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External References

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web github.com SMART Guidelines Starter Kit, published by WHO. This guide is not an authorized publication; it is the continuous build for version 2.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/WorldHealthOrganization/smart-ig-starter-kit/ and changes regularly. See the Directory of published versions
web smart.who.int IG © 2023+ WHO . Package smart.who.int.ig-starter-kit#2.1.0 based on FHIR 5.0.0 . Generated 2025-09-09
Links: Table of Contents | QA Report | Issues | New Issue | Change Log | Version History | License
web github.com Links: Table of Contents | QA Report | Issues | New Issue | Change Log | Version History | License
web github.com Links: Table of Contents | QA Report | Issues | New Issue | Change Log | Version History | License
web smart.who.int L2 DAK Templates
web smart.who.int License page
web smart.who.int Authoring a L2 DAK
web github.com SOP for commons repository
web github.com SOP for testing and related artifacts
web github.com SOP for Scheduling logic
web github.com SOP for L4 packages
web www.ihe.net Measure is defined according to the Data Sharing Specification (DSS) described in the IHE White Paper for EXtracting Indicators from Person Level Data . The Mobile Aggregate Data Exchange (mADX) profile is leveraged.
web semver.org Versioning policy of the Implementation Guide is based on FHIR versioning and Semantic versioning. Each IG version s hall be identified by a string composed from 4 parts: major.minor.patch-label.
web who.zoom.us Join the call via Zoom: https://who.zoom.us/j/98315331510
web worldhealthorg-my.sharepoint.com Access Meeting minutes here .
web github.com Workflow automation The process for publication is a sensitive process - errors can have a large impact on tooling and downstream specifications. For this reason, some of the steps are automated. Increased automation is expected as the SMART Guidelines and this guidance evolve. Every WHO-published SMART Guideline is based on the SMART IG Empty template , which includes a workflow for automation of a part of this procedure.
web github.com All SMART Guidelines templates contain a workflow for automation of the next step:
web github.com Upon creation of a release and tag, a workflow automates the step of running the publication process. If the publication executed successfully (which can be seen in the Actions tab of the repository), the copy of the updated smart.who.int website should be available at http://WorldHealthOrganization.github.io/<repo_name>/sitepreview . Specifically, if the publication process was successful, the ImplementationGuide will be available at http://WorldHealthOrganization.github.io/<repo_name>/sitepreview/<ig_code> and http://WorldHealthOrganization.github.io/<repo_name>/sitepreview/<ig_code>/<tag> .
web worldhealthorganization.github.io For example https://worldhealthorganization.github.io/smart-trust/sitepreview/trust/ .
web smart.who.int Request the WHO SMART Guidelines team (smart@who.int) to check and update the http://smart.who.int website and create of a Pull Request of the feeds and package lists, for the FHIR tooling to recognize the newly published package.
web github.com The smart-ig-empty is the repository that should be forked to create a new Implementation Guide.
  • To do so, click on "Use this Template" option in Github. Ensure that the option to "Include all branches". so that the gh-pages branch is also cloned. Otherwise you must create it manually.
  • For WHO repositories: WHO will create it upon request.
    • The name of the repository depends on the organization for WHO, should be smart- (where ig_code is the accepted ig_code for the programme area, see below for more)
  • For National adaptations, HL7 has the following recommendations:
    • If the country or region has an affiliate, it is recommended that the affiliate includes the smart guidelines in their process
    • The recommended package id in this case is: hl7.fhir.country.smart.xxx
    • If there is no affiliate or the affiliate declines, other organizations may fulfill this role
  • The default branch SHOULD be "main".
web github.com The standard build script and github action SHOULD be retained. If there are changes needed, they SHOULD be reported back to the community.
  • GHBuild: builds the pages in
    • <org_name>.github.io/<repo_name> for default branch
    • <org_name>.github.io/<repo_name>/branches/branch_name for other branches
web github.com The SMART Guidelines Standard Operating Procedures are being edited as a community effort. Authors of SMART Guidelines are welcome to submit issues and join the discussions to validate and improve these authoring procedures.
web iris.who.int For example, among the documents reviewed for TB DAK we have “ WHO consolidated guidelines on tuberculosis – Module 1: prevention (tuberculosis preventive treatment) 1, “ WHO consolidated guidelines on tuberculosis – Module 2: screening (systematic screening for tuberculosis disease) 2 but also the corresponding operational handbooks WHO operational handbook on tuberculosis – Module 1: prevention (tuberculosis preventive treatment) 3 and WHO operational handbook on tuberculosis – Module 2: screening (systematic screening for tuberculosis disease) 4 as well as the associated publication Framework for collaborative action on tuberculosis and comorbidities 5 .
web iris.who.int For example, among the documents reviewed for TB DAK we have “ WHO consolidated guidelines on tuberculosis – Module 1: prevention (tuberculosis preventive treatment) 1, “ WHO consolidated guidelines on tuberculosis – Module 2: screening (systematic screening for tuberculosis disease) 2 but also the corresponding operational handbooks WHO operational handbook on tuberculosis – Module 1: prevention (tuberculosis preventive treatment) 3 and WHO operational handbook on tuberculosis – Module 2: screening (systematic screening for tuberculosis disease) 4 as well as the associated publication Framework for collaborative action on tuberculosis and comorbidities 5 .
web iris.who.int For example, among the documents reviewed for TB DAK we have “ WHO consolidated guidelines on tuberculosis – Module 1: prevention (tuberculosis preventive treatment) 1, “ WHO consolidated guidelines on tuberculosis – Module 2: screening (systematic screening for tuberculosis disease) 2 but also the corresponding operational handbooks WHO operational handbook on tuberculosis – Module 1: prevention (tuberculosis preventive treatment) 3 and WHO operational handbook on tuberculosis – Module 2: screening (systematic screening for tuberculosis disease) 4 as well as the associated publication Framework for collaborative action on tuberculosis and comorbidities 5 .
web iris.who.int For example, among the documents reviewed for TB DAK we have “ WHO consolidated guidelines on tuberculosis – Module 1: prevention (tuberculosis preventive treatment) 1, “ WHO consolidated guidelines on tuberculosis – Module 2: screening (systematic screening for tuberculosis disease) 2 but also the corresponding operational handbooks WHO operational handbook on tuberculosis – Module 1: prevention (tuberculosis preventive treatment) 3 and WHO operational handbook on tuberculosis – Module 2: screening (systematic screening for tuberculosis disease) 4 as well as the associated publication Framework for collaborative action on tuberculosis and comorbidities 5 .
web iris.who.int For example, among the documents reviewed for TB DAK we have “ WHO consolidated guidelines on tuberculosis – Module 1: prevention (tuberculosis preventive treatment) 1, “ WHO consolidated guidelines on tuberculosis – Module 2: screening (systematic screening for tuberculosis disease) 2 but also the corresponding operational handbooks WHO operational handbook on tuberculosis – Module 1: prevention (tuberculosis preventive treatment) 3 and WHO operational handbook on tuberculosis – Module 2: screening (systematic screening for tuberculosis disease) 4 as well as the associated publication Framework for collaborative action on tuberculosis and comorbidities 5 .
web smart.who.int DAKs are only one type of output and artefact within the SMART Guidelines framework. See here for additional details: SMART Guidelines 6 .
web iris.who.int provide a starting point for the business requirements gathering process to accelerate the development of a person-centred point of service system (PCPOSS) 7 , reducing the time and resources needed;
web iris.who.int Additionally, users should also review the WHO Digital transformation handbook for primary health care 7 , which provides stepwise guidance on how to map data on paper-based forms into a digital system, including ways of accounting for data elements that are redundant or may not add value to the health system.
web iris.who.int A critical part of service delivery in any health domain relies on engaging with clients. Digital interventions 8 aimed at clients themselves – such as on-demand information services, targeted client communication (e.g. transmitting health information and reminders), reporting of health-system feedback by clients on the quality of care, accessing their own medical records/home-based records, and self-monitoring of their health and diagnostic data – are all emerging approaches for complementing the services provided by health workers.
web iris.who.int WHO consolidated guidelines on tuberculosis – Module 1: prevention (tuberculosis preventive treatment). Geneva: World Health Organization; 2020
web iris.who.int WHO consolidated guidelines on tuberculosis – Module 2: screening (systematic screening for tuberculosis disease). Geneva: World Health Organization; 2021
web iris.who.int WHO operational handbook on tuberculosis – Module 1: prevention (tuberculosis preventive treatment). Geneva: World Health Organization; 2020
web iris.who.int WHO operational handbook on tuberculosis – Module 2: screening (systematic screening for tuberculosis disease). Geneva: World Health Organization; 2021
web iris.who.int Framework for collaborative action on tuberculosis and comorbidities. Geneva: World Health Organization; 2022
web smart.who.int SMART Guidelines Publications
web iris.who.int Digital transformation handbook for primary health care: optimizing person-centred point of service systems. Geneva: World Health Organization;2024   2
web iris.who.int Classification of digital interventions, services and applications in health: a shared language to describe the uses of digital technology for health, 2nd ed.
web www.who.int Overview of the health interventions and health-specific recommendations included within this digital adaptation kit (DAK). DAKs are meant to be a repackaging and integration of L1 guidelines and guidance documents, such as WHO guidelines and other normative products and associated publications, in a particular health domain. The list of health interventions should be drawn from the universal health coverage menu of interventions a compiled by WHO and the digital health interventions should be extracted from the WHO classification of digital health interventions b .
web iris.who.int Overview of the health interventions and health-specific recommendations included within this digital adaptation kit (DAK). DAKs are meant to be a repackaging and integration of L1 guidelines and guidance documents, such as WHO guidelines and other normative products and associated publications, in a particular health domain. The list of health interventions should be drawn from the universal health coverage menu of interventions a compiled by WHO and the digital health interventions should be extracted from the WHO classification of digital health interventions b .
web www.bpmn.org determine the tools to be used for project tracking, communication, and DAK components design [for example the tool to design business processes based on the Business Process Model and Notation ( BPMN ) standard];
web scrumguides.org The Agile methodology, as the name suggests, has flexibility and agility at its heart. It works best in a living organizational structure that can adapt according to the organisation’s strategy and its clients’ needs. Under the “Agile” umbrella we find multiple methods and frameworks but the most widely used is “ Scrum 4 : a lightweight framework that helps people, teams and organizations generate value through adaptive solutions for complex problems.
web www.who.int 2.1.1 Identify health interventions and recommendations (component 1): compile a list of health interventions and recommendations, based on narrative guidelines and guidance, that you wish to ‘translate’ into the DAK. This list should be based on existing WHO guidelines and other normative products, the UHC list of essential interventions 1 and the list of digital health interventions 2 ;
web iris.who.int 2.1.1 Identify health interventions and recommendations (component 1): compile a list of health interventions and recommendations, based on narrative guidelines and guidance, that you wish to ‘translate’ into the DAK. This list should be based on existing WHO guidelines and other normative products, the UHC list of essential interventions 1 and the list of digital health interventions 2 ;
web www.bpmn.org 2.1.4 Identify key business processes - based on content in the narrative documents (SMART guidelines L1), domain expertise, and real-life observations in selected contexts and countries create the diagram reflecting the overview of key business processes for the health area. The diagram should follow the BPMN standard 5 ;
web www.bpmn.org the specific diagram for each business process should follow the BPMN standard 5 .
web www.omg.org the decision-support logic tables should follow the normative contents of the DMN standard 6 ;
web www.omg.org the scheduling logic should follow the normative contents of the DMN standard 6 .
web data.who.int the focus should be on the indicators that can be derived from the data collected and available at the primary health care level. This is in line with the principle "collect once, use many times” and highlights the importance of reducing the reporting burden for the health workers, allowing them to focus instead on providing care. For higher-level reporting needs, such as national and global aggregated indicators, the authors should refer to the WHO indicators 7 .
web www.who.int The universal health coverage menu of interventions   2
web iris.who.int Classification of digital interventions, services and applications in health: a shared language to describe the uses of digital technology for health, 2nd ed.   2
web scrumguides.org The SCRUM Guide
web www.bpmn.org Business process model and notation standard   2
web www.omg.org Decision model and notation standard   2
web data.who.int WHO Datadot
web camunda.com The generic business processes and workflows diagrams would be generated in another tool, such as Camunda Modeler . The selected tool should:
web camunda.com Camunda Modeler (allows import/export of bpmn files and export as SVG file);
web marketplace.visualstudio.com BPMN Editor extension for Visual Studio Code (offline tool that allows import/export of bpmn files and export as SVG file);
web portal.bizagi.com Bizagi Modeler (offline tool that allows import/export of Visio and .bpmn files);
web flower-bpm.com Cloud application for Jira/Confluence (Atlassian) (online application that allows import/export of bpmn files and export as SVG file);
web docs.jboss.org BPMN 2.0 Plugin for Eclipse Java IDE .
web worldhealthorganization.github.io SMART Guidelines - Immunizations (Measles): Code Systems
web worldhealthorganization.github.io SMART Guidelines - Immunizations (Measles): Concept Maps
web github.com For background and introduction to CQL, refer to the Getting Started page of the CQFramework wiki.
web github.com CQF tooling
web marketplace.visualstudio.com VisualStudio plugin
web github.com CQF Ruler
web worldhealthorganization.github.io [SMART Guidelines - Immunizations (Measles): Example ActorDefinition(https://worldhealthorganization.github.io/smart-example-immz/ActorDefinition-CommunityHealthWorker.html) SMART Guidelines - Immunizations (Measles): Rendered set of ActorDefinitions
web worldhealthorg.sharepoint.com Decision Table as per template .
web worldhealthorganization.github.io SMART Guidelines - Immunizations (Measles): PlanDefinitions SMART Guidelines - Immunizations (Measles): Activity Definitions
web worldhealthorganization.github.io SMART Guidelines - Immunizations (Measles): PlanDefinitions SMART Guidelines - Immunizations (Measles): Activity Definitions
web fshschool.org HL7 Spec
Sushi Documentation
web worldhealthorganization.github.io SMART Guidelines - Immunizations (Measles): Example Immunization event SMART Guidelines - Immunizations (Measles): Example QuestionnaireResponse
web worldhealthorganization.github.io SMART Guidelines - Immunizations (Measles): Example Immunization event SMART Guidelines - Immunizations (Measles): Example QuestionnaireResponse
web worldhealthorganization.github.io SMART Guidelines - Immunizations (Measles): Questionnaires
web worldhealthorganization.github.io SMART Guidelines - Immunizations (Measles): Indicator 05 SMART Guidelines - Immunizations (Measles): Indicator 08
web worldhealthorganization.github.io SMART Guidelines - Immunizations (Measles): Indicator 05 SMART Guidelines - Immunizations (Measles): Indicator 08
web worldhealthorganization.github.io SMART Guidelines - Immunizations (Measles): Logical Models
web worldhealthorganization.github.io SMART Guidelines - Immunizations (Measles): Profiles SMART Guidelines - Immunizations (Measles): Extensions
web worldhealthorganization.github.io SMART Guidelines - Immunizations (Measles): Profiles SMART Guidelines - Immunizations (Measles): Extensions
web worldhealthorganization.github.io The L3 author is expected to capture the requirements in a Requirements resource.
web worldhealthorganization.github.io SMART Guidelines - Immunizations (Measles): Rendered Requirements table SMART Guidelines - Immunizations (Measles): Example Requirements resource
web worldhealthorganization.github.io SMART Guidelines - Immunizations (Measles): Rendered Requirements table SMART Guidelines - Immunizations (Measles): Example Requirements resource
web worldhealthorganization.github.io SMART Guidelines - Immunizations (Measles): StructureMaps
web worldhealthorganization.github.io SMART Guidelines - Immunizations (Measles): ValueSets
web creativecommons.org This work is available under the Creative Commons Attribution 4.0 licencenullnull
img mirrors.creativecommons.org
img mirrors.creativecommons.org
web opensource.org This work is licensed under the BSD-3-clause
web commonmark.org Markdown pages are created as files with extension .md . The Markdown dialect supported is CommonMark markdown .

Internal Images

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