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 |
<Library xmlns="http://hl7.org/fhir">
<id value="IMMZD5DTRabiesContraindicationsLogic"/>
<meta>
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<text>
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<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;">IMMZD5DTRabiesContraindicationsLogic</td>
</tr>
<tr>
<th scope="row"><b>Id: </b></th>
<td style="padding-left: 4px;">IMMZD5DTRabiesContraindicationsLogic</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-IMMZD5DTRabiesContraindicationsLogic.html">IMMZD5DTRabiesContraindicationsLogic</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.Rabies 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-IMMZD5DTRabiesEncounterElements.html">IMMZD5DTRabiesEncounterElements</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 Rabies 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</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: IMMZD5DTRabiesContraindicationsLogic (IMMZ.D5.DT.Rabies contraindications)
* Rule: Check for contraindications before administering the vaccine(s) due
* Decision Table: IMMZ.D5.DT.Rabies contraindications
* Trigger: IMMZ.D5 Determine vaccine(s) to be administered based on contraindications
*/
library IMMZD5DTRabiesContraindicationsLogic
using FHIR version '4.0.1'
include FHIRHelpers version '4.0.1'
include IMMZD5DTRabiesEncounterElements called Encounter
parameter Today Date default Today()
context Patient
/*
@dynamicValue: Draft Medication Request ID for Rabies dose
*/
define "Draft Medication Request ID for Rabies dose":
First(Encounter."Draft Medication Request for Rabies dose").id
/*
@dynamicValue: Guidance
*/
define "Guidance":
case
when "Clinical judgement is required. Create a clinical note" then "Clinical judgement is required. Create a clinical note Guidance"
else ''
end
define "Has Guidance":
"Guidance" is not null and "Guidance" != ''
/*
@output: Clinical judgement is required. Create a clinical note
@pseudocode: "Immunization recommendation status" = "Further evaluation needed"
*/
define "Clinical judgement is required. Create a clinical note":
Encounter."The client has history of severe allergic reactions"
/*
@output: Clinical judgement is required. Create a clinical note Guidance
@guidance: Check if the client has a history of severe hypersensitivity to any of the components or to excipients listed by the vaccine manufacturer. If so, provide an alternative rabies vaccine product for PreP.
*/
define "Clinical judgement is required. Create a clinical note Guidance":
'Check if the client has a history of severe hypersensitivity to any of the components or to excipients listed by the vaccine manufacturer. If so, provide an alternative rabies vaccine product for PreP.'
/*
@test: Test expected results based on example patients
*/
define "Test Validation":
case
when Patient.id = 'Rabies17.1' then "Clinical judgement is required. Create a clinical note" and "Guidance" = 'Check if the client has a history of severe hypersensitivity to any of the components or to excipients listed by the vaccine manufacturer. If so, provide an alternative rabies vaccine product for PreP.'
else 'No test case set'
end
</code></pre></td></tr>
</table>
</td>
</tr>
</table>
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<url
value="http://smart.who.int/immunizations/Library/IMMZD5DTRabiesContraindicationsLogic"/>
<version value="1.0.0"/>
<name value="IMMZD5DTRabiesContraindicationsLogic"/>
<title value="IMMZD5DTRabiesContraindicationsLogic"/>
<status value="draft"/>
<experimental value="false"/>
<type>
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<date value="2026-03-31T13:54:17+00:00"/>
<publisher value="WHO"/>
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<description
value="This library defines decision support logic for the IMMZ.D5.DT.Rabies contraindications decision table in the Immunization CPG"/>
<relatedArtifact>
<type value="depends-on"/>
<display value="Library Encounter"/>
<resource
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<parameter>
<name value="Today"/>
<use value="in"/>
<min value="0"/>
<max value="1"/>
<type value="date"/>
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<parameter>
<name value="Patient"/>
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<min value="0"/>
<max value="1"/>
<type value="Patient"/>
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<parameter>
<name value="Draft Medication Request ID for Rabies dose"/>
<use value="out"/>
<min value="0"/>
<max value="1"/>
<type value="id"/>
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<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"/>
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