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

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: IMMZD5DTHepatitisAContraindicationsLogic - XML Representation

Draft as of 2026-03-31

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<Library xmlns="http://hl7.org/fhir">
  <id value="IMMZD5DTHepatitisAContraindicationsLogic"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareablelibrary"/>
    <profile
             value="http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-publishablelibrary"/>
    <profile
             value="http://hl7.org/fhir/uv/cql/StructureDefinition/cql-library"/>
    <profile
             value="http://hl7.org/fhir/uv/cql/StructureDefinition/cql-module"/>
  </meta>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
<div>
    <table class="grid dict">
        
        
        <tr>
            <th scope="row"><b>Title: </b></th>
            <td style="padding-left: 4px;">IMMZD5DTHepatitisAContraindicationsLogic</td>
        </tr>
        

        
        
        <tr>
            <th scope="row"><b>Id: </b></th>
            <td style="padding-left: 4px;">IMMZD5DTHepatitisAContraindicationsLogic</td>
        </tr>
        

        
        
        <tr>
            <th scope="row"><b>Version: </b></th>
            <td style="padding-left: 4px;">1.0.0</td>
        </tr>
        

        
        <tr>
            <th scope="row"><b>Url: </b></th>
            <td style="padding-left: 4px;"><a href="Library-IMMZD5DTHepatitisAContraindicationsLogic.html">IMMZD5DTHepatitisAContraindicationsLogic</a></td>
        </tr>
        

        

        

        
        <tr>
            <th scope="row"><b>Status: </b></th>
            <td style="padding-left: 4px;">draft</td>
        </tr>
        

        

        
        <tr>
            <th scope="row"><b>Type: </b></th>
            <td style="padding-left: 4px;">
                
                    
                        
                        <p style="margin-bottom: 5px;">
                            <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>
                        </p>
                        
                        
                        <p style="margin-bottom: 5px;">
                            <b>code: </b> <span>logic-library</span>
                        </p>
                        
                        
                    
                
                
            </td>
        </tr>
        

        

        
        <tr>
            <th scope="row"><b>Date: </b></th>
            <td style="padding-left: 4px;">2026-03-31 13:54:17+0000</td>
        </tr>
        

        
        <tr>
            <th scope="row"><b>Publisher: </b></th>
            <td style="padding-left: 4px;">WHO</td>
        </tr>
        

        
        <tr>
            <th scope="row"><b>Description: </b></th>
            <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>
</div></td>
        </tr>
        

        

        

        

        

        

        

        

        

        

        

        
        <tr>
            <th scope="row"><b>Related Artifacts: </b></th>
            <td style="padding-left: 4px;">
                
                
                
                <p><b>Dependencies</b></p>
                <ul>
                  
                    <li><a href="Library-IMMZD5DTHepatitisAEncounterElements.html">IMMZD5DTHepatitisAEncounterElements</a></li>
                  
                </ul>
                
                
                
                
                
            </td>
        </tr>
        

        
        <tr>
          <th scope="row"><b>Parameters: </b></th>
          <td style="padding-left: 4px;">
            <table class="grid-dict">
              <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>
              
                <tr><th>Today</th><th>date</th><th>0</th><th>1</th><th>In</th></tr>
              
                <tr><th>Patient</th><th>Patient</th><th>0</th><th>1</th><th>Out</th></tr>
              
                <tr><th>Draft Medication Request ID for Hepatitis A dose</th><th>id</th><th>0</th><th>1</th><th>Out</th></tr>
              
                <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>
              
                <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>
              
                <tr><th>Live attentuated Hepatitis A-containing vaccine is contraindicated</th><th>boolean</th><th>0</th><th>1</th><th>Out</th></tr>
              
                <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>
              
                <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>
              
                <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>
              
                <tr><th>Guidance</th><th>string</th><th>0</th><th>1</th><th>Out</th></tr>
              
                <tr><th>Has Guidance</th><th>boolean</th><th>0</th><th>1</th><th>Out</th></tr>
              
                <tr><th>Test Validation</th><th>Resource</th><th>0</th><th>1</th><th>Out</th></tr>
              
            </table>
          </td>
        </tr>
        

        

        
        
        <tr>
          <td colspan="2">
            <table>
              <tr><th><a id="cql-content"><b>Content: </b></a> text/cql</th></tr>
              <tr><td><pre><code class="language-cql">/*
 * Library: IMMZD5DTHepatitisAContraindicationsLogic (IMMZ.D5.DT.Hepatitis A contraindications)
 * Rule: Check for contraindications before administering the vaccine(s) due
 * Decision Table: IMMZ.D5.DT.Hepatitis A contraindications
 * Trigger: IMMZ.D5 Determine vaccine(s) to be administered based on contraindications
 */
library IMMZD5DTHepatitisAContraindicationsLogic

using FHIR version '4.0.1'
include FHIRHelpers version '4.0.1'

include IMMZD5DTHepatitisAEncounterElements called Encounter

parameter Today Date default Today()

context Patient

/*
  @dynamicValue: Draft Medication Request ID for Hepatitis A dose
  */
  define &quot;Draft Medication Request ID for Hepatitis A dose&quot;:
    First(Encounter.&quot;Draft Medication Request for Hepatitis A dose&quot;).id


/*
@dynamicValue: Guidance
*/
define &quot;Guidance&quot;:
  case 
    when &quot;Live attentuated Hepatitis A-containing vaccine is contraindicated&quot; then &quot;Live attentuated Hepatitis A-containing vaccine is contraindicated Guidance&quot;
    when &quot;Hepatitis A vaccination could be contraindicated. Clinical judgement is required. Create a clinical note&quot; then &quot;Hepatitis A vaccination could be contraindicated. Clinical judgement is required. Create a clinical note Guidance&quot; 
    else ''
  end
  
define &quot;Has Guidance&quot;:
  &quot;Guidance&quot; is not null and &quot;Guidance&quot; != ''

/*
@output: Live attentuated Hepatitis A-containing vaccine is contraindicated Case 1
@pseudocode: &quot;Immunization recommendation status&quot; = &quot;Contraindicated&quot; (where &quot;Type of hepatitis A dose&quot; = &quot;Live attenuated hepatitis A vaccine&quot;)
*/
define &quot;Live attentuated Hepatitis A-containing vaccine is contraindicated Case 1&quot;:
  Encounter.&quot;The client is currently pregnant&quot;

/*
@output: Live attentuated Hepatitis A-containing vaccine is contraindicated Case 2
@pseudocode: &quot;Immunization recommendation status&quot; = &quot;Contraindicated&quot; (where &quot;Type of hepatitis A dose&quot; = &quot;Live attenuated hepatitis A vaccine&quot;)
*/
define &quot;Live attentuated Hepatitis A-containing vaccine is contraindicated Case 2&quot;:
  Encounter.&quot;The client is severely immunocompromised&quot;

/*
@output: Live attentuated Hepatitis A-containing vaccine is contraindicated
@pseudocode: &quot;Immunization recommendation status&quot; = &quot;Contraindicated&quot; (where &quot;Type of hepatitis A dose&quot; = &quot;Live attenuated hepatitis A vaccine&quot;)
*/
define &quot;Live attentuated Hepatitis A-containing vaccine is contraindicated&quot;:
  &quot;Live attentuated Hepatitis A-containing vaccine is contraindicated Case 1&quot;
    or &quot;Live attentuated Hepatitis A-containing vaccine is contraindicated Case 2&quot;

/*
@output: Live attentuated Hepatitis A-containing vaccine is contraindicated Guidance
@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.
@guidance = Do not vaccinate client with hepatitis A as hepatitis A vaccination is contraindicated for severely immunocompromised clients.
*/
define &quot;Live attentuated Hepatitis A-containing vaccine is contraindicated Guidance&quot;:
  case
    when &quot;Live attentuated Hepatitis A-containing vaccine is contraindicated Case 1&quot; 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.'
    when &quot;Live attentuated Hepatitis A-containing vaccine is contraindicated Case 2&quot; then 'Do not vaccinate client with hepatitis A as hepatitis A vaccination is contraindicated for severely immunocompromised clients.'
    else ''
  end

/*
@output: Hepatitis A vaccination could be contraindicated. Clinical judgement is required. Create a clinical note
@pseudocode: &quot;Immunization recommendation status&quot; = &quot;Further evaluation needed&quot;
*/
define &quot;Hepatitis A vaccination could be contraindicated. Clinical judgement is required. Create a clinical note&quot;:
  Encounter.&quot;The client has a history of severe allergic reactions&quot;

/*
@output: Hepatitis A vaccination could be contraindicated. Clinical judgement is required. Create a clinical note Guidance
@guidance: Do not vaccinate client with inactivated hepatitis A vaccination if client has had a severe allergic reaction to the previous dose.
Do 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.
*/
define &quot;Hepatitis A vaccination could be contraindicated. Clinical judgement is required. Create a clinical note Guidance&quot;:
  'Do not vaccinate client with inactivated hepatitis A vaccination if client has had a severe allergic reaction to the previous dose.
Do 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.'


/*
@test: Test expected results based on example patients
*/
define &quot;Test Validation&quot;:
  case
    when Patient.id = 'HepatitisA39.1' then &quot;Live attentuated Hepatitis A-containing vaccine is contraindicated Case 1&quot; and &quot;Guidance&quot; = '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.'
    when Patient.id = 'HepatitisA40.1' then &quot;Live attentuated Hepatitis A-containing vaccine is contraindicated Case 2&quot; and &quot;Guidance&quot; = 'Do not vaccinate client with hepatitis A as hepatitis A vaccination is contraindicated for severely immunocompromised clients.'
    when Patient.id = 'HepatitisA41.1' then &quot;Hepatitis A vaccination could be contraindicated. Clinical judgement is required. Create a clinical note&quot; and &quot;Guidance&quot; = 'Do not vaccinate client with inactivated hepatitis A vaccination if client has had a severe allergic reaction to the previous dose.
Do 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.'
    else 'No test case set'
  end
</code></pre></td></tr>
            </table>
          </td>
        </tr>
        
        
        
    </table>
</div>
</div>
  </text>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability">
    <valueCode value="computable"/>
  </extension>
  <url
       value="http://smart.who.int/immunizations/Library/IMMZD5DTHepatitisAContraindicationsLogic"/>
  <version value="1.0.0"/>
  <name value="IMMZD5DTHepatitisAContraindicationsLogic"/>
  <title value="IMMZD5DTHepatitisAContraindicationsLogic"/>
  <status value="draft"/>
  <experimental value="false"/>
  <type>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/library-type"/>
      <code value="logic-library"/>
    </coding>
  </type>
  <date value="2026-03-31T13:54:17+00:00"/>
  <publisher value="WHO"/>
  <contact>
    <name value="WHO"/>
    <telecom>
      <system value="url"/>
      <value value="http://who.int"/>
    </telecom>
  </contact>
  <description
               value="This library defines decision support logic for the IMMZ.D5.DT.Hepatitis A contraindications decision table in the Immunization CPG"/>
  <relatedArtifact>
    <type value="depends-on"/>
    <display value="Library Encounter"/>
    <resource
              value="http://smart.who.int/immunizations/Library/IMMZD5DTHepatitisAEncounterElements"/>
  </relatedArtifact>
  <parameter>
    <name value="Today"/>
    <use value="in"/>
    <min value="0"/>
    <max value="1"/>
    <type value="date"/>
  </parameter>
  <parameter>
    <name value="Patient"/>
    <use value="out"/>
    <min value="0"/>
    <max value="1"/>
    <type value="Patient"/>
  </parameter>
  <parameter>
    <name value="Draft Medication Request ID for Hepatitis A dose"/>
    <use value="out"/>
    <min value="0"/>
    <max value="1"/>
    <type value="id"/>
  </parameter>
  <parameter>
    <name
          value="Live attentuated Hepatitis A-containing vaccine is contraindicated Case 1"/>
    <use value="out"/>
    <min value="0"/>
    <max value="1"/>
    <type value="boolean"/>
  </parameter>
  <parameter>
    <name
          value="Live attentuated Hepatitis A-containing vaccine is contraindicated Case 2"/>
    <use value="out"/>
    <min value="0"/>
    <max value="1"/>
    <type value="boolean"/>
  </parameter>
  <parameter>
    <name
          value="Live attentuated Hepatitis A-containing vaccine is contraindicated"/>
    <use value="out"/>
    <min value="0"/>
    <max value="1"/>
    <type value="boolean"/>
  </parameter>
  <parameter>
    <name
          value="Live attentuated Hepatitis A-containing vaccine is contraindicated Guidance"/>
    <use value="out"/>
    <min value="0"/>
    <max value="1"/>
    <type value="string"/>
  </parameter>
  <parameter>
    <name
          value="Hepatitis A vaccination could be contraindicated. Clinical judgement is required. Create a clinical note"/>
    <use value="out"/>
    <min value="0"/>
    <max value="1"/>
    <type value="boolean"/>
  </parameter>
  <parameter>
    <name
          value="Hepatitis A vaccination could be contraindicated. Clinical judgement is required. Create a clinical note Guidance"/>
    <use value="out"/>
    <min value="0"/>
    <max value="1"/>
    <type value="string"/>
  </parameter>
  <parameter>
    <name value="Guidance"/>
    <use value="out"/>
    <min value="0"/>
    <max value="1"/>
    <type value="string"/>
  </parameter>
  <parameter>
    <name value="Has Guidance"/>
    <use value="out"/>
    <min value="0"/>
    <max value="1"/>
    <type value="boolean"/>
  </parameter>
  <parameter>
    <name value="Test Validation"/>
    <use value="out"/>
    <min value="0"/>
    <max value="1"/>
    <type value="Resource"/>
  </parameter>
  <content>
    <contentType value="text/cql"/>
    <data
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  </content>
</Library>