WHO Immunization Implementation Guide
1.0.0 - release
WHO Immunization Implementation Guide
1.0.0 - release
WHO Immunization Implementation Guide, published by WHO. This guide is not an authorized publication; it is the continuous build for version 1.0.0 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/132/merge and changes regularly. See the Directory of published versions
| Draft as of 2026-03-31 |
{
"resourceType" : "Library",
"id" : "IMMZD5DTDTPContraindicationsLogic",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareablelibrary"🔗 ,
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"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n<div>\n <table class=\"grid dict\">\n \n \n <tr>\n <th scope=\"row\"><b>Title: </b></th>\n <td style=\"padding-left: 4px;\">IMMZD5DTDTPContraindicationsLogic</td>\n </tr>\n \n\n \n \n <tr>\n <th scope=\"row\"><b>Id: </b></th>\n <td style=\"padding-left: 4px;\">IMMZD5DTDTPContraindicationsLogic</td>\n </tr>\n \n\n \n \n <tr>\n <th scope=\"row\"><b>Version: </b></th>\n <td style=\"padding-left: 4px;\">1.0.0</td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Url: </b></th>\n <td style=\"padding-left: 4px;\"><a href=\"Library-IMMZD5DTDTPContraindicationsLogic.html\">IMMZD5DTDTPContraindicationsLogic</a></td>\n </tr>\n \n\n \n\n \n\n \n <tr>\n <th scope=\"row\"><b>Status: </b></th>\n <td style=\"padding-left: 4px;\">draft</td>\n </tr>\n \n\n \n\n \n <tr>\n <th scope=\"row\"><b>Type: </b></th>\n <td style=\"padding-left: 4px;\">\n \n \n \n <p style=\"margin-bottom: 5px;\">\n <b>system: </b> <span><a href=\"http://terminology.hl7.org/7.1.0/CodeSystem-library-type.html\">http://terminology.hl7.org/CodeSystem/library-type</a></span>\n </p>\n \n \n <p style=\"margin-bottom: 5px;\">\n <b>code: </b> <span>logic-library</span>\n </p>\n \n \n \n \n \n </td>\n </tr>\n \n\n \n\n \n <tr>\n <th scope=\"row\"><b>Date: </b></th>\n <td style=\"padding-left: 4px;\">2026-03-31 13:54:17+0000</td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Publisher: </b></th>\n <td style=\"padding-left: 4px;\">WHO</td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Description: </b></th>\n <td style=\"padding-left: 4px;\"><div><p>This library defines decision support logic for the IMMZ.D5.DT.DTP contraindications decision table in the Immunization CPG</p>\n</div></td>\n </tr>\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n <tr>\n <th scope=\"row\"><b>Related Artifacts: </b></th>\n <td style=\"padding-left: 4px;\">\n \n \n \n <p><b>Dependencies</b></p>\n <ul>\n \n <li><a href=\"Library-IMMZD5DTDTPEncounterElements.html\">IMMZD5DTDTPEncounterElements</a></li>\n \n </ul>\n \n \n \n \n \n </td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Parameters: </b></th>\n <td style=\"padding-left: 4px;\">\n <table class=\"grid-dict\">\n <tr><th><b>Name</b></th><th><b>Type</b></th><th><b>Min</b></th><th><b>Max</b></th><th><b>In/Out</b></th></tr>\n \n <tr><th>Today</th><th>date</th><th>0</th><th>1</th><th>In</th></tr>\n \n <tr><th>Patient</th><th>Patient</th><th>0</th><th>1</th><th>Out</th></tr>\n \n <tr><th>Draft Medication Request ID for Tetanus dose</th><th>id</th><th>0</th><th>1</th><th>Out</th></tr>\n \n <tr><th>Tetanus and pertussis vaccination could be contraindicated. Clinical judgement is required. Create a clinical note</th><th>boolean</th><th>0</th><th>1</th><th>Out</th></tr>\n \n <tr><th>Tetanus and pertussis vaccination could be contraindicated. Clinical judgement is required. Create a clinical note Guidance</th><th>string</th><th>0</th><th>1</th><th>Out</th></tr>\n \n <tr><th>Tetanus vaccination is contraindicated</th><th>boolean</th><th>0</th><th>1</th><th>Out</th></tr>\n \n <tr><th>Tetanus vaccination is contraindicated Guidance</th><th>string</th><th>0</th><th>1</th><th>Out</th></tr>\n \n <tr><th>Guidance</th><th>string</th><th>0</th><th>1</th><th>Out</th></tr>\n \n <tr><th>Has Guidance</th><th>boolean</th><th>0</th><th>1</th><th>Out</th></tr>\n \n <tr><th>Test Validation</th><th>Resource</th><th>0</th><th>1</th><th>Out</th></tr>\n \n </table>\n </td>\n </tr>\n \n\n \n\n \n \n <tr>\n <td colspan=\"2\">\n <table>\n <tr><th><a id=\"cql-content\"><b>Content: </b></a> text/cql</th></tr>\n <tr><td><pre><code class=\"language-cql\">/*\n * Library: IMMZD5DTDTPContraindicationsLogic (IMMZ.D5.DT.DTP contraindications)\n * Rule: Check for contraindications before administering the vaccine(s) due\n * Decision Table: IMMZ.D5.DT.DTP contraindications\n * Trigger: IMMZ.D5 Determine vaccine(s) to be administered based on contraindications\n */\nlibrary IMMZD5DTDTPContraindicationsLogic\n\nusing FHIR version '4.0.1'\ninclude FHIRHelpers version '4.0.1'\n\ninclude IMMZD5DTDTPEncounterElements called Encounter\n\nparameter Today Date default Today()\n\ncontext Patient\n\n/*\n @dynamicValue: Draft Medication Request ID for DTP dose\n */\n define "Draft Medication Request ID for Tetanus dose":\n First(Encounter."Draft Medication Request for Tetanus dose").id\n\n\n/*\n@dynamicValue: Guidance\n*/\ndefine "Guidance":\n case \n 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"\n when "Tetanus vaccination is contraindicated" then "Tetanus vaccination is contraindicated Guidance" \n else ''\n end\n \ndefine "Has Guidance":\n "Guidance" is not null and "Guidance" != ''\n\n/*\n@output: Tetanus and pertussis vaccination could be contraindicated. Clinical judgement is required. Create a clinical note\n@pseudocode: "Immunization recommendation status" = "Further evaluation needed" (where "Vaccine type" = "Pertussis-containing vaccines")\nAND \n"Immunization recommendation status" = "Further evaluation needed" (where "Vaccine type" = "Tetanus-containing vaccines")\n*/\ndefine "Tetanus and pertussis vaccination could be contraindicated. Clinical judgement is required. Create a clinical note":\n Encounter."The client has a history of anaphylactic reactions"\n\n/*\n@output: Tetanus and pertussis vaccination could be contraindicated. Clinical judgement is required. Create a clinical note Guidance\n@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.\n*/\ndefine "Tetanus and pertussis vaccination could be contraindicated. Clinical judgement is required. Create a clinical note Guidance":\n '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.'\n\n/*\n@output: Tetanus vaccination is contraindicated\n@pseudocode: "Immunization recommendation status" = "Contraindicated" (where "Vaccine type" = "Tetanus -containing vaccines")\n*/\ndefine "Tetanus vaccination is contraindicated":\n Encounter."The client currently has a severe acute illness"\n\n/*\n@output: Tetanus vaccination is contraindicated Guidance\n@guidance: Do not vaccinate client with tetanus as tetanus vaccination is contraindicated for clients with severe acute illness\n*/\ndefine "Tetanus vaccination is contraindicated Guidance":\n 'Do not vaccinate client with tetanus as tetanus vaccination is contraindicated for clients with severe acute illness'\n\n\n/*\n@test: Test expected results based on example patients\n*/\ndefine "Test Validation":\n case\n 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.'\n 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'\n else 'No test case set'\n end\n</code></pre></td></tr>\n </table>\n </td>\n </tr>\n \n \n \n </table>\n</div>\n</div>"
},
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],
"url" : "http://smart.who.int/immunizations/Library/IMMZD5DTDTPContraindicationsLogic",
"version" : "1.0.0",
"name" : "IMMZD5DTDTPContraindicationsLogic",
"title" : "IMMZD5DTDTPContraindicationsLogic",
"status" : "draft",
"experimental" : false,
"type" : {
"coding" : [
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"code" : "logic-library"
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]
},
"date" : "2026-03-31T13:54:17+00:00",
"publisher" : "WHO",
"contact" : [
{
"name" : "WHO",
"telecom" : [
{
"system" : "url",
"value" : "http://who.int"
}
]
}
],
"description" : "This library defines decision support logic for the IMMZ.D5.DT.DTP contraindications decision table in the Immunization CPG",
"relatedArtifact" : [
{
"type" : "depends-on",
"display" : "Library Encounter",
"resource" : "http://smart.who.int/immunizations/Library/IMMZD5DTDTPEncounterElements"
}
],
"parameter" : [
{
"name" : "Today",
"use" : "in",
"min" : 0,
"max" : "1",
"type" : "date"
},
{
"name" : "Patient",
"use" : "out",
"min" : 0,
"max" : "1",
"type" : "Patient"
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{
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"min" : 0,
"max" : "1",
"type" : "id"
},
{
"name" : "Tetanus and pertussis vaccination could be contraindicated. Clinical judgement is required. Create a clinical note",
"use" : "out",
"min" : 0,
"max" : "1",
"type" : "boolean"
},
{
"name" : "Tetanus and pertussis vaccination could be contraindicated. Clinical judgement is required. Create a clinical note Guidance",
"use" : "out",
"min" : 0,
"max" : "1",
"type" : "string"
},
{
"name" : "Tetanus vaccination is contraindicated",
"use" : "out",
"min" : 0,
"max" : "1",
"type" : "boolean"
},
{
"name" : "Tetanus vaccination is contraindicated Guidance",
"use" : "out",
"min" : 0,
"max" : "1",
"type" : "string"
},
{
"name" : "Guidance",
"use" : "out",
"min" : 0,
"max" : "1",
"type" : "string"
},
{
"name" : "Has Guidance",
"use" : "out",
"min" : 0,
"max" : "1",
"type" : "boolean"
},
{
"name" : "Test Validation",
"use" : "out",
"min" : 0,
"max" : "1",
"type" : "Resource"
}
],
"content" : [
{
"contentType" : "text/cql",
"data" : 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lICdObyB0ZXN0IGNhc2Ugc2V0JwogIGVuZAo="
}
]
}