WHO Immunization Implementation Guide
0.1.0 - CI Build
WHO Immunization Implementation Guide
0.1.0 - CI Build
WHO Immunization Implementation Guide, published by World Health Organization (WHO). This is not an authorized publication; it is the continuous build for version 0.1.0). This version is based on the current content of https://github.com/WorldHealthOrganization/smart-immunizations and changes regularly. See the Directory of published versions
| Official URL: http://fhir.org/guides/who/smart-immunization/Library/IMMZDT05 | Version: 0.1.0 | |||
| Draft as of 2023-04-13 | Computable Name: IMMZDT05 | |||
| depends-on | FHIR model information | http://fhir.org/guides/cqf/common/Library/FHIR-ModelInfo|4.0.1 |
| depends-on | Library FHIRHelpers | http://fhir.org/guides/who/smart-immunization/Library/FHIRHelpers|4.0.1 |
| depends-on | Library IMMZCom | IMMZCommon |
| depends-on | Library IMMZConf | IMMZConfig |
| depends-on | Library IMMZc | IMMZConcepts |
| depends-on | Library IMMZvl | IMMZVaccineLibrary |
| depends-on | Value set Hib Vaccine | http://fhir.org/guides/who/smart-immunization/ValueSet/IMMZ.A1.DE4 |
| Patient | out | 0 | 1 | Patient |
| Should vaccinate patient for Hib because no doses on 1 dose scheme | out | 0 | 1 | boolean |
| Should vaccinate patient for Hib because no doses on 3p dose scheme | out | 0 | 1 | boolean |
| Should vaccinate patient for Hib because 1 dose on 3p dose scheme | out | 0 | 1 | boolean |
| Should vaccinate patient for Hib because 2 doses on 3p dose scheme | out | 0 | 1 | boolean |
| Should vaccinate patient for Hib because No dose on 3p+1 dose scheme | out | 0 | 1 | boolean |
| Should vaccinate patient for Hib because 1 dose on 3p+1 dose scheme | out | 0 | 1 | boolean |
| Should vaccinate patient for Hib because 2 doses on 3p+1 dose scheme | out | 0 | 1 | boolean |
| Should vaccinate patient for Hib because 3 doses on 3p+1 dose scheme | out | 0 | 1 | boolean |
| Should vaccinate patient for Hib because No dose on 2p+1 dose scheme | out | 0 | 1 | boolean |
| Should vaccinate patient for Hib because 1 dose on 2p+1 dose scheme | out | 0 | 1 | boolean |
| Should vaccinate patient for Hib because 2 dose on 2p+1 dose scheme | out | 0 | 1 | boolean |
| Type: Patient (Patient) |
| Type: Immunization (Immunization) |
text/cql
/*
* Library: IMMZDT05 (IMMZ.DT.05.Hib)
* Rule: if child or person has not been vaccinated, give Hib vaccine between 6 weeks and 59 months
* Trigger: Patient has never received Hib vaccination
*/
library IMMZDT05
// Start Skeleton CQL
using FHIR version '4.0.1'
include FHIRHelpers version '4.0.1'
include IMMZCommon called IMMZCom
include IMMZConfig called IMMZConf
include IMMZConcepts called IMMZc
include IMMZVaccineLibrary called IMMZvl
// End Skeleton CQL
context Patient
/*
* Rule: Should vaccinate patient for Hib because no doses on 1 dose scheme
* Annotations:
* - Provide Hib immunizations – using the "Hib Vaccine immunization – NO PREVIOUS" schedule (1 dose scheme)
* Outputs:
* - Immunize Patient for Hib - No Doses
* References:
* - WHO recommendations for routine immunization - summary tables: https://www.who.int/teams/immunization-vaccines-and-biologicals/policies/who-recommendations-for-routine-immunization---summary-tables
* Logic:
* (("Hib vaccine immunization history" = "No-doses" = true) and ("Current Patient Age in Months" > 12))
*/
define "Should vaccinate patient for Hib because no doses on 1 dose scheme":
IMMZCom."No Hib Doses Administered to Patient" and IMMZCom."Current Patient Age In Months" > 12
/*
* Rule: Should vaccinate patient for Hib because no doses on 3p dose scheme
* Annotations:
* - Provide Hib immunizations – using the "Hib Vaccine immunization 3p schedule – NO PREVIOUS" schedule (3 dose scheme)
* Outputs:
* - Immunize Patient for Hib - No Doses
* References:
* - WHO recommendations for routine immunization - summary tables: https://www.who.int/teams/immunization-vaccines-and-biologicals/policies/who-recommendations-for-routine-immunization---summary-tables
* Logic:
* ((("Hib vaccine immunization history" = "No-doses") and ("Current Patient Age in Weeks" >= 6 )) and ("In a country where the peak burden of severe Hib disease occurs in young infants" = true))
*/
define "Should vaccinate patient for Hib because no doses on 3p dose scheme":
IMMZCom."No Hib Doses Administered to Patient" and IMMZCom."Current Patient Age In Weeks" >= 6 and IMMZConf."In a country where the peak burden of severe Hib disease occurs in young infants"
/*
* Rule: Should vaccinate patient for Hib because 1 dose on 3p dose scheme
* Annotations:
* - Provide Hib immunizations – using the "Hib Vaccine immunization 3p schedule – 1 PREVIOUS" schedule (3 dose scheme)
* Outputs:
* - Immunize Patient for Hib - 1 Dose
* References:
* - WHO recommendations for routine immunization - summary tables: https://w
ww.who.int/teams/immunization-vaccines-and-biologicals/policies/who-recommendations-for-routine-immunization---summary-tables
* Logic:
* (((("Hib vaccine immunization history" = "1-dose" = true) and ("Date last Hib dose given" >= "4 weeks")) and ("In a country where the peak burden of severe Hib disease occurs in young infants" = true)) and ("Age when patient received 1st dose" <= "12 months"))
*/
define "Should vaccinate patient for Hib because 1 dose on 3p dose scheme":
IMMZCom."Number of Hib Doses Administered to Patient" = 1
and IMMZCom."Date Last Hib Dose Administered to Patient" more than 4 'weeks' before Today()
and IMMZConf."In a country where the peak burden of severe Hib disease occurs in young infants"
and IMMZCom."Date First Hib Dose Administered to Patient" less than 12 'months' after Patient.birthDate
/*
* Rule: Should vaccinate patient for Hib because 2 doses on 3p dose scheme
* Annotations:
* - Provide Hib immunizations – using the "Hib Vaccine immunization 3p schedule – 2 PREVIOUS" schedule (3 dose scheme)
* Outputs:
* - Immunize Patient for Hib - 2 Doses
* References:
* - WHO recommendations for routine immunization - summary tables: https://www.who.int/teams/immunization-vaccines-and-biologicals/policies/who-recommendations-for-routine-immunization---summary-tables
* Logic:
* ((("Hib vaccine immunization history" = "2-doses") and ("Date last Hib dose given" >= "4 weeks")) and ("In a country where the peak burden of severe Hib disease occurs in young infants" = true))
*/
define "Should vaccinate patient for Hib because 2 doses on 3p dose scheme":
IMMZCom."Number of Hib Doses Administered to Patient" = 2
and IMMZCom."Date Last Hib Dose Administered to Patient" more than 4 'weeks' before Today()
and IMMZConf."In a country where the peak burden of severe Hib disease occurs in young infants"
/*
* Rule: Should vaccinate patient for Hib because No dose on 3p+1 dose scheme
* Annotations:
* - Provide Hib immunizations – using the "Hib Vaccine immunization 3p + 1 schedule – NO PREVIOUS" schedule (3p+1 dose scheme)
* Outputs:
* - Immunize Patient for Hib - No Doses
* References:
* - WHO recommendations for routine immunization - summary tables: https://www.who.int/teams/immunization-vaccines-and-biologicals/policies/who-recommendations-for-routine-immunization---summary-tables
* Logic:
* ((("Hib vaccine immunization history" = "No-doses") and ("Current Patient Age in Weeks" >= 6 )) and ("In a setting where the greatest disease morbidity and mortality occur later, or whererate reductions of disease are not fully sustained after the routine use of Hib vaccine" = true))
*/
define "Should vaccinate patient for Hib because No dose on 3p+1 dose scheme":
IMMZCom."No Hib Doses Administered to Patient"
and IMMZCom."Current Patient Age In Weeks" >= 6
and IMMZConf."In a setting where the greatest disease morbidity and mortality occur later, or whererate reductions of disease are not fully sustained after the routine use of Hib vaccine"
/*
* Rule: Should vaccinate patient for Hib because 1 dose on 3p+1 dose scheme
* Annotations:
* - Provide Hib immunizations – using the "Hib Vaccine immunization 3p + 1 schedule – 1 PREVIOUS" schedule (3p+1 dose scheme)
* Outputs:
* - Immunize Patient for Hib - 1 Dose
* References:
* - WHO recommendations for routine immunization - summary tables: https://www.who.int/teams/immunization-vaccines-and-biologicals/policies/who-recommendations-for-routine-immunization---summary-tables
* Logic:
* (((("Hib vaccine immunization history" = "1-dose") and ("Date last Hib dose given" >= "4 weeks")) and ("In a setting where the greatest disease morbidity and mortality occur later, or whererate reductions of disease are not fully sustained after the routine use of Hib vaccine" = true)) and ("Age when patient received 1st dose" <= "12 months"))
*/
define "Should vaccinate patient for Hib because 1 dose on 3p+1 dose scheme":
IMMZCom."Number of Hib Doses Administered to Patient" = 1
and IMMZCom."Date Last Hib Dose Administered to Patient" more than 4 'weeks' before Today()
and IMMZConf."In a setting where the greatest disease morbidity and mortality occur later, or whererate reductions of disease are not fully sustained after the routine use of Hib vaccine"
and IMMZCom."Date First Hib Dose Administered to Patient" less than 12 'months' after Patient.birthDate
/*
* Rule: Should vaccinate patient for Hib because 2 doses on 3p+1 dose scheme
* Annotations:
* - Provide Hib immunizations – using the "Hib Vaccine immunization 3p + 1 schedule – 2 PREVIOUS" schedule (3p+1 dose scheme)
* Outputs:
* - Immunize Patient for Hib - 2 Doses
* References:
* - WHO recommendations for routine immunization - summary tables: https://www.who.int/teams/immunization-vaccines-and-biologicals/policies/who-recommendations-for-routine-immunization---summary-tables
* Logic:
* ((("Hib vaccine immunization history" = "2-doses") and ("Date last Hib dose given" >= "4 weeks")) and ("In a setting where the greatest disease morbidity and mortality occur later, or whererate reductions of disease are not fully sustained after the routine use of Hib vaccine" = true))
*/
define "Should vaccinate patient for Hib because 2 doses on 3p+1 dose scheme":
IMMZCom."Number of Hib Doses Administered to Patient" = 2
and IMMZCom."Date Last Hib Dose Administered to Patient" more than 4 'weeks' before Today()
and IMMZConf."In a setting where the greatest disease morbidity and mortality occur later, or whererate reductions of disease are not fully sustained after the routine use of Hib vaccine"
/*
* Rule: Should vaccinate patient for Hib because 3 doses on 3p+1 dose scheme
* Annotations:
* - Provide Hib immunizations – using the "Hib Vaccine immunization 3p + 1 schedule – 3 PREVIOUS" schedule (3p+1 dose scheme)
* Outputs:
* - Immunize Patient for Hib - Booster
* References:
* - WHO recommendations for routine immunization - summary tables: https://w
ww.who.int/teams/immunization-vaccines-and-biologicals/policies/who-recommendations-for-routine-immunization---summary-tables
* Logic:
* ((("Hib vaccine immunization history" = "3-doses") and ("Date last Hib dose given" >= "6 months")) and ("In a setting where the greatest disease morbidity and mortality occur later, or whererate reductions of disease are not fully sustained after the routine use of Hib vaccine" = true))
*/
define "Should vaccinate patient for Hib because 3 doses on 3p+1 dose scheme":
IMMZCom."Number of Hib Doses Administered to Patient" = 3
and IMMZCom."Date Last Hib Dose Administered to Patient" more than 6 'months' before Today()
and IMMZConf."In a setting where the greatest disease morbidity and mortality occur later, or whererate reductions of disease are not fully sustained after the routine use of Hib vaccine"
/*
* Rule: Should vaccinate patient for Hib because No dose on 2p+1 dose scheme
* Annotations:
* - Provide Hib immunizations – using the "Hib Vaccine immunization 2p + 1 schedule – NO PREVIOUS" schedule (2p+1 dose scheme)
* Outputs:
* - Immunize Patient for Hib - No Doses
* References:
* - WHO recommendations for routine immunization - summary tables: https://www.who.int/teams/immunization-vaccines-and-biologicals/policies/who-recommendations-for-routine-immunization---summary-tables
* Logic:
* ((("Hib vaccine immunization history" = "No-doses") and ("Current Patient Age in Weeks" >= 6 )) and ("In a setting where the greatest disease morbidity and mortality occur later, or whererate reductions of disease are not fully sustained after the routine use of Hib vaccine" = true))
*/
define "Should vaccinate patient for Hib because No dose on 2p+1 dose scheme":
IMMZCom."No Hib Doses Administered to Patient"
and IMMZCom."Current Patient Age In Weeks" >= 6
and IMMZConf."In a setting where the greatest disease morbidity and mortality occur later, or whererate reductions of disease are not fully sustained after the routine use of Hib vaccine"
/*
* Rule: Should vaccinate patient for Hib because 1 dose on 2p+1 dose scheme
* Annotations:
* - Provide Hib immunizations – using the "Hib Vaccine immunization 2p + 1 schedule – 1 PREVIOUS" schedule (2p+1 dose scheme)
* Outputs:
* - Immunize Patient for Hib - 1 Dose
* References:
* - WHO recommendations for routine immunization - summary tables: https://www.who.int/teams/immunization-vaccines-and-biologicals/policies/who-recommendations-for-routine-immunization---summary-tables
* Logic:
* (((("Hib vaccine immunization history" = "1-dose") and ("Date last Hib dose given" >= "8 weeks")) and ("In a setting where the greatest disease morbidity and mortality occur later, or whererate reductions of disease are not fully sustained after the routine use of Hib vaccine" = true)) and ("Age when patient received 1st dose" <= "12 months"))
*/
define "Should vaccinate patient for Hib because 1 dose on 2p+1 dose scheme":
IMMZCom."Number of Hib Doses Administered to Patient" = 1
and IMMZCom."Date Last Hib Dose Administered to Patient" more than 8 'weeks' before Today()
and IMMZConf."In a setting where the greatest disease morbidity and mortality occur later, or whererate reductions of disease are not fully sustained after the routine use of Hib vaccine"
and IMMZCom."Date First Hib Dose Administered to Patient" less than 12 'months' after Patient.birthDate
/*
* Rule: Should vaccinate patient for Hib because 2 dose on 2p+1 dose scheme
* Annotations:
* - Provide Hib immunizations – using the "Hib Vaccine immunization 2p + 1 schedule – 2 PREVIOUS" schedule (2p+1 dose scheme)
* Outputs:
* - Immunize Patient for Hib - Booster
* References:
* - WHO recommendations for routine immunization - summary tables: https://www.who.int/teams/immunization-vaccines-and-biologicals/policies/who-recommendations-for-routine-immunization---summary-tables
* Logic:
* ((("Hib vaccine immunization history" = "2-dose") and ("Date last Hib dose given" >= "6 months")) and ("In a setting where the greatest disease morbidity and mortality occur later, or whererate reductions of disease are not fully sustained after the routine use of Hib vaccine" = true))
*/
define "Should vaccinate patient for Hib because 2 dose on 2p+1 dose scheme":
IMMZCom."Number of Hib Doses Administered to Patient" = 2
and IMMZCom."Date Last Hib Dose Administered to Patient" more than 6 'months' before Today()
and IMMZConf."In a setting where the greatest disease morbidity and mortality occur later, or whererate reductions of disease are not fully sustained after the routine use of Hib vaccine"
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