WHO Immunization Implementation Guide
0.2.0 - ci-build

WHO Immunization Implementation Guide, published by WHO. This guide is not an authorized publication; it is the continuous build for version 0.2.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/WorldHealthOrganization/smart-immunizations/ and changes regularly. See the Directory of published versions

Library: IMMZD2DTHepatitisB3DelayedLogic

Official URL: http://smart.who.int/immunizations/Library/IMMZD2DTHepatitisB3DelayedLogic Version: 0.2.0
Draft as of 2025-08-08 Computable Name: IMMZD2DTHepatitisB3DelayedLogic

This library defines decision support logic for the IMMZ.D2.DT.Hepatitis B.Delayed start decision table in the Immunization CPG

Title: IMMZD2DTHepatitisB3DelayedLogic
Id: IMMZD2DTHepatitisB3DelayedLogic
Version: 0.2.0
Url: IMMZD2DTHepatitisB3DelayedLogic
Status: draft
Type:

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

code: logic-library

Date: 2025-08-08 19:12:11+0000
Publisher: WHO
Description:

This library defines decision support logic for the IMMZ.D2.DT.Hepatitis B.Delayed start decision table in the Immunization CPG

Related Artifacts:

Dependencies

Parameters:
NameTypeMinMaxIn/Out
Todaydate01In
PatientPatient01Out
Client is due for hepatitis B vaccinationboolean01Out
Client is due for hepatitis B vaccination Guidancestring01Out
Client is not due for a hepatitis B vaccination Case 1boolean01Out
Client is not due for a hepatitis B vaccination Case 2boolean01Out
Client is not due for a hepatitis B vaccination Case 3boolean01Out
Client is not due for a hepatitis B vaccinationboolean01Out
Client is not due for a hepatitis B vaccination Guidancestring01Out
Client is due for a hepatitis B vaccination Case 1boolean01Out
Client is due for a hepatitis B vaccination Case 2boolean01Out
Client is due for a hepatitis B vaccinationboolean01Out
Client is due for a hepatitis B vaccination Guidancestring01Out
Hepatitis B immunization schedule is completeboolean01Out
Hepatitis B immunization schedule is complete Guidancestring01Out
Guidancestring01Out
Has Guidanceboolean01Out
Test ValidationResource01Out
Content: text/cql

/*
 * Library: IMMZD2DTHepatitisB3DelayedLogic (IMMZ.D2.DT.Hepatitis B.Delayed start)
 * Rule: Determine if the client is due for a hepatitis B vaccination according to the national immunization schedule
 * Decision Table: 3-dose schedule (no birth dose + 3 doses), delayed start
 * Trigger: IMMZ.D2 Determine required vaccination(s) if any
 */
library IMMZD2DTHepatitisB3DelayedLogic

using FHIR version '4.0.1'
include FHIRHelpers version '4.0.1'

include IMMZD2DTHepatitisBEncounterElements called Encounter

parameter Today Date default Today()

context Patient


/*
@dynamicValue: Guidance
*/
define "Guidance":
  case
    when "Client is due for hepatitis B vaccination" then "Client is due for hepatitis B vaccination Guidance"
    when "Client is not due for a hepatitis B vaccination" then "Client is not due for a hepatitis B vaccination Guidance"
    when "Client is due for a hepatitis B vaccination" then "Client is due for a hepatitis B vaccination Guidance"
    when "Hepatitis B immunization schedule is complete" then "Hepatitis B immunization schedule is complete Guidance"
    else ''
  end

define "Has Guidance":
  "Guidance" is not null and "Guidance" != ''

/*
@output: Client is due for hepatitis B vaccination
@pseudocode: "Immunization recommendation status" = "Due"
*/
define "Client is due for hepatitis B vaccination":
  Encounter."No hepatitis B doses were administered"
    and Encounter."Client's age is more than {Member States defined lower limit}"

/*
@output: Client is due for hepatitis B vaccination Guidance
@guidance: Should vaccinate client with first hepatitis B dose as hepatitis B birth dose was not administered. The first hepatitis B dose should be administered as soon as possible.  
Check for contraindications.
*/
define "Client is due for hepatitis B vaccination Guidance":
  'Should vaccinate client with first hepatitis B dose as hepatitis B birth dose was not administered. The first hepatitis B dose should be administered as soon as possible.  
Check for contraindications.'

/*
@output: Client is not due for a hepatitis B vaccination Case 1
@pseudocode: "Immunization recommendation status" = "Not due"
*/
define "Client is not due for a hepatitis B vaccination Case 1":
  Encounter."One hepatitis B dose was administered"
    and Encounter."The latest hepatitis B dose was administered less than 4 weeks ago"

/*
@output: Client is not due for a hepatitis B vaccination Case 2
@pseudocode: "Immunization recommendation status" = "Not due"
*/
define "Client is not due for a hepatitis B vaccination Case 2":
  Encounter."Two hepatitis B doses were administered"
    and Encounter."The latest hepatitis B dose was administered less than 4 weeks ago"

/*
@output: Client is not due for a hepatitis B vaccination Case 3
@pseudocode: "Immunization recommendation status" = "Not due"
*/
define "Client is not due for a hepatitis B vaccination Case 3":
  Encounter."Two hepatitis B doses were administered"
    and Encounter."The latest hepatitis B dose was administered more than 4 weeks ago"
    and Encounter."The first hepatitis B dose was administered less than 6 months ago"

/*
@output: Client is not due for a hepatitis B vaccination
@pseudocode: "Immunization recommendation status" = "Not due"
*/
define "Client is not due for a hepatitis B vaccination":
  "Client is not due for a hepatitis B vaccination Case 1"
    or "Client is not due for a hepatitis B vaccination Case 2"
    or "Client is not due for a hepatitis B vaccination Case 3"

/*
@output: Client is not due for a hepatitis B vaccination Guidance
@guidance: Should not vaccinate client with second hepatitis B dose as the latest hepatitis B dose was administered less than 4 weeks ago. 
Check for any other vaccines due, and inform the caregiver of when to come back for the next dose.
@guidance: Should not vaccinate client with second hepatitis B dose as the latest hepatitis B dose was administered less than 4 weeks ago. Two hepatitis B doses have been administered to the client. 
Check for any other vaccines due, and inform the caregiver of when to come back for the next dose.
@guidance: Should not vaccinate client with third hepatitis B dose as the first hepatitis B dose was administered less than 6 months ago. 
Check for any other vaccines due, and inform the caregiver of when to come back for the next dose.
*/
define "Client is not due for a hepatitis B vaccination Guidance":
  case
    when "Client is not due for a hepatitis B vaccination Case 1" then 'Should not vaccinate client with second hepatitis B dose as the latest hepatitis B dose was administered less than 4 weeks ago. 
Check for any other vaccines due, and inform the caregiver of when to come back for the next dose.'
    when "Client is not due for a hepatitis B vaccination Case 2" then 'Should not vaccinate client with second hepatitis B dose as the latest hepatitis B dose was administered less than 4 weeks ago. Two hepatitis B doses have been administered to the client. 
Check for any other vaccines due, and inform the caregiver of when to come back for the next dose.'
    when "Client is not due for a hepatitis B vaccination Case 3" then 'Should not vaccinate client with third hepatitis B dose as the first hepatitis B dose was administered less than 6 months ago. 
Check for any other vaccines due, and inform the caregiver of when to come back for the next dose.'
    else ''
  end

/*
@output: Client is due for a hepatitis B vaccination Case 1
@pseudocode: "Immunization recommendation status" = "Due"
*/
define "Client is due for a hepatitis B vaccination Case 1":
  Encounter."One hepatitis B dose was administered"
    and Encounter."The latest hepatitis B dose was administered more than 4 weeks ago"

/*
@output: Client is due for a hepatitis B vaccination Case 2
@pseudocode: "Immunization recommendation status" = "Due"
*/
define "Client is due for a hepatitis B vaccination Case 2":
  Encounter."Two hepatitis B doses were administered"
    and Encounter."The latest hepatitis B dose was administered more than 4 weeks ago"
    and Encounter."The first hepatitis B dose was administered more than 6 months ago"

/*
@output: Client is due for a hepatitis B vaccination
@pseudocode: "Immunization recommendation status" = "Due"
*/
define "Client is due for a hepatitis B vaccination":
  "Client is due for a hepatitis B vaccination Case 1"
    or "Client is due for a hepatitis B vaccination Case 2"

/*
@output: Client is due for a hepatitis B vaccination Guidance
@guidance: Should vaccinate client with second hepatitis B dose as the latest hepatitis B dose was administered less than 4 weeks ago. 
Check for contraindications.
@guidance: Should vaccinate client with third hepatitis B dose as the first hepatitis B dose was administered more than 6 months ago and the latest hepatitis B dose was administered more than 4 weeks ago. 
Check for contraindications.
*/
define "Client is due for a hepatitis B vaccination Guidance":
  case
    when "Client is due for a hepatitis B vaccination Case 1" then 'Should vaccinate client with second hepatitis B dose as the latest hepatitis B dose was administered less than 4 weeks ago. 
Check for contraindications.'
    when "Client is due for a hepatitis B vaccination Case 2" then 'Should vaccinate client with third hepatitis B dose as the first hepatitis B dose was administered more than 6 months ago and the latest hepatitis B dose was administered more than 4 weeks ago. 
Check for contraindications.'
    else ''
  end

/*
@output: Hepatitis B immunization schedule is complete
@pseudocode: '"Immunization recommendation status" = "Complete"
*/
define "Hepatitis B immunization schedule is complete":
  Encounter."Three hepatitis B doses were administered"

/*
@output: Hepatitis B immunization schedule is complete Guidance
@guidance: Hepatitis B immunization schedule is complete. Three hepatitis B primary series doses were administered. 
Check for any other vaccines due.
*/
define "Hepatitis B immunization schedule is complete Guidance":
  'Hepatitis B immunization schedule is complete. Three hepatitis B primary series doses were administered. 
Check for any other vaccines due.'


/*
@test: Test expected results based on example patients
*/
define "Test Validation":
  case
    when Patient.id = '50.Agt1d' then "Client is due for hepatitis B vaccination" and "Guidance" = 'Should vaccinate client with first hepatitis B dose as hepatitis B birth dose was not administered. The first hepatitis B dose should be administered as soon as possible.  
Check for contraindications.'
    when Patient.id = '51.D1HBltww' then "Client is not due for a hepatitis B vaccination Case 1" and "Guidance" = 'Should not vaccinate client with second hepatitis B dose as the latest hepatitis B dose was administered less than 4 weeks ago. 
Check for any other vaccines due, and inform the caregiver of when to come back for the next dose.'
    when Patient.id = '52.D1HBgt4w' then "Client is due for a hepatitis B vaccination Case 1" and "Guidance" = 'Should vaccinate client with second hepatitis B dose as the latest hepatitis B dose was administered less than 4 weeks ago. 
Check for contraindications.'
    when Patient.id = '53.D2HBlt4w' then "Client is not due for a hepatitis B vaccination Case 2" and "Guidance" = 'Should not vaccinate client with second hepatitis B dose as the latest hepatitis B dose was administered less than 4 weeks ago. Two hepatitis B doses have been administered to the client. 
Check for any other vaccines due, and inform the caregiver of when to come back for the next dose.'
    when Patient.id = '54.D2HBgt4wFDlt6m' then "Client is not due for a hepatitis B vaccination Case 3" and "Guidance" = 'Should not vaccinate client with third hepatitis B dose as the first hepatitis B dose was administered less than 6 months ago. 
Check for any other vaccines due, and inform the caregiver of when to come back for the next dose.'
    when Patient.id = '55.D2HBgt4wFDgt6m' then "Client is due for a hepatitis B vaccination Case 2" and "Guidance" = 'Should vaccinate client with third hepatitis B dose as the first hepatitis B dose was administered more than 6 months ago and the latest hepatitis B dose was administered more than 4 weeks ago. 
Check for contraindications.'
    when Patient.id = '56.D3' then "Hepatitis B immunization schedule is complete" and "Guidance" = 'Hepatitis B immunization schedule is complete. Three hepatitis B primary series doses were administered. 
Check for any other vaccines due.'
    else 'No test case set'
  end
Content: application/elm+xml
Encoded data (94804 characters)