Immunization Forecasting of Hepatitis B Vaccine for Adults >= 18 Years of Age - TTL Representation - Clinical Practice Guidelines Example Implmentation Guide

Clinical Practice Guidelines Example Implmentation Guide - Hepatitis B Vaccination, published by HL7 International - Clinical Decision Support WG. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/cqframework/cpg-example-hepb/ and changes regularly. See the Directory of published versions
: Immunization Forecasting of Hepatitis B Vaccine for Adults >= 18 Years of Age - TTL Representation

Draft as of 2024-11-18
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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 sct: <http://snomed.info/id/> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

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

 a fhir:PlanDefinition ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "HepBAdultForecastingPD"] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: PlanDefinition HepBAdultForecastingPD</b></p><a name=\"HepBAdultForecastingPD\"> </a><a name=\"hcHepBAdultForecastingPD\"> </a><a name=\"HepBAdultForecastingPD-en-US\"> </a><p><b>url</b>: <a href=\"PlanDefinition-HepBAdultForecastingPD.html\">PlanDefinition Immunization Forecasting of Hepatitis B Vaccine for Adults &gt;= 18 Years of Age</a></p><p><b>identifier</b>: HepBAdultForecastingPD (use: official, )</p><p><b>version</b>: 1.0.0</p><p><b>name</b>: HepBAdultForecastingPD</p><p><b>title</b>: Immunization Forecasting of Hepatitis B Vaccine for Adults &gt;= 18 Years of Age</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>: 2024-11-18 18:29:30+0000</p><p><b>publisher</b>: HL7 International - Clinical Decision Support WG</p><p><b>contact</b>: HL7 International - Clinical Decision Support WG: <a href=\"http://www.hl7.org/Special/committees/dss/index.cfm\">http://www.hl7.org/Special/committees/dss/index.cfm</a></p><p><b>description</b>: </p><div><p>If an adult patient has not been immunized for Hep B and is indicated for a Hep B vaccine, providers should administer according to this forecast.</p>\n</div><h3>UseContexts</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td><td><b>Value[x]</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"http://terminology.hl7.org/6.0.2/CodeSystem-usage-context-type.html#usage-context-type-focus\">UsageContextType focus</a>: Clinical Focus</td><td><span title=\"Codes:{http://snomed.info/sct 384810002}\">Immunization/vaccination management (procedure)</span></td></tr></table><p><b>jurisdiction</b>: <span title=\"Codes:{http://unstats.un.org/unsd/methods/m49/m49.htm 001}\">World</span></p><p><b>purpose</b>: </p><div><p>Example artifact implementation of CDC ACIP Hep B vaccination guidelines for adults, 18 years and older, who have not yet been immunized.</p>\n</div><p><b>topic</b>: <span title=\"Codes:\">Immunization Forecasting</span></p><p><b>author</b>: Daryl Chertcoff: , Bryn Rhodes: </p><blockquote><p><b>relatedArtifact</b></p><p><b>type</b>: Documentation</p><p><b>display</b>: Immunization Calculation Engine - Hep B Vaccine Group - Hep B 2-dose Adult Series</p><p><b>url</b>: <a href=\"https://cdsframework.atlassian.net/wiki/spaces/ICE/pages/14352491/Hep+B+Vaccine+Group#HepBVaccineGroup-ImmunizationSeries:HepB2-doseAdultSeries\">https://cdsframework.atlassian.net/wiki/spaces/ICE/pages/14352491/Hep+B+Vaccine+Group#HepBVaccineGroup-ImmunizationSeries:HepB2-doseAdultSeries</a></p><h3>Documents</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Url</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"https://cdsframework.atlassian.net/wiki/spaces/ICE/pages/14352491/Hep+B+Vaccine+Group#HepBVaccineGroup-ImmunizationSeries:HepB2-doseAdultSeries\">https://cdsframework.atlassian.net/wiki/spaces/ICE/pages/14352491/Hep+B+Vaccine+Group#HepBVaccineGroup-ImmunizationSeries:HepB2-doseAdultSeries</a></td></tr></table></blockquote><blockquote><p><b>relatedArtifact</b></p><p><b>type</b>: Documentation</p><p><b>display</b>: CDC MMWR Vol.67 / No.1 : Prevention of Hepatitis B Virus Infection in the United States: Recommendations of the Advisory Committee on Immunization Practices</p><p><b>url</b>: <a href=\"http://www.cdc.gov/mmwr/volumes/67/rr/pdfs/rr6701-H.PDF\">http://www.cdc.gov/mmwr/volumes/67/rr/pdfs/rr6701-H.PDF</a></p><h3>Documents</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Url</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"http://www.cdc.gov/mmwr/volumes/67/rr/pdfs/rr6701-H.PDF\">http://www.cdc.gov/mmwr/volumes/67/rr/pdfs/rr6701-H.PDF</a></td></tr></table></blockquote><blockquote><p><b>relatedArtifact</b></p><p><b>type</b>: Documentation</p><p><b>display</b>: April 2018 Recommendations for the use of adjuvanted hepatitis B vaccine (Heplisav-B, Dynavax)</p><p><b>url</b>: <a href=\"https://www.cdc.gov/mmwr/volumes/67/wr/pdfs/mm6715a5-H.pdf\">https://www.cdc.gov/mmwr/volumes/67/wr/pdfs/mm6715a5-H.pdf</a></p><h3>Documents</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Url</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"https://www.cdc.gov/mmwr/volumes/67/wr/pdfs/mm6715a5-H.pdf\">https://www.cdc.gov/mmwr/volumes/67/wr/pdfs/mm6715a5-H.pdf</a></td></tr></table></blockquote><p><b>library</b>: <a href=\"Library-HepBAdultForecasting.html\">Logic for Immunization Forecasting of Hepatitis B Vaccine for Adults &gt;= 18 Years of Age</a></p><blockquote><p><b>action</b></p><p><b>title</b>: Hep B Immunization Forecast</p><p><b>description</b>: Vaccinate Adult with specified Hep B forecast, if noted</p><blockquote><p><b>documentation</b></p><p><b>type</b>: Documentation</p><p><b>display</b>: Immunization Calculation Engine - Hep B 2-dose Adult Series</p><p><b>url</b>: <a href=\"https://cdsframework.atlassian.net/wiki/spaces/ICE/pages/14352491/Hep+B+Vaccine+Group#HepBVaccineGroup-ImmunizationSeries:HepB2-doseAdultSeries\">https://cdsframework.atlassian.net/wiki/spaces/ICE/pages/14352491/Hep+B+Vaccine+Group#HepBVaccineGroup-ImmunizationSeries:HepB2-doseAdultSeries</a></p><h3>Documents</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Url</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"https://cdsframework.atlassian.net/wiki/spaces/ICE/pages/14352491/Hep+B+Vaccine+Group#HepBVaccineGroup-ImmunizationSeries:HepB2-doseAdultSeries\">https://cdsframework.atlassian.net/wiki/spaces/ICE/pages/14352491/Hep+B+Vaccine+Group#HepBVaccineGroup-ImmunizationSeries:HepB2-doseAdultSeries</a></td></tr></table></blockquote><h3>Triggers</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Name</b></td></tr><tr><td style=\"display: none\">*</td><td>Named Event</td><td>patient-view</td></tr></table><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>Description</b></td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style=\"display: none\">*</td><td>Is a Hep B Adult Recommendation Available?</td><td>CQL</td><td>Patient Hep B Immunization History should be Evaluated in Adult Series</td></tr></table></blockquote><p><b>groupingBehavior</b>: Visual Group</p><p><b>selectionBehavior</b>: Exactly One</p><blockquote><p><b>dynamicValue</b></p><p><b>path</b>: action.title</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>CQL</td><td>Get Recommendation Overview</td></tr></table></blockquote><blockquote><p><b>dynamicValue</b></p><p><b>path</b>: action.description</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>CQL</td><td>Get Recommendation Detail</td></tr></table></blockquote><h3>Actions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Description</b></td></tr><tr><td style=\"display: none\">*</td><td>Will Follow Recommendations Provided by This Forecast</td></tr><tr><td style=\"display: none\">*</td><td>Will not immunize due to contraindication(s) or other medical risk factors</td></tr><tr><td style=\"display: none\">*</td><td>Will not immunize due to patient preferences</td></tr><tr><td style=\"display: none\">*</td><td>N/A - see comment (will be reviewed by medical director)</td></tr></table></blockquote></div>"
  ] ; # 
  fhir:url [ fhir:v "http://cqframework.org/cpg-example-hepb/PlanDefinition/HepBAdultForecastingPD"^^xsd:anyURI] ; # 
  fhir:identifier ( [
fhir:use [ fhir:v "official" ] ;
fhir:value [ fhir:v "HepBAdultForecastingPD" ]
  ] ) ; # 
  fhir:version [ fhir:v "1.0.0"] ; # 
  fhir:name [ fhir:v "HepBAdultForecastingPD"] ; # 
  fhir:title [ fhir:v "Immunization Forecasting of Hepatitis B Vaccine for Adults >= 18 Years of Age"] ; # 
  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:display [ fhir:v "ECA Rule" ]     ] )
  ] ; # 
  fhir:status [ fhir:v "draft"] ; # 
  fhir:experimental [ fhir:v "true"^^xsd:boolean] ; # 
  fhir:date [ fhir:v "2024-11-18T18:29:30+00:00"^^xsd:dateTime] ; # 
  fhir:publisher [ fhir:v "HL7 International - Clinical Decision Support WG"] ; # 
  fhir:contact ( [
fhir:name [ fhir:v "HL7 International - Clinical Decision Support WG" ] ;
    ( fhir:telecom [
fhir:system [ fhir:v "url" ] ;
fhir:value [ fhir:v "http://www.hl7.org/Special/committees/dss/index.cfm" ]     ] )
  ] ) ; # 
  fhir:description [ fhir:v "If an adult patient has not been immunized for Hep B and is indicated for a Hep B vaccine, providers should administer according to this forecast."] ; # 
  fhir:useContext ( [
fhir:code [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/usage-context-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "focus" ] ;
fhir:display [ fhir:v "Clinical Focus" ]     ] ;
fhir:value [
a fhir:CodeableConcept ;
      ( fhir:coding [
a sct:384810002 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "384810002" ] ;
fhir:display [ fhir:v "Immunization/vaccination management (procedure)" ]       ] )     ]
  ] ) ; # 
  fhir:jurisdiction ( [
    ( fhir:coding [
fhir:system [ fhir:v "http://unstats.un.org/unsd/methods/m49/m49.htm"^^xsd:anyURI ] ;
fhir:code [ fhir:v "001" ] ;
fhir:display [ fhir:v "World" ]     ] )
  ] ) ; # 
  fhir:purpose [ fhir:v "Example artifact implementation of CDC ACIP Hep B vaccination guidelines for adults, 18 years and older, who have not yet been immunized."] ; # 
  fhir:topic ( [
fhir:text [ fhir:v "Immunization Forecasting" ]
  ] ) ; # 
  fhir:author ( [
fhir:name [ fhir:v "Daryl Chertcoff" ]
  ] [
fhir:name [ fhir:v "Bryn Rhodes" ]
  ] ) ; # 
  fhir:relatedArtifact ( [
fhir:type [ fhir:v "documentation" ] ;
fhir:display [ fhir:v "Immunization Calculation Engine - Hep B Vaccine Group - Hep B 2-dose Adult Series" ] ;
fhir:url [ fhir:v "https://cdsframework.atlassian.net/wiki/spaces/ICE/pages/14352491/Hep+B+Vaccine+Group#HepBVaccineGroup-ImmunizationSeries:HepB2-doseAdultSeries"^^xsd:anyURI ] ;
fhir:document [
fhir:url [ fhir:v "https://cdsframework.atlassian.net/wiki/spaces/ICE/pages/14352491/Hep+B+Vaccine+Group#HepBVaccineGroup-ImmunizationSeries:HepB2-doseAdultSeries"^^xsd:anyURI ]     ]
  ] [
fhir:type [ fhir:v "documentation" ] ;
fhir:display [ fhir:v "CDC MMWR Vol.67 / No.1 : Prevention of Hepatitis B Virus Infection in the United States: Recommendations of the Advisory Committee on Immunization Practices" ] ;
fhir:url [ fhir:v "http://www.cdc.gov/mmwr/volumes/67/rr/pdfs/rr6701-H.PDF"^^xsd:anyURI ] ;
fhir:document [
fhir:url [ fhir:v "http://www.cdc.gov/mmwr/volumes/67/rr/pdfs/rr6701-H.PDF"^^xsd:anyURI ]     ]
  ] [
fhir:type [ fhir:v "documentation" ] ;
fhir:display [ fhir:v "April 2018 Recommendations for the use of adjuvanted hepatitis B vaccine (Heplisav-B, Dynavax)" ] ;
fhir:url [ fhir:v "https://www.cdc.gov/mmwr/volumes/67/wr/pdfs/mm6715a5-H.pdf"^^xsd:anyURI ] ;
fhir:document [
fhir:url [ fhir:v "https://www.cdc.gov/mmwr/volumes/67/wr/pdfs/mm6715a5-H.pdf"^^xsd:anyURI ]     ]
  ] ) ; # 
  fhir:library ( [
fhir:v "http://cqframework.org/cpg-example-hepb/Library/HepBAdultForecasting"^^xsd:anyURI ;
fhir:link <http://cqframework.org/cpg-example-hepb/Library/HepBAdultForecasting>
  ] ) ; # 
  fhir:action ( [
fhir:title [ fhir:v "Hep B Immunization Forecast" ] ;
fhir:description [ fhir:v "Vaccinate Adult with specified Hep B forecast, if noted" ] ;
    ( fhir:documentation [
fhir:type [ fhir:v "documentation" ] ;
fhir:display [ fhir:v "Immunization Calculation Engine - Hep B 2-dose Adult Series" ] ;
fhir:url [ fhir:v "https://cdsframework.atlassian.net/wiki/spaces/ICE/pages/14352491/Hep+B+Vaccine+Group#HepBVaccineGroup-ImmunizationSeries:HepB2-doseAdultSeries"^^xsd:anyURI ] ;
fhir:document [
fhir:url [ fhir:v "https://cdsframework.atlassian.net/wiki/spaces/ICE/pages/14352491/Hep+B+Vaccine+Group#HepBVaccineGroup-ImmunizationSeries:HepB2-doseAdultSeries"^^xsd:anyURI ]       ]     ] ) ;
    ( fhir:trigger [
fhir:type [ fhir:v "named-event" ] ;
fhir:name [ fhir:v "patient-view" ]     ] ) ;
    ( fhir:condition [
fhir:kind [ fhir:v "applicability" ] ;
fhir:expression [
fhir:description [ fhir:v "Is a Hep B Adult Recommendation Available?" ] ;
fhir:language [ fhir:v "text/cql" ] ;
fhir:expression [ fhir:v "Patient Hep B Immunization History should be Evaluated in Adult Series" ]       ]     ] ) ;
fhir:groupingBehavior [ fhir:v "visual-group" ] ;
fhir:selectionBehavior [ fhir:v "exactly-one" ] ;
    ( fhir:dynamicValue [
fhir:path [ fhir:v "action.title" ] ;
fhir:expression [
fhir:language [ fhir:v "text/cql" ] ;
fhir:expression [ fhir:v "Get Recommendation Overview" ]       ]     ] [
fhir:path [ fhir:v "action.description" ] ;
fhir:expression [
fhir:language [ fhir:v "text/cql" ] ;
fhir:expression [ fhir:v "Get Recommendation Detail" ]       ]     ] ) ;
    ( fhir:action [
fhir:description [ fhir:v "Will Follow Recommendations Provided by This Forecast" ]     ] [
fhir:description [ fhir:v "Will not immunize due to contraindication(s) or other medical risk factors" ]     ] [
fhir:description [ fhir:v "Will not immunize due to patient preferences" ]     ] [
fhir:description [ fhir:v "N/A - see comment (will be reviewed by medical director)" ]     ] )
  ] ) . #