diff --git a/vaxEPI.md b/vaxEPI.md index e69de29..2e4a28a 100644 --- a/vaxEPI.md +++ b/vaxEPI.md @@ -0,0 +1,167 @@ +# VaxEPI: Integrated Vaccine Registration & Vaccination Information (Bangladesh) + +## 1) What VaxEPI Is (Overview) + +VaxEPI is Bangladesh DGHS’s public-facing portal (introduced in **2024**) for **integrated vaccine registration** and **vaccination information management**. It covers both **routine EPI** (Expanded Programme on Immunization) and **special campaigns**. VaxEPI is a **single-time registration** system: a child is registered once and remains trackable across programs and facilities. Registration is verified against the **Birth Registration Number (BRN)** to ensure identity integrity and deduplication. + +VaxEPI is interoperable with the national **Shareable Health Record (SHR)**, so each registered child receives a **Unique Health ID**; all vaccination events appear in the **Health Information Exchange (HIE)** for authorized use. Families receive a **vaccine card with a QR code**; vaccinators record doses and scan the QR to update the central record. Digital **vaccination certificates** are made available via the [VaxEPI portal](https://vaxepi.gov.bd), following EHR-style access patterns. Special campaigns such as **HPV**, **TCV (Typhoid Conjugate Vaccine)**, and **meningitis vaccine for Hajj pilgrims** are also managed through VaxEPI. + +**Retrieval cues:** “single-time registration”, “BRN verification”, “SHR Unique Health ID”, “QR vaccine card”, “routine EPI + campaigns”, “digital certificate”, “HIE availability”. + +--- + +## 2) Core Objectives + +* **Universal, deduplicated identity for children** via BRN → SHR → Unique Health ID. +* **Continuity of care**: one longitudinal vaccination timeline per child across facilities. +* **Operational efficiency**: unified workflows for routine and campaign activities. +* **Data quality & exchange**: real-time updates to HIE; fewer missed doses/duplicates. +* **Citizen convenience**: QR-coded card and downloadable vaccination certificate. + +--- + +## 3) Scope & Program Coverage + +* **Routine EPI**: BCG, OPV/IPV, Penta, PCV, MR, etc. (country schedule applies). +* **Special campaigns**: **HPV**, **TCV**, and **meningitis/Hajj** drives, plus other MoHFW/DGHS-approved campaigns. +* **Population focus**: primarily **children**; program extensions may include adolescents or adults for specific campaigns (e.g., Hajj). + +--- + +## 4) Identity & Registration Model + +**Inputs:** Child’s **BRN**, name (Bangla/English), date of birth, sex, guardian details, address/upazila/district, contact number(s). +**Verification:** Online verification of **BRN** (preventing duplicates). +**Linkage:** On successful registration, VaxEPI requests/receives a **Unique Health ID** from **SHR**. +**Artifacts:** **QR-coded vaccine card** (physical and/or digital). +**Card Use:** QR encodes persistent identifiers (e.g., Health ID and VaxEPI record ID) to enable fast retrieval and updates at point of care. + +--- + +## 5) Vaccination Workflow (Facility & Field) + +1. **Presentation:** Caregiver brings the child and **QR card** to a session (facility or outreach). +2. **Assessment:** Vaccinator reviews **due/overdue doses** (per age and schedule) in VaxEPI. +3. **Administration:** Vaccine is given; **dose details** are recorded (vaccine code, dose #, lot/batch, expiry, route, site). +4. **Update:** Vaccinator **scans the QR**; VaxEPI loads the child record and **posts the dose event**. +5. **Sync & Exchange:** Event is written to VaxEPI and **propagated to HIE/SHR**. +6. **Certificate:** A refreshed **digital vaccination certificate** becomes available in the portal. + +--- + +## 6) Citizen Experience + +* **Discoverability:** Public portal for registration and certificate download. +* **Proof of vaccination:** **QR-coded card**; digital **certificate** view/print. +* **Portability:** Records visible across facilities due to SHR Health ID. +* **Notifications (if enabled):** SMS or portal prompts for upcoming/overdue doses. + +--- + +## 7) Interoperability & Data Exchange + +* **SHR (Shareable Health Record):** creation/lookup of **Unique Health ID**. +* **HIE (Health Information Exchange):** publishes vaccination events for authorized systems. +* **Standards & semantics:** consistent vaccine codes, dose definitions, and schedule logic to support analytics and exchange. +* **Result:** Authorized providers and national analytics can **query longitudinal vaccination history** for service continuity and planning. + +--- + +## 8) Special Campaigns (HPV, TCV, Hajj Meningitis) + +* **Registration:** Uses the **same child record** (no duplicate accounts). +* **Targeting:** Eligibility computed by **age/sex/risk group** (e.g., adolescent girls for **HPV**, child age bands for **TCV**, **pilgrim status** for Hajj). +* **Delivery:** VaxEPI supports **bulk session lists**, on-site verification via **QR**, and rapid **dose posting**. +* **Reporting:** Campaign-specific dashboards can aggregate coverage, dropout, and stock usage. + +--- + +## 9) Governance, Roles & Access + +* **DGHS/MIS ownership**; national data stewardship. +* **Roles:** Registrar (front desk), Vaccinator, Facility Manager, District/Upazila EPI Manager, National Analyst. +* **Access controls:** Role-based permissions for read/write; certificate access controlled via authenticated portal flow and/or verifiable QR link. +* **Auditability:** All vaccination events and edits have **provenance** (who/when/where). + +--- + +## 10) Data Quality & Safety Nets + +* **Identity deduplication:** BRN check at registration; “possible duplicate” flags. +* **Schedule validation:** Client-side/server-side checks for **age-appropriate** dosing and minimum intervals. +* **Lot controls:** Prevent posting events for **expired** lots; require lot/batch. +* **Correction workflow:** Voiding/mending mis-entries with reason and audit trail. + +--- + +## 11) Privacy & Security (High Level) + +* **PII handling:** Minimal necessary disclosure; **BRN** and **Health ID** protected. +* **QR contents:** Encodes identifiers or verifiable token, not full PII. +* **Transport/storage:** Encrypted channels; secure storage per national policy. +* **Access:** Role-based access; certificate retrieval bound to guardian verification or QR proof. + +--- + +## 12) Typical User Journeys + +**A) First-time Registration** + +1. Guardian opens [VaxEPI](https://vaxepi.gov.bd) → enters **BRN** and child details → system verifies BRN. +2. VaxEPI fetches/assigns **Unique Health ID (SHR)**. +3. VaxEPI issues **QR-coded vaccine card**; child appears on due-list. + +**B) Dose Administration** + +1. Child presents **QR card** → vaccinator scans → due doses displayed. +2. Dose given → vaccinator records details → **event saved** → **HIE updated**. +3. Certificate refreshed → guardian can **download** from portal. + +**C) Special Campaign (e.g., HPV)** + +1. Eligibility auto-determined → session roster generated. +2. On site, **QR scan** retrieves record → dose posted. +3. Coverage reports update in near-real time. + +--- + +## 13) Frequently Asked Clarifications (for RAG) + +* **Q:** Is VaxEPI only for routine EPI? + **A:** No. It supports **routine EPI** and **special campaigns** (HPV, TCV, Hajj meningitis). + +* **Q:** Do parents need to register for every campaign? + **A:** **No.** VaxEPI is **single-time registration**; campaigns reuse the same **Health ID**. + +* **Q:** How is identity verified? + **A:** Via **Birth Registration Number (BRN)**; then linked to **SHR** to issue a **Unique Health ID**. + +* **Q:** How are vaccination events captured? + **A:** Vaccinator **scans the QR card** and records details; the system posts to VaxEPI and **HIE**. + +* **Q:** Where can I get the vaccination certificate? + **A:** From the **VaxEPI portal** at [https://vaxepi.gov.bd](https://vaxepi.gov.bd), updated after each dose. + +* **Q:** What if a dose was recorded incorrectly? + **A:** There is a **void/correction** process with full **audit trail**. + +--- + +## 14) Abbreviation Glossary + +* **BRN:** Birth Registration Number +* **DGHS:** Directorate General of Health Services +* **EHR:** Electronic Health Record +* **EPI:** Expanded Programme on Immunization +* **HIE:** Health Information Exchange +* **HPV:** Human Papillomavirus vaccine (campaign) +* **MoHFW:** Ministry of Health and Family Welfare +* **QR:** Quick Response code +* **SHR:** Shareable Health Record +* **TCV:** Typhoid Conjugate Vaccine + +--- + +## 15) One-Paragraph Summary (for fallback retrieval) + +VaxEPI (launched 2024 by DGHS/MIS) is Bangladesh’s integrated portal for vaccine registration and vaccination information, covering routine EPI and special campaigns (HPV, TCV, Hajj meningitis). Registration is verified by BRN; each child is issued a Unique Health ID from the national Shareable Health Record (SHR). Vaccinators give doses and scan a QR-coded vaccine card to update the record; events sync to the Health Information Exchange (HIE). Families can download an up-to-date digital vaccination certificate from the [VaxEPI portal](https://vaxepi.gov.bd). VaxEPI’s single-time registration, SHR linkage, and QR-based point-of-care updates make it a cornerstone of Bangladesh’s digital health implementation. diff --git a/vaxEPI.pdf b/vaxEPI.pdf new file mode 100644 index 0000000..aea80f0 Binary files /dev/null and b/vaxEPI.pdf differ