{ "resourceType" : "Measure", "id" : "IMMZIND22", "meta" : { "profile" : ["http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Measure

Resource Measure "IMMZIND22"

Profile: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm

url: http://fhir.org/guides/who/smart-immunization/Measure/IMMZIND22

version: 0.1.0

name: IMMZIND22

title: IMMZ.IND.22 Immunization coverage for seasonal influenza (Estimated Denominator)

status: draft

date: 2022-05-12 15:36:34-0400

publisher: World Health Organization (WHO)

description: Compares the administered doses of seasonal influenza vaccines with country defined target population (at risk) expressed as a percentage

jurisdiction: Global (Whole world) (m49.htm#001)

library: IMMZIND22

scoring: Proportion (MeasureScoring#proportion)

type: Process (MeasureType#process)

improvementNotation: Increased score indicates improvement (MeasureImprovementNotation#increase)

group

id

IMMZIND22

population

id

measure-population

code: Measure Population (MeasurePopulationType#measure-population)

description: Number of administrations of seasonal influenza vaccines during reporting period.

Criteria

-LanguageExpression
*text/cqlmeasure-population

stratifier

id

age-group-stratifier

Criteria

-LanguageExpression
*text/cqlAge Group Stratifier

stratifier

id

geographic-region-stratifier

Criteria

-LanguageExpression
*text/cqlGeographic Region Stratifier

stratifier

id

gender-stratifier

Criteria

-LanguageExpression
*text/cqlGender Stratifier
" }, "contained" : [{ "resourceType" : "Library", "id" : "effective-data-requirements", "extension" : [{ "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode", "valueCoding" : { "system" : "http://hl7.org/fhir/administrative-gender", "code" : "male", "display" : "Males" } }, { "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode", "valueCoding" : { "system" : "http://hl7.org/fhir/administrative-gender", "code" : "female", "display" : "Females" } }, { "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode", "valueCoding" : { "system" : "http://hl7.org/fhir/administrative-gender", "code" : "other", "display" : "Other/NA" } }, { "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode", "valueCoding" : { "system" : "http://ohie.org/CodeSystem/iso-8601-derived-periods", "code" : "P0Y--P1Y", "display" : "< 1 year" } }, { "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode", "valueCoding" : { "system" : "http://ohie.org/CodeSystem/iso-8601-derived-periods", "code" : "P1Y--P15Y", "display" : "1 year - 15 years" } }, { "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode", "valueCoding" : { "system" : "http://ohie.org/CodeSystem/iso-8601-derived-periods", "code" : "P15Y--P60Y", "display" : "15 years - 60 years" } }, { "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode", "valueCoding" : { "system" : "http://ohie.org/CodeSystem/iso-8601-derived-periods", "code" : "P60Y--P9999Y", "display" : "> 60 years" } }, { "extension" : [{ "url" : "libraryName", "valueString" : "IMMZIndicatorCommon" }, { "url" : "name", "valueString" : "By Administrative Gender Stratifier" }, { "url" : "statement", "valueString" : "/**\n * By Administrative Gender of Patient Stratifier\n */\ndefine \"By Administrative Gender Stratifier\":\n case \n when Patient.gender = 'male' then \"Males\"\n when Patient.gender = 'female' then \"Females\"\n else \"Other\"\n end" }, { "url" : "displaySequence", "valueInteger" : 0 }], "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "IMMZIND22" }, { "url" : "name", "valueString" : "Gender Stratifier" }, { "url" : "statement", "valueString" : "/*\n * Disaggregator: Gender\n */\ndefine \"Gender Stratifier\":\n\tIMMZIndCom.\"By Administrative Gender Stratifier\"" }, { "url" : "displaySequence", "valueInteger" : 1 }], "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "IMMZCommon" }, { "url" : "name", "valueString" : "Doses Administered to Patient" }, { "url" : "statement", "valueString" : "/**\n * @dataElement All Doses Administered to Patient to patient ordered newest to oldest\n */\ndefine \"Doses Administered to Patient\":\n [Immunization] I\n where I.status = 'completed'\n sort by date from (occurrence as FHIR.dateTime) desc" }, { "url" : "displaySequence", "valueInteger" : 2 }], "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "IMMZCommon" }, { "url" : "name", "valueString" : "Seasonal Influenza Doses Administered to Patient" }, { "url" : "statement", "valueString" : "/**\n * @dataElement Seasonal Influenza containing doses administered\n */\ndefine \"Seasonal Influenza Doses Administered to Patient\":\n \"Doses Administered to Patient\" I\n where\n I.vaccineCode in IMMZc.\"Seasonal Influenza Vaccine\"" }, { "url" : "displaySequence", "valueInteger" : 3 }], "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "IMMZIndicatorCommon" }, { "url" : "name", "valueString" : "Seasonal Influenza Doses Administered to Patient During Reporting Period" }, { "url" : "statement", "valueString" : "define \"Seasonal Influenza Doses Administered to Patient During Reporting Period\":\n IMMZCom.\"Seasonal Influenza Doses Administered to Patient\" I \n where IMMZCom.ToDate(I.occurrence) during \"Measurement Period\"" }, { "url" : "displaySequence", "valueInteger" : 4 }], "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "IMMZIND22" }, { "url" : "name", "valueString" : "measure-population" }, { "url" : "statement", "valueString" : "/*\n * Numerator: Number of administrations of seasonal influenza vaccines during reporting period.\n * Numerator Computation: COUNT immunization events WHERE administered product is a seasonal influenza vaccine (IMMZ.A1.DE18) during reporting period.\n */\ndefine \"measure-population\":\n\tIMMZIndCom.\"Seasonal Influenza Doses Administered to Patient During Reporting Period\"" }, { "url" : "displaySequence", "valueInteger" : 5 }], "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "IMMZIndicatorCommon" }, { "url" : "name", "valueString" : "Seasonal Influenza By Age Stratifier" }, { "url" : "statement", "valueString" : "/** \n * Seasonal Influenza age disaggregators\n */\ndefine \"Seasonal Influenza By Age Stratifier\":\n case \n when AgeInYearsAt(start of \"Measurement Period\") < 1 then \"P0Y--P1Y\"\n when AgeInYearsAt(start of \"Measurement Period\") < 15 then \"P1Y--P15Y\"\n when AgeInYearsAt(start of \"Measurement Period\") < 60 then \"P15Y--P60Y\"\n when AgeInYearsAt(start of \"Measurement Period\") >= 60 then \"P60Y--P9999Y\"\n else null\n end" }, { "url" : "displaySequence", "valueInteger" : 6 }], "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "IMMZIND22" }, { "url" : "name", "valueString" : "Age Group Stratifier" }, { "url" : "statement", "valueString" : "/*\n * Disaggregator: Age Group (< 1 year, < 15 year, > 60 year)\n */\ndefine \"Age Group Stratifier\":\n\tIMMZIndCom.\"Seasonal Influenza By Age Stratifier\"" }, { "url" : "displaySequence", "valueInteger" : 7 }], "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "IMMZIndicatorCommon" }, { "url" : "name", "valueString" : "By Geographic Region Stratifier" }, { "url" : "statement", "valueString" : "/**\n * By Administrative Gender of Patient Stratifier\n */\ndefine \"By Geographic Region Stratifier\":\n First(Patient.address A where A.use in { 'home' }).state" }, { "url" : "displaySequence", "valueInteger" : 8 }], "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "IMMZIND22" }, { "url" : "name", "valueString" : "Geographic Region Stratifier" }, { "url" : "statement", "valueString" : "// todo: fill in logic\n\n/*\n * Disaggregator: Geographic Region\n */\ndefine \"Geographic Region Stratifier\":\n\tIMMZIndCom.\"By Geographic Region Stratifier\"" }, { "url" : "displaySequence", "valueInteger" : 9 }], "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" }], "status" : "active", "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/library-type", "code" : "module-definition" }] }, "relatedArtifact" : [{ "type" : "depends-on", "display" : "Library IMMZIndCom", "resource" : "http://fhir.org/guides/who/smart-immunization/Library/IMMZIndicatorCommon" }, { "type" : "depends-on", "display" : "Library FHIRHelpers", "resource" : "http://fhir.org/guides/who/smart-immunization/Library/FHIRHelpers|4.0.1" }, { "type" : "depends-on", "display" : "Library IMMZCom", "resource" : "http://fhir.org/guides/who/smart-immunization/Library/IMMZCommon" }, { "type" : "depends-on", "display" : "Library IMMZc", "resource" : "http://fhir.org/guides/who/smart-immunization/Library/IMMZConcepts" }, { "type" : "depends-on", "display" : "Code system Administrative Gender Codes", "resource" : "http://hl7.org/fhir/administrative-gender" }, { "type" : "depends-on", "display" : "Code system ISO-8601-Derived Periods", "resource" : "http://ohie.org/CodeSystem/iso-8601-derived-periods" }, { "type" : "depends-on", "display" : "Value set Seasonal Influenza Vaccine", "resource" : "http://fhir.org/guides/who/smart-immunization/ValueSet/IMMZ.A1.DE18" }], "parameter" : [{ "name" : "Measurement Period", "use" : "in", "min" : 0, "max" : "1", "type" : "Period" }, { "name" : "Gender Stratifier", "use" : "out", "min" : 0, "max" : "1", "type" : "Coding" }, { "name" : "measure-population", "use" : "out", "min" : 0, "max" : "*", "type" : "Immunization" }, { "name" : "Age Group Stratifier", "use" : "out", "min" : 0, "max" : "1", "type" : "Coding" }, { "name" : "Geographic Region Stratifier", "use" : "out", "min" : 0, "max" : "1", "type" : "string" }], "dataRequirement" : [{ "type" : "Patient", "profile" : ["http://hl7.org/fhir/StructureDefinition/Patient"], "mustSupport" : ["use"] }, { "type" : "Immunization", "profile" : ["http://hl7.org/fhir/StructureDefinition/Immunization"], "mustSupport" : ["status", "vaccineCode", "occurrence"] }] }], "extension" : [{ "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-softwaresystem", "valueReference" : { "reference" : "Device/cqf-tooling" } }, { "id" : "effective-data-requirements", "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-effectiveDataRequirements", "valueReference" : { "reference" : "#effective-data-requirements" } }], "url" : "http://fhir.org/guides/who/smart-immunization/Measure/IMMZIND22", "version" : "0.1.0", "name" : "IMMZIND22", "title" : "IMMZ.IND.22 Immunization coverage for seasonal influenza (Estimated Denominator)", "status" : "draft", "date" : "2022-05-12T15:36:34.996-04:00", "publisher" : "World Health Organization (WHO)", "description" : "Compares the administered doses of seasonal influenza vaccines with country defined target population (at risk) expressed as a percentage", "jurisdiction" : [{ "coding" : [{ "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm", "code" : "001" }] }], "library" : ["http://fhir.org/guides/who/smart-immunization/Library/IMMZIND22"], "scoring" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/measure-scoring", "code" : "proportion" }] }, "type" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/measure-type", "code" : "process" }] }], "improvementNotation" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/measure-improvement-notation", "code" : "increase" }] }, "group" : [{ "id" : "IMMZIND22", "population" : [{ "id" : "measure-population", "code" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/measure-population", "code" : "measure-population" }] }, "description" : "Number of administrations of seasonal influenza vaccines during reporting period.", "criteria" : { "language" : "text/cql", "expression" : "measure-population" } }], "stratifier" : [{ "id" : "age-group-stratifier", "criteria" : { "language" : "text/cql", "expression" : "Age Group Stratifier" } }, { "id" : "geographic-region-stratifier", "criteria" : { "language" : "text/cql", "expression" : "Geographic Region Stratifier" } }, { "id" : "gender-stratifier", "criteria" : { "language" : "text/cql", "expression" : "Gender Stratifier" } }] }] }