{ "resourceType" : "Measure", "id" : "IMMZIND51", "meta" : { "profile" : ["http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Measure

Resource Measure "IMMZIND51"

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

url: http://fhir.org/guides/who/smart-immunization/Measure/IMMZIND51

version: 0.1.0

name: IMMZIND51

title: IMMZ.IND.51 Dropout Rate of BCG to MCV1 (Individuals)

status: draft

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

publisher: World Health Organization (WHO)

description: 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.

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

library: IMMZIND51

scoring: Proportion (MeasureScoring#proportion)

type: Process (MeasureType#process)

improvementNotation: Increased score indicates improvement (MeasureImprovementNotation#increase)

group

id

IMMZIND51

population

id

numerator

code: Numerator (MeasurePopulationType#numerator)

description: 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)

Criteria

-LanguageExpression
*text/cqlnumerator

population

id

denominator

code: Denominator (MeasurePopulationType#denominator)

description: Number of children who have received BCG vaccine

Criteria

-LanguageExpression
*text/cqldenominator

stratifier

id

geographic-region-stratifier

Criteria

-LanguageExpression
*text/cqlGeographic Region Stratifier

stratifier

id

gender-stratifier

Criteria

-LanguageExpression
*text/cqlGender Stratifier
" }, "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" : "IMMZIND51" }, { "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" : "IMMZIND51" }, { "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" : "BCG Doses Administered to Patient" }, { "url" : "statement", "valueString" : "/**\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\"" }, { "url" : "displaySequence", "valueInteger" : 5 }], "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "IMMZIND51" }, { "url" : "name", "valueString" : "Patient Should Complete BCG to MCV During Measurement Period" }, { "url" : "statement", "valueString" : "/**\n * Patient should be completing DTP during measurement period\n */\ndefine \"Patient Should Complete BCG to MCV During Measurement Period\":\n\texists(\n\t\tIMMZCom.\"BCG Doses Administered to Patient\" I \n\t\twhere \n\t\t\tI.occurrence before start of \"Measurement Period\"\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 = 1\n\t\t\t\tand RC.vaccineCode in IMMZc.\"MCV Vaccine\"\n\t\t)\n\t)" }, { "url" : "displaySequence", "valueInteger" : 6 }], "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "IMMZCommon" }, { "url" : "name", "valueString" : "MCV Doses Administered to Patient" }, { "url" : "statement", "valueString" : "/**\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\"" }, { "url" : "displaySequence", "valueInteger" : 7 }], "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "IMMZIndicatorCommon" }, { "url" : "name", "valueString" : "MCV Doses Administered to Patient During Measurement Period" }, { "url" : "statement", "valueString" : "/**\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\"" }, { "url" : "displaySequence", "valueInteger" : 8 }], "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "IMMZIND51" }, { "url" : "name", "valueString" : "numerator" }, { "url" : "statement", "valueString" : "/*\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\t\"Patient Should Complete BCG to MCV During Measurement Period\"\n\tand not exists(IMMZIndCom.\"MCV Doses Administered to Patient During Measurement Period\" I where (singleton from I.protocolApplied).doseNumber = 1)" }, { "url" : "displaySequence", "valueInteger" : 9 }], "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "IMMZIND51" }, { "url" : "name", "valueString" : "denominator" }, { "url" : "statement", "valueString" : "/*\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\t\"Patient Should Complete BCG to MCV During Measurement Period\"" }, { "url" : "displaySequence", "valueInteger" : 10 }], "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 BCG Vaccine", "resource" : "http://fhir.org/guides/who/smart-immunization/ValueSet/IMMZ.A1.DE1" }, { "type" : "depends-on", "display" : "Value set MCV Vaccine", "resource" : "http://fhir.org/guides/who/smart-immunization/ValueSet/IMMZ.A1.DE9" }], "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", "occurrence", "protocolApplied", "protocolApplied.doseNumber"] }, { "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/IMMZIND51", "version" : "0.1.0", "name" : "IMMZIND51", "title" : "IMMZ.IND.51 Dropout Rate of BCG to MCV1 (Individuals)", "status" : "draft", "date" : "2022-05-12T15:36:35.082-04:00", "publisher" : "World Health Organization (WHO)", "description" : "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.", "jurisdiction" : [{ "coding" : [{ "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm", "code" : "001" }] }], "library" : ["http://fhir.org/guides/who/smart-immunization/Library/IMMZIND51"], "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" : "IMMZIND51", "population" : [{ "id" : "numerator", "code" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/measure-population", "code" : "numerator" }] }, "description" : "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)", "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 BCG vaccine", "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" } }] }] }