{ "resourceType" : "Measure", "id" : "CMS117FHIRChildImmunStatus", "meta" : { "profile" : ["http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareablemeasure", "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm", "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm", "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/executable-measure-cqfm", "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cql-measure-cqfm", "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/elm-measure-cqfm", "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/proportion-measure-cqfm"] }, "text" : { "status" : "extensions", "div" : "
\n \n \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n \n \n \n\n\n\n\n\n\n\n\n\n\n\n\n \n\n\n\n\n \n \n \n\n\n\n\n\n\n\n\n\n\n\n\n \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n \n \n \n \n\n\n\n\n \n \n \n \n\n\n\n \n \n \n \n\n\n\n\n \n \n \n \n\n\n\n \n \n \n \n\n\n\n\n \n \n \n \n\n\n\n \n \n \n \n\n\n\n\n \n \n \n \n\n\n\n \n \n \n \n\n\n\n\n \n \n \n \n\n\n\n\n\n\n\n \n \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n \n \n \n \n \n\n\n\n\n\n\n \n \n \n \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n \n \n\n \n \n \n \n \n \n \n \n \n\n\n\n\n \n \n \n \n\n \n \n\n \n \n \n \n \n \n \n \n \n\n\n\n\n \n \n \n \n\n \n \n\n \n \n \n \n \n \n \n \n \n\n\n\n\n \n \n \n \n\n \n \n\n \n \n \n\n \n \n \n \n \n \n \n \n \n\n\n\n\n \n \n \n \n\n \n \n\n \n \n \n\n \n\n\n \n\n\n\n\n\n\n\n \n \n \n \n \n \n\n\n\n\n\n\n\n\n \n\n\n\n\n \n\n\n\n\n\n\n\n\n\n \n\n\n\n\n \n\n\n\n \n\n\n\n\n \n\n\n\n \n\n\n\n\n \n\n\n\n \n\n\n\n\n \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n \n \n\n\n\n \n\n\n\n\n\n\n \n \n \n\n \n \n \n \n \n\n\n\n\n\n\n \n \n \n \n\n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n\n\n\n \n\n\n\n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n\n \n \n\n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n\n\n\n \n\n\n\n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n\n \n \n\n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n\n\n\n \n\n\n\n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n\n \n \n\n \n \n \n\n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n\n\n\n \n\n\n\n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n\n \n \n\n \n \n \n\n \n\n\n \n\n\n \n\n \n \n\n\n \n\n\n\n\n\n\n \n \n \n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n \n\n\n\n\n \n\n\n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n\n \n \n\n\n\n \n\n \n\n\n\n\n \n\n\n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n \n\n\n\n\n \n\n\n\n\n\n \n\n\n\n \n\n\n\n \n\n \n\n\n\n\n \n\n\n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n \n\n\n\n\n \n\n\n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n\n \n \n\n\n\n \n\n\n\n \n\n \n\n\n\n\n \n\n\n\n\n\n \n\n\n\n \n\n \n\n\n\n\n \n\n\n\n\n\n \n\n\n\n \n\n \n\n\n\n\n \n\n\n\n\n\n \n\n\n\n \n\n \n\n\n\n\n \n\n\n\n\n\n \n\n\n\n \n\n \n\n\n\n\n \n\n\n\n\n\n \n\n\n\n \n\n \n\n\n\n\n \n\n\n\n\n\n \n\n\n\n \n\n \n\n\n\n\n \n\n\n\n\n\n \n\n\n\n \n\n \n\n\n\n\n \n\n\n\n\n\n \n\n\n\n \n\n \n\n\n\n\n \n\n\n\n\n\n \n\n\n\n \n\n \n\n\n\n\n \n\n\n\n\n\n \n\n\n\n \n\n \n\n\n\n\n \n\n\n\n\n\n \n\n\n\n \n\n \n\n\n\n\n \n\n\n\n\n\n \n\n\n\n \n\n \n\n\n\n\n \n\n\n\n\n\n \n\n\n\n \n\n \n\n\n\n\n \n\n\n\n\n\n \n\n\n\n \n\n \n\n\n\n\n \n\n\n\n\n\n \n\n\n\n \n\n \n\n\n\n\n \n\n\n\n\n\n \n\n\n\n \n\n \n\n\n\n\n \n\n\n\n\n\n \n\n\n\n \n\n \n\n\n\n\n \n\n\n\n\n\n \n\n\n\n \n\n \n\n\n\n\n \n\n\n\n\n\n \n\n\n\n \n\n \n\n\n\n\n \n\n\n\n\n\n \n\n\n\n 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\n\n\n\n\n \n\n\n\n\n\n \n\n\n\n \n\n \n\n\n\n\n \n\n\n\n\n\n \n\n\n\n \n\n \n\n\n\n\n \n\n\n\n\n\n \n\n\n\n \n\n\n\n \n\n \n\n\n\n\n \n\n\n\n\n\n \n\n\n\n \n\n\n\n \n\n \n\n\n\n\n \n\n\n\n\n\n \n\n\n\n \n\n\n\n \n\n \n\n\n\n\n \n\n\n\n\n\n \n\n\n\n \n\n \n\n\n\n\n \n\n\n\n\n\n \n\n\n\n \n\n \n\n\n\n\n \n\n\n\n\n\n \n\n\n\n \n\n \n\n\n\n\n \n\n\n\n\n\n \n\n\n\n \n\n \n\n\n\n\n \n\n\n\n\n\n \n\n\n\n \n\n \n\n\n\n\n \n\n\n\n\n\n \n\n\n\n \n\n\n\n \n\n \n\n\n\n\n \n\n\n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n\n \n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n 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\n\n\n\n \n \n\n\n\n\n \n \n \n\n \n\n\n\n \n \n\n\n\n\n \n \n \n\n \n\n\n\n \n \n\n\n\n\n \n \n \n\n \n\n\n\n \n \n\n\n\n\n \n \n \n\n \n\n\n\n \n \n\n\n\n\n \n \n \n\n \n\n\n\n \n \n\n\n\n\n \n \n \n\n \n\n\n\n \n \n\n\n\n\n \n \n \n\n \n\n\n\n \n \n\n\n\n\n \n \n \n\n \n\n\n\n \n \n\n\n\n\n \n \n \n\n \n\n\n\n \n \n\n\n\n\n \n \n \n\n \n\n\n\n \n \n\n\n\n\n \n \n \n\n \n\n\n\n \n \n\n\n\n\n \n \n \n\n \n\n\n\n \n \n\n\n\n\n \n \n \n\n \n\n\n\n \n \n\n\n\n\n \n \n \n\n \n\n\n\n \n \n\n\n\n\n \n \n \n\n \n\n\n\n \n \n\n\n\n\n \n \n \n\n \n\n\n\n \n \n\n\n\n\n \n \n \n\n \n\n\n\n \n \n\n\n\n\n \n \n \n\n \n\n\n\n \n \n\n\n\n\n \n \n \n\n \n\n\n\n \n \n\n\n\n\n \n \n \n\n \n\n\n\n \n \n\n\n\n\n \n \n \n\n \n\n\n\n \n \n\n\n\n\n \n \n \n\n \n\n\n\n \n \n\n\n\n\n \n \n \n\n \n\n\n\n \n \n\n\n\n\n \n \n \n\n \n\n\n\n \n \n\n\n\n\n \n \n \n\n \n\n\n\n \n \n\n\n\n\n \n \n \n\n \n\n\n\n \n \n\n\n\n\n \n \n \n\n \n\n\n\n \n \n\n\n\n\n \n \n \n\n \n\n\n\n \n \n\n\n\n\n \n \n \n\n \n\n\n\n \n \n\n\n\n\n \n \n \n\n \n\n\n\n \n \n\n\n\n\n \n \n \n\n \n\n\n\n \n \n\n\n\n\n \n \n \n\n \n\n\n\n \n \n\n\n\n\n \n \n \n\n \n\n\n\n \n \n\n\n\n\n \n \n \n\n \n\n\n\n \n \n\n\n\n\n \n \n \n\n \n\n\n\n \n \n\n\n\n\n \n \n \n\n \n\n\n\n \n \n\n\n\n\n \n \n \n\n \n\n\n\n \n \n\n\n\n\n \n \n \n\n \n\n\n\n \n \n\n\n\n\n \n \n \n\n \n\n\n\n \n \n\n\n\n\n \n \n \n\n \n\n\n\n \n \n\n\n\n\n \n \n \n\n \n\n\n\n \n \n\n\n\n\n \n \n \n\n \n\n\n \n \n \n \n \n\n \n \n \n \n\n \n \n \n \n\n \n \n \n \n\n \n \n \n \n\n \n \n \n \n\n \n \n \n \n\n \n \n \n \n\n \n \n \n \n\n \n \n \n \n\n \n \n \n \n\n \n \n \n \n\n \n \n \n \n\n \n \n \n \n\n \n \n \n \n\n \n \n \n \n\n \n \n \n \n\n \n \n \n \n\n \n \n \n \n\n \n \n \n \n\n \n \n \n \n\n \n \n \n \n\n \n \n \n \n\n \n \n \n \n\n \n \n \n \n\n \n \n\n\n \n\n\n\n\n\n\n \n \n \n\n\n\n \n\n\n\n\n \n\n \n\n\n\n \n\n\n\n\n \n\n \n\n\n\n \n\n\n\n\n \n\n \n\n\n\n \n\n\n\n\n \n\n \n\n\n\n \n\n\n\n\n \n\n \n\n\n\n \n\n\n\n\n \n\n \n\n\n\n \n\n\n\n\n \n\n 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Metadata
TitleChildhood Immunization StatusFHIR
Version1.0.000
Short NameCMS117FHIR
GUID (Version Independent)urn:uuid:020b451b-0c5e-4582-b069-90128f33a482
GUID (Version Specific)urn:uuid:2759acfc-8993-4117-955b-c9e3046b06ec
CMS Identifier117FHIR
Effective Period2026-01-01 through 2026-12-31
Steward (Publisher)National Committee for Quality Assurance
DeveloperNational Committee for Quality Assurance
Description

Percentage of children 2 years of age who had four diphtheria, tetanus and acellular pertussis (DTaP); three polio (IPV), one measles, mumps and rubella (MMR); three or four H influenza type B (HiB); three hepatitis B (HepB); one chicken pox (VZV); four pneumococcal conjugate (PCV); one hepatitis A (HepA); two or three rotavirus (RV); and two influenza (flu) vaccines by their second birthday

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Copyright

This Physician Performance Measure (Measure) and related data specifications are owned and were developed by the National Committee for Quality Assurance (NCQA). NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties or endorsements about the quality of any product, test or protocol identified as numerator compliant or otherwise identified as meeting the requirements of the measure or specification. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications. NCQA holds a copyright in the Measure. The Measure may be used for internal, noncommercial purposes (e.g., use by healthcare providers in connection with their practices) without obtaining approval from NCQA. All other uses, including a commercial use (including but not limited to vendors using or embedding the measures and specifications into any product or service to calculate measure results for customers for any purpose), must be approved by NCQA and are subject to a license at the discretion of NCQA. (C) 2012-2025 National Committee for Quality Assurance. All Rights Reserved. Limited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any third-party codes contained in the specifications. CPT(R) codes, descriptions and other data are copyright 2025. American Medical Association. All rights reserved. CPT is a trademark of the American Medical Association. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein. Applicable FARS/DFARS restrictions apply to government use. Some measure specifications contain coding from LOINC(R) (https://loinc.org). The LOINC table, LOINC codes, LOINC panels and form file, LOINC linguistic variants file, LOINC/RSNA Radiology Playbook, and LOINC/IEEE Medical Device Code Mapping Table are copyright 2004-2025 Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee, and are available at no cost under the license at https://loinc.org/kb/license/. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2024 International Health Terminology Standards Development Organisation. ICD-10 copyright 2025 World Health Organization. All Rights Reserved. Some measures use RxNorm, a standardized nomenclature and coding for clinical drugs and drug delivery devices, which is made publicly available courtesy of the U.S. National Library of Medicine (NLM), National Institutes of Health, Department of Health and Human Services. NLM is not responsible for the measures and does not endorse or recommend this or any other product. “HL7” is the registered trademark of Health Level Seven International.

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Disclaimer

The performance Measure is not a clinical guideline and does not establish a standard of medical care, and has not been tested for all potential applications. THE MEASURE AND SPECIFICATIONS ARE PROVIDED "AS IS" WITHOUT WARRANTY OF ANY KIND. Due to technical limitations, registered trademarks are indicated by (R) or [R] and unregistered trademarks are indicated by (TM) or [TM].

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Rationale

Infants and toddlers are particularly vulnerable to infectious diseases because their immune systems have not built up the necessary defenses to fight infection (HHS-OIDP, 2022). One study estimated that routine childhood vaccines administered in 2019 prevented 24 million diseases (Talbird et al., 2022). Another recent study estimated that routine childhood vaccinations prevented 17.8 million cases of disease and 31,000 deaths for children born in 2017, in addition to saving $13.7 billion in health care costs (Carrico et al., 2022). Immunizing a child not only protects that child's health but also the health of the community, especially for those who are not immunized or are unable to be immunized due to other health complications (HHS-OIDP, 2022).

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Clinical Recommendation Statement

This measure looks for childhood vaccinations that should be completed by age 2, in accordance with the Centers for Disease Control and Prevention Advisory Committee on Immunization Practices (CDC ACIP) recommended child and adolescent immunization schedule (CDC, 2023). -- For the 2023–24 season, see the 2023–24 ACIP influenza vaccine recommendations (Grohskopf, 2023).

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Citation\n \n \n \n

Carrico, J., La, E.M., Talbird, S.E., et al. (2022). Value of the Immunization Program for Children in the 2017 US Birth Cohort. Pediatrics, 150(3). doi:10.1542/peds.2021-056007

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Citation\n \n \n \n

Centers for Disease Control and Prevention. (2023). Recommended Child and Adolescent Immunization Schedule for Ages 18 Years or Younger, United States. Retrieved August 23, 2023, from https://www.cdc.gov/vaccines/schedules/hcp/imz/child-adolescent.html

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Citation\n \n \n \n

Grohskopf, L.A., Blanton, L.H., Ferdinands, J.M., et al. (2023). Prevention and Control of Seasonal Influenza with Vaccines: Recommendations of the Advisory Committee on Immunization Practices — United States, 2023-24 Influenza Season. MMWR. Recommendations and Reports, 72(2), 1–25. DOI: http://dx.doi.org/10.15585/mmwr.rr7202a1

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Citation\n \n \n \n

Talbird, S.E., Carrico, J., La, E.M., et al. (2022). Impact of Routine Childhood Immunization in Reducing Vaccine-Preventable Diseases in the United States. Pediatrics, 150(3). doi:10.1542/peds.2021-056013

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Citation\n \n \n \n

United States Department of Health and Human Services, Office of Infectious Disease and HIV/AIDS policy (HHS-OIDP). (2022). Vaccines for Infants, Children, and Teens. Retrieved August 23, 2023, from https://www.hhs.gov/immunization/who-and-when/infants-to-teens/index.html

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DefinitionRecommended vaccines: Vaccines and the schedule of vaccines as recommended by the ACIP for children two years of age. The measure may differ slightly from the ACIP recommendations because the measure focuses on immunizations that are appropriate by age 2. Also, there may be small differences when there are shortages for a particular vaccine.
Guidance (Usage)The measure allows a grace period by measuring compliance with these recommendations between birth and age two. This eCQM is a patient-based measure. This FHIR-based measure has been derived from the QDM-based measure: CMS117v14. Please refer to the HL7 QI-Core Implementation Guide (https://hl7.org/fhir/us/qicore/STU6/) for more information on QI-Core and mapping recommendations from QDM to QI-Core STU 6. (https://hl7.org/fhir/us/qicore/STU6/qdm-to-qicore.html).
Measure Group (Rate) (ID: Group_1)
Basisboolean
Scoring\n Proportion\n\n\n
Improvement Notation\n Increased score indicates improvement\n\n\n
Type\n Process\n\n\n
Rate AggregationNone
Initial Population\n \n ID: InitialPopulation_1\n
\n \n \n Description:\n

Children who turn 2 years of age during the measurement period and have a visit during the measurement period

\n \n \n \n \n \n Criteria: Initial Population \n \n \n \n \n \n \n
Denominator\n \n ID: Denominator_1\n
\n \n \n Description:\n

Equals Initial Population

\n \n \n \n \n \n Criteria: Denominator \n \n \n \n \n \n \n
Denominator Exclusion\n \n ID: DenominatorExclusion_1\n
\n \n \n Description:\n

Exclude children who are in hospice care for any part of the measurement period. Exclude children with any of the following on or before the child’s second birthday: - Severe combined immunodeficiency - Immunodeficiency - Human Immunodeficiency Virus (HIV) - Lymphoreticular cancer, multiple myeloma or leukemia - Intussusception

\n \n \n \n \n \n Criteria: Denominator Exclusions \n \n \n \n \n \n \n
Numerator\n \n ID: Numerator_1\n
\n \n \n Description:\n

DTaP Children with any of the following on or before the child’s second birthday meet criteria: - At least four DTaP vaccinations, with different dates of service. Do not count a vaccination administered prior to 42 days after birth. - Anaphylaxis due to the diphtheria, tetanus or pertussis vaccine. - Encephalitis due to the diphtheria, tetanus or pertussis vaccine. IPV Children with either of the following on or before the child’s second birthday meet criteria: - At least three IPV vaccinations, with different dates of service. Do not count a vaccination administered prior to 42 days after birth. - Anaphylaxis due to the IPV vaccine. MMR Children with any of the following meet criteria: - At least one MMR vaccination on or between the child’s first and second birthdays. - Anaphylaxis due to the MMR vaccine on or before the child’s second birthday. - All of the following anytime on or before the child’s second birthday (on the same or different date of service): - History of measles. - History of mumps. - History of rubella. HiB Children with either of the following meet criteria on or before the child’s second birthday: - At least three HiB vaccinations, with different dates of service. Do not count a vaccination administered prior to 42 days after birth. - Anaphylaxis due to the HiB vaccine. HepB Children with any of the following on or before the child’s second birthday meet criteria: - At least three hepatitis B vaccinations, with different dates of service. - One of the three vaccinations can be a newborn hepatitis B vaccination during the eight-day period that begins on the date of birth and ends seven days after the date of birth. For example, if the member’s date of birth is December 1, the newborn hepatitis B vaccination must be on or between December 1 and December 8. - Anaphylaxis due to the hepatitis B vaccine. - History of hepatitis B illness. VZV Children with any of the following meet criteria: - At least one VZV vaccination, with a date of service on or between the child’s first and second birthdays. - Anaphylaxis due to the VZV vaccine on or before the child’s second birthday. - History of varicella zoster (e.g., chicken pox) illness on or before the child’s second birthday. PCV Children with either of the following on or before the child’s second birthday meet criteria: - At least four pneumococcal conjugate vaccinations, with different dates of service on or before the child’s second birthday. Do not count a vaccination administered prior to 42 days after birth. - Anaphylaxis due to the pneumococcal vaccine. HepA Children with any of the following meet criteria: - At least one hepatitis A vaccination, with a date of service on or between the child’s first and second birthdays. - Anaphylaxis due to the hepatitis A vaccine on or before the child’s second birthday. - History of hepatitis A illness on or before the child’s second birthday. RV Children with any of the following meet criteria: - At least two doses of the two-dose rotavirus vaccine on different dates of service on or before the child’s second birthday. Do not count a vaccination administered prior to 42 days after birth. - At least three doses of the three-dose rotavirus vaccine on different dates of service on or before the child’s second birthday. Do not count a vaccination administered prior to 42 days after birth. - At least one dose of the two-dose rotavirus vaccine and at least two doses of the three-dose rotavirus vaccine, all on different dates of service, on or before the child’s second birthday. Do not count a vaccination administered prior to 42 days after birth. - Anaphylaxis due to the rotavirus vaccine on or before the child’s second birthday. Flu Children with either of the following on or before their second birthday meet criteria: - At least two influenza vaccinations, with different dates of service on or before the child’s second birthday. Do not count a vaccination administered prior to 6 months (180 days) after birth. - One of the two vaccinations can be a Live Attenuated Influenza Vaccine (LAIV) vaccination administered on the child’s second birthday. Do not count a LAIV vaccination administered before the child’s second birthday. - Anaphylaxis due to the influenza vaccine.

\n \n \n \n \n \n Criteria: Numerator \n \n \n \n \n \n \n
\n\n\n\nFor every patient evaluated by this measure also identify payer, race, ethnicity and sex
Supplemental Data Elements
Supplemental Data Element\n \n ID: sde-ethnicity\n \n
\n \n \n \n \n \n Usage Code: Supplemental Data\n \n
\n \n \n \n Description: SDE Ethnicity\n \n \n \n
\n \n \n Logic Definition: SDE Ethnicity \n \n \n \n
Supplemental Data Element\n \n ID: sde-payer\n \n
\n \n \n \n \n \n Usage Code: Supplemental Data\n \n
\n \n \n \n Description: SDE Payer\n \n \n \n
\n \n \n Logic Definition: SDE Payer \n \n \n \n
Supplemental Data Element\n \n ID: sde-race\n \n
\n \n \n \n \n \n Usage Code: Supplemental Data\n \n
\n \n \n \n Description: SDE Race\n \n \n \n
\n \n \n Logic Definition: SDE Race \n \n \n \n
Supplemental Data Element\n \n ID: sde-sex\n \n
\n \n \n \n \n \n Usage Code: Supplemental Data\n \n
\n \n \n \n Description: SDE Sex\n \n \n \n
\n \n \n Logic Definition: SDE Sex \n \n \n \n
Measure Logic
Primary Libraryhttps://madie.cms.gov/Library/CMS117FHIRChildImmunStatus
Contents\n Population Criteria\n
\n Logic Definitions\n
\n Terminology\n
\n Dependencies\n
\n Data Requirements\n
\n Parameters\n
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Population Criteria
Measure Group (Rate) (ID: Group_1)
\n \n Initial Population\n \n
\n \n \n \n \n \n \n \n 
define "Initial Population":\n  AgeInYearsAt(date from \n    end of "Measurement Period"\n  ) = 2\n    and exists ( "Qualifying Encounters" )
\n \n \n Definition\n \n
\n \n Denominator\n \n
\n \n \n \n \n \n \n \n 
define "Denominator":\n  "Initial Population"
\n \n \n Definition\n \n
\n \n Denominator Exclusion\n \n
\n \n \n \n \n \n \n \n 
define "Denominator Exclusions":\n  Hospice."Has Hospice Services"\n    or "Has Severe Combined Immunodeficiency"\n    or "Has Immunodeficiency"\n    or "Has HIV"\n    or "Has Lymphoreticular Cancer, Multiple Myeloma or Leukemia"\n    or "Has Intussusception"
\n \n \n Definition\n \n
\n \n Numerator\n \n
\n \n \n \n \n \n \n \n 
define "Numerator":\n  ( exists ( "Four DTaP Vaccinations" )\n      or exists ( "DTaP Numerator Inclusion Conditions" )\n  )\n    and ( exists ( "Three Polio Vaccinations" )\n        or exists ( "Polio Numerator Inclusion Conditions" )\n    )\n    and ( exists ( "One MMR Vaccination" )\n        or exists ( "MMR Numerator Inclusion Conditions" )\n        or ( exists ( "Measles Indicators" )\n            and exists ( "Mumps Indicators" )\n            and exists ( "Rubella Indicators" )\n        )\n    )\n    and ( "Has Appropriate Number of Hib Immunizations"\n        or exists ( "Hib Numerator Inclusion Conditions" )\n    )\n    and ( exists ( "Three Hepatitis B Vaccinations" )\n        or ( exists ( "Meets HepB Vaccination Requirement" )\n            or exists ( "Hepatitis B Numerator Inclusion Conditions" )\n        )\n    )\n    and ( exists ( "One Chicken Pox Vaccination" )\n        or exists ( "Varicella Zoster Numerator Inclusion Conditions" )\n    )\n    and ( exists ( "Four Pneumococcal Conjugate Vaccinations" )\n        or exists ( "Pneumococcal Conjugate Numerator Inclusion Conditions" )\n    )\n    and ( exists ( "One Hepatitis A Vaccinations" )\n        or exists ( "Hepatitis A Numerator Inclusion Conditions" )\n    )\n    and ( "Has Appropriate Number of Rotavirus Immunizations"\n        or exists ( "Rotavirus Numerator Inclusion Conditions" )\n    )\n    and ( exists ( "Two Influenza Vaccinations" )\n        or ( "Two Influenza Vaccinations Including One LAIV Vaccination" )\n        or exists ( "Influenza Numerator Inclusion Conditions" )\n    )
\n \n \n Definition\n \n
Logic Definitions
\n Logic Definition\n Library Name: Hospice
\n \n \n \n \n \n \n 
define "Has Hospice Services":\n  exists ((([USQualityCore.Encounter: "Encounter Inpatient"]).isEncounterPerformed()) InpatientEncounter\n      where (InpatientEncounter.hospitalization.dischargeDisposition ~ "Discharge to home for hospice care (procedure)"\n          or InpatientEncounter.hospitalization.dischargeDisposition ~ "Discharge to healthcare facility for hospice care (procedure)"\n      )\n        and InpatientEncounter.period ends during day of "Measurement Period"\n  )\n    or exists ((([USQualityCore.Encounter: "Hospice Encounter"]).isEncounterPerformed()) HospiceEncounter\n        where HospiceEncounter.period overlaps day of "Measurement Period"\n    )\n    // TODO: Shouldn't need to specify a code path here (see https://jira.hl7.org/browse/FHIR-53941)\n    or exists ((([USQualityCore.ObservationScreeningAssessment: code ~ "Hospice care [Minimum Data Set]"]).isAssessmentPerformed()) HospiceAssessment\n        where HospiceAssessment.value ~ "Yes (qualifier value)"\n          and HospiceAssessment.effective.toInterval() overlaps day of "Measurement Period"\n    )\n    or exists ((([USQualityCore.ServiceRequest: "Hospice Care Ambulatory"]).isInterventionOrder()) HospiceOrder\n        where HospiceOrder.authoredOn during day of "Measurement Period"\n    )\n    or exists ((([USQualityCore.Procedure: "Hospice Care Ambulatory"]).isInterventionPerformed()) HospicePerformed\n        where HospicePerformed.performed.toInterval() overlaps day of "Measurement Period"\n    )\n    // TODO: Consider whether to keep this as the union of Problems and EncounterDiagnosis\n    or exists ((([FHIR.Condition: "Hospice Diagnosis"]).verified()) HospiceCareDiagnosis\n        where HospiceCareDiagnosis.prevalenceInterval() overlaps day of "Measurement Period"\n    )
\n
\n Logic Definition\n Library Name: SupplementalDataElements
\n \n \n \n \n \n \n 
define "SDE Sex":\n  case\n    when Patient.sex() = '248153007' then "Male (finding)"\n    when Patient.sex() = '248152002' then "Female (finding)"\n    else null\n  end
\n
\n Logic Definition\n Library Name: SupplementalDataElements
\n \n \n \n \n \n \n 
define "SDE Payer":\n  [USQualityCore.Coverage: type in "Payer Type"] Payer\n    return {\n      code: Payer.type,\n      period: Payer.period\n    }
\n
\n Logic Definition\n Library Name: SupplementalDataElements
\n \n \n \n \n \n \n 
define "SDE Ethnicity":\n  (Patient.ethnicity()) E\n    return Tuple {\n      codes: { E.ombCategory } union E.detailed,\n      display: E.text\n    }
\n
\n Logic Definition\n Library Name: SupplementalDataElements
\n \n \n \n \n \n \n 
define "SDE Race":\n  (Patient.race()) R\n    return Tuple {\n      codes: R.ombCategory union R.detailed,\n      display: R.text\n    }
\n
\n Logic Definition\n Library Name: CMS117FHIRChildImmunStatus
\n \n \n \n \n \n \n 
define "SDE Sex":\n  SDE."SDE Sex"
\n
\n Logic Definition\n Library Name: CMS117FHIRChildImmunStatus
\n \n \n \n \n \n \n 
define "Date of Second Birthday":\n  Patient.birthDate + 2 years
\n
\n Logic Definition\n Library Name: CMS117FHIRChildImmunStatus
\n \n \n \n \n \n \n 
define "Vaccine Administration Interval - 42 Days up to 2 Years Old":\n  Interval[Patient.birthDate + 42 days, "Date of Second Birthday"]
\n
\n Logic Definition\n Library Name: CMS117FHIRChildImmunStatus
\n \n \n \n \n \n \n 
define "DTaP Immunizations or Procedures":\n  ( ( ( [Immunization: "DTaP Vaccine"] ).isImmunizationAdministered ( ) ) DTaPVaccination\n      where date from DTaPVaccination.occurrence.earliest ( ) during day of "Vaccine Administration Interval - 42 Days up to 2 Years Old"\n      return DTaPVaccination.occurrence\n  )\n    union ( ( ( [Procedure: "DTaP Vaccine Administered"] ).isProcedurePerformed ( ) ) DTaPProcedure\n        where date from DTaPProcedure.performed.earliest ( ) during day of "Vaccine Administration Interval - 42 Days up to 2 Years Old"\n        return DTaPProcedure.performed\n    )
\n
\n Logic Definition\n Library Name: CMS117FHIRChildImmunStatus
\n \n \n \n \n \n \n 
//DTaP\n\n\ndefine "Four DTaP Vaccinations":\n  from\n    "DTaP Immunizations or Procedures" DTaPVaccination1,\n    "DTaP Immunizations or Procedures" DTaPVaccination2,\n    "DTaP Immunizations or Procedures" DTaPVaccination3,\n    "DTaP Immunizations or Procedures" DTaPVaccination4\n    where date from DTaPVaccination2.earliest ( ) 1 day or more after day of date from DTaPVaccination1.earliest ( )\n      and date from DTaPVaccination3.earliest ( ) 1 day or more after day of DTaPVaccination2.earliest ( )\n      and date from DTaPVaccination4.earliest ( ) 1 day or more after day of DTaPVaccination3.earliest ( )\n    return all DTaPVaccination1
\n
\n Logic Definition\n Library Name: CMS117FHIRChildImmunStatus
\n \n \n \n \n \n \n 
define "First Two Years":\n  Interval[Patient.birthDate, "Date of Second Birthday"]
\n
\n Logic Definition\n Library Name: CMS117FHIRChildImmunStatus
\n \n \n \n \n \n \n 
define "DTaP Numerator Inclusion Conditions":\n  ( ( [ConditionEncounterDiagnosis: "Anaphylactic Reaction to DTaP Vaccine"]\n      union [ConditionProblemsHealthConcerns: "Anaphylactic Reaction to DTaP Vaccine"]\n      union [ConditionEncounterDiagnosis: "Encephalitis Due to Diphtheria, Tetanus or Pertussis Vaccine"]\n      union [ConditionProblemsHealthConcerns: "Encephalitis Due to Diphtheria, Tetanus or Pertussis Vaccine"]\n  ).verified ( ) ) DTaPConditions\n    where date from start of DTaPConditions.onset.toInterval ( ) during day of "First Two Years"
\n
\n Logic Definition\n Library Name: CMS117FHIRChildImmunStatus
\n \n \n \n \n \n \n 
//Polio\n\ndefine "Polio Immunizations or Procedures":\n  ( ( ( [Immunization: "Inactivated Polio Vaccine (IPV)"] ).isImmunizationAdministered ( ) ) PolioVaccination\n      where date from PolioVaccination.occurrence.earliest ( ) during day of "Vaccine Administration Interval - 42 Days up to 2 Years Old"\n      return PolioVaccination.occurrence\n    )\n    union ( ( ( [Procedure: "Inactivated Polio Vaccine (IPV) Administered"] ).isProcedurePerformed ( ) ) PolioProcedure\n        where date from PolioProcedure.performed.earliest ( ) during day of "Vaccine Administration Interval - 42 Days up to 2 Years Old"\n        return PolioProcedure.performed\n    )
\n
\n Logic Definition\n Library Name: CMS117FHIRChildImmunStatus
\n \n \n \n \n \n \n 
define "Three Polio Vaccinations":\n  from\n    "Polio Immunizations or Procedures" PolioVaccination1,\n    "Polio Immunizations or Procedures" PolioVaccination2,\n    "Polio Immunizations or Procedures" PolioVaccination3\n    where date from PolioVaccination2.earliest ( ) 1 day or more after date from PolioVaccination1.earliest ( )\n      and date from PolioVaccination3.earliest ( ) 1 day or more after date from PolioVaccination2.earliest ( )\n    return date from PolioVaccination1.earliest ( )
\n
\n Logic Definition\n Library Name: CMS117FHIRChildImmunStatus
\n \n \n \n \n \n \n 
define "Polio Numerator Inclusion Conditions":\n  ( ( [ConditionEncounterDiagnosis: "Anaphylaxis caused by vaccine product containing human poliovirus antigen (disorder)"]\n      union [ConditionProblemsHealthConcerns: "Anaphylaxis caused by vaccine product containing human poliovirus antigen (disorder)"]\n  ).verified ( ) ) PolioConditions\n    where date from start of PolioConditions.onset.toInterval ( ) during day of "First Two Years"
\n
\n Logic Definition\n Library Name: CMS117FHIRChildImmunStatus
\n \n \n \n \n \n \n 
define "Date of First Birthday":\n  Patient.birthDate + 1 year
\n
\n Logic Definition\n Library Name: CMS117FHIRChildImmunStatus
\n \n \n \n \n \n \n 
define "Date of First Birthday to Date of Second Birthday":\n  Interval["Date of First Birthday", "Date of Second Birthday"]
\n
\n Logic Definition\n Library Name: CMS117FHIRChildImmunStatus
\n \n \n \n \n \n \n 
//MMR\n\n\ndefine "One MMR Vaccination":\n  ( ( ( [Immunization: "Measles, Mumps and Rubella (MMR) Vaccine"] ).isImmunizationAdministered ( ) ) MMRVaccination\n      where date from MMRVaccination.occurrence.earliest ( ) during "Date of First Birthday to Date of Second Birthday"\n      return date from MMRVaccination.occurrence.earliest ( )\n  )\n    union ( ( ( [Procedure: "Measles, Mumps and Rubella (MMR) Vaccine Administered"] ).isProcedurePerformed ( ) ) MMRProcedure\n        where date from MMRProcedure.performed.earliest ( ) during "Date of First Birthday to Date of Second Birthday"\n        return date from MMRProcedure.performed.earliest ( )\n    )
\n
\n Logic Definition\n Library Name: CMS117FHIRChildImmunStatus
\n \n \n \n \n \n \n 
define "MMR Numerator Inclusion Conditions":\n  ( ( [ConditionEncounterDiagnosis: "Anaphylaxis caused by vaccine product containing Measles morbillivirus and Mumps orthorubulavirus and Rubella virus antigens (disorder)"]\n      union [ConditionProblemsHealthConcerns: "Anaphylaxis caused by vaccine product containing Measles morbillivirus and Mumps orthorubulavirus and Rubella virus antigens (disorder)"]\n  ).verified ( ) ) MMRConditions\n    where date from start of MMRConditions.onset.toInterval ( ) during day of "First Two Years"
\n
\n Logic Definition\n Library Name: CMS117FHIRChildImmunStatus
\n \n \n \n \n \n \n 
define "Measles Indicators":\n  ( ( [ConditionEncounterDiagnosis: "Measles"]\n      union [ConditionEncounterDiagnosis: "Measles"]\n  ).verified ( ) ) MeaslesDiagnosis\n    where date from start of MeaslesDiagnosis.onset.toInterval ( ) during day of "First Two Years"
\n
\n Logic Definition\n Library Name: CMS117FHIRChildImmunStatus
\n \n \n \n \n \n \n 
define "Mumps Indicators":\n  ( ( [ConditionEncounterDiagnosis: "Mumps"]\n      union [ConditionProblemsHealthConcerns: "Mumps"]\n  ).verified ( ) ) MumpsDiagnosis\n    where date from start of MumpsDiagnosis.onset.toInterval ( ) during day of "First Two Years"
\n
\n Logic Definition\n Library Name: CMS117FHIRChildImmunStatus
\n \n \n \n \n \n \n 
define "Rubella Indicators":\n  ( ( [ConditionEncounterDiagnosis: "Rubella"]\n      union [ConditionProblemsHealthConcerns: "Rubella"]\n  ).verified ( ) ) RubellaDiagnosis\n    where date from start of RubellaDiagnosis.onset.toInterval ( ) during day of "First Two Years"
\n
\n Logic Definition\n Library Name: CMS117FHIRChildImmunStatus
\n \n \n \n \n \n \n 
define "Hib 3 Dose Immunizations or Procedures":\n  ( ( ( [Immunization: "Hib Vaccine (3 dose schedule)"] ).isImmunizationAdministered ( ) ) ThreeDoseHibVaccine\n      where date from ThreeDoseHibVaccine.occurrence.earliest ( ) during day of "Vaccine Administration Interval - 42 Days up to 2 Years Old"\n      return ThreeDoseHibVaccine.occurrence\n  )\n    union ( ( ( [Procedure: "Hib Vaccine (3 dose schedule) Administered"] ).isProcedurePerformed ( ) ) ThreeDoseHibProcedure\n        where date from ThreeDoseHibProcedure.performed.earliest ( ) during day of "Vaccine Administration Interval - 42 Days up to 2 Years Old"\n        return ThreeDoseHibProcedure.performed\n    )
\n
\n Logic Definition\n Library Name: CMS117FHIRChildImmunStatus
\n \n \n \n \n \n \n 
define "Hib 4 Dose Immunizations or Procedures":\n  ( ( ( [Immunization: "Hib Vaccine (4 dose schedule)"] ).isImmunizationAdministered ( ) ) HibVaccine\n      where date from HibVaccine.occurrence.earliest ( ) during day of "Vaccine Administration Interval - 42 Days up to 2 Years Old"\n      return HibVaccine.occurrence\n  )\n    union ( ( ( [Procedure: "Hib Vaccine (4 dose schedule) Administered"] ).isProcedurePerformed ( ) ) HibProcedure\n        where date from HibProcedure.performed.earliest ( ) during day of "Vaccine Administration Interval - 42 Days up to 2 Years Old"\n        return HibProcedure.performed\n    )
\n
\n Logic Definition\n Library Name: CMS117FHIRChildImmunStatus
\n \n \n \n \n \n \n 
define "Hib 3 or 4 Dose Immunizations":\n  "Hib 3 Dose Immunizations or Procedures"\n    union "Hib 4 Dose Immunizations or Procedures"
\n
\n Logic Definition\n Library Name: CMS117FHIRChildImmunStatus
\n \n \n \n \n \n \n 
//HiB\n\n\ndefine "Has Appropriate Number of Hib Immunizations":\n  exists ( "Hib 3 or 4 Dose Immunizations" HibImmunization //4 dose test\n      \n      let HasFourDose: Count("Hib 4 Dose Immunizations or Procedures") > 0\n      where ( HasFourDose //if pt had at least one 4 dose code\n          \n          and Count(distinct("Hib 3 or 4 Dose Immunizations" HibVaccinations\n                return date from HibVaccinations.earliest()\n            )\n          ) >= 4 //pt must have 4 regimens (e.g., 3,3,4,4 or 4,3,4,4)\n      \n      )\n        or ( HasFourDose is false //if pt did not have at least one 4 dose code\n            \n            and Count(distinct("Hib 3 or 4 Dose Immunizations" HibVaccinations\n                  return date from HibVaccinations.earliest()\n              )\n            ) >= 3 //pt must have 3 regimens of 3 dose codes\n        \n        )\n  )
\n
\n Logic Definition\n Library Name: CMS117FHIRChildImmunStatus
\n \n \n \n \n \n \n 
define "Hib Numerator Inclusion Conditions":\n  ( ( [ConditionEncounterDiagnosis: "Anaphylaxis caused by vaccine product containing only Haemophilus influenzae type b antigen (disorder)"]\n      union [ConditionProblemsHealthConcerns: "Anaphylaxis caused by vaccine product containing only Haemophilus influenzae type b antigen (disorder)"]\n  ).verified ( ) ) HibReaction\n    where date from start of HibReaction.onset.toInterval ( ) during day of "First Two Years"
\n
\n Logic Definition\n Library Name: CMS117FHIRChildImmunStatus
\n \n \n \n \n \n \n 
define "Hepatitis B Immunizations or Procedures":\n  ( ( ( [Immunization: "Hepatitis B Vaccine"] ).isImmunizationAdministered ( ) ) HepatitisBVaccination\n      where date from HepatitisBVaccination.occurrence.earliest ( ) during day of "First Two Years"\n      return HepatitisBVaccination.occurrence\n  )\n    union ( ( ( [Procedure: "Hepatitis B Vaccine Administered"] ).isProcedurePerformed ( ) ) HepatitisBProcedure\n        where date from HepatitisBProcedure.performed.earliest ( ) during day of "First Two Years"\n        return HepatitisBProcedure.performed\n    )
\n
\n Logic Definition\n Library Name: CMS117FHIRChildImmunStatus
\n \n \n \n \n \n \n 
define "Three Hepatitis B Vaccinations":\n  from\n    "Hepatitis B Immunizations or Procedures" HepatitisBVaccination1,\n    "Hepatitis B Immunizations or Procedures" HepatitisBVaccination2,\n    "Hepatitis B Immunizations or Procedures" HepatitisBVaccination3\n    where date from HepatitisBVaccination2.earliest ( ) 1 day or more after date from HepatitisBVaccination1.earliest ( )\n      and date from HepatitisBVaccination3.earliest ( ) 1 day or more after date from HepatitisBVaccination2.earliest ( )\n    return date from HepatitisBVaccination1.earliest ( )
\n
\n Logic Definition\n Library Name: CMS117FHIRChildImmunStatus
\n \n \n \n \n \n \n 
define "NewBorn Vaccine Requirement":\n  ( ( [Procedure: "Introduction of Serum, Toxoid and Vaccine into Muscle, Percutaneous Approach"] ).isProcedurePerformed ( ) ) NewBornVaccine\n    where date from NewBornVaccine.performed.earliest ( ) during day of Interval[Patient.birthDate, Patient.birthDate + 7 days]\n    return NewBornVaccine.performed
\n
\n Logic Definition\n Library Name: CMS117FHIRChildImmunStatus
\n \n \n \n \n \n \n 
define "Meets HepB Vaccination Requirement":\n  from\n    "Hepatitis B Immunizations or Procedures" HepatitisBVaccination1,\n    "Hepatitis B Immunizations or Procedures" HepatitisBVaccination2,\n    "NewBorn Vaccine Requirement" NewBornVaccine3\n    where date from HepatitisBVaccination2.earliest ( ) 1 day or more after date from HepatitisBVaccination1.earliest ( )\n      and date from HepatitisBVaccination1.earliest ( ) 1 day or more after date from NewBornVaccine3.earliest ( )\n      and date from HepatitisBVaccination2.earliest ( ) 1 day or more after date from NewBornVaccine3.earliest ( )\n    return date from HepatitisBVaccination1.earliest ( )
\n
\n Logic Definition\n Library Name: CMS117FHIRChildImmunStatus
\n \n \n \n \n \n \n 
//HepB\n\n\ndefine "Hepatitis B Numerator Inclusion Conditions":\n  ( ( [ConditionEncounterDiagnosis: "Anaphylaxis caused by vaccine product containing Hepatitis B virus antigen (disorder)"]\n      union [ConditionProblemsHealthConcerns: "Anaphylaxis caused by vaccine product containing Hepatitis B virus antigen (disorder)"]\n      union [ConditionEncounterDiagnosis: "Hepatitis B"]\n      union [ConditionProblemsHealthConcerns: "Hepatitis B"]\n  ).verified ( ) ) HepBConditions\n    where date from start of HepBConditions.onset.toInterval ( ) during day of "First Two Years"
\n
\n Logic Definition\n Library Name: CMS117FHIRChildImmunStatus
\n \n \n \n \n \n \n 
//VZV\n\n\ndefine "One Chicken Pox Vaccination":\n  ( ( ( [Immunization: "Varicella Zoster Vaccine (VZV)"] ).isImmunizationAdministered ( ) ) ChickenPoxVaccination\n      where date from ChickenPoxVaccination.occurrence.earliest ( ) during "Date of First Birthday to Date of Second Birthday"\n      return date from ChickenPoxVaccination.occurrence.earliest ( )\n  )\n    union ( ( ( [Procedure: "Varicella Zoster Vaccine (VZV) Administered"] ).isProcedurePerformed ( ) ) ChickenPoxProcedure\n        where date from ChickenPoxProcedure.performed.earliest ( ) during "Date of First Birthday to Date of Second Birthday"\n        return date from ChickenPoxProcedure.performed.earliest ( )\n    )
\n
\n Logic Definition\n Library Name: CMS117FHIRChildImmunStatus
\n \n \n \n \n \n \n 
define "Varicella Zoster Numerator Inclusion Conditions":\n  ( ( [ConditionEncounterDiagnosis: "Varicella Zoster"]\n      union [ConditionProblemsHealthConcerns: "Varicella Zoster"]\n      union [ConditionEncounterDiagnosis: "Anaphylaxis caused by vaccine containing Human alphaherpesvirus 3 antigen (disorder)"]\n      union [ConditionProblemsHealthConcerns: "Anaphylaxis caused by vaccine containing Human alphaherpesvirus 3 antigen (disorder)"]\n  ).verified ( ) ) VaricellaZoster\n    where date from start of VaricellaZoster.onset.toInterval ( ) during day of "First Two Years"
\n
\n Logic Definition\n Library Name: CMS117FHIRChildImmunStatus
\n \n \n \n \n \n \n 
define "Pneumococcal Conjugate Immunizations or Procedures":\n  ( ( ( [Immunization: "Pneumococcal Conjugate Vaccine"] ).isImmunizationAdministered ( ) ) PneumococcalVaccination\n      where date from PneumococcalVaccination.occurrence.earliest ( ) during day of "Vaccine Administration Interval - 42 Days up to 2 Years Old"\n      return PneumococcalVaccination.occurrence\n  )\n    union ( ( ( [Procedure: "Pneumococcal Conjugate Vaccine Administered"] ).isProcedurePerformed ( ) ) PneumococcalProcedure\n        where date from PneumococcalProcedure.performed.earliest ( ) during day of "Vaccine Administration Interval - 42 Days up to 2 Years Old"\n        return PneumococcalProcedure.performed\n    )
\n
\n Logic Definition\n Library Name: CMS117FHIRChildImmunStatus
\n \n \n \n \n \n \n 
//PCV\n\n\ndefine "Four Pneumococcal Conjugate Vaccinations":\n  from\n    "Pneumococcal Conjugate Immunizations or Procedures" PneumococcalVaccination1,\n    "Pneumococcal Conjugate Immunizations or Procedures" PneumococcalVaccination2,\n    "Pneumococcal Conjugate Immunizations or Procedures" PneumococcalVaccination3,\n    "Pneumococcal Conjugate Immunizations or Procedures" PneumococcalVaccination4\n    where date from PneumococcalVaccination2.earliest ( ) 1 day or more after date from PneumococcalVaccination1.earliest ( )\n      and date from PneumococcalVaccination3.earliest ( ) 1 day or more after date from PneumococcalVaccination2.earliest ( )\n      and date from PneumococcalVaccination4.earliest ( ) 1 day or more after date from PneumococcalVaccination3.earliest ( )\n    return date from PneumococcalVaccination1.earliest ( )
\n
\n Logic Definition\n Library Name: CMS117FHIRChildImmunStatus
\n \n \n \n \n \n \n 
define "Pneumococcal Conjugate Numerator Inclusion Conditions":\n  ( ( [ConditionEncounterDiagnosis: "Anaphylaxis caused by vaccine product containing Streptococcus pneumoniae antigen (disorder)"]\n      union [ConditionProblemsHealthConcerns: "Anaphylaxis caused by vaccine product containing Streptococcus pneumoniae antigen (disorder)"]\n  ).verified ( ) ) PneumococcalReaction\n    where date from start of PneumococcalReaction.onset.toInterval ( ) during day of "First Two Years"
\n
\n Logic Definition\n Library Name: CMS117FHIRChildImmunStatus
\n \n \n \n \n \n \n 
//HepA\n\n\ndefine "One Hepatitis A Vaccinations":\n  ( ( ( [Immunization: "Hepatitis A Vaccine"] ).isImmunizationAdministered ( ) ) HepatitisAVaccination\n      where date from HepatitisAVaccination.occurrence.earliest ( ) during "Date of First Birthday to Date of Second Birthday"\n      return date from HepatitisAVaccination.occurrence.earliest ( )\n  )\n    union ( ( ( [Procedure: "Hepatitis A Vaccine Administered"] ).isProcedurePerformed ( ) ) HepatitisAProcedure\n        where date from HepatitisAProcedure.performed.earliest ( ) during "Date of First Birthday to Date of Second Birthday"\n        return date from HepatitisAProcedure.performed.earliest ( )\n    )
\n
\n Logic Definition\n Library Name: CMS117FHIRChildImmunStatus
\n \n \n \n \n \n \n 
define "Hepatitis A Numerator Inclusion Conditions":\n  ( ( [ConditionEncounterDiagnosis: "Hepatitis A"]\n      union [ConditionProblemsHealthConcerns: "Hepatitis A"]\n      union [ConditionEncounterDiagnosis: "Anaphylaxis caused by vaccine product containing Hepatitis A virus antigen (disorder)"]\n      union [ConditionProblemsHealthConcerns: "Anaphylaxis caused by vaccine product containing Hepatitis A virus antigen (disorder)"]\n  ).verified ( ) ) HepatitisADiagnosis\n    where date from start of HepatitisADiagnosis.onset.toInterval ( ) during day of "First Two Years"
\n
\n Logic Definition\n Library Name: CMS117FHIRChildImmunStatus
\n \n \n \n \n \n \n 
define "Rotavirus 2 Dose Immunizations or Procedures":\n  ( ( ( [Immunization: "rotavirus, live, monovalent vaccine"] ).isImmunizationAdministered ( ) ) TwoDoseRotavirusVaccine\n      where date from TwoDoseRotavirusVaccine.occurrence.earliest ( ) during day of "Vaccine Administration Interval - 42 Days up to 2 Years Old"\n      return TwoDoseRotavirusVaccine.occurrence\n  )\n    union ( ( ( [Procedure: "Rotavirus Vaccine (2 dose schedule) Administered"] ).isProcedurePerformed ( ) ) TwoDoseRotavirusProcedure\n        where date from TwoDoseRotavirusProcedure.performed.earliest ( ) during day of "Vaccine Administration Interval - 42 Days up to 2 Years Old"\n        return TwoDoseRotavirusProcedure.performed\n    )
\n
\n Logic Definition\n Library Name: CMS117FHIRChildImmunStatus
\n \n \n \n \n \n \n 
define "Rotavirus 3 Dose Immunizations or Procedures":\n  ( ( ( [Immunization: "Rotavirus Vaccine (3 dose schedule)"] ).isImmunizationAdministered ( ) ) ThreeDoseRotavirusVaccine\n      where date from ThreeDoseRotavirusVaccine.occurrence.earliest ( ) during day of "Vaccine Administration Interval - 42 Days up to 2 Years Old"\n      return ThreeDoseRotavirusVaccine.occurrence\n  )\n    union ( ( ( [Procedure: "Rotavirus Vaccine (3 dose schedule) Administered"] ).isProcedurePerformed ( ) ) ThreeDoseRotavirusAdministered\n        where date from ThreeDoseRotavirusAdministered.performed.earliest ( ) during day of "Vaccine Administration Interval - 42 Days up to 2 Years Old"\n        return ThreeDoseRotavirusAdministered.performed\n    )
\n
\n Logic Definition\n Library Name: CMS117FHIRChildImmunStatus
\n \n \n \n \n \n \n 
define "Rotavirus 2 or 3 Dose Immunizations":\n  "Rotavirus 2 Dose Immunizations or Procedures"\n    union "Rotavirus 3 Dose Immunizations or Procedures"
\n
\n Logic Definition\n Library Name: CMS117FHIRChildImmunStatus
\n \n \n \n \n \n \n 
//RV\n\n\ndefine "Has Appropriate Number of Rotavirus Immunizations":\n  exists ( "Rotavirus 2 or 3 Dose Immunizations" RotavirusImmunization\n      let HasThreeDose: Count("Rotavirus 3 Dose Immunizations or Procedures") > 0\n      where ( HasThreeDose\n          and Count(distinct("Rotavirus 2 or 3 Dose Immunizations" RotavirusVaccinations\n                return date from RotavirusVaccinations.earliest()\n            )\n          ) >= 3\n      )\n        or ( HasThreeDose is false\n            and Count(distinct("Rotavirus 2 or 3 Dose Immunizations" RotavirusVaccinations\n                  return date from RotavirusVaccinations.earliest()\n              )\n            ) >= 2\n        )\n  )
\n
\n Logic Definition\n Library Name: CMS117FHIRChildImmunStatus
\n \n \n \n \n \n \n 
define "Rotavirus Numerator Inclusion Conditions":\n  ( ( [ConditionEncounterDiagnosis: "Anaphylaxis caused by rotavirus vaccine (disorder)"]\n      union [ConditionProblemsHealthConcerns: "Anaphylaxis caused by rotavirus vaccine (disorder)"]\n  ).verified ( ) ) RotavirusConditions\n    where date from start of RotavirusConditions.onset.toInterval ( ) during day of "First Two Years"
\n
\n Logic Definition\n Library Name: CMS117FHIRChildImmunStatus
\n \n \n \n \n \n \n 
define "Vaccine Administration Interval - 180 Days up to 2 Years Old":\n  Interval[Patient.birthDate + 180 days, "Date of Second Birthday"]
\n
\n Logic Definition\n Library Name: CMS117FHIRChildImmunStatus
\n \n \n \n \n \n \n 
//Flu\n\n\ndefine "Influenza Immunizations or Procedures":\n  ( ( ( [Immunization: "Child Influenza Vaccine"] ).isImmunizationAdministered ( ) ) InfluenzaVaccine\n      where date from InfluenzaVaccine.occurrence.earliest ( ) during day of "Vaccine Administration Interval - 180 Days up to 2 Years Old"\n      return InfluenzaVaccine.occurrence\n  )\n    union ( ( ( [Procedure: "Child Influenza Vaccine Administered"] ).isProcedurePerformed ( ) ) InfluenzaAdministration\n        where date from InfluenzaAdministration.performed.earliest ( ) during day of "Vaccine Administration Interval - 180 Days up to 2 Years Old"\n        return InfluenzaAdministration.performed\n    )
\n
\n Logic Definition\n Library Name: CMS117FHIRChildImmunStatus
\n \n \n \n \n \n \n 
define "Two Influenza Vaccinations":\n  from\n    "Influenza Immunizations or Procedures" FluVaccination1,\n    "Influenza Immunizations or Procedures" FluVaccination2\n    where date from FluVaccination2.earliest ( ) 1 day or more after date from FluVaccination1.earliest ( )\n    return date from FluVaccination1.earliest ( )
\n
\n Logic Definition\n Library Name: CMS117FHIRChildImmunStatus
\n \n \n \n \n \n \n 
define "LAIV Vaccinations":\n  ( ( ( [Immunization: "Influenza Virus LAIV Vaccine"] ).isImmunizationAdministered ( ) ) LAIVVaccine\n      where date from LAIVVaccine.occurrence.earliest ( ) during day of Interval["Date of Second Birthday", "Date of Second Birthday"]\n      return date from LAIVVaccine.occurrence.earliest ( )\n  )\n    union ( ( ( [Procedure: "Influenza Virus LAIV Vaccine Administered"] ).isProcedurePerformed ( ) ) InfluenzaAdministration\n        where date from InfluenzaAdministration.performed.earliest ( ) during day of Interval["Date of Second Birthday", "Date of Second Birthday"]\n        return date from InfluenzaAdministration.performed.earliest ( )\n    )
\n
\n Logic Definition\n Library Name: CMS117FHIRChildImmunStatus
\n \n \n \n \n \n \n 
define "Two Influenza Vaccinations Including One LAIV Vaccination":\n  exists "LAIV Vaccinations"\n    and exists "Influenza Immunizations or Procedures"
\n
\n Logic Definition\n Library Name: CMS117FHIRChildImmunStatus
\n \n \n \n \n \n \n 
define "Influenza Numerator Inclusion Conditions":\n  ( ( [ConditionEncounterDiagnosis: "Anaphylaxis caused by vaccine product containing Influenza virus antigen (disorder)"]\n      union [ConditionProblemsHealthConcerns: "Anaphylaxis caused by vaccine product containing Influenza virus antigen (disorder)"]\n  ).verified ( ) ) InfluenzaConditions\n    where date from start of InfluenzaConditions.onset.toInterval ( ) during day of "First Two Years"
\n
\n Logic Definition\n Library Name: CMS117FHIRChildImmunStatus
\n \n \n \n \n \n \n 
define "Numerator":\n  ( exists ( "Four DTaP Vaccinations" )\n      or exists ( "DTaP Numerator Inclusion Conditions" )\n  )\n    and ( exists ( "Three Polio Vaccinations" )\n        or exists ( "Polio Numerator Inclusion Conditions" )\n    )\n    and ( exists ( "One MMR Vaccination" )\n        or exists ( "MMR Numerator Inclusion Conditions" )\n        or ( exists ( "Measles Indicators" )\n            and exists ( "Mumps Indicators" )\n            and exists ( "Rubella Indicators" )\n        )\n    )\n    and ( "Has Appropriate Number of Hib Immunizations"\n        or exists ( "Hib Numerator Inclusion Conditions" )\n    )\n    and ( exists ( "Three Hepatitis B Vaccinations" )\n        or ( exists ( "Meets HepB Vaccination Requirement" )\n            or exists ( "Hepatitis B Numerator Inclusion Conditions" )\n        )\n    )\n    and ( exists ( "One Chicken Pox Vaccination" )\n        or exists ( "Varicella Zoster Numerator Inclusion Conditions" )\n    )\n    and ( exists ( "Four Pneumococcal Conjugate Vaccinations" )\n        or exists ( "Pneumococcal Conjugate Numerator Inclusion Conditions" )\n    )\n    and ( exists ( "One Hepatitis A Vaccinations" )\n        or exists ( "Hepatitis A Numerator Inclusion Conditions" )\n    )\n    and ( "Has Appropriate Number of Rotavirus Immunizations"\n        or exists ( "Rotavirus Numerator Inclusion Conditions" )\n    )\n    and ( exists ( "Two Influenza Vaccinations" )\n        or ( "Two Influenza Vaccinations Including One LAIV Vaccination" )\n        or exists ( "Influenza Numerator Inclusion Conditions" )\n    )
\n
\n Logic Definition\n Library Name: CMS117FHIRChildImmunStatus
\n \n \n \n \n \n \n 
define "Qualifying Encounters":\n  ( ( [Encounter: "Office Visit"]\n      union [Encounter: "Home Healthcare Services"]\n      union [Encounter: "Preventive Care, Established Office Visit, 0 to 17"]\n      union [Encounter: "Preventive Care Services, Initial Office Visit, 0 to 17"]\n      union ( [Encounter] E\n          where exists ( ( E.type ) T\n              where T ~ "Office or other outpatient visit for the evaluation and management of an established patient that may not require the presence of a physician or other qualified health care professional"\n          )\n      )\n      union [Encounter: "Virtual Encounter"]\n      union [Encounter: "Telephone Visits"]\n  ).isEncounterPerformed ( ) ) ValidEncounters\n    where ValidEncounters.period during day of "Measurement Period"
\n
\n Logic Definition\n Library Name: CMS117FHIRChildImmunStatus
\n \n \n \n \n \n \n 
define "Initial Population":\n  AgeInYearsAt(date from \n    end of "Measurement Period"\n  ) = 2\n    and exists ( "Qualifying Encounters" )
\n
\n Logic Definition\n Library Name: CMS117FHIRChildImmunStatus
\n \n \n \n \n \n \n 
define "Denominator":\n  "Initial Population"
\n
\n Logic Definition\n Library Name: CMS117FHIRChildImmunStatus
\n \n \n \n \n \n \n 
define "SDE Payer":\n  SDE."SDE Payer"
\n
\n Logic Definition\n Library Name: CMS117FHIRChildImmunStatus
\n \n \n \n \n \n \n 
define "SDE Ethnicity":\n  SDE."SDE Ethnicity"
\n
\n Logic Definition\n Library Name: CMS117FHIRChildImmunStatus
\n \n \n \n \n \n \n 
define "Has Severe Combined Immunodeficiency":\n  exists ( ( ( [ConditionEncounterDiagnosis: "Severe Combined Immunodeficiency"]\n        union [ConditionProblemsHealthConcerns: "Severe Combined Immunodeficiency"]\n    ).verified ( ) ) SevereImmuneDisorder\n      where date from start of SevereImmuneDisorder.onset.toInterval ( ) during day of "First Two Years"\n  )
\n
\n Logic Definition\n Library Name: CMS117FHIRChildImmunStatus
\n \n \n \n \n \n \n 
define "Has Immunodeficiency":\n  exists ( ( ( [ConditionEncounterDiagnosis: "Disorders of the Immune System"]\n        union [ConditionProblemsHealthConcerns: "Disorders of the Immune System"]\n    ).verified ( ) ) ImmuneDisorder\n      where date from start of ImmuneDisorder.onset.toInterval ( ) during day of "First Two Years"\n  )
\n
\n Logic Definition\n Library Name: CMS117FHIRChildImmunStatus
\n \n \n \n \n \n \n 
define "Has HIV":\n  exists ( ( ( [ConditionEncounterDiagnosis: "HIV"]\n        union [ConditionProblemsHealthConcerns: "HIV"]\n    ).verified ( ) ) HIVDiagnosis\n      where date from start of HIVDiagnosis.onset.toInterval ( ) during day of "First Two Years"\n  )
\n
\n Logic Definition\n Library Name: CMS117FHIRChildImmunStatus
\n \n \n \n \n \n \n 
define "Has Lymphoreticular Cancer, Multiple Myeloma or Leukemia":\n  exists ( ( ( [ConditionEncounterDiagnosis: "Malignant Neoplasm of Lymphatic and Hematopoietic Tissue"]\n        union [ConditionProblemsHealthConcerns: "Malignant Neoplasm of Lymphatic and Hematopoietic Tissue"]\n    ).verified ( ) ) LymphaticMalignantNeoplasm\n      where date from start of LymphaticMalignantNeoplasm.onset.toInterval ( ) during day of "First Two Years"\n  )
\n
\n Logic Definition\n Library Name: CMS117FHIRChildImmunStatus
\n \n \n \n \n \n \n 
define "Has Intussusception":\n  exists ( ( ( [ConditionEncounterDiagnosis: "Intussusception"]\n        union [ConditionProblemsHealthConcerns: "Intussusception"]\n    ).verified ( ) ) IntussusceptionDisorder\n      where date from start of IntussusceptionDisorder.onset.toInterval ( ) during day of "First Two Years"\n  )
\n
\n Logic Definition\n Library Name: CMS117FHIRChildImmunStatus
\n \n \n \n \n \n \n 
define "Denominator Exclusions":\n  Hospice."Has Hospice Services"\n    or "Has Severe Combined Immunodeficiency"\n    or "Has Immunodeficiency"\n    or "Has HIV"\n    or "Has Lymphoreticular Cancer, Multiple Myeloma or Leukemia"\n    or "Has Intussusception"
\n
\n Logic Definition\n Library Name: CMS117FHIRChildImmunStatus
\n \n \n \n \n \n \n 
define "SDE Race":\n  SDE."SDE Race"
\n
\n Logic Definition\n Library Name: FHIRHelpers
\n \n \n \n \n \n \n 
define function ToString(value string): value.value
\n
\n Logic Definition\n Library Name: FHIRHelpers
\n \n \n \n \n \n \n 
define function ToString(value uri): value.value
\n
\n Logic Definition\n Library Name: FHIRHelpers
\n \n \n \n \n \n \n 
define function ToString(value ImmunizationStatus): value.value
\n
\n Logic Definition\n Library Name: FHIRHelpers
\n \n \n \n \n \n \n 
define function ToDateTime(value dateTime): value.value
\n
\n Logic Definition\n Library Name: FHIRHelpers
\n \n \n \n \n \n \n 
/*\n@description: Converts the given [Period](https://hl7.org/fhir/datatypes.html#Period)\nvalue to a CQL DateTime Interval\n@comment: If the start value of the given period is unspecified, the starting\nboundary of the resulting interval will be open (meaning the start of the interval\nis unknown, as opposed to interpreted as the beginning of time).\n*/\ndefine function ToInterval(period FHIR.Period):\n    if period is null then\n        null\n    else\n        if period."start" is null then\n            Interval(period."start".value, period."end".value]\n        else\n            Interval[period."start".value, period."end".value]
\n
\n Logic Definition\n Library Name: FHIRHelpers
\n \n \n \n \n \n \n 
define function ToDateTime(value instant): value.value
\n
\n Logic Definition\n Library Name: FHIRHelpers
\n \n \n \n \n \n \n 
define function ToDate(value date): value.value
\n
\n Logic Definition\n Library Name: FHIRHelpers
\n \n \n \n \n \n \n 
/*\n@description: Converts the given FHIR [Quantity](https://hl7.org/fhir/datatypes.html#Quantity) \nvalue to a CQL Quantity\n@comment: If the given quantity has a comparator specified, a runtime error is raised. If the given quantity\nhas a system other than UCUM (i.e. `http://unitsofmeasure.org`) or CQL calendar units (i.e. `http://hl7.org/fhirpath/CodeSystem/calendar-units`)\nan error is raised. For UCUM to calendar units, the `ToCalendarUnit` function is used.\n@seealso: ToCalendarUnit\n*/\ndefine function ToQuantity(quantity FHIR.Quantity):\n    case\n        when quantity is null then null\n        when quantity.value is null then null\n        when quantity.comparator is not null then\n            Message(null, true, 'FHIRHelpers.ToQuantity.ComparatorQuantityNotSupported', 'Error', 'FHIR Quantity value has a comparator and cannot be converted to a System.Quantity value.')\n        when quantity.system is null or quantity.system.value = 'http://unitsofmeasure.org'\n              or quantity.system.value = 'http://hl7.org/fhirpath/CodeSystem/calendar-units' then\n            System.Quantity { value: quantity.value.value, unit: ToCalendarUnit(Coalesce(quantity.code.value, quantity.unit.value, '1')) }\n        else\n            Message(null, true, 'FHIRHelpers.ToQuantity.InvalidFHIRQuantity', 'Error', 'Invalid FHIR Quantity code: ' & quantity.unit.value & ' (' & quantity.system.value & '|' & quantity.code.value & ')')\n    end
\n
\n Logic Definition\n Library Name: FHIRHelpers
\n \n \n \n \n \n \n 
/*\n@description: Converts a UCUM definite duration unit to a CQL calendar duration\nunit using conversions specified in the [quantities](https://cql.hl7.org/02-authorsguide.html#quantities) \ntopic of the CQL specification.\n@comment: Note that for durations above days (or weeks), the conversion is understood to be approximate\n*/\ndefine function ToCalendarUnit(unit System.String):\n    case unit\n        when 'ms' then 'millisecond'\n        when 's' then 'second'\n        when 'min' then 'minute'\n        when 'h' then 'hour'\n        when 'd' then 'day'\n        when 'wk' then 'week'\n        when 'mo' then 'month'\n        when 'a' then 'year'\n        else unit\n    end
\n
\n Logic Definition\n Library Name: FHIRHelpers
\n \n \n \n \n \n \n 
define function ToString(value ProcedureStatus): value.value
\n
\n Logic Definition\n Library Name: FHIRHelpers
\n \n \n \n \n \n \n 
/*\n@description: Converts the given FHIR [CodeableConcept](https://hl7.org/fhir/datatypes.html#CodeableConcept) value to a CQL Concept.\n*/\ndefine function ToConcept(concept FHIR.CodeableConcept):\n    if concept is null then\n        null\n    else\n        System.Concept {\n            codes: concept.coding C return ToCode(C),\n            display: concept.text.value\n        }
\n
\n Logic Definition\n Library Name: FHIRHelpers
\n \n \n \n \n \n \n 
/*\n@description: Converts the given FHIR [Coding](https://hl7.org/fhir/datatypes.html#Coding) value to a CQL Code.\n*/\ndefine function ToCode(coding FHIR.Coding):\n    if coding is null then\n        null\n    else\n        System.Code {\n          code: coding.code.value,\n          system: coding.system.value,\n          version: coding.version.value,\n          display: coding.display.value\n        }
\n
\n Logic Definition\n Library Name: FHIRHelpers
\n \n \n \n \n \n \n 
define function ToString(value EncounterStatus): value.value
\n
\n Logic Definition\n Library Name: FHIRHelpers
\n \n \n \n \n \n \n 
define function ToString(value ObservationStatus): value.value
\n
\n Logic Definition\n Library Name: FHIRHelpers
\n \n \n \n \n \n \n 
define function ToString(value ServiceRequestStatus): value.value
\n
\n Logic Definition\n Library Name: FHIRHelpers
\n \n \n \n \n \n \n 
define function ToString(value ServiceRequestIntent): value.value
\n
\n Logic Definition\n Library Name: Status
\n \n \n \n \n \n \n 
//Immunization, Administered\ndefine fluent function isImmunizationAdministered(Immunization List<FHIR.Immunization>):\n  Immunization I\n    where I.status ~ 'completed'
\n
\n Logic Definition\n Library Name: Status
\n \n \n \n \n \n \n 
//Procedure, Performed\ndefine fluent function isProcedurePerformed(Proc List<FHIR.Procedure>):\n  Proc P\n    where P.status ~ 'completed'
\n
\n Logic Definition\n Library Name: Status
\n \n \n \n \n \n \n 
// TODO: Deprecate because this is now in FHIRCommon\n//Condition\n/*\n@description: Returns conditions in the given list that either have no verification status or have a verification status of confirmed, unconfirmed, provisional, or differential\n@deprecated: Use the USCoreCommon verified function insteada\n*/\ndefine fluent function verified(conditions List<Choice<ConditionProblemsHealthConcerns, ConditionEncounterDiagnosis>>):\n  conditions C\n    where C.verificationStatus is not null implies\n      (C.verificationStatus ~ "confirmed"\n        or C.verificationStatus ~ "unconfirmed"\n        or C.verificationStatus ~ "provisional"\n        or C.verificationStatus ~ "differential"\n      )
\n
\n Logic Definition\n Library Name: Status
\n \n \n \n \n \n \n 
//Encounter, Performed\n//General usage unless required otherwise by measure intent (e.g., follow-up encounters)\ndefine fluent function isEncounterPerformed(Enc List<FHIR.Encounter>):\n  Enc E\n    where E.status = 'finished'
\n
\n Logic Definition\n Library Name: Status
\n \n \n \n \n \n \n 
//Assessment, Performed\ndefine fluent function isAssessmentPerformed(Obs List<ObservationScreeningAssessment>):\n  Obs O\n    where O.status in { 'final', 'amended', 'corrected' }
\n
\n Logic Definition\n Library Name: Status
\n \n \n \n \n \n \n 
//Intervention, Order\ndefine fluent function isInterventionOrder(ServiceRequest List<FHIR.ServiceRequest>):\n  ServiceRequest S\n    where S.status in { 'active', 'completed' }\n      and S.intent in {'order', 'original-order', 'reflex-order', 'filler-order', 'instance-order'}
\n
\n Logic Definition\n Library Name: Status
\n \n \n \n \n \n \n 
//Intervention, Performed\ndefine fluent function isInterventionPerformed(Proc List<FHIR.Procedure>):\n  Proc P\n    where P.status ~ 'completed'
\n
\n Logic Definition\n Library Name: FHIRCommon
\n \n \n \n \n \n \n 
/*\n@description: Returns the single extension (if present) on the given resource with the specified url.\n@comment: This function uses singleton from to ensure that a run-time exception is thrown if there\nis more than one extension on the given resource with the specified url.\n*/\ndefine fluent function ext(domainResource DomainResource, url String):\n  singleton from domainResource.exts(url)
\n
\n Logic Definition\n Library Name: FHIRCommon
\n \n \n \n \n \n \n 
/*\n@description: Returns any extensions defined on the given resource with the specified url\n*/\ndefine fluent function exts(domainResource DomainResource, url String):\n  domainResource.extension E\n    where E.url = url\n    return E
\n
\n Logic Definition\n Library Name: FHIRCommon
\n \n \n \n \n \n \n 
/*\n@description: Given an interval, return the starting point if the interval has a starting boundary specified,\notherwise, return the ending point\n*/\ndefine fluent function earliest(choice Choice<FHIR.dateTime, FHIR.Period, FHIR.Age, FHIR.Range>):\n  (choice.toInterval()) period\n    return\n      if (period.hasStart()) then start of period\n      else end of period
\n
\n Logic Definition\n Library Name: FHIRCommon
\n \n \n \n \n \n \n 
/*\n@description: Normalizes a value that is a choice of timing-valued types to an equivalent interval\n@comment: Normalizes a choice type of FHIR.dateTime, FHIR.Period, FHIR.Timing, FHIR.instance, FHIR.string, FHIR.Age, or FHIR.Range types\nto an equivalent interval. This selection of choice types is a superset of the majority of choice types that are used as possible\nrepresentations for timing-valued elements in FHIR, allowing this function to be used across any resource.\n\nThe input can be provided as a dateTime, Period, Timing, instant, string, Age, or Range.\nThe intent of this function is to provide a clear and concise mechanism to treat single\nelements that have multiple possible representations as intervals so that logic doesn't have to account\nfor the variability. More complex calculations (such as medication request period or dispense period\ncalculation) need specific guidance and consideration. That guidance may make use of this function, but\nthe focus of this function is on single element calculations where the semantics are unambiguous.\nIf the input is a dateTime, the result a DateTime Interval beginning and ending on that dateTime.\nIf the input is a Period, the result is a DateTime Interval.\nIf the input is a Timing, an error is raised indicating a single interval cannot be computed from a Timing.\nIf the input is an instant, the result is a DateTime Interval beginning and ending on that instant.\nIf the input is a string, an error is raised indicating a single interval cannot be computed from a string.\nIf the input is an Age, the result is a DateTime Interval beginning when the patient was the given Age,\nand ending immediately prior to when the patient was the given Age plus one year.\nIf the input is a Range, the result is a DateTime Interval beginning when the patient was the Age given\nby the low end of the Range, and ending immediately prior to when the patient was the Age given by the\nhigh end of the Range plus one year.\n\nNOTE: Due to the\ncomplexity of determining a single interval from a Timing or String type, this function will throw a run-time exception if it is used\nwith a Timing or String.\n*/\ndefine fluent function toInterval(choice Choice<FHIR.dateTime, FHIR.Period, FHIR.Timing, FHIR.instant, FHIR.string, FHIR.Age, FHIR.Range>):\n  case\n    when choice is FHIR.dateTime then\n      Interval[FHIRHelpers.ToDateTime(choice as FHIR.dateTime), FHIRHelpers.ToDateTime(choice as FHIR.dateTime)]\n    when choice is FHIR.Period then\n      FHIRHelpers.ToInterval(choice as FHIR.Period)\n    when choice is FHIR.instant then\n      Interval[FHIRHelpers.ToDateTime(choice as FHIR.instant), FHIRHelpers.ToDateTime(choice as FHIR.instant)]\n    when choice is FHIR.Age then\n      Interval[FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity(choice as FHIR.Age),\n        FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity(choice as FHIR.Age) + 1 year)\n    when choice is FHIR.Range then\n      Interval[FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity((choice as FHIR.Range).low),\n        FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity((choice as FHIR.Range).high) + 1 year)\n    when choice is FHIR.Timing then\n      Message(null as Interval<DateTime>, true, 'NOT_IMPLEMENTED', 'Error', 'Calculation of an interval from a Timing value is not supported')\n    when choice is FHIR.string then\n      Message(null as Interval<DateTime>, true, 'NOT_IMPLEMENTED', 'Error', 'Calculation of an interval from a String value is not supported')\n    else\n      null as Interval<DateTime>\n  end
\n
\n Logic Definition\n Library Name: FHIRCommon
\n \n \n \n \n \n \n 
/*\n@description: Given an interval, return true if the interval has a starting boundary specified\n(i.e. the start of the interval is not null and not the minimum DateTime value)\n*/\ndefine fluent function hasStart(period Interval<DateTime>):\n  not ( start of period is null\n      or start of period = minimum DateTime\n  )
\n
\n Logic Definition\n Library Name: FHIRCommon
\n \n \n \n \n \n \n 
/*\n@description: Returns conditions in the given list that either have no verification status or have a verification status of confirmed, unconfirmed, provisional, or differential\n*/\ndefine fluent function verified(conditions List<FHIR.Condition>):\n  conditions C\n    where C.verificationStatus is not null implies\n      (C.verificationStatus ~ "confirmed"\n        or C.verificationStatus ~ "unconfirmed"\n        or C.verificationStatus ~ "provisional"\n        or C.verificationStatus ~ "differential"\n      )
\n
\n Logic Definition\n Library Name: FHIRCommon
\n \n \n \n \n \n \n 
/*\n@description: Returns the single extension (if present) on the given element with the specified url.\n@comment: This function uses singleton from to ensure that a run-time exception is thrown if there\nis more than one extension on the given element with the specified url.\n*/\ndefine fluent function ext(element Element, url String):\n  singleton from element.exts(url)
\n
\n Logic Definition\n Library Name: FHIRCommon
\n \n \n \n \n \n \n 
/*\n@description: Returns any extensions defined on the given element with the specified url.\n*/\ndefine fluent function exts(element Element, url String):\n  element.extension E\n    where E.url = url\n    return E
\n
\n Logic Definition\n Library Name: FHIRCommon
\n \n \n \n \n \n \n 
/*\n@description: Returns an interval representing the normalized prevalence period of a given Condition resource.\n@comment: Uses the toInterval and toAbatementInterval functions to determine the widest potential interval from\nonset to abatement as specified in the given Condition.\n*/\ndefine fluent function prevalenceInterval(condition Condition):\nif condition.clinicalStatus ~ "active"\n  or condition.clinicalStatus ~ "recurrence"\n  or condition.clinicalStatus ~ "relapse" then\n  Interval[start of condition.onset.toInterval(), end of condition.abatementInterval()]\nelse\n  (end of condition.abatementInterval()) abatementDate\n    return \n\t  if abatementDate is null then\n        Interval[start of condition.onset.toInterval(), abatementDate)\n      else\n        Interval[start of condition.onset.toInterval(), abatementDate]
\n
\n Logic Definition\n Library Name: FHIRCommon
\n \n \n \n \n \n \n 
/*\n@description: Returns an interval representing the normalized Abatement of a given Condition resource.\n@comment: @comment: If the abatement element of the Condition is represented as a DateTime, the result\nis an interval beginning and ending on that DateTime.\nIf the abatement is represented as a Quantity, the quantity is expected to be a calendar-duration and is interpreted as the age of the patient. The\nresult is an interval from the date the patient turned that age to immediately before one year later.\nIf the abatement is represented as a Quantity Interval, the quantities are expected to be calendar-durations and are interpreted as an age range during\nwhich the abatement occurred. The result is an interval from the date the patient turned the starting age of the quantity interval, and ending immediately\nbefore one year later than the date the patient turned the ending age of the quantity interval.\n\nNOTE: Due to the complexity of determining an interval from a String, this function will throw\na run-time exception if used with a Condition instance that has a String as the abatement value.\n*/\ndefine fluent function abatementInterval(condition Condition):\n  if condition.abatement is FHIR.dateTime then\n    Interval[FHIRHelpers.ToDateTime(condition.abatement as FHIR.dateTime), FHIRHelpers.ToDateTime(condition.abatement as FHIR.dateTime)]\n  else if condition.abatement is FHIR.Period then\n    FHIRHelpers.ToInterval(condition.abatement as FHIR.Period)\n  else if condition.abatement is FHIR.string then\n    Message(null as Interval<DateTime>, true, 'NOT_IMPLEMENTED', 'Error', 'Calculation of an interval from a String value is not supported')\n  else if condition.abatement is FHIR.Age then\n    Interval[FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity(condition.abatement as FHIR.Age),\n      FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity(condition.abatement as FHIR.Age) + 1 year)\n  else if condition.abatement is FHIR.Range then\n    Interval[FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity((condition.abatement as FHIR.Range).low),\n      FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity((condition.abatement as FHIR.Range).high) + 1 year)\n  else if condition.abatement is FHIR.boolean then\n    Interval[end of condition.onset.toInterval(), condition.recordedDate)\n  else \n    null
\n
\n Logic Definition\n Library Name: USCoreCommon
\n \n \n \n \n \n \n 
/*\n@description: Returns the sex element as defined for the USCore patient profile\n*/\ndefine fluent function sex(patient Patient):\n  patient.ext('http://hl7.org/fhir/us/core/StructureDefinition/us-core-sex').value as FHIR.code
\n
\n Logic Definition\n Library Name: USCoreCommon
\n \n \n \n \n \n \n 
define fluent function ethnicity(patient Patient):\n  (patient.ext('http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity')) E\n    return {\n      ombCategory: E.ext('ombCategory').value as FHIR.Coding,\n      detailed: (E.exts('detailed')) d return d.value as FHIR.Coding,\n      text: E.ext('text').value as FHIR.string\n    }
\n
\n Logic Definition\n Library Name: USCoreCommon
\n \n \n \n \n \n \n 
define fluent function race(patient Patient):\n  (patient.ext('http://hl7.org/fhir/us/core/StructureDefinition/us-core-race')) E\n    return {\n      ombCategory: (E.exts('ombCategory')) o return o.value as FHIR.Coding,\n      detailed: (E.exts('detailed')) d return d.value as FHIR.Coding,\n      text: E.ext('text').value as FHIR.string\n    }
\n
Terminology
Code System\n \n Description: Code system SNOMEDCT\n \n
\n \n \n \n \n \n \n Resource: SNOMED CT (all versions)\n
\n Canonical URL: http://snomed.info/sct\n \n
Code System\n \n Description: Code system ConditionVerificationStatusCodes\n \n
\n \n \n \n \n \n \n Resource: ConditionVerificationStatus\n
\n Canonical URL: http://terminology.hl7.org/CodeSystem/condition-ver-status\n \n
Code System\n \n Description: Code system ICD10\n \n
\n \n \n \n \n \n \n Resource: ICD-10 Procedure Codes\n
\n Canonical URL: http://www.cms.gov/Medicare/Coding/ICD10\n \n
Code System\n \n Description: Code system CVX\n \n
\n \n \n \n \n \n \n Resource: Vaccine Administered Code Set (CVX)\n
\n Canonical URL: http://hl7.org/fhir/sid/cvx\n \n
Code System\n \n Description: Code system CPT\n \n
\n \n \n \n \n \n \n Resource: Current Procedural Terminology (CPT®)\n
\n Canonical URL: http://www.ama-assn.org/go/cpt\n \n
Code System\n \n Description: Code system LOINC\n \n
\n \n \n \n \n \n \n Resource: Logical Observation Identifiers, Names and Codes (LOINC)\n
\n Canonical URL: http://loinc.org\n \n
Code System\n \n Description: Code system ConditionClinicalStatusCodes\n \n
\n \n \n \n \n \n \n Resource: Condition Clinical Status Codes\n
\n Canonical URL: http://terminology.hl7.org/CodeSystem/condition-clinical\n \n
Value Set\n \n Description: Value set DTaP Vaccine\n \n
\n \n \n \n \n \n \n Resource: DTaP Vaccine\n
\n Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.196.12.1214\n \n
Value Set\n \n Description: Value set DTaP Vaccine Administered\n \n
\n \n \n \n \n \n \n Resource: DTaP Vaccine Administered\n
\n Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1022\n \n
Value Set\n \n Description: Value set Anaphylactic Reaction to DTaP Vaccine\n \n
\n \n \n \n \n \n \n Resource: Anaphylactic Reaction to DTaP Vaccine\n
\n Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.199.12.1031\n \n
Value Set\n \n Description: Value set Encephalitis Due to Diphtheria, Tetanus or Pertussis Vaccine\n \n
\n \n \n \n \n \n \n Resource: Encephalitis Due to Diphtheria, Tetanus or Pertussis Vaccine\n
\n Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.1164\n \n
Value Set\n \n Description: Value set Inactivated Polio Vaccine (IPV)\n \n
\n \n \n \n \n \n \n Resource: Inactivated Polio Vaccine (IPV)\n
\n Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.196.12.1219\n \n
Value Set\n \n Description: Value set Inactivated Polio Vaccine (IPV) Administered\n \n
\n \n \n \n \n \n \n Resource: Inactivated Polio Vaccine (IPV) Administered\n
\n Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1045\n \n
Value Set\n \n Description: Value set Measles, Mumps and Rubella (MMR) Vaccine\n \n
\n \n \n \n \n \n \n Resource: Measles, Mumps and Rubella (MMR) Vaccine\n
\n Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.196.12.1224\n \n
Value Set\n \n Description: Value set Measles, Mumps and Rubella (MMR) Vaccine Administered\n \n
\n \n \n \n \n \n \n Resource: Measles, Mumps and Rubella (MMR) Vaccine Administered\n
\n Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1031\n \n
Value Set\n \n Description: Value set Measles\n \n
\n \n \n \n \n \n \n Resource: Measles\n
\n Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1053\n \n
Value Set\n \n Description: Value set Mumps\n \n
\n \n \n \n \n \n \n Resource: Mumps\n
\n Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1032\n \n
Value Set\n \n Description: Value set Rubella\n \n
\n \n \n \n \n \n \n Resource: Rubella\n
\n Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1037\n \n
Value Set\n \n Description: Value set Hib Vaccine (3 dose schedule)\n \n
\n \n \n \n \n \n \n Resource: Hib Vaccine (3 dose schedule)\n
\n Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1083\n \n
Value Set\n \n Description: Value set Hib Vaccine (3 dose schedule) Administered\n \n
\n \n \n \n \n \n \n Resource: Hib Vaccine (3 dose schedule) Administered\n
\n Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1084\n \n
Value Set\n \n Description: Value set Hib Vaccine (4 dose schedule)\n \n
\n \n \n \n \n \n \n Resource: Hib Vaccine (4 dose schedule)\n
\n Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1085\n \n
Value Set\n \n Description: Value set Hib Vaccine (4 dose schedule) Administered\n \n
\n \n \n \n \n \n \n Resource: Hib Vaccine (4 dose schedule) Administered\n
\n Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1086\n \n
Value Set\n \n Description: Value set Hepatitis B Vaccine\n \n
\n \n \n \n \n \n \n Resource: Hepatitis B Vaccine\n
\n Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.196.12.1216\n \n
Value Set\n \n Description: Value set Hepatitis B Vaccine Administered\n \n
\n \n \n \n \n \n \n Resource: Hepatitis B Vaccine Administered\n
\n Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1042\n \n
Value Set\n \n Description: Value set Hepatitis B\n \n
\n \n \n \n \n \n \n Resource: Hepatitis B\n
\n Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1025\n \n
Value Set\n \n Description: Value set Varicella Zoster Vaccine (VZV)\n \n
\n \n \n \n \n \n \n Resource: Varicella Zoster Vaccine (VZV)\n
\n Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.196.12.1170\n \n
Value Set\n \n Description: Value set Varicella Zoster Vaccine (VZV) Administered\n \n
\n \n \n \n \n \n \n Resource: Varicella Zoster Vaccine (VZV) Administered\n
\n Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1040\n \n
Value Set\n \n Description: Value set Varicella Zoster\n \n
\n \n \n \n \n \n \n Resource: Varicella Zoster\n
\n Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1039\n \n
Value Set\n \n Description: Value set Pneumococcal Conjugate Vaccine\n \n
\n \n \n \n \n \n \n Resource: Pneumococcal Conjugate Vaccine\n
\n Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.196.12.1221\n \n
Value Set\n \n Description: Value set Pneumococcal Conjugate Vaccine Administered\n \n
\n \n \n \n \n \n \n Resource: Pneumococcal Conjugate Vaccine Administered\n
\n Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1046\n \n
Value Set\n \n Description: Value set Hepatitis A Vaccine\n \n
\n \n \n \n \n \n \n Resource: Hepatitis A Vaccine\n
\n Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.196.12.1215\n \n
Value Set\n \n Description: Value set Hepatitis A Vaccine Administered\n \n
\n \n \n \n \n \n \n Resource: Hepatitis A Vaccine Administered\n
\n Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1041\n \n
Value Set\n \n Description: Value set Hepatitis A\n \n
\n \n \n \n \n \n \n Resource: Hepatitis A\n
\n Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1024\n \n
Value Set\n \n Description: Value set Rotavirus Vaccine (2 dose schedule) Administered\n \n
\n \n \n \n \n \n \n Resource: Rotavirus Vaccine (2 dose schedule) Administered\n
\n Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1048\n \n
Value Set\n \n Description: Value set Rotavirus Vaccine (3 dose schedule)\n \n
\n \n \n \n \n \n \n Resource: Rotavirus Vaccine (3 dose schedule)\n
\n Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.196.12.1223\n \n
Value Set\n \n Description: Value set Rotavirus Vaccine (3 dose schedule) Administered\n \n
\n \n \n \n \n \n \n Resource: Rotavirus Vaccine (3 dose schedule) Administered\n
\n Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1047\n \n
Value Set\n \n Description: Value set Child Influenza Vaccine\n \n
\n \n \n \n \n \n \n Resource: Child Influenza Immunization Administered\n
\n Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.196.12.1218\n \n
Value Set\n \n Description: Value set Child Influenza Vaccine Administered\n \n
\n \n \n \n \n \n \n Resource: Child Influenza Vaccine Administered\n
\n Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1044\n \n
Value Set\n \n Description: Value set Influenza Virus LAIV Vaccine\n \n
\n \n \n \n \n \n \n Resource: Influenza Virus LAIV Immunization\n
\n Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1087\n \n
Value Set\n \n Description: Value set Influenza Virus LAIV Vaccine Administered\n \n
\n \n \n \n \n \n \n Resource: Influenza Virus LAIV Procedure\n
\n Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1088\n \n
Value Set\n \n Description: Value set Office Visit\n \n
\n \n \n \n \n \n \n Resource: Office Visit\n
\n Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001\n \n
Value Set\n \n Description: Value set Home Healthcare Services\n \n
\n \n \n \n \n \n \n Resource: Home Healthcare Services\n
\n Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1016\n \n
Value Set\n \n Description: Value set Preventive Care, Established Office Visit, 0 to 17\n \n
\n \n \n \n \n \n \n Resource: Preventive Care, Established Office Visit, 0 to 17\n
\n Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1024\n \n
Value Set\n \n Description: Value set Preventive Care Services, Initial Office Visit, 0 to 17\n \n
\n \n \n \n \n \n \n Resource: Preventive Care Services, Initial Office Visit, 0 to 17\n
\n Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1022\n \n
Value Set\n \n Description: Value set Virtual Encounter\n \n
\n \n \n \n \n \n \n Resource: Virtual Encounter\n
\n Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1089\n \n
Value Set\n \n Description: Value set Telephone Visits\n \n
\n \n \n \n \n \n \n Resource: Telephone Visits\n
\n Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1080\n \n
Value Set\n \n Description: Value set Payer Type\n \n
\n \n \n \n \n \n \n Resource: Payer Type\n
\n Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591\n \n
Value Set\n \n Description: Value set Encounter Inpatient\n \n
\n \n \n \n \n \n \n Resource: Encounter Inpatient\n
\n Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307\n \n
Value Set\n \n Description: Value set Hospice Encounter\n \n
\n \n \n \n \n \n \n Resource: Hospice Encounter\n
\n Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.1003\n \n
Value Set\n \n Description: Value set Hospice Care Ambulatory\n \n
\n \n \n \n \n \n \n Resource: Hospice Care Ambulatory\n
\n Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1584\n \n
Value Set\n \n Description: Value set Hospice Diagnosis\n \n
\n \n \n \n \n \n \n Resource: Hospice Diagnosis\n
\n Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.1165\n \n
Value Set\n \n Description: Value set Severe Combined Immunodeficiency\n \n
\n \n \n \n \n \n \n Resource: Severe Combined Immunodeficiency\n
\n Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.120.12.1007\n \n
Value Set\n \n Description: Value set Disorders of the Immune System\n \n
\n \n \n \n \n \n \n Resource: Disorders of the Immune System\n
\n Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.120.12.1001\n \n
Value Set\n \n Description: Value set HIV\n \n
\n \n \n \n \n \n \n Resource: HIV\n
\n Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.120.12.1003\n \n
Value Set\n \n Description: Value set Malignant Neoplasm of Lymphatic and Hematopoietic Tissue\n \n
\n \n \n \n \n \n \n Resource: Malignant Neoplasm of Lymphatic and Hematopoietic Tissue\n
\n Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1009\n \n
Value Set\n \n Description: Value set Intussusception\n \n
\n \n \n \n \n \n \n Resource: Intussusception\n
\n Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.199.12.1056\n \n
Direct Reference Code\n \n Display: Male (finding)\n
\n \n Code: 248153007\n
\n System: http://snomed.info/sct\n
Direct Reference Code\n \n Display: Female (finding)\n
\n \n Code: 248152002\n
\n System: http://snomed.info/sct\n
Direct Reference Code\n \n Display: confirmed\n
\n \n Code: confirmed\n
\n System: http://terminology.hl7.org/CodeSystem/condition-ver-status\n
Direct Reference Code\n \n Display: unconfirmed\n
\n \n Code: unconfirmed\n
\n System: http://terminology.hl7.org/CodeSystem/condition-ver-status\n
Direct Reference Code\n \n Display: provisional\n
\n \n Code: provisional\n
\n System: http://terminology.hl7.org/CodeSystem/condition-ver-status\n
Direct Reference Code\n \n Display: differential\n
\n \n Code: differential\n
\n System: http://terminology.hl7.org/CodeSystem/condition-ver-status\n
Direct Reference Code\n \n Display: Anaphylaxis caused by vaccine product containing human poliovirus antigen (disorder)\n
\n \n Code: 471321000124106\n
\n System: http://snomed.info/sct\n
Direct Reference Code\n \n Display: Anaphylaxis caused by vaccine product containing Measles morbillivirus and Mumps orthorubulavirus and Rubella virus antigens (disorder)\n
\n \n Code: 471331000124109\n
\n System: http://snomed.info/sct\n
Direct Reference Code\n \n Display: Anaphylaxis caused by vaccine product containing only Haemophilus influenzae type b antigen (disorder)\n
\n \n Code: 433621000124101\n
\n System: http://snomed.info/sct\n
Direct Reference Code\n \n Display: Introduction of Serum, Toxoid and Vaccine into Muscle, Percutaneous Approach\n
\n \n Code: 3E0234Z\n
\n System: http://www.cms.gov/Medicare/Coding/ICD10\n
Direct Reference Code\n \n Display: Anaphylaxis caused by vaccine product containing Hepatitis B virus antigen (disorder)\n
\n \n Code: 428321000124101\n
\n System: http://snomed.info/sct\n
Direct Reference Code\n \n Display: Anaphylaxis caused by vaccine containing Human alphaherpesvirus 3 antigen (disorder)\n
\n \n Code: 471341000124104\n
\n System: http://snomed.info/sct\n
Direct Reference Code\n \n Display: Anaphylaxis caused by vaccine product containing Streptococcus pneumoniae antigen (disorder)\n
\n \n Code: 471141000124102\n
\n System: http://snomed.info/sct\n
Direct Reference Code\n \n Display: Anaphylaxis caused by vaccine product containing Hepatitis A virus antigen (disorder)\n
\n \n Code: 471311000124103\n
\n System: http://snomed.info/sct\n
Direct Reference Code\n \n Display: rotavirus, live, monovalent vaccine\n
\n \n Code: 119\n
\n System: http://hl7.org/fhir/sid/cvx\n
Direct Reference Code\n \n Display: Anaphylaxis caused by rotavirus vaccine (disorder)\n
\n \n Code: 428331000124103\n
\n System: http://snomed.info/sct\n
Direct Reference Code\n \n Display: Anaphylaxis caused by vaccine product containing Influenza virus antigen (disorder)\n
\n \n Code: 471361000124100\n
\n System: http://snomed.info/sct\n
Direct Reference Code\n \n Display: Office or other outpatient visit for the evaluation and management of an established patient that may not require the presence of a physician or other qualified health care professional\n
\n \n Code: 99211\n
\n System: http://www.ama-assn.org/go/cpt\n
Direct Reference Code\n \n Display: Discharge to home for hospice care (procedure)\n
\n \n Code: 428361000124107\n
\n System: http://snomed.info/sct\n
Direct Reference Code\n \n Display: Discharge to healthcare facility for hospice care (procedure)\n
\n \n Code: 428371000124100\n
\n System: http://snomed.info/sct\n
Direct Reference Code\n \n Display: Hospice care [Minimum Data Set]\n
\n \n Code: 45755-6\n
\n System: http://loinc.org\n
Direct Reference Code\n \n Display: Yes (qualifier value)\n
\n \n Code: 373066001\n
\n System: http://snomed.info/sct\n
Direct Reference Code\n \n Code: active\n
\n System: http://terminology.hl7.org/CodeSystem/condition-clinical\n
Direct Reference Code\n \n Code: recurrence\n
\n System: http://terminology.hl7.org/CodeSystem/condition-clinical\n
Direct Reference Code\n \n Code: relapse\n
\n System: http://terminology.hl7.org/CodeSystem/condition-clinical\n
Dependencies
Dependency\n \n Description: USQualityCore model information\n \n
\n \n \n \n \n \n \n Resource: https://madie.cms.gov/Library/USQualityCore-ModelInfo|0.1.0-cibuild\n
\n Canonical URL: https://madie.cms.gov/Library/USQualityCore-ModelInfo|0.1.0-cibuild\n \n
Dependency\n \n Description: USCore model information\n \n
\n \n \n \n \n \n \n Resource: http://hl7.org/fhir/us/cql/Library/USCore-ModelInfo|6.1.0-derived\n
\n Canonical URL: http://hl7.org/fhir/us/cql/Library/USCore-ModelInfo|6.1.0-derived\n \n
Dependency\n \n Description: FHIR model information\n \n
\n \n \n \n \n \n \n Resource: http://hl7.org/fhir/uv/cql/Library/FHIR-ModelInfo|4.0.1\n
\n Canonical URL: http://hl7.org/fhir/uv/cql/Library/FHIR-ModelInfo|4.0.1\n \n
Dependency\n \n Description: Library SDE\n \n
\n \n \n \n \n \n \n Resource: SupplementalDataElements version: 6.1.000\n
\n Canonical URL: https://madie.cms.gov/Library/SupplementalDataElements|6.1.000\n \n
Dependency\n \n Description: Library FHIRHelpers\n \n
\n \n \n \n \n \n \n Resource: http://hl7.org/fhir/uv/cql/Library/FHIRHelpers|4.0.1\n
\n Canonical URL: http://hl7.org/fhir/uv/cql/Library/FHIRHelpers|4.0.1\n \n
Dependency\n \n Description: Library USCommon\n \n
\n \n \n \n \n \n \n Resource: http://hl7.org/fhir/us/cql/Library/USCoreCommon|2.0.0-ballot\n
\n Canonical URL: http://hl7.org/fhir/us/cql/Library/USCoreCommon|2.0.0-ballot\n \n
Dependency\n \n Description: Library FHIRCommon\n \n
\n \n \n \n \n \n \n Resource: http://hl7.org/fhir/uv/cql/Library/FHIRCommon|2.0.0\n
\n Canonical URL: http://hl7.org/fhir/uv/cql/Library/FHIRCommon|2.0.0\n \n
Dependency\n \n Description: Library Status\n \n
\n \n \n \n \n \n \n Resource: Status version: 2.1.000\n
\n Canonical URL: https://madie.cms.gov/Library/Status|2.1.000\n \n
Dependency\n \n Description: Library Hospice\n \n
\n \n \n \n \n \n \n Resource: Hospice version: 7.1.000\n
\n Canonical URL: https://madie.cms.gov/Library/Hospice|7.1.000\n \n
Data Requirements
Data Requirement\n Type: Patient\n
\n \n Profile(s): \n \n http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-patient\n
\n \n \n \n Must Support Elements: birthDate, ombCategory, detailed, text\n
\n \n \n
Data Requirement\n Type: Patient\n
\n \n Profile(s): \n \n Patient\n
\n \n \n \n Must Support Elements: birthDate\n
\n \n \n
Data Requirement\n Type: Immunization\n
\n \n Profile(s): \n \n Immunization\n
\n \n \n \n Must Support Elements: vaccineCode, occurrence, status\n
\n \n \n Code Filter(s): \n
\n \n \n Path: vaccineCode\n
\n \n \n \n ValueSet: DTaP Vaccine\n
\n \n \n \n \n
Data Requirement\n Type: Immunization\n
\n \n Profile(s): \n \n Immunization\n
\n \n \n \n Must Support Elements: vaccineCode, occurrence, status\n
\n \n \n Code Filter(s): \n
\n \n \n Path: vaccineCode\n
\n \n \n \n ValueSet: Inactivated Polio Vaccine (IPV)\n
\n \n \n \n \n
Data Requirement\n Type: Immunization\n
\n \n Profile(s): \n \n Immunization\n
\n \n \n \n Must Support Elements: vaccineCode, occurrence, status\n
\n \n \n Code Filter(s): \n
\n \n \n Path: vaccineCode\n
\n \n \n \n ValueSet: Measles, Mumps and Rubella (MMR) Vaccine\n
\n \n \n \n \n
Data Requirement\n Type: Immunization\n
\n \n Profile(s): \n \n Immunization\n
\n \n \n \n Must Support Elements: vaccineCode, occurrence, status\n
\n \n \n Code Filter(s): \n
\n \n \n Path: vaccineCode\n
\n \n \n \n ValueSet: Hib Vaccine (3 dose schedule)\n
\n \n \n \n \n
Data Requirement\n Type: Immunization\n
\n \n Profile(s): \n \n Immunization\n
\n \n \n \n Must Support Elements: vaccineCode, occurrence, status\n
\n \n \n Code Filter(s): \n
\n \n \n Path: vaccineCode\n
\n \n \n \n ValueSet: Hib Vaccine (4 dose schedule)\n
\n \n \n \n \n
Data Requirement\n Type: Immunization\n
\n \n Profile(s): \n \n Immunization\n
\n \n \n \n Must Support Elements: vaccineCode, occurrence, status\n
\n \n \n Code Filter(s): \n
\n \n \n Path: vaccineCode\n
\n \n \n \n ValueSet: Hepatitis B Vaccine\n
\n \n \n \n \n
Data Requirement\n Type: Immunization\n
\n \n Profile(s): \n \n Immunization\n
\n \n \n \n Must Support Elements: vaccineCode, occurrence, status\n
\n \n \n Code Filter(s): \n
\n \n \n Path: vaccineCode\n
\n \n \n \n ValueSet: Varicella Zoster Vaccine (VZV)\n
\n \n \n \n \n
Data Requirement\n Type: Immunization\n
\n \n Profile(s): \n \n Immunization\n
\n \n \n \n Must Support Elements: vaccineCode, occurrence, status\n
\n \n \n Code Filter(s): \n
\n \n \n Path: vaccineCode\n
\n \n \n \n ValueSet: Pneumococcal Conjugate Vaccine\n
\n \n \n \n \n
Data Requirement\n Type: Immunization\n
\n \n Profile(s): \n \n Immunization\n
\n \n \n \n Must Support Elements: vaccineCode, occurrence, status\n
\n \n \n Code Filter(s): \n
\n \n \n Path: vaccineCode\n
\n \n \n \n ValueSet: Hepatitis A Vaccine\n
\n \n \n \n \n
Data Requirement\n Type: Immunization\n
\n \n Profile(s): \n \n Immunization\n
\n \n \n \n Must Support Elements: vaccineCode, occurrence, status\n
\n \n \n Code Filter(s): \n
\n \n \n Path: vaccineCode\n
\n \n \n \n \n Code(s): \n \n \n Vaccine Administered Code Set (CVX): 119 (rotavirus, live, monovalent vaccine)\n \n \n \n
\n \n \n \n
Data Requirement\n Type: Immunization\n
\n \n Profile(s): \n \n Immunization\n
\n \n \n \n Must Support Elements: vaccineCode, occurrence, status\n
\n \n \n Code Filter(s): \n
\n \n \n Path: vaccineCode\n
\n \n \n \n ValueSet: Rotavirus Vaccine (3 dose schedule)\n
\n \n \n \n \n
Data Requirement\n Type: Immunization\n
\n \n Profile(s): \n \n Immunization\n
\n \n \n \n Must Support Elements: vaccineCode, occurrence, status\n
\n \n \n Code Filter(s): \n
\n \n \n Path: vaccineCode\n
\n \n \n \n ValueSet: Child Influenza Immunization Administered\n
\n \n \n \n \n
Data Requirement\n Type: Immunization\n
\n \n Profile(s): \n \n Immunization\n
\n \n \n \n Must Support Elements: vaccineCode, occurrence, status\n
\n \n \n Code Filter(s): \n
\n \n \n Path: vaccineCode\n
\n \n \n \n ValueSet: Influenza Virus LAIV Immunization\n
\n \n \n \n \n
Data Requirement\n Type: Procedure\n
\n \n Profile(s): \n \n Procedure\n
\n \n \n \n Must Support Elements: code, performed, status\n
\n \n \n Code Filter(s): \n
\n \n \n Path: code\n
\n \n \n \n ValueSet: DTaP Vaccine Administered\n
\n \n \n \n \n
Data Requirement\n Type: Procedure\n
\n \n Profile(s): \n \n Procedure\n
\n \n \n \n Must Support Elements: code, performed, status\n
\n \n \n Code Filter(s): \n
\n \n \n Path: code\n
\n \n \n \n ValueSet: Inactivated Polio Vaccine (IPV) Administered\n
\n \n \n \n \n
Data Requirement\n Type: Procedure\n
\n \n Profile(s): \n \n Procedure\n
\n \n \n \n Must Support Elements: code, performed, status\n
\n \n \n Code Filter(s): \n
\n \n \n Path: code\n
\n \n \n \n ValueSet: Measles, Mumps and Rubella (MMR) Vaccine Administered\n
\n \n \n \n \n
Data Requirement\n Type: Procedure\n
\n \n Profile(s): \n \n Procedure\n
\n \n \n \n Must Support Elements: code, performed, status\n
\n \n \n Code Filter(s): \n
\n \n \n Path: code\n
\n \n \n \n ValueSet: Hib Vaccine (3 dose schedule) Administered\n
\n \n \n \n \n
Data Requirement\n Type: Procedure\n
\n \n Profile(s): \n \n Procedure\n
\n \n \n \n Must Support Elements: code, performed, status\n
\n \n \n Code Filter(s): \n
\n \n \n Path: code\n
\n \n \n \n ValueSet: Hib Vaccine (4 dose schedule) Administered\n
\n \n \n \n \n
Data Requirement\n Type: Procedure\n
\n \n Profile(s): \n \n Procedure\n
\n \n \n \n Must Support Elements: code, performed, status\n
\n \n \n Code Filter(s): \n
\n \n \n Path: code\n
\n \n \n \n ValueSet: Hepatitis B Vaccine Administered\n
\n \n \n \n \n
Data Requirement\n Type: Procedure\n
\n \n Profile(s): \n \n Procedure\n
\n \n \n \n Must Support Elements: code, performed, status\n
\n \n \n Code Filter(s): \n
\n \n \n Path: code\n
\n \n \n \n \n Code(s): \n \n \n ICD-10 Procedure Codes: 3E0234Z (Introduction of Serum, Toxoid and Vaccine into Muscle, Percutaneous Approach)\n \n \n \n
\n \n \n \n
Data Requirement\n Type: Procedure\n
\n \n Profile(s): \n \n Procedure\n
\n \n \n \n Must Support Elements: code, performed, status\n
\n \n \n Code Filter(s): \n
\n \n \n Path: code\n
\n \n \n \n ValueSet: Varicella Zoster Vaccine (VZV) Administered\n
\n \n \n \n \n
Data Requirement\n Type: Procedure\n
\n \n Profile(s): \n \n Procedure\n
\n \n \n \n Must Support Elements: code, performed, status\n
\n \n \n Code Filter(s): \n
\n \n \n Path: code\n
\n \n \n \n ValueSet: Pneumococcal Conjugate Vaccine Administered\n
\n \n \n \n \n
Data Requirement\n Type: Procedure\n
\n \n Profile(s): \n \n Procedure\n
\n \n \n \n Must Support Elements: code, performed, status\n
\n \n \n Code Filter(s): \n
\n \n \n Path: code\n
\n \n \n \n ValueSet: Hepatitis A Vaccine Administered\n
\n \n \n \n \n
Data Requirement\n Type: Procedure\n
\n \n Profile(s): \n \n Procedure\n
\n \n \n \n Must Support Elements: code, performed, status\n
\n \n \n Code Filter(s): \n
\n \n \n Path: code\n
\n \n \n \n ValueSet: Rotavirus Vaccine (2 dose schedule) Administered\n
\n \n \n \n \n
Data Requirement\n Type: Procedure\n
\n \n Profile(s): \n \n Procedure\n
\n \n \n \n Must Support Elements: code, performed, status\n
\n \n \n Code Filter(s): \n
\n \n \n Path: code\n
\n \n \n \n ValueSet: Rotavirus Vaccine (3 dose schedule) Administered\n
\n \n \n \n \n
Data Requirement\n Type: Procedure\n
\n \n Profile(s): \n \n Procedure\n
\n \n \n \n Must Support Elements: code, performed, status\n
\n \n \n Code Filter(s): \n
\n \n \n Path: code\n
\n \n \n \n ValueSet: Child Influenza Vaccine Administered\n
\n \n \n \n \n
Data Requirement\n Type: Procedure\n
\n \n Profile(s): \n \n Procedure\n
\n \n \n \n Must Support Elements: code, performed, status\n
\n \n \n Code Filter(s): \n
\n \n \n Path: code\n
\n \n \n \n ValueSet: Influenza Virus LAIV Procedure\n
\n \n \n \n \n
Data Requirement\n Type: Condition\n
\n \n Profile(s): \n \n http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-condition-encounter-diagnosis\n
\n \n \n \n Must Support Elements: code, onset\n
\n \n \n Code Filter(s): \n
\n \n \n Path: code\n
\n \n \n \n ValueSet: Anaphylactic Reaction to DTaP Vaccine\n
\n \n \n \n \n
Data Requirement\n Type: Condition\n
\n \n Profile(s): \n \n http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-condition-encounter-diagnosis\n
\n \n \n \n Must Support Elements: code, onset\n
\n \n \n Code Filter(s): \n
\n \n \n Path: code\n
\n \n \n \n ValueSet: Encephalitis Due to Diphtheria, Tetanus or Pertussis Vaccine\n
\n \n \n \n \n
Data Requirement\n Type: Condition\n
\n \n Profile(s): \n \n http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-condition-encounter-diagnosis\n
\n \n \n \n Must Support Elements: code, onset\n
\n \n \n Code Filter(s): \n
\n \n \n Path: code\n
\n \n \n \n \n Code(s): \n \n \n SNOMED CT: 471321000124106 (Anaphylaxis caused by vaccine product containing human poliovirus antigen (disorder))\n \n \n \n
\n \n \n \n
Data Requirement\n Type: Condition\n
\n \n Profile(s): \n \n http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-condition-encounter-diagnosis\n
\n \n \n \n Must Support Elements: code, onset\n
\n \n \n Code Filter(s): \n
\n \n \n Path: code\n
\n \n \n \n \n Code(s): \n \n \n SNOMED CT: 471331000124109 (Anaphylaxis caused by vaccine product containing Measles morbillivirus and Mumps orthorubulavirus and Rubella virus antigens (disorder))\n \n \n \n
\n \n \n \n
Data Requirement\n Type: Condition\n
\n \n Profile(s): \n \n http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-condition-encounter-diagnosis\n
\n \n \n \n Must Support Elements: code, onset\n
\n \n \n Code Filter(s): \n
\n \n \n Path: code\n
\n \n \n \n ValueSet: Measles\n
\n \n \n \n \n
Data Requirement\n Type: Condition\n
\n \n Profile(s): \n \n http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-condition-encounter-diagnosis\n
\n \n \n \n Must Support Elements: code, onset\n
\n \n \n Code Filter(s): \n
\n \n \n Path: code\n
\n \n \n \n ValueSet: Mumps\n
\n \n \n \n \n
Data Requirement\n Type: Condition\n
\n \n Profile(s): \n \n http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-condition-encounter-diagnosis\n
\n \n \n \n Must Support Elements: code, onset\n
\n \n \n Code Filter(s): \n
\n \n \n Path: code\n
\n \n \n \n ValueSet: Rubella\n
\n \n \n \n \n
Data Requirement\n Type: Condition\n
\n \n Profile(s): \n \n http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-condition-encounter-diagnosis\n
\n \n \n \n Must Support Elements: code, onset\n
\n \n \n Code Filter(s): \n
\n \n \n Path: code\n
\n \n \n \n \n Code(s): \n \n \n SNOMED CT: 433621000124101 (Anaphylaxis caused by vaccine product containing only Haemophilus influenzae type b antigen (disorder))\n \n \n \n
\n \n \n \n
Data Requirement\n Type: Condition\n
\n \n Profile(s): \n \n http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-condition-encounter-diagnosis\n
\n \n \n \n Must Support Elements: code, onset\n
\n \n \n Code Filter(s): \n
\n \n \n Path: code\n
\n \n \n \n \n Code(s): \n \n \n SNOMED CT: 428321000124101 (Anaphylaxis caused by vaccine product containing Hepatitis B virus antigen (disorder))\n \n \n \n
\n \n \n \n
Data Requirement\n Type: Condition\n
\n \n Profile(s): \n \n http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-condition-encounter-diagnosis\n
\n \n \n \n Must Support Elements: code, onset\n
\n \n \n Code Filter(s): \n
\n \n \n Path: code\n
\n \n \n \n ValueSet: Hepatitis B\n
\n \n \n \n \n
Data Requirement\n Type: Condition\n
\n \n Profile(s): \n \n http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-condition-encounter-diagnosis\n
\n \n \n \n Must Support Elements: code, onset\n
\n \n \n Code Filter(s): \n
\n \n \n Path: code\n
\n \n \n \n ValueSet: Varicella Zoster\n
\n \n \n \n \n
Data Requirement\n Type: Condition\n
\n \n Profile(s): \n \n http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-condition-encounter-diagnosis\n
\n \n \n \n Must Support Elements: code, onset\n
\n \n \n Code Filter(s): \n
\n \n \n Path: code\n
\n \n \n \n \n Code(s): \n \n \n SNOMED CT: 471341000124104 (Anaphylaxis caused by vaccine containing Human alphaherpesvirus 3 antigen (disorder))\n \n \n \n
\n \n \n \n
Data Requirement\n Type: Condition\n
\n \n Profile(s): \n \n http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-condition-encounter-diagnosis\n
\n \n \n \n Must Support Elements: code, onset\n
\n \n \n Code Filter(s): \n
\n \n \n Path: code\n
\n \n \n \n \n Code(s): \n \n \n SNOMED CT: 471141000124102 (Anaphylaxis caused by vaccine product containing Streptococcus pneumoniae antigen (disorder))\n \n \n \n
\n \n \n \n
Data Requirement\n Type: Condition\n
\n \n Profile(s): \n \n http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-condition-encounter-diagnosis\n
\n \n \n \n Must Support Elements: code, onset\n
\n \n \n Code Filter(s): \n
\n \n \n Path: code\n
\n \n \n \n ValueSet: Hepatitis A\n
\n \n \n \n \n
Data Requirement\n Type: Condition\n
\n \n Profile(s): \n \n http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-condition-encounter-diagnosis\n
\n \n \n \n Must Support Elements: code, onset\n
\n \n \n Code Filter(s): \n
\n \n \n Path: code\n
\n \n \n \n \n Code(s): \n \n \n SNOMED CT: 471311000124103 (Anaphylaxis caused by vaccine product containing Hepatitis A virus antigen (disorder))\n \n \n \n
\n \n \n \n
Data Requirement\n Type: Condition\n
\n \n Profile(s): \n \n http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-condition-encounter-diagnosis\n
\n \n \n \n Must Support Elements: code, onset\n
\n \n \n Code Filter(s): \n
\n \n \n Path: code\n
\n \n \n \n \n Code(s): \n \n \n SNOMED CT: 428331000124103 (Anaphylaxis caused by rotavirus vaccine (disorder))\n \n \n \n
\n \n \n \n
Data Requirement\n Type: Condition\n
\n \n Profile(s): \n \n http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-condition-encounter-diagnosis\n
\n \n \n \n Must Support Elements: code, onset\n
\n \n \n Code Filter(s): \n
\n \n \n Path: code\n
\n \n \n \n \n Code(s): \n \n \n SNOMED CT: 471361000124100 (Anaphylaxis caused by vaccine product containing Influenza virus antigen (disorder))\n \n \n \n
\n \n \n \n
Data Requirement\n Type: Condition\n
\n \n Profile(s): \n \n http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-condition-encounter-diagnosis\n
\n \n \n \n Must Support Elements: code, onset\n
\n \n \n Code Filter(s): \n
\n \n \n Path: code\n
\n \n \n \n ValueSet: Severe Combined Immunodeficiency\n
\n \n \n \n \n
Data Requirement\n Type: Condition\n
\n \n Profile(s): \n \n http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-condition-encounter-diagnosis\n
\n \n \n \n Must Support Elements: code, onset\n
\n \n \n Code Filter(s): \n
\n \n \n Path: code\n
\n \n \n \n ValueSet: Disorders of the Immune System\n
\n \n \n \n \n
Data Requirement\n Type: Condition\n
\n \n Profile(s): \n \n http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-condition-encounter-diagnosis\n
\n \n \n \n Must Support Elements: code, onset\n
\n \n \n Code Filter(s): \n
\n \n \n Path: code\n
\n \n \n \n ValueSet: HIV\n
\n \n \n \n \n
Data Requirement\n Type: Condition\n
\n \n Profile(s): \n \n http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-condition-encounter-diagnosis\n
\n \n \n \n Must Support Elements: code, onset\n
\n \n \n Code Filter(s): \n
\n \n \n Path: code\n
\n \n \n \n ValueSet: Malignant Neoplasm of Lymphatic and Hematopoietic Tissue\n
\n \n \n \n \n
Data Requirement\n Type: Condition\n
\n \n Profile(s): \n \n http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-condition-encounter-diagnosis\n
\n \n \n \n Must Support Elements: code, onset\n
\n \n \n Code Filter(s): \n
\n \n \n Path: code\n
\n \n \n \n ValueSet: Intussusception\n
\n \n \n \n \n
Data Requirement\n Type: Condition\n
\n \n Profile(s): \n \n http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-condition-problems-health-concerns\n
\n \n \n \n Must Support Elements: code\n
\n \n \n Code Filter(s): \n
\n \n \n Path: code\n
\n \n \n \n ValueSet: Anaphylactic Reaction to DTaP Vaccine\n
\n \n \n \n \n
Data Requirement\n Type: Condition\n
\n \n Profile(s): \n \n http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-condition-problems-health-concerns\n
\n \n \n \n Must Support Elements: code\n
\n \n \n Code Filter(s): \n
\n \n \n Path: code\n
\n \n \n \n ValueSet: Encephalitis Due to Diphtheria, Tetanus or Pertussis Vaccine\n
\n \n \n \n \n
Data Requirement\n Type: Condition\n
\n \n Profile(s): \n \n http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-condition-problems-health-concerns\n
\n \n \n \n Must Support Elements: code\n
\n \n \n Code Filter(s): \n
\n \n \n Path: code\n
\n \n \n \n \n Code(s): \n \n \n SNOMED CT: 471321000124106 (Anaphylaxis caused by vaccine product containing human poliovirus antigen (disorder))\n \n \n \n
\n \n \n \n
Data Requirement\n Type: Condition\n
\n \n Profile(s): \n \n http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-condition-problems-health-concerns\n
\n \n \n \n Must Support Elements: code\n
\n \n \n Code Filter(s): \n
\n \n \n Path: code\n
\n \n \n \n \n Code(s): \n \n \n SNOMED CT: 471331000124109 (Anaphylaxis caused by vaccine product containing Measles morbillivirus and Mumps orthorubulavirus and Rubella virus antigens (disorder))\n \n \n \n
\n \n \n \n
Data Requirement\n Type: Condition\n
\n \n Profile(s): \n \n http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-condition-problems-health-concerns\n
\n \n \n \n Must Support Elements: code\n
\n \n \n Code Filter(s): \n
\n \n \n Path: code\n
\n \n \n \n ValueSet: Mumps\n
\n \n \n \n \n
Data Requirement\n Type: Condition\n
\n \n Profile(s): \n \n http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-condition-problems-health-concerns\n
\n \n \n \n Must Support Elements: code\n
\n \n \n Code Filter(s): \n
\n \n \n Path: code\n
\n \n \n \n ValueSet: Rubella\n
\n \n \n \n \n
Data Requirement\n Type: Condition\n
\n \n Profile(s): \n \n http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-condition-problems-health-concerns\n
\n \n \n \n Must Support Elements: code\n
\n \n \n Code Filter(s): \n
\n \n \n Path: code\n
\n \n \n \n \n Code(s): \n \n \n SNOMED CT: 433621000124101 (Anaphylaxis caused by vaccine product containing only Haemophilus influenzae type b antigen (disorder))\n \n \n \n
\n \n \n \n
Data Requirement\n Type: Condition\n
\n \n Profile(s): \n \n http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-condition-problems-health-concerns\n
\n \n \n \n Must Support Elements: code\n
\n \n \n Code Filter(s): \n
\n \n \n Path: code\n
\n \n \n \n \n Code(s): \n \n \n SNOMED CT: 428321000124101 (Anaphylaxis caused by vaccine product containing Hepatitis B virus antigen (disorder))\n \n \n \n
\n \n \n \n
Data Requirement\n Type: Condition\n
\n \n Profile(s): \n \n http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-condition-problems-health-concerns\n
\n \n \n \n Must Support Elements: code\n
\n \n \n Code Filter(s): \n
\n \n \n Path: code\n
\n \n \n \n ValueSet: Hepatitis B\n
\n \n \n \n \n
Data Requirement\n Type: Condition\n
\n \n Profile(s): \n \n http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-condition-problems-health-concerns\n
\n \n \n \n Must Support Elements: code\n
\n \n \n Code Filter(s): \n
\n \n \n Path: code\n
\n \n \n \n ValueSet: Varicella Zoster\n
\n \n \n \n \n
Data Requirement\n Type: Condition\n
\n \n Profile(s): \n \n http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-condition-problems-health-concerns\n
\n \n \n \n Must Support Elements: code\n
\n \n \n Code Filter(s): \n
\n \n \n Path: code\n
\n \n \n \n \n Code(s): \n \n \n SNOMED CT: 471341000124104 (Anaphylaxis caused by vaccine containing Human alphaherpesvirus 3 antigen (disorder))\n \n \n \n
\n \n \n \n
Data Requirement\n Type: Condition\n
\n \n Profile(s): \n \n http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-condition-problems-health-concerns\n
\n \n \n \n Must Support Elements: code\n
\n \n \n Code Filter(s): \n
\n \n \n Path: code\n
\n \n \n \n \n Code(s): \n \n \n SNOMED CT: 471141000124102 (Anaphylaxis caused by vaccine product containing Streptococcus pneumoniae antigen (disorder))\n \n \n \n
\n \n \n \n
Data Requirement\n Type: Condition\n
\n \n Profile(s): \n \n http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-condition-problems-health-concerns\n
\n \n \n \n Must Support Elements: code\n
\n \n \n Code Filter(s): \n
\n \n \n Path: code\n
\n \n \n \n ValueSet: Hepatitis A\n
\n \n \n \n \n
Data Requirement\n Type: Condition\n
\n \n Profile(s): \n \n http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-condition-problems-health-concerns\n
\n \n \n \n Must Support Elements: code\n
\n \n \n Code Filter(s): \n
\n \n \n Path: code\n
\n \n \n \n \n Code(s): \n \n \n SNOMED CT: 471311000124103 (Anaphylaxis caused by vaccine product containing Hepatitis A virus antigen (disorder))\n \n \n \n
\n \n \n \n
Data Requirement\n Type: Condition\n
\n \n Profile(s): \n \n http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-condition-problems-health-concerns\n
\n \n \n \n Must Support Elements: code\n
\n \n \n Code Filter(s): \n
\n \n \n Path: code\n
\n \n \n \n \n Code(s): \n \n \n SNOMED CT: 428331000124103 (Anaphylaxis caused by rotavirus vaccine (disorder))\n \n \n \n
\n \n \n \n
Data Requirement\n Type: Condition\n
\n \n Profile(s): \n \n http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-condition-problems-health-concerns\n
\n \n \n \n Must Support Elements: code\n
\n \n \n Code Filter(s): \n
\n \n \n Path: code\n
\n \n \n \n \n Code(s): \n \n \n SNOMED CT: 471361000124100 (Anaphylaxis caused by vaccine product containing Influenza virus antigen (disorder))\n \n \n \n
\n \n \n \n
Data Requirement\n Type: Condition\n
\n \n Profile(s): \n \n http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-condition-problems-health-concerns\n
\n \n \n \n Must Support Elements: code\n
\n \n \n Code Filter(s): \n
\n \n \n Path: code\n
\n \n \n \n ValueSet: Severe Combined Immunodeficiency\n
\n \n \n \n \n
Data Requirement\n Type: Condition\n
\n \n Profile(s): \n \n http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-condition-problems-health-concerns\n
\n \n \n \n Must Support Elements: code\n
\n \n \n Code Filter(s): \n
\n \n \n Path: code\n
\n \n \n \n ValueSet: Disorders of the Immune System\n
\n \n \n \n \n
Data Requirement\n Type: Condition\n
\n \n Profile(s): \n \n http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-condition-problems-health-concerns\n
\n \n \n \n Must Support Elements: code\n
\n \n \n Code Filter(s): \n
\n \n \n Path: code\n
\n \n \n \n ValueSet: HIV\n
\n \n \n \n \n
Data Requirement\n Type: Condition\n
\n \n Profile(s): \n \n http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-condition-problems-health-concerns\n
\n \n \n \n Must Support Elements: code\n
\n \n \n Code Filter(s): \n
\n \n \n Path: code\n
\n \n \n \n ValueSet: Malignant Neoplasm of Lymphatic and Hematopoietic Tissue\n
\n \n \n \n \n
Data Requirement\n Type: Condition\n
\n \n Profile(s): \n \n http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-condition-problems-health-concerns\n
\n \n \n \n Must Support Elements: code\n
\n \n \n Code Filter(s): \n
\n \n \n Path: code\n
\n \n \n \n ValueSet: Intussusception\n
\n \n \n \n \n
Data Requirement\n Type: Encounter\n
\n \n Profile(s): \n \n Encounter\n
\n \n \n \n Must Support Elements: type, status, period\n
\n \n \n
Data Requirement\n Type: Encounter\n
\n \n Profile(s): \n \n Encounter\n
\n \n \n \n Must Support Elements: type, status, period\n
\n \n \n Code Filter(s): \n
\n \n \n Path: type\n
\n \n \n \n ValueSet: Office Visit\n
\n \n \n \n \n
Data Requirement\n Type: Encounter\n
\n \n Profile(s): \n \n Encounter\n
\n \n \n \n Must Support Elements: type, status, period\n
\n \n \n Code Filter(s): \n
\n \n \n Path: type\n
\n \n \n \n ValueSet: Home Healthcare Services\n
\n \n \n \n \n
Data Requirement\n Type: Encounter\n
\n \n Profile(s): \n \n Encounter\n
\n \n \n \n Must Support Elements: type, status, period\n
\n \n \n Code Filter(s): \n
\n \n \n Path: type\n
\n \n \n \n ValueSet: Preventive Care, Established Office Visit, 0 to 17\n
\n \n \n \n \n
Data Requirement\n Type: Encounter\n
\n \n Profile(s): \n \n Encounter\n
\n \n \n \n Must Support Elements: type, status, period\n
\n \n \n Code Filter(s): \n
\n \n \n Path: type\n
\n \n \n \n ValueSet: Preventive Care Services, Initial Office Visit, 0 to 17\n
\n \n \n \n \n
Data Requirement\n Type: Encounter\n
\n \n Profile(s): \n \n Encounter\n
\n \n \n \n Must Support Elements: type, status, period\n
\n \n \n Code Filter(s): \n
\n \n \n Path: type\n
\n \n \n \n ValueSet: Virtual Encounter\n
\n \n \n \n \n
Data Requirement\n Type: Encounter\n
\n \n Profile(s): \n \n Encounter\n
\n \n \n \n Must Support Elements: type, status, period\n
\n \n \n Code Filter(s): \n
\n \n \n Path: type\n
\n \n \n \n ValueSet: Telephone Visits\n
\n \n \n \n \n
Data Requirement\n Type: Coverage\n
\n \n Profile(s): \n \n http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-coverage\n
\n \n \n \n Must Support Elements: type, period\n
\n \n \n Code Filter(s): \n
\n \n \n Path: type\n
\n \n \n \n ValueSet: Payer Type\n
\n \n \n \n \n
Data Requirement\n Type: Condition\n
\n \n Profile(s): \n \n Condition\n
\n \n \n \n Must Support Elements: abatement, verificationStatus, onset, recordedDate, clinicalStatus\n
\n \n \n
Data Requirement\n Type: Condition\n
\n \n Profile(s): \n \n Condition\n
\n \n \n \n Must Support Elements: code, verificationStatus\n
\n \n \n Code Filter(s): \n
\n \n \n Path: code\n
\n \n \n \n ValueSet: Hospice Diagnosis\n
\n \n \n \n \n
Data Requirement\n Type: Encounter\n
\n \n Profile(s): \n \n http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-encounter\n
\n \n \n \n Must Support Elements: type, hospitalization, hospitalization.dischargeDisposition, period\n
\n \n \n Code Filter(s): \n
\n \n \n Path: type\n
\n \n \n \n ValueSet: Encounter Inpatient\n
\n \n \n \n \n
Data Requirement\n Type: Encounter\n
\n \n Profile(s): \n \n http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-encounter\n
\n \n \n \n Must Support Elements: type, period\n
\n \n \n Code Filter(s): \n
\n \n \n Path: type\n
\n \n \n \n ValueSet: Hospice Encounter\n
\n \n \n \n \n
Data Requirement\n Type: Observation\n
\n \n Profile(s): \n \n http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-observation-screening-assessment\n
\n \n \n \n Must Support Elements: code, value, effective, status\n
\n \n \n Code Filter(s): \n
\n \n \n Path: code\n
\n \n \n \n \n Code(s): \n \n \n LOINC: 45755-6 (Hospice care [Minimum Data Set])\n \n \n \n
\n \n \n \n Path: value\n
\n \n \n \n \n \n \n
Data Requirement\n Type: ServiceRequest\n
\n \n Profile(s): \n \n http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-servicerequest\n
\n \n \n \n Must Support Elements: code, authoredOn\n
\n \n \n Code Filter(s): \n
\n \n \n Path: code\n
\n \n \n \n ValueSet: Hospice Care Ambulatory\n
\n \n \n \n \n
Data Requirement\n Type: Procedure\n
\n \n Profile(s): \n \n http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-procedure\n
\n \n \n \n Must Support Elements: code, performed\n
\n \n \n Code Filter(s): \n
\n \n \n Path: code\n
\n \n \n \n ValueSet: Hospice Care Ambulatory\n
\n \n \n \n \n
Parameters
\n\n\n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n
NameUseCard.TypeDocumentation
Measurement PeriodIn0..1Period\n
SDE SexOut0..1Coding\n
NumeratorOut0..1boolean\n
DenominatorOut0..1boolean\n
SDE PayerOut0..*Resource\n
Initial PopulationOut0..1boolean\n
SDE EthnicityOut0..1Resource\n
Denominator ExclusionsOut0..1boolean\n
SDE RaceOut0..1Resource\n
\n
Generated using version 0.5.4 of the sample-content-ig Liquid templates
\n
" }, "contained" : [{ "resourceType" : "Library", "id" : "effective-data-requirements", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode", "valueCoding" : { "system" : "http://snomed.info/sct", "code" : "248153007", "display" : "Male (finding)" } }, { "url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode", "valueCoding" : { "system" : "http://snomed.info/sct", "code" : "248152002", "display" : "Female (finding)" } }, { "url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode", "valueCoding" : { "system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status", "code" : "confirmed", "display" : "confirmed" } }, { "url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode", "valueCoding" : { "system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status", "code" : "unconfirmed", "display" : "unconfirmed" } }, { "url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode", "valueCoding" : { "system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status", "code" : "provisional", "display" : "provisional" } }, { "url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode", "valueCoding" : { "system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status", "code" : "differential", "display" : "differential" } }, { "url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode", "valueCoding" : { "system" : "http://snomed.info/sct", "code" : "471321000124106", "display" : "Anaphylaxis caused by vaccine product containing human poliovirus antigen (disorder)" } }, { "url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode", "valueCoding" : { "system" : "http://snomed.info/sct", "code" : "471331000124109", "display" : "Anaphylaxis caused by vaccine product containing Measles morbillivirus and Mumps orthorubulavirus and Rubella virus antigens (disorder)" } }, { "url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode", "valueCoding" : { "system" : "http://snomed.info/sct", "code" : "433621000124101", "display" : "Anaphylaxis caused by vaccine product containing only Haemophilus influenzae type b antigen (disorder)" } }, { "url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode", "valueCoding" : { "system" : "http://www.cms.gov/Medicare/Coding/ICD10", "code" : "3E0234Z", "display" : "Introduction of Serum, Toxoid and Vaccine into Muscle, Percutaneous Approach" } }, { "url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode", "valueCoding" : { "system" : "http://snomed.info/sct", "code" : "428321000124101", "display" : "Anaphylaxis caused by vaccine product containing Hepatitis B virus antigen (disorder)" } }, { "url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode", "valueCoding" : { "system" : "http://snomed.info/sct", "code" : "471341000124104", "display" : "Anaphylaxis caused by vaccine containing Human alphaherpesvirus 3 antigen (disorder)" } }, { "url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode", "valueCoding" : { "system" : "http://snomed.info/sct", "code" : "471141000124102", "display" : "Anaphylaxis caused by vaccine product containing Streptococcus pneumoniae antigen (disorder)" } }, { "url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode", "valueCoding" : { "system" : "http://snomed.info/sct", "code" : "471311000124103", "display" : "Anaphylaxis caused by vaccine product containing Hepatitis A virus antigen (disorder)" } }, { "url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode", "valueCoding" : { "system" : "http://hl7.org/fhir/sid/cvx", "code" : "119", "display" : "rotavirus, live, monovalent vaccine" } }, { "url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode", "valueCoding" : { "system" : "http://snomed.info/sct", "code" : "428331000124103", "display" : "Anaphylaxis caused by rotavirus vaccine (disorder)" } }, { "url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode", "valueCoding" : { "system" : "http://snomed.info/sct", "code" : "471361000124100", "display" : "Anaphylaxis caused by vaccine product containing Influenza virus antigen (disorder)" } }, { "url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode", "valueCoding" : { "system" : "http://www.ama-assn.org/go/cpt", "code" : "99211", "display" : "Office or other outpatient visit for the evaluation and management of an established patient that may not require the presence of a physician or other qualified health care professional" } }, { "url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode", "valueCoding" : { "system" : "http://snomed.info/sct", "code" : "428361000124107", "display" : "Discharge to home for hospice care (procedure)" } }, { "url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode", "valueCoding" : { "system" : "http://snomed.info/sct", "code" : "428371000124100", "display" : "Discharge to healthcare facility for hospice care (procedure)" } }, { "url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode", "valueCoding" : { "system" : "http://loinc.org", "code" : "45755-6", "display" : "Hospice care [Minimum Data Set]" } }, { "url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode", "valueCoding" : { "system" : "http://snomed.info/sct", "code" : "373066001", "display" : "Yes (qualifier value)" } }, { "url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode", "valueCoding" : { "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical", "code" : "active" } }, { "url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode", "valueCoding" : { "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical", "code" : "recurrence" } }, { "url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode", "valueCoding" : { "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical", "code" : "relapse" } }, { "extension" : [{ "url" : "libraryName", "valueString" : "SupplementalDataElements" }, { "url" : "name", "valueString" : "SDE Sex" }, { "url" : "statement", "valueString" : "define \"SDE Sex\":\n case\n when Patient.sex() = '248153007' then \"Male (finding)\"\n when Patient.sex() = '248152002' then \"Female (finding)\"\n else null\n end" }, { "url" : "displaySequence", "valueInteger" : 0 }], "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "CMS117FHIRChildImmunStatus" }, { "url" : "name", "valueString" : "SDE Sex" }, { "url" : "statement", "valueString" : "define \"SDE Sex\":\n SDE.\"SDE Sex\"" }, { "url" : "displaySequence", "valueInteger" : 1 }], "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "CMS117FHIRChildImmunStatus" }, { "url" : "name", "valueString" : "Date of Second Birthday" }, { "url" : "statement", "valueString" : "define \"Date of Second Birthday\":\n Patient.birthDate + 2 years" }, { "url" : "displaySequence", "valueInteger" : 2 }], "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "CMS117FHIRChildImmunStatus" }, { "url" : "name", "valueString" : "Vaccine Administration Interval - 42 Days up to 2 Years Old" }, { "url" : "statement", "valueString" : "define \"Vaccine Administration Interval - 42 Days up to 2 Years Old\":\n Interval[Patient.birthDate + 42 days, \"Date of Second Birthday\"]" }, { "url" : "displaySequence", "valueInteger" : 3 }], "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "CMS117FHIRChildImmunStatus" }, { "url" : "name", "valueString" : "DTaP Immunizations or Procedures" }, { "url" : "statement", "valueString" : "define \"DTaP Immunizations or Procedures\":\n ( ( ( [Immunization: \"DTaP Vaccine\"] ).isImmunizationAdministered ( ) ) DTaPVaccination\n where date from DTaPVaccination.occurrence.earliest ( ) during day of \"Vaccine Administration Interval - 42 Days up to 2 Years Old\"\n return DTaPVaccination.occurrence\n )\n union ( ( ( [Procedure: \"DTaP Vaccine Administered\"] ).isProcedurePerformed ( ) ) DTaPProcedure\n where date from DTaPProcedure.performed.earliest ( ) during day of \"Vaccine Administration Interval - 42 Days up to 2 Years Old\"\n return DTaPProcedure.performed\n )" }, { "url" : "displaySequence", "valueInteger" : 4 }], "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "CMS117FHIRChildImmunStatus" }, { "url" : "name", "valueString" : "Four DTaP Vaccinations" }, { "url" : "statement", "valueString" : "//DTaP\n\n\ndefine \"Four DTaP Vaccinations\":\n from\n \"DTaP Immunizations or Procedures\" DTaPVaccination1,\n \"DTaP Immunizations or Procedures\" DTaPVaccination2,\n \"DTaP Immunizations or Procedures\" DTaPVaccination3,\n \"DTaP Immunizations or Procedures\" DTaPVaccination4\n where date from DTaPVaccination2.earliest ( ) 1 day or more after day of date from DTaPVaccination1.earliest ( )\n and date from DTaPVaccination3.earliest ( ) 1 day or more after day of DTaPVaccination2.earliest ( )\n and date from DTaPVaccination4.earliest ( ) 1 day or more after day of DTaPVaccination3.earliest ( )\n return all DTaPVaccination1" }, { "url" : "displaySequence", "valueInteger" : 5 }], "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "CMS117FHIRChildImmunStatus" }, { "url" : "name", "valueString" : "First Two Years" }, { "url" : "statement", "valueString" : "define \"First Two Years\":\n Interval[Patient.birthDate, \"Date of Second Birthday\"]" }, { "url" : "displaySequence", "valueInteger" : 6 }], "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "CMS117FHIRChildImmunStatus" }, { "url" : "name", "valueString" : "DTaP Numerator Inclusion Conditions" }, { "url" : "statement", "valueString" : "define \"DTaP Numerator Inclusion Conditions\":\n ( ( [ConditionEncounterDiagnosis: \"Anaphylactic Reaction to DTaP Vaccine\"]\n union [ConditionProblemsHealthConcerns: \"Anaphylactic Reaction to DTaP Vaccine\"]\n union [ConditionEncounterDiagnosis: \"Encephalitis Due to Diphtheria, Tetanus or Pertussis Vaccine\"]\n union [ConditionProblemsHealthConcerns: \"Encephalitis Due to Diphtheria, Tetanus or Pertussis Vaccine\"]\n ).verified ( ) ) DTaPConditions\n where date from start of DTaPConditions.onset.toInterval ( ) during day of \"First Two Years\"" }, { "url" : "displaySequence", "valueInteger" : 7 }], "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "CMS117FHIRChildImmunStatus" }, { "url" : "name", "valueString" : "Polio Immunizations or Procedures" }, { "url" : "statement", "valueString" : "//Polio\n\ndefine \"Polio Immunizations or Procedures\":\n ( ( ( [Immunization: \"Inactivated Polio Vaccine (IPV)\"] ).isImmunizationAdministered ( ) ) PolioVaccination\n where date from PolioVaccination.occurrence.earliest ( ) during day of \"Vaccine Administration Interval - 42 Days up to 2 Years Old\"\n return PolioVaccination.occurrence\n )\n union ( ( ( [Procedure: \"Inactivated Polio Vaccine (IPV) Administered\"] ).isProcedurePerformed ( ) ) PolioProcedure\n where date from PolioProcedure.performed.earliest ( ) during day of \"Vaccine Administration Interval - 42 Days up to 2 Years Old\"\n return PolioProcedure.performed\n )" }, { "url" : "displaySequence", "valueInteger" : 8 }], "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "CMS117FHIRChildImmunStatus" }, { "url" : "name", "valueString" : "Three Polio Vaccinations" }, { "url" : "statement", "valueString" : "define \"Three Polio Vaccinations\":\n from\n \"Polio Immunizations or Procedures\" PolioVaccination1,\n \"Polio Immunizations or Procedures\" PolioVaccination2,\n \"Polio Immunizations or Procedures\" PolioVaccination3\n where date from PolioVaccination2.earliest ( ) 1 day or more after date from PolioVaccination1.earliest ( )\n and date from PolioVaccination3.earliest ( ) 1 day or more after date from PolioVaccination2.earliest ( )\n return date from PolioVaccination1.earliest ( )" }, { "url" : "displaySequence", "valueInteger" : 9 }], "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "CMS117FHIRChildImmunStatus" }, { "url" : "name", "valueString" : "Polio Numerator Inclusion Conditions" }, { "url" : "statement", "valueString" : "define \"Polio Numerator Inclusion Conditions\":\n ( ( [ConditionEncounterDiagnosis: \"Anaphylaxis caused by vaccine product containing human poliovirus antigen (disorder)\"]\n union [ConditionProblemsHealthConcerns: \"Anaphylaxis caused by vaccine product containing human poliovirus antigen (disorder)\"]\n ).verified ( ) ) PolioConditions\n where date from start of PolioConditions.onset.toInterval ( ) during day of \"First Two Years\"" }, { "url" : "displaySequence", "valueInteger" : 10 }], "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "CMS117FHIRChildImmunStatus" }, { "url" : "name", "valueString" : "Date of First Birthday" }, { "url" : "statement", "valueString" : "define \"Date of First Birthday\":\n Patient.birthDate + 1 year" }, { "url" : "displaySequence", "valueInteger" : 11 }], "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "CMS117FHIRChildImmunStatus" }, { "url" : "name", "valueString" : "Date of First Birthday to Date of Second Birthday" }, { "url" : "statement", "valueString" : "define \"Date of First Birthday to Date of Second Birthday\":\n Interval[\"Date of First Birthday\", \"Date of Second Birthday\"]" }, { "url" : "displaySequence", "valueInteger" : 12 }], "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "CMS117FHIRChildImmunStatus" }, { "url" : "name", "valueString" : "One MMR Vaccination" }, { "url" : "statement", "valueString" : "//MMR\n\n\ndefine \"One MMR Vaccination\":\n ( ( ( [Immunization: \"Measles, Mumps and Rubella (MMR) Vaccine\"] ).isImmunizationAdministered ( ) ) MMRVaccination\n where date from MMRVaccination.occurrence.earliest ( ) during \"Date of First Birthday to Date of Second Birthday\"\n return date from MMRVaccination.occurrence.earliest ( )\n )\n union ( ( ( [Procedure: \"Measles, Mumps and Rubella (MMR) Vaccine Administered\"] ).isProcedurePerformed ( ) ) MMRProcedure\n where date from MMRProcedure.performed.earliest ( ) during \"Date of First Birthday to Date of Second Birthday\"\n return date from MMRProcedure.performed.earliest ( )\n )" }, { "url" : "displaySequence", "valueInteger" : 13 }], "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "CMS117FHIRChildImmunStatus" }, { "url" : "name", "valueString" : "MMR Numerator Inclusion Conditions" }, { "url" : "statement", "valueString" : "define \"MMR Numerator Inclusion Conditions\":\n ( ( [ConditionEncounterDiagnosis: \"Anaphylaxis caused by vaccine product containing Measles morbillivirus and Mumps orthorubulavirus and Rubella virus antigens (disorder)\"]\n union [ConditionProblemsHealthConcerns: \"Anaphylaxis caused by vaccine product containing Measles morbillivirus and Mumps orthorubulavirus and Rubella virus antigens (disorder)\"]\n ).verified ( ) ) MMRConditions\n where date from start of MMRConditions.onset.toInterval ( ) during day of \"First Two Years\"" }, { "url" : "displaySequence", "valueInteger" : 14 }], "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "CMS117FHIRChildImmunStatus" }, { "url" : "name", "valueString" : "Measles Indicators" }, { "url" : "statement", "valueString" : "define \"Measles Indicators\":\n ( ( [ConditionEncounterDiagnosis: \"Measles\"]\n union [ConditionEncounterDiagnosis: \"Measles\"]\n ).verified ( ) ) MeaslesDiagnosis\n where date from start of MeaslesDiagnosis.onset.toInterval ( ) during day of \"First Two Years\"" }, { "url" : "displaySequence", "valueInteger" : 15 }], "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "CMS117FHIRChildImmunStatus" }, { "url" : "name", "valueString" : "Mumps Indicators" }, { "url" : "statement", "valueString" : "define \"Mumps Indicators\":\n ( ( [ConditionEncounterDiagnosis: \"Mumps\"]\n union [ConditionProblemsHealthConcerns: \"Mumps\"]\n ).verified ( ) ) MumpsDiagnosis\n where date from start of MumpsDiagnosis.onset.toInterval ( ) during day of \"First Two Years\"" }, { "url" : "displaySequence", "valueInteger" : 16 }], "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "CMS117FHIRChildImmunStatus" }, { "url" : "name", "valueString" : "Rubella Indicators" }, { "url" : "statement", "valueString" : "define \"Rubella Indicators\":\n ( ( [ConditionEncounterDiagnosis: \"Rubella\"]\n union [ConditionProblemsHealthConcerns: \"Rubella\"]\n ).verified ( ) ) RubellaDiagnosis\n where date from start of RubellaDiagnosis.onset.toInterval ( ) during day of \"First Two Years\"" }, { "url" : "displaySequence", "valueInteger" : 17 }], "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "CMS117FHIRChildImmunStatus" }, { "url" : "name", "valueString" : "Hib 3 Dose Immunizations or Procedures" }, { "url" : "statement", "valueString" : "define \"Hib 3 Dose Immunizations or Procedures\":\n ( ( ( [Immunization: \"Hib Vaccine (3 dose schedule)\"] ).isImmunizationAdministered ( ) ) ThreeDoseHibVaccine\n where date from ThreeDoseHibVaccine.occurrence.earliest ( ) during day of \"Vaccine Administration Interval - 42 Days up to 2 Years Old\"\n return ThreeDoseHibVaccine.occurrence\n )\n union ( ( ( [Procedure: \"Hib Vaccine (3 dose schedule) Administered\"] ).isProcedurePerformed ( ) ) ThreeDoseHibProcedure\n where date from ThreeDoseHibProcedure.performed.earliest ( ) during day of \"Vaccine Administration Interval - 42 Days up to 2 Years Old\"\n return ThreeDoseHibProcedure.performed\n )" }, { "url" : "displaySequence", "valueInteger" : 18 }], "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "CMS117FHIRChildImmunStatus" }, { "url" : "name", "valueString" : "Hib 4 Dose Immunizations or Procedures" }, { "url" : "statement", "valueString" : "define \"Hib 4 Dose Immunizations or Procedures\":\n ( ( ( [Immunization: \"Hib Vaccine (4 dose schedule)\"] ).isImmunizationAdministered ( ) ) HibVaccine\n where date from HibVaccine.occurrence.earliest ( ) during day of \"Vaccine Administration Interval - 42 Days up to 2 Years Old\"\n return HibVaccine.occurrence\n )\n union ( ( ( [Procedure: \"Hib Vaccine (4 dose schedule) Administered\"] ).isProcedurePerformed ( ) ) HibProcedure\n where date from HibProcedure.performed.earliest ( ) during day of \"Vaccine Administration Interval - 42 Days up to 2 Years Old\"\n return HibProcedure.performed\n )" }, { "url" : "displaySequence", "valueInteger" : 19 }], "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "CMS117FHIRChildImmunStatus" }, { "url" : "name", "valueString" : "Hib 3 or 4 Dose Immunizations" }, { "url" : "statement", "valueString" : "define \"Hib 3 or 4 Dose Immunizations\":\n \"Hib 3 Dose Immunizations or Procedures\"\n union \"Hib 4 Dose Immunizations or Procedures\"" }, { "url" : "displaySequence", "valueInteger" : 20 }], "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "CMS117FHIRChildImmunStatus" }, { "url" : "name", "valueString" : "Has Appropriate Number of Hib Immunizations" }, { "url" : "statement", "valueString" : "//HiB\n\n\ndefine \"Has Appropriate Number of Hib Immunizations\":\n exists ( \"Hib 3 or 4 Dose Immunizations\" HibImmunization //4 dose test\n \n let HasFourDose: Count(\"Hib 4 Dose Immunizations or Procedures\") > 0\n where ( HasFourDose //if pt had at least one 4 dose code\n \n and Count(distinct(\"Hib 3 or 4 Dose Immunizations\" HibVaccinations\n return date from HibVaccinations.earliest()\n )\n ) >= 4 //pt must have 4 regimens (e.g., 3,3,4,4 or 4,3,4,4)\n \n )\n or ( HasFourDose is false //if pt did not have at least one 4 dose code\n \n and Count(distinct(\"Hib 3 or 4 Dose Immunizations\" HibVaccinations\n return date from HibVaccinations.earliest()\n )\n ) >= 3 //pt must have 3 regimens of 3 dose codes\n \n )\n )" }, { "url" : "displaySequence", "valueInteger" : 21 }], "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "CMS117FHIRChildImmunStatus" }, { "url" : "name", "valueString" : "Hib Numerator Inclusion Conditions" }, { "url" : "statement", "valueString" : "define \"Hib Numerator Inclusion Conditions\":\n ( ( [ConditionEncounterDiagnosis: \"Anaphylaxis caused by vaccine product containing only Haemophilus influenzae type b antigen (disorder)\"]\n union [ConditionProblemsHealthConcerns: \"Anaphylaxis caused by vaccine product containing only Haemophilus influenzae type b antigen (disorder)\"]\n ).verified ( ) ) HibReaction\n where date from start of HibReaction.onset.toInterval ( ) during day of \"First Two Years\"" }, { "url" : "displaySequence", "valueInteger" : 22 }], "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "CMS117FHIRChildImmunStatus" }, { "url" : "name", "valueString" : "Hepatitis B Immunizations or Procedures" }, { "url" : "statement", "valueString" : "define \"Hepatitis B Immunizations or Procedures\":\n ( ( ( [Immunization: \"Hepatitis B Vaccine\"] ).isImmunizationAdministered ( ) ) HepatitisBVaccination\n where date from HepatitisBVaccination.occurrence.earliest ( ) during day of \"First Two Years\"\n return HepatitisBVaccination.occurrence\n )\n union ( ( ( [Procedure: \"Hepatitis B Vaccine Administered\"] ).isProcedurePerformed ( ) ) HepatitisBProcedure\n where date from HepatitisBProcedure.performed.earliest ( ) during day of \"First Two Years\"\n return HepatitisBProcedure.performed\n )" }, { "url" : "displaySequence", "valueInteger" : 23 }], "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "CMS117FHIRChildImmunStatus" }, { "url" : "name", "valueString" : "Three Hepatitis B Vaccinations" }, { "url" : "statement", "valueString" : "define \"Three Hepatitis B Vaccinations\":\n from\n \"Hepatitis B Immunizations or Procedures\" HepatitisBVaccination1,\n \"Hepatitis B Immunizations or Procedures\" HepatitisBVaccination2,\n \"Hepatitis B Immunizations or Procedures\" HepatitisBVaccination3\n where date from HepatitisBVaccination2.earliest ( ) 1 day or more after date from HepatitisBVaccination1.earliest ( )\n and date from HepatitisBVaccination3.earliest ( ) 1 day or more after date from HepatitisBVaccination2.earliest ( )\n return date from HepatitisBVaccination1.earliest ( )" }, { "url" : "displaySequence", "valueInteger" : 24 }], "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "CMS117FHIRChildImmunStatus" }, { "url" : "name", "valueString" : "NewBorn Vaccine Requirement" }, { "url" : "statement", "valueString" : "define \"NewBorn Vaccine Requirement\":\n ( ( [Procedure: \"Introduction of Serum, Toxoid and Vaccine into Muscle, Percutaneous Approach\"] ).isProcedurePerformed ( ) ) NewBornVaccine\n where date from NewBornVaccine.performed.earliest ( ) during day of Interval[Patient.birthDate, Patient.birthDate + 7 days]\n return NewBornVaccine.performed" }, { "url" : "displaySequence", "valueInteger" : 25 }], "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "CMS117FHIRChildImmunStatus" }, { "url" : "name", "valueString" : "Meets HepB Vaccination Requirement" }, { "url" : "statement", "valueString" : "define \"Meets HepB Vaccination Requirement\":\n from\n \"Hepatitis B Immunizations or Procedures\" HepatitisBVaccination1,\n \"Hepatitis B Immunizations or Procedures\" HepatitisBVaccination2,\n \"NewBorn Vaccine Requirement\" NewBornVaccine3\n where date from HepatitisBVaccination2.earliest ( ) 1 day or more after date from HepatitisBVaccination1.earliest ( )\n and date from HepatitisBVaccination1.earliest ( ) 1 day or more after date from NewBornVaccine3.earliest ( )\n and date from HepatitisBVaccination2.earliest ( ) 1 day or more after date from NewBornVaccine3.earliest ( )\n return date from HepatitisBVaccination1.earliest ( )" }, { "url" : "displaySequence", "valueInteger" : 26 }], "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "CMS117FHIRChildImmunStatus" }, { "url" : "name", "valueString" : "Hepatitis B Numerator Inclusion Conditions" }, { "url" : "statement", "valueString" : "//HepB\n\n\ndefine \"Hepatitis B Numerator Inclusion Conditions\":\n ( ( [ConditionEncounterDiagnosis: \"Anaphylaxis caused by vaccine product containing Hepatitis B virus antigen (disorder)\"]\n union [ConditionProblemsHealthConcerns: \"Anaphylaxis caused by vaccine product containing Hepatitis B virus antigen (disorder)\"]\n union [ConditionEncounterDiagnosis: \"Hepatitis B\"]\n union [ConditionProblemsHealthConcerns: \"Hepatitis B\"]\n ).verified ( ) ) HepBConditions\n where date from start of HepBConditions.onset.toInterval ( ) during day of \"First Two Years\"" }, { "url" : "displaySequence", "valueInteger" : 27 }], "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "CMS117FHIRChildImmunStatus" }, { "url" : "name", "valueString" : "One Chicken Pox Vaccination" }, { "url" : "statement", "valueString" : "//VZV\n\n\ndefine \"One Chicken Pox Vaccination\":\n ( ( ( [Immunization: \"Varicella Zoster Vaccine (VZV)\"] ).isImmunizationAdministered ( ) ) ChickenPoxVaccination\n where date from ChickenPoxVaccination.occurrence.earliest ( ) during \"Date of First Birthday to Date of Second Birthday\"\n return date from ChickenPoxVaccination.occurrence.earliest ( )\n )\n union ( ( ( [Procedure: \"Varicella Zoster Vaccine (VZV) Administered\"] ).isProcedurePerformed ( ) ) ChickenPoxProcedure\n where date from ChickenPoxProcedure.performed.earliest ( ) during \"Date of First Birthday to Date of Second Birthday\"\n return date from ChickenPoxProcedure.performed.earliest ( )\n )" }, { "url" : "displaySequence", "valueInteger" : 28 }], "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "CMS117FHIRChildImmunStatus" }, { "url" : "name", "valueString" : "Varicella Zoster Numerator Inclusion Conditions" }, { "url" : "statement", "valueString" : "define \"Varicella Zoster Numerator Inclusion Conditions\":\n ( ( [ConditionEncounterDiagnosis: \"Varicella Zoster\"]\n union [ConditionProblemsHealthConcerns: \"Varicella Zoster\"]\n union [ConditionEncounterDiagnosis: \"Anaphylaxis caused by vaccine containing Human alphaherpesvirus 3 antigen (disorder)\"]\n union [ConditionProblemsHealthConcerns: \"Anaphylaxis caused by vaccine containing Human alphaherpesvirus 3 antigen (disorder)\"]\n ).verified ( ) ) VaricellaZoster\n where date from start of VaricellaZoster.onset.toInterval ( ) during day of \"First Two Years\"" }, { "url" : "displaySequence", "valueInteger" : 29 }], "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "CMS117FHIRChildImmunStatus" }, { "url" : "name", "valueString" : "Pneumococcal Conjugate Immunizations or Procedures" }, { "url" : "statement", "valueString" : "define \"Pneumococcal Conjugate Immunizations or Procedures\":\n ( ( ( [Immunization: \"Pneumococcal Conjugate Vaccine\"] ).isImmunizationAdministered ( ) ) PneumococcalVaccination\n where date from PneumococcalVaccination.occurrence.earliest ( ) during day of \"Vaccine Administration Interval - 42 Days up to 2 Years Old\"\n return PneumococcalVaccination.occurrence\n )\n union ( ( ( [Procedure: \"Pneumococcal Conjugate Vaccine Administered\"] ).isProcedurePerformed ( ) ) PneumococcalProcedure\n where date from PneumococcalProcedure.performed.earliest ( ) during day of \"Vaccine Administration Interval - 42 Days up to 2 Years Old\"\n return PneumococcalProcedure.performed\n )" }, { "url" : "displaySequence", "valueInteger" : 30 }], "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "CMS117FHIRChildImmunStatus" }, { "url" : "name", "valueString" : "Four Pneumococcal Conjugate Vaccinations" }, { "url" : "statement", "valueString" : "//PCV\n\n\ndefine \"Four Pneumococcal Conjugate Vaccinations\":\n from\n \"Pneumococcal Conjugate Immunizations or Procedures\" PneumococcalVaccination1,\n \"Pneumococcal Conjugate Immunizations or Procedures\" PneumococcalVaccination2,\n \"Pneumococcal Conjugate Immunizations or Procedures\" PneumococcalVaccination3,\n \"Pneumococcal Conjugate Immunizations or Procedures\" PneumococcalVaccination4\n where date from PneumococcalVaccination2.earliest ( ) 1 day or more after date from PneumococcalVaccination1.earliest ( )\n and date from PneumococcalVaccination3.earliest ( ) 1 day or more after date from PneumococcalVaccination2.earliest ( )\n and date from PneumococcalVaccination4.earliest ( ) 1 day or more after date from PneumococcalVaccination3.earliest ( )\n return date from PneumococcalVaccination1.earliest ( )" }, { "url" : "displaySequence", "valueInteger" : 31 }], "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "CMS117FHIRChildImmunStatus" }, { "url" : "name", "valueString" : "Pneumococcal Conjugate Numerator Inclusion Conditions" }, { "url" : "statement", "valueString" : "define \"Pneumococcal Conjugate Numerator Inclusion Conditions\":\n ( ( [ConditionEncounterDiagnosis: \"Anaphylaxis caused by vaccine product containing Streptococcus pneumoniae antigen (disorder)\"]\n union [ConditionProblemsHealthConcerns: \"Anaphylaxis caused by vaccine product containing Streptococcus pneumoniae antigen (disorder)\"]\n ).verified ( ) ) PneumococcalReaction\n where date from start of PneumococcalReaction.onset.toInterval ( ) during day of \"First Two Years\"" }, { "url" : "displaySequence", "valueInteger" : 32 }], "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "CMS117FHIRChildImmunStatus" }, { "url" : "name", "valueString" : "One Hepatitis A Vaccinations" }, { "url" : "statement", "valueString" : "//HepA\n\n\ndefine \"One Hepatitis A Vaccinations\":\n ( ( ( [Immunization: \"Hepatitis A Vaccine\"] ).isImmunizationAdministered ( ) ) HepatitisAVaccination\n where date from HepatitisAVaccination.occurrence.earliest ( ) during \"Date of First Birthday to Date of Second Birthday\"\n return date from HepatitisAVaccination.occurrence.earliest ( )\n )\n union ( ( ( [Procedure: \"Hepatitis A Vaccine Administered\"] ).isProcedurePerformed ( ) ) HepatitisAProcedure\n where date from HepatitisAProcedure.performed.earliest ( ) during \"Date of First Birthday to Date of Second Birthday\"\n return date from HepatitisAProcedure.performed.earliest ( )\n )" }, { "url" : "displaySequence", "valueInteger" : 33 }], "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "CMS117FHIRChildImmunStatus" }, { "url" : "name", "valueString" : "Hepatitis A Numerator Inclusion Conditions" }, { "url" : "statement", "valueString" : "define \"Hepatitis A Numerator Inclusion Conditions\":\n ( ( [ConditionEncounterDiagnosis: \"Hepatitis A\"]\n union [ConditionProblemsHealthConcerns: \"Hepatitis A\"]\n union [ConditionEncounterDiagnosis: \"Anaphylaxis caused by vaccine product containing Hepatitis A virus antigen (disorder)\"]\n union [ConditionProblemsHealthConcerns: \"Anaphylaxis caused by vaccine product containing Hepatitis A virus antigen (disorder)\"]\n ).verified ( ) ) HepatitisADiagnosis\n where date from start of HepatitisADiagnosis.onset.toInterval ( ) during day of \"First Two Years\"" }, { "url" : "displaySequence", "valueInteger" : 34 }], "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "CMS117FHIRChildImmunStatus" }, { "url" : "name", "valueString" : "Rotavirus 2 Dose Immunizations or Procedures" }, { "url" : "statement", "valueString" : "define \"Rotavirus 2 Dose Immunizations or Procedures\":\n ( ( ( [Immunization: \"rotavirus, live, monovalent vaccine\"] ).isImmunizationAdministered ( ) ) TwoDoseRotavirusVaccine\n where date from TwoDoseRotavirusVaccine.occurrence.earliest ( ) during day of \"Vaccine Administration Interval - 42 Days up to 2 Years Old\"\n return TwoDoseRotavirusVaccine.occurrence\n )\n union ( ( ( [Procedure: \"Rotavirus Vaccine (2 dose schedule) Administered\"] ).isProcedurePerformed ( ) ) TwoDoseRotavirusProcedure\n where date from TwoDoseRotavirusProcedure.performed.earliest ( ) during day of \"Vaccine Administration Interval - 42 Days up to 2 Years Old\"\n return TwoDoseRotavirusProcedure.performed\n )" }, { "url" : "displaySequence", "valueInteger" : 35 }], "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "CMS117FHIRChildImmunStatus" }, { "url" : "name", "valueString" : "Rotavirus 3 Dose Immunizations or Procedures" }, { "url" : "statement", "valueString" : "define \"Rotavirus 3 Dose Immunizations or Procedures\":\n ( ( ( [Immunization: \"Rotavirus Vaccine (3 dose schedule)\"] ).isImmunizationAdministered ( ) ) ThreeDoseRotavirusVaccine\n where date from ThreeDoseRotavirusVaccine.occurrence.earliest ( ) during day of \"Vaccine Administration Interval - 42 Days up to 2 Years Old\"\n return ThreeDoseRotavirusVaccine.occurrence\n )\n union ( ( ( [Procedure: \"Rotavirus Vaccine (3 dose schedule) Administered\"] ).isProcedurePerformed ( ) ) ThreeDoseRotavirusAdministered\n where date from ThreeDoseRotavirusAdministered.performed.earliest ( ) during day of \"Vaccine Administration Interval - 42 Days up to 2 Years Old\"\n return ThreeDoseRotavirusAdministered.performed\n )" }, { "url" : "displaySequence", "valueInteger" : 36 }], "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "CMS117FHIRChildImmunStatus" }, { "url" : "name", "valueString" : "Rotavirus 2 or 3 Dose Immunizations" }, { "url" : "statement", "valueString" : "define \"Rotavirus 2 or 3 Dose Immunizations\":\n \"Rotavirus 2 Dose Immunizations or Procedures\"\n union \"Rotavirus 3 Dose Immunizations or Procedures\"" }, { "url" : "displaySequence", "valueInteger" : 37 }], "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "CMS117FHIRChildImmunStatus" }, { "url" : "name", "valueString" : "Has Appropriate Number of Rotavirus Immunizations" }, { "url" : "statement", "valueString" : "//RV\n\n\ndefine \"Has Appropriate Number of Rotavirus Immunizations\":\n exists ( \"Rotavirus 2 or 3 Dose Immunizations\" RotavirusImmunization\n let HasThreeDose: Count(\"Rotavirus 3 Dose Immunizations or Procedures\") > 0\n where ( HasThreeDose\n and Count(distinct(\"Rotavirus 2 or 3 Dose Immunizations\" RotavirusVaccinations\n return date from RotavirusVaccinations.earliest()\n )\n ) >= 3\n )\n or ( HasThreeDose is false\n and Count(distinct(\"Rotavirus 2 or 3 Dose Immunizations\" RotavirusVaccinations\n return date from RotavirusVaccinations.earliest()\n )\n ) >= 2\n )\n )" }, { "url" : "displaySequence", "valueInteger" : 38 }], "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "CMS117FHIRChildImmunStatus" }, { "url" : "name", "valueString" : "Rotavirus Numerator Inclusion Conditions" }, { "url" : "statement", "valueString" : "define \"Rotavirus Numerator Inclusion Conditions\":\n ( ( [ConditionEncounterDiagnosis: \"Anaphylaxis caused by rotavirus vaccine (disorder)\"]\n union [ConditionProblemsHealthConcerns: \"Anaphylaxis caused by rotavirus vaccine (disorder)\"]\n ).verified ( ) ) RotavirusConditions\n where date from start of RotavirusConditions.onset.toInterval ( ) during day of \"First Two Years\"" }, { "url" : "displaySequence", "valueInteger" : 39 }], "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "CMS117FHIRChildImmunStatus" }, { "url" : "name", "valueString" : "Vaccine Administration Interval - 180 Days up to 2 Years Old" }, { "url" : "statement", "valueString" : "define \"Vaccine Administration Interval - 180 Days up to 2 Years Old\":\n Interval[Patient.birthDate + 180 days, \"Date of Second Birthday\"]" }, { "url" : "displaySequence", "valueInteger" : 40 }], "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "CMS117FHIRChildImmunStatus" }, { "url" : "name", "valueString" : "Influenza Immunizations or Procedures" }, { "url" : "statement", "valueString" : "//Flu\n\n\ndefine \"Influenza Immunizations or Procedures\":\n ( ( ( [Immunization: \"Child Influenza Vaccine\"] ).isImmunizationAdministered ( ) ) InfluenzaVaccine\n where date from InfluenzaVaccine.occurrence.earliest ( ) during day of \"Vaccine Administration Interval - 180 Days up to 2 Years Old\"\n return InfluenzaVaccine.occurrence\n )\n union ( ( ( [Procedure: \"Child Influenza Vaccine Administered\"] ).isProcedurePerformed ( ) ) InfluenzaAdministration\n where date from InfluenzaAdministration.performed.earliest ( ) during day of \"Vaccine Administration Interval - 180 Days up to 2 Years Old\"\n return InfluenzaAdministration.performed\n )" }, { "url" : "displaySequence", "valueInteger" : 41 }], "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "CMS117FHIRChildImmunStatus" }, { "url" : "name", "valueString" : "Two Influenza Vaccinations" }, { "url" : "statement", "valueString" : "define \"Two Influenza Vaccinations\":\n from\n \"Influenza Immunizations or Procedures\" FluVaccination1,\n \"Influenza Immunizations or Procedures\" FluVaccination2\n where date from FluVaccination2.earliest ( ) 1 day or more after date from FluVaccination1.earliest ( )\n return date from FluVaccination1.earliest ( )" }, { "url" : "displaySequence", "valueInteger" : 42 }], "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "CMS117FHIRChildImmunStatus" }, { "url" : "name", "valueString" : "LAIV Vaccinations" }, { "url" : "statement", "valueString" : "define \"LAIV Vaccinations\":\n ( ( ( [Immunization: \"Influenza Virus LAIV Vaccine\"] ).isImmunizationAdministered ( ) ) LAIVVaccine\n where date from LAIVVaccine.occurrence.earliest ( ) during day of Interval[\"Date of Second Birthday\", \"Date of Second Birthday\"]\n return date from LAIVVaccine.occurrence.earliest ( )\n )\n union ( ( ( [Procedure: \"Influenza Virus LAIV Vaccine Administered\"] ).isProcedurePerformed ( ) ) InfluenzaAdministration\n where date from InfluenzaAdministration.performed.earliest ( ) during day of Interval[\"Date of Second Birthday\", \"Date of Second Birthday\"]\n return date from InfluenzaAdministration.performed.earliest ( )\n )" }, { "url" : "displaySequence", "valueInteger" : 43 }], "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "CMS117FHIRChildImmunStatus" }, { "url" : "name", "valueString" : "Two Influenza Vaccinations Including One LAIV Vaccination" }, { "url" : "statement", "valueString" : "define \"Two Influenza Vaccinations Including One LAIV Vaccination\":\n exists \"LAIV Vaccinations\"\n and exists \"Influenza Immunizations or Procedures\"" }, { "url" : "displaySequence", "valueInteger" : 44 }], "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "CMS117FHIRChildImmunStatus" }, { "url" : "name", "valueString" : "Influenza Numerator Inclusion Conditions" }, { "url" : "statement", "valueString" : "define \"Influenza Numerator Inclusion Conditions\":\n ( ( [ConditionEncounterDiagnosis: \"Anaphylaxis caused by vaccine product containing Influenza virus antigen (disorder)\"]\n union [ConditionProblemsHealthConcerns: \"Anaphylaxis caused by vaccine product containing Influenza virus antigen (disorder)\"]\n ).verified ( ) ) InfluenzaConditions\n where date from start of InfluenzaConditions.onset.toInterval ( ) during day of \"First Two Years\"" }, { "url" : "displaySequence", "valueInteger" : 45 }], "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "CMS117FHIRChildImmunStatus" }, { "url" : "name", "valueString" : "Numerator" }, { "url" : "statement", "valueString" : "define \"Numerator\":\n ( exists ( \"Four DTaP Vaccinations\" )\n or exists ( \"DTaP Numerator Inclusion Conditions\" )\n )\n and ( exists ( \"Three Polio Vaccinations\" )\n or exists ( \"Polio Numerator Inclusion Conditions\" )\n )\n and ( exists ( \"One MMR Vaccination\" )\n or exists ( \"MMR Numerator Inclusion Conditions\" )\n or ( exists ( \"Measles Indicators\" )\n and exists ( \"Mumps Indicators\" )\n and exists ( \"Rubella Indicators\" )\n )\n )\n and ( \"Has Appropriate Number of Hib Immunizations\"\n or exists ( \"Hib Numerator Inclusion Conditions\" )\n )\n and ( exists ( \"Three Hepatitis B Vaccinations\" )\n or ( exists ( \"Meets HepB Vaccination Requirement\" )\n or exists ( \"Hepatitis B Numerator Inclusion Conditions\" )\n )\n )\n and ( exists ( \"One Chicken Pox Vaccination\" )\n or exists ( \"Varicella Zoster Numerator Inclusion Conditions\" )\n )\n and ( exists ( \"Four Pneumococcal Conjugate Vaccinations\" )\n or exists ( \"Pneumococcal Conjugate Numerator Inclusion Conditions\" )\n )\n and ( exists ( \"One Hepatitis A Vaccinations\" )\n or exists ( \"Hepatitis A Numerator Inclusion Conditions\" )\n )\n and ( \"Has Appropriate Number of Rotavirus Immunizations\"\n or exists ( \"Rotavirus Numerator Inclusion Conditions\" )\n )\n and ( exists ( \"Two Influenza Vaccinations\" )\n or ( \"Two Influenza Vaccinations Including One LAIV Vaccination\" )\n or exists ( \"Influenza Numerator Inclusion Conditions\" )\n )" }, { "url" : "displaySequence", "valueInteger" : 46 }], "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "CMS117FHIRChildImmunStatus" }, { "url" : "name", "valueString" : "Qualifying Encounters" }, { "url" : "statement", "valueString" : "define \"Qualifying Encounters\":\n ( ( [Encounter: \"Office Visit\"]\n union [Encounter: \"Home Healthcare Services\"]\n union [Encounter: \"Preventive Care, Established Office Visit, 0 to 17\"]\n union [Encounter: \"Preventive Care Services, Initial Office Visit, 0 to 17\"]\n union ( [Encounter] E\n where exists ( ( E.type ) T\n where T ~ \"Office or other outpatient visit for the evaluation and management of an established patient that may not require the presence of a physician or other qualified health care professional\"\n )\n )\n union [Encounter: \"Virtual Encounter\"]\n union [Encounter: \"Telephone Visits\"]\n ).isEncounterPerformed ( ) ) ValidEncounters\n where ValidEncounters.period during day of \"Measurement Period\"" }, { "url" : "displaySequence", "valueInteger" : 47 }], "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "CMS117FHIRChildImmunStatus" }, { "url" : "name", "valueString" : "Initial Population" }, { "url" : "statement", "valueString" : "define \"Initial Population\":\n AgeInYearsAt(date from \n end of \"Measurement Period\"\n ) = 2\n and exists ( \"Qualifying Encounters\" )" }, { "url" : "displaySequence", "valueInteger" : 48 }], "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "CMS117FHIRChildImmunStatus" }, { "url" : "name", "valueString" : "Denominator" }, { "url" : "statement", "valueString" : "define \"Denominator\":\n \"Initial Population\"" }, { "url" : "displaySequence", "valueInteger" : 49 }], "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "SupplementalDataElements" }, { "url" : "name", "valueString" : "SDE Payer" }, { "url" : "statement", "valueString" : "define \"SDE Payer\":\n [USQualityCore.Coverage: type in \"Payer Type\"] Payer\n return {\n code: Payer.type,\n period: Payer.period\n }" }, { "url" : "displaySequence", "valueInteger" : 50 }], "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "CMS117FHIRChildImmunStatus" }, { "url" : "name", "valueString" : "SDE Payer" }, { "url" : "statement", "valueString" : "define \"SDE Payer\":\n SDE.\"SDE Payer\"" }, { "url" : "displaySequence", "valueInteger" : 51 }], "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "SupplementalDataElements" }, { "url" : "name", "valueString" : "SDE Ethnicity" }, { "url" : "statement", "valueString" : "define \"SDE Ethnicity\":\n (Patient.ethnicity()) E\n return Tuple {\n codes: { E.ombCategory } union E.detailed,\n display: E.text\n }" }, { "url" : "displaySequence", "valueInteger" : 52 }], "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "CMS117FHIRChildImmunStatus" }, { "url" : "name", "valueString" : "SDE Ethnicity" }, { "url" : "statement", "valueString" : "define \"SDE Ethnicity\":\n SDE.\"SDE Ethnicity\"" }, { "url" : "displaySequence", "valueInteger" : 53 }], "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "Hospice" }, { "url" : "name", "valueString" : "Has Hospice Services" }, { "url" : "statement", "valueString" : "define \"Has Hospice Services\":\n exists ((([USQualityCore.Encounter: \"Encounter Inpatient\"]).isEncounterPerformed()) InpatientEncounter\n where (InpatientEncounter.hospitalization.dischargeDisposition ~ \"Discharge to home for hospice care (procedure)\"\n or InpatientEncounter.hospitalization.dischargeDisposition ~ \"Discharge to healthcare facility for hospice care (procedure)\"\n )\n and InpatientEncounter.period ends during day of \"Measurement Period\"\n )\n or exists ((([USQualityCore.Encounter: \"Hospice Encounter\"]).isEncounterPerformed()) HospiceEncounter\n where HospiceEncounter.period overlaps day of \"Measurement Period\"\n )\n // TODO: Shouldn't need to specify a code path here (see https://jira.hl7.org/browse/FHIR-53941)\n or exists ((([USQualityCore.ObservationScreeningAssessment: code ~ \"Hospice care [Minimum Data Set]\"]).isAssessmentPerformed()) HospiceAssessment\n where HospiceAssessment.value ~ \"Yes (qualifier value)\"\n and HospiceAssessment.effective.toInterval() overlaps day of \"Measurement Period\"\n )\n or exists ((([USQualityCore.ServiceRequest: \"Hospice Care Ambulatory\"]).isInterventionOrder()) HospiceOrder\n where HospiceOrder.authoredOn during day of \"Measurement Period\"\n )\n or exists ((([USQualityCore.Procedure: \"Hospice Care Ambulatory\"]).isInterventionPerformed()) HospicePerformed\n where HospicePerformed.performed.toInterval() overlaps day of \"Measurement Period\"\n )\n // TODO: Consider whether to keep this as the union of Problems and EncounterDiagnosis\n or exists ((([FHIR.Condition: \"Hospice Diagnosis\"]).verified()) HospiceCareDiagnosis\n where HospiceCareDiagnosis.prevalenceInterval() overlaps day of \"Measurement Period\"\n )" }, { "url" : "displaySequence", "valueInteger" : 54 }], "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "CMS117FHIRChildImmunStatus" }, { "url" : "name", "valueString" : "Has Severe Combined Immunodeficiency" }, { "url" : "statement", "valueString" : "define \"Has Severe Combined Immunodeficiency\":\n exists ( ( ( [ConditionEncounterDiagnosis: \"Severe Combined Immunodeficiency\"]\n union [ConditionProblemsHealthConcerns: \"Severe Combined Immunodeficiency\"]\n ).verified ( ) ) SevereImmuneDisorder\n where date from start of SevereImmuneDisorder.onset.toInterval ( ) during day of \"First Two Years\"\n )" }, { "url" : "displaySequence", "valueInteger" : 55 }], "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "CMS117FHIRChildImmunStatus" }, { "url" : "name", "valueString" : "Has Immunodeficiency" }, { "url" : "statement", "valueString" : "define \"Has Immunodeficiency\":\n exists ( ( ( [ConditionEncounterDiagnosis: \"Disorders of the Immune System\"]\n union [ConditionProblemsHealthConcerns: \"Disorders of the Immune System\"]\n ).verified ( ) ) ImmuneDisorder\n where date from start of ImmuneDisorder.onset.toInterval ( ) during day of \"First Two Years\"\n )" }, { "url" : "displaySequence", "valueInteger" : 56 }], "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "CMS117FHIRChildImmunStatus" }, { "url" : "name", "valueString" : "Has HIV" }, { "url" : "statement", "valueString" : "define \"Has HIV\":\n exists ( ( ( [ConditionEncounterDiagnosis: \"HIV\"]\n union [ConditionProblemsHealthConcerns: \"HIV\"]\n ).verified ( ) ) HIVDiagnosis\n where date from start of HIVDiagnosis.onset.toInterval ( ) during day of \"First Two Years\"\n )" }, { "url" : "displaySequence", "valueInteger" : 57 }], "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "CMS117FHIRChildImmunStatus" }, { "url" : "name", "valueString" : "Has Lymphoreticular Cancer, Multiple Myeloma or Leukemia" }, { "url" : "statement", "valueString" : "define \"Has Lymphoreticular Cancer, Multiple Myeloma or Leukemia\":\n exists ( ( ( [ConditionEncounterDiagnosis: \"Malignant Neoplasm of Lymphatic and Hematopoietic Tissue\"]\n union [ConditionProblemsHealthConcerns: \"Malignant Neoplasm of Lymphatic and Hematopoietic Tissue\"]\n ).verified ( ) ) LymphaticMalignantNeoplasm\n where date from start of LymphaticMalignantNeoplasm.onset.toInterval ( ) during day of \"First Two Years\"\n )" }, { "url" : "displaySequence", "valueInteger" : 58 }], "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "CMS117FHIRChildImmunStatus" }, { "url" : "name", "valueString" : "Has Intussusception" }, { "url" : "statement", "valueString" : "define \"Has Intussusception\":\n exists ( ( ( [ConditionEncounterDiagnosis: \"Intussusception\"]\n union [ConditionProblemsHealthConcerns: \"Intussusception\"]\n ).verified ( ) ) IntussusceptionDisorder\n where date from start of IntussusceptionDisorder.onset.toInterval ( ) during day of \"First Two Years\"\n )" }, { "url" : "displaySequence", "valueInteger" : 59 }], "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "CMS117FHIRChildImmunStatus" }, { "url" : "name", "valueString" : "Denominator Exclusions" }, { "url" : "statement", "valueString" : "define \"Denominator Exclusions\":\n Hospice.\"Has Hospice Services\"\n or \"Has Severe Combined Immunodeficiency\"\n or \"Has Immunodeficiency\"\n or \"Has HIV\"\n or \"Has Lymphoreticular Cancer, Multiple Myeloma or Leukemia\"\n or \"Has Intussusception\"" }, { "url" : "displaySequence", "valueInteger" : 60 }], "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "SupplementalDataElements" }, { "url" : "name", "valueString" : "SDE Race" }, { "url" : "statement", "valueString" : "define \"SDE Race\":\n (Patient.race()) R\n return Tuple {\n codes: R.ombCategory union R.detailed,\n display: R.text\n }" }, { "url" : "displaySequence", "valueInteger" : 61 }], "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "CMS117FHIRChildImmunStatus" }, { "url" : "name", "valueString" : "SDE Race" }, { "url" : "statement", "valueString" : "define \"SDE Race\":\n SDE.\"SDE Race\"" }, { "url" : "displaySequence", "valueInteger" : 62 }], "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "FHIRHelpers" }, { "url" : "name", "valueString" : "ToString" }, { "url" : "statement", "valueString" : "define function ToString(value string): value.value" }, { "url" : "displaySequence", "valueInteger" : 63 }], "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "USCoreCommon" }, { "url" : "name", "valueString" : "sex" }, { "url" : "statement", "valueString" : "/*\n@description: Returns the sex element as defined for the USCore patient profile\n*/\ndefine fluent function sex(patient Patient):\n patient.ext('http://hl7.org/fhir/us/core/StructureDefinition/us-core-sex').value as FHIR.code" }, { "url" : "displaySequence", "valueInteger" : 64 }], "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "FHIRCommon" }, { "url" : "name", "valueString" : "ext" }, { "url" : "statement", "valueString" : "/*\n@description: Returns the single extension (if present) on the given resource with the specified url.\n@comment: This function uses singleton from to ensure that a run-time exception is thrown if there\nis more than one extension on the given resource with the specified url.\n*/\ndefine fluent function ext(domainResource DomainResource, url String):\n singleton from domainResource.exts(url)" }, { "url" : "displaySequence", "valueInteger" : 65 }], "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "FHIRCommon" }, { "url" : "name", "valueString" : "exts" }, { "url" : "statement", "valueString" : "/*\n@description: Returns any extensions defined on the given resource with the specified url\n*/\ndefine fluent function exts(domainResource DomainResource, url String):\n domainResource.extension E\n where E.url = url\n return E" }, { "url" : "displaySequence", "valueInteger" : 66 }], "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "FHIRHelpers" }, { "url" : "name", "valueString" : "ToString" }, { "url" : "statement", "valueString" : "define function ToString(value uri): value.value" }, { "url" : "displaySequence", "valueInteger" : 67 }], "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "Status" }, { "url" : "name", "valueString" : "isImmunizationAdministered" }, { "url" : "statement", "valueString" : "//Immunization, Administered\ndefine fluent function isImmunizationAdministered(Immunization List):\n Immunization I\n where I.status ~ 'completed'" }, { "url" : "displaySequence", "valueInteger" : 68 }], "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "FHIRHelpers" }, { "url" : "name", "valueString" : "ToString" }, { "url" : "statement", "valueString" : "define function ToString(value ImmunizationStatus): value.value" }, { "url" : "displaySequence", "valueInteger" : 69 }], "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "FHIRCommon" }, { "url" : "name", "valueString" : "earliest" }, { "url" : "statement", "valueString" : "/*\n@description: Given an interval, return the starting point if the interval has a starting boundary specified,\notherwise, return the ending point\n*/\ndefine fluent function earliest(choice Choice):\n (choice.toInterval()) period\n return\n if (period.hasStart()) then start of period\n else end of period" }, { "url" : "displaySequence", "valueInteger" : 70 }], "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "FHIRCommon" }, { "url" : "name", "valueString" : "toInterval" }, { "url" : "statement", "valueString" : "/*\n@description: Normalizes a value that is a choice of timing-valued types to an equivalent interval\n@comment: Normalizes a choice type of FHIR.dateTime, FHIR.Period, FHIR.Timing, FHIR.instance, FHIR.string, FHIR.Age, or FHIR.Range types\nto an equivalent interval. This selection of choice types is a superset of the majority of choice types that are used as possible\nrepresentations for timing-valued elements in FHIR, allowing this function to be used across any resource.\n\nThe input can be provided as a dateTime, Period, Timing, instant, string, Age, or Range.\nThe intent of this function is to provide a clear and concise mechanism to treat single\nelements that have multiple possible representations as intervals so that logic doesn't have to account\nfor the variability. More complex calculations (such as medication request period or dispense period\ncalculation) need specific guidance and consideration. That guidance may make use of this function, but\nthe focus of this function is on single element calculations where the semantics are unambiguous.\nIf the input is a dateTime, the result a DateTime Interval beginning and ending on that dateTime.\nIf the input is a Period, the result is a DateTime Interval.\nIf the input is a Timing, an error is raised indicating a single interval cannot be computed from a Timing.\nIf the input is an instant, the result is a DateTime Interval beginning and ending on that instant.\nIf the input is a string, an error is raised indicating a single interval cannot be computed from a string.\nIf the input is an Age, the result is a DateTime Interval beginning when the patient was the given Age,\nand ending immediately prior to when the patient was the given Age plus one year.\nIf the input is a Range, the result is a DateTime Interval beginning when the patient was the Age given\nby the low end of the Range, and ending immediately prior to when the patient was the Age given by the\nhigh end of the Range plus one year.\n\nNOTE: Due to the\ncomplexity of determining a single interval from a Timing or String type, this function will throw a run-time exception if it is used\nwith a Timing or String.\n*/\ndefine fluent function toInterval(choice Choice):\n case\n when choice is FHIR.dateTime then\n Interval[FHIRHelpers.ToDateTime(choice as FHIR.dateTime), FHIRHelpers.ToDateTime(choice as FHIR.dateTime)]\n when choice is FHIR.Period then\n FHIRHelpers.ToInterval(choice as FHIR.Period)\n when choice is FHIR.instant then\n Interval[FHIRHelpers.ToDateTime(choice as FHIR.instant), FHIRHelpers.ToDateTime(choice as FHIR.instant)]\n when choice is FHIR.Age then\n Interval[FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity(choice as FHIR.Age),\n FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity(choice as FHIR.Age) + 1 year)\n when choice is FHIR.Range then\n Interval[FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity((choice as FHIR.Range).low),\n FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity((choice as FHIR.Range).high) + 1 year)\n when choice is FHIR.Timing then\n Message(null as Interval, true, 'NOT_IMPLEMENTED', 'Error', 'Calculation of an interval from a Timing value is not supported')\n when choice is FHIR.string then\n Message(null as Interval, true, 'NOT_IMPLEMENTED', 'Error', 'Calculation of an interval from a String value is not supported')\n else\n null as Interval\n end" }, { "url" : "displaySequence", "valueInteger" : 71 }], "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "FHIRHelpers" }, { "url" : "name", "valueString" : "ToDateTime" }, { "url" : "statement", "valueString" : "define function ToDateTime(value dateTime): value.value" }, { "url" : "displaySequence", "valueInteger" : 72 }], "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "FHIRHelpers" }, { "url" : "name", "valueString" : "ToInterval" }, { "url" : "statement", "valueString" : "/*\n@description: Converts the given [Period](https://hl7.org/fhir/datatypes.html#Period)\nvalue to a CQL DateTime Interval\n@comment: If the start value of the given period is unspecified, the starting\nboundary of the resulting interval will be open (meaning the start of the interval\nis unknown, as opposed to interpreted as the beginning of time).\n*/\ndefine function ToInterval(period FHIR.Period):\n if period is null then\n null\n else\n if period.\"start\" is null then\n Interval(period.\"start\".value, period.\"end\".value]\n else\n Interval[period.\"start\".value, period.\"end\".value]" }, { "url" : "displaySequence", "valueInteger" : 73 }], "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "FHIRHelpers" }, { "url" : "name", "valueString" : "ToDateTime" }, { "url" : "statement", "valueString" : "define function ToDateTime(value instant): value.value" }, { "url" : "displaySequence", "valueInteger" : 74 }], "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "FHIRHelpers" }, { "url" : "name", "valueString" : "ToDate" }, { "url" : "statement", "valueString" : "define function ToDate(value date): value.value" }, { "url" : "displaySequence", "valueInteger" : 75 }], "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "FHIRHelpers" }, { "url" : "name", "valueString" : "ToQuantity" }, { "url" : "statement", "valueString" : "/*\n@description: Converts the given FHIR [Quantity](https://hl7.org/fhir/datatypes.html#Quantity) \nvalue to a CQL Quantity\n@comment: If the given quantity has a comparator specified, a runtime error is raised. If the given quantity\nhas a system other than UCUM (i.e. `http://unitsofmeasure.org`) or CQL calendar units (i.e. `http://hl7.org/fhirpath/CodeSystem/calendar-units`)\nan error is raised. For UCUM to calendar units, the `ToCalendarUnit` function is used.\n@seealso: ToCalendarUnit\n*/\ndefine function ToQuantity(quantity FHIR.Quantity):\n case\n when quantity is null then null\n when quantity.value is null then null\n when quantity.comparator is not null then\n Message(null, true, 'FHIRHelpers.ToQuantity.ComparatorQuantityNotSupported', 'Error', 'FHIR Quantity value has a comparator and cannot be converted to a System.Quantity value.')\n when quantity.system is null or quantity.system.value = 'http://unitsofmeasure.org'\n or quantity.system.value = 'http://hl7.org/fhirpath/CodeSystem/calendar-units' then\n System.Quantity { value: quantity.value.value, unit: ToCalendarUnit(Coalesce(quantity.code.value, quantity.unit.value, '1')) }\n else\n Message(null, true, 'FHIRHelpers.ToQuantity.InvalidFHIRQuantity', 'Error', 'Invalid FHIR Quantity code: ' & quantity.unit.value & ' (' & quantity.system.value & '|' & quantity.code.value & ')')\n end" }, { "url" : "displaySequence", "valueInteger" : 76 }], "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "FHIRHelpers" }, { "url" : "name", "valueString" : "ToCalendarUnit" }, { "url" : "statement", "valueString" : "/*\n@description: Converts a UCUM definite duration unit to a CQL calendar duration\nunit using conversions specified in the [quantities](https://cql.hl7.org/02-authorsguide.html#quantities) \ntopic of the CQL specification.\n@comment: Note that for durations above days (or weeks), the conversion is understood to be approximate\n*/\ndefine function ToCalendarUnit(unit System.String):\n case unit\n when 'ms' then 'millisecond'\n when 's' then 'second'\n when 'min' then 'minute'\n when 'h' then 'hour'\n when 'd' then 'day'\n when 'wk' then 'week'\n when 'mo' then 'month'\n when 'a' then 'year'\n else unit\n end" }, { "url" : "displaySequence", "valueInteger" : 77 }], "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "FHIRCommon" }, { "url" : "name", "valueString" : "hasStart" }, { "url" : "statement", "valueString" : "/*\n@description: Given an interval, return true if the interval has a starting boundary specified\n(i.e. the start of the interval is not null and not the minimum DateTime value)\n*/\ndefine fluent function hasStart(period Interval):\n not ( start of period is null\n or start of period = minimum DateTime\n )" }, { "url" : "displaySequence", "valueInteger" : 78 }], "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "Status" }, { "url" : "name", "valueString" : "isProcedurePerformed" }, { "url" : "statement", "valueString" : "//Procedure, Performed\ndefine fluent function isProcedurePerformed(Proc List):\n Proc P\n where P.status ~ 'completed'" }, { "url" : "displaySequence", "valueInteger" : 79 }], "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "FHIRHelpers" }, { "url" : "name", "valueString" : "ToString" }, { "url" : "statement", "valueString" : "define function ToString(value ProcedureStatus): value.value" }, { "url" : "displaySequence", "valueInteger" : 80 }], "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "Status" }, { "url" : "name", "valueString" : "verified" }, { "url" : "statement", "valueString" : "// TODO: Deprecate because this is now in FHIRCommon\n//Condition\n/*\n@description: Returns conditions in the given list that either have no verification status or have a verification status of confirmed, unconfirmed, provisional, or differential\n@deprecated: Use the USCoreCommon verified function insteada\n*/\ndefine fluent function verified(conditions List>):\n conditions C\n where C.verificationStatus is not null implies\n (C.verificationStatus ~ \"confirmed\"\n or C.verificationStatus ~ \"unconfirmed\"\n or C.verificationStatus ~ \"provisional\"\n or C.verificationStatus ~ \"differential\"\n )" }, { "url" : "displaySequence", "valueInteger" : 81 }], "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "FHIRHelpers" }, { "url" : "name", "valueString" : "ToConcept" }, { "url" : "statement", "valueString" : "/*\n@description: Converts the given FHIR [CodeableConcept](https://hl7.org/fhir/datatypes.html#CodeableConcept) value to a CQL Concept.\n*/\ndefine function ToConcept(concept FHIR.CodeableConcept):\n if concept is null then\n null\n else\n System.Concept {\n codes: concept.coding C return ToCode(C),\n display: concept.text.value\n }" }, { "url" : "displaySequence", "valueInteger" : 82 }], "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "FHIRHelpers" }, { "url" : "name", "valueString" : "ToCode" }, { "url" : "statement", "valueString" : "/*\n@description: Converts the given FHIR [Coding](https://hl7.org/fhir/datatypes.html#Coding) value to a CQL Code.\n*/\ndefine function ToCode(coding FHIR.Coding):\n if coding is null then\n null\n else\n System.Code {\n code: coding.code.value,\n system: coding.system.value,\n version: coding.version.value,\n display: coding.display.value\n }" }, { "url" : "displaySequence", "valueInteger" : 83 }], "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "FHIRCommon" }, { "url" : "name", "valueString" : "verified" }, { "url" : "statement", "valueString" : "/*\n@description: Returns conditions in the given list that either have no verification status or have a verification status of confirmed, unconfirmed, provisional, or differential\n*/\ndefine fluent function verified(conditions List):\n conditions C\n where C.verificationStatus is not null implies\n (C.verificationStatus ~ \"confirmed\"\n or C.verificationStatus ~ \"unconfirmed\"\n or C.verificationStatus ~ \"provisional\"\n or C.verificationStatus ~ \"differential\"\n )" }, { "url" : "displaySequence", "valueInteger" : 84 }], "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "Status" }, { "url" : "name", "valueString" : "isEncounterPerformed" }, { "url" : "statement", "valueString" : "//Encounter, Performed\n//General usage unless required otherwise by measure intent (e.g., follow-up encounters)\ndefine fluent function isEncounterPerformed(Enc List):\n Enc E\n where E.status = 'finished'" }, { "url" : "displaySequence", "valueInteger" : 85 }], "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "FHIRHelpers" }, { "url" : "name", "valueString" : "ToString" }, { "url" : "statement", "valueString" : "define function ToString(value EncounterStatus): value.value" }, { "url" : "displaySequence", "valueInteger" : 86 }], "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "USCoreCommon" }, { "url" : "name", "valueString" : "ethnicity" }, { "url" : "statement", "valueString" : "define fluent function ethnicity(patient Patient):\n (patient.ext('http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity')) E\n return {\n ombCategory: E.ext('ombCategory').value as FHIR.Coding,\n detailed: (E.exts('detailed')) d return d.value as FHIR.Coding,\n text: E.ext('text').value as FHIR.string\n }" }, { "url" : "displaySequence", "valueInteger" : 87 }], "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "FHIRCommon" }, { "url" : "name", "valueString" : "ext" }, { "url" : "statement", "valueString" : "/*\n@description: Returns the single extension (if present) on the given element with the specified url.\n@comment: This function uses singleton from to ensure that a run-time exception is thrown if there\nis more than one extension on the given element with the specified url.\n*/\ndefine fluent function ext(element Element, url String):\n singleton from element.exts(url)" }, { "url" : "displaySequence", "valueInteger" : 88 }], "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "FHIRCommon" }, { "url" : "name", "valueString" : "exts" }, { "url" : "statement", "valueString" : "/*\n@description: Returns any extensions defined on the given element with the specified url.\n*/\ndefine fluent function exts(element Element, url String):\n element.extension E\n where E.url = url\n return E" }, { "url" : "displaySequence", "valueInteger" : 89 }], "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "Status" }, { "url" : "name", "valueString" : "isAssessmentPerformed" }, { "url" : "statement", "valueString" : "//Assessment, Performed\ndefine fluent function isAssessmentPerformed(Obs List):\n Obs O\n where O.status in { 'final', 'amended', 'corrected' }" }, { "url" : "displaySequence", "valueInteger" : 90 }], "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "FHIRHelpers" }, { "url" : "name", "valueString" : "ToString" }, { "url" : "statement", "valueString" : "define function ToString(value ObservationStatus): value.value" }, { "url" : "displaySequence", "valueInteger" : 91 }], "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "Status" }, { "url" : "name", "valueString" : "isInterventionOrder" }, { "url" : "statement", "valueString" : "//Intervention, Order\ndefine fluent function isInterventionOrder(ServiceRequest List):\n ServiceRequest S\n where S.status in { 'active', 'completed' }\n and S.intent in {'order', 'original-order', 'reflex-order', 'filler-order', 'instance-order'}" }, { "url" : "displaySequence", "valueInteger" : 92 }], "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "FHIRHelpers" }, { "url" : "name", "valueString" : "ToString" }, { "url" : "statement", "valueString" : "define function ToString(value ServiceRequestStatus): value.value" }, { "url" : "displaySequence", "valueInteger" : 93 }], "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "FHIRHelpers" }, { "url" : "name", "valueString" : "ToString" }, { "url" : "statement", "valueString" : "define function ToString(value ServiceRequestIntent): value.value" }, { "url" : "displaySequence", "valueInteger" : 94 }], "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "Status" }, { "url" : "name", "valueString" : "isInterventionPerformed" }, { "url" : "statement", "valueString" : "//Intervention, Performed\ndefine fluent function isInterventionPerformed(Proc List):\n Proc P\n where P.status ~ 'completed'" }, { "url" : "displaySequence", "valueInteger" : 95 }], "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "FHIRCommon" }, { "url" : "name", "valueString" : "prevalenceInterval" }, { "url" : "statement", "valueString" : "/*\n@description: Returns an interval representing the normalized prevalence period of a given Condition resource.\n@comment: Uses the toInterval and toAbatementInterval functions to determine the widest potential interval from\nonset to abatement as specified in the given Condition.\n*/\ndefine fluent function prevalenceInterval(condition Condition):\nif condition.clinicalStatus ~ \"active\"\n or condition.clinicalStatus ~ \"recurrence\"\n or condition.clinicalStatus ~ \"relapse\" then\n Interval[start of condition.onset.toInterval(), end of condition.abatementInterval()]\nelse\n (end of condition.abatementInterval()) abatementDate\n return \n\t if abatementDate is null then\n Interval[start of condition.onset.toInterval(), abatementDate)\n else\n Interval[start of condition.onset.toInterval(), abatementDate]" }, { "url" : "displaySequence", "valueInteger" : 96 }], "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "FHIRCommon" }, { "url" : "name", "valueString" : "abatementInterval" }, { "url" : "statement", "valueString" : "/*\n@description: Returns an interval representing the normalized Abatement of a given Condition resource.\n@comment: @comment: If the abatement element of the Condition is represented as a DateTime, the result\nis an interval beginning and ending on that DateTime.\nIf the abatement is represented as a Quantity, the quantity is expected to be a calendar-duration and is interpreted as the age of the patient. The\nresult is an interval from the date the patient turned that age to immediately before one year later.\nIf the abatement is represented as a Quantity Interval, the quantities are expected to be calendar-durations and are interpreted as an age range during\nwhich the abatement occurred. The result is an interval from the date the patient turned the starting age of the quantity interval, and ending immediately\nbefore one year later than the date the patient turned the ending age of the quantity interval.\n\nNOTE: Due to the complexity of determining an interval from a String, this function will throw\na run-time exception if used with a Condition instance that has a String as the abatement value.\n*/\ndefine fluent function abatementInterval(condition Condition):\n if condition.abatement is FHIR.dateTime then\n Interval[FHIRHelpers.ToDateTime(condition.abatement as FHIR.dateTime), FHIRHelpers.ToDateTime(condition.abatement as FHIR.dateTime)]\n else if condition.abatement is FHIR.Period then\n FHIRHelpers.ToInterval(condition.abatement as FHIR.Period)\n else if condition.abatement is FHIR.string then\n Message(null as Interval, true, 'NOT_IMPLEMENTED', 'Error', 'Calculation of an interval from a String value is not supported')\n else if condition.abatement is FHIR.Age then\n Interval[FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity(condition.abatement as FHIR.Age),\n FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity(condition.abatement as FHIR.Age) + 1 year)\n else if condition.abatement is FHIR.Range then\n Interval[FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity((condition.abatement as FHIR.Range).low),\n FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity((condition.abatement as FHIR.Range).high) + 1 year)\n else if condition.abatement is FHIR.boolean then\n Interval[end of condition.onset.toInterval(), condition.recordedDate)\n else \n null" }, { "url" : "displaySequence", "valueInteger" : 97 }], "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "USCoreCommon" }, { "url" : "name", "valueString" : "race" }, { "url" : "statement", "valueString" : "define fluent function race(patient Patient):\n (patient.ext('http://hl7.org/fhir/us/core/StructureDefinition/us-core-race')) E\n return {\n ombCategory: (E.exts('ombCategory')) o return o.value as FHIR.Coding,\n detailed: (E.exts('detailed')) d return d.value as FHIR.Coding,\n text: E.ext('text').value as FHIR.string\n }" }, { "url" : "displaySequence", "valueInteger" : 98 }], "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" }], "name" : "EffectiveDataRequirements", "status" : "active", "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/library-type", "code" : "module-definition" }] }, "relatedArtifact" : [{ "type" : "depends-on", "display" : "USQualityCore model information", "resource" : "https://madie.cms.gov/Library/USQualityCore-ModelInfo|0.1.0-cibuild" }, { "type" : "depends-on", "display" : "USCore model information", "resource" : "http://hl7.org/fhir/us/cql/Library/USCore-ModelInfo|6.1.0-derived" }, { "type" : "depends-on", "display" : "FHIR model information", "resource" : "http://hl7.org/fhir/uv/cql/Library/FHIR-ModelInfo|4.0.1" }, { "type" : "depends-on", "display" : "Library SDE", "resource" : "https://madie.cms.gov/Library/SupplementalDataElements|6.1.000" }, { "type" : "depends-on", "display" : "Library FHIRHelpers", "resource" : "http://hl7.org/fhir/uv/cql/Library/FHIRHelpers|4.0.1" }, { "type" : "depends-on", "display" : "Library USCommon", "resource" : "http://hl7.org/fhir/us/cql/Library/USCoreCommon|2.0.0-ballot" }, { "type" : "depends-on", "display" : "Library FHIRCommon", "resource" : "http://hl7.org/fhir/uv/cql/Library/FHIRCommon|2.0.0" }, { "type" : "depends-on", "display" : "Library Status", "resource" : "https://madie.cms.gov/Library/Status|2.1.000" }, { "type" : "depends-on", "display" : "Library Hospice", "resource" : "https://madie.cms.gov/Library/Hospice|7.1.000" }, { "type" : "depends-on", "display" : "Code system SNOMEDCT", "resource" : "http://snomed.info/sct" }, { "type" : "depends-on", "display" : "Code system ConditionVerificationStatusCodes", "resource" : "http://terminology.hl7.org/CodeSystem/condition-ver-status" }, { "type" : "depends-on", "display" : "Code system ICD10", "resource" : "http://www.cms.gov/Medicare/Coding/ICD10" }, { "type" : "depends-on", "display" : "Code system CVX", "resource" : "http://hl7.org/fhir/sid/cvx" }, { "type" : "depends-on", "display" : "Code system CPT", "resource" : "http://www.ama-assn.org/go/cpt" }, { "type" : "depends-on", "display" : "Code system LOINC", "resource" : "http://loinc.org" }, { "type" : "depends-on", "display" : "Code system ConditionClinicalStatusCodes", "resource" : "http://terminology.hl7.org/CodeSystem/condition-clinical" }, { "type" : "depends-on", "display" : "Value set DTaP Vaccine", "resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.196.12.1214" }, { "type" : "depends-on", "display" : "Value set DTaP Vaccine Administered", "resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1022" }, { "type" : "depends-on", "display" : "Value set Anaphylactic Reaction to DTaP Vaccine", "resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.199.12.1031" }, { "type" : "depends-on", "display" : "Value set Encephalitis Due to Diphtheria, Tetanus or Pertussis Vaccine", "resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.1164" }, { "type" : "depends-on", "display" : "Value set Inactivated Polio Vaccine (IPV)", "resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.196.12.1219" }, { "type" : "depends-on", "display" : "Value set Inactivated Polio Vaccine (IPV) Administered", "resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1045" }, { "type" : "depends-on", "display" : "Value set Measles, Mumps and Rubella (MMR) Vaccine", "resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.196.12.1224" }, { "type" : "depends-on", "display" : "Value set Measles, Mumps and Rubella (MMR) Vaccine Administered", "resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1031" }, { "type" : "depends-on", "display" : "Value set Measles", "resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1053" }, { "type" : "depends-on", "display" : "Value set Mumps", "resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1032" }, { "type" : "depends-on", "display" : "Value set Rubella", "resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1037" }, { "type" : "depends-on", "display" : "Value set Hib Vaccine (3 dose schedule)", "resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1083" }, { "type" : "depends-on", "display" : "Value set Hib Vaccine (3 dose schedule) 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"http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307" }] }, { "type" : "Encounter", "profile" : ["http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-encounter"], "mustSupport" : ["type", "period"], "codeFilter" : [{ "path" : "type", "valueSet" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.1003" }] }, { "type" : "Observation", "profile" : ["http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-observation-screening-assessment"], "mustSupport" : ["code", "value", "effective", "status"], "codeFilter" : [{ "path" : "code", "code" : [{ "system" : "http://loinc.org", "code" : "45755-6", "display" : "Hospice care [Minimum Data Set]" }] }, { "path" : "value" }] }, { "type" : "ServiceRequest", "profile" : ["http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-servicerequest"], "mustSupport" : ["code", "authoredOn"], "codeFilter" : [{ "path" : "code", "valueSet" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1584" }], "dateFilter" : [{ "path" : "authoredOn", "valuePeriod" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/cqf-expression", "valueExpression" : { "language" : "text/cql-identifier", "expression" : "Measurement Period" } }] } }] }, { "type" : "Procedure", "profile" : ["http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-procedure"], "mustSupport" : ["code", "performed"], "codeFilter" : [{ "path" : "code", "valueSet" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1584" }] }] }], "extension" : [{ "id" : "supplementalDataGuidance", "extension" : [{ "url" : "guidance", "valueString" : "For every patient evaluated by this measure also identify payer, race, ethnicity and sex" }, { "url" : "usage", "valueCodeableConcept" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/measure-data-usage", "code" : "supplemental-data", "display" : "Supplemental Data" }], "text" : "Supplemental Data Guidance" } }], "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance" }, { "extension" : [{ "url" : "term", "valueString" : "Recommended vaccines" }, { "url" : "definition", "valueMarkdown" : "Vaccines and the schedule of vaccines as recommended by the ACIP for children two years of age. The measure may differ slightly from the ACIP recommendations because the measure focuses on immunizations that are appropriate by age 2. Also, there may be small differences when there are shortages for a particular vaccine." }], "url" : "http://hl7.org/fhir/StructureDefinition/cqf-definitionTerm" }, { "url" : "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem", "valueReference" : { "reference" : "Device/cqf-tooling" } }, { "url" : "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-effectiveDataRequirements", "valueCanonical" : "#effective-data-requirements" }], "url" : "https://madie.cms.gov/Measure/CMS117FHIRChildImmunStatus", "identifier" : [{ "use" : "usual", "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/artifact-identifier-type", "code" : "short-name", "display" : "Short Name" }] }, "system" : "https://madie.cms.gov/measure/shortName", "value" : "CMS117FHIR" }, { "use" : "official", "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/artifact-identifier-type", "code" : "version-independent", "display" : "Version Independent" }] }, "system" : "urn:ietf:rfc:3986", "value" : "urn:uuid:020b451b-0c5e-4582-b069-90128f33a482" }, { "use" : "official", "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/artifact-identifier-type", "code" : "version-specific", "display" : "Version Specific" }] }, "system" : "urn:ietf:rfc:3986", "value" : "urn:uuid:2759acfc-8993-4117-955b-c9e3046b06ec" }, { "use" : "official", "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/artifact-identifier-type", "code" : "publisher", "display" : "Publisher" }] }, "system" : "https://madie.cms.gov/measure/cmsId", "value" : "117FHIR", "assigner" : { "display" : "CMS" } }], "version" : "1.0.000", "name" : "CMS117FHIRChildImmunStatus", "title" : "Childhood Immunization StatusFHIR", "status" : "active", "experimental" : false, "date" : "2026-01-16T18:18:12+00:00", "publisher" : "National Committee for Quality Assurance", "contact" : [{ "telecom" : [{ "system" : "url", "value" : "https://www.ncqa.org/" }] }], "description" : "Percentage of children 2 years of age who had four diphtheria, tetanus and acellular pertussis (DTaP); three polio (IPV), one measles, mumps and rubella (MMR); three or four H influenza type B (HiB); three hepatitis B (HepB); one chicken pox (VZV); four pneumococcal conjugate (PCV); one hepatitis A (HepA); two or three rotavirus (RV); and two influenza (flu) vaccines by their second birthday", "usage" : "The measure allows a grace period by measuring compliance with these recommendations between birth and age two. This eCQM is a patient-based measure. This FHIR-based measure has been derived from the QDM-based measure: CMS117v14. Please refer to the HL7 QI-Core Implementation Guide (https://hl7.org/fhir/us/qicore/STU6/) for more information on QI-Core and mapping recommendations from QDM to QI-Core STU 6. (https://hl7.org/fhir/us/qicore/STU6/qdm-to-qicore.html).", "copyright" : "This Physician Performance Measure (Measure) and related data specifications are owned and were developed by the National Committee for Quality Assurance (NCQA). NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties or endorsements about the quality of any product, test or protocol identified as numerator compliant or otherwise identified as meeting the requirements of the measure or specification. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications. NCQA holds a copyright in the Measure. The Measure may be used for internal, noncommercial purposes (e.g., use by healthcare providers in connection with their practices) without obtaining approval from NCQA. All other uses, including a commercial use (including but not limited to vendors using or embedding the measures and specifications into any product or service to calculate measure results for customers for any purpose), must be approved by NCQA and are subject to a license at the discretion of NCQA. (C) 2012-2025 National Committee for Quality Assurance. All Rights Reserved. Limited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any third-party codes contained in the specifications. CPT(R) codes, descriptions and other data are copyright 2025. American Medical Association. All rights reserved. CPT is a trademark of the American Medical Association. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein. Applicable FARS/DFARS restrictions apply to government use. Some measure specifications contain coding from LOINC(R) (https://loinc.org). The LOINC table, LOINC codes, LOINC panels and form file, LOINC linguistic variants file, LOINC/RSNA Radiology Playbook, and LOINC/IEEE Medical Device Code Mapping Table are copyright 2004-2025 Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee, and are available at no cost under the license at https://loinc.org/kb/license/. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2024 International Health Terminology Standards Development Organisation. ICD-10 copyright 2025 World Health Organization. All Rights Reserved. Some measures use RxNorm, a standardized nomenclature and coding for clinical drugs and drug delivery devices, which is made publicly available courtesy of the U.S. National Library of Medicine (NLM), National Institutes of Health, Department of Health and Human Services. NLM is not responsible for the measures and does not endorse or recommend this or any other product. “HL7” is the registered trademark of Health Level Seven International.", "effectivePeriod" : { "start" : "2026-01-01", "end" : "2026-12-31" }, "author" : [{ "name" : "National Committee for Quality Assurance", "telecom" : [{ "system" : "url", "value" : "https://www.ncqa.org/" }] }], "relatedArtifact" : [{ "type" : "citation", "citation" : "Carrico, J., La, E.M., Talbird, S.E., et al. (2022). Value of the Immunization Program for Children in the 2017 US Birth Cohort. Pediatrics, 150(3). doi:10.1542/peds.2021-056007" }, { "type" : "citation", "citation" : "Centers for Disease Control and Prevention. (2023). Recommended Child and Adolescent Immunization Schedule for Ages 18 Years or Younger, United States. Retrieved August 23, 2023, from https://www.cdc.gov/vaccines/schedules/hcp/imz/child-adolescent.html" }, { "type" : "citation", "citation" : "Grohskopf, L.A., Blanton, L.H., Ferdinands, J.M., et al. (2023). Prevention and Control of Seasonal Influenza with Vaccines: Recommendations of the Advisory Committee on Immunization Practices — United States, 2023-24 Influenza Season. MMWR. Recommendations and Reports, 72(2), 1–25. DOI: http://dx.doi.org/10.15585/mmwr.rr7202a1" }, { "type" : "citation", "citation" : "Talbird, S.E., Carrico, J., La, E.M., et al. (2022). Impact of Routine Childhood Immunization in Reducing Vaccine-Preventable Diseases in the United States. Pediatrics, 150(3). doi:10.1542/peds.2021-056013" }, { "type" : "citation", "citation" : "United States Department of Health and Human Services, Office of Infectious Disease and HIV/AIDS policy (HHS-OIDP). (2022). Vaccines for Infants, Children, and Teens. Retrieved August 23, 2023, from https://www.hhs.gov/immunization/who-and-when/infants-to-teens/index.html" }], "library" : ["https://madie.cms.gov/Library/CMS117FHIRChildImmunStatus"], "disclaimer" : "The performance Measure is not a clinical guideline and does not establish a standard of medical care, and has not been tested for all potential applications. THE MEASURE AND SPECIFICATIONS ARE PROVIDED \"AS IS\" WITHOUT WARRANTY OF ANY KIND. Due to technical limitations, registered trademarks are indicated by (R) or [R] and unregistered trademarks are indicated by (TM) or [TM].", "rationale" : "Infants and toddlers are particularly vulnerable to infectious diseases because their immune systems have not built up the necessary defenses to fight infection (HHS-OIDP, 2022). One study estimated that routine childhood vaccines administered in 2019 prevented 24 million diseases (Talbird et al., 2022). Another recent study estimated that routine childhood vaccinations prevented 17.8 million cases of disease and 31,000 deaths for children born in 2017, in addition to saving $13.7 billion in health care costs (Carrico et al., 2022). Immunizing a child not only protects that child's health but also the health of the community, especially for those who are not immunized or are unable to be immunized due to other health complications (HHS-OIDP, 2022).", "clinicalRecommendationStatement" : "This measure looks for childhood vaccinations that should be completed by age 2, in accordance with the Centers for Disease Control and Prevention Advisory Committee on Immunization Practices (CDC ACIP) recommended child and adolescent immunization schedule (CDC, 2023). -- For the 2023–24 season, see the 2023–24 ACIP influenza vaccine recommendations (Grohskopf, 2023).", "group" : [{ "id" : "Group_1", "extension" : [{ "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring", "valueCodeableConcept" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/measure-scoring", "code" : "proportion", "display" : "Proportion" }] } }, { "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis", "valueCode" : "boolean" }, { "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-type", "valueCodeableConcept" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/measure-type", "code" : "process", "display" : "Process" }] } }, { "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation", "valueCode" : "None" }, { "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-improvementNotation", "valueCodeableConcept" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/measure-improvement-notation", "code" : "increase", "display" : "Increased score indicates improvement" }] } }], "population" : [{ "id" : "InitialPopulation_1", "code" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/measure-population", "code" : "initial-population", "display" : "Initial Population" }] }, "description" : "Children who turn 2 years of age during the measurement period and have a visit during the measurement period", "criteria" : { "language" : "text/cql-identifier", "expression" : "Initial Population" } }, { "id" : "Denominator_1", "code" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/measure-population", "code" : "denominator", "display" : "Denominator" }] }, "description" : "Equals Initial Population", "criteria" : { "language" : "text/cql-identifier", "expression" : "Denominator" } }, { "id" : "DenominatorExclusion_1", "code" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/measure-population", "code" : "denominator-exclusion", "display" : "Denominator Exclusion" }] }, "description" : "Exclude children who are in hospice care for any part of the measurement period. Exclude children with any of the following on or before the child’s second birthday: - Severe combined immunodeficiency - Immunodeficiency - Human Immunodeficiency Virus (HIV) - Lymphoreticular cancer, multiple myeloma or leukemia - Intussusception", "criteria" : { "language" : "text/cql-identifier", "expression" : "Denominator Exclusions" } }, { "id" : "Numerator_1", "code" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/measure-population", "code" : "numerator", "display" : "Numerator" }] }, "description" : "DTaP Children with any of the following on or before the child’s second birthday meet criteria: - At least four DTaP vaccinations, with different dates of service. Do not count a vaccination administered prior to 42 days after birth. - Anaphylaxis due to the diphtheria, tetanus or pertussis vaccine. - Encephalitis due to the diphtheria, tetanus or pertussis vaccine. IPV Children with either of the following on or before the child’s second birthday meet criteria: - At least three IPV vaccinations, with different dates of service. Do not count a vaccination administered prior to 42 days after birth. - Anaphylaxis due to the IPV vaccine. MMR Children with any of the following meet criteria: - At least one MMR vaccination on or between the child’s first and second birthdays. - Anaphylaxis due to the MMR vaccine on or before the child’s second birthday. - All of the following anytime on or before the child’s second birthday (on the same or different date of service): - History of measles. - History of mumps. - History of rubella. HiB Children with either of the following meet criteria on or before the child’s second birthday: - At least three HiB vaccinations, with different dates of service. Do not count a vaccination administered prior to 42 days after birth. - Anaphylaxis due to the HiB vaccine. HepB Children with any of the following on or before the child’s second birthday meet criteria: - At least three hepatitis B vaccinations, with different dates of service. - One of the three vaccinations can be a newborn hepatitis B vaccination during the eight-day period that begins on the date of birth and ends seven days after the date of birth. For example, if the member’s date of birth is December 1, the newborn hepatitis B vaccination must be on or between December 1 and December 8. - Anaphylaxis due to the hepatitis B vaccine. - History of hepatitis B illness. VZV Children with any of the following meet criteria: - At least one VZV vaccination, with a date of service on or between the child’s first and second birthdays. - Anaphylaxis due to the VZV vaccine on or before the child’s second birthday. - History of varicella zoster (e.g., chicken pox) illness on or before the child’s second birthday. PCV Children with either of the following on or before the child’s second birthday meet criteria: - At least four pneumococcal conjugate vaccinations, with different dates of service on or before the child’s second birthday. Do not count a vaccination administered prior to 42 days after birth. - Anaphylaxis due to the pneumococcal vaccine. HepA Children with any of the following meet criteria: - At least one hepatitis A vaccination, with a date of service on or between the child’s first and second birthdays. - Anaphylaxis due to the hepatitis A vaccine on or before the child’s second birthday. - History of hepatitis A illness on or before the child’s second birthday. RV Children with any of the following meet criteria: - At least two doses of the two-dose rotavirus vaccine on different dates of service on or before the child’s second birthday. Do not count a vaccination administered prior to 42 days after birth. - At least three doses of the three-dose rotavirus vaccine on different dates of service on or before the child’s second birthday. Do not count a vaccination administered prior to 42 days after birth. - At least one dose of the two-dose rotavirus vaccine and at least two doses of the three-dose rotavirus vaccine, all on different dates of service, on or before the child’s second birthday. Do not count a vaccination administered prior to 42 days after birth. - Anaphylaxis due to the rotavirus vaccine on or before the child’s second birthday. Flu Children with either of the following on or before their second birthday meet criteria: - At least two influenza vaccinations, with different dates of service on or before the child’s second birthday. Do not count a vaccination administered prior to 6 months (180 days) after birth. - One of the two vaccinations can be a Live Attenuated Influenza Vaccine (LAIV) vaccination administered on the child’s second birthday. Do not count a LAIV vaccination administered before the child’s second birthday. - Anaphylaxis due to the influenza vaccine.", "criteria" : { "language" : "text/cql-identifier", "expression" : "Numerator" } }] }], "supplementalData" : [{ "id" : "sde-ethnicity", "usage" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/measure-data-usage", "code" : "supplemental-data" }] }], "description" : "SDE Ethnicity", "criteria" : { "language" : "text/cql-identifier", "expression" : "SDE Ethnicity" } }, { "id" : "sde-payer", "usage" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/measure-data-usage", "code" : "supplemental-data" }] }], "description" : "SDE Payer", "criteria" : { "language" : "text/cql-identifier", "expression" : "SDE Payer" } }, { "id" : "sde-race", "usage" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/measure-data-usage", "code" : "supplemental-data" }] }], "description" : "SDE Race", "criteria" : { "language" : "text/cql-identifier", "expression" : "SDE Race" } }, { "id" : "sde-sex", "usage" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/measure-data-usage", "code" : "supplemental-data" }] }], "description" : "SDE Sex", "criteria" : { "language" : "text/cql-identifier", "expression" : "SDE Sex" } }] }