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Added in Yellow Fever indicator (26) and measure. Updated measures to use a rulesets.
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‎input/cql/IMMZIND26YellowFever.cql

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/*
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* Library: IMMZ.IND.26.YellowFever
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* Immunization coverage for Yellow Fever containing vaccine
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* The percentage in the target population who have received one dose of Yellow Fever (YF) vaccine during reporting period
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*
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*
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* References: WHO / UNICEF Joint Reporting Form
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* WHO Immunization data portal
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*/
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library IMMZIND26YellowFever
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// Start Skeleton CQL
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using FHIR version '4.0.1'
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include FHIRHelpers version '4.0.1'
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include IMMZCommon called IMMZCom
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include IMMZConcepts called IMMZc
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include IMMZConfig called IMMZCon
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//include IMMZIndicatorCommon called IMMZIndCom
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include IMMZVaccineLibrary called IMMZvl
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include FHIRCommon called FC
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include IMMZINDYellowFever called Ind
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include IMMZStratifiers called Stratifiers
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// End Skeleton CQL
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parameter "Measurement Period" Interval<DateTime> default Interval[@2023-01-01T00:00:00.0, @2023-12-31T23:59:59.9]
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context Patient
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/*
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@population: Initial population for first dose: Any one over 9 months
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*/
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define "Initial Population":
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Patient.birthDate + 9 months before end of "Measurement Period"
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/*
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@numerator: Number of yellow fever doses administered through routine services during reporting period
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@computation: COUNT of immunization events WHERE "Vaccine type" = "Yellow fever containing vaccines" AND "Date and time of vaccination" is during the reporting period
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*/
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define "Numerator":
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exists( Ind."Yellow Fever Doses in Measurement Period" I where IMMZCom.ToPositiveInt((singleton from I.protocolApplied).doseNumber) = 1 )
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/*
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@denominator: Number in target group
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@computation: As defined by the Member States
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*/
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define "Denominator":
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"Initial Population"
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/*
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@disaggregation: Administrative area
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Sex
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Age in years
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Age group (depending on schedule)
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*/
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define "Stratification 1":
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Stratifiers."Administrative Area"
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define "Stratification 2":
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Stratifiers."Sex"
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define "Stratification 3":
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Stratifiers."Age"
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define "Stratification 4":
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Stratifiers."Age Group"

‎input/cql/IMMZINDMeasles.cql

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/*
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* Library: IMMZ.IND.Measles
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* Immunization coverage for Measles containing vaccine (Estimated Denominator)
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* Compares the administered doses of measles containing vaccines (MCV) with the estimated number of surviving infants (if dose 1) or a country supplied denominator (if dose 2) expressed as a percentage.
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*
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* Numerator: Number of administrations of vaccinations containing a Measles component during reporting period
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* Numerator Computation: COUNT immunization events WHERE administered product is a Measles vaccine (IMMZ.Z.DE9) during reporting period
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* Denominator: Estimated number of surviving infants (for dose 1) and country supplied denominator for dose sequence 2 (see comments)
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* Denominator Computation: PARAMETER number of surviving infants (if Dose Sequence = 1) or PARAMETER of country supplied denominator (if Dose Sequence = 2)
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*
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* Disaggregation:
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* - Dose Sequence (1, 2)
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* - Age Group (< 1 year or > 1 year)
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* - Geographic Region
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* - Administrative Gender (or Biological Sex)
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*
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* References: WHO Immunization Facility Analysis Guide (1), WHO / UNICEF Joint Reporting Form (3 - elements 4240 and 4260 )
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*/
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library IMMZINDMeasles

‎input/cql/IMMZINDYellowFever.cql

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/*
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* Library: IMMZ.IND.YellowFever
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*/
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library IMMZINDYellowFever
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// Start Skeleton CQL
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using FHIR version '4.0.1'
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include FHIRHelpers version '4.0.1'
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include IMMZCommon called IMMZCom
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include IMMZConcepts called IMMZc
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include IMMZConfig called IMMZCon
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//include IMMZIndicatorCommon called IMMZIndCom
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include IMMZVaccineLibrary called IMMZvl
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include FHIRCommon called FC
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include IMMZD2DTYellowFeverInput called YF
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// End Skeleton CQL
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parameter "Measurement Period" Interval<DateTime> default Interval[@2023-01-01T00:00:00.0, @2023-12-31T23:59:59.9]
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context Patient
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/*
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* Measles doses given during measurement period
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*/
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define "Yellow Fever Doses in Measurement Period":
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YF."Yellow Fever Doses Administered to Patient" I where I.occurrence during "Measurement Period"
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‎input/fsh/measures/IMMZIND07MeaslesHighTx.fsh

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@@ -2,51 +2,5 @@ Instance: IMMZIND07MeaslesHighTx
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InstanceOf: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/proportion-measure-cqfm
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Title: "IMMZIND07MeaslesHighTx"
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* description = "IMMZ.IND.07 Measles indicator for first dose in High Transmission area."
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* url = "http://smart.who.int/ig/smart-immunizations/Measure/IMMZIND07MeaslesHighTx"
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* version = "0.1.0"
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* status = #draft
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* experimental = false
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* date = "2024-01-16"
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* name = "IMMZIND07MeaslesHighTx"
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* publisher = "World Health Organization (WHO)"
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* library = "http://smart.who.int/ig/smart-immunizations/Library/IMMZIND07MeaslesHighTx"
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* scoring = $measure-scoring#proportion "Proportion"
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* group[+]
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* population[initialPopulation]
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* extension[http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis].valueCode = #boolean
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* id = "IMMZ.IND.07.HTx.IP"
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* description = "Initial Population"
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* code = $measure-population#initial-population "Initial Population"
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* criteria.language = #text/cql
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* criteria.expression = "Initial Population"
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* population[denominator]
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* extension[http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis].valueCode = #boolean
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* id = "IMMZ.IND.07.HTx.D"
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* description = "Denominator"
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* code = $measure-population#denominator "Denominator"
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* criteria.language = #text/cql
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* criteria.expression = "Denominator"
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* population[numerator]
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* extension[http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis].valueCode = #boolean
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* id = "IMMZ.IND.07.HTx.N"
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* description = "Numerator"
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* code = $measure-population#numerator "Numerator"
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* criteria.language = #text/cql
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* criteria.expression = "Numerator"
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* stratifier[+]
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* id = "IMMZ.IND.07.HTx.S1"
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* criteria.language = #text/cql
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* criteria.expression = "Stratification 1"
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* stratifier[+]
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* id = "IMMZ.IND.07.HTx.S2"
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* criteria.language = #text/cql
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* criteria.expression = "Stratification 2"
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* stratifier[+]
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* id = "IMMZ.IND.07.HTx.S3"
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* criteria.language = #text/cql
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* criteria.expression = "Stratification 3"
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* stratifier[+]
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* id = "IMMZ.IND.07.HTx.S4"
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* criteria.language = #text/cql
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* criteria.expression = "Stratification 4"
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* insert MeasureProportion( IMMZ.IND.07 Measles indicator for first dose in High Transmission area., IMMZIND07MeaslesHighTx,
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0.1.0, 2024-01-06, IMMZ.IND.07.HTx)

‎input/fsh/measures/IMMZIND07MeaslesLowTx.fsh

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@@ -2,51 +2,5 @@ Instance: IMMZIND07MeaslesLowTx
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InstanceOf: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/proportion-measure-cqfm
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Title: "IMMZIND07MeaslesLowTx"
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* description = "IMMZ.IND.07 Measles indicator for first dose in Low Transmission area."
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* url = "http://smart.who.int/ig/smart-immunizations/Measure/IMMZIND07MeaslesLowTx"
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* version = "0.1.0"
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* status = #draft
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* experimental = false
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* date = "2024-01-16"
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* name = "IMMZIND07MeaslesLowTx"
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* publisher = "World Health Organization (WHO)"
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* library = "http://smart.who.int/ig/smart-immunizations/Library/IMMZIND07MeaslesLowTx"
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* scoring = $measure-scoring#proportion "Proportion"
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* group[+]
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* population[initialPopulation]
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* extension[http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis].valueCode = #boolean
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* id = "IMMZ.IND.07.LTx.IP"
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* description = "Initial Population"
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* code = $measure-population#initial-population "Initial Population"
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* criteria.language = #text/cql
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* criteria.expression = "Initial Population"
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* population[denominator]
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* extension[http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis].valueCode = #boolean
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* id = "IMMZ.IND.07.LTx.D"
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* description = "Denominator"
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* code = $measure-population#denominator "Denominator"
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* criteria.language = #text/cql
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* criteria.expression = "Denominator"
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* population[numerator]
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* extension[http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis].valueCode = #boolean
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* id = "IMMZ.IND.07.LTx.N"
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* description = "Numerator"
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* code = $measure-population#numerator "Numerator"
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* criteria.language = #text/cql
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* criteria.expression = "Numerator"
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* stratifier[+]
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* id = "IMMZ.IND.07.LTx.S1"
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* criteria.language = #text/cql
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* criteria.expression = "Stratification 1"
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* stratifier[+]
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* id = "IMMZ.IND.07.LTx.S2"
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* criteria.language = #text/cql
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* criteria.expression = "Stratification 2"
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* stratifier[+]
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* id = "IMMZ.IND.07.LTx.S3"
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* criteria.language = #text/cql
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* criteria.expression = "Stratification 3"
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* stratifier[+]
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* id = "IMMZ.IND.07.LTx.S4"
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* criteria.language = #text/cql
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* criteria.expression = "Stratification 4"
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* insert MeasureProportion( IMMZ.IND.07 Measles indicator for first dose in Low Transmission area., IMMZIND07MeaslesLowTx,
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0.1.0, 2024-01-06, IMMZ.IND.07.LTx)

‎input/fsh/measures/IMMZIND08Measles.fsh

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@@ -2,6 +2,9 @@ Instance: IMMZIND08Measles
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InstanceOf: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/proportion-measure-cqfm
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Title: "IMMZIND08Measles"
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* insert MeasureProportion( IMMZ.IND.08 Measles indicator for second dose., IMMZIND08Measles,
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0.1.0, 2024-01-06, IMMZ.IND.08)
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* description = "IMMZ.IND.08 Measles indicator for second dose."
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* url = "http://smart.who.int/ig/smart-immunizations/Measure/IMMZIND08Measles"
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* version = "0.1.0"

‎input/fsh/measures/IMMZIND26YellowFever.fsh

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Instance: IMMZIND26YellowFever
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InstanceOf: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/proportion-measure-cqfm
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Title: "IMMZIND26YellowFever"
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* insert MeasureProportion( IMMZ.IND.26 Yellow Fever indicator for first dose., IMMZIND26YellowFever,
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0.1.0, 2024-01-06, IMMZ.IND.26)

‎input/fsh/measures/IMMZIND40Measles.fsh

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@@ -2,51 +2,5 @@ Instance: IMMZIND40Measles
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InstanceOf: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/proportion-measure-cqfm
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Title: "IMMZIND08Measles"
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* description = "IMMZ.IND.40 Dropout rate of MCV1 to MCV2."
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* url = "http://smart.who.int/ig/smart-immunizations/Measure/IMMZIND40Measles"
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* version = "0.1.0"
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* status = #draft
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* experimental = false
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* date = "2024-01-16"
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* name = "IMMZIND40Measles"
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* publisher = "World Health Organization (WHO)"
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* library = "http://smart.who.int/ig/smart-immunizations/Library/IMMZIND40Measles"
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* scoring = $measure-scoring#proportion "Proportion"
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* group[+]
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* population[initialPopulation]
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* extension[http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis].valueCode = #boolean
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* id = "IMMZ.IND.40.IP"
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* description = "Initial Population"
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* code = $measure-population#initial-population "Initial Population"
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* criteria.language = #text/cql
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* criteria.expression = "Initial Population"
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* population[denominator]
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* extension[http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis].valueCode = #boolean
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* id = "IMMZ.IND.40.D"
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* description = "Denominator"
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* code = $measure-population#denominator "Denominator"
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* criteria.language = #text/cql
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* criteria.expression = "Denominator"
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* population[numerator]
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* extension[http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis].valueCode = #boolean
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* id = "IMMZ.IND.40.N"
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* description = "Numerator"
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* code = $measure-population#numerator "Numerator"
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* criteria.language = #text/cql
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* criteria.expression = "Numerator"
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* stratifier[+]
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* id = "IMMZ.IND.40.S1"
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* criteria.language = #text/cql
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* criteria.expression = "Stratification 1"
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* stratifier[+]
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* id = "IMMZ.IND.40.S2"
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* criteria.language = #text/cql
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* criteria.expression = "Stratification 2"
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* stratifier[+]
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* id = "IMMZ.IND.40.S3"
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* criteria.language = #text/cql
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* criteria.expression = "Stratification 3"
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* stratifier[+]
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* id = "IMMZ.IND.40.S4"
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* criteria.language = #text/cql
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* criteria.expression = "Stratification 4"
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* insert MeasureProportion( IMMZ.IND.40 Dropout rate of MCV1 to MCV2., IMMZIND40Measles,
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0.1.0, 2024-01-06, IMMZ.IND.40)

‎input/fsh/measures/IMMZINDrulesets.fsh

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RuleSet: Stratifier( idprefix, count )
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* stratifier[+]
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* id = "{idprefix}.S{count}"
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* criteria.language = #text/cql
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* criteria.expression = "Stratification {count}"
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RuleSet: MeasureProportion( description, library, version, date, idprefix)
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* description = "{description}"
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* url = "http://smart.who.int/ig/smart-immunizations/Measure/{library}"
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* version = "{version}"
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* status = #draft
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* experimental = false
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* date = "{date}"
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* name = "{library}"
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* publisher = "World Health Organization (WHO)"
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* library = "http://smart.who.int/ig/smart-immunizations/Library/{library}"
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* scoring = $measure-scoring#proportion "Proportion"
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* group[+]
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* population[initialPopulation]
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* extension[http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis].valueCode = #boolean
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* id = "{idprefix}.IP"
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* description = "Initial Population"
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* code = $measure-population#initial-population "Initial Population"
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* criteria.language = #text/cql
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* criteria.expression = "Initial Population"
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* population[denominator]
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* extension[http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis].valueCode = #boolean
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* id = "{idprefix}.D"
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* description = "Denominator"
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* code = $measure-population#denominator "Denominator"
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* criteria.language = #text/cql
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* criteria.expression = "Denominator"
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* population[numerator]
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* extension[http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis].valueCode = #boolean
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* id = "{idprefix}.N"
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* description = "Numerator"
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* code = $measure-population#numerator "Numerator"
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* criteria.language = #text/cql
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* criteria.expression = "Numerator"
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* insert Stratifier( {idprefix}, 1 )
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* insert Stratifier( {idprefix}, 2 )
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* insert Stratifier( {idprefix}, 3 )
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* insert Stratifier( {idprefix}, 4 )

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