WHO Immunization Implementation Guide
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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

: IMMZ.IND.23 Dropout Rate of DTP1 to DTP3 (Target / Reported Cohort) - XML Representation

Draft as of 2022-05-12

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<Measure xmlns="http://hl7.org/fhir">
  <id value="IMMZIND23"/>
  <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="IMMZIND23"> </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;IMMZIND23&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/IMMZIND23</code></p><p><b>version</b>: 0.1.0</p><p><b>name</b>: IMMZIND23</p><p><b>title</b>: IMMZ.IND.23 Dropout Rate of DTP1 to DTP3 (Target / Reported Cohort)</p><p><b>status</b>: draft</p><p><b>date</b>: 2022-05-12 15:36:34-0400</p><p><b>publisher</b>: World Health Organization (WHO)</p><p><b>description</b>: Indicates the aggregate dropout rate of DTP containing vaccines protocol. 

The indicator compares the number of administrations of first dose of DTP containing vaccines (DTP1) minus the number of administrations of the final dose (DTP3) protocol divided by the number of administrations of first dose (DTP1 - DTP3 / DTP1)</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-IMMZIND23.html">IMMZIND23</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>: Decreased 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>#decrease)</span></p><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>IMMZIND23</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 DTP1 administered during reporting period minus the number of administrations of DTP3 administered during report period</p><h3>Criteria</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style="display: none">*</td><td>text/cql</td><td>numerator</td></tr></table></blockquote><blockquote><p><b>population</b></p><blockquote><p><b>id</b></p>numerator-exclusion</blockquote><p><b>code</b>: Numerator Exclusion <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-exclusion)</span></p><p><b>description</b>: Number of administrations of DTP1 administered during reporting period minus the number of administrations of DTP3 administered during report period</p><h3>Criteria</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style="display: none">*</td><td>text/cql</td><td>numerator-exclusion</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 doses of DTP1 administered</p><h3>Criteria</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style="display: none">*</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 style="display: none">-</td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style="display: none">*</td><td>text/cql</td><td>Geographic Region 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-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 &quot;Doses Administered to Patient&quot;:
  [Immunization] I
    where I.status = 'completed'
    sort by date from (occurrence as FHIR.dateTime) desc"/>
        </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="IMMZCommon"/>
        </extension>
        <extension url="name">
          <valueString value="DTP Doses Administered to Patient"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/**
 * @dataElement DTP containing Doses Administered to Patient
 */
define &quot;DTP Doses Administered to Patient&quot;:
  &quot;Doses Administered to Patient&quot; I
  where
    I.vaccineCode in IMMZc.&quot;DTP Vaccine&quot;"/>
        </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="IMMZIndicatorCommon"/>
        </extension>
        <extension url="name">
          <valueString
                       value="DTP Doses Administered to Patient During Measurement Period"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/*
 * DTP Doses administered to the patient during the measurement period
 */
define &quot;DTP Doses Administered to Patient During Measurement Period&quot;:
    IMMZCom.&quot;DTP Doses Administered to Patient&quot; I
		where IMMZCom.ToDate(I.occurrence) during &quot;Measurement Period&quot;"/>
        </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="IMMZIND23"/>
        </extension>
        <extension url="name">
          <valueString value="numerator-exclusion"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/** 
 * Exclude the dose 3
 */
define &quot;numerator-exclusion&quot;:
	exists(IMMZIndCom.&quot;DTP Doses Administered to Patient During Measurement Period&quot; I where (singleton from I.protocolApplied).doseNumber = 3)"/>
        </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="By Geographic Region Stratifier"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/**
 * By Administrative Gender of Patient Stratifier
 */
define &quot;By Geographic Region Stratifier&quot;:
    First(Patient.address A where A.use in { 'home' }).state"/>
        </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="IMMZIND23"/>
        </extension>
        <extension url="name">
          <valueString value="Geographic Region Stratifier"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/*
 * Disaggregator: Geographic Region
 */
define &quot;Geographic Region Stratifier&quot;:
	IMMZIndCom.&quot;By Geographic Region Stratifier&quot;"/>
        </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="IMMZIND23"/>
        </extension>
        <extension url="name">
          <valueString value="numerator"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/*
 * Numerator: Number of administrations of DTP1 administered during reporting period minus the number of administrations of DTP3 administered during report period
 * Numerator Computation: COUNT immunization events WHERE administered product is DTP (IMMZ.A1.DE24) AND dose sequence is 1  during reporting period
SUBTRACT
COUNT immunization events WHERE administered product is DTP (IMMZ.A1.DE24) AND dose sequence is 3  during reporting period
 */
define &quot;numerator&quot;:
	exists(IMMZIndCom.&quot;DTP Doses Administered to Patient During Measurement Period&quot; I where (singleton from I.protocolApplied).doseNumber = 1)"/>
        </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="IMMZIND23"/>
        </extension>
        <extension url="name">
          <valueString value="denominator"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/*
 * Denominator: Number of doses of DTP1 administered
 * Denominator Computation: COUNT immunization events WHERE administered product is DTP (IMMZ.A1.DE24) AND dose sequence is 1 during reporting period
 */
define &quot;denominator&quot;:
	exists(IMMZIndCom.&quot;DTP Doses Administered to Patient During Measurement Period&quot; I where (singleton from I.protocolApplied).doseNumber = 1)"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="7"/>
        </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 IMMZCom"/>
        <resource
                  value="http://fhir.org/guides/who/smart-immunization/Library/IMMZCommon"/>
      </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 IMMZc"/>
        <resource
                  value="http://fhir.org/guides/who/smart-immunization/Library/IMMZConcepts"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Value set DTP Vaccine"/>
        <resource
                  value="http://fhir.org/guides/who/smart-immunization/ValueSet/IMMZ.A1.DE24"/>
      </relatedArtifact>
      <parameter>
        <name value="Measurement Period"/>
        <use value="in"/>
        <min value="0"/>
        <max value="1"/>
        <type value="Period"/>
      </parameter>
      <parameter>
        <name value="numerator-exclusion"/>
        <use value="out"/>
        <min value="0"/>
        <max value="1"/>
        <type value="boolean"/>
      </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="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="Patient"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Patient"/>
        <mustSupport value="use"/>
      </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/IMMZIND23"/>
  <version value="0.1.0"/>
  <name value="IMMZIND23"/>
  <title
         value="IMMZ.IND.23 Dropout Rate of DTP1 to DTP3 (Target / Reported Cohort)"/>
  <status value="draft"/>
  <date value="2022-05-12T15:36:34.999-04:00"/>
  <publisher value="World Health Organization (WHO)"/>
  <description
               value="Indicates the aggregate dropout rate of DTP containing vaccines protocol. 

The indicator compares the number of administrations of first dose of DTP containing vaccines (DTP1) minus the number of administrations of the final dose (DTP3) protocol divided by the number of administrations of first dose (DTP1 - DTP3 / DTP1)"/>
  <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/IMMZIND23"/>
  <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="decrease"/>
    </coding>
  </improvementNotation>
  <group id="IMMZIND23">
    <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 DTP1 administered during reporting period minus the number of administrations of DTP3 administered during report period"/>
      <criteria>
        <language value="text/cql"/>
        <expression value="numerator"/>
      </criteria>
    </population>
    <population id="numerator-exclusion">
      <code>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/measure-population"/>
          <code value="numerator-exclusion"/>
        </coding>
      </code>
      <description
                   value="Number of administrations of DTP1 administered during reporting period minus the number of administrations of DTP3 administered during report period"/>
      <criteria>
        <language value="text/cql"/>
        <expression value="numerator-exclusion"/>
      </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 doses of DTP1 administered"/>
      <criteria>
        <language value="text/cql"/>
        <expression value="denominator"/>
      </criteria>
    </population>
    <stratifier id="geographic-region-stratifier">
      <criteria>
        <language value="text/cql"/>
        <expression value="Geographic Region Stratifier"/>
      </criteria>
    </stratifier>
  </group>
</Measure>