Title: IMMZD5DTSeasonalInfluenzaContraindicationsLogic Id: IMMZD5DTSeasonalInfluenzaContraindicationsLogic Version: 0.2.0 Url: IMMZD5DTSeasonalInfluenzaContraindicationsLogic Status: draft Type: system: http://terminology.hl7.org/CodeSystem/library-type code: logic-library Date: 2026-03-25 23:30:34+0000 Publisher: WHO Description: This library defines decision support logic for the IMMZ.D5.DT.Seasonal influenza contraindications decision table in the Immunization CPG Related Artifacts: Dependencies IMMZD5DTSeasonalinfluenzaEncounterElements Parameters: 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 Content: text/cql /* * Library: IMMZD5DTSeasonalInfluenzaContraindicationsLogic (IMMZ.D5.DT.Seasonal influenza contraindications) * Rule: Check for contraindications before administering the vaccine(s) due * Decision Table: IMMZ.D5.DT.Seasonal influenza contraindications * Trigger: IMMZ.D5 Determine vaccine(s) to be administered based on contraindications */ library IMMZD5DTSeasonalInfluenzaContraindicationsLogic using FHIR version '4.0.1' include FHIRHelpers version '4.0.1' include IMMZD5DTSeasonalinfluenzaEncounterElements called Encounter parameter Today Date default Today() context Patient /* @dynamicValue: Draft Medication Request ID for Seasonal influenza dose */ define "Draft Medication Request ID for Seasonal influenza dose": First(Encounter."Draft Medication Request for Seasonal influenza dose").id /* @dynamicValue: Guidance */ define "Guidance": case 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" else '' end define "Has Guidance": "Guidance" is not null and "Guidance" != '' /* @output: Seasonal influenza vaccination could be contraindicated. Clinical judgement is required. Create a clinical note Case 1 @pseudocode: '"Immunization recommendation status" = "Further evaluation needed" */ define "Seasonal influenza vaccination could be contraindicated. Clinical judgement is required. Create a clinical note Case 1": Encounter."The client has a history of anaphylactic reactions" /* @output: Seasonal influenza vaccination could be contraindicated. Clinical judgement is required. Create a clinical note Case 2 @pseudocode: '"Immunization recommendation status" = "Further evaluation needed" */ define "Seasonal influenza vaccination could be contraindicated. Clinical judgement is required. Create a clinical note Case 2": Encounter."The client has a history of severe allergic reactions after a previous dose or to a vaccine component" /* @output: Seasonal influenza vaccination could be contraindicated. Clinical judgement is required. Create a clinical note @pseudocode: '"Immunization recommendation status" = "Further evaluation needed" */ define "Seasonal influenza vaccination could be contraindicated. Clinical judgement is required. Create a clinical note": "Seasonal influenza vaccination could be contraindicated. Clinical judgement is required. Create a clinical note Case 1" or "Seasonal influenza vaccination could be contraindicated. Clinical judgement is required. Create a clinical note Case 2" /* @output: Seasonal influenza vaccination could be contraindicated. Clinical judgement is required. Create a clinical note Guidance @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. @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. */ define "Seasonal influenza vaccination could be contraindicated. Clinical judgement is required. Create a clinical note Guidance": case 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.' 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.' else '' end /* @test: Test expected results based on example patients */ define "Test Validation": case 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.' 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.' else 'No test case set' end Content: application/elm+xml Encoded data (37800 characters)