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Added in plandef for yellow fever contraindication. Updated plan defs and activity defs to use rulesets to simplify adding new antigens.
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‎input/cql/IMMZD18SYellowFever.cql

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/*
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* Library: IMMZD18SYellowFever (IMMZ.D18.S.YellowFever)
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* Trigger: IMMZ.D18 Determine required vaccination(s) Schedule if any
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*/
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library IMMZD18SYellowFever
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// Start Skeleton CQL
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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 IMMZCom
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include IMMZConcepts called IMMZc
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include IMMZConfig called IMMZCon
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include IMMZVaccineLibrary called IMMZvl
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include FHIRCommon called FC
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include IMMZD2DTYellowFeverInput called input
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// End Skeleton CQL
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context Patient
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/*
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@output: Yellow fever dose 1
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@trigger: Child's birth
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*/
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define "Yellow fever dose 1":
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input."No yellow fever primary series doses were administered"
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/*
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@output: Measles dose dose 1 Create
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@create: The client is due for measles dose 1 if the client is at least 9 months
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*/
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define "Yellow fever dose dose 1 Create":
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if "Yellow fever dose 1" then 'The client is due for yellow fever dose 1 if the client is at least 9 months and living in a yellow fever endemic area. Due Date is '
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+ ToString("Yellow fever dose 1 Due Date") + '. Overdue on ' + ToString("Yellow fever dose 1 Overdue")
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else ''
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/*
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@dynamicValue: Yellow fever dose 1 Due Date
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@pseudocode: "Date of birth" + 9 'month'
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*/
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define "Yellow fever dose 1 Due Date":
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if "Yellow fever dose 1" then Patient.birthDate + 9 months
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else null
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/*
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@dynamicValue: Yellow fever dose 1 Overdue
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@pseudocode: To be determined by Member States however there is no recommended overdue date and individuals are always eligible to be vaccinated
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*/
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define "Yellow fever dose 1 Overdue":
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if "Yellow fever dose 1" then Patient.birthDate + 12 months
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else null
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/*
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@dynamicValue: Yellow fever dose 1 Expiration
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@pseudocode: To be determined by Member States however there is no recommended expiration date and individuals are always eligible to be vaccinated
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*/
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define "Yellow fever dose 1 Expiration":
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null

‎input/fsh/activitydefinitions/IMMZADrulesets.fsh

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RuleSet: MedicationRequestActivityDefinition( antigen, version, date, doNotPerform, product )
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* extension[+]
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* url = "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeCapability"
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* valueCode = #computable
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* version = "{version}"
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* name = "IMMZ{antigen}MedicationRequest"
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* status = #draft
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* experimental = false
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* date = {date}
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* publisher = "World Health Organization (WHO)"
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* contact[+]
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* telecom[+]
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* system = #url
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* value = "https://who.int"
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* kind = #MedicationRequest
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* intent = #proposal
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* doNotPerform = {doNotPerform}
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* productCodeableConcept = {product}

‎input/fsh/activitydefinitions/IMMZD2DTMeaslesMR.fsh

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@@ -4,20 +4,4 @@ Title: "IMMZ.D2.DT.Measles.MR"
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Description: "Provide immunization"
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Usage: #definition
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* extension[+]
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* url = "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeCapability"
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* valueCode = #computable
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* version = "0.1.0"
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* name = "IMMZD2DTMeaslesMedicationRequest"
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* status = #draft
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* experimental = false
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* date = 2023-10-03
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* publisher = "World Health Organization (WHO)"
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* contact[+]
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* telecom[+]
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* system = #url
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* value = "https://who.int"
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* kind = #MedicationRequest
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* intent = #proposal
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* doNotPerform = false
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* productCodeableConcept = $ICD11#XM61M7 "Measles vaccines"
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* insert MedicationRequestActivityDefinition( D2DTMeasles, 0.1.0, 2023-10-23, false, $ICD11#XM28X5 "Measles vaccines")

‎input/fsh/activitydefinitions/IMMZD2DTYellowFeverMR.fsh

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Instance: IMMZD2DTYellowFeverMR
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InstanceOf: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-immunizationactivity
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Title: "IMMZ.D2.DT.YellowFever.MR"
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Description: "Provide immunization"
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Usage: #definition
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* insert MedicationRequestActivityDefinition( D2DTYellowFever, 0.1.0, 2023-10-23, false, $ICD11#XM0N24 "Yellow fever vaccine")

‎input/fsh/activitydefinitions/IMMZD5DTMeaslesMR.fsh

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@@ -4,20 +4,4 @@ Title: "IMMZ.D5.DT.Measles.MR"
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Description: "Immunization Contraindication"
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Usage: #definition
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* extension[+]
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* url = "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeCapability"
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* valueCode = #computable
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* version = "0.1.0"
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* name = "IMMZD5DTMeaslesContraindicationMRUpdate"
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* status = #draft
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* experimental = false
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* date = 2023-10-03
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* publisher = "World Health Organization (WHO)"
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* contact[+]
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* telecom[+]
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* system = #url
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* value = "https://who.int"
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* kind = #MedicationRequest
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* intent = #proposal
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* doNotPerform = true
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* productCodeableConcept = $ICD11#XM28X5 "Measles vaccines"
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* insert MedicationRequestActivityDefinition( D5DTMeasles, 0.1.0, 2023-10-23, true, $ICD11#XM28X5 "Measles vaccines")

‎input/fsh/activitydefinitions/IMMZD5DTYellowFeverMR.fsh

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Instance: IMMZD5DTYellowFeverMR
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InstanceOf: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-immunizationactivity
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Title: "IMMZ.D5.DT.YellowFever.MR"
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Description: "Immunization Contraindication"
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Usage: #definition
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* insert MedicationRequestActivityDefinition( D5DTYellowFever, 0.1.0, 2023-10-23, true, $ICD11#XM0N24 "Yellow fever vaccine")

‎input/fsh/plandefinitions/IMMZD18SMeaslesDose0HighTx.fsh

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"""
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Usage: #definition
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* library = "http://smart.who.int/ig/smart-immunizations/Library/IMMZD18SMeaslesDose0HighTx"
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* extension[+]
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* url = "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeCapability"
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* valueCode = #computable
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* version = "0.1.0"
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* name = "IMMZD18SMeaslesDose0HighTx"
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* status = #draft
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* experimental = false
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* publisher = "World Health Organization (WHO)"
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* action[+]
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* title = "Provision of the measles MCV0 dose (dose zero)."
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* description = """
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* insert PlanDefMain( IMMZD18SMeaslesDose0HighTx, 0.1.0 )
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* insert PlanDefCommunicationRequestAction([[Provision of the measles MCV0 dose (dose zero).]], [["""
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Provision of the measles MCV0 dose (dose zero).
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Countries with ongoing transmission in which the risk of measles mortality remains high.
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"""
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* condition[+]
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* kind = #applicability
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* expression
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* description = "Measles MCV0 dose"
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* language = #text/cql-identifier
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* expression = "Measles MCV0 dose"
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* definitionCanonical = Canonical(IMMZD2DTCR)
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* dynamicValue[+]
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* path = "status"
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* expression
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* language = #text-cql
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* expression = "'active'"
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* dynamicValue[+]
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* path = "payload.contentAttachment.title"
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* expression
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* language = #text/cql-identifier
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* expression = "Measles MCV0 dose Create"
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* dynamicValue[+]
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* path = "payload.contentAttachment.language"
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* expression
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* language = #text/cql
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* expression = "'en-US'"
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* dynamicValue[+]
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* path = "payload.contentAttachment.contentType"
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* expression
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* language = #text/cql
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* expression = "'text/plain'"
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* dynamicValue[+]
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* path = "category.coding"
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* expression
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* description = "Category of communication"
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* language = #text/cql
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* expression = "Code { system: 'http://terminology.hl7.org/CodeSystem/communication-category', code: 'alert' }"
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* dynamicValue[+]
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* path = "priority"
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* expression
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* description = "Alert priority"
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* language = #text/cql
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* expression = "Code { system: 'http://hl7.org/fhir/request-priority', code: 'routine' }"
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"""]], Measles MCV0 dose, Measles MCV0 dose Create)

‎input/fsh/plandefinitions/IMMZD18SMeaslesDose0LowTx.fsh

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@@ -7,57 +7,8 @@ Countries with ongoing transmission in which the risk of measles mortality remai
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"""
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Usage: #definition
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* library = "http://smart.who.int/ig/smart-immunizations/Library/IMMZD18SMeaslesDose0LowTx"
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* extension[+]
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* url = "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeCapability"
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* valueCode = #computable
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* version = "0.1.0"
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* name = "IMMZD18SMeaslesDose0LowTx"
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* status = #draft
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* experimental = false
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* publisher = "World Health Organization (WHO)"
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* action[+]
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* title = "Provision of the measles MCV0 dose (dose zero)."
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* description = """
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* insert PlanDefMain( IMMZD18SMeaslesDose0LowTx, 0.1.0 )
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* insert PlanDefCommunicationRequestAction([[Provision of the measles MCV0 dose (dose zero).]], [["""
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Provision of the measles MCV0 dose (dose zero).
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Countries with ongoing transmission in which the risk of measles mortality remains low.
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"""
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* condition[+]
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* kind = #applicability
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* expression
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* description = "Measles MCV0 dose"
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* language = #text/cql-identifier
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* expression = "Measles MCV0 dose"
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* definitionCanonical = Canonical(IMMZD2DTCR)
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* dynamicValue[+]
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* path = "status"
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* expression
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* language = #text-cql
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* expression = "'active'"
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* dynamicValue[+]
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* path = "payload.contentAttachment.title"
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* expression
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* language = #text/cql-identifier
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* expression = "Measles MCV0 dose Create"
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* dynamicValue[+]
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* path = "payload.contentAttachment.language"
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* expression
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* language = #text/cql
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* expression = "'en-US'"
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* dynamicValue[+]
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* path = "payload.contentAttachment.contentType"
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* expression
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* language = #text/cql
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* expression = "'text/plain'"
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* dynamicValue[+]
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* path = "category.coding"
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* expression
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* description = "Category of communication"
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* language = #text/cql
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* expression = "Code { system: 'http://terminology.hl7.org/CodeSystem/communication-category', code: 'alert' }"
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* dynamicValue[+]
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* path = "priority"
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* expression
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* description = "Alert priority"
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* language = #text/cql
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* expression = "Code { system: 'http://hl7.org/fhir/request-priority', code: 'routine' }"
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"""]], Measles MCV0 dose, Measles MCV0 dose Create)

‎input/fsh/plandefinitions/IMMZD18SMeaslesHighTx.fsh

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@@ -7,102 +7,12 @@ Countries with ongoing transmission in which the risk of measles mortality remai
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"""
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Usage: #definition
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* library = "http://smart.who.int/ig/smart-immunizations/Library/IMMZD18SMeaslesHighTx"
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* extension[+]
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* url = "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeCapability"
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* valueCode = #computable
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* version = "0.1.0"
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* name = "IMMZD18SMeaslesHighTx"
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* status = #draft
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* experimental = false
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* publisher = "World Health Organization (WHO)"
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* action[+]
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* title = "Provision of first measles dose from the primary schedule."
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* description = """
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* insert PlanDefMain( IMMZD18SMeaslesHighTx, 0.1.0 )
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* insert PlanDefCommunicationRequestAction([[Provision of first measles dose from the primary schedule.]], [["""
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Provision of first measles dose from the primary schedule.
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Countries with ongoing transmission in which the risk of measles mortality remains high.
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"""
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* condition[+]
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* kind = #applicability
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* expression
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* description = "Measles dose 1"
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* language = #text/cql-identifier
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* expression = "Measles dose 1"
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* definitionCanonical = Canonical(IMMZD2DTCR)
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* dynamicValue[+]
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* path = "status"
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* expression
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* language = #text-cql
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* expression = "'active'"
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* dynamicValue[+]
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* path = "payload.contentAttachment.title"
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* expression
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* language = #text/cql-identifier
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* expression = "Measles dose 1 Create"
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* dynamicValue[+]
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* path = "payload.contentAttachment.language"
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* expression
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* language = #text/cql
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* expression = "'en-US'"
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* dynamicValue[+]
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* path = "payload.contentAttachment.contentType"
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* expression
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* language = #text/cql
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* expression = "'text/plain'"
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* dynamicValue[+]
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* path = "category.coding"
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* expression
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* description = "Category of communication"
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* language = #text/cql
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* expression = "Code { system: 'http://terminology.hl7.org/CodeSystem/communication-category', code: 'alert' }"
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* dynamicValue[+]
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* path = "priority"
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* expression
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* description = "Alert priority"
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* language = #text/cql
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* expression = "Code { system: 'http://hl7.org/fhir/request-priority', code: 'routine' }"
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* action[+]
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* title = "Provision of second measles dose from the primary schedule."
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* description = """
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"""]], Measles dose 1, Measles dose 1 Create)
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* insert PlanDefCommunicationRequestAction([[Provision of second measles dose from the primary schedule.]], [["""
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Provision of second measles dose from the primary schedule.
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Countries with ongoing transmission in which the risk of measles mortality remains high.
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"""
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* condition[+]
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* kind = #applicability
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* expression
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* description = "Measles dose 2"
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* language = #text/cql-identifier
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* expression = "Measles dose 2"
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* definitionCanonical = Canonical(IMMZD2DTCR)
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* dynamicValue[+]
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* path = "status"
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* expression
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* language = #text-cql
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* expression = "'active'"
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* dynamicValue[+]
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* path = "payload.contentAttachment.title"
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* expression
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* language = #text/cql-identifier
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* expression = "Measles dose 2 Create"
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* dynamicValue[+]
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* path = "payload.contentAttachment.language"
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* expression
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* language = #text/cql
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* expression = "'en-US'"
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* dynamicValue[+]
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* path = "payload.contentAttachment.contentType"
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* expression
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* language = #text/cql
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* expression = "'text/plain'"
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* dynamicValue[+]
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* path = "category.coding"
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* expression
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* description = "Category of communication"
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* language = #text/cql
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* expression = "Code { system: 'http://terminology.hl7.org/CodeSystem/communication-category', code: 'alert' }"
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* dynamicValue[+]
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* path = "priority"
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* expression
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* description = "Alert priority"
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* language = #text/cql
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* expression = "Code { system: 'http://hl7.org/fhir/request-priority', code: 'routine' }"
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"""]], Measles dose 2, Measles dose 2 Create)

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