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

: IMMZD5DTHPVContraindicationsLogic - TTL Representation

Draft as of 2026-03-31

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@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 "IMMZD5DTHPVContraindicationsLogic"] ; # 
  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;\">IMMZD5DTHPVContraindicationsLogic</td>\n        </tr>\n        \n\n        \n        \n        <tr>\n            <th scope=\"row\"><b>Id: </b></th>\n            <td style=\"padding-left: 4px;\">IMMZD5DTHPVContraindicationsLogic</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-IMMZD5DTHPVContraindicationsLogic.html\">IMMZD5DTHPVContraindicationsLogic</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.HPV 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-IMMZD5DTHPVEncounterElements.html\">IMMZD5DTHPVEncounterElements</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 HPV dose</th><th>id</th><th>0</th><th>1</th><th>Out</th></tr>\n              \n                <tr><th>Human papillomavirus (HPV) vaccination is contraindicated</th><th>boolean</th><th>0</th><th>1</th><th>Out</th></tr>\n              \n                <tr><th>Human papillomavirus (HPV) vaccination is contraindicated Guidance</th><th>string</th><th>0</th><th>1</th><th>Out</th></tr>\n              \n                <tr><th>HPV 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>HPV 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>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: 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</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/IMMZD5DTHPVContraindicationsLogic"^^xsd:anyURI ;
fhir:l <http://smart.who.int/immunizations/Library/IMMZD5DTHPVContraindicationsLogic>
  ] ; # 
  fhir:version [ fhir:v "1.0.0"] ; # 
  fhir:name [ fhir:v "IMMZD5DTHPVContraindicationsLogic"] ; # 
  fhir:title [ fhir:v "IMMZD5DTHPVContraindicationsLogic"] ; # 
  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.HPV 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/IMMZD5DTHPVEncounterElements"^^xsd:anyURI ;
fhir:l <http://smart.who.int/immunizations/Library/IMMZD5DTHPVEncounterElements>     ]
  ] ) ; # 
  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 HPV 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 "Human papillomavirus (HPV) 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 "Human papillomavirus (HPV) 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 "HPV 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 "HPV 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 "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" ] ;
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