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 |
@prefix fhir: <http://hl7.org/fhir/> . @prefix owl: <http://www.w3.org/2002/07/owl#> . @prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> . @prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> . @prefix xsd: <http://www.w3.org/2001/XMLSchema#> . # - resource ------------------------------------------------------------------- a fhir:Library ; fhir:nodeRole fhir:treeRoot ; fhir:id [ fhir:v "IMMZD5DTDTPContraindicationsLogic"] ; # fhir:meta [ ( fhir:profile [ fhir:v "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareablelibrary"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareablelibrary> ] [ fhir:v "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-publishablelibrary"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-publishablelibrary> ] [ fhir:v "http://hl7.org/fhir/uv/cql/StructureDefinition/cql-library"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/uv/cql/StructureDefinition/cql-library> ] [ fhir:v "http://hl7.org/fhir/uv/cql/StructureDefinition/cql-module"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/uv/cql/StructureDefinition/cql-module> ] ) ] ; # fhir:text [ fhir:status [ fhir:v "extensions" ] ; fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n<div>\n <table class=\"grid dict\">\n \n \n <tr>\n <th scope=\"row\"><b>Title: </b></th>\n <td style=\"padding-left: 4px;\">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>"^^rdf:XMLLiteral ] ] ; # fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability> ] ; fhir:value [ a fhir:Code ; fhir:v "computable" ] ] ) ; # fhir:url [ fhir:v "http://smart.who.int/immunizations/Library/IMMZD5DTDTPContraindicationsLogic"^^xsd:anyURI ; fhir:l <http://smart.who.int/immunizations/Library/IMMZD5DTDTPContraindicationsLogic> ] ; # fhir:version [ fhir:v "1.0.0"] ; # fhir:name [ fhir:v "IMMZD5DTDTPContraindicationsLogic"] ; # fhir:title [ fhir:v "IMMZD5DTDTPContraindicationsLogic"] ; # fhir:status [ fhir:v "draft"] ; # fhir:experimental [ fhir:v false] ; # fhir:type [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/library-type"^^xsd:anyURI ; fhir:l <http://terminology.hl7.org/CodeSystem/library-type> ] ; fhir:code [ fhir:v "logic-library" ] ] ) ] ; # fhir:date [ fhir:v "2026-03-31T13:54:17+00:00"^^xsd:dateTime] ; # fhir:publisher [ fhir:v "WHO"] ; # fhir:contact ( [ fhir:name [ fhir:v "WHO" ] ; ( fhir:telecom [ fhir:system [ fhir:v "url" ] ; fhir:value [ fhir:v "http://who.int" ] ] ) ] ) ; # fhir:description [ fhir:v "This library defines decision support logic for the IMMZ.D5.DT.DTP contraindications decision table in the Immunization CPG"] ; # fhir:relatedArtifact ( [ fhir:type [ fhir:v "depends-on" ] ; fhir:display [ fhir:v "Library Encounter" ] ; fhir:resource [ fhir:v "http://smart.who.int/immunizations/Library/IMMZD5DTDTPEncounterElements"^^xsd:anyURI ; fhir:l <http://smart.who.int/immunizations/Library/IMMZD5DTDTPEncounterElements> ] ] ) ; # fhir:parameter ( [ fhir:name [ fhir:v "Today" ] ; fhir:use [ fhir:v "in" ] ; fhir:min [ fhir:v 0 ] ; fhir:max [ fhir:v "1" ] ; fhir:type [ fhir:v "date" ] ] [ fhir:name [ fhir:v "Patient" ] ; fhir:use [ fhir:v "out" ] ; fhir:min [ fhir:v 0 ] ; fhir:max [ fhir:v "1" ] ; fhir:type [ fhir:v "Patient" ] ] [ fhir:name [ fhir:v "Draft Medication Request ID for Tetanus dose" ] ; fhir:use [ fhir:v "out" ] ; fhir:min [ fhir:v 0 ] ; fhir:max [ fhir:v "1" ] ; fhir:type [ fhir:v "id" ] ] [ fhir:name [ fhir:v "Tetanus and pertussis vaccination could be contraindicated. Clinical judgement is required. Create a clinical note" ] ; fhir:use [ fhir:v "out" ] ; fhir:min [ fhir:v 0 ] ; fhir:max [ fhir:v "1" ] ; fhir:type [ fhir:v "boolean" ] ] [ fhir:name [ fhir:v "Tetanus and pertussis vaccination could be contraindicated. Clinical judgement is required. Create a clinical note Guidance" ] ; fhir:use [ fhir:v "out" ] ; fhir:min [ fhir:v 0 ] ; fhir:max [ fhir:v "1" ] ; fhir:type [ fhir:v "string" ] ] [ fhir:name [ fhir:v "Tetanus vaccination is contraindicated" ] ; fhir:use [ fhir:v "out" ] ; fhir:min [ fhir:v 0 ] ; fhir:max [ fhir:v "1" ] ; fhir:type [ fhir:v "boolean" ] ] [ fhir:name [ fhir:v "Tetanus vaccination is contraindicated Guidance" ] ; fhir:use [ fhir:v "out" ] ; fhir:min [ fhir:v 0 ] ; fhir:max [ fhir:v "1" ] ; fhir:type [ fhir:v "string" ] ] [ fhir:name [ fhir:v "Guidance" ] ; fhir:use [ fhir:v "out" ] ; fhir:min [ fhir:v 0 ] ; fhir:max [ fhir:v "1" ] ; fhir:type [ fhir:v "string" ] ] [ fhir:name [ fhir:v "Has Guidance" ] ; fhir:use [ fhir:v "out" ] ; fhir:min [ fhir:v 0 ] ; fhir:max [ fhir:v "1" ] ; fhir:type [ fhir:v "boolean" ] ] [ fhir:name [ fhir:v "Test Validation" ] ; fhir:use [ fhir:v "out" ] ; fhir:min [ fhir:v 0 ] ; fhir:max [ fhir:v "1" ] ; fhir:type [ fhir:v "Resource" ] ] ) ; # fhir:content ( [ fhir:contentType [ fhir:v "text/cql" ] ; fhir:data [ fhir:v 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] ] ) . #
IG © 2023+ WHO. Package smart.who.int.immunizations#1.0.0 based on FHIR 4.0.1. Generated 2026-03-31
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