{ "resourceType" : "Measure", "id" : "IMMZIND42", "meta" : { "profile" : ["http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Measure

Resource Measure "IMMZIND42"

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

url: http://fhir.org/guides/who/smart-immunization/Measure/IMMZIND42

version: 0.1.0

name: IMMZIND42

title: IMMZ.IND.42 Immunization coverage for Rubella containing vaccines (Computed Denominator)

status: draft

date: 2022-05-12 15:36:35-0400

publisher: World Health Organization (WHO)

description: Compares the administered doses of rubella containing vaccine (RCV) with the number of immunization recommendations for rubella containing vaccines expressed as a percentage.

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

library: IMMZIND42

scoring: Proportion (MeasureScoring#proportion)

type: Process (MeasureType#process)

improvementNotation: Increased score indicates improvement (MeasureImprovementNotation#increase)

group

id

IMMZIND42

population

id

numerator

code: Numerator (MeasurePopulationType#numerator)

description: Number of administrations of vaccines containing a Rubella component during reporting period

Criteria

-LanguageExpression
*text/cqlnumerator

population

id

denominator

code: Denominator (MeasurePopulationType#denominator)

description: Number of immunization recommendations for RCV vaccines due during reporting period.

Criteria

-LanguageExpression
*text/cqldenominator

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://ohie.org/CodeSystem/iso-8601-derived-periods", "code" : "P0M--P9M", "display" : "< 9 months" } }, { "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode", "valueCoding" : { "system" : "http://ohie.org/CodeSystem/iso-8601-derived-periods", "code" : "P9M--P18M", "display" : "9 - 18 months" } }, { "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode", "valueCoding" : { "system" : "http://ohie.org/CodeSystem/iso-8601-derived-periods", "code" : "P18M--P15Y", "display" : "18 months - 15 years" } }, { "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode", "valueCoding" : { "system" : "http://ohie.org/CodeSystem/iso-8601-derived-periods", "code" : "P15Y--P9999Y", "display" : "> 15 years" } }, { "extension" : [{ "url" : "libraryName", "valueString" : "IMMZIndicatorCommon" }, { "url" : "name", "valueString" : "RCV By Age Stratifier" }, { "url" : "statement", "valueString" : "/** \n * RCV age disaggregators\n */\ndefine \"RCV By Age Stratifier\":\n case \n when AgeInMonthsAt(start of \"Measurement Period\") < 9 then \"P0M--P9M\"\n when AgeInMonthsAt(start of \"Measurement Period\") < 18 then \"P9M--P18M\"\n when AgeInYearsAt(start of \"Measurement Period\") < 15 then \"P18M--P15Y\"\n when AgeInYearsAt(start of \"Measurement Period\") >= 15 then \"P15Y--P9999Y\"\n else null\n end" }, { "url" : "displaySequence", "valueInteger" : 0 }], "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "IMMZIND42" }, { "url" : "name", "valueString" : "Age Group Stratifier" }, { "url" : "statement", "valueString" : "/*\n * Disaggregator: Age Group (< 9 months, 9 - 18 months, 18 months - 15 years, > 15 years)\n */\ndefine \"Age Group Stratifier\":\n\tIMMZIndCom.\"RCV By Age Stratifier\"" }, { "url" : "displaySequence", "valueInteger" : 1 }], "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" : 2 }], "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "IMMZIND42" }, { "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" : 3 }], "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" : 4 }], "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "IMMZCommon" }, { "url" : "name", "valueString" : "Rubella Doses Administered to Patient" }, { "url" : "statement", "valueString" : "/**\n * @dataElement Rubella containing Doses Administered to Patient\n */\ndefine \"Rubella Doses Administered to Patient\":\n \"Doses Administered to Patient\" I\n where\n I.vaccineCode in IMMZc.\"Rubella Vaccine\"" }, { "url" : "displaySequence", "valueInteger" : 5 }], "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "IMMZIndicatorCommon" }, { "url" : "name", "valueString" : "Rubella Doses Administered to Patient During Measurement Period" }, { "url" : "statement", "valueString" : "/**\n * RCV Doses Administered to Patient\n */\ndefine \"Rubella Doses Administered to Patient During Measurement Period\":\n IMMZCom.\"Rubella Doses Administered to Patient\" I \n where IMMZCom.ToDate(I.occurrence) during \"Measurement Period\"" }, { "url" : "displaySequence", "valueInteger" : 6 }], "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "IMMZIND42" }, { "url" : "name", "valueString" : "numerator" }, { "url" : "statement", "valueString" : "/*\n * Numerator: Number of administrations of vaccines containing a Rubella component during reporting period\n * Numerator Computation: COUNT immunization events WHERE administered product is a Rubella vaccine (IMMZ.A1.DE17) during reporting period\n */\ndefine \"numerator\":\n\texists(IMMZIndCom.\"Rubella Doses Administered to Patient During Measurement Period\")" }, { "url" : "displaySequence", "valueInteger" : 7 }], "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "IMMZIndicatorCommon" }, { "url" : "name", "valueString" : "Rubella Doses Recommended During Reporting Period" }, { "url" : "statement", "valueString" : "/** \n * Rubella Doses recommended during reporting period - \n * This is used since the country should define the rules which recommend an Rubella dose (configuration, age, sex, etc.)\n */\ndefine \"Rubella Doses Recommended During Reporting Period\":\n [ImmunizationRecommendation] IR\n where exists(IR.recommendation RC where exists(RC.dateCriterion DC where date from DC.value during \"Measurement Period\")\n and RC.vaccineCode in IMMZc.\"Rubella Vaccine\")" }, { "url" : "displaySequence", "valueInteger" : 8 }], "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "IMMZIND42" }, { "url" : "name", "valueString" : "denominator" }, { "url" : "statement", "valueString" : "/*\n * Denominator: Number of immunization recommendations for RCV vaccines due during reporting period.\n * Denominator Computation: COUNT immunization recommendation WHERE recommended product is RCV vaccine (IMMZ.A1.DE17) AND due date during reporting period.\n */\ndefine \"denominator\":\n\texists(IMMZIndCom.\"Rubella Doses Recommended During Reporting Period\")" }, { "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 ISO-8601-Derived Periods", "resource" : "http://ohie.org/CodeSystem/iso-8601-derived-periods" }, { "type" : "depends-on", "display" : "Value set Rubella Vaccine", "resource" : "http://fhir.org/guides/who/smart-immunization/ValueSet/IMMZ.A1.DE17" }], "parameter" : [{ "name" : "Measurement Period", "use" : "in", "min" : 0, "max" : "1", "type" : "Period" }, { "name" : "Age Group Stratifier", "use" : "out", "min" : 0, "max" : "1", "type" : "Coding" }, { "name" : "Geographic Region Stratifier", "use" : "out", "min" : 0, "max" : "1", "type" : "string" }, { "name" : "numerator", "use" : "out", "min" : 0, "max" : "1", "type" : "boolean" }, { "name" : "denominator", "use" : "out", "min" : 0, "max" : "1", "type" : "boolean" }], "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"] }, { "type" : "ImmunizationRecommendation", "profile" : ["http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation"], "mustSupport" : ["recommendation"] }] }], "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/IMMZIND42", "version" : "0.1.0", "name" : "IMMZIND42", "title" : "IMMZ.IND.42 Immunization coverage for Rubella containing vaccines (Computed Denominator)", "status" : "draft", "date" : "2022-05-12T15:36:35.049-04:00", "publisher" : "World Health Organization (WHO)", "description" : "Compares the administered doses of rubella containing vaccine (RCV) with the number of immunization recommendations for rubella containing vaccines 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/IMMZIND42"], "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" : "IMMZIND42", "population" : [{ "id" : "numerator", "code" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/measure-population", "code" : "numerator" }] }, "description" : "Number of administrations of vaccines containing a Rubella component during reporting period", "criteria" : { "language" : "text/cql", "expression" : "numerator" } }, { "id" : "denominator", "code" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/measure-population", "code" : "denominator" }] }, "description" : "Number of immunization recommendations for RCV vaccines due during reporting period.", "criteria" : { "language" : "text/cql", "expression" : "denominator" } }], "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" } }] }] }