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Summary:

  • Immunization Schedules (timings) are a key feature to make sure people (especially children) get the right vaccinations, at the right times, and enough of them, so that they are safely covered from diseases.

  • This visual project will make it easier for clinicians to see how many doses a child/person has had, and what immunizations they are due for.

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Context

  • Immunization “schedules” are like “Timings”: A place’s immunization schedule shows “when a certain immunization is meant to be given, and how many times, after how long of intervals.” They also help to:

    • Show a record of what & when things were given

    • Prompt a provider to remember that something else is due

    • Guide a provider in cases that are not clear (e.g. catch-up, medical risk factors, and more).

  • Differences: These Schedules are often different by country or region

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Paper Examples from around the world

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Electronic Examples from OpenMRS

Vax Schedule in O1

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Vax Schedule in O2

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You can explore this feature in PIH’s Demo Instance by going to this link___ and clicking “Growth Charts” on the right. (Login: admin / Admin123 at any location.)

Vax Schedule in O3

Your Work Here! 😄

Mockups here: _______

Electronic Examples from other Systems

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  • . Just look at the WHO’s records to see comparisons showing how many countries have different timings for different types of immunizations.

  • Key Concepts:

    • ⚠️ Children: Babies, toddlers, and school-aged children are high-priorities for vaccination because they are the most vulnerable to infectious diseases. If you like cartoons, these visuals are a fun way to learn how certain immunizations at particular ages protect kids from certain diseases.

    • 🟡 Adults: Adults need regular vaccinations too. So there are usually different Vaccination Schedules for Adults as well.

    • 🔴 People with Risk Factors or Medical Conditions: These people

    • ⚠️“Catch-Up Immunization”: It is very common for a child (or adult!) to receive a vaccination late, for many legitimate reasons. When this happens, there is often guidance for clinicians about the time-range of the patient’s age or time-range after the last dose for when the next immunization should be given.

Examples from around the world

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Vertical charts like this one from India also show time/patient age along an axis, but include more detailed remarks. (Source).

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Electronic Examples from other Systems

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(Source)

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⚠️ Important Requirements

  • To do: Review FHIR requirements & considerations / insights https://www.hl7.org/fhir/immunization.html

  • Concept-driven: For example, Partners In Health uses these CIEL concepts (obsgroup with obs for immunizations, immunization sequence number, and vaccination date): https://www.openconceptlab.org/orgs/CIEL/sources/CIEL/concepts/1421/

  • Configurability. These Schedules are often different by country, state/province, region, or even organization (I know, it’s surprising it’s not the same world-wide!). This means this feature will need to be very configurable.