WHO Immunization Implementation Guide
0.1.0 - CI Build
WHO Immunization Implementation Guide
0.1.0 - CI Build
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
| Draft as of 2022-05-12 |
<Measure xmlns="http://hl7.org/fhir">
<id value="IMMZIND24"/>
<meta>
<profile
value="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Measure</b><a name="IMMZIND24"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource Measure "IMMZIND24" </p><p style="margin-bottom: 0px">Profile: <code>http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm</code></p></div><p><b>url</b>: <code>http://fhir.org/guides/who/smart-immunization/Measure/IMMZIND24</code></p><p><b>version</b>: 0.1.0</p><p><b>name</b>: IMMZIND24</p><p><b>title</b>: IMMZ.IND.24 Dropout Rate of BCG to MCV1 (Target / Reported Cohort)</p><p><b>status</b>: draft</p><p><b>date</b>: 2022-05-12 15:36:35-0400</p><p><b>publisher</b>: World Health Organization (WHO)</p><p><b>description</b>: Indicates the aggregate dropout rate of children which have begun vaccination (at birth, BCG if given) with aggregate administration of measles containing vaccines.
The indicator compares the number of administration of BCG minus the number of administration of MCV1 divided by the number of BCG vaccinations (BCG - MCV1 / BCG)</p><p><b>jurisdiction</b>: Global (Whole world) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (m49.htm#001)</span></p><p><b>library</b>: <a href="Library-IMMZIND24.html">IMMZIND24</a></p><p><b>scoring</b>: Proportion <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.0.0/CodeSystem-measure-scoring.html">MeasureScoring</a>#proportion)</span></p><p><b>type</b>: Process <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.0.0/CodeSystem-measure-type.html">MeasureType</a>#process)</span></p><p><b>improvementNotation</b>: Decreased score indicates improvement <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.0.0/CodeSystem-measure-improvement-notation.html">MeasureImprovementNotation</a>#decrease)</span></p><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>IMMZIND24</blockquote><blockquote><p><b>population</b></p><blockquote><p><b>id</b></p>numerator</blockquote><p><b>code</b>: Numerator <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.0.0/CodeSystem-measure-population.html">MeasurePopulationType</a>#numerator)</span></p><p><b>description</b>: The number of doses of MCV1 administered during reporting period minus the number of BCG doses administered during reporting period</p><h3>Criteria</h3><table class="grid"><tr><td>-</td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td>*</td><td>text/cql</td><td>numerator</td></tr></table></blockquote><blockquote><p><b>population</b></p><blockquote><p><b>id</b></p>numerator-exclusion</blockquote><p><b>code</b>: Numerator Exclusion <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.0.0/CodeSystem-measure-population.html">MeasurePopulationType</a>#numerator-exclusion)</span></p><p><b>description</b>: The number of doses of MCV1 administered during reporting period minus the number of BCG doses administered during reporting period</p><h3>Criteria</h3><table class="grid"><tr><td>-</td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td>*</td><td>text/cql</td><td>numerator-exclusion</td></tr></table></blockquote><blockquote><p><b>population</b></p><blockquote><p><b>id</b></p>denominator</blockquote><p><b>code</b>: Denominator <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.0.0/CodeSystem-measure-population.html">MeasurePopulationType</a>#denominator)</span></p><p><b>description</b>: Number of doses of BCG administered during reporting period.</p><h3>Criteria</h3><table class="grid"><tr><td>-</td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td>*</td><td>text/cql</td><td>denominator</td></tr></table></blockquote><blockquote><p><b>stratifier</b></p><blockquote><p><b>id</b></p>geographic-region-stratifier</blockquote><h3>Criteria</h3><table class="grid"><tr><td>-</td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td>*</td><td>text/cql</td><td>Geographic Region Stratifier</td></tr></table></blockquote></blockquote></div>
</text>
<contained>
<Library>
<id value="effective-data-requirements"/>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZCommon"/>
</extension>
<extension url="name">
<valueString value="Doses Administered to Patient"/>
</extension>
<extension url="statement">
<valueString
value="/**
* @dataElement All Doses Administered to Patient to patient ordered newest to oldest
*/
define "Doses Administered to Patient":
[Immunization] I
where I.status = 'completed'
sort by date from (occurrence as FHIR.dateTime) desc"/>
</extension>
<extension url="displaySequence">
<valueInteger value="0"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZCommon"/>
</extension>
<extension url="name">
<valueString value="MCV Doses Administered to Patient"/>
</extension>
<extension url="statement">
<valueString
value="/**
* @dataElement MCV containing Doses Administered to Patient
*/
define "MCV Doses Administered to Patient":
"Doses Administered to Patient" I
where
I.vaccineCode in IMMZc."MCV Vaccine""/>
</extension>
<extension url="displaySequence">
<valueInteger value="1"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZIndicatorCommon"/>
</extension>
<extension url="name">
<valueString
value="MCV Doses Administered to Patient During Measurement Period"/>
</extension>
<extension url="statement">
<valueString
value="/**
* MCV Doses Administered to Patient
*/
define "MCV Doses Administered to Patient During Measurement Period":
IMMZCom."MCV Doses Administered to Patient" I
where IMMZCom.ToDate(I.occurrence) during "Measurement Period""/>
</extension>
<extension url="displaySequence">
<valueInteger value="2"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZIND24"/>
</extension>
<extension url="name">
<valueString value="numerator-exclusion"/>
</extension>
<extension url="statement">
<valueString
value="/**
* Exclusion for numerator
*/
define "numerator-exclusion":
exists(IMMZIndCom."MCV Doses Administered to Patient During Measurement Period" I where (singleton from I.protocolApplied).doseNumber = 1)"/>
</extension>
<extension url="displaySequence">
<valueInteger value="3"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZIndicatorCommon"/>
</extension>
<extension url="name">
<valueString value="By Geographic Region Stratifier"/>
</extension>
<extension url="statement">
<valueString
value="/**
* By Administrative Gender of Patient Stratifier
*/
define "By Geographic Region Stratifier":
First(Patient.address A where A.use in { 'home' }).state"/>
</extension>
<extension url="displaySequence">
<valueInteger value="4"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZIND24"/>
</extension>
<extension url="name">
<valueString value="Geographic Region Stratifier"/>
</extension>
<extension url="statement">
<valueString
value="/*
* Disaggregator: Geographic Region
*/
define "Geographic Region Stratifier":
IMMZIndCom."By Geographic Region Stratifier""/>
</extension>
<extension url="displaySequence">
<valueInteger value="5"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZCommon"/>
</extension>
<extension url="name">
<valueString value="BCG Doses Administered to Patient"/>
</extension>
<extension url="statement">
<valueString
value="/**
* @dataElement BCG Doses Administered to Patient
*/
define "BCG Doses Administered to Patient":
"Doses Administered to Patient" I
where
I.vaccineCode in IMMZc."BCG Vaccine""/>
</extension>
<extension url="displaySequence">
<valueInteger value="6"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZIndicatorCommon"/>
</extension>
<extension url="name">
<valueString
value="BCG Doses Administered to Patient During Measurement Period"/>
</extension>
<extension url="statement">
<valueString
value="/*
* BCG Doses administered to the patient during the measurement period
*/
define "BCG Doses Administered to Patient During Measurement Period":
IMMZCom."BCG Doses Administered to Patient" I
where IMMZCom.ToDate(I.occurrence) during "Measurement Period""/>
</extension>
<extension url="displaySequence">
<valueInteger value="7"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZIND24"/>
</extension>
<extension url="name">
<valueString value="numerator"/>
</extension>
<extension url="statement">
<valueString
value="/*
* Numerator: The number of doses of MCV1 administered during reporting period minus the number of BCG doses administered during reporting period
* Numerator Computation: COUNT immunization events WHERE administered product is BCG (IMMZ.A1.DE1) during reporting period
SUBTRACT
COUNT immunization events WHERE administered product is measles containing vaccine (IMMZ.A1.DE9) AND dose sequence is 1 during reporting period
*/
define "numerator":
exists(IMMZIndCom."BCG Doses Administered to Patient During Measurement Period")"/>
</extension>
<extension url="displaySequence">
<valueInteger value="8"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZIND24"/>
</extension>
<extension url="name">
<valueString value="denominator"/>
</extension>
<extension url="statement">
<valueString
value="/*
* 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."BCG Doses Administered to Patient During Measurement Period")"/>
</extension>
<extension url="displaySequence">
<valueInteger value="9"/>
</extension>
</extension>
<status value="active"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/library-type"/>
<code value="module-definition"/>
</coding>
</type>
<relatedArtifact>
<type value="depends-on"/>
<display value="Library IMMZIndCom"/>
<resource
value="http://fhir.org/guides/who/smart-immunization/Library/IMMZIndicatorCommon"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Library IMMZCom"/>
<resource
value="http://fhir.org/guides/who/smart-immunization/Library/IMMZCommon"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Library FHIRHelpers"/>
<resource
value="http://fhir.org/guides/who/smart-immunization/Library/FHIRHelpers|4.0.1"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Library IMMZc"/>
<resource
value="http://fhir.org/guides/who/smart-immunization/Library/IMMZConcepts"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Value set MCV Vaccine"/>
<resource
value="http://fhir.org/guides/who/smart-immunization/ValueSet/IMMZ.A1.DE9"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Value set BCG Vaccine"/>
<resource
value="http://fhir.org/guides/who/smart-immunization/ValueSet/IMMZ.A1.DE1"/>
</relatedArtifact>
<parameter>
<name value="Measurement Period"/>
<use value="in"/>
<min value="0"/>
<max value="1"/>
<type value="Period"/>
</parameter>
<parameter>
<name value="numerator-exclusion"/>
<use value="out"/>
<min value="0"/>
<max value="1"/>
<type value="boolean"/>
</parameter>
<parameter>
<name value="Geographic Region Stratifier"/>
<use value="out"/>
<min value="0"/>
<max value="1"/>
<type value="string"/>
</parameter>
<parameter>
<name value="numerator"/>
<use value="out"/>
<min value="0"/>
<max value="1"/>
<type value="boolean"/>
</parameter>
<parameter>
<name value="denominator"/>
<use value="out"/>
<min value="0"/>
<max value="1"/>
<type value="boolean"/>
</parameter>
<dataRequirement>
<type value="Immunization"/>
<profile
value="http://hl7.org/fhir/StructureDefinition/Immunization"/>
<mustSupport value="status"/>
<mustSupport value="vaccineCode"/>
<mustSupport value="occurrence"/>
<mustSupport value="protocolApplied"/>
<mustSupport value="protocolApplied.doseNumber"/>
</dataRequirement>
<dataRequirement>
<type value="Patient"/>
<profile value="http://hl7.org/fhir/StructureDefinition/Patient"/>
<mustSupport value="use"/>
</dataRequirement>
</Library>
</contained>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-softwaresystem">
<valueReference>
<reference value="Device/cqf-tooling"/>
</valueReference>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-effectiveDataRequirements" id="effective-data-requirements">
<valueReference>
<reference value="#effective-data-requirements"/>
</valueReference>
</extension>
<url
value="http://fhir.org/guides/who/smart-immunization/Measure/IMMZIND24"/>
<version value="0.1.0"/>
<name value="IMMZIND24"/>
<title
value="IMMZ.IND.24 Dropout Rate of BCG to MCV1 (Target / Reported Cohort)"/>
<status value="draft"/>
<date value="2022-05-12T15:36:35.002-04:00"/>
<publisher value="World Health Organization (WHO)"/>
<description
value="Indicates the aggregate dropout rate of children which have begun vaccination (at birth, BCG if given) with aggregate administration of measles containing vaccines.
The indicator compares the number of administration of BCG minus the number of administration of MCV1 divided by the number of BCG vaccinations (BCG - MCV1 / BCG)"/>
<jurisdiction>
<coding>
<system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
<code value="001"/>
</coding>
</jurisdiction>
<library
value="http://fhir.org/guides/who/smart-immunization/Library/IMMZIND24"/>
<scoring>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/measure-scoring"/>
<code value="proportion"/>
</coding>
</scoring>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/measure-type"/>
<code value="process"/>
</coding>
</type>
<improvementNotation>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-improvement-notation"/>
<code value="decrease"/>
</coding>
</improvementNotation>
<group id="IMMZIND24">
<population id="numerator">
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="numerator"/>
</coding>
</code>
<description
value="The number of doses of MCV1 administered during reporting period minus the number of BCG doses administered during reporting period"/>
<criteria>
<language value="text/cql"/>
<expression value="numerator"/>
</criteria>
</population>
<population id="numerator-exclusion">
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="numerator-exclusion"/>
</coding>
</code>
<description
value="The number of doses of MCV1 administered during reporting period minus the number of BCG doses administered during reporting period"/>
<criteria>
<language value="text/cql"/>
<expression value="numerator-exclusion"/>
</criteria>
</population>
<population id="denominator">
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="denominator"/>
</coding>
</code>
<description
value="Number of doses of BCG administered during reporting period."/>
<criteria>
<language value="text/cql"/>
<expression value="denominator"/>
</criteria>
</population>
<stratifier id="geographic-region-stratifier">
<criteria>
<language value="text/cql"/>
<expression value="Geographic Region Stratifier"/>
</criteria>
</stratifier>
</group>
</Measure>
IG © 2021+ World Health Organization (WHO). Package who.fhir.immunization#0.1.0 based on FHIR 4.0.1. Generated 2023-04-13
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