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: IMMZIND25

Official URL: http://fhir.org/guides/who/smart-immunization/Library/IMMZIND25 Version: 0.1.0
Draft as of 2023-04-13 Computable Name: IMMZIND25

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-onLibrary FCFHIRCommon
depends-onCode system Administrative Gender CodesAdministrativeGender
depends-onValue set MCV Vaccinehttp://fhir.org/guides/who/smart-immunization/ValueSet/IMMZ.A1.DE9

Parameters

Measurement Periodin01Period
Patientout01Patient
numeratorout01boolean
numerator-exclusionout01boolean
denominatorout01boolean
Geographic Region Stratifierout01string
Gender Stratifierout01Coding

Data Requirements

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

Contents

text/cql

/*
 * Library: IMMZ.IND.25
 * Dropout Rate of MCV1 to MCV2 (Target / Reported Cohort) 
 * Indicates the aggregate dropout rate of children which began vaccination of measles containing vaccines (MCV1) with the aggregate administration of the second dose (MCV2).

The indicator compares the number of administrations of MCV dose 1 minus the number of administration of MCV2 divided by the number of MCV1 vaccinations (MCV1 - MCV2 / MCV1)
 * 
 * Numerator: The number of first doses of measles containing vaccine administered during reporting period minus the number of last doses of measles containing vaccine during the report period 
 * Numerator Computation: COUNT immunization events WHERE administered product is measles containing vaccine (IMMZ.A1.DE9) AND dose sequence is 1  during reporting period
SUBTRACT 
COUNT immunization events WHERE administered product is measles containing vaccine (IMMZ.A1.DE9) AND dose sequence is 3 during reporting period
 * Denominator: Number of first doses of measles containing vaccine administered during the reporting period.
 * Denominator Computation: COUNT immunization events WHERE administered product is a measles containing vaccine (IMMZ.A1.DE9) AND dose sequence is 1  during reporting period
 * 
 * Disaggregation:
 *   - Geographic Region
 * 
 * References: WHO Immunization Facility Analysis Guide (1)
 */

library IMMZIND25

// 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
include FHIRCommon called FC
// End Skeleton CQL
parameter "Measurement Period" Interval<Date>

context Patient

/*
 * Numerator: The number of first doses of measles containing vaccine administered during reporting period minus the number of last doses of measles containing vaccine during the report period
 * Numerator Computation: COUNT immunization events WHERE administered product is measles containing vaccine (IMMZ.A1.DE9) AND dose sequence is 1  during reporting period
SUBTRACT 
COUNT immunization events WHERE administered product is measles containing vaccine (IMMZ.A1.DE9) AND dose sequence is 3 during reporting period
 */
define "numerator":
	exists(IMMZIndCom."MCV Doses Administered to Patient During Measurement Period" I where (singleton from I.protocolApplied).doseNumber = 1)
	

/** 
 * Exclusion for numerator
 */
define "numerator-exclusion":
	exists(IMMZIndCom."MCV Doses Administered to Patient During Measurement Period" I where (singleton from I.protocolApplied).doseNumber = 2)


/*
 * Denominator: Number of doses of BCG administered during reporting period.
 * Denominator Computation: COUNT immunization events WHERE administered product is BCG (IMMZ.A1.DE1)  during reporting period
 */
define "denominator":
	exists(IMMZIndCom."MCV Doses Administered to Patient During Measurement Period" I where (singleton from I.protocolApplied).doseNumber = 1)

/*
 * Disaggregator: Geographic Region
 */
define "Geographic Region Stratifier":
	IMMZIndCom."By Geographic Region Stratifier"

/*
 * Disaggregator: Gender
 */
define "Gender Stratifier":
	IMMZIndCom."By Administrative Gender Stratifier"
/* End of IMMZ.IND.25 */

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