WHO Immunization Implementation Guide
0.1.0 - CI Build International flag

WHO Immunization Implementation Guide, published by World Health Organization (WHO). This is not an authorized publication; it is the continuous build for version 0.1.0). This version is based on the current content of https://github.com/WorldHealthOrganization/smart-immunizations and changes regularly. See the Directory of published versions

Library: IMMZIND02

Official URL: http://fhir.org/guides/who/smart-immunization/Library/IMMZIND02 Version: 0.1.0
Draft as of 2023-04-13 Computable Name: IMMZIND02

Related Artifacts

depends-onFHIR model informationhttp://fhir.org/guides/cqf/common/Library/FHIR-ModelInfo|4.0.1
depends-onLibrary FHIRHelpershttp://fhir.org/guides/who/smart-immunization/Library/FHIRHelpers|4.0.1
depends-onLibrary IMMZComIMMZCommon
depends-onLibrary IMMZcIMMZConcepts
depends-onLibrary IMMZConIMMZConfig
depends-onLibrary IMMZIndComIMMZIndicatorCommon
depends-onLibrary IMMZvlIMMZVaccineLibrary
depends-onCode system ISO-8601-Derived Periodshttp://ohie.org/CodeSystem/iso-8601-derived-periods
depends-onCode system Administrative Gender CodesAdministrativeGender
depends-onValue set DTP Vaccinehttp://fhir.org/guides/who/smart-immunization/ValueSet/IMMZ.A1.DE24

Parameters

Measurement Periodin01Period
Patientout01Patient
measure-populationout01boolean
Dose Sequence Stratifierout0*Resource
Age Group Stratifierout01Coding
Geographic Region Stratifierout01string
Administrative Gender Stratifierout01Coding

Data Requirements

Type: Patient (Patient)
Type: Immunization (Immunization)

Contents

text/cql

/*
 * Library: IMMZ.IND.02
 * Immunization coverage for DTP containing vaccines (Estimated Denominator) 
 * Compares the administered doses of a DTP containing vaccine with the estimated number of surviving infants as a percentage.
 * 
 * Numerator: Number of administrations of vaccinations containing a Diphtheria, Tetanus, and Pertussis component during the reporting period 
 * Numerator Computation: COUNT immunization events WHERE administered product is a DTP vaccine (IMMZ.A1.DE24)  during reporting period
 * Denominator: Estimated number of surviving infants.
 * Denominator Computation: PARAMETER surviving number of infants
 * 
 * Disaggregation:
 *   - Dose Sequence (1, 2, 3)
 *   - Age Group (< 1 year or >1 year)
 *   - Geographic Region
 *   - Administrative Gender (or Biological Sex)
 * 
 * References: WHO Immunization Facility Analysis Guide (1), WHO / UNICEF Joint Reporting Form (3 - element 4040, 4050)
 */

library IMMZIND02

// Start Skeleton CQL
using FHIR version '4.0.1'
include FHIRHelpers version '4.0.1'
include IMMZCommon called IMMZCom
include IMMZConcepts called IMMZc
include IMMZConfig called IMMZCon
include IMMZIndicatorCommon called IMMZIndCom
include IMMZVaccineLibrary called IMMZvl
// End Skeleton CQL
parameter "Measurement Period" Interval<Date> default Interval[@2022-01-01, @2022-01-31]
// TODO: This denominator may not be possible to compute using CQL since
// 		  the numerator and denominator are indicators of whether a patient should
//		  or should not appear in the numerator or denominator respectively. Since
//		  this is not possible on estimates from census, we may need to only
//	 	  produce the numerator in the indicator with instructions that the denominator
//		  will have to be applied manually (i.e. change numerator to measure-population)
//parameter "Estimated Number of Surviving Infants" Integer default 10
context Patient

/*
 * Numerator: Number of administrations of vaccinations containing a Diphtheria, Tetanus, and Pertussis component during the reporting period
 * Numerator Computation: COUNT immunization events WHERE administered product is a DTP vaccine (IMMZ.A1.DE24)  during reporting period
 */
define "measure-population":
	exists(IMMZIndCom."DTP Doses Administered to Patient During Measurement Period")

/*
 * Disaggregator: Dose Sequence (1, 2, 3)
 */
define "Dose Sequence Stratifier":
	IMMZIndCom."DTP Doses Administered to Patient During Measurement Period" I
	return (singleton from I.protocolApplied).doseNumber

/*
 * Disaggregator: Age Group (< 1 year or >1 year)
 */
define "Age Group  Stratifier":
	IMMZIndCom."Infant By Age Stratifier"
/*
 * Disaggregator: Geographic Region
 */
define "Geographic Region Stratifier":
	    IMMZIndCom."By Geographic Region Stratifier"

/*
 * Disaggregator: Administrative Gender (or Biological Sex)
 */
define "Administrative Gender Stratifier":
	IMMZIndCom."By Administrative Gender Stratifier"

/* End of IMMZ.IND.02 */

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