Resource PlanDefinition/FHIR Server from package smart.who.int.immunizations-measles#current (31 ms)

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{
  "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>: 2024-09-21 14:59:40+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></blockquote><blockquote><p><b>action</b></p></blockquote></blockquote></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability",
      "valueCode" : "computable"
    }
  ],
  "url" : "http://smart.who.int/immunizations-measles/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" : "2024-09-21T14:59:40+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/immunizations-measles/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/immunizations-measles/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"
              }
            }
          ]
        }
      ]
    }
  ]
}

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