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 |
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"id" : "IMMZD5DTMumpsContraindicationsLogic",
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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;\">IMMZD5DTMumpsContraindicationsLogic</td>\n </tr>\n \n\n \n \n <tr>\n <th scope=\"row\"><b>Id: </b></th>\n <td style=\"padding-left: 4px;\">IMMZD5DTMumpsContraindicationsLogic</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-IMMZD5DTMumpsContraindicationsLogic.html\">IMMZD5DTMumpsContraindicationsLogic</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.Mumps 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-IMMZD5DTMumpsEncounterElements.html\">IMMZD5DTMumpsEncounterElements</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 Mumps dose</th><th>id</th><th>0</th><th>1</th><th>Out</th></tr>\n \n <tr><th>Mumps vaccination is contraindicated Case 1</th><th>boolean</th><th>0</th><th>1</th><th>Out</th></tr>\n \n <tr><th>Mumps vaccination is contraindicated Case 2</th><th>boolean</th><th>0</th><th>1</th><th>Out</th></tr>\n \n <tr><th>Mumps vaccination is contraindicated Case 3</th><th>boolean</th><th>0</th><th>1</th><th>Out</th></tr>\n \n <tr><th>Mumps vaccination is contraindicated</th><th>boolean</th><th>0</th><th>1</th><th>Out</th></tr>\n \n <tr><th>Mumps vaccination is contraindicated Guidance</th><th>string</th><th>0</th><th>1</th><th>Out</th></tr>\n \n <tr><th>Mumps vaccination could be contraindicated. Clinical judgement is required.</th><th>boolean</th><th>0</th><th>1</th><th>Out</th></tr>\n \n <tr><th>Mumps vaccination could be contraindicated. Clinical judgement is required. 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: IMMZD5DTMumpsContraindicationsLogic (IMMZ.D5.DT.Mumps contraindications)\n * Rule: Check for contraindications before administering the vaccine(s) due\n * Decision Table: IMMZ.D5.DT.Mumps contraindications\n * Trigger: IMMZ.D5 Determine vaccine(s) to be administered based on contraindications\n */\nlibrary IMMZD5DTMumpsContraindicationsLogic\n\nusing FHIR version '4.0.1'\ninclude FHIRHelpers version '4.0.1'\n\ninclude IMMZD5DTMumpsEncounterElements called Encounter\n\nparameter Today Date default Today()\n\ncontext Patient\n\n/*\n @dynamicValue: Draft Medication Request ID for Mumps dose\n */\n define "Draft Medication Request ID for Mumps dose":\n First(Encounter."Draft Medication Request for Mumps dose").id\n\n\n/*\n@dynamicValue: Guidance\n*/\ndefine "Guidance":\n case \n when "Mumps vaccination is contraindicated" then "Mumps vaccination is contraindicated Guidance"\n when "Mumps vaccination could be contraindicated. Clinical judgement is required." then "Mumps vaccination could be contraindicated. Clinical judgement is required. Guidance" \n else ''\n end\n \ndefine "Has Guidance":\n "Guidance" is not null and "Guidance" != ''\n\n/*\n@output: Mumps vaccination is contraindicated Case 1\n@pseudocode: "Immunization recommendation status" = "Contraindicated"\n*/\ndefine "Mumps vaccination is contraindicated Case 1":\n Encounter."The client is currently pregnant"\n\n/*\n@output: Mumps vaccination is contraindicated Case 2\n@pseudocode: "Immunization recommendation status" = "Contraindicated"\n*/\ndefine "Mumps vaccination is contraindicated Case 2":\n Encounter."The client has immune deficiency"\n\n/*\n@output: Mumps vaccination is contraindicated Case 3\n@pseudocode: "Immunization recommendation status" = "Contraindicated"\n*/\ndefine "Mumps vaccination is contraindicated Case 3":\n Encounter."The client is severely immunosuppressed"\n\n/*\n@output: Mumps vaccination is contraindicated\n@pseudocode: "Immunization recommendation status" = "Contraindicated"\n*/\ndefine "Mumps vaccination is contraindicated":\n "Mumps vaccination is contraindicated Case 1"\n or "Mumps vaccination is contraindicated Case 2"\n or "Mumps vaccination is contraindicated Case 3"\n\n/*\n@output: Mumps vaccination is contraindicated Guidance\n@guidance = Do not vaccinate client with mumps as mumps vaccination is contraindicated for pregnant individuals.\n@guidance = Do not vaccinate client with mumps as mumps vaccination is contraindicated in individuals with immunodeficiency syndromes.\n@guidance = Do not vaccinate client with mumps as mumps vaccination is contraindicated in immunosuppressed individuals.\n*/\ndefine "Mumps vaccination is contraindicated Guidance":\n case\n when "Mumps vaccination is contraindicated Case 1" then 'Do not vaccinate client with mumps as mumps vaccination is contraindicated for pregnant individuals.'\n when "Mumps vaccination is contraindicated Case 2" then 'Do not vaccinate client with mumps as mumps vaccination is contraindicated in individuals with immunodeficiency syndromes.'\n when "Mumps vaccination is contraindicated Case 3" then 'Do not vaccinate client with mumps as mumps vaccination is contraindicated in immunosuppressed individuals.'\n else ''\n end\n\n/*\n@output: Mumps vaccination could be contraindicated. Clinical judgement is required.\n@pseudocode: Create a clinical note.\nImmunization recommendation status = "Further evaluation needed"\n*/\ndefine "Mumps vaccination could be contraindicated. Clinical judgement is required.":\n Encounter."The client has allergy to vaccine components"\n\n/*\n@output: Mumps vaccination could be contraindicated. Clinical judgement is required. Guidance\n@guidance: Do not vaccinate client with mumps if client has allergy to vaccine components, such as neomycin and gelatin.\n*/\ndefine "Mumps vaccination could be contraindicated. Clinical judgement is required. Guidance":\n 'Do not vaccinate client with mumps if client has allergy to vaccine components, such as neomycin and gelatin.'\n\n\n/*\n@test: Test expected results based on example patients\n*/\ndefine "Test Validation":\n case\n when Patient.id = 'Mumps20.1' then "Mumps vaccination is contraindicated Case 1" and "Guidance" = 'Do not vaccinate client with mumps as mumps vaccination is contraindicated for pregnant individuals.'\n when Patient.id = 'Mumps21.1' then "Mumps vaccination could be contraindicated. Clinical judgement is required." and "Guidance" = 'Do not vaccinate client with mumps if client has allergy to vaccine components, such as neomycin and gelatin.'\n when Patient.id = 'Mumps22.1' then "Mumps vaccination is contraindicated Case 2" and "Guidance" = 'Do not vaccinate client with mumps as mumps vaccination is contraindicated in individuals with immunodeficiency syndromes.'\n when Patient.id = 'Mumps23.1' then "Mumps vaccination is contraindicated Case 3" and "Guidance" = 'Do not vaccinate client with mumps as mumps vaccination is contraindicated in immunosuppressed individuals.'\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/IMMZD5DTMumpsContraindicationsLogic",
"version" : "1.0.0",
"name" : "IMMZD5DTMumpsContraindicationsLogic",
"title" : "IMMZD5DTMumpsContraindicationsLogic",
"status" : "draft",
"experimental" : false,
"type" : {
"coding" : [
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},
"date" : "2026-03-31T13:54:17+00:00",
"publisher" : "WHO",
"contact" : [
{
"name" : "WHO",
"telecom" : [
{
"system" : "url",
"value" : "http://who.int"
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],
"description" : "This library defines decision support logic for the IMMZ.D5.DT.Mumps contraindications decision table in the Immunization CPG",
"relatedArtifact" : [
{
"type" : "depends-on",
"display" : "Library Encounter",
"resource" : "http://smart.who.int/immunizations/Library/IMMZD5DTMumpsEncounterElements"
}
],
"parameter" : [
{
"name" : "Today",
"use" : "in",
"min" : 0,
"max" : "1",
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{
"name" : "Patient",
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"max" : "1",
"type" : "id"
},
{
"name" : "Mumps vaccination is contraindicated Case 1",
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"min" : 0,
"max" : "1",
"type" : "boolean"
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{
"name" : "Mumps vaccination is contraindicated Case 2",
"use" : "out",
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"max" : "1",
"type" : "boolean"
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{
"name" : "Mumps vaccination is contraindicated Case 3",
"use" : "out",
"min" : 0,
"max" : "1",
"type" : "boolean"
},
{
"name" : "Mumps vaccination is contraindicated",
"use" : "out",
"min" : 0,
"max" : "1",
"type" : "boolean"
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{
"name" : "Mumps vaccination is contraindicated Guidance",
"use" : "out",
"min" : 0,
"max" : "1",
"type" : "string"
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{
"name" : "Mumps vaccination could be contraindicated. Clinical judgement is required.",
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"min" : 0,
"max" : "1",
"type" : "boolean"
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{
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{
"name" : "Guidance",
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{
"name" : "Has Guidance",
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"min" : 0,
"max" : "1",
"type" : "boolean"
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{
"name" : "Test Validation",
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"min" : 0,
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}
]
}