{ "resourceType" : "Measure", "id" : "IMMZIND44", "meta" : { "profile" : ["http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/proportion-measure-cqfm"] }, "text" : { "status" : "extensions", "div" : "
\n \n \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n \n \n\n\n\n\n \n \n \n \n \n \n \n\n\n \n \n \n \n\n \n \n \n \n\n\n \n \n \n \n\n \n \n \n \n\n\n \n \n \n \n\n \n\n \n\n\n \n\n\n\n \n\n\n \n\n\n\n \n\n\n \n\n\n\n \n\n\n \n\n\n \n \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n \n \n\n\n \n \n \n \n \n\n\n \n \n\n\n\n \n \n \n \n \n\n\n \n \n\n\n\n \n \n \n \n \n\n\n \n \n\n\n\n \n \n \n \n \n\n\n \n \n\n\n\n \n \n \n \n\n\n \n\n \n \n \n\n\n \n\n \n \n \n\n\n \n\n \n \n \n\n\n \n\n \n \n \n\n\n \n\n \n \n \n\n\n \n\n \n \n \n\n\n \n\n \n \n \n \n \n \n \n\n \n \n\n\n\n \n \n\n\n\n \n \n\n\n\n \n \n\n\n\n \n \n\n\n \n \n\n\n\n\n \n \n\n \n\n \n\n\n\n\n \n\n\n \n\n \n\n \n\n\n\n\n \n\n\n \n\n \n\n \n\n\n\n\n \n\n\n \n\n \n\n \n\n\n\n\n \n\n\n \n\n \n\n \n\n\n\n\n \n\n\n \n\n \n\n \n\n\n\n\n \n\n\n \n\n \n\n \n\n\n\n\n \n\n\n \n\n \n\n \n\n\n\n\n \n\n\n \n\n \n\n \n\n\n\n\n \n\n\n \n\n \n\n \n\n\n\n\n \n\n\n \n\n \n\n \n\n\n\n\n \n\n\n \n\n \n\n \n\n\n\n\n \n\n\n \n\n \n\n \n\n\n\n\n \n\n\n\n \n\n\n \n\n \n
Knowledge Artifact Metadata
Name (machine-readable)IMMZIND44
Title (human-readable)IMMZIND44
StatusDraft
Experimentalfalse
Description

IMMZ.IND.44 Adverse event following immunization (AEFI) cases

\n
Measure StewardWHO
Steward Contact DetailsWHO: http://who.int
Measure Metadata
Version Number1.0.0
Measure ScoringProportion
Measure Population Criteria
Initial Population\n \n ID: IMMZ.IND.44.IP\n
\n \n \n Description:\n

Initial Population

\n \n \n \n \n Logic Definition: Initial Population \n \n \n
Denominator\n \n ID: IMMZ.IND.44.D\n
\n \n \n Description:\n

Denominator

\n \n \n \n \n Logic Definition: Denominator \n \n \n
Numerator\n \n ID: IMMZ.IND.44.N\n
\n \n \n Description:\n

Numerator

\n \n \n \n \n Logic Definition: Numerator \n \n \n
Stratifier\n \n ID: IMMZ.IND.44.S1\n \n
\n \n \n \n \n Code: By-Administrative Area\n \n \n \n \n
Stratifier\n \n ID: IMMZ.IND.44.S2\n \n
\n \n \n \n \n Code: By-Sex\n \n \n \n \n
Stratifier\n \n ID: IMMZ.IND.44.S3\n \n
\n \n \n \n \n Code: By-Age group\n \n \n \n \n
Stratifier\n \n ID: IMMZ.IND.44.S4\n \n
\n \n \n \n \n Code: By-Age group\n \n \n \n \n
Population Basisboolean
Measure Logic
Primary LibraryIMMZIND44Logic
Dependency\n \n Description: FHIR model information\n \n
\n \n \n \n \n \n \n Resource: http://fhir.org/guides/cqf/common/Library/FHIR-ModelInfo|4.0.1\n
\n Canonical URL: http://fhir.org/guides/cqf/common/Library/FHIR-ModelInfo|4.0.1\n \n
Dependency\n \n Description: Library Elements\n \n
\n \n \n \n \n \n \n Resource: http://smart.who.int/immunizations/Library/IMMZIndicatorElements\n
\n Canonical URL: http://smart.who.int/immunizations/Library/IMMZIndicatorElements\n \n
Dependency\n \n Description: Library FHIRHelpers\n \n
\n \n \n \n \n \n \n Resource: http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1\n
\n Canonical URL: http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1\n \n
Dependency\n \n Description: Library WC\n \n
\n \n \n \n \n \n \n Resource: WHOCommon\n
\n Canonical URL: http://smart.who.int/immunizations/Library/WHOCommon\n \n
Parameter\n Name: Numerator\n
\n Use: Out\n
\n Min Cardinality: 0\n
\n Max Cardinality: 1\n
\n Type: boolean\n
Parameter\n Name: Stratification 4\n
\n Use: Out\n
\n Min Cardinality: 0\n
\n Max Cardinality: 1\n
\n Type: string\n
Parameter\n Name: Stratification 3\n
\n Use: Out\n
\n Min Cardinality: 0\n
\n Max Cardinality: 1\n
\n Type: Coding\n
Parameter\n Name: Stratification 2\n
\n Use: Out\n
\n Min Cardinality: 0\n
\n Max Cardinality: 1\n
\n Type: Reference\n
Parameter\n Name: Stratification 1\n
\n Use: Out\n
\n Min Cardinality: 0\n
\n Max Cardinality: 1\n
\n Type: Coding\n
Parameter\n Name: Denominator\n
\n Use: Out\n
\n Min Cardinality: 0\n
\n Max Cardinality: 1\n
\n Type: boolean\n
Parameter\n Name: Initial Population\n
\n Use: Out\n
\n Min Cardinality: 0\n
\n Max Cardinality: 1\n
\n Type: boolean\n
Measure Logic Data Requirements
Data Requirement\n Type: AdverseEvent\n
\n \n Profile(s): \n \n AdverseEvent\n
\n \n \n \n Must Support Elements: seriousness, seriousness.coding\n
\n \n \n
Data Requirement\n Type: AdverseEvent\n
\n \n Profile(s): \n \n AdverseEvent\n
\n \n \n \n Must Support Elements: actuality\n
\n \n \n Code Filter(s): \n
\n \n \n Path: actuality\n
\n \n \n \n \n Code: \n
\n \n \n \n
Data Requirement\n Type: Resource\n
\n \n Profile(s): \n \n Resource\n
\n \n \n \n Must Support Elements: id\n
\n \n \n
Data Requirement\n Type: Immunization\n
\n \n Profile(s): \n \n Immunization\n
\n \n \n \n Must Support Elements: location, manufacturer, vaccineCode, vaccineCode.coding\n
\n \n \n
Data Requirement\n Type: Location\n
\n \n Profile(s): \n \n Location\n
\n \n \n \n Must Support Elements: address, address.state\n
\n \n \n
Measure Logic Definitions
\n \n \n \n \n Logic Definition\n Library Name: IMMZIndicatorElements
\n 
define "Adverse Events for Immunization":\n  [AdverseEvent] AE\n    where AE.actuality = 'actual'
\n
\n \n \n \n \n Logic Definition\n Library Name: IMMZIND44Logic
\n 
/*\n@numerator: Number of AEFI cases during the reporting period\n@pseudocode: COUNT of immunization events WHERE "Reaction reported" is "Yes" AND "Date and time of vaccination" is during the reporting period\n*/\ndefine "Numerator":\n  exists Elements."Adverse Events for Immunization"
\n
\n \n \n \n \n Logic Definition\n Library Name: IMMZIND44Logic
\n 
define "Stratification 4":\n  Elements.GetGeographicRegionForImmunization( Immunization )
\n
\n \n \n \n \n Logic Definition\n Library Name: IMMZIND44Logic
\n 
define "Stratification 3":\n  First( First (Elements."Adverse Events for Immunization" ).seriousness.coding )
\n
\n \n \n \n \n Logic Definition\n Library Name: IMMZIND44Logic
\n 
define "Stratification 2":\n  Immunization.manufacturer
\n
\n \n \n \n \n Logic Definition\n Library Name: IMMZIND44Logic
\n 
/*\n@disaggregation: Vaccine type: BCG, OPV, etc.\n                 Vaccine manufacturer\n                 Type of reaction: non-serious, disability, etc.\n                 Administrative area\n                 Reaction manifestation: rash, vomiting, etc.\n*/\ndefine "Stratification 1":\n  First( Immunization.vaccineCode.coding )
\n
\n \n \n \n \n Logic Definition\n Library Name: IMMZIND44Logic
\n 
/*\n@denominator: Not applicable\n@pseudocode: Not applicable\n*/\ndefine "Denominator":\n  true
\n
\n \n \n \n \n Logic Definition\n Library Name: IMMZIND44Logic
\n 
/*\n * As defined by Member State\n */\ndefine "Initial Population":\n  true
\n
\n \n \n \n \n Logic Definition\n Library Name: FHIRHelpers
\n 
define function ToString(value AdverseEventActuality): value.value
\n
\n \n \n \n \n Logic Definition\n Library Name: IMMZIndicatorElements
\n 
/** \n * @function\n * @param immunization The immunization record for which the location should be retrieved\n * @return FHIR.address The location that the immunization event occurred\n */\ndefine function GetGeographicRegionForImmunization(immunization Immunization):\n  (\n    [Location] L\n        where immunization.location.references(L)\n  ).only().address.state
\n
\n \n \n \n \n Logic Definition\n Library Name: WHOCommon
\n 
define fluent function only(locations List<Location>):\n  singleton from locations
\n
\n \n \n \n \n Logic Definition\n Library Name: WHOCommon
\n 
/*\n@description: Returns true if the given reference is to the given resource\n@comment: Returns true if the `id` element of the given resource exactly equals the tail of the given reference.\nNOTE: This function assumes resources from the same source server.\n*/\ndefine fluent function references(reference FHIR.Reference, resource FHIR.Resource):\n  resource.id = Last(Split(reference.reference, '/'))
\n
\n \n \n \n \n Logic Definition\n Library Name: FHIRHelpers
\n 
define function ToString(value string): value.value
\n
Generated using version 0.4.6 of the sample-content-ig Liquid templates
\n
" }, "contained" : [{ "resourceType" : "Library", "id" : "effective-data-requirements", "extension" : [{ "extension" : [{ "url" : "libraryName", "valueString" : "IMMZIndicatorElements" }, { "url" : "name", "valueString" : "Adverse Events for Immunization" }, { "url" : "statement", "valueString" : "define \"Adverse Events for Immunization\":\n [AdverseEvent] AE\n where AE.actuality = 'actual'" }, { "url" : "displaySequence", "valueInteger" : 0 }], "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "IMMZIND44Logic" }, { "url" : "name", "valueString" : "Numerator" }, { "url" : "statement", "valueString" : "/*\n@numerator: Number of AEFI cases during the reporting period\n@pseudocode: COUNT of immunization events WHERE \"Reaction reported\" is \"Yes\" AND \"Date and time of vaccination\" is during the reporting period\n*/\ndefine \"Numerator\":\n exists Elements.\"Adverse Events for Immunization\"" }, { "url" : "displaySequence", "valueInteger" : 1 }], "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "IMMZIND44Logic" }, { "url" : "name", "valueString" : "Stratification 4" }, { "url" : "statement", "valueString" : "define \"Stratification 4\":\n Elements.GetGeographicRegionForImmunization( Immunization )" }, { "url" : "displaySequence", "valueInteger" : 2 }], "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "IMMZIND44Logic" }, { "url" : "name", "valueString" : "Stratification 3" }, { "url" : "statement", "valueString" : "define \"Stratification 3\":\n First( First (Elements.\"Adverse Events for Immunization\" ).seriousness.coding )" }, { "url" : "displaySequence", "valueInteger" : 3 }], "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "IMMZIND44Logic" }, { "url" : "name", "valueString" : "Stratification 2" }, { "url" : "statement", "valueString" : "define \"Stratification 2\":\n Immunization.manufacturer" }, { "url" : "displaySequence", "valueInteger" : 4 }], "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "IMMZIND44Logic" }, { "url" : "name", "valueString" : "Stratification 1" }, { "url" : "statement", "valueString" : "/*\n@disaggregation: Vaccine type: BCG, OPV, etc.\n Vaccine manufacturer\n Type of reaction: non-serious, disability, etc.\n Administrative area\n Reaction manifestation: rash, vomiting, etc.\n*/\ndefine \"Stratification 1\":\n First( Immunization.vaccineCode.coding )" }, { "url" : "displaySequence", "valueInteger" : 5 }], "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "IMMZIND44Logic" }, { "url" : "name", "valueString" : "Denominator" }, { "url" : "statement", "valueString" : "/*\n@denominator: Not applicable\n@pseudocode: Not applicable\n*/\ndefine \"Denominator\":\n true" }, { "url" : "displaySequence", "valueInteger" : 6 }], "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "IMMZIND44Logic" }, { "url" : "name", "valueString" : "Initial Population" }, { "url" : "statement", "valueString" : "/*\n * As defined by Member State\n */\ndefine \"Initial Population\":\n true" }, { "url" : "displaySequence", "valueInteger" : 7 }], "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "FHIRHelpers" }, { "url" : "name", "valueString" : "ToString" }, { "url" : "statement", "valueString" : "define function ToString(value AdverseEventActuality): value.value" }, { "url" : "displaySequence", "valueInteger" : 8 }], "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "IMMZIndicatorElements" }, { "url" : "name", "valueString" : "GetGeographicRegionForImmunization" }, { "url" : "statement", "valueString" : "/** \n * @function\n * @param immunization The immunization record for which the location should be retrieved\n * @return FHIR.address The location that the immunization event occurred\n */\ndefine function GetGeographicRegionForImmunization(immunization Immunization):\n (\n [Location] L\n where immunization.location.references(L)\n ).only().address.state" }, { "url" : "displaySequence", "valueInteger" : 9 }], "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "WHOCommon" }, { "url" : "name", "valueString" : "only" }, { "url" : "statement", "valueString" : "define fluent function only(locations List):\n singleton from locations" }, { "url" : "displaySequence", "valueInteger" : 10 }], "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "WHOCommon" }, { "url" : "name", "valueString" : "references" }, { "url" : "statement", "valueString" : "/*\n@description: Returns true if the given reference is to the given resource\n@comment: Returns true if the `id` element of the given resource exactly equals the tail of the given reference.\nNOTE: This function assumes resources from the same source server.\n*/\ndefine fluent function references(reference FHIR.Reference, resource FHIR.Resource):\n resource.id = Last(Split(reference.reference, '/'))" }, { "url" : "displaySequence", "valueInteger" : 11 }], "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "FHIRHelpers" }, { "url" : "name", "valueString" : "ToString" }, { "url" : "statement", "valueString" : "define function ToString(value string): value.value" }, { "url" : "displaySequence", "valueInteger" : 12 }], "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" }], "name" : "EffectiveDataRequirements", "status" : "active", "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/library-type", "code" : "module-definition" }] }, "relatedArtifact" : [{ "type" : "depends-on", "display" : "FHIR model information", "resource" : "http://fhir.org/guides/cqf/common/Library/FHIR-ModelInfo|4.0.1" }, { "type" : "depends-on", "display" : "Library Elements", "resource" : "http://smart.who.int/immunizations/Library/IMMZIndicatorElements" }, { "type" : "depends-on", "display" : "Library FHIRHelpers", "resource" : "http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1" }, { "type" : "depends-on", "display" : "Library WC", "resource" : "http://smart.who.int/immunizations/Library/WHOCommon" }], "parameter" : [{ "name" : "Numerator", "use" : "out", "min" : 0, "max" : "1", "type" : "boolean" }, { "name" : "Stratification 4", "use" : "out", "min" : 0, "max" : "1", "type" : "string" }, { "name" : "Stratification 3", "use" : "out", "min" : 0, "max" : "1", "type" : "Coding" }, { "name" : "Stratification 2", "use" : "out", "min" : 0, "max" : "1", "type" : "Reference" }, { "name" : "Stratification 1", "use" : "out", "min" : 0, "max" : "1", "type" : "Coding" }, { "name" : "Denominator", "use" : "out", "min" : 0, "max" : "1", "type" : "boolean" }, { "name" : "Initial Population", "use" : "out", "min" : 0, "max" : "1", "type" : "boolean" }], "dataRequirement" : [{ "type" : "AdverseEvent", "profile" : ["http://hl7.org/fhir/StructureDefinition/AdverseEvent"], "mustSupport" : ["seriousness", "seriousness.coding"] }, { "type" : "AdverseEvent", "profile" : ["http://hl7.org/fhir/StructureDefinition/AdverseEvent"], "mustSupport" : ["actuality"], "codeFilter" : [{ "path" : "actuality", "code" : [{ "code" : "actual" }] }] }, { "type" : "Resource", "profile" : ["http://hl7.org/fhir/StructureDefinition/Resource"], "mustSupport" : ["id"] }, { "type" : "Immunization", "profile" : ["http://hl7.org/fhir/StructureDefinition/Immunization"], "mustSupport" : ["location", "manufacturer", "vaccineCode", "vaccineCode.coding"] }, { "type" : "Location", "profile" : ["http://hl7.org/fhir/StructureDefinition/Location"], "mustSupport" : ["address", "address.state"] }] }], "extension" : [{ "url" : "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-effectiveDataRequirements", "valueCanonical" : "#effective-data-requirements" }], "url" : "http://smart.who.int/immunizations/Measure/IMMZIND44", "version" : "1.0.0", "name" : "IMMZIND44", "title" : "IMMZIND44", "status" : "draft", "experimental" : false, "date" : "2025-06-11", "publisher" : "WHO", "contact" : [{ "name" : "WHO", "telecom" : [{ "system" : "url", "value" : "http://who.int" }] }], "description" : "IMMZ.IND.44 Adverse event following immunization (AEFI) cases", "library" : ["http://smart.who.int/immunizations/Library/IMMZIND44Logic"], "scoring" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/measure-scoring", "code" : "proportion", "display" : "Proportion" }] }, "group" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis", "valueCode" : "boolean" }], "population" : [{ "id" : "IMMZ.IND.44.IP", "code" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/measure-population", "code" : "initial-population", "display" : "Initial Population" }] }, "description" : "Initial Population", "criteria" : { "language" : "text/cql-identifier", "expression" : "Initial Population" } }, { "id" : "IMMZ.IND.44.D", "code" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/measure-population", "code" : "denominator", "display" : "Denominator" }] }, "description" : "Denominator", "criteria" : { "language" : "text/cql-identifier", "expression" : "Denominator" } }, { "id" : "IMMZ.IND.44.N", "code" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/measure-population", "code" : "numerator", "display" : "Numerator" }] }, "description" : "Numerator", "criteria" : { "language" : "text/cql-identifier", "expression" : "Numerator" } }], "stratifier" : [{ "id" : "IMMZ.IND.44.S1", "code" : { "coding" : [{ "system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.I", "code" : "DE32", "display" : "By-Administrative Area" }] }, "criteria" : { "language" : "text/cql-identifier", "expression" : "Stratification 1" } }, { "id" : "IMMZ.IND.44.S2", "code" : { "coding" : [{ "system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.I", "code" : "DE31", "display" : "By-Sex" }] }, "criteria" : { "language" : "text/cql-identifier", "expression" : "Stratification 2" } }, { "id" : "IMMZ.IND.44.S3", "code" : { "coding" : [{ "system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.I", "code" : "DE33", "display" : "By-Age group" }] }, "criteria" : { "language" : "text/cql-identifier", "expression" : "Stratification 3" } }, { "id" : "IMMZ.IND.44.S4", "code" : { "coding" : [{ "system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.I", "code" : "DE33", "display" : "By-Age group" }] }, "criteria" : { "language" : "text/cql-identifier", "expression" : "Stratification 4" } }] }] }