library IMMZElements using FHIR version '4.0.1' include FHIRHelpers version '4.0.1' include WHOConcepts include WHOCommon called WC include WHOElements called WE include IMMZConcepts called Concepts include IMMZCommon called Common /** * @dataElement All Doses Administered to Patient */ define "Doses Administered to Patient": [Immunization] I where I . status = 'completed' and I . isSubpotent is not true /* @dataElement: Draft Medication Request for Patient */ define "Draft Medication Request for Patient": [MedicationRequest] MR where MR . status = 'draft' and MR . intent = 'proposal' sort by date from ( authoredOn as FHIR.dateTime ) desc /* @dataElement: Live attenuated vaccines */ define "Live Attenuated Vaccines": "Doses Administered to Patient" I where I . vaccineCode in Concepts . "Live Attenuated" /* @dataElement: Date and time of last live attenuated vaccine */ define "Date of Latest Live Attenuated Vaccine": date from start of "Live Attenuated Vaccines" . mostRecent() . occurrence . toInterval() /** * @dataElement Patient age in years */ define "Current Patient Age In Years": AgeInYearsAt( Today() ) /** * @dataElement Patient age in months */ define "Current Patient Age In Months": AgeInMonthsAt( Today() ) /** * @dataElement Patient age in weeks */ define "Current Patient Age In Weeks": AgeInWeeksAt( Today() ) /** * @dataElement Patient age in days */ define "Current Patient Age In Days": AgeInDaysAt( Today() ) /* @input: No live vaccine was administered @pseudocode: Today's date − latest "Date and time of vaccination" (where "Live vaccine" = TRUE) IS NULL */ define "No live vaccine was administered": not exists ( "Live Attenuated Vaccines" ) /* @input: Live vaccine was administered in the last 4 weeks @pseudocode: Today's date − latest "Date and time of vaccination" (where "Live vaccine" = TRUE) < 4 weeks */ define "Live vaccine was administered in the last 4 weeks": "Date of Latest Live Attenuated Vaccine" is not null and duration in weeks between "Date of Latest Live Attenuated Vaccine" and Now() < 4 /* @input: No live vaccine was administered in the last 4 weeks @pseudocode: Today's date − latest "Date and time of vaccination" (where "Live vaccine" = TRUE) ≥ 4 weeks */ define "No live vaccine was administered in the last 4 weeks": not ( "Live vaccine was administered in the last 4 weeks" ) /* @internal: Potential contraindications observations */ define "Potential contraindications": ( [Observation: Concepts."Potential contraindications" ] ) . complete() /* @internal: Observation for currently pregnant */ define "CI Currently pregnant Observation": "Potential contraindications" O where O . value ~ Concepts . "CI-Currently pregnant" /* @internal: Condition for currently pregnant */ define "CI Currently pregnant Condition": [Condition: Concepts."CI-Currently pregnant" ] /* @input: The client is pregnant @pseudocode: "Potential contraindications" = "Currently pregnant" */ define "The client is pregnant": exists "CI Currently pregnant Observation" or exists "CI Currently pregnant Condition" or exists WE . "Pregnant Observation" /* @internal: Observation for History of anaphylactic reactions */ define "CI History of anaphylactic reactions Observation": "Potential contraindications" O where O . value ~ Concepts . "CI-History of anaphylactic reactions" /* @internal: Condition for History of anaphylactic reactions */ define "CI History of anaphylactic reactions Condition": [Condition: Concepts."CI-History of anaphylactic reactions" ] /* @input: The client has history of anaphylactic reactions @pseudocode: "Potential contraindications" = "History of anaphylactic reactions" */ define "The client has history of anaphylactic reactions": exists "CI History of anaphylactic reactions Observation" or exists "CI History of anaphylactic reactions Condition" /* @internal: Observation for Severe allergic reactions */ define "CI Severe allergic reactions Observation": "Potential contraindications" O where O . value ~ Concepts . "CI-Severe allergic reactions" /* @internal: Condition for Severe allergic reactions */ define "CI Severe allergic reactions Condition": [Condition: Concepts."CI-Severe allergic reactions" ] /* @input: The client has history of severe allergic reactions @pseudocode: "Potential contraindications" = "Severe allergic reactions" */ define "The client has history of severe allergic reactions": exists "CI Severe allergic reactions Observation" or exists "CI Severe allergic reactions Condition" /* @internal: Observation for Severely immunocompromised */ define "CI Severely immunocompromised Observation": "Potential contraindications" O where O . value ~ Concepts . "CI-Severely immunocompromised" /* @internal: Condition for Severely immunocompromised */ define "CI Severely immunocompromised Condition": [Condition: Concepts."CI-Severely immunocompromised" ] /* @input: The client is severely immunocompromised @pseudocode: "Potential contraindications" = "Severely immunocompromised" */ define "The client is severely immunocompromised": exists "CI Severely immunocompromised Observation" or exists "CI Severely immunocompromised Condition" /* @internal: Observation for Severely immunosuppressed */ define "CI Severely immunosuppressed Observation": "Potential contraindications" O where O . value ~ Concepts . "CI-Severely immunosuppressed" /* @internal: Condition for Severely immunosuppressed */ define "CI Severely immunosuppressed Condition": [Condition: Concepts."CI-Severely immunosuppressed" ] /* @input: The client is severely immunosuppressed @pseudocode: "Potential contraindications" = "Severely immunosuppressed" */ define "The client is severely immunosuppressed": exists "CI Severely immunosuppressed Observation" or exists "CI Severely immunosuppressed Condition" /* @internal: Observation for Symptomatic HIV infection */ define "CI Symptomatic HIV infection Observation": "Potential contraindications" O where O . value ~ Concepts . "CI-Symptomatic HIV infection" /* @internal: Condition for Symptomatic HIV infection */ define "CI Symptomatic HIV infection Condition": [Condition: Concepts."CI-Symptomatic HIV infection" ] /* @input: The client has a symptomatic HIV infection @pseudocode: "Potential contraindications" = "Symptomatic HIV infection" */ define "The client has a symptomatic HIV infection": exists "CI Symptomatic HIV infection Observation" or exists "CI Symptomatic HIV infection Condition" /* @internal: Observation for Immunodeficiency syndromes */ define "CI Immunodeficiency syndromes Observation": "Potential contraindications" O where O . value ~ Concepts . "CI-Immunodeficiency syndromes" /* @internal: Condition for Immunodeficiency syndromes */ define "CI Immunodeficiency syndromes Condition": [Condition: Concepts."CI-Immunodeficiency syndromes" ] /* @input: The client has immunodeficiency syndromes @pseudocode: "Potential contraindications" = "Immunodeficiency syndromes" */ define "The client has immunodeficiency syndromes": exists "CI Immunodeficiency syndromes Observation" or exists "CI Immunodeficiency syndromes Condition" /* @internal: Observation for Exposed to immunosuppressive treatment */ define "CI Exposed to immunosuppressive treatment Observation": "Potential contraindications" O where O . value ~ Concepts . "CI-Exposed to immunosuppressive treatment" /* @internal: Condition for Exposed to immunosuppressive treatment */ define "CI Exposed to immunosuppressive treatment Condition": [Condition: Concepts."CI-Exposed to immunosuppressive treatment" ] /* @input: The client is exposed to immunosuppressive treatment @pseudocode: "Potential contraindications" = "Exposed to immunosuppressive treatment" */ define "The client is exposed to immunosuppressive treatment": exists "CI Exposed to immunosuppressive treatment Observation" or exists "CI Exposed to immunosuppressive treatment Condition" /* @internal: Observation for Severe acute illness */ define "CI Severe acute illness Observation": "Potential contraindications" O where O . value ~ Concepts . "CI-Severe acute illness" /* @internal: Condition for Severe acute illness */ define "CI Severe acute illness Condition": [Condition: Concepts."CI-Severe acute illness" ] /* @input: The client currently has a severe acute illness @pseudocode: "Potential contraindications" = "Severe acute illness" */ define "The client currently has a severe acute illness": exists "CI Severe acute illness Observation" or exists "CI Severe acute illness Condition" /* @internal: Observation for Prior history of intussusception */ define "CI Prior history of intussusception Observation": "Potential contraindications" O where O . value ~ Concepts . "CI-Prior history of intussusception" /* @internal: Condition for Prior history of intussusception */ define "CI Prior history of intussusception Condition": [Condition: Concepts."CI-Prior history of intussusception" ] /* @input: The client has prior history of intussusception @pseudocode: "Potential contraindications" = "Prior history of intussusception" */ define "The client has prior history of intussusception": exists "CI Prior history of intussusception Observation" or exists "CI Prior history of intussusception Condition" /* @internal: Observation for Altered immunocompetence */ define "CI Altered immunocompetence Observation": "Potential contraindications" O where O . value ~ Concepts . "CI-Altered immunocompetence" /* @internal: Condition for Altered immunocompetence */ define "CI Altered immunocompetence Condition": [Condition: Concepts."CI-Altered immunocompetence" ] /* @input: The client has altered immunocompetence @pseudocode: "Potential contraindications" = "Altered immunocompetence" */ define "The client has altered immunocompetence": exists "CI Altered immunocompetence Observation" or exists "CI Altered immunocompetence Condition" /* @internal: Observation for Spina bifida */ define "CI Spina bifida Observation": "Potential contraindications" O where O . value ~ Concepts . "CI-Spina bifida" /* @internal: Condition for Spina bifida */ define "CI Spina bifida Condition": [Condition: Concepts."CI-Spina bifida" ] /* @input: The client has spina bifida @pseudocode: "Potential contraindications" = "Spina bifida" */ define "The client has spina bifida": exists "CI Spina bifida Observation" or exists "CI Spina bifida Condition" /* @internal: Observation for Bladder exstrophy */ define "CI Bladder exstrophy Observation": "Potential contraindications" O where O . value ~ Concepts . "CI-Bladder exstrophy" /* @internal: Condition for Bladder exstrophy */ define "CI Bladder exstrophy Condition": [Condition: Concepts."CI-Bladder exstrophy" ] /* @input: The client has bladder exstrophy @pseudocode: "Potential contraindications" = "Bladder exstrophy" */ define "The client has bladder exstrophy": exists "CI Bladder exstrophy Observation" or exists "CI Bladder exstrophy Condition" /* @internal: Immunocompromised Observation */ define "Immunocompromised Observation": ( [Observation: Concepts."Immunocompromised" ] O sort by end of effective . toInterval() desc ) . complete() /* @input: Client is immunocompromised @pseudocode: "Immunocompromised" = TRUE */ define "Client is immunocompromised": exists ( "Immunocompromised Observation" ) and First( "Immunocompromised Observation" ) . value = true /* @internal: Observation for Immunocompromised */ define "CI Immunocompromised Observation": "Potential contraindications" O where O . value ~ Concepts . "CI-Immunocompromised" /* @internal: Condition for Immunocompromised */ define "CI Immunocompromised Condition": [Condition: Concepts."CI-Immunocompromised" ] /* @input: The client is immunocompromised @pseudocode: "Potential contraindications" = "Immunocompromised" */ define "The client is immunocompromised": "Client is immunocompromised" or exists "CI Immunocompromised Observation" or exists "CI Immunocompromised Condition" /* @internal: Observation for Planning to get pregnant in the next month */ define "CI Planning to get pregnant in the next month Observation": "Potential contraindications" O where O . value ~ Concepts . "CI-Planning to get pregnant in the next month" /* @internal: Condition for Planning to get pregnant in the next month */ define "CI Planning to get pregnant in the next month Condition": [Condition: Concepts."CI-Planning to get pregnant in the next month" ] /* @input: The client is planning to get pregnant in next month @pseudocode: "Potential contraindications" = "Planning to get pregnant in the next month" */ define "The client is planning to get pregnant in next month": exists "CI Planning to get pregnant in the next month Observation" or exists "CI Planning to get pregnant in the next month Condition" /* @internal: Observation for Receiving blood products */ define "CI Receiving blood products Observation": "Potential contraindications" O where O . value ~ Concepts . "CI-Receiving blood products" /* @internal: Condition for Receiving blood products */ define "CI Receiving blood products Condition": [Condition: Concepts."CI-Receiving blood products" ] /* @input: The client is receiving blood products @pseudocode: "Potential contraindications" = "Receiving blood products" */ define "The client is receiving blood products": exists "CI Receiving blood products Observation" or exists "CI Receiving blood products Condition" /* @internal: Observation for TB disease */ define "CI TB disease Observation": "Potential contraindications" O where O . value ~ Concepts . "CI-TB disease" /* @internal: Condition for TB disease */ define "CI TB disease Condition": [Condition: Concepts."CI-TB disease" ] /* @input: The client has TB disease @pseudocode: "Potential contraindications" = "TB disease" */ define "The client has TB disease": exists "CI TB disease Observation" or exists "CI TB disease Condition" /* @internal: Observation for Breastfeeding */ define "CI Breastfeeding Observation": "Potential contraindications" O where O . value ~ Concepts . "CI-Breastfeeding" /* @internal: Condition for Breastfeeding */ define "CI Breastfeeding Condition": [Condition: Concepts."CI-Breastfeeding" ] /* @input: The client is lactating @pseudocode: "Potential contraindications" = "Breastfeeding" */ define "The client is lactating": exists "CI Breastfeeding Observation" or exists "CI Breastfeeding Condition" /* @internal: Observation for Acute gastroenteritis */ define "CI Acute gastroenteritis Observation": "Potential contraindications" O where O . value ~ Concepts . "CI-Acute gastroenteritis" /* @internal: Condition for Acute gastroenteritis */ define "CI Acute gastroenteritis Condition": [Condition: Concepts."CI-Acute gastroenteritis" ] /* @input: The client has acute gastroenteritis @pseudocode: "Potential contraindications" = "Acute gastroenteritis" */ define "The client has acute gastroenteritis": exists "CI Acute gastroenteritis Observation" or exists "CI Acute gastroenteritis Condition" /* @internal: Observation for Moderate to severe fever */ define "CI Moderate to severe fever Observation": "Potential contraindications" O where O . value ~ Concepts . "CI-Moderate to severe fever" /* @internal: Condition for Moderate to severe fever */ define "CI Moderate to severe fever Condition": [Condition: Concepts."CI-Moderate to severe fever" ] /* @input: The client has moderate to severe fever @pseudocode: "Potential contraindications" = "Moderate to severe fever" */ define "The client has moderate to severe fever": exists "CI Moderate to severe fever Observation" or exists "CI Moderate to severe fever Condition" /* @internal: Observation for Hypersensitivity to vaccine components */ define "CI Hypersensitivity to vaccine components Observation": "Potential contraindications" O where O . value ~ Concepts . "CI-Hypersensitivity to vaccine components" /* @internal: Condition for Hypersensitivity to vaccine components */ define "CI Hypersensitivity to vaccine components Condition": [Condition: Concepts."CI-Hypersensitivity to vaccine components" ] /* @input: The client has hypersensitivity to any component of the vaccine @pseudocode: "Potential contraindications" = "Hypersensitivity to vaccine components" */ define "The client has hypersensitivity to any component of the vaccine": exists "CI Hypersensitivity to vaccine components Observation" or exists "CI Hypersensitivity to vaccine components Condition" /* @internal: Observation for Taking antibiotics */ define "CI Taking antibiotics Observation": "Potential contraindications" O where O . value ~ Concepts . "CI-Taking antibiotics" /* @internal: Condition for Taking antibiotics */ define "CI Taking antibiotics Condition": [Condition: Concepts."CI-Taking antibiotics" ] /* @input: The client is currently taking antibiotics @pseudocode: "Potential contraindications" = "Taking antibiotics" */ define "The client is currently taking antibiotics": exists "CI Taking antibiotics Observation" or exists "CI Taking antibiotics Condition" /* @internal: Observation for Chronic gastrointestinal disease */ define "CI Chronic gastrointestinal disease Observation": "Potential contraindications" O where O . value ~ Concepts . "CI-Chronic gastrointestinal disease" /* @internal: Condition for Chronic gastrointestinal disease */ define "CI Chronic gastrointestinal disease Condition": [Condition: Concepts."CI-Chronic gastrointestinal disease" ] /* @input: The client has chronic gastrointestinal disease @pseudocode: "Potential contraindications" = "Chronic gastrointestinal disease" */ define "The client has chronic gastrointestinal disease": exists "CI Chronic gastrointestinal disease Observation" or exists "CI Chronic gastrointestinal disease Condition" /* @internal: HIV Status Observation */ define "HIV status Observation": ( [Observation: Concepts."HIV status" ] ) . complete() /* @input: Client's HIV status is positive @pseudocode: "HIV status" = "HIV-positive" */ define "Client's HIV status is positive": exists ( "HIV status Observation" O where O . value ~ Concepts . "HIV-positive" ) /* @input: Client's HIV status is negative or unknown @pseudocode: "HIV status" ≠ "HIV-positive" */ define "Client's HIV status is negative or unknown": not "Client's HIV status is positive" /* @internal: Currently on ART Observation */ define "Currently on ART Observation": ( [Observation: Concepts."Currently on ART" ] O sort by end of effective . toInterval() desc ) . complete() /* @input: Client is currently receiving antiretroviral therapy @pseudocode: "Currently on ART" = TRUE */ define "Client is currently receiving antiretroviral therapy": exists ( "Currently on ART Observation" ) and First( "Currently on ART Observation" ) . value = true /* @input: Client is currently not receiving antiretroviral therapy @pseudocode: "Currently on ART" = FALSE */ define "Client is currently not receiving antiretroviral therapy": not exists ( "Currently on ART Observation" ) or First( "Currently on ART Observation" ) . value = false /* @internal: Immunologically stable Observation */ define "Immunologically stable Observation": ( [Observation: Concepts."Immunologically stable" ] O sort by end of effective . toInterval() desc ) . complete() /* @input: Client is immunologically stable @pseudocode: "Immunologically stable" = TRUE */ define "Client is immunologically stable": exists ( "Immunologically stable Observation" ) and First( "Immunologically stable Observation" ) . value = true /* @input: Client is not immunologically stable @pseudocode: "Immunologically stable" = FALSE */ define "Client is not immunologically stable": exists ( "Immunologically stable Observation" ) and First( "Immunologically stable Observation" ) . value = false /* @internal: TB infection test result Observation */ define "TB infection test result Observation": ( [Observation: Concepts."TB infection test result" ] O sort by end of effective . toInterval() desc ) . complete() /* @input: Client's TB infection test result is negative @pseudocode: "TB infection test result" = "Negative" */ define "Client's TB infection test result is negative": exists ( "TB infection test result Observation" ) and First( "TB infection test result Observation" ) . value ~ Concepts . "TB-Negative" /* @input: Client's TB infection test result is positive @pseudocode: "TB infection test result" = "Positive" */ define "Client's TB infection test result is positive": exists ( "TB infection test result Observation" ) and First( "TB infection test result Observation" ) . value ~ Concepts . "TB-Positive" /* @input: Client's TB infection test result is unknown (test not done or no result yet) @pseudocode: "TB infection test result" IS NULL */ define "Client's TB infection test result is unknown (test not done or no result yet)": not exists ( "TB infection test result Observation" ) or ( not ( "Client's TB infection test result is negative" ) and not ( "Client's TB infection test result is positive" ) ) /* @internal: Clinically well Observation */ define "Clinically well Observation": ( [Observation: Concepts."Clinically well" ] O sort by end of effective . toInterval() desc ) . complete() /* @input: Client is not clinically well @pseudocode: "Clinically well" = FALSE */ define "Client is not clinically well": exists ( "Clinically well Observation" ) and First( "Clinically well Observation" ) . value = false /* @input: Client is clinically well @pseudocode: "Clinically well" = TRUE */ define "Client is clinically well": exists ( "Clinically well Observation" ) and First( "Clinically well Observation" ) . value = true /* @input: Client is not immunocompromised @pseudocode: "Immunocompromised" ≠ TRUE */ define "Client is not immunocompromised": not "Client is immunocompromised" /* @internal: Birth weight in grams Observation */ define "Birth weight in grams Observation": ( [Observation: Concepts."Birth weight in grams" ] O sort by end of effective . toInterval() desc ) . complete() define "Birth weight in grams Value": First( "Birth weight in grams Observation" ) . value as FHIR.Quantity define "Birth weight in grams": "Birth weight in grams Value" . value as FHIR.decimal /* @input: Client's weight at birth was over 2000 g @pseudocode: "Birth weight in grams" ≥ 2000 */ define "Client's weight at birth was over 2000 g": "Birth weight in grams" >= 2000 /* @input: Client's weight at birth was below 2000 g @pseudocode: "Birth weight in grams" < 2000 */ define "Client's weight at birth was below 2000 g": "Birth weight in grams" < 2000 /* @internal: Preterm birth Observation */ define "Preterm birth Observation": ( [Observation: Concepts."Preterm birth" ] ) . complete() /* @input: Client was a premature infant at birth @pseudocode: "Preterm birth" = TRUE */ define "Client was a premature infant at birth": exists ( "Preterm birth Observation" O where O . value = true ) /* @input: Client was not a premature infant at birth @pseudocode: "Preterm birth" ≠ TRUE */ define "Client was not a premature infant at birth": not "Client was a premature infant at birth" /* @internal: Completed the primary vaccination series Observation */ define "Completed the primary vaccination series Observation": ( [Observation: Concepts."Completed the primary vaccination series" ] ) . complete() /* @internal: At high risk for pneumococcal infection Observation */ define "At high risk for pneumococcal infection Observation": ( [Observation: Concepts."At high risk for pneumococcal infection" ] ) . complete() /* @input: Client is at high risk for pneumococcal infection @pseudocode: "At high risk for pneumococcal infection" = TRUE */ define "Client is at high risk for pneumococcal infection": exists ( "At high risk for pneumococcal infection Observation" O where O . value = true ) /* @input: Client is not at high risk for pneumococcal infection @pseudocode: "At high risk for pneumococcal infection" = FALSE */ define "Client is not at high risk for pneumococcal infection": exists ( "At high risk for pneumococcal infection Observation" O where O . value = false ) /* @internal: Date when primary vaccination series was completed Observation */ define "Date when primary vaccination series was completed Observation": ( [Observation: Concepts."Date when primary vaccination series was completed" ] O sort by end of effective . toInterval() desc ) . complete() /* @internal: Completed the booster series Observation */ define "Completed the booster series Observation": ( [Observation: Concepts."Completed the booster series" ] ) . complete()