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: IMMZIND43

Official URL: http://fhir.org/guides/who/smart-immunization/Library/IMMZIND43 Version: 0.1.0
Draft as of 2023-04-13 Computable Name: IMMZIND43

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 ISO-8601-Derived Periodshttp://ohie.org/CodeSystem/iso-8601-derived-periods
depends-onCode system Administrative Gender CodesAdministrativeGender
depends-onValue set Varicella Vaccinehttp://fhir.org/guides/who/smart-immunization/ValueSet/IMMZ.A1.DE22

Parameters

Measurement Periodin01Period
Patientout01Patient
numeratorout01boolean
denominatorout01boolean
Dose Sequence Stratifierout0*Resource
Age Group Stratifierout01Coding
Geographic Region Stratifierout01string
Gender Stratifierout01Coding

Data Requirements

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

Contents

text/cql

/*
 * Library: IMMZ.IND.43
 * Immunization coverage for Varicella vaccinations (Computed Denominator) 
 * Compares the administered doses of varicella containing vaccine with the number of immunization recommendations for varicella vaccines expressed as a percentage.
 * 
 * Numerator: Number of administrations of vaccines containing a varicella component during reporting period 
 * Numerator Computation: COUNT immunization events WHERE administered product is a Varicella vaccine (IMMZ.A1.DE.22) during reporting period
 * Denominator: Number of immunization recommendations for varicella vaccines due during reporting period.
 * Denominator Computation: COUNT immunization recommendation WHERE recommended product is varicella vaccine (IMMZ.A1.DE22) AND due date during reporting period.
 * 
 * Disaggregation:
 *   - Dose Sequence (1, 2)
 *   - Age Group (< 12 months, 12 - 18 months, 18 - 36 months, 36 months - 12 years, > 12 years)
 *   - Geographic Region
 *   - Gender
 * 
 * References: WHO Immunization Facility Analysis Guide (1)
 */

library IMMZIND43

// 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: Number of administrations of vaccines containing a varicella component during reporting period
 * Numerator Computation: COUNT immunization events WHERE administered product is a Varicella vaccine (IMMZ.A1.DE.22) during reporting period
 */
define "numerator":
		exists(IMMZIndCom."Varicella Doses Administered to Patient During Measurement Period") // TODO: Write logic here 

/*
 * Denominator: Number of immunization recommendations for varicella vaccines due during reporting period.
 * Denominator Computation: COUNT immunization recommendation WHERE recommended product is varicella vaccine (IMMZ.A1.DE22) AND due date during reporting period.
 * TODO: Should we use recommendation here (like HPV) to allow CDSS to define the "cohort" or should cohort just be anyone under 12?
 */
define "denominator":
	exists(IMMZIndCom."Varicella Doses Recommended During Reporting Period")

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

/*
 * Disaggregator: Age Group (< 12 months, 12 - 18 months, 18 - 36 months, 36 months - 12 years, > 12 years)
 */
define "Age Group Stratifier":
	IMMZIndCom."Varicella By Age Stratifier"

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

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

/* End of IMMZ.IND.43 */

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