/*
* Library: IMMZD5DTHPVCILogic (IMMZ.D5.DT.HPV contraindications)
* Rule: Check for contraindications before administering the vaccine(s) due
* Decision Table: Potential contraindications
* Trigger: IMMZ.D5 Determine vaccine(s) to be administered based on contraindications
*/
library IMMZD5DTHPVCILogic
using FHIR version '4.0.1'
include FHIRHelpers version '4.0.1'
include IMMZD5DTHPVEncounterElements called Encounter
parameter Today Date default Today()
context Patient
/*
@dynamicValue: Draft Medication Request ID for HPV dose
*/
define "Draft Medication Request ID for HPV dose":
First(Encounter."Draft Medication Request for HPV dose").id
/*
@dynamicValue: Guidance
*/
define "Guidance":
case
when "Human papillomavirus (HPV) vaccination is contraindicated" then "Human papillomavirus (HPV) vaccination is contraindicated Guidance"
when "HPV vaccination could be contraindicated. Clinical judgement is required. Create a clinical note" then "HPV 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: Human papillomavirus (HPV) vaccination is contraindicated
@pseudocode: "Immunization recommendation status" = "Contraindicated"
*/
define "Human papillomavirus (HPV) vaccination is contraindicated":
Encounter."The client is currently pregnant"
/*
@output: Human papillomavirus (HPV) vaccination is contraindicated Guidance
@guidance: Do not vaccinate client with HPV as HPV vaccination is contraindicated for pregnant client.
*/
define "Human papillomavirus (HPV) vaccination is contraindicated Guidance":
'Do not vaccinate client with HPV as HPV vaccination is contraindicated for pregnant client.'
/*
@output: HPV vaccination could be contraindicated. Clinical judgement is required. Create a clinical note
@pseudocode: "Immunization recommendation status" = "Further evaluation needed"
*/
define "HPV vaccination could be contraindicated. Clinical judgement is required. Create a clinical note":
Encounter."The client has history of severe allergic reactions"
/*
@output: HPV vaccination could be contraindicated. Clinical judgement is required. Create a clinical note Guidance
@guidance: Do not vaccinate client with HPV if client has history of a severe allergic reaction after a previous HPV vaccine dose, or to a component of the vaccine.
*/
define "HPV vaccination could be contraindicated. Clinical judgement is required. Create a clinical note Guidance":
'Do not vaccinate client with HPV if client has history of a severe allergic reaction after a previous HPV vaccine dose, or to a component of the vaccine.'
/*
@test: Test expected results based on example patients
*/
define "Test Validation":
case
when Patient.id = '45.0' then "Human papillomavirus (HPV) vaccination is contraindicated" and "Guidance" = 'Do not vaccinate client with HPV as HPV vaccination is contraindicated for pregnant client.'
when Patient.id = '46.0' then "HPV vaccination could be contraindicated. Clinical judgement is required. Create a clinical note" and "Guidance" = 'Do not vaccinate client with HPV if client has history of a severe allergic reaction after a previous HPV vaccine dose, or to a component of the vaccine.'
else 'No test case set'
end