WHO Immunization Implementation Guide
0.1.0 - CI Build
WHO Immunization Implementation Guide
0.1.0 - CI Build
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
| Draft as of 2022-05-12 |
{
"resourceType" : "Measure",
"id" : "IMMZIND50",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Measure</b><a name=\"IMMZIND50\"> </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 "IMMZIND50" </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/IMMZIND50</code></p><p><b>version</b>: 0.1.0</p><p><b>name</b>: IMMZIND50</p><p><b>title</b>: IMMZ.IND.50 Dropout Rate of DTP1 to DTP3 (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 have dropped out of the DTP containing vaccine protocol (i.e. children which have received DTP1 but not DTP3).\n\nThis indicator works by counting the number of individuals who have received the first dose of DTP (dose 1) containing vaccine but not the last dose of DTP (are past-due for dose 3) with the children who have completed the vaccination protocol.</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-IMMZIND50.html\">IMMZIND50</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>IMMZIND50</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 DTP1 (numerator) minus number of children who have not received DTP dose 3 and are past due (numerator exclusion)</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>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 DTP containing vaccine dose 1</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><p><b>stratifier</b></p><blockquote><p><b>id</b></p>gender-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>Gender Stratifier</td></tr></table></blockquote></blockquote></div>"
},
"contained" : [
{
"resourceType" : "Library",
"id" : "effective-data-requirements",
"extension" : [
{
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode",
"valueCoding" : {
"system" : "http://hl7.org/fhir/administrative-gender",
"code" : "male",
"display" : "Males"
}
},
{
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode",
"valueCoding" : {
"system" : "http://hl7.org/fhir/administrative-gender",
"code" : "female",
"display" : "Females"
}
},
{
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode",
"valueCoding" : {
"system" : "http://hl7.org/fhir/administrative-gender",
"code" : "other",
"display" : "Other/NA"
}
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZIndicatorCommon"
},
{
"url" : "name",
"valueString" : "By Administrative Gender Stratifier"
},
{
"url" : "statement",
"valueString" : "/**\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"
},
{
"url" : "displaySequence",
"valueInteger" : 0
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZIND50"
},
{
"url" : "name",
"valueString" : "Gender Stratifier"
},
{
"url" : "statement",
"valueString" : "/*\n * Disaggregator: Gender\n */\ndefine \"Gender Stratifier\":\n\tIMMZIndCom.\"By Administrative Gender Stratifier\""
},
{
"url" : "displaySequence",
"valueInteger" : 1
}
],
"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" : 2
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZIND50"
},
{
"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" : 3
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"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" : 4
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZCommon"
},
{
"url" : "name",
"valueString" : "DTP Doses Administered to Patient"
},
{
"url" : "statement",
"valueString" : "/**\n * @dataElement DTP containing Doses Administered to Patient\n */\ndefine \"DTP Doses Administered to Patient\":\n \"Doses Administered to Patient\" I\n where\n I.vaccineCode in IMMZc.\"DTP Vaccine\""
},
{
"url" : "displaySequence",
"valueInteger" : 5
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZIND50"
},
{
"url" : "name",
"valueString" : "Patient Should Complete DTP Series During Measurement Period"
},
{
"url" : "statement",
"valueString" : "/**\n * Patient should be completing DTP during measurement period\n */\ndefine \"Patient Should Complete DTP Series During Measurement Period\":\n\texists(\n\t\tIMMZCom.\"DTP Doses Administered to Patient\" I \n\t\twhere \n\t\t\t(singleton from I.protocolApplied).doseNumber = 1\n\t)\n\tand \n\texists(\n\t\t[ImmunizationRecommendation] IR \n\t\twhere \n\t\t\texists(\n\t\t\t\tIR.recommendation RC where\n\t\t\t\texists(RC.dateCriterion DC where date from DC.value during \"Measurement Period\")\n\t\t\t\tand RC.doseNumber = 3\n\t\t\t\tand RC.vaccineCode in IMMZc.\"DTP Vaccine\"\n\t\t)\n\t)"
},
{
"url" : "displaySequence",
"valueInteger" : 6
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZIndicatorCommon"
},
{
"url" : "name",
"valueString" : "DTP Doses Administered to Patient During Measurement Period"
},
{
"url" : "statement",
"valueString" : "/*\n * DTP Doses administered to the patient during the measurement period\n */\ndefine \"DTP Doses Administered to Patient During Measurement Period\":\n IMMZCom.\"DTP Doses Administered to Patient\" I\n\t\twhere IMMZCom.ToDate(I.occurrence) during \"Measurement Period\""
},
{
"url" : "displaySequence",
"valueInteger" : 7
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZIND50"
},
{
"url" : "name",
"valueString" : "numerator"
},
{
"url" : "statement",
"valueString" : "/*\n * Numerator: Number of administrations of DTP1 administered during reporting period minus the number of administrations of DTP3 administered during report period\n * Numerator Computation: COUNT immunization events WHERE administered product is DTP (IMMZ.A1.DE24) AND dose sequence is 1 during reporting period\nSUBTRACT\nCOUNT immunization events WHERE administered product is DTP (IMMZ.A1.DE24) AND dose sequence is 3 during reporting period\n */\ndefine \"numerator\":\n\t\"Patient Should Complete DTP Series During Measurement Period\"\n\tand not exists(IMMZIndCom.\"DTP Doses Administered to Patient During Measurement Period\" I where (singleton from I.protocolApplied).doseNumber = 3)"
},
{
"url" : "displaySequence",
"valueInteger" : 8
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZIND50"
},
{
"url" : "name",
"valueString" : "denominator"
},
{
"url" : "statement",
"valueString" : "/*\n * Denominator: Number of doses of DTP1 administered\n * Denominator Computation: COUNT immunization events WHERE administered product is DTP (IMMZ.A1.DE24) AND dose sequence is 1 before reporting period \n */\ndefine \"denominator\":\n\t\"Patient Should Complete DTP Series 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 FHIRHelpers",
"resource" : "http://fhir.org/guides/who/smart-immunization/Library/FHIRHelpers|4.0.1"
},
{
"type" : "depends-on",
"display" : "Library IMMZCom",
"resource" : "http://fhir.org/guides/who/smart-immunization/Library/IMMZCommon"
},
{
"type" : "depends-on",
"display" : "Library IMMZc",
"resource" : "http://fhir.org/guides/who/smart-immunization/Library/IMMZConcepts"
},
{
"type" : "depends-on",
"display" : "Code system Administrative Gender Codes",
"resource" : "http://hl7.org/fhir/administrative-gender"
},
{
"type" : "depends-on",
"display" : "Value set DTP Vaccine",
"resource" : "http://fhir.org/guides/who/smart-immunization/ValueSet/IMMZ.A1.DE24"
}
],
"parameter" : [
{
"name" : "Measurement Period",
"use" : "in",
"min" : 0,
"max" : "1",
"type" : "Period"
},
{
"name" : "Gender Stratifier",
"use" : "out",
"min" : 0,
"max" : "1",
"type" : "Coding"
},
{
"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" : "Patient",
"profile" : [
"http://hl7.org/fhir/StructureDefinition/Patient"
],
"mustSupport" : [
"use"
]
},
{
"type" : "Immunization",
"profile" : [
"http://hl7.org/fhir/StructureDefinition/Immunization"
],
"mustSupport" : [
"status",
"vaccineCode",
"protocolApplied",
"protocolApplied.doseNumber",
"occurrence"
]
},
{
"type" : "ImmunizationRecommendation",
"profile" : [
"http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation"
],
"mustSupport" : [
"recommendation"
]
}
]
}
],
"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/IMMZIND50",
"version" : "0.1.0",
"name" : "IMMZIND50",
"title" : "IMMZ.IND.50 Dropout Rate of DTP1 to DTP3 (Individuals)",
"status" : "draft",
"date" : "2022-05-12T15:36:35.078-04:00",
"publisher" : "World Health Organization (WHO)",
"description" : "Indicates the number of individuals which have dropped out of the DTP containing vaccine protocol (i.e. children which have received DTP1 but not DTP3).\n\nThis indicator works by counting the number of individuals who have received the first dose of DTP (dose 1) containing vaccine but not the last dose of DTP (are past-due for dose 3) with the children who have completed the vaccination protocol.",
"jurisdiction" : [
{
"coding" : [
{
"system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
"code" : "001"
}
]
}
],
"library" : [
"http://fhir.org/guides/who/smart-immunization/Library/IMMZIND50"
],
"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" : "IMMZIND50",
"population" : [
{
"id" : "numerator",
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "numerator"
}
]
},
"description" : "Number of children who have received DTP1 (numerator) minus number of children who have not received DTP dose 3 and are past due (numerator exclusion)",
"criteria" : {
"language" : "text/cql",
"expression" : "numerator"
}
},
{
"id" : "denominator",
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "denominator"
}
]
},
"description" : "Number of children who have received DTP containing vaccine dose 1",
"criteria" : {
"language" : "text/cql",
"expression" : "denominator"
}
}
],
"stratifier" : [
{
"id" : "geographic-region-stratifier",
"criteria" : {
"language" : "text/cql",
"expression" : "Geographic Region Stratifier"
}
},
{
"id" : "gender-stratifier",
"criteria" : {
"language" : "text/cql",
"expression" : "Gender Stratifier"
}
}
]
}
]
}
IG © 2021+ World Health Organization (WHO). Package who.fhir.immunization#0.1.0 based on FHIR 4.0.1. Generated 2023-08-02
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