Clinical Practice Guidelines, published by HL7 International / Clinical Decision Support. This guide is not an authorized publication; it is the continuous build for version 2.0.0-draft built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/cqf-recommendations/ and changes regularly. See the Directory of published versions
Related Artifacts
Parameters
Patient | out | 0 | 1 | Patient |
Inclusion Criteria | out | 0 | 1 | boolean |
Active or Completed Immunization | out | 0 | * | Immunization |
Immunization Not Done | out | 0 | * | Immunization |
Immunization Proposal | out | 0 | * | MedicationRequest |
Immunization Not Proposed | out | 0 | * | MedicationRequest |
Immunization Proposal Rejected | out | 0 | * | MedicationRequest |
Is Recommendation Applicable | out | 0 | 1 | boolean |
Data Requirements
Contents
text/cql
library RecommendImmunization
using FHIR version '4.0.1'
include FHIRHelpers version '4.0.1'
codesystem "Activity Type": 'http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-activity-type-cs'
code "Recommend Immunization": 'immunization-recommendation' from "Activity Type"
context Patient
/* Recommendation to immunize the patient */
/*
NOTE: This recommendation is dramatically simplified to illustrate the general
pattern for a positive recommendation, with the ability for users to reject
the recommendation, and flexibility in how the recommendation is achieved.
Specifically:
* There is no terminology, any immunization request/event on any topic will do
* There is no timing, any immunization request/event will do at any time
* There is no reference to participants other than the patient
* There is no relationship to a setting
* There is no relationship to an encounter or episode
* There is no relationship to a care plan
These simplifications allow the example to focus exclusively on the pattern for
recommending and for accepting/rejecting the proposal, as well as documenting
the completion, or explicit non-performance of the communication.
*/
/*
Positive recommendation:
If the activity has not been performed
If the activity has not been planned or proposed
Propose the activity
Given a proposal, the user can:
Accept the proposal
Ignore the proposal
Reject the proposal without reason
Reject the proposal with reason
Scenario 1: No event, no plan or proposal, decision support should propose
Scenario 2: No event, incomplete proposal, decision support should not propose
Scenario 3: No event, rejected proposal, decision support should not propose
Scenario 4: Event, no proposal, decision support should not propose
Scenario 5: Event, completed proposal, decision support should not propose
Scenario 6: Event not done, no proposal, decision support should not propose
Scenario 7: Event not done, proposal, decision support should not propose
*/
define "Inclusion Criteria":
Patient.active
define "Active or Completed Immunization":
[Immunization] C
where C.status in { 'completed' }
define "Immunization Not Done":
[Immunization] C
where C.status in { 'not-done' }
define "Immunization Proposal":
[MedicationRequest] MR
where exists ( (MR.category) C where C ~ "Recommend Immunization" )
and MR.status in { 'draft', 'active' }
and MR.doNotPerform is not true
define "Immunization Not Proposed":
[MedicationRequest] MR
where exists ( (MR.category) C where C ~ "Recommend Immunization" )
and MR.status in { 'draft', 'active' }
and MR.doNotPerform is true
define "Immunization Proposal Rejected":
[MedicationRequest] MR
where exists ( (MR.category) C where C ~ "Recommend Immunization" )
and MR.status = 'cancelled'
define "Is Recommendation Applicable":
"Inclusion Criteria"
and not exists (
"Active or Completed Immunization"
union "Immunization Not Done"
)
and not exists (
"Immunization Proposal"
union "Immunization Not Proposed"
union "Immunization Proposal Rejected"
)
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