WHO Immunization Implementation Guide
0.1.0 - CI Build International flag

WHO Immunization Implementation Guide, published by World Health Organization (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-immunizations and changes regularly. See the Directory of published versions

Library: IMMZD2DTRubellaLow

Official URL: http://smart.who.int/ig/smart-immunizations/Library/IMMZD2DTRubellaLow Version: 0.1.0
Draft as of 2024-04-04 Computable Name: IMMZD2DTRubellaLow

Related Artifacts

depends-onFHIR model informationhttp://fhir.org/guides/cqf/common/Library/FHIR-ModelInfo|4.0.1
depends-onLibrary FHIRHelpershttp://smart.who.int/ig/smart-immunizations/Library/FHIRHelpers|4.0.1
depends-onLibrary IMMZComIMMZCommon
depends-onLibrary IMMZcIMMZConcepts
depends-onLibrary IMMZConIMMZConfig
depends-onLibrary IMMZvlIMMZVaccineLibrary
depends-onLibrary FCFHIRCommon
depends-onLibrary inputIMMZD2DTRubellaInput
depends-onValue set Rubella VaccineIMMZ.Z.DE.17 Rubella containing vaccines
depends-onValue set Live AttenuatedSet of live attenuated vaccines

Parameters

Patientout01Patient
Client is not due for rubella vaccination Case 1out01boolean
Client is not due for rubella vaccination Case 2out01boolean
Client is not due for rubella vaccinationout01boolean
Client is not due for rubella vaccination Guidanceout01string
Client is due for rubella vaccinationout01boolean
Client is due for rubella vaccination Guidanceout01string
Rubella immunization schedule is completeout01boolean
Rubella immunization schedule is complete Guidanceout01string
Guidanceout01string
Test Validationout01Resource

Data Requirements

Type: Patient (Patient)
Type: Immunization (Immunization)

Contents

text/cql


/*
 * Library: IMMZD2DTRubellaLow (IMMZ.D2.DT.Rubella.Low incidence)
 * Rule: Determine if the client is due for a rubella vaccination according to the national immunization schedule
 * Decision Table: Countries with low incidence of measles						
 * Trigger: IMMZ.D2  Determine required vaccination(s) if any
 */
library IMMZD2DTRubellaLow
// Start Skeleton CQL
using FHIR version '4.0.1'
include FHIRHelpers version '4.0.1'
include IMMZCommon called IMMZCom
include IMMZConcepts called IMMZc
include IMMZConfig called IMMZCon
include IMMZVaccineLibrary called IMMZvl
include FHIRCommon called FC
include IMMZD2DTRubellaInput called input

// End Skeleton CQL
context Patient

/*
@dynamicValue: Guidance
*/
define "Guidance":
  case
    when "Client is not due for rubella vaccination" then "Client is not due for rubella vaccination Guidance"
    when "Client is due for rubella vaccination" then "Client is due for rubella vaccination Guidance"
    when "Rubella immunization schedule is complete" then "Rubella immunization schedule is complete Guidance"
    else ''
  end

/*
@output: Client is not due for rubella vaccination Case 1
@pseudocode: '"Immunization recommendation status" = 'Not due'
*/
define "Client is not due for rubella vaccination Case 1":
  input."Client's age is less than 12 months"

/*
@output: Client is not due for rubella vaccination Case 2
@pseudocode: "Immunization recommendation status" = 'Not due'
*/
define "Client is not due for rubella vaccination Case 2":
  input."No rubella primary series dose was administered"
    and input."Client's age is more than or equal to 12 months"
    and input."Live vaccine was administered in the last 4 weeks"

/*
@output: Client is not due for rubella vaccination
@pseudocode: '"Immunization recommendation status" = 'Not due'
*/
define "Client is not due for rubella vaccination":
  "Client is not due for rubella vaccination Case 1"
    or "Client is not due for rubella vaccination Case 2"

/*
@output: Client is not due for rubella vaccination Guidance
@guidance: Should not vaccinate client for rubella dose. Check for any vaccines due, and inform the caregiver of when to come back for the first dose
@guidance: Should not vaccinate client for rubella dose as live vaccine was administered in the last 4 weeks. Check for any other vaccines due.
*/
define "Client is not due for rubella vaccination Guidance":
  case
    when "Client is not due for rubella vaccination Case 1" then 'Should not vaccinate client for rubella dose. Check for any vaccines due, and inform the caregiver of when to come back for the first dose'
    when "Client is not due for rubella vaccination Case 2" then 'Should not vaccinate client for rubella dose as live vaccine was administered in the last 4 weeks. Check for any other vaccines due.'
    else ''
  end

/*
@output: Client is due for rubella vaccination
@pseudocode: '"Immunization recommendation status" = 'Due'
*/
define "Client is due for rubella vaccination":
  input."No rubella primary series dose was administered"
    and input."Client's age is more than or equal to 12 months"
    and input."No live vaccine was administered in the last 4 weeks"

/*
@output: Client is due for rubella vaccination Guidance
@guidance: Should vaccinate client for rubella dose as no rubella doses were administered, client is within appropriate age range and no live vaccine was administered in the last 4 weeks. Check for contraindications. 
*/
define "Client is due for rubella vaccination Guidance":
  'Should vaccinate client for rubella dose as no rubella doses were administered, client is within appropriate age range and no live vaccine was administered in the last 4 weeks. Check for contraindications. '

/*
@output: Rubella immunization schedule is complete
@pseudocode: '"Immunization recommendation status" = 'Complete'
*/
define "Rubella immunization schedule is complete":
  input."One rubella primary series dose was administered"

/*
@output: Rubella immunization schedule is complete Guidance
@guidance: Rubella immunization schedule is complete. One rubella primary series dose was administered. Check for any other vaccines due.
*/
define "Rubella immunization schedule is complete Guidance":
  'Rubella immunization schedule is complete. One rubella primary series dose was administered. Check for any other vaccines due.'


/*
@test: Test expected results based on example patients
*/
define "Test Validation":
  case
    when Patient.id = '19.Alt12m' then "Client is not due for rubella vaccination Case 1" and "Guidance" = 'Should not vaccinate client for rubella dose. Check for any vaccines due, and inform the caregiver of when to come back for the first dose'
    when Patient.id = '20.D0Agt12mLVgt4w' then "Client is due for rubella vaccination" and "Guidance" = 'Should vaccinate client for rubella dose as no rubella doses were administered, client is within appropriate age range and no live vaccine was administered in the last 4 weeks. Check for contraindications. '
    when Patient.id = '21.D0Agt12mLVlt4w' then "Client is not due for rubella vaccination Case 2" and "Guidance" = 'Should not vaccinate client for rubella dose as live vaccine was administered in the last 4 weeks. Check for any other vaccines due.'
    when Patient.id = '22.D1' then "Rubella immunization schedule is complete" and "Guidance" = 'Rubella immunization schedule is complete. One rubella primary series dose was administered. Check for any other vaccines due.'
    else 'No test case set'
  end

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