{ "resourceType" : "Library", "id" : "IMMZD5DTSeasonalInfluenzaContraindicationsLogic", "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: IMMZD5DTSeasonalInfluenzaContraindicationsLogic
Id: IMMZD5DTSeasonalInfluenzaContraindicationsLogic
Version: 1.0.0
Url: IMMZD5DTSeasonalInfluenzaContraindicationsLogic
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.Seasonal influenza 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 \n \n \n \n
NameTypeMinMaxIn/Out
Todaydate01In
PatientPatient01Out
Draft Medication Request ID for Seasonal influenza doseid01Out
Seasonal influenza vaccination could be contraindicated. Clinical judgement is required. Create a clinical note Case 1boolean01Out
Seasonal influenza vaccination could be contraindicated. Clinical judgement is required. Create a clinical note Case 2boolean01Out
Seasonal influenza vaccination could be contraindicated. Clinical judgement is required. Create a clinical noteboolean01Out
Seasonal influenza vaccination could be contraindicated. Clinical judgement is required. Create a clinical note Guidancestring01Out
Guidancestring01Out
Has Guidanceboolean01Out
Test ValidationResource01Out
\n
\n \n \n \n
Content: text/cql
/*\n * Library: IMMZD5DTSeasonalInfluenzaContraindicationsLogic (IMMZ.D5.DT.Seasonal influenza contraindications)\n * Rule: Check for contraindications before administering the vaccine(s) due\n * Decision Table: IMMZ.D5.DT.Seasonal influenza contraindications\n * Trigger: IMMZ.D5 Determine vaccine(s) to be administered based on contraindications\n */\nlibrary IMMZD5DTSeasonalInfluenzaContraindicationsLogic\n\nusing FHIR version '4.0.1'\ninclude FHIRHelpers version '4.0.1'\n\ninclude IMMZD5DTSeasonalinfluenzaEncounterElements called Encounter\n\nparameter Today Date default Today()\n\ncontext Patient\n\n/*\n  @dynamicValue: Draft Medication Request ID for Seasonal influenza dose\n  */\n  define "Draft Medication Request ID for Seasonal influenza dose":\n    First(Encounter."Draft Medication Request for Seasonal influenza dose").id\n\n\n/*\n@dynamicValue: Guidance\n*/\ndefine "Guidance":\n  case \n    when "Seasonal influenza vaccination could be contraindicated. Clinical judgement is required. Create a clinical note" then "Seasonal influenza 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: Seasonal influenza vaccination could be contraindicated. Clinical judgement is required. Create a clinical note Case 1\n@pseudocode: '"Immunization recommendation status" = "Further evaluation needed"\n*/\ndefine "Seasonal influenza vaccination could be contraindicated. Clinical judgement is required. Create a clinical note Case 1":\n  Encounter."The client has a history of anaphylactic reactions"\n\n/*\n@output: Seasonal influenza vaccination could be contraindicated. Clinical judgement is required. Create a clinical note Case 2\n@pseudocode: '"Immunization recommendation status" = "Further evaluation needed"\n*/\ndefine "Seasonal influenza vaccination could be contraindicated. Clinical judgement is required. Create a clinical note Case 2":\n  Encounter."The client has a history of severe allergic reactions after a previous dose or to a vaccine component"\n\n/*\n@output: Seasonal influenza vaccination could be contraindicated. Clinical judgement is required. Create a clinical note\n@pseudocode: '"Immunization recommendation status" = "Further evaluation needed"\n*/\ndefine "Seasonal influenza vaccination could be contraindicated. Clinical judgement is required. Create a clinical note":\n  "Seasonal influenza vaccination could be contraindicated. Clinical judgement is required. Create a clinical note Case 1"\n    or "Seasonal influenza vaccination could be contraindicated. Clinical judgement is required. Create a clinical note Case 2"\n\n/*\n@output: Seasonal influenza vaccination could be contraindicated. Clinical judgement is required. Create a clinical note Guidance\n@guidance = Do not vaccinate client with seasonal influenza if client has had a severe allergic reaction (e.g. anaphylaxis) after a previous dose or to a vaccine component.\n@guidance = Do not vaccinate client with seasonal influenza if client has had a severe allergic reaction (e.g. anaphylaxis) after a previous dose or to a vaccine component.\n*/\ndefine "Seasonal influenza vaccination could be contraindicated. Clinical judgement is required. Create a clinical note Guidance":\n  case\n    when "Seasonal influenza vaccination could be contraindicated. Clinical judgement is required. Create a clinical note Case 1" then 'Do not vaccinate client with seasonal influenza if client has had a severe allergic reaction (e.g. anaphylaxis) after a previous dose or to a vaccine component.'\n    when "Seasonal influenza vaccination could be contraindicated. Clinical judgement is required. Create a clinical note Case 2" then 'Do not vaccinate client with seasonal influenza if client has had a severe allergic reaction (e.g. anaphylaxis) after a previous dose or to a vaccine component.'\n    else ''\n  end\n\n\n/*\n@test: Test expected results based on example patients\n*/\ndefine "Test Validation":\n  case\n    when Patient.id = 'Seasonalinfluenza21.1' then "Seasonal influenza vaccination could be contraindicated. Clinical judgement is required. Create a clinical note Case 1" and "Guidance" = 'Do not vaccinate client with seasonal influenza if client has had a severe allergic reaction (e.g. anaphylaxis) after a previous dose or to a vaccine component.'\n    when Patient.id = 'Seasonalinfluenza22.1' then "Seasonal influenza vaccination could be contraindicated. Clinical judgement is required. Create a clinical note Case 2" and "Guidance" = 'Do not vaccinate client with seasonal influenza if client has had a severe allergic reaction (e.g. anaphylaxis) after a previous dose or to a vaccine component.'\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/IMMZD5DTSeasonalInfluenzaContraindicationsLogic", "version" : "1.0.0", "name" : "IMMZD5DTSeasonalInfluenzaContraindicationsLogic", "title" : "IMMZD5DTSeasonalInfluenzaContraindicationsLogic", "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.Seasonal influenza contraindications decision table in the Immunization CPG", "relatedArtifact" : [{ "type" : "depends-on", "display" : "Library Encounter", "resource" : "http://smart.who.int/immunizations/Library/IMMZD5DTSeasonalinfluenzaEncounterElements" }], "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 Seasonal influenza dose", "use" : "out", "min" : 0, "max" : "1", "type" : "id" }, { "name" : "Seasonal influenza vaccination could be contraindicated. Clinical judgement is required. Create a clinical note Case 1", "use" : "out", "min" : 0, "max" : "1", "type" : "boolean" }, { "name" : "Seasonal influenza vaccination could be contraindicated. Clinical judgement is required. Create a clinical note Case 2", "use" : "out", "min" : 0, "max" : "1", "type" : "boolean" }, { "name" : "Seasonal influenza vaccination could be contraindicated. Clinical judgement is required. Create a clinical note", "use" : "out", "min" : 0, "max" : "1", "type" : "boolean" }, { "name" : "Seasonal influenza 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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}] }