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" : "IMMZIND51",
"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=\"IMMZIND51\"> </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 "IMMZIND51" </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/IMMZIND51</code></p><p><b>version</b>: 0.1.0</p><p><b>name</b>: IMMZIND51</p><p><b>title</b>: IMMZ.IND.51 Dropout Rate of BCG to MCV1 (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 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.</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-IMMZIND51.html\">IMMZIND51</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>IMMZIND51</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 BCG (numerator) minus number of children who have not received MCV dose 1 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 BCG vaccine</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" : "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"
},
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"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"
}
}
]
}
]
}
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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