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
| Draft as of 2026-07-07 |
@prefix fhir: <http://hl7.org/fhir/> . @prefix owl: <http://www.w3.org/2002/07/owl#> . @prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> . @prefix xsd: <http://www.w3.org/2001/XMLSchema#> . # - resource ------------------------------------------------------------------- <http://hl7.org/fhir/PlanDefinition/IMMZD5DTPneumococcalContraindications> a fhir:PlanDefinition ; fhir:nodeRole fhir:treeRoot ; fhir:Resource.id [ fhir:value "IMMZD5DTPneumococcalContraindications"] ; fhir:Resource.meta [ fhir:Meta.profile [ fhir:value "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-recommendationdefinition" ; fhir:index 0 ; fhir:link <http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-recommendationdefinition> ], [ fhir:value "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareableplandefinition" ; fhir:index 1 ; fhir:link <http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareableplandefinition> ], [ fhir:value "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-publishableplandefinition" ; fhir:index 2 ; fhir:link <http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-publishableplandefinition> ] ] ; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "extensions" ] ; fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n<div>\n <table class=\"grid dict\">\n \n <tr>\n <th scope=\"row\"><b>Id: </b></th>\n <td style=\"padding-left: 4px;\">IMMZD5DTPneumococcalContraindications</td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Url: </b></th>\n <td style=\"padding-left: 4px;\"><a href=\"PlanDefinition-IMMZD5DTPneumococcalContraindications.html\">IMMZ.D5.DT.Pneumococcal contraindications</a></td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Version: </b></th>\n <td style=\"padding-left: 4px;\">0.2.0</td>\n </tr>\n \n\n \n\n \n <tr>\n <th scope=\"row\"><b>Title: </b></th>\n <td style=\"padding-left: 4px;\">IMMZ.D5.DT.Pneumococcal contraindications</td>\n </tr>\n \n\n \n\n \n <tr>\n <th scope=\"row\"><b>Status: </b></th>\n <td style=\"padding-left: 4px;\">draft</td>\n </tr>\n \n\n \n\n \n <tr>\n <th scope=\"row\"><b>Type: </b></th>\n <td style=\"padding-left: 4px;\">\n \n \n \n <p style=\"margin-bottom: 5px;\">\n <b>system: </b> <span><a href=\"http://terminology.hl7.org/7.2.0/CodeSystem-plan-definition-type.html\">http://terminology.hl7.org/CodeSystem/plan-definition-type</a></span>\n </p>\n \n \n <p style=\"margin-bottom: 5px;\">\n <b>code: </b> <span>eca-rule</span>\n </p>\n \n \n \n \n \n </td>\n </tr>\n \n\n \n\n \n <tr>\n <th scope=\"row\"><b>Date: </b></th>\n <td style=\"padding-left: 4px;\">2026-07-07 22:09:13+0000</td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Publisher: </b></th>\n <td style=\"padding-left: 4px;\">WHO</td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Description: </b></th>\n <td style=\"padding-left: 4px;\"><div><p>IMMZ.D5.DT.Pneumococcal contraindications\nIMMZ.D5.DT.Pneumococcal contraindications</p>\n</div></td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Knowledge Capability: </b></th>\n <td style=\"padding-left: 4px;\">\n \n computable \n </td>\n </tr>\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n <tr>\n <th scope=\"row\"><b>Related Artifacts: </b></th>\n <td style=\"padding-left: 4px;\">\n \n \n <p><b>References</b></p>\n <ul>\n \n <li><div><p>WHO recommendations for routine immunization - summary tables (January 2025)</p>\n</div><br/><a href=\"null\"/></li>\n \n </ul>\n \n \n \n \n \n \n </td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Libraries: </b></th>\n <td style=\"padding-left: 4px;\">\n <table class=\"grid-dict\">\n \n <tr>\n <td><a href=\"Library-IMMZD5DTPneumococcalContraindicationsLogic.html\">IMMZD5DTPneumococcalContraindicationsLogic</a></td>\n </tr>\n \n </table>\n </td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Actions: </b></th>\n <td style=\"padding-left: 4px;\">\n <table class=\"grid-dict\">\n \n <tr>\n <td>\n \n <b> Check for Guidance for the patient regarding IMMZ.D5.DT.Pneumococcal contraindications.:</b> Show Guidance for the patient regarding IMMZ.D5.DT.Pneumococcal contraindications.\n \n <br/>\n \n \n <b>If:</b>\n \n <i>Applicability:</i>\n \n Has Guidance\n \n <i>(Has Guidance)</i>\n <br/>\n \n \n \n \n <b>Then:</b> <i>Definition:</i> <a href=\"ActivityDefinition-IMMZD2DTCR.html\">IMMZ.D2.DT.CR</a><br/>\n \n <i>Dynamic Values:</i><br/>\n \n status: <i>('active')</i>\n <br/>\n \n payload.contentString: <i>(Guidance)</i>\n <br/>\n \n category.coding: <i>(Code { system: 'http://terminology.hl7.org/CodeSystem/communication-category', code: 'alert' })</i>\n <br/>\n \n priority: <i>(Code { system: 'http://hl7.org/fhir/request-priority', code: 'routine' })</i>\n <br/>\n \n \n \n \n </td>\n </tr>\n \n </table>\n </td>\n </tr>\n \n </table>\n</div>\n</div>" ] ; fhir:DomainResource.contained [ a fhir:Library ; fhir:index 0 ; fhir:Resource.id [ fhir:value "effective-data-requirements" ] ; fhir:DomainResource.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode" ] ; fhir:Extension.valueCoding [ fhir:Coding.system [ fhir:value "http://smart.who.int/immunizations/CodeSystem/IMMZ.D" ] ; fhir:Coding.code [ fhir:value "DE161" ] ; fhir:Coding.display [ fhir:value "Potential contraindications" ] ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode" ] ; fhir:Extension.valueCoding [ fhir:Coding.system [ fhir:value "http://smart.who.int/immunizations/CodeSystem/IMMZ.D" ] ; fhir:Coding.code [ fhir:value "DE166" ] ; fhir:Coding.display [ fhir:value "History of anaphylactic reactions" ] ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode" ] ; fhir:Extension.valueCoding [ fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/condition-clinical" ] ; fhir:Coding.code [ fhir:value "active" ] ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode" ] ; fhir:Extension.valueCoding [ fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/condition-clinical" ] ; fhir:Coding.code [ fhir:value "recurrence" ] ] ], [ fhir:index 4 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode" ] ; fhir:Extension.valueCoding [ fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/condition-clinical" ] ; fhir:Coding.code [ fhir:value "relapse" ] ] ], [ fhir:index 5 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode" ] ; fhir:Extension.valueCoding [ fhir:Coding.system [ fhir:value "http://smart.who.int/immunizations/CodeSystem/IMMZ.D" ] ; fhir:Coding.code [ fhir:value "DE167" ] ; fhir:Coding.display [ fhir:value "Severe allergic reactions" ] ] ], [ fhir:index 6 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZElements" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "Potential contraindications" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@internal: Potential contraindications observations\n*/\ndefine \"Potential contraindications\":\n ([Observation: Concepts.\"Potential contraindications\"]).complete()" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "0"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 7 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZElements" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "CI History of anaphylactic reactions Observation" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@internal: Observation for History of anaphylactic reactions\n*/\ndefine \"CI History of anaphylactic reactions Observation\":\n \"Potential contraindications\" O\n where O.value ~ Concepts.\"CI-History of anaphylactic reactions\"" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "1"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 8 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZEncounterElements" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "CI History of anaphylactic reactions Observation" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@internal: Observation for History of anaphylactic reactions\n*/\ndefine \"CI History of anaphylactic reactions Observation\":\n Elements.\"CI History of anaphylactic reactions Observation\".encounterOrOnBefore(EncounterId, Today)" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "2"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 9 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZElements" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "CI History of anaphylactic reactions Condition" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@internal: Condition for History of anaphylactic reactions\n*/\ndefine \"CI History of anaphylactic reactions Condition\":\n [Condition: Concepts.\"CI-History of anaphylactic reactions\"]" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "3"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 10 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZEncounterElements" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "CI History of anaphylactic reactions Condition" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@internal: Condition for History of anaphylactic reactions\n*/\ndefine \"CI History of anaphylactic reactions Condition\":\n Elements.\"CI History of anaphylactic reactions Condition\" C\n where C.prevalenceInterval() includes Today" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "4"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 11 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZEncounterElements" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "The client has history of anaphylactic reactions" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@input: The client has history of anaphylactic reactions\n@pseudocode: \"Potential contraindications\" = \"History of anaphylactic reactions\"\n*/\ndefine \"The client has history of anaphylactic reactions\":\n exists \"CI History of anaphylactic reactions Observation\"\n or exists \"CI History of anaphylactic reactions Condition\"" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "5"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 12 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZD5DTPneumococcalEncounterElements" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "The client has a history of anaphylactic reactions" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@input: The client has a history of anaphylactic reactions\n@pseudocode: \"Potential contraindications\" = \"History of anaphylactic reactions\"\n@code: The client has a history of anaphylactic reactions-67\n@decision: IMMZ.D5.DT.Pneumococcal contraindications\n*/\ndefine \"The client has a history of anaphylactic reactions\":\n Encounter.\"The client has history of anaphylactic reactions\"" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "6"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 13 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZD5DTPneumococcalContraindicationsLogic" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "Pneumococcal vaccination could be contraindicated. Clinical judgement is required. Create a clinical note" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@output: Pneumococcal vaccination could be contraindicated. Clinical judgement is required. Create a clinical note\n@pseudocode: \"Immunization recommendation status\" = \"Further evaluation needed\"\n*/\ndefine \"Pneumococcal vaccination could be contraindicated. Clinical judgement is required. Create a clinical note\":\n Encounter.\"The client has a history of anaphylactic reactions\"" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "7"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 14 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZD5DTPneumococcalContraindicationsLogic" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "Pneumococcal vaccination could be contraindicated. Clinical judgement is required. Create a clinical note Guidance" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@output: Pneumococcal vaccination could be contraindicated. Clinical judgement is required. Create a clinical note Guidance\n@guidance: Do not vaccinate client with pneumococcal if client has a history of anaphylactic reaction to any component of the vaccine.\n*/\ndefine \"Pneumococcal vaccination could be contraindicated. Clinical judgement is required. Create a clinical note Guidance\":\n 'Do not vaccinate client with pneumococcal if client has a history of anaphylactic reaction to any component of the vaccine.'" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "8"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 15 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZElements" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "CI Severe allergic reactions Observation" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@internal: Observation for Severe allergic reactions\n*/\ndefine \"CI Severe allergic reactions Observation\":\n \"Potential contraindications\" O\n where O.value ~ Concepts.\"CI-Severe allergic reactions\"" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "9"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 16 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZEncounterElements" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "CI Severe allergic reactions Observation" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@internal: Observation for Severe allergic reactions\n*/\ndefine \"CI Severe allergic reactions Observation\":\n Elements.\"CI Severe allergic reactions Observation\".encounterOrOnBefore(EncounterId, Today)" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "10"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 17 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZElements" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "CI Severe allergic reactions Condition" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@internal: Condition for Severe allergic reactions\n*/\ndefine \"CI Severe allergic reactions Condition\":\n [Condition: Concepts.\"CI-Severe allergic reactions\"]" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "11"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 18 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZEncounterElements" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "CI Severe allergic reactions Condition" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@internal: Condition for Severe allergic reactions\n*/\ndefine \"CI Severe allergic reactions Condition\":\n Elements.\"CI Severe allergic reactions Condition\" C\n where C.prevalenceInterval() includes Today" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "12"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 19 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZEncounterElements" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "The client has history of severe allergic reactions" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@input: The client has history of severe allergic reactions\n@pseudocode: \"Potential contraindications\" = \"Severe allergic reactions\"\n*/\ndefine \"The client has history of severe allergic reactions\":\n exists \"CI Severe allergic reactions Observation\"\n or exists \"CI Severe allergic reactions Condition\"" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "13"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 20 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZD5DTPneumococcalEncounterElements" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "The client has a history of severe allergic reactions" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@input: The client has a history of severe allergic reactions\n@pseudocode: \"Potential contraindications\" = \"Severe allergic reactions\"\n@code: The client has a history of severe allergic reactions-59\n@decision: IMMZ.D5.DT.Pneumococcal contraindications\n*/\ndefine \"The client has a history of severe allergic reactions\":\n Encounter.\"The client has history of severe allergic reactions\"" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "14"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 21 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZD5DTPneumococcalContraindicationsLogic" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "Pneumococcal vaccination could be contraindicated. Clinical judgement is required. Create a clinical note." ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@output: Pneumococcal vaccination could be contraindicated. Clinical judgement is required. Create a clinical note.\n@pseudocode: \"Immunization recommendation status\" = \"Further evaluation needed\"\n*/\ndefine \"Pneumococcal vaccination could be contraindicated. Clinical judgement is required. Create a clinical note.\":\n Encounter.\"The client has a history of severe allergic reactions\"" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "15"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 22 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZD5DTPneumococcalContraindicationsLogic" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "Pneumococcal vaccination could be contraindicated. Clinical judgement is required. Create a clinical note. Guidance" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@output: Pneumococcal vaccination could be contraindicated. Clinical judgement is required. Create a clinical note. Guidance\n@guidance: Do not vaccinate client with pneumococcal if client has a history of severe allergic reactions to any component of the vaccine.\n*/\ndefine \"Pneumococcal vaccination could be contraindicated. Clinical judgement is required. Create a clinical note. Guidance\":\n 'Do not vaccinate client with pneumococcal if client has a history of severe allergic reactions to any component of the vaccine.'" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "16"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 23 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZD5DTPneumococcalContraindicationsLogic" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "Guidance" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@dynamicValue: Guidance\n*/\ndefine \"Guidance\":\n case \n when \"Pneumococcal vaccination could be contraindicated. Clinical judgement is required. Create a clinical note\" then \"Pneumococcal vaccination could be contraindicated. Clinical judgement is required. Create a clinical note Guidance\"\n when \"Pneumococcal vaccination could be contraindicated. Clinical judgement is required. Create a clinical note.\" then \"Pneumococcal vaccination could be contraindicated. Clinical judgement is required. Create a clinical note. Guidance\" \n else ''\n end" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "17"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 24 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZD5DTPneumococcalContraindicationsLogic" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "Has Guidance" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "define \"Has Guidance\":\n \"Guidance\" is not null and \"Guidance\" != ''" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "18"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 25 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "IMMZCommon" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "encounterOrOnBefore" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/**\n * @description: Gets observation from an encounter or on or before a date\n */\ndefine fluent function encounterOrOnBefore(observations List<Observation>, EncounterId String, beforeDate Date):\n observations O where\n (O.encounter.references(EncounterId)\n or O.effective.toInterval() starts same day or before beforeDate)" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "19"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 26 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "WHOCommon" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "references" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@description: Returns true if the given reference is to the given resourceId\n@comment: Returns true if the `resourceId` parameter exactly equals the tail of the given reference.\nNOTE: This function assumes resources from the same source server.\n*/\ndefine fluent function references(reference FHIR.Reference, resourceId String):\n resourceId = Last(Split(reference.reference, '/'))" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "20"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 27 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "FHIRHelpers" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "ToString" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "define function ToString(value string): value.value" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "21"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 28 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "WHOCommon" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "complete" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "define fluent function complete(observations List<Observation>):\n observations O where O.status in { 'final', 'amended', 'corrected' }" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "22"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 29 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "FHIRHelpers" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "ToString" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "define function ToString(value ObservationStatus): value.value" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "23"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 30 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "FHIRHelpers" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "ToConcept" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "define function ToConcept(concept FHIR.CodeableConcept):\n if concept is null then\n null\n else\n System.Concept {\n codes: concept.coding C return ToCode(C),\n display: concept.text.value\n }" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "24"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 31 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "FHIRHelpers" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "ToCode" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "define function ToCode(coding FHIR.Coding):\n if coding is null then\n null\n else\n System.Code {\n code: coding.code.value,\n system: coding.system.value,\n version: coding.version.value,\n display: coding.display.value\n }" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "25"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 32 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "WHOCommon" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "prevalenceInterval" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@description: Returns an interval representing the normalized prevalence period of a given Condition resource.\n@comment: Uses the toInterval and toAbatementInterval functions to determine the widest potential interval from\nonset to abatement as specified in the given Condition.\n*/\ndefine fluent function prevalenceInterval(condition Condition):\nif condition.clinicalStatus ~ \"active\"\n or condition.clinicalStatus ~ \"recurrence\"\n or condition.clinicalStatus ~ \"relapse\" then\n Interval[start of condition.onset.toInterval(), end of condition.abatementInterval()]\nelse\n (end of condition.abatementInterval()) abatementDate\n return \n if abatementDate is null then\n Interval[start of condition.onset.toInterval(), abatementDate)\n else\n Interval[start of condition.onset.toInterval(), abatementDate]" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "26"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 33 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "WHOCommon" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "abatementInterval" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "// Was getting error on this for this particular choice set not being found\n\n\n/*\n@description: Returns an interval representing the normalized Abatement of a given Condition resource.\n@comment: NOTE: Due to the complexity of determining an interval from a String, this function will throw\na run-time exception if used with a Condition instance that has a String as the abatement value.\n*/\ndefine fluent function abatementInterval(condition Condition):\n if condition.abatement is FHIR.dateTime then\n Interval[FHIRHelpers.ToDateTime(condition.abatement as FHIR.dateTime), FHIRHelpers.ToDateTime(condition.abatement as FHIR.dateTime)]\n else if condition.abatement is FHIR.Period then\n FHIRHelpers.ToInterval(condition.abatement as FHIR.Period)\n else if condition.abatement is FHIR.string then\n Message(null as Interval<DateTime>, true, 'NOT_IMPLEMENTED', 'Error', 'Calculation of an interval from a String value is not supported')\n else if condition.abatement is FHIR.Age then\n Interval[FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity(condition.abatement as FHIR.Age),\n FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity(condition.abatement as FHIR.Age) + 1 year)\n else if condition.abatement is FHIR.Range then\n Interval[FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity((condition.abatement as FHIR.Range).low),\n FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity((condition.abatement as FHIR.Range).high) + 1 year)\n else if condition.abatement is FHIR.boolean then\n Interval[end of condition.onset.toInterval(), condition.recordedDate)\n else \n null" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "27"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 34 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "FHIRHelpers" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "ToDateTime" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "define function ToDateTime(value dateTime): value.value" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "28"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 35 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "FHIRHelpers" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "ToInterval" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "define function ToInterval(period FHIR.Period):\n if period is null then\n null\n else\n if period.\"start\" is null then\n Interval(period.\"start\".value, period.\"end\".value]\n else\n Interval[period.\"start\".value, period.\"end\".value]" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "29"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 36 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "FHIRHelpers" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "ToDate" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "define function ToDate(value date): value.value" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "30"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 37 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "FHIRHelpers" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "ToQuantity" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "define function ToQuantity(quantity FHIR.Quantity):\n case\n when quantity is null then null\n when quantity.value is null then null\n when quantity.comparator is not null then\n Message(null, true, 'FHIRHelpers.ToQuantity.ComparatorQuantityNotSupported', 'Error', 'FHIR Quantity value has a comparator and cannot be converted to a System.Quantity value.')\n when quantity.system is null or quantity.system.value = 'http://unitsofmeasure.org'\n or quantity.system.value = 'http://hl7.org/fhirpath/CodeSystem/calendar-units' then\n System.Quantity { value: quantity.value.value, unit: ToCalendarUnit(Coalesce(quantity.code.value, quantity.unit.value, '1')) }\n else\n Message(null, true, 'FHIRHelpers.ToQuantity.InvalidFHIRQuantity', 'Error', 'Invalid FHIR Quantity code: ' & quantity.unit.value & ' (' & quantity.system.value & '|' & quantity.code.value & ')')\n end" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "31"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index 38 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "FHIRHelpers" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "ToCalendarUnit" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "define function ToCalendarUnit(unit System.String):\n case unit\n when 'ms' then 'millisecond'\n when 's' then 'second'\n when 'min' then 'minute'\n when 'h' then 'hour'\n when 'd' then 'day'\n when 'wk' then 'week'\n when 'mo' then 'month'\n when 'a' then 'year'\n else unit\n end" ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "32"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ] ; fhir:Library.name [ fhir:value "EffectiveDataRequirements" ] ; fhir:Library.status [ fhir:value "active" ] ; fhir:Library.type [ fhir:CodeableConcept.coding [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/library-type" ] ; fhir:Coding.code [ fhir:value "module-definition" ] ] ] ; fhir:Library.relatedArtifact [ fhir:index 0 ; fhir:RelatedArtifact.type [ fhir:value "depends-on" ] ; fhir:RelatedArtifact.display [ fhir:value "FHIR model information" ] ; fhir:RelatedArtifact.resource [ fhir:value "http://fhir.org/guides/cqf/common/Library/FHIR-ModelInfo|4.0.1" ; fhir:link <http://fhir.org/guides/cqf/common/Library/FHIR-ModelInfo|4.0.1> ] ], [ fhir:index 1 ; fhir:RelatedArtifact.type [ fhir:value "depends-on" ] ; fhir:RelatedArtifact.display [ fhir:value "Library Encounter" ] ; fhir:RelatedArtifact.resource [ fhir:value "http://smart.who.int/immunizations/Library/IMMZD5DTPneumococcalEncounterElements" ; fhir:link <http://smart.who.int/immunizations/Library/IMMZD5DTPneumococcalEncounterElements> ] ], [ fhir:index 2 ; fhir:RelatedArtifact.type [ fhir:value "depends-on" ] ; fhir:RelatedArtifact.display [ fhir:value "Library Encounter" ] ; fhir:RelatedArtifact.resource [ fhir:value "http://smart.who.int/immunizations/Library/IMMZEncounterElements" ; fhir:link <http://smart.who.int/immunizations/Library/IMMZEncounterElements> ] ], [ fhir:index 3 ; fhir:RelatedArtifact.type [ fhir:value "depends-on" ] ; fhir:RelatedArtifact.display [ fhir:value "Library Common" ] ; fhir:RelatedArtifact.resource [ fhir:value "http://smart.who.int/immunizations/Library/IMMZCommon" ; fhir:link <http://smart.who.int/immunizations/Library/IMMZCommon> ] ], [ fhir:index 4 ; fhir:RelatedArtifact.type [ fhir:value "depends-on" ] ; fhir:RelatedArtifact.display [ fhir:value "Library WC" ] ; fhir:RelatedArtifact.resource [ fhir:value "http://smart.who.int/immunizations/Library/WHOCommon" ; fhir:link <http://smart.who.int/immunizations/Library/WHOCommon> ] ], [ fhir:index 5 ; fhir:RelatedArtifact.type [ fhir:value "depends-on" ] ; fhir:RelatedArtifact.display [ fhir:value "Library FHIRHelpers" ] ; fhir:RelatedArtifact.resource [ fhir:value "http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1" ; fhir:link <http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1> ] ], [ fhir:index 6 ; fhir:RelatedArtifact.type [ fhir:value "depends-on" ] ; fhir:RelatedArtifact.display [ fhir:value "Library Elements" ] ; fhir:RelatedArtifact.resource [ fhir:value "http://smart.who.int/immunizations/Library/IMMZElements" ; fhir:link <http://smart.who.int/immunizations/Library/IMMZElements> ] ], [ fhir:index 7 ; fhir:RelatedArtifact.type [ fhir:value "depends-on" ] ; fhir:RelatedArtifact.display [ fhir:value "Library WC" ] ; fhir:RelatedArtifact.resource [ fhir:value "http://smart.who.int/immunizations/Library/WHOCommon" ; fhir:link <http://smart.who.int/immunizations/Library/WHOCommon> ] ], [ fhir:index 8 ; fhir:RelatedArtifact.type [ fhir:value "depends-on" ] ; fhir:RelatedArtifact.display [ fhir:value "Library Concepts" ] ; fhir:RelatedArtifact.resource [ fhir:value "http://smart.who.int/immunizations/Library/IMMZConcepts" ; fhir:link <http://smart.who.int/immunizations/Library/IMMZConcepts> ] ], [ fhir:index 9 ; fhir:RelatedArtifact.type [ fhir:value "depends-on" ] ; fhir:RelatedArtifact.display [ fhir:value "Code system IMMZD" ] ; fhir:RelatedArtifact.resource [ fhir:value "http://smart.who.int/immunizations/CodeSystem/IMMZ.D" ; fhir:link <http://smart.who.int/immunizations/CodeSystem/IMMZ.D> ] ], [ fhir:index 10 ; fhir:RelatedArtifact.type [ fhir:value "depends-on" ] ; fhir:RelatedArtifact.display [ fhir:value "Code system ConditionClinicalStatusCodes" ] ; fhir:RelatedArtifact.resource [ fhir:value "http://terminology.hl7.org/CodeSystem/condition-clinical" ; fhir:link <http://terminology.hl7.org/CodeSystem/condition-clinical> ] ] ; fhir:Library.parameter [ fhir:index 0 ; fhir:ParameterDefinition.name [ fhir:value "EncounterId" ] ; fhir:ParameterDefinition.use [ fhir:value "in" ] ; fhir:ParameterDefinition.min [ fhir:value "0"^^xsd:integer ] ; fhir:ParameterDefinition.max [ fhir:value "1" ] ; fhir:ParameterDefinition.type [ fhir:value "string" ] ], [ fhir:index 1 ; fhir:ParameterDefinition.name [ fhir:value "Today" ] ; fhir:ParameterDefinition.use [ fhir:value "in" ] ; fhir:ParameterDefinition.min [ fhir:value "0"^^xsd:integer ] ; fhir:ParameterDefinition.max [ fhir:value "1" ] ; fhir:ParameterDefinition.type [ fhir:value "date" ] ], [ fhir:index 2 ; fhir:ParameterDefinition.name [ fhir:value "Guidance" ] ; fhir:ParameterDefinition.use [ fhir:value "out" ] ; fhir:ParameterDefinition.min [ fhir:value "0"^^xsd:integer ] ; fhir:ParameterDefinition.max [ fhir:value "1" ] ; fhir:ParameterDefinition.type [ fhir:value "string" ] ], [ fhir:index 3 ; fhir:ParameterDefinition.name [ fhir:value "Has Guidance" ] ; fhir:ParameterDefinition.use [ fhir:value "out" ] ; fhir:ParameterDefinition.min [ fhir:value "0"^^xsd:integer ] ; fhir:ParameterDefinition.max [ fhir:value "1" ] ; fhir:ParameterDefinition.type [ fhir:value "boolean" ] ] ; fhir:Library.dataRequirement [ fhir:index 0 ; fhir:DataRequirement.type [ fhir:value "Observation" ] ; fhir:DataRequirement.profile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Observation" ; fhir:index 0 ; fhir:link <http://hl7.org/fhir/StructureDefinition/Observation> ] ; fhir:DataRequirement.mustSupport [ fhir:value "code" ; fhir:index 0 ] ; fhir:DataRequirement.codeFilter [ fhir:index 0 ; fhir:DataRequirement.codeFilter.path [ fhir:value "code" ] ; fhir:DataRequirement.codeFilter.code [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://smart.who.int/immunizations/CodeSystem/IMMZ.D" ] ; fhir:Coding.code [ fhir:value "DE161" ] ; fhir:Coding.display [ fhir:value "Potential contraindications" ] ] ] ], [ fhir:index 1 ; fhir:DataRequirement.type [ fhir:value "Observation" ] ; fhir:DataRequirement.profile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Observation" ; fhir:index 0 ; fhir:link <http://hl7.org/fhir/StructureDefinition/Observation> ] ; fhir:DataRequirement.mustSupport [ fhir:value "code" ; fhir:index 0 ], [ fhir:value "value" ; fhir:index 1 ] ; fhir:DataRequirement.codeFilter [ fhir:index 0 ; fhir:DataRequirement.codeFilter.path [ fhir:value "code" ] ; fhir:DataRequirement.codeFilter.code [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://smart.who.int/immunizations/CodeSystem/IMMZ.D" ] ; fhir:Coding.code [ fhir:value "DE161" ] ; fhir:Coding.display [ fhir:value "Potential contraindications" ] ] ] ], [ fhir:index 2 ; fhir:DataRequirement.type [ fhir:value "Condition" ] ; fhir:DataRequirement.profile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Condition" ; fhir:index 0 ; fhir:link <http://hl7.org/fhir/StructureDefinition/Condition> ] ; fhir:DataRequirement.mustSupport [ fhir:value "code" ; fhir:index 0 ] ; fhir:DataRequirement.codeFilter [ fhir:index 0 ; fhir:DataRequirement.codeFilter.path [ fhir:value "code" ] ; fhir:DataRequirement.codeFilter.code [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://smart.who.int/immunizations/CodeSystem/IMMZ.D" ] ; fhir:Coding.code [ fhir:value "DE166" ] ; fhir:Coding.display [ fhir:value "History of anaphylactic reactions" ] ] ] ], [ fhir:index 3 ; fhir:DataRequirement.type [ fhir:value "Patient" ] ; fhir:DataRequirement.profile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Patient" ; fhir:index 0 ; fhir:link <http://hl7.org/fhir/StructureDefinition/Patient> ] ], [ fhir:index 4 ; fhir:DataRequirement.type [ fhir:value "Condition" ] ; fhir:DataRequirement.profile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Condition" ; fhir:index 0 ; fhir:link <http://hl7.org/fhir/StructureDefinition/Condition> ] ; fhir:DataRequirement.mustSupport [ fhir:value "code" ; fhir:index 0 ] ; fhir:DataRequirement.codeFilter [ fhir:index 0 ; fhir:DataRequirement.codeFilter.path [ fhir:value "code" ] ; fhir:DataRequirement.codeFilter.code [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://smart.who.int/immunizations/CodeSystem/IMMZ.D" ] ; fhir:Coding.code [ fhir:value "DE166" ] ; fhir:Coding.display [ fhir:value "History of anaphylactic reactions" ] ] ] ], [ fhir:index 5 ; fhir:DataRequirement.type [ fhir:value "Observation" ] ; fhir:DataRequirement.profile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Observation" ; fhir:index 0 ; fhir:link <http://hl7.org/fhir/StructureDefinition/Observation> ] ; fhir:DataRequirement.mustSupport [ fhir:value "code" ; fhir:index 0 ], [ fhir:value "value" ; fhir:index 1 ] ; fhir:DataRequirement.codeFilter [ fhir:index 0 ; fhir:DataRequirement.codeFilter.path [ fhir:value "code" ] ; fhir:DataRequirement.codeFilter.code [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://smart.who.int/immunizations/CodeSystem/IMMZ.D" ] ; fhir:Coding.code [ fhir:value "DE161" ] ; fhir:Coding.display [ fhir:value "Potential contraindications" ] ] ] ], [ fhir:index 6 ; fhir:DataRequirement.type [ fhir:value "Condition" ] ; fhir:DataRequirement.profile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Condition" ; fhir:index 0 ; fhir:link <http://hl7.org/fhir/StructureDefinition/Condition> ] ; fhir:DataRequirement.mustSupport [ fhir:value "code" ; fhir:index 0 ] ; fhir:DataRequirement.codeFilter [ fhir:index 0 ; fhir:DataRequirement.codeFilter.path [ fhir:value "code" ] ; fhir:DataRequirement.codeFilter.code [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://smart.who.int/immunizations/CodeSystem/IMMZ.D" ] ; fhir:Coding.code [ fhir:value "DE167" ] ; fhir:Coding.display [ fhir:value "Severe allergic reactions" ] ] ] ], [ fhir:index 7 ; fhir:DataRequirement.type [ fhir:value "Condition" ] ; fhir:DataRequirement.profile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Condition" ; fhir:index 0 ; fhir:link <http://hl7.org/fhir/StructureDefinition/Condition> ] ; fhir:DataRequirement.mustSupport [ fhir:value "code" ; fhir:index 0 ] ; fhir:DataRequirement.codeFilter [ fhir:index 0 ; fhir:DataRequirement.codeFilter.path [ fhir:value "code" ] ; fhir:DataRequirement.codeFilter.code [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://smart.who.int/immunizations/CodeSystem/IMMZ.D" ] ; fhir:Coding.code [ fhir:value "DE167" ] ; fhir:Coding.display [ fhir:value "Severe allergic reactions" ] ] ] ], [ fhir:index 8 ; fhir:DataRequirement.type [ fhir:value "Observation" ] ; fhir:DataRequirement.profile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Observation" ; fhir:index 0 ; fhir:link <http://hl7.org/fhir/StructureDefinition/Observation> ] ; fhir:DataRequirement.mustSupport [ fhir:value "code" ; fhir:index 0 ], [ fhir:value "value" ; fhir:index 1 ] ; fhir:DataRequirement.codeFilter [ fhir:index 0 ; fhir:DataRequirement.codeFilter.path [ fhir:value "code" ] ; fhir:DataRequirement.codeFilter.code [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://smart.who.int/immunizations/CodeSystem/IMMZ.D" ] ; fhir:Coding.code [ fhir:value "DE161" ] ; fhir:Coding.display [ fhir:value "Potential contraindications" ] ] ] ], [ fhir:index 9 ; fhir:DataRequirement.type [ fhir:value "Condition" ] ; fhir:DataRequirement.profile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Condition" ; fhir:index 0 ; fhir:link <http://hl7.org/fhir/StructureDefinition/Condition> ] ; fhir:DataRequirement.mustSupport [ fhir:value "code" ; fhir:index 0 ] ; fhir:DataRequirement.codeFilter [ fhir:index 0 ; fhir:DataRequirement.codeFilter.path [ fhir:value "code" ] ; fhir:DataRequirement.codeFilter.code [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://smart.who.int/immunizations/CodeSystem/IMMZ.D" ] ; fhir:Coding.code [ fhir:value "DE166" ] ; fhir:Coding.display [ fhir:value "History of anaphylactic reactions" ] ] ] ], [ fhir:index 10 ; fhir:DataRequirement.type [ fhir:value "Observation" ] ; fhir:DataRequirement.profile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Observation" ; fhir:index 0 ; fhir:link <http://hl7.org/fhir/StructureDefinition/Observation> ] ; fhir:DataRequirement.mustSupport [ fhir:value "code" ; fhir:index 0 ], [ fhir:value "value" ; fhir:index 1 ] ; fhir:DataRequirement.codeFilter [ fhir:index 0 ; fhir:DataRequirement.codeFilter.path [ fhir:value "code" ] ; fhir:DataRequirement.codeFilter.code [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://smart.who.int/immunizations/CodeSystem/IMMZ.D" ] ; fhir:Coding.code [ fhir:value "DE161" ] ; fhir:Coding.display [ fhir:value "Potential contraindications" ] ] ] ], [ fhir:index 11 ; fhir:DataRequirement.type [ fhir:value "Condition" ] ; fhir:DataRequirement.profile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Condition" ; fhir:index 0 ; fhir:link <http://hl7.org/fhir/StructureDefinition/Condition> ] ; fhir:DataRequirement.mustSupport [ fhir:value "code" ; fhir:index 0 ] ; fhir:DataRequirement.codeFilter [ fhir:index 0 ; fhir:DataRequirement.codeFilter.path [ fhir:value "code" ] ; fhir:DataRequirement.codeFilter.code [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://smart.who.int/immunizations/CodeSystem/IMMZ.D" ] ; fhir:Coding.code [ fhir:value "DE167" ] ; fhir:Coding.display [ fhir:value "Severe allergic reactions" ] ] ] ] ] ; fhir:DomainResource.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeCapability" ] ; fhir:Extension.valueCode [ fhir:value "computable" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-effectiveDataRequirements" ] ; fhir:Extension.valueCanonical [ fhir:value "#effective-data-requirements" ] ] ; fhir:PlanDefinition.url [ fhir:value "http://smart.who.int/immunizations/PlanDefinition/IMMZD5DTPneumococcalContraindications"] ; fhir:PlanDefinition.version [ fhir:value "0.2.0"] ; fhir:PlanDefinition.name [ fhir:value "IMMZD5DTPneumococcalContraindications"] ; fhir:PlanDefinition.title [ fhir:value "IMMZ.D5.DT.Pneumococcal contraindications"] ; fhir:PlanDefinition.type [ fhir:CodeableConcept.coding [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/plan-definition-type" ] ; fhir:Coding.code [ fhir:value "eca-rule" ] ] ] ; fhir:PlanDefinition.status [ fhir:value "draft"] ; fhir:PlanDefinition.experimental [ fhir:value "false"^^xsd:boolean] ; fhir:PlanDefinition.date [ fhir:value "2026-07-07T22:09:13+00:00"^^xsd:dateTime] ; fhir:PlanDefinition.publisher [ fhir:value "WHO"] ; fhir:PlanDefinition.contact [ fhir:index 0 ; fhir:ContactDetail.name [ fhir:value "WHO" ] ; fhir:ContactDetail.telecom [ fhir:index 0 ; fhir:ContactPoint.system [ fhir:value "url" ] ; fhir:ContactPoint.value [ fhir:value "http://who.int" ] ] ] ; fhir:PlanDefinition.description [ fhir:value "IMMZ.D5.DT.Pneumococcal contraindications\nIMMZ.D5.DT.Pneumococcal contraindications"] ; fhir:PlanDefinition.relatedArtifact [ fhir:index 0 ; fhir:RelatedArtifact.type [ fhir:value "citation" ] ; fhir:RelatedArtifact.citation [ fhir:value "WHO recommendations for routine immunization - summary tables (January 2025)" ] ] ; fhir:PlanDefinition.library [ fhir:value "http://smart.who.int/immunizations/Library/IMMZD5DTPneumococcalContraindicationsLogic" ; fhir:index 0 ; fhir:link <http://smart.who.int/immunizations/Library/IMMZD5DTPneumococcalContraindicationsLogic> ] ; fhir:PlanDefinition.action [ fhir:index 0 ; fhir:PlanDefinition.action.title [ fhir:value "Check for Guidance for the patient regarding IMMZ.D5.DT.Pneumococcal contraindications." ] ; fhir:PlanDefinition.action.description [ fhir:value "Show Guidance for the patient regarding IMMZ.D5.DT.Pneumococcal contraindications." ] ; fhir:PlanDefinition.action.condition [ fhir:index 0 ; fhir:PlanDefinition.action.condition.kind [ fhir:value "applicability" ] ; fhir:PlanDefinition.action.condition.expression [ fhir:Expression.description [ fhir:value "Has Guidance" ] ; fhir:Expression.language [ fhir:value "text/cql-identifier" ] ; fhir:Expression.expression [ fhir:value "Has Guidance" ] ] ] ; fhir:PlanDefinition.action.definitionCanonical [ fhir:value "http://smart.who.int/immunizations/ActivityDefinition/IMMZD2DTCR" ; fhir:link <http://smart.who.int/immunizations/ActivityDefinition/IMMZD2DTCR> ] ; fhir:PlanDefinition.action.dynamicValue [ fhir:index 0 ; fhir:PlanDefinition.action.dynamicValue.path [ fhir:value "status" ] ; fhir:PlanDefinition.action.dynamicValue.expression [ fhir:Expression.language [ fhir:value "text/cql-expression" ] ; fhir:Expression.expression [ fhir:value "'active'" ] ] ], [ fhir:index 1 ; fhir:PlanDefinition.action.dynamicValue.path [ fhir:value "payload.contentString" ] ; fhir:PlanDefinition.action.dynamicValue.expression [ fhir:Expression.language [ fhir:value "text/cql-identifier" ] ; fhir:Expression.expression [ fhir:value "Guidance" ] ] ], [ fhir:index 2 ; fhir:PlanDefinition.action.dynamicValue.path [ fhir:value "category.coding" ] ; fhir:PlanDefinition.action.dynamicValue.expression [ fhir:Expression.description [ fhir:value "Category of communication" ] ; fhir:Expression.language [ fhir:value "text/cql-expression" ] ; fhir:Expression.expression [ fhir:value "Code { system: 'http://terminology.hl7.org/CodeSystem/communication-category', code: 'alert' }" ] ] ], [ fhir:index 3 ; fhir:PlanDefinition.action.dynamicValue.path [ fhir:value "priority" ] ; fhir:PlanDefinition.action.dynamicValue.expression [ fhir:Expression.description [ fhir:value "Alert priority" ] ; fhir:Expression.language [ fhir:value "text/cql-expression" ] ; fhir:Expression.expression [ fhir:value "Code { system: 'http://hl7.org/fhir/request-priority', code: 'routine' }" ] ] ] ] . # - ontology header ------------------------------------------------------------ <http://hl7.org/fhir/PlanDefinition/IMMZD5DTPneumococcalContraindications.ttl> a owl:Ontology ; owl:imports fhir:fhir.ttl ; owl:versionIRI <http://build.fhir.org/PlanDefinition/IMMZD5DTPneumococcalContraindications.ttl> .
IG © 2023+ WHO. Package smart.who.int.immunizations#0.2.0 based on FHIR 4.0.1. Generated 2026-07-07
Links: Table of Contents |
QA Report
| Version History | License