<status value="draft" /> <experimental value="false" /> <type> <coding> <system value="http://terminology.hl7.org/CodeSystem/library-type" /> <code value="logic-library" /> </coding> </type> <date value="2026-03-29T17:23:09+00:00" /> <publisher value="WHO" /> <contact> <name value="WHO" /> <telecom> <system value="url" /> <value value="http://who.int" /> </telecom> </contact> <description value="This library defines decision support logic for the IMMZ.D5.DT.DTP contraindications decision table in the Immunization CPG" /> <relatedArtifact> <type value="depends-on" /> <display value="Library Encounter" /> <resource value="http://smart.who.int/immunizations/Library/IMMZD5DTDTPEncounterElements" /> </relatedArtifact> <parameter> <name value="Today" /> <use value="in" /> <min value="0" /> <max value="1" /> <type value="date" /> </parameter> <parameter> <name value="Patient" /> <use value="out" /> <min value="0" /> <max value="1" /> <type value="Patient" /> </parameter> <parameter> <name value="Draft Medication Request ID for Tetanus dose" /> <use value="out" /> <min value="0" /> <max value="1" /> <type value="id" /> </parameter> <parameter> <name value="Tetanus and pertussis vaccination could be contraindicated. Clinical judgement is required. Create a clinical note" /> <use value="out" /> <min value="0" /> <max value="1" /> <type value="boolean" /> </parameter> <parameter> <name value="Tetanus and pertussis vaccination could be contraindicated. Clinical judgement is required. Create a clinical note Guidance" /> <use value="out" /> <min value="0" /> <max value="1" /> <type value="string" /> </parameter> <parameter> <name value="Tetanus vaccination is contraindicated" /> <use value="out" /> <min value="0" /> <max value="1" /> <type value="boolean" /> </parameter> <parameter> <name value="Tetanus vaccination is contraindicated Guidance" /> <use value="out" /> <min value="0" /> <max value="1" /> <type value="string" /> </parameter> <parameter> <name value="Guidance" /> <use value="out" /> <min value="0" /> <max value="1" /> <type value="string" /> </parameter> <parameter> <name value="Has Guidance" /> <use value="out" /> <min value="0" /> <max value="1" /> <type value="boolean" /> </parameter> <parameter> <name value="Test Validation" /> <use value="out" /> <min value="0" /> <max value="1" /> <type value="Resource" /> </parameter> <content> <contentType value="text/cql" /> <url value="Library-IMMZD5DTDTPContraindicationsLogic.cql" /></content> <content> <contentType value="application/elm+xml" /> <url value="Library-IMMZD5DTDTPContraindicationsLogic.elm.xml" /></content> </Library>

Title: IMMZD5DTDTPContraindicationsLogic Id: IMMZD5DTDTPContraindicationsLogic Version: 0.2.0 Url: IMMZD5DTDTPContraindicationsLogic Status: draft Type: system: http://terminology.hl7.org/CodeSystem/library-type code: logic-library Date: 2026-03-29 17:23:09+0000 Publisher: WHO Description: This library defines decision support logic for the IMMZ.D5.DT.DTP contraindications decision table in the Immunization CPG Related Artifacts: Dependencies IMMZD5DTDTPEncounterElements Parameters: NameTypeMinMaxIn/Out Todaydate01In PatientPatient01Out Draft Medication Request ID for Tetanus doseid01Out Tetanus and pertussis vaccination could be contraindicated. Clinical judgement is required. Create a clinical noteboolean01Out Tetanus and pertussis vaccination could be contraindicated. Clinical judgement is required. Create a clinical note Guidancestring01Out Tetanus vaccination is contraindicatedboolean01Out Tetanus vaccination is contraindicated Guidancestring01Out Guidancestring01Out Has Guidanceboolean01Out Test ValidationResource01Out Content: text/cql /* * Library: IMMZD5DTDTPContraindicationsLogic (IMMZ.D5.DT.DTP contraindications) * Rule: Check for contraindications before administering the vaccine(s) due * Decision Table: IMMZ.D5.DT.DTP contraindications * Trigger: IMMZ.D5 Determine vaccine(s) to be administered based on contraindications */ library IMMZD5DTDTPContraindicationsLogic using FHIR version '4.0.1' include FHIRHelpers version '4.0.1' include IMMZD5DTDTPEncounterElements called Encounter parameter Today Date default Today() context Patient /* @dynamicValue: Draft Medication Request ID for DTP dose */ define "Draft Medication Request ID for Tetanus dose": First(Encounter."Draft Medication Request for Tetanus dose").id /* @dynamicValue: Guidance */ define "Guidance": case when "Tetanus and pertussis vaccination could be contraindicated. Clinical judgement is required. Create a clinical note" then "Tetanus and pertussis vaccination could be contraindicated. Clinical judgement is required. Create a clinical note Guidance" when "Tetanus vaccination is contraindicated" then "Tetanus vaccination is contraindicated Guidance" else '' end define "Has Guidance": "Guidance" is not null and "Guidance" != '' /* @output: Tetanus and pertussis vaccination could be contraindicated. Clinical judgement is required. Create a clinical note @pseudocode: "Immunization recommendation status" = "Further evaluation needed" (where "Vaccine type" = "Pertussis-containing vaccines") AND "Immunization recommendation status" = "Further evaluation needed" (where "Vaccine type" = "Tetanus-containing vaccines") */ define "Tetanus and pertussis vaccination could be contraindicated. Clinical judgement is required. Create a clinical note": Encounter."The client has a history of anaphylactic reactions" /* @output: Tetanus and pertussis vaccination could be contraindicated. Clinical judgement is required. Create a clinical note Guidance @guidance: Do not vaccinate client with pertussis and/or tetanus if the client has had a severe anaphylactic reaction to a vaccine component or reaction following a prior dose. */ define "Tetanus and pertussis vaccination could be contraindicated. Clinical judgement is required. Create a clinical note Guidance": 'Do not vaccinate client with pertussis and/or tetanus if the client has had a severe anaphylactic reaction to a vaccine component or reaction following a prior dose.' /* @output: Tetanus vaccination is contraindicated @pseudocode: "Immunization recommendation status" = "Contraindicated" (where "Vaccine type" = "Tetanus -containing vaccines") */ define "Tetanus vaccination is contraindicated": Encounter."The client currently has a severe acute illness" /* @output: Tetanus vaccination is contraindicated Guidance @guidance: Do not vaccinate client with tetanus as tetanus vaccination is contraindicated for clients with severe acute illness */ define "Tetanus vaccination is contraindicated Guidance": 'Do not vaccinate client with tetanus as tetanus vaccination is contraindicated for clients with severe acute illness' /* @test: Test expected results based on example patients */ define "Test Validation": case when Patient.id = 'DTP88.1' then "Tetanus and pertussis vaccination could be contraindicated. Clinical judgement is required. Create a clinical note" and "Guidance" = 'Do not vaccinate client with pertussis and/or tetanus if the client has had a severe anaphylactic reaction to a vaccine component or reaction following a prior dose.' when Patient.id = 'DTP89.1' then "Tetanus vaccination is contraindicated" and "Guidance" = 'Do not vaccinate client with tetanus as tetanus vaccination is contraindicated for clients with severe acute illness' else 'No test case set' end Content: application/elm+xml Encoded data (34132 characters) <status value="draft" /> <experimental value="false" /> <type> <coding> <system value="http://terminology.hl7.org/CodeSystem/library-type" /> <code value="logic-library" /> </coding> </type> <date value="2026-03-29T17:23:09+00:00" /> <publisher value="WHO" /> <contact> <name value="WHO" /> <telecom> <system value="url" /> <value value="http://who.int" /> </telecom> </contact> <description value="This library defines decision support logic for the IMMZ.D5.DT.DTP contraindications decision table in the Immunization CPG" /> <relatedArtifact> <type value="depends-on" /> <display value="Library Encounter" /> <resource value="http://smart.who.int/immunizations/Library/IMMZD5DTDTPEncounterElements" /> </relatedArtifact> <parameter> <name value="Today" /> <use value="in" /> <min value="0" /> <max value="1" /> <type value="date" /> </parameter> <parameter> <name value="Patient" /> <use value="out" /> <min value="0" /> <max value="1" /> <type value="Patient" /> </parameter> <parameter> <name value="Draft Medication Request ID for Tetanus dose" /> <use value="out" /> <min value="0" /> <max value="1" /> <type value="id" /> </parameter> <parameter> <name value="Tetanus and pertussis vaccination could be contraindicated. Clinical judgement is required. Create a clinical note" /> <use value="out" /> <min value="0" /> <max value="1" /> <type value="boolean" /> </parameter> <parameter> <name value="Tetanus and pertussis vaccination could be contraindicated. Clinical judgement is required. Create a clinical note Guidance" /> <use value="out" /> <min value="0" /> <max value="1" /> <type value="string" /> </parameter> <parameter> <name value="Tetanus vaccination is contraindicated" /> <use value="out" /> <min value="0" /> <max value="1" /> <type value="boolean" /> </parameter> <parameter> <name value="Tetanus vaccination is contraindicated Guidance" /> <use value="out" /> <min value="0" /> <max value="1" /> <type value="string" /> </parameter> <parameter> <name value="Guidance" /> <use value="out" /> <min value="0" /> <max value="1" /> <type value="string" /> </parameter> <parameter> <name value="Has Guidance" /> <use value="out" /> <min value="0" /> <max value="1" /> <type value="boolean" /> </parameter> <parameter> <name value="Test Validation" /> <use value="out" /> <min value="0" /> <max value="1" /> <type value="Resource" /> </parameter> <content> <contentType value="text/cql" /> <url value="Library-IMMZD5DTDTPContraindicationsLogic.cql" /></content> <content> <contentType value="application/elm+xml" /> <url value="Library-IMMZD5DTDTPContraindicationsLogic.elm.xml" /></content> </Library>