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="IMMZIND37"/>
<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="IMMZIND37"> </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 "IMMZIND37" </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/IMMZIND37</code></p><p><b>version</b>: 0.1.0</p><p><b>name</b>: IMMZIND37</p><p><b>title</b>: IMMZ.IND.37 Immunization coverage for HPV (Computed Denominator)</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>: Compares the administered doses of HPV vaccines with the number of patients which have an immunization recommendation for HPV vaccine</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-IMMZIND37.html">IMMZIND37</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>: Increased 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>#increase)</span></p><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>IMMZIND37</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>: Number of administrations of vaccines containing an HPV component 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>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 immunization recommendations for HPV vaccine 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>dose-sequence-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>Dose Sequence Stratifier</td></tr></table></blockquote><blockquote><p><b>stratifier</b></p><blockquote><p><b>id</b></p>age-group-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>Age Group Stratifier</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><p><b>stratifier</b></p><blockquote><p><b>id</b></p>gender-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>Gender 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-directReferenceCode">
<valueCoding>
<system value="http://hl7.org/fhir/administrative-gender"/>
<code value="male"/>
<display value="Males"/>
</valueCoding>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode">
<valueCoding>
<system value="http://hl7.org/fhir/administrative-gender"/>
<code value="female"/>
<display value="Females"/>
</valueCoding>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode">
<valueCoding>
<system value="http://hl7.org/fhir/administrative-gender"/>
<code value="other"/>
<display value="Other/NA"/>
</valueCoding>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode">
<valueCoding>
<system
value="http://ohie.org/CodeSystem/iso-8601-derived-periods"/>
<code value="P0Y--P9Y"/>
<display value="< 9 years"/>
</valueCoding>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode">
<valueCoding>
<system
value="http://ohie.org/CodeSystem/iso-8601-derived-periods"/>
<code value="P9Y--P14Y"/>
<display value="9 - 14 years"/>
</valueCoding>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode">
<valueCoding>
<system
value="http://ohie.org/CodeSystem/iso-8601-derived-periods"/>
<code value="P15Y--P9999Y"/>
<display value="> 15 years"/>
</valueCoding>
</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 Administrative Gender Stratifier"/>
</extension>
<extension url="statement">
<valueString
value="/**
* By Administrative Gender of Patient Stratifier
*/
define "By Administrative Gender Stratifier":
case
when Patient.gender = 'male' then "Males"
when Patient.gender = 'female' then "Females"
else "Other"
end"/>
</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="IMMZIND37"/>
</extension>
<extension url="name">
<valueString value="Gender Stratifier"/>
</extension>
<extension url="statement">
<valueString
value="/*
* Disaggregator: Gender
*/
define "Gender Stratifier":
IMMZIndCom."By Administrative Gender Stratifier""/>
</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="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="2"/>
</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="HPV Doses Administered to Patient"/>
</extension>
<extension url="statement">
<valueString
value="/**
* @dataElement HPV containing Doses Administered to Patient
*/
define "HPV Doses Administered to Patient":
"Doses Administered to Patient" I
where
I.vaccineCode in IMMZc."HPV Vaccine""/>
</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="HPV Doses Administered to Patient During Measurement Period"/>
</extension>
<extension url="statement">
<valueString
value="/**
* HPV Doses Administered to Patient
*/
define "HPV Doses Administered to Patient During Measurement Period":
IMMZCom."HPV Doses Administered to Patient" I
where IMMZCom.ToDate(I.occurrence) during "Measurement Period""/>
</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="IMMZIND37"/>
</extension>
<extension url="name">
<valueString value="Dose Sequence Stratifier"/>
</extension>
<extension url="statement">
<valueString
value="/*
* Disaggregator: Dose Sequence (1, 2, 3)
*/
define "Dose Sequence Stratifier":
IMMZIndCom."HPV Doses Administered to Patient During Measurement Period" I
return (singleton from I.protocolApplied).doseNumber"/>
</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="IMMZIndicatorCommon"/>
</extension>
<extension url="name">
<valueString value="Adolescent By Age Stratifier"/>
</extension>
<extension url="statement">
<valueString
value="/**
* Toddler By Age Stratifiers
*/
define "Adolescent By Age Stratifier":
case
when AgeInYearsAt(start of "Measurement Period") < 9 then "P0Y--P9Y"
when AgeInYearsAt(start of "Measurement Period") <= 14 then "P9Y--P14Y"
when AgeInYearsAt(start of "Measurement Period") > 14 then "P15Y--P9999Y"
else null
end"/>
</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="IMMZIND37"/>
</extension>
<extension url="name">
<valueString value="Age Group Stratifier"/>
</extension>
<extension url="statement">
<valueString
value="/*
* Disaggregator: Age Group (<= 9 years, 9 - 14 years, >= 15 years)
*/
define "Age Group Stratifier":
IMMZIndCom."Adolescent By Age Stratifier""/>
</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="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="8"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZIND37"/>
</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="9"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZIND37"/>
</extension>
<extension url="name">
<valueString value="numerator"/>
</extension>
<extension url="statement">
<valueString
value="/*
* Numerator: Number of administrations of vaccines containing an HPV component during reporting period
* Numerator Computation: COUNT immunization events WHERE administered product is an HPV vaccine (IMMZ.A1.DE7) during reporting period
*/
define "numerator":
exists(IMMZIndCom."HPV Doses Administered to Patient During Measurement Period")"/>
</extension>
<extension url="displaySequence">
<valueInteger value="10"/>
</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="HPV Doses Recommended During Reporting Period"/>
</extension>
<extension url="statement">
<valueString
value="/**
* HPV Doses recommended during reporting period -
* This is used since the country should define the rules which recommend an HPV dose (age, sex, etc.)
*/
define "HPV Doses Recommended During Reporting Period":
[ImmunizationRecommendation] IR
where exists(IR.recommendation RC where exists(RC.dateCriterion DC where date from DC.value during "Measurement Period")
and RC.vaccineCode in IMMZc."HPV Vaccine")"/>
</extension>
<extension url="displaySequence">
<valueInteger value="11"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZIND37"/>
</extension>
<extension url="name">
<valueString value="denominator"/>
</extension>
<extension url="statement">
<valueString
value="// TODO: Write logic here
/*
* Denominator: Number of immunization recommendations for HPV vaccine during reporting period.
* Denominator Computation: COUNT Immunization Recommendation WHERE recommended product is HPV vaccine (IMMZ.A1.DE7) and due date during reporting period.
*/
define "denominator":
exists(IMMZIndCom."HPV Doses Recommended During Reporting Period")"/>
</extension>
<extension url="displaySequence">
<valueInteger value="12"/>
</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 FHIRHelpers"/>
<resource
value="http://fhir.org/guides/who/smart-immunization/Library/FHIRHelpers|4.0.1"/>
</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 IMMZc"/>
<resource
value="http://fhir.org/guides/who/smart-immunization/Library/IMMZConcepts"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Code system Administrative Gender Codes"/>
<resource value="http://hl7.org/fhir/administrative-gender"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Code system ISO-8601-Derived Periods"/>
<resource
value="http://ohie.org/CodeSystem/iso-8601-derived-periods"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Value set HPV Vaccine"/>
<resource
value="http://fhir.org/guides/who/smart-immunization/ValueSet/IMMZ.A1.DE7"/>
</relatedArtifact>
<parameter>
<name value="Measurement Period"/>
<use value="in"/>
<min value="0"/>
<max value="1"/>
<type value="Period"/>
</parameter>
<parameter>
<name value="Gender Stratifier"/>
<use value="out"/>
<min value="0"/>
<max value="1"/>
<type value="Coding"/>
</parameter>
<parameter>
<name value="Dose Sequence Stratifier"/>
<use value="out"/>
<min value="0"/>
<max value="*"/>
<type value="Resource"/>
</parameter>
<parameter>
<name value="Age Group Stratifier"/>
<use value="out"/>
<min value="0"/>
<max value="1"/>
<type value="Coding"/>
</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="Patient"/>
<profile value="http://hl7.org/fhir/StructureDefinition/Patient"/>
<mustSupport value="use"/>
</dataRequirement>
<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="ImmunizationRecommendation"/>
<profile
value="http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation"/>
<mustSupport value="recommendation"/>
</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/IMMZIND37"/>
<version value="0.1.0"/>
<name value="IMMZIND37"/>
<title
value="IMMZ.IND.37 Immunization coverage for HPV (Computed Denominator)"/>
<status value="draft"/>
<date value="2022-05-12T15:36:35.032-04:00"/>
<publisher value="World Health Organization (WHO)"/>
<description
value="Compares the administered doses of HPV vaccines with the number of patients which have an immunization recommendation for HPV vaccine"/>
<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/IMMZIND37"/>
<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="increase"/>
</coding>
</improvementNotation>
<group id="IMMZIND37">
<population id="numerator">
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="numerator"/>
</coding>
</code>
<description
value="Number of administrations of vaccines containing an HPV component during reporting period"/>
<criteria>
<language value="text/cql"/>
<expression value="numerator"/>
</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 immunization recommendations for HPV vaccine during reporting period."/>
<criteria>
<language value="text/cql"/>
<expression value="denominator"/>
</criteria>
</population>
<stratifier id="dose-sequence-stratifier">
<criteria>
<language value="text/cql"/>
<expression value="Dose Sequence Stratifier"/>
</criteria>
</stratifier>
<stratifier id="age-group-stratifier">
<criteria>
<language value="text/cql"/>
<expression value="Age Group Stratifier"/>
</criteria>
</stratifier>
<stratifier id="geographic-region-stratifier">
<criteria>
<language value="text/cql"/>
<expression value="Geographic Region Stratifier"/>
</criteria>
</stratifier>
<stratifier id="gender-stratifier">
<criteria>
<language value="text/cql"/>
<expression value="Gender 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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