@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

<http://fhir.org/guides/who/smart-immunization/Measure/IMMZIND51> a fhir:Measure ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "IMMZIND51"] ; # 
  fhir:meta [
     fhir:profile ( [
       fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm"^^xsd:anyURI ;
       fhir:link <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm>
     ] )
  ] ; # 
  fhir:text [
     fhir:status [ fhir:v "generated" ] ;
     fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Measure</b><a name=\"IMMZIND51\"> </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 &quot;IMMZIND51&quot; </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/IMMZIND51</code></p><p><b>version</b>: 0.1.0</p><p><b>name</b>: IMMZIND51</p><p><b>title</b>: IMMZ.IND.51 Dropout Rate of BCG to MCV1 (Individuals)</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 number of individuals which received a BCG dose at birth (or early life) yet did not receive the first dose of a measles containing vaccine (MCV).\n\nThis indicator works by counting the number of individuals who have received a BCG dose, who have not received a MCV1 dose (are past due for MCV1) with the children who have received BCG and MCV1 doses.</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-IMMZIND51.html\">IMMZIND51</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>IMMZIND51</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 children who have received BCG (numerator) minus number of children who have not received MCV dose 1 and are past due (numerator exclusion)</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 children who have received BCG vaccine</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><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>"
  ] ; # 
  fhir:contained ( [
     a fhir:Library ;
     fhir:id [ fhir:v "effective-data-requirements" ] ;
     fhir:extension ( [
       fhir:url [ fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode"^^xsd:anyURI ] ;
       fhir:value [
         a fhir:Coding ;
         fhir:system [ fhir:v "http://hl7.org/fhir/administrative-gender"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "male" ] ;
         fhir:display [ fhir:v "Males" ]
       ]
     ] [
       fhir:url [ fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode"^^xsd:anyURI ] ;
       fhir:value [
         a fhir:Coding ;
         fhir:system [ fhir:v "http://hl7.org/fhir/administrative-gender"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "female" ] ;
         fhir:display [ fhir:v "Females" ]
       ]
     ] [
       fhir:url [ fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode"^^xsd:anyURI ] ;
       fhir:value [
         a fhir:Coding ;
         fhir:system [ fhir:v "http://hl7.org/fhir/administrative-gender"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "other" ] ;
         fhir:display [ fhir:v "Other/NA" ]
       ]
     ] [
       fhir:extension ( [
         fhir:url [ fhir:v "libraryName"^^xsd:anyURI ] ;
         fhir:value [ fhir:v "IMMZIndicatorCommon" ]
       ] [
         fhir:url [ fhir:v "name"^^xsd:anyURI ] ;
         fhir:value [ fhir:v "By Administrative Gender Stratifier" ]
       ] [
         fhir:url [ fhir:v "statement"^^xsd:anyURI ] ;
         fhir:value [ fhir:v "/**\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" ]
       ] [
         fhir:url [ fhir:v "displaySequence"^^xsd:anyURI ] ;
         fhir:value [ fhir:v "0"^^xsd:integer ]
       ] ) ;
       fhir:url [ fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"^^xsd:anyURI ]
     ] [
       fhir:extension ( [
         fhir:url [ fhir:v "libraryName"^^xsd:anyURI ] ;
         fhir:value [ fhir:v "IMMZIND51" ]
       ] [
         fhir:url [ fhir:v "name"^^xsd:anyURI ] ;
         fhir:value [ fhir:v "Gender Stratifier" ]
       ] [
         fhir:url [ fhir:v "statement"^^xsd:anyURI ] ;
         fhir:value [ fhir:v "/*\n * Disaggregator: Gender\n */\ndefine \"Gender Stratifier\":\n	IMMZIndCom.\"By Administrative Gender Stratifier\"" ]
       ] [
         fhir:url [ fhir:v "displaySequence"^^xsd:anyURI ] ;
         fhir:value [ fhir:v "1"^^xsd:integer ]
       ] ) ;
       fhir:url [ fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"^^xsd:anyURI ]
     ] [
       fhir:extension ( [
         fhir:url [ fhir:v "libraryName"^^xsd:anyURI ] ;
         fhir:value [ fhir:v "IMMZIndicatorCommon" ]
       ] [
         fhir:url [ fhir:v "name"^^xsd:anyURI ] ;
         fhir:value [ fhir:v "By Geographic Region Stratifier" ]
       ] [
         fhir:url [ fhir:v "statement"^^xsd:anyURI ] ;
         fhir:value [ fhir:v "/**\n * By Administrative Gender of Patient Stratifier\n */\ndefine \"By Geographic Region Stratifier\":\n    First(Patient.address A where A.use in { 'home' }).state" ]
       ] [
         fhir:url [ fhir:v "displaySequence"^^xsd:anyURI ] ;
         fhir:value [ fhir:v "2"^^xsd:integer ]
       ] ) ;
       fhir:url [ fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"^^xsd:anyURI ]
     ] [
       fhir:extension ( [
         fhir:url [ fhir:v "libraryName"^^xsd:anyURI ] ;
         fhir:value [ fhir:v "IMMZIND51" ]
       ] [
         fhir:url [ fhir:v "name"^^xsd:anyURI ] ;
         fhir:value [ fhir:v "Geographic Region Stratifier" ]
       ] [
         fhir:url [ fhir:v "statement"^^xsd:anyURI ] ;
         fhir:value [ fhir:v "/*\n * Disaggregator: Geographic Region\n */\ndefine \"Geographic Region Stratifier\":\n	IMMZIndCom.\"By Geographic Region Stratifier\"" ]
       ] [
         fhir:url [ fhir:v "displaySequence"^^xsd:anyURI ] ;
         fhir:value [ fhir:v "3"^^xsd:integer ]
       ] ) ;
       fhir:url [ fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"^^xsd:anyURI ]
     ] [
       fhir:extension ( [
         fhir:url [ fhir:v "libraryName"^^xsd:anyURI ] ;
         fhir:value [ fhir:v "IMMZCommon" ]
       ] [
         fhir:url [ fhir:v "name"^^xsd:anyURI ] ;
         fhir:value [ fhir:v "Doses Administered to Patient" ]
       ] [
         fhir:url [ fhir:v "statement"^^xsd:anyURI ] ;
         fhir:value [ fhir:v "/**\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" ]
       ] [
         fhir:url [ fhir:v "displaySequence"^^xsd:anyURI ] ;
         fhir:value [ fhir:v "4"^^xsd:integer ]
       ] ) ;
       fhir:url [ fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"^^xsd:anyURI ]
     ] [
       fhir:extension ( [
         fhir:url [ fhir:v "libraryName"^^xsd:anyURI ] ;
         fhir:value [ fhir:v "IMMZCommon" ]
       ] [
         fhir:url [ fhir:v "name"^^xsd:anyURI ] ;
         fhir:value [ fhir:v "BCG Doses Administered to Patient" ]
       ] [
         fhir:url [ fhir:v "statement"^^xsd:anyURI ] ;
         fhir:value [ fhir:v "/**\n * @dataElement BCG Doses Administered to Patient\n */\ndefine \"BCG Doses Administered to Patient\":\n  \"Doses Administered to Patient\" I \n  where \n    I.vaccineCode in IMMZc.\"BCG Vaccine\"" ]
       ] [
         fhir:url [ fhir:v "displaySequence"^^xsd:anyURI ] ;
         fhir:value [ fhir:v "5"^^xsd:integer ]
       ] ) ;
       fhir:url [ fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"^^xsd:anyURI ]
     ] [
       fhir:extension ( [
         fhir:url [ fhir:v "libraryName"^^xsd:anyURI ] ;
         fhir:value [ fhir:v "IMMZIND51" ]
       ] [
         fhir:url [ fhir:v "name"^^xsd:anyURI ] ;
         fhir:value [ fhir:v "Patient Should Complete BCG to MCV During Measurement Period" ]
       ] [
         fhir:url [ fhir:v "statement"^^xsd:anyURI ] ;
         fhir:value [ fhir:v "/**\n * Patient should be completing DTP during measurement period\n */\ndefine \"Patient Should Complete BCG to MCV During Measurement Period\":\n	exists(\n		IMMZCom.\"BCG Doses Administered to Patient\" I \n		where \n			I.occurrence before start of \"Measurement Period\"\n	)\n	and \n	exists(\n		[ImmunizationRecommendation] IR \n		where \n			exists(\n				IR.recommendation RC where\n				exists(RC.dateCriterion DC where date from DC.value during \"Measurement Period\")\n				and RC.doseNumber = 1\n				and RC.vaccineCode in IMMZc.\"MCV Vaccine\"\n		)\n	)" ]
       ] [
         fhir:url [ fhir:v "displaySequence"^^xsd:anyURI ] ;
         fhir:value [ fhir:v "6"^^xsd:integer ]
       ] ) ;
       fhir:url [ fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"^^xsd:anyURI ]
     ] [
       fhir:extension ( [
         fhir:url [ fhir:v "libraryName"^^xsd:anyURI ] ;
         fhir:value [ fhir:v "IMMZCommon" ]
       ] [
         fhir:url [ fhir:v "name"^^xsd:anyURI ] ;
         fhir:value [ fhir:v "MCV Doses Administered to Patient" ]
       ] [
         fhir:url [ fhir:v "statement"^^xsd:anyURI ] ;
         fhir:value [ fhir:v "/**\n * @dataElement MCV containing Doses Administered to Patient\n */\ndefine \"MCV Doses Administered to Patient\":\n  \"Doses Administered to Patient\" I\n  where\n    I.vaccineCode in IMMZc.\"MCV Vaccine\"" ]
       ] [
         fhir:url [ fhir:v "displaySequence"^^xsd:anyURI ] ;
         fhir:value [ fhir:v "7"^^xsd:integer ]
       ] ) ;
       fhir:url [ fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"^^xsd:anyURI ]
     ] [
       fhir:extension ( [
         fhir:url [ fhir:v "libraryName"^^xsd:anyURI ] ;
         fhir:value [ fhir:v "IMMZIndicatorCommon" ]
       ] [
         fhir:url [ fhir:v "name"^^xsd:anyURI ] ;
         fhir:value [ fhir:v "MCV Doses Administered to Patient During Measurement Period" ]
       ] [
         fhir:url [ fhir:v "statement"^^xsd:anyURI ] ;
         fhir:value [ fhir:v "/**\n * MCV Doses Administered to Patient\n */\ndefine \"MCV Doses Administered to Patient During Measurement Period\":\n    IMMZCom.\"MCV Doses Administered to Patient\" I \n    where IMMZCom.ToDate(I.occurrence) during \"Measurement Period\"" ]
       ] [
         fhir:url [ fhir:v "displaySequence"^^xsd:anyURI ] ;
         fhir:value [ fhir:v "8"^^xsd:integer ]
       ] ) ;
       fhir:url [ fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"^^xsd:anyURI ]
     ] [
       fhir:extension ( [
         fhir:url [ fhir:v "libraryName"^^xsd:anyURI ] ;
         fhir:value [ fhir:v "IMMZIND51" ]
       ] [
         fhir:url [ fhir:v "name"^^xsd:anyURI ] ;
         fhir:value [ fhir:v "numerator" ]
       ] [
         fhir:url [ fhir:v "statement"^^xsd:anyURI ] ;
         fhir:value [ fhir:v "/*\n * Numerator: Number of children who have received BCG (numerator) minus number of children who have not received MCV dose 1 and are past due (numerator exclusion) \n * Numerator Computation: Numerator: COUNT immunization events WHERE administered product is BCG (IMMZ.A1.DE1) before reporting period and EXISTS immunization recommendation WHERE product is MCV (IMMZ.A1.DE9) AND dose sequence = 1 AND due date during reporting period.\nNumerator Exclusion: COUNT immunization recommendations WHERE recommended product is BCG AND due date during reporting period AND NOT EXISTS Immunization event where administered product is MCV AND dose sequence = 3\n */\ndefine \"numerator\":\n	\"Patient Should Complete BCG to MCV During Measurement Period\"\n	and not exists(IMMZIndCom.\"MCV Doses Administered to Patient During Measurement Period\" I where (singleton from I.protocolApplied).doseNumber = 1)" ]
       ] [
         fhir:url [ fhir:v "displaySequence"^^xsd:anyURI ] ;
         fhir:value [ fhir:v "9"^^xsd:integer ]
       ] ) ;
       fhir:url [ fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"^^xsd:anyURI ]
     ] [
       fhir:extension ( [
         fhir:url [ fhir:v "libraryName"^^xsd:anyURI ] ;
         fhir:value [ fhir:v "IMMZIND51" ]
       ] [
         fhir:url [ fhir:v "name"^^xsd:anyURI ] ;
         fhir:value [ fhir:v "denominator" ]
       ] [
         fhir:url [ fhir:v "statement"^^xsd:anyURI ] ;
         fhir:value [ fhir:v "/*\n * Denominator: Number of children who have received BCG vaccine\n * Denominator Computation: COUNT immunization events WHERE administered product is BCG AND EXISTS immunization recommendation WHERE product is MCV and dose sequence = 1 and due date during reporting period.\n */\ndefine \"denominator\":\n	\"Patient Should Complete BCG to MCV During Measurement Period\"" ]
       ] [
         fhir:url [ fhir:v "displaySequence"^^xsd:anyURI ] ;
         fhir:value [ fhir:v "10"^^xsd:integer ]
       ] ) ;
       fhir:url [ fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"^^xsd:anyURI ]
     ] ) ;
     fhir:status [ fhir:v "active" ] ;
     fhir:type [
       fhir:coding ( [
         fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/library-type"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "module-definition" ]
       ] )
     ] ;
     fhir:relatedArtifact ( [
       fhir:type [ fhir:v "depends-on" ] ;
       fhir:display [ fhir:v "Library IMMZIndCom" ] ;
       fhir:resource [
         fhir:v "http://fhir.org/guides/who/smart-immunization/Library/IMMZIndicatorCommon"^^xsd:anyURI ;
         fhir:link <http://fhir.org/guides/who/smart-immunization/Library/IMMZIndicatorCommon>
       ]
     ] [
       fhir:type [ fhir:v "depends-on" ] ;
       fhir:display [ fhir:v "Library FHIRHelpers" ] ;
       fhir:resource [
         fhir:v "http://fhir.org/guides/who/smart-immunization/Library/FHIRHelpers|4.0.1"^^xsd:anyURI ;
         fhir:link <http://fhir.org/guides/who/smart-immunization/Library/FHIRHelpers|4.0.1>
       ]
     ] [
       fhir:type [ fhir:v "depends-on" ] ;
       fhir:display [ fhir:v "Library IMMZCom" ] ;
       fhir:resource [
         fhir:v "http://fhir.org/guides/who/smart-immunization/Library/IMMZCommon"^^xsd:anyURI ;
         fhir:link <http://fhir.org/guides/who/smart-immunization/Library/IMMZCommon>
       ]
     ] [
       fhir:type [ fhir:v "depends-on" ] ;
       fhir:display [ fhir:v "Library IMMZc" ] ;
       fhir:resource [
         fhir:v "http://fhir.org/guides/who/smart-immunization/Library/IMMZConcepts"^^xsd:anyURI ;
         fhir:link <http://fhir.org/guides/who/smart-immunization/Library/IMMZConcepts>
       ]
     ] [
       fhir:type [ fhir:v "depends-on" ] ;
       fhir:display [ fhir:v "Code system Administrative Gender Codes" ] ;
       fhir:resource [
         fhir:v "http://hl7.org/fhir/administrative-gender"^^xsd:anyURI ;
         fhir:link <http://hl7.org/fhir/administrative-gender>
       ]
     ] [
       fhir:type [ fhir:v "depends-on" ] ;
       fhir:display [ fhir:v "Value set BCG Vaccine" ] ;
       fhir:resource [
         fhir:v "http://fhir.org/guides/who/smart-immunization/ValueSet/IMMZ.A1.DE1"^^xsd:anyURI ;
         fhir:link <http://fhir.org/guides/who/smart-immunization/ValueSet/IMMZ.A1.DE1>
       ]
     ] [
       fhir:type [ fhir:v "depends-on" ] ;
       fhir:display [ fhir:v "Value set MCV Vaccine" ] ;
       fhir:resource [
         fhir:v "http://fhir.org/guides/who/smart-immunization/ValueSet/IMMZ.A1.DE9"^^xsd:anyURI ;
         fhir:link <http://fhir.org/guides/who/smart-immunization/ValueSet/IMMZ.A1.DE9>
       ]
     ] ) ;
     fhir:parameter ( [
       fhir:name [ fhir:v "Measurement Period" ] ;
       fhir:use [ fhir:v "in" ] ;
       fhir:min [ fhir:v "0"^^xsd:integer ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:type [ fhir:v "Period" ]
     ] [
       fhir:name [ fhir:v "Gender Stratifier" ] ;
       fhir:use [ fhir:v "out" ] ;
       fhir:min [ fhir:v "0"^^xsd:integer ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:type [ fhir:v "Coding" ]
     ] [
       fhir:name [ fhir:v "Geographic Region Stratifier" ] ;
       fhir:use [ fhir:v "out" ] ;
       fhir:min [ fhir:v "0"^^xsd:integer ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:type [ fhir:v "string" ]
     ] [
       fhir:name [ fhir:v "numerator" ] ;
       fhir:use [ fhir:v "out" ] ;
       fhir:min [ fhir:v "0"^^xsd:integer ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:type [ fhir:v "boolean" ]
     ] [
       fhir:name [ fhir:v "denominator" ] ;
       fhir:use [ fhir:v "out" ] ;
       fhir:min [ fhir:v "0"^^xsd:integer ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:type [ fhir:v "boolean" ]
     ] ) ;
     fhir:dataRequirement ( [
       fhir:type [ fhir:v "Patient" ] ;
       fhir:profile ( [
         fhir:v "http://hl7.org/fhir/StructureDefinition/Patient"^^xsd:anyURI ;
         fhir:link <http://hl7.org/fhir/StructureDefinition/Patient>
       ] ) ;
       fhir:mustSupport ( [ fhir:v "use" ] )
     ] [
       fhir:type [ fhir:v "Immunization" ] ;
       fhir:profile ( [
         fhir:v "http://hl7.org/fhir/StructureDefinition/Immunization"^^xsd:anyURI ;
         fhir:link <http://hl7.org/fhir/StructureDefinition/Immunization>
       ] ) ;
       fhir:mustSupport ( [ fhir:v "status" ] [ fhir:v "vaccineCode" ] [ fhir:v "occurrence" ] [ fhir:v "protocolApplied" ] [ fhir:v "protocolApplied.doseNumber" ] )
     ] [
       fhir:type [ fhir:v "ImmunizationRecommendation" ] ;
       fhir:profile ( [
         fhir:v "http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation"^^xsd:anyURI ;
         fhir:link <http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation>
       ] ) ;
       fhir:mustSupport ( [ fhir:v "recommendation" ] )
     ] )
  ] ) ; # 
  fhir:extension ( [
     fhir:url [ fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-softwaresystem"^^xsd:anyURI ] ;
     fhir:value [
       a fhir:Reference ;
       fhir:link <http://fhir.org/guides/who/smart-immunization/Device/cqf-tooling> ;
       fhir:reference [ fhir:v "Device/cqf-tooling" ]
     ]
  ] [
     fhir:id [ fhir:v "effective-data-requirements" ] ;
     fhir:url [ fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-effectiveDataRequirements"^^xsd:anyURI ] ;
     fhir:value [
       a fhir:Reference ;
       fhir:reference [ fhir:v "#effective-data-requirements" ]
     ]
  ] ) ; # 
  fhir:url [ fhir:v "http://fhir.org/guides/who/smart-immunization/Measure/IMMZIND51"^^xsd:anyURI] ; # 
  fhir:version [ fhir:v "0.1.0"] ; # 
  fhir:name [ fhir:v "IMMZIND51"] ; # 
  fhir:title [ fhir:v "IMMZ.IND.51 Dropout Rate of BCG to MCV1 (Individuals)"] ; # 
  fhir:status [ fhir:v "draft"] ; # 
  fhir:date [ fhir:v "2022-05-12T15:36:35.082-04:00"^^xsd:dateTime] ; # 
  fhir:publisher [ fhir:v "World Health Organization (WHO)"] ; # 
  fhir:description [ fhir:v "Indicates the number of individuals which received a BCG dose at birth (or early life) yet did not receive the first dose of a measles containing vaccine (MCV).\n\nThis indicator works by counting the number of individuals who have received a BCG dose, who have not received a MCV1 dose (are past due for MCV1) with the children who have received BCG and MCV1 doses."] ; # 
  fhir:jurisdiction ( [
     fhir:coding ( [
       fhir:system [ fhir:v "http://unstats.un.org/unsd/methods/m49/m49.htm"^^xsd:anyURI ] ;
       fhir:code [ fhir:v "001" ]
     ] )
  ] ) ; # 
  fhir:library ( [
     fhir:v "http://fhir.org/guides/who/smart-immunization/Library/IMMZIND51"^^xsd:anyURI ;
     fhir:link <http://fhir.org/guides/who/smart-immunization/Library/IMMZIND51>
  ] ) ; # 
  fhir:scoring [
     fhir:coding ( [
       fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-scoring"^^xsd:anyURI ] ;
       fhir:code [ fhir:v "proportion" ]
     ] )
  ] ; # 
  fhir:type ( [
     fhir:coding ( [
       fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-type"^^xsd:anyURI ] ;
       fhir:code [ fhir:v "process" ]
     ] )
  ] ) ; # 
  fhir:improvementNotation [
     fhir:coding ( [
       fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-improvement-notation"^^xsd:anyURI ] ;
       fhir:code [ fhir:v "increase" ]
     ] )
  ] ; # 
  fhir:group ( [
     fhir:id [ fhir:v "IMMZIND51" ] ;
     fhir:population ( [
       fhir:id [ fhir:v "numerator" ] ;
       fhir:code [
         fhir:coding ( [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-population"^^xsd:anyURI ] ;
           fhir:code [ fhir:v "numerator" ]
         ] )
       ] ;
       fhir:description [ fhir:v "Number of children who have received BCG (numerator) minus number of children who have not received MCV dose 1 and are past due (numerator exclusion)" ] ;
       fhir:criteria [
         fhir:language [ fhir:v "text/cql" ] ;
         fhir:expression [ fhir:v "numerator" ]
       ]
     ] [
       fhir:id [ fhir:v "denominator" ] ;
       fhir:code [
         fhir:coding ( [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-population"^^xsd:anyURI ] ;
           fhir:code [ fhir:v "denominator" ]
         ] )
       ] ;
       fhir:description [ fhir:v "Number of children who have received BCG vaccine" ] ;
       fhir:criteria [
         fhir:language [ fhir:v "text/cql" ] ;
         fhir:expression [ fhir:v "denominator" ]
       ]
     ] ) ;
     fhir:stratifier ( [
       fhir:id [ fhir:v "geographic-region-stratifier" ] ;
       fhir:criteria [
         fhir:language [ fhir:v "text/cql" ] ;
         fhir:expression [ fhir:v "Geographic Region Stratifier" ]
       ]
     ] [
       fhir:id [ fhir:v "gender-stratifier" ] ;
       fhir:criteria [
         fhir:language [ fhir:v "text/cql" ] ;
         fhir:expression [ fhir:v "Gender Stratifier" ]
       ]
     ] )
  ] ) . # 

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