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

: IMMZ.D2.DT.Measles MCV Dose 0 - TTL Representation

Draft as of 2024-12-02

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:PlanDefinition ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "IMMZD2DTMeaslesSupplementary"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-recommendationdefinition"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-recommendationdefinition>     ] [
fhir:v "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareableplandefinition"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareableplandefinition>     ] [
fhir:v "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-publishableplandefinition"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-publishableplandefinition>     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "extensions" ] ;
fhir: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.&lt;br/&gt;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>"
  ] ; # 
  fhir:extension ( [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability"^^xsd:anyURI ] ;
fhir:value [ fhir:v "computable" ]
  ] ) ; # 
  fhir:url [ fhir:v "http://smart.who.int/example-workshop/PlanDefinition/IMMZD2DTMeaslesSupplementary"^^xsd:anyURI] ; # 
  fhir:version [ fhir:v "0.1.0"] ; # 
  fhir:name [ fhir:v "IMMZD2DTMeaslesSupplementary"] ; # 
  fhir:title [ fhir:v "IMMZ.D2.DT.Measles MCV Dose 0"] ; # 
  fhir:type [
    ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/plan-definition-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "eca-rule" ]     ] )
  ] ; # 
  fhir:status [ fhir:v "draft"] ; # 
  fhir:experimental [ fhir:v "true"^^xsd:boolean] ; # 
  fhir:date [ fhir:v "2024-12-02T20:31:54+00:00"^^xsd:dateTime] ; # 
  fhir:publisher [ fhir:v "WHO"] ; # 
  fhir:contact ( [
fhir:name [ fhir:v "WHO" ] ;
    ( fhir:telecom [
fhir:system [ fhir:v "url" ] ;
fhir:value [ fhir:v "http://who.int" ]     ] )
  ] ) ; # 
  fhir:description [ fhir:v "If the child or patient has not been given a supplementary dose"] ; # 
  fhir:relatedArtifact ( [
fhir:type [ fhir:v "citation" ] ;
fhir:citation [ fhir:v "WHO recommendations for routine immunization - summary tables (March 2023)" ]
  ] ) ; # 
  fhir:library ( [
fhir:v "http://smart.who.int/example-workshop/Library/IMMZD2DTMeaslesSupplementaryLogic"^^xsd:anyURI ;
fhir:link <http://smart.who.int/example-workshop/Library/IMMZD2DTMeaslesSupplementaryLogic>
  ] ) ; # 
  fhir:action ( [
fhir:title [ fhir:v "Immunize patient for Measles" ] ;
    ( fhir:condition [
fhir:kind [ fhir:v "applicability" ] ;
fhir:expression [
fhir:language [ fhir:v "text/cql-identifier" ] ;
fhir:expression [ fhir:v "Measles Routine Immunization Schedule Complete" ]       ]     ] ) ;
    ( fhir:action [
      ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-rationale"^^xsd:anyURI ] ;
fhir:value [ fhir:v "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" ]       ] ) ;
fhir:title [ fhir:v "Consider supplementary dose" ] ;
      ( fhir:condition [
fhir:kind [ fhir:v "applicability" ] ;
fhir:expression [
fhir:language [ fhir:v "text/cql-identifier" ] ;
fhir:expression [ fhir:v "No Supplementary Dose Administered" ]         ]       ] ) ;
      ( fhir:action [
fhir:title [ fhir:v "Last Live Vaccine Administered Within 4 Weeks" ] ;
fhir:description [ fhir:v "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." ] ;
        ( fhir:condition [
fhir:kind [ fhir:v "applicability" ] ;
fhir:expression [
fhir:language [ fhir:v "text/cql-identifier" ] ;
fhir:expression [ fhir:v "Last Live Vaccine Administered Within 4 Weeks" ]           ]         ] )       ] [
fhir:title [ fhir:v "Provide Measles Vaccine" ] ;
fhir:description [ fhir:v "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." ] ;
        ( fhir:condition [
fhir:kind [ fhir:v "applicability" ] ;
fhir:expression [
fhir:language [ fhir:v "text/cql-identifier" ] ;
fhir:expression [ fhir:v "Client Is Due For Supplementary Dose" ]           ]         ] ) ;
fhir:definition [
fhir:v "http://smart.who.int/example-workshop/ActivityDefinition/IMMZD2DTMeaslesMR"^^xsd:anyURI ;
fhir:link <http://smart.who.int/example-workshop/ActivityDefinition/IMMZD2DTMeaslesMR>         ] ;
        ( fhir:dynamicValue [
fhir:path [ fhir:v "dispenseRequest.validityPeriod.start" ] ;
fhir:expression [
fhir:description [ fhir:v "Due date of the dose" ] ;
fhir:language [ fhir:v "text/cql-identifier" ] ;
fhir:expression [ fhir:v "MCV Supplementary Schedule Date" ]           ]         ] [
fhir:path [ fhir:v "dispenseRequest.validityPeriod.end" ] ;
fhir:expression [
fhir:description [ fhir:v "Expiration date for MCV dose" ] ;
fhir:language [ fhir:v "text/cql-identifier" ] ;
fhir:expression [ fhir:v "MCV Supplementary Expiration Date" ]           ]         ] )       ] )     ] [
fhir:title [ fhir:v "Supplementary Dose Administered" ] ;
fhir:description [ fhir:v "Measles immunization schedule is complete. Measles supplementary dose was administered." ] ;
      ( fhir:condition [
fhir:kind [ fhir:v "applicability" ] ;
fhir:expression [
fhir:language [ fhir:v "text/cql-identifier" ] ;
fhir:expression [ fhir:v "Supplementary Dose Administered" ]         ]       ] )     ] )
  ] ) . #