WHO SMART Guidelines - Example Workshop IG
0.1.0 - ci-build
WHO SMART Guidelines - Example Workshop IG, published by WHO. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/brynrhodes/smart-workshop/ and changes regularly. See the Directory of published versions
Draft as of 2024-12-02 |
{
"resourceType" : "PlanDefinition",
"id" : "IMMZD2DTMeaslesSupplementary",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-recommendationdefinition"🔗 ,
"http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareableplandefinition"🔗 ,
"http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-publishableplandefinition"
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: PlanDefinition IMMZD2DTMeaslesSupplementary</b></p><a name=\"IMMZD2DTMeaslesSupplementary\"> </a><a name=\"hcIMMZD2DTMeaslesSupplementary\"> </a><a name=\"IMMZD2DTMeaslesSupplementary-en-US\"> </a><p><b>CQF Knowledge capability</b>: computable</p><p><b>url</b>: <a href=\"PlanDefinition-IMMZD2DTMeaslesSupplementary.html\">PlanDefinition IMMZ.D2.DT.Measles MCV Dose 0</a></p><p><b>version</b>: 0.1.0</p><p><b>name</b>: IMMZD2DTMeaslesSupplementary</p><p><b>title</b>: IMMZ.D2.DT.Measles MCV Dose 0</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/plan-definition-type eca-rule}\">ECA Rule</span></p><p><b>status</b>: Draft</p><p><b>experimental</b>: true</p><p><b>date</b>: 2024-12-02 20:31:54+0000</p><p><b>publisher</b>: WHO</p><p><b>contact</b>: WHO: <a href=\"http://who.int\">http://who.int</a></p><p><b>description</b>: </p><div><p>If the child or patient has not been given a supplementary dose</p>\n</div><h3>RelatedArtifacts</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Citation</b></td></tr><tr><td style=\"display: none\">*</td><td>Citation</td><td><div><p>WHO recommendations for routine immunization - summary tables (March 2023)</p>\n</div></td></tr></table><p><b>library</b>: <a href=\"Library-IMMZD2DTMeaslesSupplementaryLogic.html\">IMMZD2DTMeaslesSupplementaryLogic</a></p><blockquote><p><b>action</b></p><p><b>title</b>: Immunize patient for Measles</p><blockquote><p><b>condition</b></p><p><b>kind</b>: Applicability</p><h3>Expressions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style=\"display: none\">*</td><td>text/cql-identifier</td><td>Measles Routine Immunization Schedule Complete</td></tr></table></blockquote><blockquote><p><b>action</b></p><p><b>CPG Rationale Extension</b>: </p><div><p>An additional dose of MCV should be administered to HIV-infected children receiving HAART following immune reconstitution. If CD4+ T lymphocyte counts are monitored, an additional dose of MCV should be administered when immune reconstitution has been achieved, e.g. when the CD4+ T lymphocyte count reaches 20–25%. Where CD4+ T lymphocyte monitoring is not available, children should receive an additional dose of MCV 6–12 months after initiation of HAART.<br/>As a general rule, live vaccines should be given either simultaneously or at intervals of 4 weeks. An exception to this rule is OPV, which can be given at any time before or after measles vaccination without interference in the response to either vaccine</p>\n</div><p><b>title</b>: Consider supplementary dose</p><blockquote><p><b>condition</b></p><p><b>kind</b>: Applicability</p><h3>Expressions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style=\"display: none\">*</td><td>text/cql-identifier</td><td>No Supplementary Dose Administered</td></tr></table></blockquote><blockquote><p><b>action</b></p><p><b>title</b>: Last Live Vaccine Administered Within 4 Weeks</p><p><b>description</b>: Should not vaccinate client for measles supplementary dose as live vaccine was administered in the last 4 weeks. Check for any vaccines due, and inform the caregiver of when to come back for supplementary dose.</p><blockquote><p><b>condition</b></p><p><b>kind</b>: Applicability</p><h3>Expressions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style=\"display: none\">*</td><td>text/cql-identifier</td><td>Last Live Vaccine Administered Within 4 Weeks</td></tr></table></blockquote></blockquote><blockquote><p><b>action</b></p><p><b>title</b>: Provide Measles Vaccine</p><p><b>description</b>: May vaccinate client for measles supplementary dose as supplementary dose was not administered, measles routine immunization schedule is complete and no live vaccine administered in the last 4 weeks. Check if one of the measles supplementary dose specific scenarios is applicable.</p><blockquote><p><b>condition</b></p><p><b>kind</b>: Applicability</p><h3>Expressions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style=\"display: none\">*</td><td>text/cql-identifier</td><td>Client Is Due For Supplementary Dose</td></tr></table></blockquote><p><b>definition</b>: <a href=\"ActivityDefinition-IMMZD2DTMeaslesMR.html\">IMMZ.D2.DT.Measles.MR</a></p><blockquote><p><b>dynamicValue</b></p><p><b>path</b>: dispenseRequest.validityPeriod.start</p><h3>Expressions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Description</b></td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style=\"display: none\">*</td><td>Due date of the dose</td><td>text/cql-identifier</td><td>MCV Supplementary Schedule Date</td></tr></table></blockquote><blockquote><p><b>dynamicValue</b></p><p><b>path</b>: dispenseRequest.validityPeriod.end</p><h3>Expressions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Description</b></td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style=\"display: none\">*</td><td>Expiration date for MCV dose</td><td>text/cql-identifier</td><td>MCV Supplementary Expiration Date</td></tr></table></blockquote></blockquote></blockquote><blockquote><p><b>action</b></p><p><b>title</b>: Supplementary Dose Administered</p><p><b>description</b>: Measles immunization schedule is complete. Measles supplementary dose was administered.</p><blockquote><p><b>condition</b></p><p><b>kind</b>: Applicability</p><h3>Expressions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style=\"display: none\">*</td><td>text/cql-identifier</td><td>Supplementary Dose Administered</td></tr></table></blockquote></blockquote></blockquote></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability",
"valueCode" : "computable"
}
],
"url" : "http://smart.who.int/example-workshop/PlanDefinition/IMMZD2DTMeaslesSupplementary",
"version" : "0.1.0",
"name" : "IMMZD2DTMeaslesSupplementary",
"title" : "IMMZ.D2.DT.Measles MCV Dose 0",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/plan-definition-type",
"code" : "eca-rule"
}
]
},
"status" : "draft",
"experimental" : true,
"date" : "2024-12-02T20:31:54+00:00",
"publisher" : "WHO",
"contact" : [
{
"name" : "WHO",
"telecom" : [
{
"system" : "url",
"value" : "http://who.int"
}
]
}
],
"description" : "If the child or patient has not been given a supplementary dose",
"relatedArtifact" : [
{
"type" : "citation",
"citation" : "WHO recommendations for routine immunization - summary tables (March 2023)"
}
],
"library" : [
🔗 "http://smart.who.int/example-workshop/Library/IMMZD2DTMeaslesSupplementaryLogic"
],
"action" : [
{
"title" : "Immunize patient for Measles",
"condition" : [
{
"kind" : "applicability",
"expression" : {
"language" : "text/cql-identifier",
"expression" : "Measles Routine Immunization Schedule Complete"
}
}
],
"action" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-rationale",
"valueMarkdown" : "An additional dose of MCV should be administered to HIV-infected children receiving HAART following immune reconstitution. If CD4+ T lymphocyte counts are monitored, an additional dose of MCV should be administered when immune reconstitution has been achieved, e.g. when the CD4+ T lymphocyte count reaches 20–25%. Where CD4+ T lymphocyte monitoring is not available, children should receive an additional dose of MCV 6–12 months after initiation of HAART.<br/>As a general rule, live vaccines should be given either simultaneously or at intervals of 4 weeks. An exception to this rule is OPV, which can be given at any time before or after measles vaccination without interference in the response to either vaccine"
}
],
"title" : "Consider supplementary dose",
"condition" : [
{
"kind" : "applicability",
"expression" : {
"language" : "text/cql-identifier",
"expression" : "No Supplementary Dose Administered"
}
}
],
"action" : [
{
"title" : "Last Live Vaccine Administered Within 4 Weeks",
"description" : "Should not vaccinate client for measles supplementary dose as live vaccine was administered in the last 4 weeks. Check for any vaccines due, and inform the caregiver of when to come back for supplementary dose.",
"condition" : [
{
"kind" : "applicability",
"expression" : {
"language" : "text/cql-identifier",
"expression" : "Last Live Vaccine Administered Within 4 Weeks"
}
}
]
},
{
"title" : "Provide Measles Vaccine",
"description" : "May vaccinate client for measles supplementary dose as supplementary dose was not administered, measles routine immunization schedule is complete and no live vaccine administered in the last 4 weeks. Check if one of the measles supplementary dose specific scenarios is applicable.",
"condition" : [
{
"kind" : "applicability",
"expression" : {
"language" : "text/cql-identifier",
"expression" : "Client Is Due For Supplementary Dose"
}
}
],
"definitionCanonical" : "http://smart.who.int/example-workshop/ActivityDefinition/IMMZD2DTMeaslesMR",
"dynamicValue" : [
{
"path" : "dispenseRequest.validityPeriod.start",
"expression" : {
"description" : "Due date of the dose",
"language" : "text/cql-identifier",
"expression" : "MCV Supplementary Schedule Date"
}
},
{
"path" : "dispenseRequest.validityPeriod.end",
"expression" : {
"description" : "Expiration date for MCV dose",
"language" : "text/cql-identifier",
"expression" : "MCV Supplementary Expiration Date"
}
}
]
}
]
},
{
"title" : "Supplementary Dose Administered",
"description" : "Measles immunization schedule is complete. Measles supplementary dose was administered.",
"condition" : [
{
"kind" : "applicability",
"expression" : {
"language" : "text/cql-identifier",
"expression" : "Supplementary Dose Administered"
}
}
]
}
]
}
]
}