@prefix fhir: . @prefix owl: . @prefix rdfs: . @prefix xsd: . # - resource ------------------------------------------------------------------- a fhir:Measure ; fhir:nodeRole fhir:treeRoot ; fhir:id [ fhir:v "IMMZIND24"] ; # fhir:meta [ fhir:profile ( [ fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm"^^xsd:anyURI ; fhir:link ] ) ] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "

Generated Narrative: Measure

Resource Measure "IMMZIND24"

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

url: http://fhir.org/guides/who/smart-immunization/Measure/IMMZIND24

version: 0.1.0

name: IMMZIND24

title: IMMZ.IND.24 Dropout Rate of BCG to MCV1 (Target / Reported Cohort)

status: draft

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

publisher: World Health Organization (WHO)

description: Indicates the aggregate dropout rate of children which have begun vaccination (at birth, BCG if given) with aggregate administration of measles containing vaccines. \n\nThe indicator compares the number of administration of BCG minus the number of administration of MCV1 divided by the number of BCG vaccinations (BCG - MCV1 / BCG)

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

library: IMMZIND24

scoring: Proportion (MeasureScoring#proportion)

type: Process (MeasureType#process)

improvementNotation: Decreased score indicates improvement (MeasureImprovementNotation#decrease)

group

id

IMMZIND24

population

id

numerator

code: Numerator (MeasurePopulationType#numerator)

description: The number of doses of MCV1 administered during reporting period minus the number of BCG doses administered during reporting period

Criteria

-LanguageExpression
*text/cqlnumerator

population

id

numerator-exclusion

code: Numerator Exclusion (MeasurePopulationType#numerator-exclusion)

description: The number of doses of MCV1 administered during reporting period minus the number of BCG doses administered during reporting period

Criteria

-LanguageExpression
*text/cqlnumerator-exclusion

population

id

denominator

code: Denominator (MeasurePopulationType#denominator)

description: Number of doses of BCG administered during reporting period.

Criteria

-LanguageExpression
*text/cqldenominator

stratifier

id

geographic-region-stratifier

Criteria

-LanguageExpression
*text/cqlGeographic Region Stratifier
" ] ; # fhir:contained ( [ a fhir:Library ; fhir:id [ fhir:v "effective-data-requirements" ] ; fhir:extension ( [ 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 "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 "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 "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 "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 "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 "IMMZIND24" ] ] [ fhir:url [ fhir:v "name"^^xsd:anyURI ] ; fhir:value [ fhir:v "numerator-exclusion" ] ] [ fhir:url [ fhir:v "statement"^^xsd:anyURI ] ; fhir:value [ fhir:v "/** \n * Exclusion for numerator\n */\ndefine \"numerator-exclusion\":\n 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 "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 "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 "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 "IMMZIND24" ] ] [ 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 "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 "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 "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 "IMMZIndicatorCommon" ] ] [ fhir:url [ fhir:v "name"^^xsd:anyURI ] ; fhir:value [ fhir:v "BCG Doses Administered to Patient During Measurement Period" ] ] [ fhir:url [ fhir:v "statement"^^xsd:anyURI ] ; fhir:value [ fhir:v "/*\n * BCG Doses administered to the patient during the measurement period\n */\ndefine \"BCG Doses Administered to Patient During Measurement Period\":\n IMMZCom.\"BCG 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 "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 "IMMZIND24" ] ] [ 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: The number of doses of MCV1 administered during reporting period minus the number of BCG doses administered during reporting period\n * Numerator Computation: COUNT immunization events WHERE administered product is BCG (IMMZ.A1.DE1) during reporting period\nSUBTRACT \nCOUNT immunization events WHERE administered product is measles containing vaccine (IMMZ.A1.DE9) AND dose sequence is 1 during reporting period\n */\ndefine \"numerator\":\n exists(IMMZIndCom.\"BCG Doses Administered to Patient 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 "IMMZIND24" ] ] [ 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 doses of BCG administered during reporting period.\n * Denominator Computation: COUNT immunization events WHERE administered product is BCG (IMMZ.A1.DE1) during reporting period\n */\ndefine \"denominator\":\n exists(IMMZIndCom.\"BCG Doses Administered to Patient During Measurement Period\")" ] ] [ 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: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 ] ] [ 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 ] ] [ 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 ] ] [ 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 ] ] [ 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 ] ] [ 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 ] ] ) ; 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 "numerator-exclusion" ] ; 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 "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 "Immunization" ] ; fhir:profile ( [ fhir:v "http://hl7.org/fhir/StructureDefinition/Immunization"^^xsd:anyURI ; fhir:link ] ) ; fhir:mustSupport ( [ fhir:v "status" ] [ fhir:v "vaccineCode" ] [ fhir:v "occurrence" ] [ fhir:v "protocolApplied" ] [ fhir:v "protocolApplied.doseNumber" ] ) ] [ fhir:type [ fhir:v "Patient" ] ; fhir:profile ( [ fhir:v "http://hl7.org/fhir/StructureDefinition/Patient"^^xsd:anyURI ; fhir:link ] ) ; fhir:mustSupport ( [ fhir:v "use" ] ) ] ) ] ) ; # fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-softwaresystem"^^xsd:anyURI ] ; fhir:value [ a fhir:Reference ; fhir:link ; 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/IMMZIND24"^^xsd:anyURI] ; # fhir:version [ fhir:v "0.1.0"] ; # fhir:name [ fhir:v "IMMZIND24"] ; # fhir:title [ fhir:v "IMMZ.IND.24 Dropout Rate of BCG to MCV1 (Target / Reported Cohort)"] ; # fhir:status [ fhir:v "draft"] ; # fhir:date [ fhir:v "2022-05-12T15:36:35.002-04:00"^^xsd:dateTime] ; # fhir:publisher [ fhir:v "World Health Organization (WHO)"] ; # fhir:description [ fhir:v "Indicates the aggregate dropout rate of children which have begun vaccination (at birth, BCG if given) with aggregate administration of measles containing vaccines. \n\nThe indicator compares the number of administration of BCG minus the number of administration of MCV1 divided by the number of BCG vaccinations (BCG - MCV1 / BCG)"] ; # 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/IMMZIND24"^^xsd:anyURI ; fhir:link ] ) ; # 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 "decrease" ] ] ) ] ; # fhir:group ( [ fhir:id [ fhir:v "IMMZIND24" ] ; 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 "The number of doses of MCV1 administered during reporting period minus the number of BCG doses administered during reporting period" ] ; fhir:criteria [ fhir:language [ fhir:v "text/cql" ] ; fhir:expression [ fhir:v "numerator" ] ] ] [ fhir:id [ fhir:v "numerator-exclusion" ] ; fhir:code [ fhir:coding ( [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-population"^^xsd:anyURI ] ; fhir:code [ fhir:v "numerator-exclusion" ] ] ) ] ; fhir:description [ fhir:v "The number of doses of MCV1 administered during reporting period minus the number of BCG doses administered during reporting period" ] ; fhir:criteria [ fhir:language [ fhir:v "text/cql" ] ; fhir:expression [ fhir:v "numerator-exclusion" ] ] ] [ 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 doses of BCG administered during reporting period." ] ; 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" ] ] ] ) ] ) . # # -------------------------------------------------------------------------------------