\n \n \n \n | Title: | \n IMMZD5DTTBEContraindicationsLogic | \n
\n \n\n \n \n \n | Id: | \n IMMZD5DTTBEContraindicationsLogic | \n
\n \n\n \n \n \n | Version: | \n 1.0.0 | \n
\n \n\n \n \n | Url: | \n IMMZD5DTTBEContraindicationsLogic | \n
\n \n\n \n\n \n\n \n \n | Status: | \n draft | \n
\n \n\n \n\n \n \n | Type: | \n \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 | \n
\n \n\n \n\n \n \n | Date: | \n 2026-03-31 13:54:17+0000 | \n
\n \n\n \n \n | Publisher: | \n WHO | \n
\n \n\n \n \n | Description: | \n This library defines decision support logic for the IMMZ.D5.DT.TBE contraindications decision table in the Immunization CPG \n | \n
\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n \n | Related Artifacts: | \n \n \n \n \n Dependencies \n \n \n \n \n \n \n | \n
\n \n\n \n \n | Parameters: | \n \n \n | Name | Type | Min | Max | In/Out |
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\n \n | Today | date | 0 | 1 | In |
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\n \n | Patient | Patient | 0 | 1 | Out |
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\n \n | Draft Medication Request ID for TBE dose | id | 0 | 1 | Out |
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\n \n | Clinical judgement is required. Create a clinical note Case 1 | boolean | 0 | 1 | Out |
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\n \n | Clinical judgement is required. Create a clinical note Case 2 | boolean | 0 | 1 | Out |
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\n \n | Clinical judgement is required. Create a clinical note | boolean | 0 | 1 | Out |
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\n \n | Clinical judgement is required. Create a clinical note Guidance | string | 0 | 1 | Out |
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\n \n | Guidance | string | 0 | 1 | Out |
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\n \n | Has Guidance | boolean | 0 | 1 | Out |
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\n \n | Test Validation | Resource | 0 | 1 | Out |
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\n \n \n | \n
\n \n\n \n\n \n \n \n \n \n | Content: text/cql |
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\n /*\n * Library: IMMZD5DTTBEContraindicationsLogic (IMMZ.D5.DT.TBE contraindications)\n * Rule: Check for contraindications before administering the vaccine(s) due\n * Decision Table: IMMZ.D5.DT.TBE contraindications\n * Trigger: IMMZ.D5 Determine vaccine(s) to be administered based on contraindications\n */\nlibrary IMMZD5DTTBEContraindicationsLogic\n\nusing FHIR version '4.0.1'\ninclude FHIRHelpers version '4.0.1'\n\ninclude IMMZD5DTTBEEncounterElements called Encounter\n\nparameter Today Date default Today()\n\ncontext Patient\n\n/*\n @dynamicValue: Draft Medication Request ID for TBE dose\n */\n define \"Draft Medication Request ID for TBE dose\":\n First(Encounter.\"Draft Medication Request for TBE dose\").id\n\n\n/*\n@dynamicValue: Guidance\n*/\ndefine \"Guidance\":\n case \n when \"Clinical judgement is required. Create a clinical note\" then \"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: Clinical judgement is required. Create a clinical note Case 1\n@pseudocode: \"Immunization recommendation status\" = \"Further evaluation needed\"\n*/\ndefine \"Clinical judgement is required. Create a clinical note Case 1\":\n Encounter.\"The client is currently pregnant\"\n\n/*\n@output: Clinical judgement is required. Create a clinical note Case 2\n@pseudocode: \"Immunization recommendation status\" = \"Further evaluation needed\"\n*/\ndefine \"Clinical judgement is required. Create a clinical note Case 2\":\n Encounter.\"The client has moderate to severe fever\"\n\n/*\n@output: Clinical judgement is required. Create a clinical note\n@pseudocode: \"Immunization recommendation status\" = \"Further evaluation needed\"\n*/\ndefine \"Clinical judgement is required. Create a clinical note\":\n \"Clinical judgement is required. Create a clinical note Case 1\"\n or \"Clinical judgement is required. Create a clinical note Case 2\"\n\n/*\n@output: Clinical judgement is required. Create a clinical note Guidance\n@guidance = Conduct a risk–benefit assessment considering the incidence of the disease, consider risks of vaccination and make a clinical judgement.\n@guidance = Consider postponing the vaccination if the client has fever > 38.5°C or other signs of serious disease. Consider risks of vaccination and make a clinical judgement.\n*/\ndefine \"Clinical judgement is required. Create a clinical note Guidance\":\n case\n when \"Clinical judgement is required. Create a clinical note Case 1\" then 'Conduct a risk–benefit assessment considering the incidence of the disease, consider risks of vaccination and make a clinical judgement.'\n when \"Clinical judgement is required. Create a clinical note Case 2\" then 'Consider postponing the vaccination if the client has fever > 38.5°C or other signs of serious disease. Consider risks of vaccination and make a clinical judgement.'\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 = 'TBE69.1' then \"Clinical judgement is required. Create a clinical note Case 1\" and \"Guidance\" = 'Conduct a risk–benefit assessment considering the incidence of the disease, consider risks of vaccination and make a clinical judgement.'\n when Patient.id = 'TBE70.1' then \"Clinical judgement is required. Create a clinical note Case 2\" and \"Guidance\" = 'Consider postponing the vaccination if the client has fever > 38.5°C or other signs of serious disease. Consider risks of vaccination and make a clinical judgement.'\n else 'No test case set'\n end\n
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