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" : "IMMZD5DTHepatitisAContraindicationsLogic",
"meta" : {
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"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;\">IMMZD5DTHepatitisAContraindicationsLogic</td>\n </tr>\n \n\n \n \n <tr>\n <th scope=\"row\"><b>Id: </b></th>\n <td style=\"padding-left: 4px;\">IMMZD5DTHepatitisAContraindicationsLogic</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-IMMZD5DTHepatitisAContraindicationsLogic.html\">IMMZD5DTHepatitisAContraindicationsLogic</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.Hepatitis A 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-IMMZD5DTHepatitisAEncounterElements.html\">IMMZD5DTHepatitisAEncounterElements</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 Hepatitis A dose</th><th>id</th><th>0</th><th>1</th><th>Out</th></tr>\n \n <tr><th>Live attentuated Hepatitis A-containing vaccine is contraindicated Case 1</th><th>boolean</th><th>0</th><th>1</th><th>Out</th></tr>\n \n <tr><th>Live attentuated Hepatitis A-containing vaccine is contraindicated Case 2</th><th>boolean</th><th>0</th><th>1</th><th>Out</th></tr>\n \n <tr><th>Live attentuated Hepatitis A-containing vaccine is contraindicated</th><th>boolean</th><th>0</th><th>1</th><th>Out</th></tr>\n \n <tr><th>Live attentuated Hepatitis A-containing vaccine is contraindicated Guidance</th><th>string</th><th>0</th><th>1</th><th>Out</th></tr>\n \n <tr><th>Hepatitis A 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>Hepatitis A 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: IMMZD5DTHepatitisAContraindicationsLogic (IMMZ.D5.DT.Hepatitis A contraindications)\n * Rule: Check for contraindications before administering the vaccine(s) due\n * Decision Table: IMMZ.D5.DT.Hepatitis A contraindications\n * Trigger: IMMZ.D5 Determine vaccine(s) to be administered based on contraindications\n */\nlibrary IMMZD5DTHepatitisAContraindicationsLogic\n\nusing FHIR version '4.0.1'\ninclude FHIRHelpers version '4.0.1'\n\ninclude IMMZD5DTHepatitisAEncounterElements called Encounter\n\nparameter Today Date default Today()\n\ncontext Patient\n\n/*\n @dynamicValue: Draft Medication Request ID for Hepatitis A dose\n */\n define "Draft Medication Request ID for Hepatitis A dose":\n First(Encounter."Draft Medication Request for Hepatitis A dose").id\n\n\n/*\n@dynamicValue: Guidance\n*/\ndefine "Guidance":\n case \n when "Live attentuated Hepatitis A-containing vaccine is contraindicated" then "Live attentuated Hepatitis A-containing vaccine is contraindicated Guidance"\n when "Hepatitis A vaccination could be contraindicated. Clinical judgement is required. Create a clinical note" then "Hepatitis A 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: Live attentuated Hepatitis A-containing vaccine is contraindicated Case 1\n@pseudocode: "Immunization recommendation status" = "Contraindicated" (where "Type of hepatitis A dose" = "Live attenuated hepatitis A vaccine")\n*/\ndefine "Live attentuated Hepatitis A-containing vaccine is contraindicated Case 1":\n Encounter."The client is currently pregnant"\n\n/*\n@output: Live attentuated Hepatitis A-containing vaccine is contraindicated Case 2\n@pseudocode: "Immunization recommendation status" = "Contraindicated" (where "Type of hepatitis A dose" = "Live attenuated hepatitis A vaccine")\n*/\ndefine "Live attentuated Hepatitis A-containing vaccine is contraindicated Case 2":\n Encounter."The client is severely immunocompromised"\n\n/*\n@output: Live attentuated Hepatitis A-containing vaccine is contraindicated\n@pseudocode: "Immunization recommendation status" = "Contraindicated" (where "Type of hepatitis A dose" = "Live attenuated hepatitis A vaccine")\n*/\ndefine "Live attentuated Hepatitis A-containing vaccine is contraindicated":\n "Live attentuated Hepatitis A-containing vaccine is contraindicated Case 1"\n or "Live attentuated Hepatitis A-containing vaccine is contraindicated Case 2"\n\n/*\n@output: Live attentuated Hepatitis A-containing vaccine is contraindicated Guidance\n@guidance = Do not vaccinate client with hepatitis A as hepatitis A vaccination is contraindicated for pregnant client and may pose a theoretical risk to the developing fetus.\n@guidance = Do not vaccinate client with hepatitis A as hepatitis A vaccination is contraindicated for severely immunocompromised clients.\n*/\ndefine "Live attentuated Hepatitis A-containing vaccine is contraindicated Guidance":\n case\n when "Live attentuated Hepatitis A-containing vaccine is contraindicated Case 1" then 'Do not vaccinate client with hepatitis A as hepatitis A vaccination is contraindicated for pregnant client and may pose a theoretical risk to the developing fetus.'\n when "Live attentuated Hepatitis A-containing vaccine is contraindicated Case 2" then 'Do not vaccinate client with hepatitis A as hepatitis A vaccination is contraindicated for severely immunocompromised clients.'\n else ''\n end\n\n/*\n@output: Hepatitis A vaccination could be contraindicated. Clinical judgement is required. Create a clinical note\n@pseudocode: "Immunization recommendation status" = "Further evaluation needed"\n*/\ndefine "Hepatitis A vaccination could be contraindicated. Clinical judgement is required. Create a clinical note":\n Encounter."The client has a history of severe allergic reactions"\n\n/*\n@output: Hepatitis A vaccination could be contraindicated. Clinical judgement is required. Create a clinical note Guidance\n@guidance: Do not vaccinate client with inactivated hepatitis A vaccination if client has had a severe allergic reaction to the previous dose.\nDo not vaccinate client with live attenuated hepatitis A vaccination if client has severe allergy to components included in the live attenuated hepatitis A-containing vaccines.\n*/\ndefine "Hepatitis A vaccination could be contraindicated. Clinical judgement is required. Create a clinical note Guidance":\n 'Do not vaccinate client with inactivated hepatitis A vaccination if client has had a severe allergic reaction to the previous dose.\nDo not vaccinate client with live attenuated hepatitis A vaccination if client has severe allergy to components included in the live attenuated hepatitis A-containing vaccines.'\n\n\n/*\n@test: Test expected results based on example patients\n*/\ndefine "Test Validation":\n case\n when Patient.id = 'HepatitisA39.1' then "Live attentuated Hepatitis A-containing vaccine is contraindicated Case 1" and "Guidance" = 'Do not vaccinate client with hepatitis A as hepatitis A vaccination is contraindicated for pregnant client and may pose a theoretical risk to the developing fetus.'\n when Patient.id = 'HepatitisA40.1' then "Live attentuated Hepatitis A-containing vaccine is contraindicated Case 2" and "Guidance" = 'Do not vaccinate client with hepatitis A as hepatitis A vaccination is contraindicated for severely immunocompromised clients.'\n when Patient.id = 'HepatitisA41.1' then "Hepatitis A vaccination could be contraindicated. Clinical judgement is required. Create a clinical note" and "Guidance" = 'Do not vaccinate client with inactivated hepatitis A vaccination if client has had a severe allergic reaction to the previous dose.\nDo not vaccinate client with live attenuated hepatitis A vaccination if client has severe allergy to components included in the live attenuated hepatitis A-containing vaccines.'\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/IMMZD5DTHepatitisAContraindicationsLogic",
"version" : "1.0.0",
"name" : "IMMZD5DTHepatitisAContraindicationsLogic",
"title" : "IMMZD5DTHepatitisAContraindicationsLogic",
"status" : "draft",
"experimental" : false,
"type" : {
"coding" : [
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"system" : "http://terminology.hl7.org/CodeSystem/library-type",
"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.Hepatitis A contraindications decision table in the Immunization CPG",
"relatedArtifact" : [
{
"type" : "depends-on",
"display" : "Library Encounter",
"resource" : "http://smart.who.int/immunizations/Library/IMMZD5DTHepatitisAEncounterElements"
}
],
"parameter" : [
{
"name" : "Today",
"use" : "in",
"min" : 0,
"max" : "1",
"type" : "date"
},
{
"name" : "Patient",
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"type" : "Patient"
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{
"name" : "Draft Medication Request ID for Hepatitis A dose",
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"min" : 0,
"max" : "1",
"type" : "id"
},
{
"name" : "Live attentuated Hepatitis A-containing vaccine is contraindicated Case 1",
"use" : "out",
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"max" : "1",
"type" : "boolean"
},
{
"name" : "Live attentuated Hepatitis A-containing vaccine is contraindicated Case 2",
"use" : "out",
"min" : 0,
"max" : "1",
"type" : "boolean"
},
{
"name" : "Live attentuated Hepatitis A-containing vaccine is contraindicated",
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"min" : 0,
"max" : "1",
"type" : "boolean"
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{
"name" : "Live attentuated Hepatitis A-containing vaccine is contraindicated Guidance",
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"min" : 0,
"max" : "1",
"type" : "string"
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{
"name" : "Hepatitis A vaccination could be contraindicated. Clinical judgement is required. Create a clinical note",
"use" : "out",
"min" : 0,
"max" : "1",
"type" : "boolean"
},
{
"name" : "Hepatitis A vaccination could be contraindicated. Clinical judgement is required. Create a clinical note Guidance",
"use" : "out",
"min" : 0,
"max" : "1",
"type" : "string"
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{
"name" : "Guidance",
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"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"
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"data" : 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}
]
}