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Updated measles for decision tables and various updates to complete or fix problems with the scripts based on the current DAK.
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‎.gitignore

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Original file line numberDiff line numberDiff line change
@@ -10,3 +10,4 @@ bundles
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node_modules/
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outputs/*
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node_modules
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input/vocabulary/valueset/external/

‎input/cql/IMMZConcepts.cql

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@@ -17,3 +17,5 @@ valueset "MCV Vaccine": 'http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE9'
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valueset "BCG Vaccine": 'http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE1'
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valueset "Cholera Vaccine": 'http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE2'
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code "Completed the primary vaccination series": 'DE203' from "IMMZD" display 'Completed the primary vaccination series'

‎input/cql/IMMZD2DTMeaslesDose0Logic.cql

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@@ -0,0 +1,124 @@
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/*
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* Library: IMMZD2DTMeaslesDose0 (IMMZ.D2.DT.Measles.MCV dose 0)
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* Rule: Determine if the client is due for a measles vaccination according to the national immunization schedule
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* Decision Table: Measles-containing vaccine dose 0 (MCV0) administration
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* Trigger: IMMZ.D2 Determine required vaccination(s) if any
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*/
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library IMMZD2DTMeaslesDose0
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using FHIR version '4.0.1'
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include FHIRHelpers version '4.0.1'
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include IMMZCommon called Common
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include IMMZConcepts called Concepts
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include IMMZEncounterElements called IE
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include IMMZD2DTMeaslesEncounterElements called Encounter
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parameter Today default Today()
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context Patient
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/*
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@dynamicValue: Guidance
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*/
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define "Guidance":
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case
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when "Client is not due for MCV0" then "Client is not due for MCV0 Guidance"
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when "Consider MCV0." then "Consider MCV0. Guidance"
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else ''
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end
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/*
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@output: Client is not due for MCV0 Case 1
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@pseudocode: "Immunization recommendation status" = "Not due"
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*/
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define "Client is not due for MCV0 Case 1":
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IE."Client's age is less than 6 months"
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/*
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@output: Client is not due for MCV0 Case 2
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@pseudocode: "Immunization recommendation status" = "Not due"
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*/
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define "Client is not due for MCV0 Case 2":
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Encounter."MCV0 was not administered"
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and IE."Client's age is between 6 months and 9 months"
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and IE."Live vaccine was administered in the last 4 weeks"
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/*
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@output: Client is not due for MCV0 Case 3
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@pseudocode: "Immunization recommendation status" = "Not due"
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*/
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define "Client is not due for MCV0 Case 3":
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IE."Client's age is more than or equal to 9 months"
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/*
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@output: Client is not due for MCV0 Case 4
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@pseudocode: "Immunization recommendation status" = "Not due"
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*/
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define "Client is not due for MCV0 Case 4":
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Encounter."MCV0 was administered"
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/*
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@output: Client is not due for MCV0
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@pseudocode: "Immunization recommendation status" = "Not due"
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*/
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define "Client is not due for MCV0":
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"Client is not due for MCV0 Case 1"
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or "Client is not due for MCV0 Case 2"
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or "Client is not due for MCV0 Case 3"
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or "Client is not due for MCV0 Case 4"
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/*
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@output: Client is not due for MCV0 Guidance
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@guidance: Should not vaccinate client with MCV0 as client's age is less than 6 months. Check for any vaccines due and inform the caregiver of when to come back for MCV0.
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@guidance: Should not vaccinate client with MCV0 as live vaccine was administered in the past 4 weeks. Check for any vaccines due and inform the caregiver of when to come back for MCV0.
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@guidance: Should not vaccinate client with MCV0 as client's age is more than 9 months.
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Check measles routine immunization schedule.
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@guidance: MCV0 was administered.
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Check measles routine immunization schedule.
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*/
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define "Client is not due for MCV0 Guidance":
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case
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when "Client is not due for MCV0 Case 1" then 'Should not vaccinate client with MCV0 as client\'s age is less than 6 months. Check for any vaccines due and inform the caregiver of when to come back for MCV0.'
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when "Client is not due for MCV0 Case 2" then 'Should not vaccinate client with MCV0 as live vaccine was administered in the past 4 weeks. Check for any vaccines due and inform the caregiver of when to come back for MCV0.'
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when "Client is not due for MCV0 Case 3" then 'Should not vaccinate client with MCV0 as client\'s age is more than 9 months.
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Check measles routine immunization schedule.'
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when "Client is not due for MCV0 Case 4" then 'MCV0 was administered.
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Check measles routine immunization schedule.'
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else ''
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end
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/*
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@output: Consider MCV0.
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@pseudocode: Create a clinical note.
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*/
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define "Consider MCV0.":
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Encounter."MCV0 was not administered"
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and IE."Client's age is between 6 months and 9 months"
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and IE."No live vaccine was administered in the last 4 weeks"
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/*
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@output: Consider MCV0. Guidance
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@guidance: May vaccinate client with MCV0 as client is within appropriate age range, MCV0 was not administered and no live vaccine was administered in the past 4 weeks. Check if one of the MCV0 specific scenarios is applicable.
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*/
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define "Consider MCV0. Guidance":
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'May vaccinate client with MCV0 as client is within appropriate age range, MCV0 was not administered and no live vaccine was administered in the past 4 weeks. Check if one of the MCV0 specific scenarios is applicable.'
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/*
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@test: Test expected results based on example patients
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*/
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define "Test Validation":
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case
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when Patient.id = '36.Alt6m' then "Client is not due for MCV0 Case 1" and "Guidance" = 'Should not vaccinate client with MCV0 as client\'s age is less than 6 months. Check for any vaccines due and inform the caregiver of when to come back for MCV0.'
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when Patient.id = '37.Abt6m9mLVlt4w' then "Client is not due for MCV0 Case 2" and "Guidance" = 'Should not vaccinate client with MCV0 as live vaccine was administered in the past 4 weeks. Check for any vaccines due and inform the caregiver of when to come back for MCV0.'
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when Patient.id = '38.Abt6m9mLVgt4w' then "Consider MCV0." and "Guidance" = 'May vaccinate client with MCV0 as client is within appropriate age range, MCV0 was not administered and no live vaccine was administered in the past 4 weeks. Check if one of the MCV0 specific scenarios is applicable.'
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when Patient.id = '39.Agt9m' then "Client is not due for MCV0 Case 3" and "Guidance" = 'Should not vaccinate client with MCV0 as client\'s age is more than 9 months.
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Check measles routine immunization schedule.'
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when Patient.id = '40.D1' then "Client is not due for MCV0 Case 4" and "Guidance" = 'MCV0 was administered.
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Check measles routine immunization schedule.'
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else 'No test case set'
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end

‎input/cql/IMMZD2DTMeaslesElements.cql

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@@ -34,12 +34,40 @@ define "MCV Primary Series Doses Administered to Patient":
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where
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exists( I.protocolApplied pa where pa.series = 'Primary series' )
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/*
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@internal: MCV containing Doses Administered to Patient that are in the Dose 0 series
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*/
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define "MCV Dose 0 Doses Administered to Patient":
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"MCV Doses Administered to Patient" I
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where
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exists( I.protocolApplied pa where pa.series = 'Dose 0' )
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/*
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@internal: MCV containing Doses Administered to Patient that are in the Supplementary series
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*/
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define "MCV Supplementary Doses Administered to Patient":
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"MCV Doses Administered to Patient" I
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where
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exists( I.protocolApplied pa where pa.series = 'Supplementary dose' )
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/*
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@internal: Number of MCV Primary Series doses
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*/
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define "Number of MCV Primary Series Doses Administered":
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Count("MCV Primary Series Doses Administered to Patient")
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/*
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@internal: Number of MCV Dose 0 doses
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*/
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define "Number of MCV Dose 0 Doses Administered":
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Count("MCV Dose 0 Doses Administered to Patient")
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/*
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@internal: Number of Supplementary doses
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*/
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define "Number of MCV Supplementary Doses Administered":
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Count("MCV Supplementary Doses Administered to Patient")
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/*
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@input: No measles primary series doses were administered
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@pseudocode: Count of vaccines administered (where "Vaccine type" = "Measles-containing vaccines" and "Type of dose" = "Primary series") = 0
@@ -61,3 +89,45 @@ define "MCV1 was administered":
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define "MCV2 was administered":
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"Number of MCV Primary Series Doses Administered" = 2
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/*
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@input: MCV0 was not administered
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@pseudocode: Count of vaccines administered (where "Vaccine type" = "Measles-containing vaccines
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" and "Type of dose" = "Dose 0") = 0
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*/
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define "MCV0 was not administered":
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"Number of MCV Dose 0 Doses Administered" = 0
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/*
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@input: MCV0 was administered
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@pseudocode: Count of vaccines administered (where "Vaccine type" = "Measles-containing vaccines
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" and "Type of dose" = "Dose 0") = 1
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*/
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define "MCV0 was administered":
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"Number of MCV Dose 0 Doses Administered" = 1
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/*
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@input: Measles supplementary dose was not administered
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@pseudocode: Count of vaccines administered (where "Vaccine type" = "Measles-containing vaccines
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" and "Type of dose" = "Supplementary dose") = 0
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*/
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define "Measles supplementary dose was not administered":
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"Number of MCV Supplementary Doses Administered" = 0
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/*
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@input: Measles supplementary dose was administered
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@pseudocode: Count of vaccines administered (where "Vaccine type" = "Measles-containing vaccines
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" and "Type of dose" = "Supplementary dose") = 1
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*/
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define "Measles supplementary dose was administered":
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"Number of MCV Supplementary Doses Administered" = 1
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/*
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@input: Measles routine immunization schedule is complete
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@pseudocode: "Completed the primary vaccination series" = TRUE (where "Vaccine type" = "Measles-
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containing vaccines")
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*/
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define "Measles routine immunization schedule is complete":
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[Observation : Concepts."Completed the primary vaccination series"] O where O.value = true
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or
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"MCV2 was administered"
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‎input/cql/IMMZD2DTMeaslesEncounterElements.cql

+71-1
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@@ -27,7 +27,7 @@ context Patient
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@internal: MCV containing Doses Administered to Patient
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*/
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define "MCV Doses Administered to Patient":
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Encounter."Doses Administered to Patient" I
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MeaslesElements."MCV Doses Administered to Patient" I
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where
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I.occurrence.toInterval() on or before Today
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@@ -39,12 +39,40 @@ define "MCV Primary Series Doses Administered to Patient":
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where
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I.occurrence.toInterval() on or before Today
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/*
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@internal: MCV containing Doses Administered to Patient that are in the Dose 0
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*/
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define "MCV Dose 0 Doses Administered to Patient":
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MeaslesElements."MCV Dose 0 Doses Administered to Patient" I
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where
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I.occurrence.toInterval() on or before Today
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/*
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@internal: MCV containing Doses Administered to Patient that are in the Supplementary dose
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*/
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define "MCV Supplementary Doses Administered to Patient":
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MeaslesElements."MCV Supplementary Doses Administered to Patient" I
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where
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I.occurrence.toInterval() on or before Today
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/*
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@internal: Number of MCV Primary Series doses
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*/
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define "Number of MCV Primary Series Doses Administered":
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Count("MCV Primary Series Doses Administered to Patient")
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/*
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@internal: Number of MCV Dose 0 doses
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*/
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define "Number of MCV Dose 0 Doses Administered":
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Count("MCV Dose 0 Doses Administered to Patient")
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/*
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@internal: Number of MCV Supplementary doses
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*/
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define "Number of MCV Supplementary Doses Administered":
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Count("MCV Supplementary Doses Administered to Patient")
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/*
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@input: No measles primary series doses were administered
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@pseudocode: Count of vaccines administered (where "Vaccine type" = "Measles-containing vaccines" and "Type of dose" = "Primary series") = 0
@@ -66,3 +94,45 @@ define "MCV1 was administered":
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define "MCV2 was administered":
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"Number of MCV Primary Series Doses Administered" = 2
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/*
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@input: MCV0 was not administered
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@pseudocode: Count of vaccines administered (where "Vaccine type" = "Measles-containing vaccines
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" and "Type of dose" = "Dose 0") = 0
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*/
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define "MCV0 was not administered":
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"Number of MCV Dose 0 Doses Administered" = 0
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/*
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@input: MCV0 was administered
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@pseudocode: Count of vaccines administered (where "Vaccine type" = "Measles-containing vaccines
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" and "Type of dose" = "Dose 0") = 1
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*/
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define "MCV0 was administered":
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"Number of MCV Dose 0 Doses Administered" = 1
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/*
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@input: Measles supplementary dose was not administered
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@pseudocode: Count of vaccines administered (where "Vaccine type" = "Measles-containing vaccines
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" and "Type of dose" = "Supplementary dose") = 0
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*/
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define "Measles supplementary dose was not administered":
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"Number of MCV Supplementary Doses Administered" = 0
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/*
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@input: Measles supplementary dose was administered
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@pseudocode: Count of vaccines administered (where "Vaccine type" = "Measles-containing vaccines
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" and "Type of dose" = "Supplementary dose") = 1
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*/
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define "Measles supplementary dose was administered":
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"Number of MCV Supplementary Doses Administered" = 1
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/*
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@input: Measles routine immunization schedule is complete
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@pseudocode: "Completed the primary vaccination series" = TRUE (where "Vaccine type" = "Measles-
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containing vaccines")
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*/
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define "Measles routine immunization schedule is complete":
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exists( [Observation : Concepts."Completed the primary vaccination series"] O where O.value = true and O.effective.toInterval() on or before Today )
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or
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"MCV2 was administered"

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