIRHelpers.ToQuantity.InvalidFHIRQuantity', 'Error', 'Invalid FHIR Quantity code: ' & quantity.unit.value & ' (' & quantity.system.value & '|' & quantity.code.value & ')')
end"/>
</extension>
<extension url="displaySequence">
<valueInteger value="63"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="FHIRHelpers"/>
</extension>
<extension url="name">
<valueString value="ToCalendarUnit"/>
</extension>
<extension url="statement">
<valueString
value="define function ToCalendarUnit(unit System.String):
case unit
when 'ms' then 'millisecond'
when 's' then 'second'
when 'min' then 'minute'
when 'h' then 'hour'
when 'd' then 'day'
when 'wk' then 'week'
when 'mo' then 'month'
when 'a' then 'year'
else unit
end"/>
</extension>
<extension url="displaySequence">
<valueInteger value="64"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="FHIRHelpers"/>
</extension>
<extension url="name">
<valueString value="ToString"/>
</extension>
<extension url="statement">
<valueString
value="define function ToString(value MedicationRequestStatus): value.value"/>
</extension>
<extension url="displaySequence">
<valueInteger value="65"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="FHIRHelpers"/>
</extension>
<extension url="name">
<valueString value="ToString"/>
</extension>
<extension url="statement">
<valueString
value="define function ToString(value MedicationRequestIntent): value.value"/>
</extension>
<extension url="displaySequence">
<valueInteger value="66"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="WHOCommon"/>
</extension>
<extension url="name">
<valueString value="toInterval"/>
</extension>
<extension url="statement">
<valueString
value="/*
From FHIRCommon 4.1.0:
*/
/*
@description: Normalizes a value that is a choice of timing-valued types to an equivalent interval
@comment: Normalizes a choice type of FHIR.dateTime, FHIR.Period, FHIR.Timing, FHIR.instance, FHIR.string, FHIR.Age, or FHIR.Range types
to an equivalent interval. This selection of choice types is a superset of the majority of choice types that are used as possible
representations for timing-valued elements in FHIR, allowing this function to be used across any resource.
The input can be provided as a dateTime, Period, Timing, instant, string, Age, or Range.
The intent of this function is to provide a clear and concise mechanism to treat single
elements that have multiple possible representations as intervals so that logic doesn't have to account
for the variability. More complex calculations (such as medication request period or dispense period
calculation) need specific guidance and consideration. That guidance may make use of this function, but
the focus of this function is on single element calculations where the semantics are unambiguous.
If the input is a dateTime, the result a DateTime Interval beginning and ending on that dateTime.
If the input is a Period, the result is a DateTime Interval.
If the input is a Timing, an error is raised indicating a single interval cannot be computed from a Timing.
If the input is an instant, the result is a DateTime Interval beginning and ending on that instant.
If the input is a string, an error is raised indicating a single interval cannot be computed from a string.
If the input is an Age, the result is a DateTime Interval beginning when the patient was the given Age,
and ending immediately prior to when the patient was the given Age plus one year.
If the input is a Range, the result is a DateTime Interval beginning when the patient was the Age given
by the low end of the Range, and ending immediately prior to when the patient was the Age given by the
high end of the Range plus one year.
NOTE: Due to the
complexity of determining a single interval from a Timing or String type, this function will throw a run-time exception if it is used
with a Timing or String.
*/
define fluent function toInterval(choice Choice<FHIR.dateTime, FHIR.Period, FHIR.Timing, FHIR.instant, FHIR.string, FHIR.Age, FHIR.Range>):
case
when choice is FHIR.dateTime then
Interval[FHIRHelpers.ToDateTime(choice as FHIR.dateTime), FHIRHelpers.ToDateTime(choice as FHIR.dateTime)]
when choice is FHIR.Period then
FHIRHelpers.ToInterval(choice as FHIR.Period)
when choice is FHIR.instant then
Interval[FHIRHelpers.ToDateTime(choice as FHIR.instant), FHIRHelpers.ToDateTime(choice as FHIR.instant)]
when choice is FHIR.Age then
Interval[FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity(choice as FHIR.Age),
FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity(choice as FHIR.Age) + 1 year)
when choice is FHIR.Range then
Interval[FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity((choice as FHIR.Range).low),
FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity((choice as FHIR.Range).high) + 1 year)
when choice is FHIR.Timing then
Message(null as Interval<DateTime>, true, 'NOT_IMPLEMENTED', 'Error', 'Calculation of an interval from a Timing value is not supported')
when choice is FHIR.string then
Message(null as Interval<DateTime>, true, 'NOT_IMPLEMENTED', 'Error', 'Calculation of an interval from a String value is not supported')
else
null as Interval<DateTime>
end"/>
</extension>
<extension url="displaySequence">
<valueInteger value="67"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="FHIRHelpers"/>
</extension>
<extension url="name">
<valueString value="ToDateTime"/>
</extension>
<extension url="statement">
<valueString
value="define function ToDateTime(value instant): value.value"/>
</extension>
<extension url="displaySequence">
<valueInteger value="68"/>
</extension>
</extension>
<name value="EffectiveDataRequirements"/>
<status value="active"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/library-type"/>
<code value="module-definition"/>
</coding>
</type>
<relatedArtifact>
<type value="depends-on"/>
<display value="FHIR model information"/>
<resource
value="http://fhir.org/guides/cqf/common/Library/FHIR-ModelInfo|4.0.1"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Library Encounter"/>
<resource
value="http://smart.who.int/immunizations/Library/IMMZD5DTYellowfeverEncounterElements"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Library Encounter"/>
<resource
value="http://smart.who.int/immunizations/Library/IMMZEncounterElements"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Library Common"/>
<resource
value="http://smart.who.int/immunizations/Library/IMMZCommon"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Library WC"/>
<resource
value="http://smart.who.int/immunizations/Library/WHOCommon"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Library FHIRHelpers"/>
<resource
value="http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Library Elements"/>
<resource
value="http://smart.who.int/immunizations/Library/IMMZElements"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Library WC"/>
<resource
value="http://smart.who.int/immunizations/Library/WHOCommon"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Library Concepts"/>
<resource
value="http://smart.who.int/immunizations/Library/IMMZConcepts"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Library WE"/>
<resource
value="http://smart.who.int/immunizations/Library/WHOEncounterElements"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Library Elements"/>
<resource
value="http://smart.who.int/immunizations/Library/WHOElements"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Library Concepts"/>
<resource
value="http://smart.who.int/immunizations/Library/WHOConcepts"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Library Common"/>
<resource
value="http://smart.who.int/immunizations/Library/WHOCommon"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Library FHIRHelpers"/>
<resource
value="http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Library Concepts"/>
<resource
value="http://smart.who.int/immunizations/Library/IMMZConcepts"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Code system IMMZD"/>
<resource
value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Code system ConditionClinicalStatusCodes"/>
<resource
value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Code system LOINC"/>
<resource value="http://loinc.org"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Value set Yellow fever vaccines"/>
<resource
value="http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE23"/>
</relatedArtifact>
<parameter>
<name value="Today"/>
<use value="in"/>
<min value="0"/>
<max value="1"/>
<type value="date"/>
</parameter>
<parameter>
<name value="EncounterId"/>
<use value="in"/>
<min value="0"/>
<max value="1"/>
<type value="string"/>
</parameter>
<parameter>
<name value="AsOf"/>
<use value="in"/>
<min value="0"/>
<max value="1"/>
<type value="date"/>
</parameter>
<parameter>
<name value="Yellow fever vaccination is contraindicated"/>
<use value="out"/>
<min value="0"/>
<max value="1"/>
<type value="boolean"/>
</parameter>
<parameter>
<name value="Guidance"/>
<use value="out"/>
<min value="0"/>
<max value="1"/>
<type value="string"/>
</parameter>
<parameter>
<name value="Draft Medication Request ID for Yellow fever dose"/>
<use value="out"/>
<min value="0"/>
<max value="1"/>
<type value="id"/>
</parameter>
<parameter>
<name value="Has Guidance"/>
<use value="out"/>
<min value="0"/>
<max value="1"/>
<type value="boolean"/>
</parameter>
<dataRequirement>
<type value="Patient"/>
<profile value="http://hl7.org/fhir/StructureDefinition/Patient"/>
</dataRequirement>
<dataRequirement>
<type value="Observation"/>
<profile value="http://hl7.org/fhir/StructureDefinition/Observation"/>
<mustSupport value="code"/>
<codeFilter>
<path value="code"/>
<code>
<system
value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
<code value="DE161"/>
<display value="Potential contraindications"/>
</code>
</codeFilter>
</dataRequirement>
<dataRequirement>
<type value="Observation"/>
<profile value="http://hl7.org/fhir/StructureDefinition/Observation"/>
<mustSupport value="code"/>
<mustSupport value="value"/>
<codeFilter>
<path value="code"/>
<code>
<system
value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
<code value="DE161"/>
<display value="Potential contraindications"/>
</code>
</codeFilter>
</dataRequirement>
<dataRequirement>
<type value="Condition"/>
<profile value="http://hl7.org/fhir/StructureDefinition/Condition"/>
<mustSupport value="code"/>
<codeFilter>
<path value="code"/>
<code>
<system
value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
<code value="DE200"/>
<display value="Severely immunocompromised"/>
</code>
</codeFilter>
</dataRequirement>
<dataRequirement>
<type value="Patient"/>
<profile value="http://hl7.org/fhir/StructureDefinition/Patient"/>
</dataRequirement>
<dataRequirement>
<type value="Condition"/>
<profile value="http://hl7.org/fhir/StructureDefinition/Condition"/>
<mustSupport value="code"/>
<codeFilter>
<path value="code"/>
<code>
<system
value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
<code value="DE200"/>
<display value="Severely immunocompromised"/>
</code>
</codeFilter>
</dataRequirement>
<dataRequirement>
<type value="Observation"/>
<profile value="http://hl7.org/fhir/StructureDefinition/Observation"/>
<mustSupport value="code"/>
<mustSupport value="value"/>
<codeFilter>
<path value="code"/>
<code>
<system
value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
<code value="DE161"/>
<display value="Potential contraindications"/>
</code>
</codeFilter>
</dataRequirement>
<dataRequirement>
<type value="Observation"/>
<profile value="http://hl7.org/fhir/StructureDefinition/Observation"/>
<mustSupport value="code"/>
<mustSupport value="value"/>
<mustSupport value="encounter"/>
<mustSupport value="effective"/>
<codeFilter>
<path value="code"/>
<code>
<system
value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
<code value="DE161"/>
<display value="Potential contraindications"/>
</code>
</codeFilter>
</dataRequirement>
<dataRequirement>
<type value="Condition"/>
<profile value="http://hl7.org/fhir/StructureDefinition/Condition"/>
<mustSupport value="code"/>
<codeFilter>
<path value="code"/>
<code>
<system
value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
<code value="DE162"/>
<display value="Currently pregnant"/>
</code>
</codeFilter>
</dataRequirement>
<dataRequirement>
<type value="Condition"/>
<profile value="http://hl7.org/fhir/StructureDefinition/Condition"/>
<mustSupport value="code"/>
<codeFilter>
<path value="code"/>
<code>
<system
value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
<code value="DE162"/>
<display value="Currently pregnant"/>
</code>
</codeFilter>
</dataRequirement>
<dataRequirement>
<type value="Observation"/>
<profile value="http://hl7.org/fhir/StructureDefinition/Observation"/>
<mustSupport value="code"/>
<mustSupport value="status"/>
<codeFilter>
<path value="code"/>
<code>
<system value="http://loinc.org"/>
<code value="82810-3"/>
<display value="Pregnancy status"/>
</code>
</codeFilter>
</dataRequirement>
<dataRequirement>
<type value="Observation"/>
<profile value="http://hl7.org/fhir/StructureDefinition/Observation"/>
<mustSupport value="code"/>
<mustSupport value="status"/>
<mustSupport value="value"/>
<codeFilter>
<path value="code"/>
<code>
<system value="http://loinc.org"/>
<code value="82810-3"/>
<display value="Pregnancy status"/>
</code>
</codeFilter>
</dataRequirement>
<dataRequirement>
<type value="Observation"/>
<profile value="http://hl7.org/fhir/StructureDefinition/Observation"/>
<mustSupport value="code"/>
<mustSupport value="status"/>
<mustSupport value="value"/>
<mustSupport value="encounter"/>
<mustSupport value="effective"/>
<codeFilter>
<path value="code"/>
<code>
<system value="http://loinc.org"/>
<code value="82810-3"/>
<display value="Pregnancy status"/>
</code>
</codeFilter>
</dataRequirement>
<dataRequirement>
<type value="Observation"/>
<profile value="http://hl7.org/fhir/StructureDefinition/Observation"/>
<mustSupport value="code"/>
<mustSupport value="value"/>
<codeFilter>
<path value="code"/>
<code>
<system
value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
<code value="DE161"/>
<display value="Potential contraindications"/>
</code>
</codeFilter>
</dataRequirement>
<dataRequirement>
<type value="Condition"/>
<profile value="http://hl7.org/fhir/StructureDefinition/Condition"/>
<mustSupport value="code"/>
<codeFilter>
<path value="code"/>
<code>
<system
value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
<code value="DE191"/>
<display value="Breastfeeding"/>
</code>
</codeFilter>
</dataRequirement>
<dataRequirement>
<type value="Condition"/>
<profile value="http://hl7.org/fhir/StructureDefinition/Condition"/>
<mustSupport value="code"/>
<codeFilter>
<path value="code"/>
<code>
<system
value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
<code value="DE191"/>
<display value="Breastfeeding"/>
</code>
</codeFilter>
</dataRequirement>
<dataRequirement>
<type value="Observation"/>
<profile value="http://hl7.org/fhir/StructureDefinition/Observation"/>
<mustSupport value="code"/>
<mustSupport value="value"/>
<codeFilter>
<path value="code"/>
<code>
<system
value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
<code value="DE161"/>
<display value="Potential contraindications"/>
</code>
</codeFilter>
</dataRequirement>
<dataRequirement>
<type value="Condition"/>
<profile value="http://hl7.org/fhir/StructureDefinition/Condition"/>
<mustSupport value="code"/>
<codeFilter>
<path value="code"/>
<code>
<system
value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
<code value="DE167"/>
<display value="Severe allergic reactions"/>
</code>
</codeFilter>
</dataRequirement>
<dataRequirement>
<type value="Condition"/>
<profile value="http://hl7.org/fhir/StructureDefinition/Condition"/>
<mustSupport value="code"/>
<codeFilter>
<path value="code"/>
<code>
<system
value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
<code value="DE167"/>
<display value="Severe allergic reactions"/>
</code>
</codeFilter>
</dataRequirement>
<dataRequirement>
<type value="MedicationRequest"/>
<profile
value="http://hl7.org/fhir/StructureDefinition/MedicationRequest"/>
<mustSupport value="status"/>
<mustSupport value="intent"/>
</dataRequirement>
<dataRequirement>
<type value="MedicationRequest"/>
<profile
value="http://hl7.org/fhir/StructureDefinition/MedicationRequest"/>
<mustSupport value="status"/>
<mustSupport value="intent"/>
<mustSupport value="encounter"/>
<mustSupport value="authoredOn"/>
</dataRequirement>
<dataRequirement>
<type value="MedicationRequest"/>
<profile
value="http://hl7.org/fhir/StructureDefinition/MedicationRequest"/>
<mustSupport value="status"/>
<mustSupport value="intent"/>
<mustSupport value="encounter"/>
<mustSupport value="authoredOn"/>
<mustSupport value="medication"/>
</dataRequirement>
<dataRequirement>
<type value="Observation"/>
<profile value="http://hl7.org/fhir/StructureDefinition/Observation"/>
<mustSupport value="code"/>
<mustSupport value="value"/>
<codeFilter>
<path value="code"/>
<code>
<system
value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
<code value="DE161"/>
<display value="Potential contraindications"/>
</code>
</codeFilter>
</dataRequirement>
<dataRequirement>
<type value="Condition"/>
<profile value="http://hl7.org/fhir/StructureDefinition/Condition"/>
<mustSupport value="code"/>
<codeFilter>
<path value="code"/>
<code>
<system
value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
<code value="DE200"/>
<display value="Severely immunocompromised"/>
</code>
</codeFilter>
</dataRequirement>
<dataRequirement>
<type value="Observation"/>
<profile value="http://hl7.org/fhir/StructureDefinition/Observation"/>
<mustSupport value="code"/>
<mustSupport value="value"/>
<codeFilter>
<path value="code"/>
<code>
<system
value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
<code value="DE161"/>
<display value="Potential contraindications"/>
</code>
</codeFilter>
</dataRequirement>
<dataRequirement>
<type value="Condition"/>
<profile value="http://hl7.org/fhir/StructureDefinition/Condition"/>
<mustSupport value="code"/>
<codeFilter>
<path value="code"/>
<code>
<system
value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
<code value="DE191"/>
<display value="Breastfeeding"/>
</code>
</codeFilter>
</dataRequirement>
<dataRequirement>
<type value="Observation"/>
<profile value="http://hl7.org/fhir/StructureDefinition/Observation"/>
<mustSupport value="code"/>
<mustSupport value="value"/>
<codeFilter>
<path value="code"/>
<code>
<system
value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
<code value="DE161"/>
<display value="Potential contraindications"/>
</code>
</codeFilter>
</dataRequirement>
<dataRequirement>
<type value="Condition"/>
<profile value="http://hl7.org/fhir/StructureDefinition/Condition"/>
<mustSupport value="code"/>
<codeFilter>
<path value="code"/>
<code>
<system
value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
<code value="DE167"/>
<display value="Severe allergic reactions"/>
</code>
</codeFilter>
</dataRequirement>
<dataRequirement>
<type value="MedicationRequest"/>
<profile
value="http://hl7.org/fhir/StructureDefinition/MedicationRequest"/>
<mustSupport value="status"/>
<mustSupport value="intent"/>
<mustSupport value="encounter"/>
<mustSupport value="authoredOn"/>
<mustSupport value="medication"/>
</dataRequirement>
</Library>
</contained>
<extension
url="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeCapability">
<valueCode value="computable"/>
</extension>
<extension
url="http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-effectiveDataRequirements">
<valueCanonical value="#effective-data-requirements"/>
</extension>
<url
value="http://smart.who.int/immunizations/PlanDefinition/IMMZD5DTYellowFeverContraindications"/>
<version value="0.2.0"/>
<name value="IMMZD5DTYellowFeverContraindications"/>
<title value="IMMZ.D5.DT.Yellow fever contraindications"/>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/plan-definition-type"/>
<code value="eca-rule"/>
</coding>
</type>
<status value="draft"/>
<experimental value="false"/>
<date value="2026-03-03T13:07:11+00:00"/>
<publisher value="WHO"/>
<contact>
<name value="WHO"/>
<telecom>
<system value="url"/>
<value value="http://who.int"/>
</telecom>
</contact>
<description
value="IMMZ.D5.DT.Yellow fever contraindications
IMMZ.D5.DT.Yellow fever contraindications"/>
<relatedArtifact>
<type value="citation"/>
<citation
value="WHO recommendations for routine immunization - summary tables (January 2025)"/>
</relatedArtifact>
<library
value="http://smart.who.int/immunizations/Library/IMMZD5DTYellowFeverContraindicationsLogic"/>
<action>
<title
value="Check for contraindications before administering the vaccine(s) due"/>
<description value="Contraindication for Yellow fever immunization"/>
<condition>
<kind value="applicability"/>
<expression>
<description value="Yellow fever vaccination is contraindicated"/>
<language value="text/cql-identifier"/>
<expression value="Yellow fever vaccination is contraindicated"/>
</expression>
</condition>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/action-type"/>
<code value="update"/>
</coding>
</type>
<definitionCanonical
value="http://smart.who.int/immunizations/ActivityDefinition/IMMZD5DTMR"/>
<dynamicValue>
<path value="id"/>
<expression>
<description
value="Draft Medication Request ID for Yellow fever dose"/>
<language value="text/cql-identifier"/>
<expression
value="Draft Medication Request ID for Yellow fever dose"/>
</expression>
</dynamicValue>
<dynamicValue>
<path value="medication"/>
<expression>
<language value="text/cql-expression"/>
<expression
value="Concept { codes: { Code { system: 'http://smart.who.int/immunizations/CodeSystem/IMMZ.Z', code: 'DE23', display: 'Yellow fever vaccines' } }, display: 'Yellow fever vaccines' }"/>
</expression>
</dynamicValue>
</action>
<action>
<title
value="Check for Guidance for the patient regarding IMMZ.D5.DT.Yellow fever contraindications."/>
<description
value="Show Guidance for the patient regarding IMMZ.D5.DT.Yellow fever contraindications."/>
<condition>
<kind value="applicability"/>
<expression>
<description value="Has Guidance"/>
<language value="text/cql-identifier"/>
<expression value="Has Guidance"/>
</expression>
</condition>
<definitionCanonical
value="http://smart.who.int/immunizations/ActivityDefinition/IMMZD2DTCR"/>
<dynamicValue>
<path value="status"/>
<expression>
<language value="text/cql-expression"/>
<expression value="'active'"/>
</expression>
</dynamicValue>
<dynamicValue>
<path value="payload.contentString"/>
<expression>
<language value="text/cql-identifier"/>
<expression value="Guidance"/>
</expression>
</dynamicValue>
<dynamicValue>
<path value="category.coding"/>
<expression>
<description value="Category of communication"/>
<language value="text/cql-expression"/>
<expression
value="Code { system: 'http://terminology.hl7.org/CodeSystem/communication-category', code: 'alert' }"/>
</expression>
</dynamicValue>
<dynamicValue>
<path value="priority"/>
<expression>
<description value="Alert priority"/>
<language value="text/cql-expression"/>
<expression
value="Code { system: 'http://hl7.org/fhir/request-priority', code: 'routine' }"/>
</expression>
</dynamicValue>
</action>
</PlanDefinition>