Updated measles LM/questionnaire/structuremaps for updates to the D1 …

…client history data dictionary in the DAK.

input/fsh/codesystems/IMMZ.D1.fsh

@@ -1,14 +1,19 @@
-CodeSystem:   IMMZ.D1
+CodeSystem: IMMZ.D1
 Title:        "IMMZ.D1 CodeSystem for Data Elements"
-Description:  "CodeSystem for IMMZ.C Data Elements"
+Description:  "CodeSystem for IMMZ.D1 Data Elements"
 
 * ^experimental = false
 * ^caseSensitive = false
 * ^name = "IMMZ_D1"
 
-* #DE80 "Dose 0 administered" "Indicates if the client has received a birth dose and/or a zero dose"
-* #DE95 "Booster dose administered" "Indicates if the client has received a booster dose and/or a supplementary dose"
+* #DE109 "Birth dose" "Indicates if the client received a dose within 24 hours of birth. Whether a birth dose is counted as part of the primary series will depend on the antigen."
+* #DE103 "Type of dose" "The type of dose in a series that the client received "
+* #DE104 "Primary series" "Indicates that the client received the primary vaccination series of a product/antigen. This is also applicable for antigens with one dose."
+* #DE105 "Dose 0" "Indicates that the client received a dose of a product/ antigen within 24 hours of birth. This dose is not a part of the primary vaccination series."
+* #DE106 "Supplementary dose" "Indicates that the client received a supplementary dose of a product/antigen"
+* #DE107 "Booster dose" "Indicates that the client received booster dose of a product/antigen"
 * #DE8 "Completed the primary vaccination series" "Indicates if the client has completed the primary vaccination series of a product/antigen. If the client has not yet completed their primary series, it means they may be expected to receive more doses to complete their vaccination regimen for the respective product/antigen."
+* #DE102 "Completed the booster series" "Indicates if the client has completed the booster series of a product/antigen"
 * #DE81 "Date when primary vaccination series was completed" "The date when the client completed the primary vaccination series (per product/antigen)"
 * #DE10 "HIV status" "The current human immunodeficiency virus (HIV) status of the client"
 * #DE11 "HIV-positive" "The client is known to be HIV positive"
@@ -19,7 +24,7 @@ Description:  "CodeSystem for IMMZ.C Data Elements"
 * #DE17 "Currently on ART" "The client is currently receiving antiretroviral therapy (ART)"
 * #DE84 "Type of TB infection test performed" "The type of TB infection test performed"
 * #DE85 "IGRA" "Interferon-gamma release assay (IGRA)"
-* #DE86 "TST" "Tuberculin skin test (TST)"
+* #DE86 "TST" "Tuberculin skin test (TST) "
 * #DE87 "TB infection test result" "Records the result of the TB infection test"
 * #DE88 "Positive" "Test result was positive"
 * #DE89 "Negative" "Test result was negative"
@@ -29,11 +34,9 @@ Description:  "CodeSystem for IMMZ.C Data Elements"
 * #DE35 "Type of polio dose" "The type of the polio vaccine dose administered to the client"
 * #DE36 "IPV" "Inactivated poliovirus vaccine (IPV)"
 * #DE37 "bOPV" "Bivalent oral poliovirus vaccine (bOPV)"
-* #DE38 "Age in years when client received first DTP dose" "The client's age in years when they received their first diphtheria-tetanus-pertussis (DTP) dose"
-* #DE39 "Age in months when client received first Hib dose" "The client's age in months when they received their first Haemophilus influenzae type b (Hib) dose"
-* #DE92 "Severely immunosuppressed" "The client is known to be severely immunocompromised or immunosuppressed"
+* #DE92 "Severely immunosuppressed" "The client is known to be severely immunosuppressed"
 * #DE49 "ART start date" "The date on which the client started or restarted antiretroviral therapy (ART)"
-* #DE96 "High risk of pneumococcal infection" "The client is at high risk for pneumococcal infection because of underlying medical conditions (i.e. HIV infection or sickle-cell disease)"
+* #DE96 "High risk of pneumococcal infection " "The client is at high risk for pneumococcal infection because of underlying medical conditions (i.e. HIV infection or sickle-cell disease)"
 * #DE52 "Type of JE dose" "The type of Japanese encephalitis (JE) vaccine dose administered to the client"
 * #DE53 "Inactivated Vero cell-derived vaccine" "Inactivated Vero cell-derived Japanese encephalitis (JE) vaccine type"
 * #DE54 "Live attenuated vaccine" "Live attenuated Japanese encephalitis (JE) vaccine type"
@@ -49,7 +52,7 @@ Description:  "CodeSystem for IMMZ.C Data Elements"
 * #DE64 "Ty21a" "Ty21a vaccine"
 * #DE65 "Type of cholera dose" "The type of cholera vaccine dose administered to the client"
 * #DE66 "WC vaccine" "Killed whole cell (WC) only cholera vaccine"
-* #DE67 "WC-rBS vaccine" "Vaccine contains a mixture of the recombinant B subunit (rBS) of cholera toxin plus killed whole cell (WC)"
+* #DE67 "WC-rBS vaccine" "Vaccine contains a mixture of the recombinant B subunit (rBS) of cholera toxin plus killed whole cell (WC) "
 * #DE68 "Type of meningococcal dose" "The type of meningococcal vaccine dose administered to the client"
 * #DE69 "MenA conjugate vaccine (5µg)" "Monovalent serogroup A (MenA) conjugate vaccine (5µg) vaccine"
 * #DE70 "Monovalent MenC conjugate" "Monovalent MenC conjugate vaccine"
@@ -59,10 +62,12 @@ Description:  "CodeSystem for IMMZ.C Data Elements"
 * #DE73 "Type of hepatitis A dose" "The type of hepatitis A vaccine dose administered to the client"
 * #DE74 "Live attenuated hepatitis A vaccine" "Live attenuated hepatitis A vaccine"
 * #DE75 "Inactivated hepatitis A vaccine" "Inactivated hepatitis A vaccine"
+* #DE99 "Type of hepatitis B dose" "The type of hepatitis B vaccine dose administered to the client"
+* #DE100 "Hepatitis B monovalent vaccine" "Hepatitis B monovalent vaccine"
+* #DE101 "Hepatitis B combination vaccine" "Hepatitis B combination vaccine"
 * #DE76 "VNA level" "Vaccine-induced neutralizing (VNA) antibody level. It is a measured as a serum antibody concentration amount observed from the result of the concentrated, purified cell culture and embryonated egg-based rabies vaccines (CCEEV)"
-* #DE98 "Risk of occupational exposure to rabies virus" "Professional at risk of occupational exposure to rabies virus, particularly animal health-care workers. Also considered for medical professionals who regularly provide care to persons with rabies."
-* #DE77 "Seronegative for dengue" "The client is known to be seronegative for dengue"
-* #DE99 "Evidence of a past dengue infection" "There is evidence of a past dengue infection based on an antibody test or on a documented laboratory confirmed dengue infection in the past"
-
-* #DE19	"Vaccine type" "Vaccine type/category that was administered or was to be administered. Any vaccine code available in the IMMZ.Z Vaccine Library list of codes applies in this data element"
-* #DE20	"Date and time of vaccination" "Represents the visit/encounter date, which is the date and time when the vaccine was administered to the client"
+* #DE98 "Risk of occupational exposure to rabies virus" "Professional at risk of occupational exposure to rabies virus, particularly animal health-care workers. Also considered for medical professionals who regularly provide care to persons with rabies. "
+* #DE77 "Dengue serostatus" "Indicates the result of a serological test determining whether the client has antibodies against the dengue virus"
+* #DE110 "Positive" "The client has detectable antibodies against the dengue virus, suggesting past exposure or vaccination"
+* #DE111 "Negative" "The client does not have detectable antibodies, indicating no previous exposure or vaccination against the dengue virus"
+* #DE112 "Unknown" "The client's dengue serostatus is unknown"

input/fsh/conceptmaps/IMMZ.D1.ConceptMap.fsh

@@ -1,13 +1,13 @@
-Instance:     IMMZ.D1.ConceptMap
-InstanceOf:   ConceptMap
+Instance: IMMZ.D1.ConceptMap
+InstanceOf: ConceptMap
 Description:  "Mapping to and from IMMZ.D1 Data Dictionary to other codesystems."
 Usage:        #definition
 
 * name = "IMMZ_D1_ConceptMap"
 * title = "ConceptMap to and from IMMZ.D1 DataElements"
 * status = #active
 * experimental = false
-* date = "2023-08-09"
+* date = "2024-01-19"
 
 * group[+]
   * source = Canonical(IMMZ.D1)
@@ -40,8 +40,7 @@ Usage:        #definition
   * insert ElementMap(DE97, XM92B2, narrower)
   * insert ElementMap(DE74, XM6LL6, wider)
   * insert ElementMap(DE75, XM2A12, equivalent)
-
-
+  * insert ElementMap(DE100, XM9V38, relatedto)
 * group[+]
   * source = $ICD11
   * target = Canonical(IMMZ.D1)
@@ -73,64 +72,54 @@ Usage:        #definition
   * insert ElementMap(XM92B2, DE97, wider)
   * insert ElementMap(XM6LL6, DE74, narrower)
   * insert ElementMap(XM2A12, DE75, equivalent)
+  * insert ElementMap(XM9V38, DE100, relatedto)
 
-
-
 * group[+]
   * source = Canonical(IMMZ.D1)
   * target = $LNC
-  * insert ElementMap(DE11, 45683-0, equivalent)
   * insert ElementMap(DE10, 55277-8, equivalent)
-  * insert ElementMap(DE92, 96381-9, relatedto)
+  * insert ElementMap(DE11, 45683-0, equivalent)
   * insert ElementMap(DE15, 76517-2, equivalent)
-  * insert ElementMap(DE19, 39236-5, equivalent)
-  * insert ElementMap(DE20, 30952-6, equivalent)
   * insert ElementMap(DE16, 96381-9, relatedto)
   * insert ElementMap(DE85, 27415-9, wider)
   * insert ElementMap(DE86, 39263-9, equivalent)
   * insert ElementMap(DE88, 45241-7, relatedto)
   * insert ElementMap(DE29, 8339-4, equivalent)
-
+  * insert ElementMap(DE92, 96381-9, relatedto)
 * group[+]
   * source = $LNC
   * target = Canonical(IMMZ.D1)
-  * insert ElementMap(45683-0, DE11, equivalent)
   * insert ElementMap(55277-8, DE10, equivalent)
-  * insert ElementMap(96381-9, DE92, relatedto)
+  * insert ElementMap(45683-0, DE11, equivalent)
   * insert ElementMap(76517-2, DE15, equivalent)
-  * insert ElementMap(39236-5, DE19, equivalent)
-  * insert ElementMap(30952-6, DE20, equivalent)
   * insert ElementMap(96381-9, DE16, relatedto)
   * insert ElementMap(27415-9, DE85, narrower)
   * insert ElementMap(39263-9, DE86, equivalent)
   * insert ElementMap(45241-7, DE88, relatedto)
   * insert ElementMap(8339-4, DE29, equivalent)
-
-
+  * insert ElementMap(96381-9, DE92, relatedto)
 
 * group[+]
   * source = Canonical(IMMZ.D1)
   * target = $SCT
-  * insert ElementMap(DE12, 165815009, equivalent)
+  * insert ElementMap(DE10, 278977008, equivalent)
   * insert ElementMap(DE11, 165816005, equivalent)
+  * insert ElementMap(DE12, 165815009, equivalent)
   * insert ElementMap(DE13, 261665006, wider)
-  * insert ElementMap(DE10, 278977008, equivalent)
   * insert ElementMap(DE15, 395507008, equivalent)
   * insert ElementMap(DE16, 370388006, equivalent)
   * insert ElementMap(DE85, 68311008, equivalent)
   * insert ElementMap(DE86, 28163009, equivalent)
   * insert ElementMap(DE88, 10828004, wider)
   * insert ElementMap(DE89, 260385009, wider)
   * insert ElementMap(DE36, 871740006, equivalent)
-
-
 * group[+]
   * source = $SCT
   * target = Canonical(IMMZ.D1)
-  * insert ElementMap(165815009, DE12, equivalent)
+  * insert ElementMap(278977008, DE10, equivalent)
   * insert ElementMap(165816005, DE11, equivalent)
+  * insert ElementMap(165815009, DE12, equivalent)
   * insert ElementMap(261665006, DE13, narrower)
-  * insert ElementMap(278977008, DE10, equivalent)
   * insert ElementMap(395507008, DE15, equivalent)
   * insert ElementMap(370388006, DE16, equivalent)
   * insert ElementMap(68311008, DE85, equivalent)
@@ -139,4 +128,3 @@ Usage:        #definition
   * insert ElementMap(260385009, DE89, narrower)
   * insert ElementMap(871740006, DE36, equivalent)
 
-

input/fsh/examples/IMMZ.D1.QuestionnaireResponse.1.fsh

@@ -7,7 +7,7 @@ Usage: #example
 * subject = Reference(patient123456)
 
 * item[+]
-  * linkId = "dose0"
+  * linkId = "birth"
   * answer.valueBoolean = false
 * item[+]
   * linkId = "booster"

input/fsh/examples/IMMZ.D1.QuestionnaireResponse.2.fsh

@@ -7,8 +7,11 @@ Usage: #example
 * subject = Reference(patient654321)
 
 * item[+]
-  * linkId = "dose0"
+  * linkId = "birth"
   * answer.valueBoolean = false
+* item[+]
+  * linkId = "type"
+  * answer.valueCoding = IMMZ.D1#DE104
 * item[+]
   * linkId = "booster"
   * answer.valueBoolean = false

input/fsh/examples/IMMZ.D1.QuestionnaireResponse.3.fsh

@@ -7,8 +7,14 @@ Usage: #example
 * subject = Reference(patient654321)
 
 * item[+]
-  * linkId = "dose0"
+  * linkId = "birth"
   * answer.valueBoolean = false
+* item[+]
+  * linkId = "type"
+  * answer.valueCoding = IMMZ.D1#DE104
+* item[+]
+  * linkId = "type"
+  * answer.valueCoding = IMMZ.D1#DE105
 * item[+]
   * linkId = "booster"
   * answer.valueBoolean = false

input/fsh/models/IMMZD1ClientHistoryMeasles.fsh

@@ -5,20 +5,23 @@ Description:  "Data elements for the IMMZ.D1 Capture Client History Data Diction
 * ^name = "IMMZ_D1_Client_History_Measles"
 
 * patient 1..1 Reference "Patient" "The patient who is being checked for contraindications."
-* dose0 0..1 boolean "Dose 0 administered" "Indicates if the client has received a birth dose and/or a zero dose"
-  * ^code[+] = IMMZ.D1#DE80
-* booster 0..1 boolean "Booster dose administered" "Indicates if the client has received a booster dose and/or a supplementary dose"
-  * ^code[+] = IMMZ.D1#DE95
+* birth 0..1 boolean "Birth dose" "Indicates if the client received a dose within 24 hours of birth. Whether a birth dose is counted as part of the primary series will depend on the antigen."
+  * ^code[+] = IMMZ.D1#DE109
+* type 0..* Coding "Type of dose" "The type of dose in a series that the client received"
+  * ^code[+] = IMMZ.D1#DE103
+* type from IMMZ.D1.DE103
 * completedPrimarySeries 0..1 boolean "Completed the primary vaccination series" "Indicates if the client has completed the primary vaccination series of a product/antigen. If the client has not yet completed their primary series, it means they may be expected to receive more doses to complete their vaccination regimen for the respective product/antigen."
   * ^code[+] = IMMZ.D1#DE8
-* dateSeriesCompleted 1..1 date "Date when primary vaccination series was completed" "The date when the client completed the primary vaccination series (per product/antigen)"
+* booster 0..1 boolean "Completed the booster series" "Indicates if the client has completed the booster series of a product/antigen"
+  * ^code[+] = IMMZ.D1#DE102
+* dateSeriesCompleted 0..1 date "Date when primary vaccination series was completed" "The date when the client completed the primary vaccination series (per product/antigen)"
   * ^code[+] = IMMZ.D1#DE81
 * hivStatus 0..1 Coding "HIV status" "The current human immunodeficiency virus (HIV) status of the client"
   * ^code[+] = IMMZ.D1#DE10
   * ^code[+] = $LNC#55277-8
   * ^code[+] = $SCT#278977008
 * hivStatus from IMMZ.D1.DE10
-* pretermBirth 0..1 boolean "Preterm birth" "The infant was preterm, the mother gave birth to the infant when gestational age was less than 37 weeks"
+* pretermBirth 0..1 boolean "Preterm birth" "The infant was preterm; the mother gave birth to the infant when gestational age was less than 37 weeks"
   * ^code[+] = IMMZ.D1#DE15
   * ^code[+] = $ICD11#KA21.4
   * ^code[+] = $LNC#76517-2
@@ -33,14 +36,14 @@ Description:  "Data elements for the IMMZ.D1 Capture Client History Data Diction
 * severelyImmunosuppressed 1..1 boolean "Severely immunosuppressed" "The client is known to be severely immunocompromised or immunosuppressed"
   * ^code[+] = IMMZ.D1#DE92
   * ^code[=] = $LNC#96381-9
-* artStartDate 1..1 date "ART start date" "The date on which the client started or restarted antiretroviral therapy (ART)"
+* artStartDate 0..1 date "ART start date" "The date on which the client started or restarted antiretroviral therapy (ART)"
   * ^code[+] = IMMZ.D1#DE49
 * vaccineHistory 0..* BackboneElement "Vaccine History" "History of previous vaccine doses."
   * vaccineType 0..1 Coding "Vaccine type" "Vaccine type/category that was administered or was to be administered. Any vaccine code available in the IMMZ.Z Vaccine Library list of codes applies in this data element"
-    * ^code[+] = IMMZ.D1#DE19
+    * ^code[+] = IMMZ.D#DE19
     * ^code[+] = $LNC#39236-5
     * ^code[+] = $SCT#787859002
   * vaccineType from IMMZ.Z.DE9
   * vaccineDate 0..1 date "Date and time of vaccination" "Represents the visit/encounter date, which is the date and time when the vaccine was administered to the client"
-    * ^code[+] = IMMZ.D1#DE20
+    * ^code[+] = IMMZ.D#DE20
     * ^code[+] = $LNC#30952-6 

input/fsh/models/IMMZD1ClientHistoryYellowFever.fsh

@@ -0,0 +1,49 @@
+Logical:      IMMZD1ClientHistoryYellowFever
+Title:        "IMMZ.D1 Capture Client History for Yellow Fever"
+Description:  "Data elements for the IMMZ.D1 Capture Client History Data Dictionary for Yellow Fever."
+
+* ^name = "IMMZ_D1_Client_History_YellowFever"
+
+* patient 1..1 Reference "Patient" "The patient who is being checked for contraindications."
+* birth 0..1 boolean "Birth dose" "Indicates if the client received a dose within 24 hours of birth. Whether a birth dose is counted as part of the primary series will depend on the antigen."
+  * ^code[+] = IMMZ.D1#DE109
+* type 1..* Coding "Type of dose" "The type of dose in a series that the client received"
+  * ^code[+] = IMMZ.D1#DE103
+* type from IMMZ.D1.DE103
+* completedPrimarySeries 0..1 boolean "Completed the primary vaccination series" "Indicates if the client has completed the primary vaccination series of a product/antigen. If the client has not yet completed their primary series, it means they may be expected to receive more doses to complete their vaccination regimen for the respective product/antigen."
+  * ^code[+] = IMMZ.D1#DE8
+* booster 0..1 boolean "Completed the booster series" "Indicates if the client has completed the booster series of a product/antigen"
+  * ^code[+] = IMMZ.D1#DE102
+* dateSeriesCompleted 1..1 date "Date when primary vaccination series was completed" "The date when the client completed the primary vaccination series (per product/antigen)"
+  * ^code[+] = IMMZ.D1#DE81
+* hivStatus 0..1 Coding "HIV status" "The current human immunodeficiency virus (HIV) status of the client"
+  * ^code[+] = IMMZ.D1#DE10
+  * ^code[+] = $LNC#55277-8
+  * ^code[+] = $SCT#278977008
+* hivStatus from IMMZ.D1.DE10
+* pretermBirth 0..1 boolean "Preterm birth" "The infant was preterm; the mother gave birth to the infant when gestational age was less than 37 weeks"
+  * ^code[+] = IMMZ.D1#DE15
+  * ^code[+] = $ICD11#KA21.4
+  * ^code[+] = $LNC#76517-2
+  * ^code[+] = $SCT#395507008
+* immunocompromised 0..1 boolean "Immunocompromised" "The client is known to be immunocompromised. This means the client has a weakened immune system and having a reduced ability to fight infections and other diseases"
+  * ^code[+] = IMMZ.D1#DE16
+  * ^code[+] = $ICD11#4B4Z
+  * ^code[+] = $LNC#96381-9
+  * ^code[+] = $SCT#370388006
+* onART 0..1 boolean "Currently on ART" "The client is currently receiving antiretroviral therapy (ART)"
+  * ^code[+] = IMMZ.D1#DE17
+* severelyImmunosuppressed 1..1 boolean "Severely immunosuppressed" "The client is known to be severely immunocompromised or immunosuppressed"
+  * ^code[+] = IMMZ.D1#DE92
+  * ^code[=] = $LNC#96381-9
+* artStartDate 1..1 date "ART start date" "The date on which the client started or restarted antiretroviral therapy (ART)"
+  * ^code[+] = IMMZ.D1#DE49
+* vaccineHistory 0..* BackboneElement "Vaccine History" "History of previous vaccine doses."
+  * vaccineType 0..1 Coding "Vaccine type" "Vaccine type/category that was administered or was to be administered. Any vaccine code available in the IMMZ.Z Vaccine Library list of codes applies in this data element"
+    * ^code[+] = IMMZ.D#DE19
+    * ^code[+] = $LNC#39236-5
+    * ^code[+] = $SCT#787859002
+  * vaccineType from IMMZ.Z.DE9
+  * vaccineDate 0..1 date "Date and time of vaccination" "Represents the visit/encounter date, which is the date and time when the vaccine was administered to the client"
+    * ^code[+] = IMMZ.D#DE20
+    * ^code[+] = $LNC#30952-6 

input/fsh/models/IMMZD5CheckContraindications.fsh

@@ -1,4 +1,4 @@
-Logical:      IMMZ5CheckContraindications
+Logical:      IMMZD5CheckContraindications
 Title:        "IMMZ.D5 Check Contraindications"
 Description:  "Data elements for the IMMZ.D5 Check Contraindications Data Dictionary."