{ "resourceType": "Library", "id": "IMMZD5DTHepatitisAContraindicationsLogic", "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: IMMZD5DTHepatitisAContraindicationsLogic
Id: IMMZD5DTHepatitisAContraindicationsLogic
Version: 0.2.0
Url: IMMZD5DTHepatitisAContraindicationsLogic
Status: draft
Type: \n \n \n \n

\n system: http://terminology.hl7.org/CodeSystem/library-type\n

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\n code: logic-library\n

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Date: 2026-03-25 23:30:34+0000
Publisher: WHO
Description:

This library defines decision support logic for the IMMZ.D5.DT.Hepatitis A 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 \n \n \n \n
NameTypeMinMaxIn/Out
Todaydate01In
PatientPatient01Out
Draft Medication Request ID for Hepatitis A doseid01Out
Live attentuated Hepatitis A-containing vaccine is contraindicated Case 1boolean01Out
Live attentuated Hepatitis A-containing vaccine is contraindicated Case 2boolean01Out
Live attentuated Hepatitis A-containing vaccine is contraindicatedboolean01Out
Live attentuated Hepatitis A-containing vaccine is contraindicated Guidancestring01Out
Hepatitis A vaccination could be contraindicated. Clinical judgement is required. Create a clinical noteboolean01Out
Hepatitis A vaccination could be contraindicated. Clinical judgement is required. Create a clinical note Guidancestring01Out
Guidancestring01Out
Has Guidanceboolean01Out
Test ValidationResource01Out
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Content: text/cql
/*\n * Library: IMMZD5DTHepatitisAContraindicationsLogic (IMMZ.D5.DT.Hepatitis A contraindications)\n * Rule: Check for contraindications before administering the vaccine(s) due\n * Decision Table: IMMZ.D5.DT.Hepatitis A contraindications\n * Trigger: IMMZ.D5 Determine vaccine(s) to be administered based on contraindications\n */\nlibrary IMMZD5DTHepatitisAContraindicationsLogic\n\nusing FHIR version '4.0.1'\ninclude FHIRHelpers version '4.0.1'\n\ninclude IMMZD5DTHepatitisAEncounterElements called Encounter\n\nparameter Today Date default Today()\n\ncontext Patient\n\n/*\n  @dynamicValue: Draft Medication Request ID for Hepatitis A dose\n  */\n  define "Draft Medication Request ID for Hepatitis A dose":\n    First(Encounter."Draft Medication Request for Hepatitis A dose").id\n\n\n/*\n@dynamicValue: Guidance\n*/\ndefine "Guidance":\n  case \n    when "Live attentuated Hepatitis A-containing vaccine is contraindicated" then "Live attentuated Hepatitis A-containing vaccine is contraindicated Guidance"\n    when "Hepatitis A vaccination could be contraindicated. Clinical judgement is required. Create a clinical note" then "Hepatitis A 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: Live attentuated Hepatitis A-containing vaccine is contraindicated Case 1\n@pseudocode: "Immunization recommendation status" = "Contraindicated" (where "Type of hepatitis A dose" = "Live attenuated hepatitis A vaccine")\n*/\ndefine "Live attentuated Hepatitis A-containing vaccine is contraindicated Case 1":\n  Encounter."The client is currently pregnant"\n\n/*\n@output: Live attentuated Hepatitis A-containing vaccine is contraindicated Case 2\n@pseudocode: "Immunization recommendation status" = "Contraindicated" (where "Type of hepatitis A dose" = "Live attenuated hepatitis A vaccine")\n*/\ndefine "Live attentuated Hepatitis A-containing vaccine is contraindicated Case 2":\n  Encounter."The client is severely immunocompromised"\n\n/*\n@output: Live attentuated Hepatitis A-containing vaccine is contraindicated\n@pseudocode: "Immunization recommendation status" = "Contraindicated" (where "Type of hepatitis A dose" = "Live attenuated hepatitis A vaccine")\n*/\ndefine "Live attentuated Hepatitis A-containing vaccine is contraindicated":\n  "Live attentuated Hepatitis A-containing vaccine is contraindicated Case 1"\n    or "Live attentuated Hepatitis A-containing vaccine is contraindicated Case 2"\n\n/*\n@output: Live attentuated Hepatitis A-containing vaccine is contraindicated Guidance\n@guidance = Do not vaccinate client with hepatitis A as hepatitis A vaccination is contraindicated for pregnant client and may pose a theoretical risk to the developing fetus.\n@guidance = Do not vaccinate client with hepatitis A as hepatitis A vaccination is contraindicated for severely immunocompromised clients.\n*/\ndefine "Live attentuated Hepatitis A-containing vaccine is contraindicated Guidance":\n  case\n    when "Live attentuated Hepatitis A-containing vaccine is contraindicated Case 1" then 'Do not vaccinate client with hepatitis A as hepatitis A vaccination is contraindicated for pregnant client and may pose a theoretical risk to the developing fetus.'\n    when "Live attentuated Hepatitis A-containing vaccine is contraindicated Case 2" then 'Do not vaccinate client with hepatitis A as hepatitis A vaccination is contraindicated for severely immunocompromised clients.'\n    else ''\n  end\n\n/*\n@output: Hepatitis A vaccination could be contraindicated. Clinical judgement is required. Create a clinical note\n@pseudocode: "Immunization recommendation status" = "Further evaluation needed"\n*/\ndefine "Hepatitis A vaccination could be contraindicated. Clinical judgement is required. Create a clinical note":\n  Encounter."The client has a history of severe allergic reactions"\n\n/*\n@output: Hepatitis A vaccination could be contraindicated. Clinical judgement is required. Create a clinical note Guidance\n@guidance: Do not vaccinate client with inactivated hepatitis A vaccination if client has had a severe allergic reaction to the previous dose.\nDo not vaccinate client with live attenuated hepatitis A vaccination if client has severe allergy to components included in the live attenuated hepatitis A-containing vaccines.\n*/\ndefine "Hepatitis A vaccination could be contraindicated. Clinical judgement is required. Create a clinical note Guidance":\n  'Do not vaccinate client with inactivated hepatitis A vaccination if client has had a severe allergic reaction to the previous dose.\nDo not vaccinate client with live attenuated hepatitis A vaccination if client has severe allergy to components included in the live attenuated hepatitis A-containing vaccines.'\n\n\n/*\n@test: Test expected results based on example patients\n*/\ndefine "Test Validation":\n  case\n    when Patient.id = 'HepatitisA39.1' then "Live attentuated Hepatitis A-containing vaccine is contraindicated Case 1" and "Guidance" = 'Do not vaccinate client with hepatitis A as hepatitis A vaccination is contraindicated for pregnant client and may pose a theoretical risk to the developing fetus.'\n    when Patient.id = 'HepatitisA40.1' then "Live attentuated Hepatitis A-containing vaccine is contraindicated Case 2" and "Guidance" = 'Do not vaccinate client with hepatitis A as hepatitis A vaccination is contraindicated for severely immunocompromised clients.'\n    when Patient.id = 'HepatitisA41.1' then "Hepatitis A vaccination could be contraindicated. Clinical judgement is required. Create a clinical note" and "Guidance" = 'Do not vaccinate client with inactivated hepatitis A vaccination if client has had a severe allergic reaction to the previous dose.\nDo not vaccinate client with live attenuated hepatitis A vaccination if client has severe allergy to components included in the live attenuated hepatitis A-containing vaccines.'\n    else 'No test case set'\n  end\n
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Content: application/elm+xml
Encoded data (48104 characters)
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" }, "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability", "valueCode": "computable" } ], "url": "http://smart.who.int/immunizations/Library/IMMZD5DTHepatitisAContraindicationsLogic", "version": "0.2.0", "name": "IMMZD5DTHepatitisAContraindicationsLogic", "title": "IMMZD5DTHepatitisAContraindicationsLogic", "status": "draft", "experimental": false, "type": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/library-type", "code": "logic-library" } ] }, "date": "2026-03-25T23:30:34+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.Hepatitis A contraindications decision table in the Immunization CPG", "relatedArtifact": [ { "type": "depends-on", "display": "Library Encounter", "resource": "http://smart.who.int/immunizations/Library/IMMZD5DTHepatitisAEncounterElements" } ], "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 Hepatitis A dose", "use": "out", "min": 0, "max": "1", "type": "id" }, { "name": "Live attentuated Hepatitis A-containing vaccine is contraindicated Case 1", "use": "out", "min": 0, "max": "1", "type": "boolean" }, { "name": "Live attentuated Hepatitis A-containing vaccine is contraindicated Case 2", "use": "out", "min": 0, "max": "1", "type": "boolean" }, { "name": "Live attentuated Hepatitis A-containing vaccine is contraindicated", "use": "out", "min": 0, "max": "1", "type": "boolean" }, { "name": "Live attentuated Hepatitis A-containing vaccine is contraindicated Guidance", "use": "out", "min": 0, "max": "1", "type": "string" }, { "name": "Hepatitis A vaccination could be contraindicated. Clinical judgement is required. Create a clinical note", "use": "out", "min": 0, "max": "1", "type": "boolean" }, { "name": "Hepatitis A 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", "url": "Library-IMMZD5DTHepatitisAContraindicationsLogic.cql" }, { "contentType": "application/elm+xml", "url": "Library-IMMZD5DTHepatitisAContraindicationsLogic.elm.xml" } ] }