From 67fd3e5e74844a958a691812cb492d8fd82f59e9 Mon Sep 17 00:00:00 2001 From: Francis Odhiambo <4540684+f-odhiambo@users.noreply.github.com> Date: Fri, 13 Sep 2024 16:39:47 +0300 Subject: [PATCH] Workflow cleanup --- .../supported-health-domains/immunization.mdx | 53 ++++++++++++++++--- 1 file changed, 46 insertions(+), 7 deletions(-) diff --git a/docs/features/supported-health-domains/immunization.mdx b/docs/features/supported-health-domains/immunization.mdx index 94e1e85d08..dd35d6eef3 100644 --- a/docs/features/supported-health-domains/immunization.mdx +++ b/docs/features/supported-health-domains/immunization.mdx @@ -26,6 +26,7 @@ The EIR package leverages the next-gen FHIR-native OpenSRP 2 platform, which ena ## Quickstart guide +### Core workflows Building a FHIR Based EIR (Electronic Immunization Registry) system involves integrating various healthcare workflows such as patient registration, vaccination, tracking, and reporting using standardized FHIR resources. Here’s a high-level breakdown for each component: 1. Registration @@ -49,22 +50,22 @@ Building a FHIR Based EIR (Electronic Immunization Registry) system involves int • If any observations (e.g., side effects, adverse reactions) are required during or after vaccination, capture them using the Observation resource. Workflow: • After administering the vaccine, the system records the vaccination details in the Immunization resource. - • The vaccine information such as type, batch number, and expiry is recorded using the Medication resource. - • Any side effects are recorded as Observations. + • The vaccine information such as type, batch number, and expiry is recorded using the Medication resource (optional). + • Any side effects are recorded as Observations (optional). 3. Tracking • FHIR Resources: Immunization, ImmunizationRecommendation, Schedule, Appointment Details: • Use the Immunization resource to track all vaccinations given to a patient. - • The ImmunizationRecommendation resource helps schedule follow-up doses based on patient age, vaccination history, and guidelines. - • You can leverage Schedule and Appointment resources to schedule future vaccinations. + • The ImmunizationRecommendation resource helps schedule follow-up doses based on patient age, vaccination history, and guidelines (optional). + • You can leverage Schedule and Appointment resources to schedule future vaccinations (optional). Tasks resourece is being used in place of these 2 resource + Workflow: + • Once a patient receives their first dose, an ImmunizationRecommendation is generated for the next dose (optional). + • The system can generate a schedule for the patient’s remaining doses using Schedule and Appointment resources. Tasks resourece is being used in place of these 2 resource Workflow: - • Once a patient receives their first dose, an ImmunizationRecommendation is generated for the next dose. - • The system can generate a schedule for the patient’s remaining doses using Schedule and Appointment resources. 4. Reporting - • FHIR Resources: Immunization, MeasureReport Details: • Aggregated vaccination data can be reported using the MeasureReport resource, which summarizes immunization status at individual and population levels. @@ -73,6 +74,44 @@ Building a FHIR Based EIR (Electronic Immunization Registry) system involves int • Use the MeasureReport resource to analyze vaccination status by region, age group, or other demographic filters. +### Additional workflows + +1. MUAC (Mid-Upper Arm Circumference) + + • FHIR Resources: Observation + • Details: + • MUAC is a key indicator for assessing malnutrition in children. Use the Observation resource to capture the measurement of the arm circumference. + • The value for MUAC will be recorded as a quantity with units (e.g., cm or mm) and will have a code indicating it is a MUAC measurement. + • Workflow: + • During the patient’s visit, the healthcare provider measures the child’s MUAC. + • An Observation resource is created, capturing the measurement value, the method (e.g., tape measurement), and any interpretation (e.g., normal, moderate malnutrition, severe malnutrition). + • Observation may also contain other related data, such as the practitioner who recorded the measurement and the encounter in which the observation occurred. + +2. Growth Monitoring + + • FHIR Resources: Observation, FamilyMemberHistory, Patient + • Details: + • Growth monitoring involves tracking height, weight, head circumference, and comparing these metrics to standardized growth charts. + • Use the Observation resource to record parameters like weight (LOINC 3141-9), height (LOINC 8302-2), and head circumference (LOINC 8287-5). + • FamilyMemberHistory can also be used to track genetic or hereditary conditions that may affect growth patterns(optional). + • Workflow: + • During a clinic visit, the system collects a child’s growth parameters (height, weight, etc.) and stores these as Observation resources. + • These observations can be plotted against standard growth charts to evaluate if the child is growing at a normal rate. + • If there are concerns (e.g., stunted growth), the healthcare provider can use Observation to indicate a need for follow-up. + +3. Adverse Reaction Tracking + + • FHIR Resources: AdverseEvent, AllergyIntolerance, Condition, Observation + • Details: + • Use the AdverseEvent resource to capture any adverse reactions following vaccination, such as fever, rash, or more severe reactions like anaphylaxis. + • If the adverse reaction is related to an allergy, you may also use the AllergyIntolerance resource to track any long-term contraindications or allergic responses(optional). + • Condition can also be used if the adverse reaction results in a medical condition that requires ongoing treatment. + • Workflow: + • After vaccination, if the patient reports an adverse reaction, the healthcare provider records the details in an AdverseEvent resource. + • If necessary, further evaluations (e.g., temperature or blood pressure) can be recorded using Observation resources to monitor the reaction. + • The system can trigger alerts for serious reactions, schedule follow-up visits, or provide contraindication warnings for future doses. + + ### Deploying the health information infrastructure [TBC]