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" : "IMMZD5DTMalariaContraindicationsLogic",
"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" : "<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;\">IMMZD5DTMalariaContraindicationsLogic</td>\n </tr>\n \n\n \n \n <tr>\n <th scope=\"row\"><b>Id: </b></th>\n <td style=\"padding-left: 4px;\">IMMZD5DTMalariaContraindicationsLogic</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-IMMZD5DTMalariaContraindicationsLogic.html\">IMMZD5DTMalariaContraindicationsLogic</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.Malaria 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-IMMZD5DTMalariaEncounterElements.html\">IMMZD5DTMalariaEncounterElements</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 Malaria dose</th><th>id</th><th>0</th><th>1</th><th>Out</th></tr>\n \n <tr><th>Malaria 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>Malaria 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: IMMZD5DTMalariaContraindicationsLogic (IMMZ.D5.DT.Malaria contraindications)\n * Rule: Check for contraindications before administering the vaccine(s) due\n * Decision Table: IMMZ.D5.DT.Malaria contraindications\n * Trigger: IMMZ.D5 Determine vaccine(s) to be administered based on contraindications\n */\nlibrary IMMZD5DTMalariaContraindicationsLogic\n\nusing FHIR version '4.0.1'\ninclude FHIRHelpers version '4.0.1'\n\ninclude IMMZD5DTMalariaEncounterElements called Encounter\n\nparameter Today Date default Today()\n\ncontext Patient\n\n/*\n @dynamicValue: Draft Medication Request ID for Malaria dose\n */\n define "Draft Medication Request ID for Malaria dose":\n First(Encounter."Draft Medication Request for Malaria dose").id\n\n\n/*\n@dynamicValue: Guidance\n*/\ndefine "Guidance":\n case \n when "Malaria vaccination could be contraindicated. Clinical judgement is required. Create a clinical note" then "Malaria 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: Malaria vaccination could be contraindicated. Clinical judgement is required. Create a clinical note\n@pseudocode: "Immunization recommendation status" = "Further evaluation needed"\n*/\ndefine "Malaria vaccination could be contraindicated. Clinical judgement is required. Create a clinical note":\n Encounter."The client has hypersensitivity to any of the vaccine components"\n\n/*\n@output: Malaria vaccination could be contraindicated. Clinical judgement is required. Create a clinical note Guidance\n@guidance: Do not vaccinate client with RTS,S/AS01 vaccine if client has severe hypersensitivity to any of the vaccine components.\n*/\ndefine "Malaria vaccination could be contraindicated. Clinical judgement is required. Create a clinical note Guidance":\n 'Do not vaccinate client with RTS,S/AS01 vaccine if client has severe hypersensitivity to any of the vaccine components.'\n\n\n/*\n@test: Test expected results based on example patients\n*/\ndefine "Test Validation":\n case\n when Patient.id = 'Malaria23.1' then "Malaria vaccination could be contraindicated. Clinical judgement is required. Create a clinical note" and "Guidance" = 'Do not vaccinate client with RTS,S/AS01 vaccine if client has severe hypersensitivity to any of the vaccine components.'\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>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability",
"valueCode" : "computable"
}
],
"url" : "http://smart.who.int/immunizations/Library/IMMZD5DTMalariaContraindicationsLogic",
"version" : "1.0.0",
"name" : "IMMZD5DTMalariaContraindicationsLogic",
"title" : "IMMZD5DTMalariaContraindicationsLogic",
"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.Malaria contraindications decision table in the Immunization CPG",
"relatedArtifact" : [
{
"type" : "depends-on",
"display" : "Library Encounter",
"resource" : "http://smart.who.int/immunizations/Library/IMMZD5DTMalariaEncounterElements"
}
],
"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 Malaria dose",
"use" : "out",
"min" : 0,
"max" : "1",
"type" : "id"
},
{
"name" : "Malaria vaccination could be contraindicated. Clinical judgement is required. Create a clinical note",
"use" : "out",
"min" : 0,
"max" : "1",
"type" : "boolean"
},
{
"name" : "Malaria 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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"
}
]
}