WHO SMART Guidelines - HIV
0.3.0 - ci-build
WHO SMART Guidelines - HIV - Local Development build (v0.3.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
| Draft as of 2024-10-30 |
<Library xmlns="http://hl7.org/fhir">
<id value="HIVB2DTLogic"/>
<meta>
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value="http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareablelibrary"/>
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value="http://hl7.org/fhir/uv/cql/StructureDefinition/cql-module"/>
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<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Library HIVB2DTLogic</b></p><a name="HIVB2DTLogic"> </a><a name="hcHIVB2DTLogic"> </a><a name="HIVB2DTLogic-en-US"> </a><h2>Contents</h2><p><code>text/cql</code></p><pre><code class="language-sql">/**
Library: HIV.B2.DT Logic
@DecisionID: HIV.B2.DT
@BusinessRule: Check for signs of serious illness
@Trigger: HIV.B2 Check for signs of serious illness
@Trigger: HIV.D3 Check for signs of serious illness
@HitPolicy: Rule Order
@Description: Check for serious illness
Data Concepts:
* HIV.A.DE17: Age | Calculated age (number of years) of the client based on date of birth
* HIV.D.DE17: Signs of serious illness | Signs that may indicate the client has a serious illness and needs triage or an emergency referral
* HIV.D.DE9: Body temperature | Temperature of the client in Celsius
Consolidated guidelines on HIV prevention, testing, treatment, service delivery and monitoring: recommendations for a public health approach (2021) Chapter 5: Advanced HIV Disease. Figure 5.1: Algorithm for providing a package of care for people with advanced HIV disease.
*/
library HIVB2DTLogic
using FHIR version '4.0.1'
include HIVCommon version '0.0.1' called HIC
include HIVConcepts called Concepts
include HIVEncounterElements called Elements
include FHIRHelpers version '4.0.1'
include WHOCommon called WCom
context Patient
/*
@input: "Age 10 or older"
@pseudocode: 'Age' >= 10 years
*/
define "Age 10 or older":
AgeInYearsAt(Today()) >= 10
/*
@input: "Age under 10"
@pseudocode: 'Age' < 10 years
*/
define "Age under 10":
AgeInYearsAt(Today()) < 10
/*
@output: "Immediately take action or refer for care if a client is having this issue"
*/
define "Immediately take action or refer for care if a client is having this issue":
"Age 10 or older" and exists(
Elements."Signs of serious illness Observation" O
where O.value ~ Concepts."Tachycardia"
)
/*
@output "Immediately take action or refer for care if client is showing this sign of a serious illness."
*/
define "Immediately take action or refer for care if client is showing this sign of a serious illness":
"Signs of serious illness age 10 or older" or "Signs of serious illness age under 10"
/*
@output "Use clinical judgement and consider local epidemiology to determine if symptoms suggest client is seriously ill"
*/
define "Use clinical judgement and consider local epidemiology to determine if symptoms suggest client is seriously ill":
"Signs of serious illness requiring clinical judgement age 10 or older" or "Signs of serious illness requiring clinical judgement age under 10"
/*
@dynamicValue: Guidance
*/
define "Guidance":
case
when "Immediately take action or refer for care if a client is having this issue"
then 'Immediately take action or refer for care if a client is having this issue.'
when "Immediately take action or refer for care if client is showing this sign of a serious illness" and "Age 10 or older"
then 'Immediately take action or refer for care if client is showing this sign of a serious illness.'
when "Immediately take action or refer for care if client is showing this sign of a serious illness" and "Age under 10"
then '''This is a sign and/or symptom of a serious health condition.
Immediately take action or refer for care if client is showing this sign of a serious illness.'''
else null
end
/*
Supporting Logic
*/
define "Signs of serious illness age 10 or older":
"Age 10 or older" and exists(
Elements."Signs of serious illness Observation" O
where
O.value ~ Concepts."Tachypnea" or
O.value ~ Concepts."Unable to walk unaided"
)
define "Signs of serious illness age under 10":
"Age under 10" and exists(
Elements."Signs of serious illness Observation" O
where
O.value ~ Concepts."Lethargy - HIV.D.DE22" or
O.value ~ Concepts."Unconsciousness" or
O.value ~ Concepts."Convulsions" or
O.value ~ Concepts."Unable to breastfeed" or
O.value ~ Concepts."Unable to drink" or
O.value ~ Concepts."Repeated vomiting"
)
define "Signs of serious illness requiring clinical judgement age 10 or older":
"Age 10 or older" and exists(
Elements."Signs of serious illness Observation" O
where
O.value ~ Concepts."Fever of 39 C or greater" or
O.value ~ Concepts."Other sign of serious illness"
)
define "Signs of serious illness requiring clinical judgement age under 10":
"Age under 10" and exists(
Elements."Signs of serious illness Observation" O
where
O.value ~ Concepts."Fever of 39 C or greater" or
O.value ~ Concepts."Other sign of serious illness"
)
</code></pre><p><code>No Content</code> (<code>application/elm+xml</code>)</p></div>
</text>
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<url value="http://smart.who.int/hiv/Library/HIVB2DTLogic"/>
<version value="0.3.0"/>
<name value="HIVB2DTLogic"/>
<title value="HIV.B2.DT Logic"/>
<status value="draft"/>
<experimental value="true"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/library-type"/>
<code value="logic-library"/>
</coding>
</type>
<date value="2024-10-30T19:04:31+00:00"/>
<publisher value="WHO"/>
<contact>
<name value="WHO"/>
<telecom>
<system value="url"/>
<value value="http://who.int"/>
</telecom>
</contact>
<description value="HIV.B2.DT Logic"/>
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