WHO SMART Guidelines - Measles Immunization
0.1.0 - ci-build
WHO SMART Guidelines - Measles Immunization, published by WHO. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/WorldHealthOrganization/smart-example-immz and changes regularly. See the Directory of published versions
Official URL: http://smart.who.int/immunizations-measles/Library/IMMZIndicatorElements | Version: 0.1.0 | |||
Draft as of 2024-08-12 | Computable Name: IMMZIndicatorElements |
This library defines indicator-based elements and terminologies used throughout the Immunization CPG indicators
Generated Narrative: Library IMMZIndicatorElements
Depends On | Library WHOConcepts | http://smart.who.int/immunizations-measles/Library/WHOConcepts |
Depends On | Library WC | http://smart.who.int/immunizations-measles/Library/WHOCommon |
Depends On | Library Concepts | IMMZConcepts |
Depends On | Library Common | IMMZCommon |
Depends On | Library Elements | IMMZElements |
Depends On | Code System ISO-8601-Derived Periods | http://ohie.org/CodeSystem/iso-8601-derived-periods |
Depends On | Code System Administrative Gender Codes | AdministrativeGender |
Measurement Period | in | 0 | 1 | Period |
Patient | out | 0 | 1 | Patient |
Newborn By Age Stratifier | out | 0 | 1 | Coding |
Infant By Age Stratifier | out | 0 | 1 | Coding |
Toddler By Age Stratifier | out | 0 | 1 | Coding |
Adolescent By Age Stratifier | out | 0 | 1 | Coding |
RCV By Age Stratifier | out | 0 | 1 | Coding |
Varicella By Age Stratifier | out | 0 | 1 | Coding |
Seasonal Influenza By Age Stratifier | out | 0 | 1 | Coding |
By Administrative Gender Stratifier | out | 0 | 1 | Coding |
By Geographic Region Stratifier | out | 0 | 1 | string |
Patient Deceased During Measurement Period | out | 0 | 1 | boolean |
Patient Born During Measurement Period | out | 0 | 1 | boolean |
Patient Under 12 Months Old During Measurement Period | out | 0 | 1 | boolean |
Patient Under 2 Years Old During Measurement Period | out | 0 | 1 | boolean |
MCV Doses Administered to Patient During Measurement Period | out | 0 | * | Immunization |
Doses Administered to Patient During Measurement Period | out | 0 | * | Immunization |
Adverse Events During Measurement Period | out | 0 | * | Observation |
Immunizations And Adverse Events During Measurement Period | out | 0 | * | Resource |
Immunizations with Adverse Events During Measurement Period | out | 0 | * | Immunization |
Adverse Event Reactions During Measurement Period | out | 0 | * | Observation |
text/cql
/**
* Immunization Indicator Elements by Patients as Context
*/
library IMMZIndicatorElements
using FHIR version '4.0.1'
include FHIRHelpers version '4.0.1'
include WHOConcepts
include WHOCommon called WC
include IMMZConcepts called Concepts
include IMMZCommon called Common
include IMMZElements called Elements
codesystem "ISO-8601-Derived Periods": 'http://ohie.org/CodeSystem/iso-8601-derived-periods'
// Age Groups for Vaccines for infants
code "P0Y--P1Y": 'P0Y--P1Y' from "ISO-8601-Derived Periods" display '< 1 year'
code "P1Y--P9999Y": 'P1Y--P9999Y' from "ISO-8601-Derived Periods" display '> 1 year'
// Age Groups for Vaccines for Toddlers
code "P0Y--P2Y": 'P0Y--P2Y' from "ISO-8601-Derived Periods" display '< 2 years'
code "P1Y--P2Y": 'P1Y--P2Y' from "ISO-8601-Derived Periods" display '1 year'
code "P2Y--P9999Y": 'P2Y--P9999Y' from "ISO-8601-Derived Periods" display '> 2 years'
// Age groups for newborns
code "PT0H--PT24H": 'PT0H--PT24H' from "ISO-8601-Derived Periods" display 'Within 24H of Birth'
code "PT24H--P2W": 'PT24H--P2W' from "ISO-8601-Derived Periods" display '< 2 Weeks'
code "P2W--P9999Y": 'P2W--P9999Y' from "ISO-8601-Derived Periods" display '> 2 Weeks'
// Age groups for adolescent
code "P0Y--P9Y": 'P0Y--P9Y' from "ISO-8601-Derived Periods" display '< 9 years'
code "P9Y--P14Y": 'P9Y--P14Y' from "ISO-8601-Derived Periods" display '9 - 14 years'
code "P15Y--P9999Y": 'P15Y--P9999Y' from "ISO-8601-Derived Periods" display '> 15 years'
// RCV Startifiers
code "P0M--P9M": 'P0M--P9M' from "ISO-8601-Derived Periods" display '< 9 months'
code "P9M--P18M": 'P9M--P18M' from "ISO-8601-Derived Periods" display '9 - 18 months'
code "P18M--P15Y": 'P18M--P15Y' from "ISO-8601-Derived Periods" display '18 months - 15 years'
// Varicella Age groups
code "P0M--P12M": 'P0M--P12M' from "ISO-8601-Derived Periods" display '< 12 months'
code "P12M--P18M": 'P12M--P18M' from "ISO-8601-Derived Periods" display '12 - 18 months'
code "P18M--P36M": 'P18M--P36M' from "ISO-8601-Derived Periods" display '18 - 36 months'
code "P36M--P12Y": 'P36M--P12Y' from "ISO-8601-Derived Periods" display '36 months - 12 years'
code "P12Y--P9999Y": 'P12Y--P9999Y' from "ISO-8601-Derived Periods" display '> 12 years'
// Influenza Age Groups
code "P1Y--P15Y": 'P1Y--P15Y' from "ISO-8601-Derived Periods" display '1 year - 15 years'
code "P15Y--P60Y": 'P15Y--P60Y' from "ISO-8601-Derived Periods" display '15 years - 60 years'
code "P60Y--P9999Y": 'P60Y--P9999Y' from "ISO-8601-Derived Periods" display '> 60 years'
codesystem "Administrative Gender Codes": 'http://hl7.org/fhir/administrative-gender'
code "Males" : 'male' from "Administrative Gender Codes" display 'Males'
code "Females" : 'female' from "Administrative Gender Codes" display 'Females'
code "Other" : 'other' from "Administrative Gender Codes" display 'Other/NA'
parameter "Measurement Period" Interval<Date> default Interval[@2020-01-01, @2020-12-31]
context Patient
/**
* Infant disaggregations by age
*/
define "Newborn By Age Stratifier":
case
when AgeInHoursAt(start of "Measurement Period") <= 24 then "PT0H--PT24H"
when AgeInWeeksAt(start of "Measurement Period") <= 2 then "PT24H--P2W"
when AgeInWeeksAt(start of "Measurement Period") > 2 then "P2W--P9999Y"
else null
end
/**
* Infant disaggregations by age
*/
define "Infant By Age Stratifier":
case
when AgeInYearsAt(start of "Measurement Period") < 1 then "P0Y--P1Y"
when AgeInYearsAt(start of "Measurement Period") >= 1 then "P1Y--P9999Y"
else null
end
/**
* Toddler By Age Stratifiers
*/
define "Toddler By Age Stratifier":
case
when AgeInYearsAt(start of "Measurement Period") < 1 then "P0Y--P1Y"
when AgeInYearsAt(start of "Measurement Period") < 2 then "P1Y--P2Y"
when AgeInYearsAt(start of "Measurement Period") >= 2 then "P2Y--P9999Y"
else null
end
/**
* Toddler By Age Stratifiers
*/
define "Adolescent By Age Stratifier":
case
when AgeInYearsAt(start of "Measurement Period") < 9 then "P0Y--P9Y"
when AgeInYearsAt(start of "Measurement Period") <= 14 then "P9Y--P14Y"
when AgeInYearsAt(start of "Measurement Period") > 14 then "P15Y--P9999Y"
else null
end
/**
* RCV age disaggregators
*/
define "RCV By Age Stratifier":
case
when AgeInMonthsAt(start of "Measurement Period") < 9 then "P0M--P9M"
when AgeInMonthsAt(start of "Measurement Period") < 18 then "P9M--P18M"
when AgeInYearsAt(start of "Measurement Period") < 15 then "P18M--P15Y"
when AgeInYearsAt(start of "Measurement Period") >= 15 then "P15Y--P9999Y"
else null
end
/**
* Varicella age disaggregators
*/
define "Varicella By Age Stratifier":
case
when AgeInMonthsAt(start of "Measurement Period") < 12 then "P0M--P12M"
when AgeInMonthsAt(start of "Measurement Period") < 18 then "P12M--P18M"
when AgeInMonthsAt(start of "Measurement Period") < 36 then "P18M--P36M"
when AgeInYearsAt(start of "Measurement Period") < 12 then "P36M--P12Y"
when AgeInYearsAt(start of "Measurement Period") >= 12 then "P12Y--P9999Y"
else null
end
/**
* Seasonal Influenza age disaggregators
*/
define "Seasonal Influenza By Age Stratifier":
case
when AgeInYearsAt(start of "Measurement Period") < 1 then "P0Y--P1Y"
when AgeInYearsAt(start of "Measurement Period") < 15 then "P1Y--P15Y"
when AgeInYearsAt(start of "Measurement Period") < 60 then "P15Y--P60Y"
when AgeInYearsAt(start of "Measurement Period") >= 60 then "P60Y--P9999Y"
else null
end
/**
* By Administrative Gender of Patient Stratifier
*/
define "By Administrative Gender Stratifier":
case
when Patient.gender = 'male' then "Males"
when Patient.gender = 'female' then "Females"
else "Other"
end
/**
* By Administrative Gender of Patient Stratifier
*/
define "By Geographic Region Stratifier":
First(Patient.address A where A.use in { 'home' }).state
/**
* @dataElement Patient is deceased
*/
define "Patient Deceased During Measurement Period":
case
when Patient.deceased is FHIR.boolean then Patient.deceased as FHIR.boolean
when Patient.deceased is FHIR.dateTime then Patient.deceased as FHIR.dateTime before end of "Measurement Period"
else false
end
/**
* Patient was born during measurement period
*/
define "Patient Born During Measurement Period":
Patient.birthDate during "Measurement Period"
/**
* Patient is < 12 months old at the end of the measurement period
*/
define "Patient Under 12 Months Old During Measurement Period":
Patient.birthDate more than 12 month before end of "Measurement Period"
/**
* Patient is < 12 years old at the end of the measurement period
*/
define "Patient Under 2 Years Old During Measurement Period":
Patient.birthDate more than 2 year before end of "Measurement Period"
/**
* MCV doses which were administered during the measurement period
*/
define "MCV Doses Administered to Patient During Measurement Period":
Elements."MCV Dose" I
where I.occurrence.toInterval() starts during "Measurement Period"
/**
* @define Doses which were administered during the measurement period
*/
define "Doses Administered to Patient During Measurement Period":
Elements."Doses Administered to Patient" I
where I.occurrence.toInterval() starts during "Measurement Period"
define "Adverse Events During Measurement Period":
[Observation: WHOConcepts."Adverse Events"] O
where O.effective.toInterval() during "Measurement Period"
define "Immunizations And Adverse Events During Measurement Period":
from
"Doses Administered to Patient During Measurement Period" I,
"Adverse Events During Measurement Period" O
where I.reaction.detail.references(O)
return { immunization: I, adverseEvent: O }
/**
* @define Adverse events for immunizations which occurred during (or observed) during measurement period
*/
define "Immunizations with Adverse Events During Measurement Period":
"Immunizations And Adverse Events During Measurement Period" I
return I.immunization
/**
* @define Adverse events for immunizations which occurred during (or observed) during measurement period
*/
define "Adverse Event Reactions During Measurement Period":
"Immunizations And Adverse Events During Measurement Period" I
return I.adverseEvent
/**
* @function
* @param immunization The immunization record for which the location should be retrieved
* @return FHIR.address The location that the immunization event occurred
*/
define function GetGeographicRegionForImmunization(immunization Immunization):
(
[Location] L
where immunization.location.references(L)
).only().address.state
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