<?xml version="1.0" encoding="UTF-8"?>

<PlanDefinition xmlns="http://hl7.org/fhir">
  <id value="IMMZD5DTHepatitisBContraindications"/>
  <meta>
    <profile value="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-recommendationdefinition"/>
    <profile value="http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareableplandefinition"/>
    <profile value="http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-publishableplandefinition"/>
  </meta>
  <text>
    <status value="extensions"/><div xmlns="http://www.w3.org/1999/xhtml">
<div>
    <table class="grid dict">
        
        <tr>
            <th scope="row"><b>Id: </b></th>
            <td style="padding-left: 4px;">IMMZD5DTHepatitisBContraindications</td>
        </tr>
        

        
        <tr>
            <th scope="row"><b>Url: </b></th>
            <td style="padding-left: 4px;"><a href="PlanDefinition-IMMZD5DTHepatitisBContraindications.html">IMMZ.D5.DT.Hepatitis B contraindications</a></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>Title: </b></th>
            <td style="padding-left: 4px;">IMMZ.D5.DT.Hepatitis B contraindications</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-plan-definition-type.html">http://terminology.hl7.org/CodeSystem/plan-definition-type</a></span>
                        </p>
                        
                        
                        <p style="margin-bottom: 5px;">
                            <b>code: </b> <span>eca-rule</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>IMMZ.D5.DT.Hepatitis B contraindications
IMMZ.D5.DT.Hepatitis B contraindications</p>
</div></td>
        </tr>
        

        
        <tr>
            <th scope="row"><b>Knowledge Capability: </b></th>
            <td style="padding-left: 4px;">
                
                computable 
            </td>
        </tr>
        

        

        

        

        

        

        

        

        

        

        
        <tr>
            <th scope="row"><b>Related Artifacts: </b></th>
            <td style="padding-left: 4px;">
                
                
                <p><b>References</b></p>
                <ul>
                    
                    <li><div><p>WHO recommendations for routine immunization - summary tables (January 2025)</p>
</div><br/><a href="null"/></li>
                    
                </ul>
                
                
                
                
                
                
            </td>
        </tr>
        

        
        <tr>
            <th scope="row"><b>Libraries: </b></th>
            <td style="padding-left: 4px;">
                <table class="grid-dict">
                    
                    <tr>
                        <td><a href="Library-IMMZD5DTHepatitisBContraindicationsLogic.html">IMMZD5DTHepatitisBContraindicationsLogic</a></td>
                    </tr>
                    
                </table>
            </td>
        </tr>
        

        
        <tr>
            <th scope="row"><b>Actions: </b></th>
            <td style="padding-left: 4px;">
                <table class="grid-dict">
                    
                    <tr>
                        <td>
                            
                            <b> Check for Guidance for the patient regarding IMMZ.D5.DT.Hepatitis B contraindications.:</b> Show Guidance for the patient regarding IMMZ.D5.DT.Hepatitis B contraindications.
                            
                            <br/>
                            
                            
                            <b>If:</b>
                            
                            <i>Applicability:</i>
                            
                            Has Guidance
                            
                            <i>(Has Guidance)</i>
                            <br/>
                            
                            
                            
                            
                            <b>Then:</b> <i>Definition:</i> <a href="ActivityDefinition-IMMZD2DTCR.html">IMMZ.D2.DT.CR</a><br/>
                            
                            <i>Dynamic Values:</i><br/>
                            
                            status: <i>('active')</i>
                            <br/>
                            
                            payload.contentString: <i>(Guidance)</i>
                            <br/>
                            
                            category.coding: <i>(Code { system: 'http://terminology.hl7.org/CodeSystem/communication-category', code: 'alert' })</i>
                            <br/>
                            
                            priority: <i>(Code { system: 'http://hl7.org/fhir/request-priority', code: 'routine' })</i>
                            <br/>
                            
                            
                            
                            
                        </td>
                    </tr>
                    
                </table>
            </td>
        </tr>
        
    </table>
</div>
</div>
  </text>
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          <system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
          <code value="DE161"/>
          <display value="Potential contraindications"/>
        </valueCoding>
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        <valueCoding>
          <system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
          <code value="DE167"/>
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          <valueString value="Hepatitis B vaccination could be contraindicated. Clinical judgement is required. Create a clinical note."/>
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        <extension url="statement">
          <valueString value="/*&#xA;@output: Hepatitis B vaccination could be contraindicated. Clinical judgement is required. Create a clinical note.&#xA;@pseudocode: '&quot;Immunization recommendation status&quot; = &quot;Further evaluation needed&quot;&#xA;*/&#xA;define &quot;Hepatitis B vaccination could be contraindicated. Clinical judgement is required. Create a clinical note.&quot;:&#xA;  Encounter.&quot;The client has history of severe allergic reactions&quot;"/>
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          <valueString value="/*&#xA;@output: Hepatitis B vaccination could be contraindicated. Clinical judgement is required. Create a clinical note. Guidance&#xA;@guidance: Do not vaccinate client with hepatitis B if the client had a history of serious allergic reactions to any of the vaccine components. Allergy to yeast is considered a contraindication to immunization with yeast-produced hepatitis B-containing vaccine.&#xA;*/&#xA;define &quot;Hepatitis B vaccination could be contraindicated. Clinical judgement is required. Create a clinical note. Guidance&quot;:&#xA;  'Do not vaccinate client with hepatitis B if the client had a history of serious allergic reactions to any of the vaccine components. Allergy to yeast is considered a contraindication to immunization with yeast-produced hepatitis B-containing vaccine.'"/>
        </extension>
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          <valueInteger value="8"/>
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          <valueString value="/*&#xA;@dynamicValue: Guidance&#xA;*/&#xA;define &quot;Guidance&quot;:&#xA;  case &#xA;    when &quot;Hepatitis B vaccination could be contraindicated. Clinical judgement is required. Create a clinical note.&quot; then &quot;Hepatitis B vaccination could be contraindicated. Clinical judgement is required. Create a clinical note. Guidance&quot; &#xA;    else ''&#xA;  end"/>
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          <valueString value="complete"/>
        </extension>
        <extension url="statement">
          <valueString value="define fluent function complete(observations List&lt;Observation&gt;):&#xA;  observations O where O.status in { 'final', 'amended', 'corrected' }"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="21"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="FHIRHelpers"/>
        </extension>
        <extension url="name">
          <valueString value="ToString"/>
        </extension>
        <extension url="statement">
          <valueString value="define function ToString(value ObservationStatus): value.value"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="22"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="FHIRHelpers"/>
        </extension>
        <extension url="name">
          <valueString value="ToConcept"/>
        </extension>
        <extension url="statement">
          <valueString value="define function ToConcept(concept FHIR.CodeableConcept):&#xA;    if concept is null then&#xA;        null&#xA;    else&#xA;        System.Concept {&#xA;            codes: concept.coding C return ToCode(C),&#xA;            display: concept.text.value&#xA;        }"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="23"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="FHIRHelpers"/>
        </extension>
        <extension url="name">
          <valueString value="ToCode"/>
        </extension>
        <extension url="statement">
          <valueString value="define function ToCode(coding FHIR.Coding):&#xA;    if coding is null then&#xA;        null&#xA;    else&#xA;        System.Code {&#xA;          code: coding.code.value,&#xA;          system: coding.system.value,&#xA;          version: coding.version.value,&#xA;          display: coding.display.value&#xA;        }"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="24"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="WHOCommon"/>
        </extension>
        <extension url="name">
          <valueString value="prevalenceInterval"/>
        </extension>
        <extension url="statement">
          <valueString value="/*&#xA;@description: Returns an interval representing the normalized prevalence period of a given Condition resource.&#xA;@comment: Uses the toInterval and toAbatementInterval functions to determine the widest potential interval from&#xA;onset to abatement as specified in the given Condition.&#xA;*/&#xA;define fluent function prevalenceInterval(condition Condition):&#xA;if condition.clinicalStatus ~ &quot;active&quot;&#xA;  or condition.clinicalStatus ~ &quot;recurrence&quot;&#xA;  or condition.clinicalStatus ~ &quot;relapse&quot; then&#xA;  Interval[start of condition.onset.toInterval(), end of condition.abatementInterval()]&#xA;else&#xA;  (end of condition.abatementInterval()) abatementDate&#xA;    return &#xA;&#x9;  if abatementDate is null then&#xA;        Interval[start of condition.onset.toInterval(), abatementDate)&#xA;      else&#xA;        Interval[start of condition.onset.toInterval(), abatementDate]"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="25"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="WHOCommon"/>
        </extension>
        <extension url="name">
          <valueString value="abatementInterval"/>
        </extension>
        <extension url="statement">
          <valueString value="// Was getting error on this for this particular choice set not being found&#xA;&#xA;&#xA;/*&#xA;@description: Returns an interval representing the normalized Abatement of a given Condition resource.&#xA;@comment: NOTE: Due to the complexity of determining an interval from a String, this function will throw&#xA;a run-time exception if used with a Condition instance that has a String as the abatement value.&#xA;*/&#xA;define fluent function abatementInterval(condition Condition):&#xA;  if condition.abatement is FHIR.dateTime then&#xA;    Interval[FHIRHelpers.ToDateTime(condition.abatement as FHIR.dateTime), FHIRHelpers.ToDateTime(condition.abatement as FHIR.dateTime)]&#xA;  else if condition.abatement is FHIR.Period then&#xA;    FHIRHelpers.ToInterval(condition.abatement as FHIR.Period)&#xA;  else if condition.abatement is FHIR.string then&#xA;    Message(null as Interval&lt;DateTime&gt;, true, 'NOT_IMPLEMENTED', 'Error', 'Calculation of an interval from a String value is not supported')&#xA;  else if condition.abatement is FHIR.Age then&#xA;    Interval[FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity(condition.abatement as FHIR.Age),&#xA;      FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity(condition.abatement as FHIR.Age) + 1 year)&#xA;  else if condition.abatement is FHIR.Range then&#xA;    Interval[FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity((condition.abatement as FHIR.Range).low),&#xA;      FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity((condition.abatement as FHIR.Range).high) + 1 year)&#xA;  else if condition.abatement is FHIR.boolean then&#xA;    Interval[end of condition.onset.toInterval(), condition.recordedDate)&#xA;  else &#xA;    null"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="26"/>
        </extension>
      </extension>
      <name value="EffectiveDataRequirements"/>
      <status value="active"/>
      <type>
        <coding>
          <system value="http://terminology.hl7.org/CodeSystem/library-type"/>
          <code value="module-definition"/>
        </coding>
      </type>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="FHIR model information"/>
        <resource value="http://fhir.org/guides/cqf/common/Library/FHIR-ModelInfo|4.0.1"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Library Encounter"/>
        <resource value="http://smart.who.int/immunizations/Library/IMMZD5DTHepatitisBEncounterElements"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Library Encounter"/>
        <resource value="http://smart.who.int/immunizations/Library/IMMZEncounterElements"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Library Common"/>
        <resource value="http://smart.who.int/immunizations/Library/IMMZCommon"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Library WC"/>
        <resource value="http://smart.who.int/immunizations/Library/WHOCommon"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Library FHIRHelpers"/>
        <resource value="http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Library Elements"/>
        <resource value="http://smart.who.int/immunizations/Library/IMMZElements"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Library Concepts"/>
        <resource value="http://smart.who.int/immunizations/Library/IMMZConcepts"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Code system IMMZD"/>
        <resource value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Code system ConditionClinicalStatusCodes"/>
        <resource value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
      </relatedArtifact>
      <parameter>
        <name value="EncounterId"/>
        <use value="in"/>
        <min value="0"/>
        <max value="1"/>
        <type value="string"/>
      </parameter>
      <parameter>
        <name value="Today"/>
        <use value="in"/>
        <min value="0"/>
        <max value="1"/>
        <type value="date"/>
      </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>
      <dataRequirement>
        <type value="Patient"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Patient"/>
        <mustSupport value="birthDate"/>
      </dataRequirement>
      <dataRequirement>
        <type value="Observation"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Observation"/>
        <mustSupport value="code"/>
        <mustSupport value="encounter"/>
        <mustSupport value="effective"/>
        <mustSupport value="status"/>
        <codeFilter>
          <path value="code"/>
          <code>
            <system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
            <code value="DE161"/>
            <display value="Potential contraindications"/>
          </code>
        </codeFilter>
      </dataRequirement>
      <dataRequirement>
        <type value="Observation"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Observation"/>
        <mustSupport value="code"/>
        <mustSupport value="value"/>
        <mustSupport value="encounter"/>
        <mustSupport value="effective"/>
        <mustSupport value="status"/>
        <codeFilter>
          <path value="code"/>
          <code>
            <system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
            <code value="DE161"/>
            <display value="Potential contraindications"/>
          </code>
        </codeFilter>
        <codeFilter>
          <path value="value"/>
        </codeFilter>
      </dataRequirement>
      <dataRequirement>
        <type value="Condition"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Condition"/>
        <mustSupport value="abatement"/>
        <mustSupport value="onset"/>
        <mustSupport value="recordedDate"/>
        <mustSupport value="clinicalStatus"/>
      </dataRequirement>
      <dataRequirement>
        <type value="Condition"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Condition"/>
        <mustSupport value="code"/>
        <codeFilter>
          <path value="code"/>
          <code>
            <system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
            <code value="DE167"/>
            <display value="Severe allergic reactions"/>
          </code>
        </codeFilter>
      </dataRequirement>
    </Library>
  </contained>
  <extension url="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeCapability">
    <valueCode value="computable"/>
  </extension>
  <extension url="http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-effectiveDataRequirements">
    <valueCanonical value="#effective-data-requirements"/>
  </extension>
  <url value="http://smart.who.int/immunizations/PlanDefinition/IMMZD5DTHepatitisBContraindications"/>
  <version value="1.0.0"/>
  <name value="IMMZD5DTHepatitisBContraindications"/>
  <title value="IMMZ.D5.DT.Hepatitis B contraindications"/>
  <type>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/plan-definition-type"/>
      <code value="eca-rule"/>
    </coding>
  </type>
  <status value="draft"/>
  <experimental value="false"/>
  <date value="2026-03-31T13:54:17+00:00"/>
  <publisher value="WHO"/>
  <contact>
    <name value="WHO"/>
    <telecom>
      <system value="url"/>
      <value value="http://who.int"/>
    </telecom>
  </contact>
  <description value="IMMZ.D5.DT.Hepatitis B contraindications&#xA;IMMZ.D5.DT.Hepatitis B contraindications"/>
  <relatedArtifact>
    <type value="citation"/>
    <citation value="WHO recommendations for routine immunization - summary tables (January 2025)"/>
  </relatedArtifact>
  <library value="http://smart.who.int/immunizations/Library/IMMZD5DTHepatitisBContraindicationsLogic"/>
  <action>
    <title value="Check for Guidance for the patient regarding IMMZ.D5.DT.Hepatitis B contraindications."/>
    <description value="Show Guidance for the patient regarding IMMZ.D5.DT.Hepatitis B contraindications."/>
    <condition>
      <kind value="applicability"/>
      <expression>
        <description value="Has Guidance"/>
        <language value="text/cql-identifier"/>
        <expression value="Has Guidance"/>
      </expression>
    </condition>
    <definitionCanonical value="http://smart.who.int/immunizations/ActivityDefinition/IMMZD2DTCR"/>
    <dynamicValue>
      <path value="status"/>
      <expression>
        <language value="text/cql-expression"/>
        <expression value="'active'"/>
      </expression>
    </dynamicValue>
    <dynamicValue>
      <path value="payload.contentString"/>
      <expression>
        <language value="text/cql-identifier"/>
        <expression value="Guidance"/>
      </expression>
    </dynamicValue>
    <dynamicValue>
      <path value="category.coding"/>
      <expression>
        <description value="Category of communication"/>
        <language value="text/cql-expression"/>
        <expression value="Code { system: 'http://terminology.hl7.org/CodeSystem/communication-category', code: 'alert' }"/>
      </expression>
    </dynamicValue>
    <dynamicValue>
      <path value="priority"/>
      <expression>
        <description value="Alert priority"/>
        <language value="text/cql-expression"/>
        <expression value="Code { system: 'http://hl7.org/fhir/request-priority', code: 'routine' }"/>
      </expression>
    </dynamicValue>
  </action>
</PlanDefinition>