{ "resourceType" : "Library", "id" : "IMMZD5DTMeningococcalContraindicationsLogic", "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" : "
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Title: IMMZD5DTMeningococcalContraindicationsLogic
Id: IMMZD5DTMeningococcalContraindicationsLogic
Version: 1.0.0
Url: IMMZD5DTMeningococcalContraindicationsLogic
Status: draft
Type: \n \n \n \n

\n system: http://terminology.hl7.org/CodeSystem/library-type\n

\n \n \n

\n code: logic-library\n

\n \n \n \n \n \n
Date: 2026-03-31 13:54:17+0000
Publisher: WHO
Description:

This library defines decision support logic for the IMMZ.D5.DT.Meningococcal contraindications decision table in the Immunization CPG

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Related Artifacts: \n \n \n \n

Dependencies

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Parameters: \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n
NameTypeMinMaxIn/Out
Todaydate01In
PatientPatient01Out
Draft Medication Request ID for Meningococcal doseid01Out
Meningococcal vaccination could be contraindicated. Clinical judgement is required. Create a clinical noteboolean01Out
Meningococcal vaccination could be contraindicated. Clinical judgement is required. Create a clinical note Guidancestring01Out
Guidancestring01Out
Has Guidanceboolean01Out
Test ValidationResource01Out
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Content: text/cql
/*\n * Library: IMMZD5DTMeningococcalContraindicationsLogic (IMMZ.D5.DT.Meningococcal contraindications)\n * Rule: Check for contraindications before administering the vaccine(s) due\n * Decision Table: IMMZ.D5.DT.Meningococcal contraindications\n * Trigger: IMMZ.D5 Determine vaccine(s) to be administered based on contraindications\n */\nlibrary IMMZD5DTMeningococcalContraindicationsLogic\n\nusing FHIR version '4.0.1'\ninclude FHIRHelpers version '4.0.1'\n\ninclude IMMZD5DTMeningococcalEncounterElements called Encounter\n\nparameter Today Date default Today()\n\ncontext Patient\n\n/*\n  @dynamicValue: Draft Medication Request ID for Meningococcal dose\n  */\n  define "Draft Medication Request ID for Meningococcal dose":\n    First(Encounter."Draft Medication Request for Meningococcal dose").id\n\n\n/*\n@dynamicValue: Guidance\n*/\ndefine "Guidance":\n  case \n    when "Meningococcal vaccination could be contraindicated. Clinical judgement is required. Create a clinical note" then "Meningococcal 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: Meningococcal vaccination could be contraindicated. Clinical judgement is required. Create a clinical note\n@pseudocode: "Immunization recommendation status" (where "Type of meningococcal dose" = "Polysaccharide vaccine") = "Further evaluation needed"\n*/\ndefine "Meningococcal 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: Meningococcal vaccination could be contraindicated. Clinical judgement is required. Create a clinical note Guidance\n@guidance: Do not vaccinate client with meningococcal if client has history of severe allergic reaction to any component of the meningococcal vaccine.\n*/\ndefine "Meningococcal vaccination could be contraindicated. Clinical judgement is required. Create a clinical note Guidance":\n  'Do not vaccinate client with meningococcal if client has history of severe allergic reaction to any component of the meningococcal vaccine.'\n\n\n/*\n@test: Test expected results based on example patients\n*/\ndefine "Test Validation":\n  case\n    when Patient.id = 'Meningococcal78.1' then "Meningococcal vaccination could be contraindicated. Clinical judgement is required. Create a clinical note" and "Guidance" = 'Do not vaccinate client with meningococcal if client has history of severe allergic reaction to any component of the meningococcal vaccine.'\n    else 'No test case set'\n  end\n
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" }, "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability", "valueCode" : "computable" }], "url" : "http://smart.who.int/immunizations/Library/IMMZD5DTMeningococcalContraindicationsLogic", "version" : "1.0.0", "name" : "IMMZD5DTMeningococcalContraindicationsLogic", "title" : "IMMZD5DTMeningococcalContraindicationsLogic", "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.Meningococcal contraindications decision table in the Immunization CPG", "relatedArtifact" : [{ "type" : "depends-on", "display" : "Library Encounter", "resource" : "http://smart.who.int/immunizations/Library/IMMZD5DTMeningococcalEncounterElements" }], "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 Meningococcal dose", "use" : "out", "min" : 0, "max" : "1", "type" : "id" }, { "name" : "Meningococcal vaccination could be contraindicated. Clinical judgement is required. Create a clinical note", "use" : "out", "min" : 0, "max" : "1", "type" : "boolean" }, { "name" : "Meningococcal 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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" }] }