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/IMMZDT18 | Version: 0.1.0 | |||
| Draft as of 2023-08-02 | Computable Name: IMMZDT18 | |||
| 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 IMMZCon | IMMZConfig |
| depends-on | Library IMMZc | IMMZConcepts |
| depends-on | Library WCom | WHOCommon |
| depends-on | Value set Rabies Vaccine | http://fhir.org/guides/who/smart-immunization/ValueSet/IMMZ.A1.DE15 |
| depends-on | Value set VNA levels | http://fhir.org/guides/who/smart-immunization/ValueSet/VNAlevelsRAbies-values |
| Individual is at high risk of RABV exposure | in | 0 | 1 | boolean |
| Individual has continual or frequent risk of exposure (i.e. occupational) | in | 0 | 1 | boolean |
| Patient | out | 0 | 1 | Patient |
| Rabies vaccine immunization history | out | 0 | * | Immunization |
| No-doses | out | 0 | 1 | boolean |
| 1 dose | out | 0 | 1 | boolean |
| Date last Rabies dose given >= 7 days | out | 0 | 1 | boolean |
| Should vaccinate patient with Rabies vaccine (PrEP strategy) on 2 dose scheme | out | 0 | 1 | boolean |
| VNA levels | out | 0 | 1 | Quantity |
| Should vaccinate patient with Rabies vaccine Booster (PrEP strategy) | out | 0 | 1 | boolean |
| Type: Patient (Patient) |
| Type: Immunization (Immunization) |
| Type: Observation (Observation) | |
| Filter | Value |
| code | In ValueSet http://fhir.org/guides/who/smart-immunization/ValueSet/VNAlevelsRAbies-values |
text/cql
/*
* Library: IMMZDT18 (IMMZ.DT.18.Rabies)
* Rule: If patient has not been vaccinated, give Rabies vaccine
* Trigger: Patient has never been vaccinated and is at high risk of exposure to RABV and/or patient has been exposed to RABV
*/
library IMMZDT18
// Start Skeleton CQL
using FHIR version '4.0.1'
include FHIRHelpers version '4.0.1'
include IMMZCommon called IMMZCom
include IMMZConfig called IMMZCon
include IMMZConcepts called IMMZc
// End Skeleton CQL
parameter "Individual is at high risk of RABV exposure" Boolean default false
parameter "Individual has continual or frequent risk of exposure (i.e. occupational)" Boolean default false
context Patient
/*
* @dataElement Rabies vaccine immunization history
*/
define "Rabies vaccine immunization history":
IMMZCom."Rabies Doses Administered to Patient"
/*
* @dataElement No-doses
*/
define "No-doses":
not exists("Rabies vaccine immunization history")
/*
* @dataElement 1 dose
*/
define "1 dose":
IMMZCom."Number of Rabies Doses Administered to Patient" = 1
/*
* @dataElement Date last Rabies dose given >= 7 days
*/
define "Date last Rabies dose given >= 7 days":
IMMZCom."Date last Rabies dose given Dose Administered to Patient" equal 7 'days' before Today()
or IMMZCom."Date last Rabies dose given Dose Administered to Patient" more than 7 'days' before Today()
/*
* Rule: Should vaccinate patient with Rabies vaccine (PrEP strategy) on 2 dose scheme
* Annotations:
* - Provide Rabies immunizations – using the "PrEP vaccination strategy – NO PREVIOUS" schedule (2 dose scheme)
* - Provide Rabies immunizations – using the "PrEP vaccination strategy – 1 PREVIOUS" schedule (2 dose scheme)
* Outputs:
* - Immunize Patient for Rabies (PrEP strategy) - No Doses
* - Immunize Patient for Rabies (PrEP strategy) - 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:
* ((("Rabies vaccine immunization history" = "No-doses") and ("Individual is at high risk of RABV exposure" = true)) or (("Rabies vaccine immunization history" = "1 dose") and ("Date last Rabies dose given" >= "7 days" = true)))
*/
define "Should vaccinate patient with Rabies vaccine (PrEP strategy) on 2 dose scheme":
((("No-doses") and ("Individual is at high risk of RABV exposure")) or (("1 dose") and ("Date last Rabies dose given >= 7 days")))
/*
* @dataElement VNA levels
*/
define "VNA levels":
First(
IMMZCom."VNA Test Results"
).value as FHIR.Quantity
/*
* Rule: Should vaccinate patient with Rabies vaccine Booster (PrEP strategy)
* Annotations:
* - Provide Rabies immunizations – using the "PrEP vaccination strategy – BOOSTER" schedule (1 dose booster)
* Outputs:
* - Immunize Patient for Rabies vaccine Booster (PrEP strategy)
* 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:
* (("Individual has continual or frequent risk of exposure (i.e. occupational)" = true) and ("VNA levels" < "0.5 IU/mL"))
*/
define "Should vaccinate patient with Rabies vaccine Booster (PrEP strategy)":
(("Individual has continual or frequent risk of exposure (i.e. occupational)") and ("VNA levels" < 0.5 '[iU]/mL'))
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