<?xml version="1.0" encoding="UTF-8"?>

<Library xmlns="http://hl7.org/fhir">
  <id value="IMMZD5DTJEContraindicationsLogic"/>
  <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;">IMMZD5DTJEContraindicationsLogic</td>
        </tr>
        

        
        
        <tr>
            <th scope="row"><b>Id: </b></th>
            <td style="padding-left: 4px;">IMMZD5DTJEContraindicationsLogic</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-IMMZD5DTJEContraindicationsLogic.html">IMMZD5DTJEContraindicationsLogic</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.JE 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-IMMZD5DTJEEncounterElements.html">IMMZD5DTJEEncounterElements</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 JE dose</th><th>id</th><th>0</th><th>1</th><th>Out</th></tr>
              
                <tr><th>Clinical judgement is required. Create a clinical note Case 1</th><th>boolean</th><th>0</th><th>1</th><th>Out</th></tr>
              
                <tr><th>Clinical judgement is required. Create a clinical note Case 2</th><th>boolean</th><th>0</th><th>1</th><th>Out</th></tr>
              
                <tr><th>Clinical judgement is required. Create a clinical note</th><th>boolean</th><th>0</th><th>1</th><th>Out</th></tr>
              
                <tr><th>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: IMMZD5DTJEContraindicationsLogic (IMMZ.D5.DT.JE contraindications)
 * Rule: Check for contraindications before administering the vaccine(s) due
 * Decision Table: IMMZ.D5.DT.JE contraindications
 * Trigger: IMMZ.D5 Determine vaccine(s) to be administered based on contraindications
 */
library IMMZD5DTJEContraindicationsLogic

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

include IMMZD5DTJEEncounterElements called Encounter

parameter Today Date default Today()

context Patient

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


/*
@dynamicValue: Guidance
*/
define &quot;Guidance&quot;:
  case 
    when &quot;Clinical judgement is required. Create a clinical note&quot; then &quot;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: Clinical judgement is required. Create a clinical note Case 1
@pseudocode: &quot;Immunization recommendation status&quot; = &quot;Further evaluation needed&quot;
*/
define &quot;Clinical judgement is required. Create a clinical note Case 1&quot;:
  Encounter.&quot;The client is immunocomprised&quot;

/*
@output: Clinical judgement is required. Create a clinical note Case 2
@pseudocode: &quot;Immunization recommendation status&quot; = &quot;Further evaluation needed&quot;
*/
define &quot;Clinical judgement is required. Create a clinical note Case 2&quot;:
  Encounter.&quot;The client is currently pregnant&quot;

/*
@output: Clinical judgement is required. Create a clinical note
@pseudocode: &quot;Immunization recommendation status&quot; = &quot;Further evaluation needed&quot;
*/
define &quot;Clinical judgement is required. Create a clinical note&quot;:
  &quot;Clinical judgement is required. Create a clinical note Case 1&quot;
    or &quot;Clinical judgement is required. Create a clinical note Case 2&quot;

/*
@output: Clinical judgement is required. Create a clinical note Guidance
@guidance = The client is immunocompromised, consider risks of vaccination and make a judgement. Inactivated Vero cell-derived vaccines are preferred in immunocompromised clients.
@guidance = The client is currently pregnant, consider risks of vaccination and make a judgement. Inactivated Vero cell-derived vaccines are preferred over live attenuated or live recombinant vaccines.
*/
define &quot;Clinical judgement is required. Create a clinical note Guidance&quot;:
  case
    when &quot;Clinical judgement is required. Create a clinical note Case 1&quot; then 'The client is immunocompromised, consider risks of vaccination and make a judgement. Inactivated Vero cell-derived vaccines are preferred in immunocompromised clients.'
    when &quot;Clinical judgement is required. Create a clinical note Case 2&quot; then 'The client is currently pregnant, consider risks of vaccination and make a judgement. Inactivated Vero cell-derived vaccines are preferred over live attenuated or live recombinant vaccines.'
    else ''
  end


/*
@test: Test expected results based on example patients
*/
define &quot;Test Validation&quot;:
  case
    when Patient.id = 'JE40.1' then &quot;Clinical judgement is required. Create a clinical note Case 1&quot; and &quot;Guidance&quot; = 'The client is immunocompromised, consider risks of vaccination and make a judgement. Inactivated Vero cell-derived vaccines are preferred in immunocompromised clients.'
    when Patient.id = 'JE41.1' then &quot;Clinical judgement is required. Create a clinical note Case 2&quot; and &quot;Guidance&quot; = 'The client is currently pregnant, consider risks of vaccination and make a judgement. Inactivated Vero cell-derived vaccines are preferred over live attenuated or live recombinant 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/IMMZD5DTJEContraindicationsLogic"/>
  <version value="1.0.0"/>
  <name value="IMMZD5DTJEContraindicationsLogic"/>
  <title value="IMMZD5DTJEContraindicationsLogic"/>
  <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.JE contraindications decision table in the Immunization CPG"/>
  <relatedArtifact>
    <type value="depends-on"/>
    <display value="Library Encounter"/>
    <resource value="http://smart.who.int/immunizations/Library/IMMZD5DTJEEncounterElements"/>
  </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 JE dose"/>
    <use value="out"/>
    <min value="0"/>
    <max value="1"/>
    <type value="id"/>
  </parameter>
  <parameter>
    <name value="Clinical judgement is required. Create a clinical note Case 1"/>
    <use value="out"/>
    <min value="0"/>
    <max value="1"/>
    <type value="boolean"/>
  </parameter>
  <parameter>
    <name value="Clinical judgement is required. Create a clinical note Case 2"/>
    <use value="out"/>
    <min value="0"/>
    <max value="1"/>
    <type value="boolean"/>
  </parameter>
  <parameter>
    <name value="Clinical judgement is required. Create a clinical note"/>
    <use value="out"/>
    <min value="0"/>
    <max value="1"/>
    <type value="boolean"/>
  </parameter>
  <parameter>
    <name value="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 value="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"/>
  </content>
</Library>