{ "resourceType" : "Measure", "id" : "IMMZIND49", "meta" : { "profile" : ["http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Measure

Resource Measure "IMMZIND49"

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

url: http://fhir.org/guides/who/smart-immunization/Measure/IMMZIND49

version: 0.1.0

name: IMMZIND49

title: IMMZ.IND.49 Immunization coverage for Typhoid vaccines (Computed Denominator)

status: draft

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

publisher: World Health Organization (WHO)

description: Compares the administered doses of Typhoid vaccines with the number of immunization recommendations for typhoid vaccines expressed as a percentage.

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

library: IMMZIND49

scoring: Proportion (MeasureScoring#proportion)

type: Process (MeasureType#process)

improvementNotation: Increased score indicates improvement (MeasureImprovementNotation#increase)

group

id

IMMZIND49

population

id

numerator

code: Numerator (MeasurePopulationType#numerator)

description: Number of administrations of vaccines which contain a typhoid component during the reporting period.

Criteria

-LanguageExpression
*text/cqlnumerator

population

id

denominator

code: Denominator (MeasurePopulationType#denominator)

description: Number of immunization recommendations for typhoid vaccines dur during reporting period.

Criteria

-LanguageExpression
*text/cqldenominator

stratifier

id

dose-sequence-stratifier

Criteria

-LanguageExpression
*text/cqlDose Sequence 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" : [{ "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" : 0 }], "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "IMMZCommon" }, { "url" : "name", "valueString" : "Typhoid Doses Administered to Patient" }, { "url" : "statement", "valueString" : "/**\n * @dataElement Typhoid containing Doses Administered to Patient\n */\ndefine \"Typhoid Doses Administered to Patient\":\n \"Doses Administered to Patient\" I\n where\n I.vaccineCode in IMMZc.\"Typhoid Vaccine\"" }, { "url" : "displaySequence", "valueInteger" : 1 }], "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "IMMZIndicatorCommon" }, { "url" : "name", "valueString" : "Typhoid Doses Administered to Patient During Measurement Period" }, { "url" : "statement", "valueString" : "/**\n * Typhoid Encephalitis Doses Administered to Patient\n */\ndefine \"Typhoid Doses Administered to Patient During Measurement Period\":\n IMMZCom.\"Typhoid Doses Administered to Patient\" I \n where IMMZCom.ToDate(I.occurrence) during \"Measurement Period\"" }, { "url" : "displaySequence", "valueInteger" : 2 }], "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "IMMZIND49" }, { "url" : "name", "valueString" : "Dose Sequence Stratifier" }, { "url" : "statement", "valueString" : "/*\n * Disaggregator: Dose Sequence (1, 2, 3)\n */\ndefine \"Dose Sequence Stratifier\":\n\tIMMZIndCom.\"Typhoid Doses Administered to Patient During Measurement Period\" I\n\treturn (singleton from I.protocolApplied).doseNumber" }, { "url" : "displaySequence", "valueInteger" : 3 }], "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" : 4 }], "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "IMMZIND49" }, { "url" : "name", "valueString" : "Geographic Region Stratifier" }, { "url" : "statement", "valueString" : "/*\n * Disaggregator: Geographic Region\n */\ndefine \"Geographic Region Stratifier\":\n\tIMMZIndCom.\"By Geographic Region Stratifier\"" }, { "url" : "displaySequence", "valueInteger" : 5 }], "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "IMMZIND49" }, { "url" : "name", "valueString" : "numerator" }, { "url" : "statement", "valueString" : "/*\n * Numerator: Number of administrations of vaccines which contain a typhoid component during the reporting period.\n * Numerator Computation: COUNT immunization events WHERE administered product is a Typhoid vaccine (IMMZ.A1.DE21) during reporting period.\n */\ndefine \"numerator\":\n\texists(IMMZIndCom.\"Typhoid Doses Administered to Patient During Measurement Period\")" }, { "url" : "displaySequence", "valueInteger" : 6 }], "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "IMMZIndicatorCommon" }, { "url" : "name", "valueString" : "Patient Under 12 Months Old During Measurement Period" }, { "url" : "statement", "valueString" : "/** \n * Patient is < 12 months old at the end of the measurement period\n */\ndefine \"Patient Under 12 Months Old During Measurement Period\":\n Patient.birthDate more than 12 month before end of \"Measurement Period\"" }, { "url" : "displaySequence", "valueInteger" : 7 }], "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "IMMZIndicatorCommon" }, { "url" : "name", "valueString" : "Patient Deceased During Measurement Period" }, { "url" : "statement", "valueString" : "/** \n * @dataElement Patient is deceased\n */\ndefine \"Patient Deceased During Measurement Period\":\n case \n when Patient.deceased is FHIR.boolean then Patient.deceased as FHIR.boolean\n when Patient.deceased is FHIR.dateTime then Patient.deceased as FHIR.dateTime before end of \"Measurement Period\"\n else false\n end" }, { "url" : "displaySequence", "valueInteger" : 8 }], "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "IMMZIND49" }, { "url" : "name", "valueString" : "denominator" }, { "url" : "statement", "valueString" : "/*\n * Denominator: Number of immunization recommendations for typhoid vaccines dur during reporting period.\n * Denominator Computation: COUNT Immunization recommendation WHERE recommended product is typhoid vaccine (IMMZ.A1.DE21) during reporting period.\n */\ndefine \"denominator\":\n\tIMMZIndCom.\"Patient Under 12 Months Old During Measurement Period\"\n\tand not (IMMZIndCom.\"Patient Deceased During Measurement 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 IMMZCom", "resource" : "http://fhir.org/guides/who/smart-immunization/Library/IMMZCommon" }, { "type" : "depends-on", "display" : "Library FHIRHelpers", "resource" : "http://fhir.org/guides/who/smart-immunization/Library/FHIRHelpers|4.0.1" }, { "type" : "depends-on", "display" : "Library IMMZc", "resource" : "http://fhir.org/guides/who/smart-immunization/Library/IMMZConcepts" }, { "type" : "depends-on", "display" : "Value set Typhoid Vaccine", "resource" : "http://fhir.org/guides/who/smart-immunization/ValueSet/IMMZ.A1.DE21" }], "parameter" : [{ "name" : "Measurement Period", "use" : "in", "min" : 0, "max" : "1", "type" : "Period" }, { "name" : "Dose Sequence Stratifier", "use" : "out", "min" : 0, "max" : "*", "type" : "Resource" }, { "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" : "Immunization", "profile" : ["http://hl7.org/fhir/StructureDefinition/Immunization"], "mustSupport" : ["status", "vaccineCode", "occurrence", "protocolApplied", "protocolApplied.doseNumber"] }, { "type" : "Patient", "profile" : ["http://hl7.org/fhir/StructureDefinition/Patient"], "mustSupport" : ["use"] }] }], "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/IMMZIND49", "version" : "0.1.0", "name" : "IMMZIND49", "title" : "IMMZ.IND.49 Immunization coverage for Typhoid vaccines (Computed Denominator)", "status" : "draft", "date" : "2022-05-12T15:36:35.074-04:00", "publisher" : "World Health Organization (WHO)", "description" : "Compares the administered doses of Typhoid vaccines with the number of immunization recommendations for typhoid 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/IMMZIND49"], "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" : "IMMZIND49", "population" : [{ "id" : "numerator", "code" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/measure-population", "code" : "numerator" }] }, "description" : "Number of administrations of vaccines which contain a typhoid component during the 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 typhoid vaccines dur during reporting period.", "criteria" : { "language" : "text/cql", "expression" : "denominator" } }], "stratifier" : [{ "id" : "dose-sequence-stratifier", "criteria" : { "language" : "text/cql", "expression" : "Dose Sequence Stratifier" } }, { "id" : "geographic-region-stratifier", "criteria" : { "language" : "text/cql", "expression" : "Geographic Region Stratifier" } }, { "id" : "gender-stratifier", "criteria" : { "language" : "text/cql", "expression" : "Gender Stratifier" } }] }] }