Related Artifacts
| 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 |
Parameters
| 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 |
Data Requirements
Contents
text/cql
/*\r\n * Library: IMMZDT18 (IMMZ.DT.18.Rabies)\r\n * Rule: If patient has not been vaccinated, give Rabies vaccine \r\n * Trigger: Patient has never been vaccinated and is at high risk of exposure to RABV and/or patient has been exposed to RABV\r\n */\r\nlibrary IMMZDT18\r\n// Start Skeleton CQL\r\nusing FHIR version '4.0.1'\r\ninclude FHIRHelpers version '4.0.1'\r\ninclude IMMZCommon called IMMZCom\r\ninclude IMMZConfig called IMMZCon\r\ninclude IMMZConcepts called IMMZc\r\n// End Skeleton CQL\r\nparameter "Individual is at high risk of RABV exposure" Boolean default false\r\nparameter "Individual has continual or frequent risk of exposure (i.e. occupational)" Boolean default false\r\n\r\ncontext Patient\r\n\r\n/* \r\n * @dataElement Rabies vaccine immunization history\r\n */\r\ndefine "Rabies vaccine immunization history":\r\n IMMZCom."Rabies Doses Administered to Patient"\r\n\r\n/* \r\n * @dataElement No-doses\r\n */\r\ndefine "No-doses":\r\n not exists("Rabies vaccine immunization history")\r\n\r\n/* \r\n * @dataElement 1 dose\r\n */\r\ndefine "1 dose":\r\n IMMZCom."Number of Rabies Doses Administered to Patient" = 1\r\n\r\n/* \r\n * @dataElement Date last Rabies dose given >= 7 days\r\n */\r\ndefine "Date last Rabies dose given >= 7 days":\r\n IMMZCom."Date last Rabies dose given Dose Administered to Patient" equal 7 'days' before Today()\r\n or IMMZCom."Date last Rabies dose given Dose Administered to Patient" more than 7 'days' before Today()\r\n \r\n/*\r\n * Rule: Should vaccinate patient with Rabies vaccine (PrEP strategy) on 2 dose scheme\r\n * Annotations:\r\n * - Provide Rabies immunizations – using the "PrEP vaccination strategy – NO PREVIOUS" schedule (2 dose scheme)\r\n * - Provide Rabies immunizations – using the "PrEP vaccination strategy – 1 PREVIOUS" schedule (2 dose scheme)\r\n * Outputs:\r\n * - Immunize Patient for Rabies (PrEP strategy) - No Doses\r\n * - Immunize Patient for Rabies (PrEP strategy) - 1 Dose\r\n * References:\r\n * - WHO recommendations for routine immunization - summary tables: https://www.who.int/teams/immunization-vaccines-and-biologicals/policies/who-recommendations-for-routine-immunization---summary-tables\r\n * Logic:\r\n * ((("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)))\r\n */\r\ndefine "Should vaccinate patient with Rabies vaccine (PrEP strategy) on 2 dose scheme":\r\n ((("No-doses") and ("Individual is at high risk of RABV exposure")) or (("1 dose") and ("Date last Rabies dose given >= 7 days")))\r\n\r\n\r\n/* \r\n * @dataElement VNA levels\r\n */\r\ndefine "VNA levels":\r\n First(\r\n IMMZCom."VNA Test Results"\r\n ).value as FHIR.Quantity\r\n\r\n/*\r\n * Rule: Should vaccinate patient with Rabies vaccine Booster (PrEP strategy)\r\n * Annotations:\r\n * - Provide Rabies immunizations – using the "PrEP vaccination strategy – BOOSTER" schedule (1 dose booster)\r\n * Outputs:\r\n * - Immunize Patient for Rabies vaccine Booster (PrEP strategy)\r\n * References:\r\n * - WHO recommendations for routine immunization - summary tables: https://www.who.int/teams/immunization-vaccines-and-biologicals/policies/who-recommendations-for-routine-immunization---summary-tables\r\n * Logic:\r\n * (("Individual has continual or frequent risk of exposure (i.e. occupational)" = true) and ("VNA levels" < "0.5 IU/mL"))\r\n */\r\ndefine "Should vaccinate patient with Rabies vaccine Booster (PrEP strategy)":\r\n (("Individual has continual or frequent risk of exposure (i.e. occupational)") and ("VNA levels" < 0.5 '[iU]/mL'))\r\n\r\n
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