{ "resourceType" : "Library", "id" : "IMMZD5DTHPVContraindicationsLogic", "meta" : { "profile" : ["http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareablelibrary", "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-publishablelibrary", "http://hl7.org/fhir/uv/cql/StructureDefinition/cql-library", "http://hl7.org/fhir/uv/cql/StructureDefinition/cql-module"] }, "text" : { "status" : "extensions", "div" : "
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Title: IMMZD5DTHPVContraindicationsLogic
Id: IMMZD5DTHPVContraindicationsLogic
Version: 1.0.0
Url: IMMZD5DTHPVContraindicationsLogic
Status: draft
Type: \n \n \n \n

\n system: http://terminology.hl7.org/CodeSystem/library-type\n

\n \n \n

\n code: logic-library\n

\n \n \n \n \n \n
Date: 2026-03-31 13:54:17+0000
Publisher: WHO
Description:

This library defines decision support logic for the IMMZ.D5.DT.HPV contraindications decision table in the Immunization CPG

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Related Artifacts: \n \n \n \n

Dependencies

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Parameters: \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n
NameTypeMinMaxIn/Out
Todaydate01In
PatientPatient01Out
Draft Medication Request ID for HPV doseid01Out
Human papillomavirus (HPV) vaccination is contraindicatedboolean01Out
Human papillomavirus (HPV) vaccination is contraindicated Guidancestring01Out
HPV vaccination could be contraindicated. Clinical judgement is required. Create a clinical noteboolean01Out
HPV vaccination could be contraindicated. Clinical judgement is required. Create a clinical note Guidancestring01Out
Guidancestring01Out
Has Guidanceboolean01Out
Test ValidationResource01Out
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Content: text/cql
/*\n * Library: IMMZD5DTHPVContraindicationsLogic (IMMZ.D5.DT.HPV contraindications)\n * Rule: Check for contraindications before administering the vaccine(s) due\n * Decision Table: IMMZ.D5.DT.HPV contraindications\n * Trigger: IMMZ.D5 Determine vaccine(s) to be administered based on contraindications\n */\nlibrary IMMZD5DTHPVContraindicationsLogic\n\nusing FHIR version '4.0.1'\ninclude FHIRHelpers version '4.0.1'\n\ninclude IMMZD5DTHPVEncounterElements called Encounter\n\nparameter Today Date default Today()\n\ncontext Patient\n\n/*\n  @dynamicValue: Draft Medication Request ID for HPV dose\n  */\n  define "Draft Medication Request ID for HPV dose":\n    First(Encounter."Draft Medication Request for HPV dose").id\n\n\n/*\n@dynamicValue: Guidance\n*/\ndefine "Guidance":\n  case \n    when "Human papillomavirus (HPV) vaccination is contraindicated" then "Human papillomavirus (HPV) vaccination is contraindicated Guidance"\n    when "HPV vaccination could be contraindicated. Clinical judgement is required. Create a clinical note" then "HPV vaccination could be contraindicated. Clinical judgement is required. Create a clinical note Guidance" \n    else ''\n  end\n  \ndefine "Has Guidance":\n  "Guidance" is not null and "Guidance" != ''\n\n/*\n@output: Human papillomavirus (HPV) vaccination is contraindicated\n@pseudocode: "Immunization recommendation status" = "Contraindicated"\n*/\ndefine "Human papillomavirus (HPV) vaccination is contraindicated":\n  Encounter."The client is currently pregnant"\n\n/*\n@output: Human papillomavirus (HPV) vaccination is contraindicated Guidance\n@guidance: Do not vaccinate client with HPV as HPV vaccination is contraindicated for pregnant client.\n*/\ndefine "Human papillomavirus (HPV) vaccination is contraindicated Guidance":\n  'Do not vaccinate client with HPV as HPV vaccination is contraindicated for pregnant client.'\n\n/*\n@output: HPV vaccination could be contraindicated. Clinical judgement is required. Create a clinical note\n@pseudocode: "Immunization recommendation status" = "Further evaluation needed"\n*/\ndefine "HPV vaccination could be contraindicated. Clinical judgement is required. Create a clinical note":\n  Encounter."The client has history of severe allergic reactions"\n\n/*\n@output: HPV vaccination could be contraindicated. Clinical judgement is required. Create a clinical note Guidance\n@guidance: Do not vaccinate client with HPV if client has history of a severe allergic reaction after a previous HPV vaccine dose, or to a component of the vaccine.\n*/\ndefine "HPV vaccination could be contraindicated. Clinical judgement is required. Create a clinical note Guidance":\n  'Do not vaccinate client with HPV if client has history of a severe allergic reaction after a previous HPV vaccine dose, or to a component of the vaccine.'\n\n\n/*\n@test: Test expected results based on example patients\n*/\ndefine "Test Validation":\n  case\n    when Patient.id = 'HPV45.1' then "Human papillomavirus (HPV) vaccination is contraindicated" and "Guidance" = 'Do not vaccinate client with HPV as HPV vaccination is contraindicated for pregnant client.'\n    when Patient.id = 'HPV46.1' then "HPV vaccination could be contraindicated. Clinical judgement is required. Create a clinical note" and "Guidance" = 'Do not vaccinate client with HPV if client has history of a severe allergic reaction after a previous HPV vaccine dose, or to a component of the vaccine.'\n    else 'No test case set'\n  end\n
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" }, "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability", "valueCode" : "computable" }], "url" : "http://smart.who.int/immunizations/Library/IMMZD5DTHPVContraindicationsLogic", "version" : "1.0.0", "name" : "IMMZD5DTHPVContraindicationsLogic", "title" : "IMMZD5DTHPVContraindicationsLogic", "status" : "draft", "experimental" : false, "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/library-type", "code" : "logic-library" }] }, "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.HPV contraindications decision table in the Immunization CPG", "relatedArtifact" : [{ "type" : "depends-on", "display" : "Library Encounter", "resource" : "http://smart.who.int/immunizations/Library/IMMZD5DTHPVEncounterElements" }], "parameter" : [{ "name" : "Today", "use" : "in", "min" : 0, "max" : "1", "type" : "date" }, { "name" : "Patient", "use" : "out", "min" : 0, "max" : "1", "type" : "Patient" }, { "name" : "Draft Medication Request ID for HPV dose", "use" : "out", "min" : 0, "max" : "1", "type" : "id" }, { "name" : "Human papillomavirus (HPV) vaccination is contraindicated", "use" : "out", "min" : 0, "max" : "1", "type" : "boolean" }, { "name" : "Human papillomavirus (HPV) vaccination is contraindicated Guidance", "use" : "out", "min" : 0, "max" : "1", "type" : "string" }, { "name" : "HPV vaccination could be contraindicated. Clinical judgement is required. Create a clinical note", "use" : "out", "min" : 0, "max" : "1", "type" : "boolean" }, { "name" : "HPV vaccination could be contraindicated. Clinical judgement is required. Create a clinical note 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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" }] }