eCQM QICore Content Implementation Guide
2024.0.0 - CI Build
eCQM QICore Content Implementation Guide
2024.0.0 - CI Build
eCQM QICore Content Implementation Guide, published by cqframework. This guide is not an authorized publication; it is the continuous build for version 2024.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/cqframework/ecqm-content-qicore-2024/ and changes regularly. See the Directory of published versions
| Draft as of 2024-07-09 |
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"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <table class=\"grid dict\">\n \n <tr>\n <th scope=\"row\"><b>Title: </b></th>\n <td style=\"padding-left: 4px;\">Childhood Immunization StatusFHIR</td>\n </tr>\n \n\n \n\n \n <tr>\n <th scope=\"row\"><b>Id: </b></th>\n <td style=\"padding-left: 4px;\">ChildhoodImmunizationStatusFHIR</td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Version: </b></th>\n <td style=\"padding-left: 4px;\">0.1.000</td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Url: </b></th>\n <td style=\"padding-left: 4px;\"><a href=\"Measure-ChildhoodImmunizationStatusFHIR.html\">Childhood Immunization StatusFHIR</a></td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\">\n <b>\n \n \n short-name identifier:\n \n \n </b>\n </th>\n\n <td style=\"padding-left: 4px;\">\n \n <p style=\"margin-bottom: 5px;\">\n <span>CMS117FHIR</span>\n </p>\n \n </td>\n </tr>\n \n <tr>\n <th scope=\"row\">\n <b>\n \n \n version-independent identifier:\n \n \n </b>\n </th>\n\n <td style=\"padding-left: 4px;\">\n \n <p style=\"margin-bottom: 5px;\">\n <span>urn:uuid:020b451b-0c5e-4582-b069-90128f33a482</span>\n </p>\n \n </td>\n </tr>\n \n <tr>\n <th scope=\"row\">\n <b>\n \n \n version-specific identifier:\n \n \n </b>\n </th>\n\n <td style=\"padding-left: 4px;\">\n \n <p style=\"margin-bottom: 5px;\">\n <span>urn:uuid:c8393d3b-dc18-4f63-8d7e-c7976b42abd4</span>\n </p>\n \n </td>\n </tr>\n \n <tr>\n <th scope=\"row\">\n <b>\n \n \n publisher (CMS) identifier:\n \n \n </b>\n </th>\n\n <td style=\"padding-left: 4px;\">\n \n <p style=\"margin-bottom: 5px;\">\n <span>117FHIR</span>\n </p>\n \n </td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Effective Period: </b></th>\n <td style=\"padding-left: 4px;\">2025-01-01..2025-12-31</td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Status: </b></th>\n <td style=\"padding-left: 4px;\">draft</td>\n </tr>\n \n\n \n\n \n <tr>\n <th scope=\"row\"><b>Publisher: </b></th>\n <td style=\"padding-left: 4px;\">National Committee for Quality Assurance</td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Author: </b></th>\n <td style=\"padding-left: 4px;\">National Committee for Quality Assurance</td>\n </tr>\n \n\n \n\n \n <tr>\n <th scope=\"row\"><b>Description: </b></th>\n <td style=\"padding-left: 4px;\"><div><p>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</p>\n</div></td>\n </tr>\n \n\n \n\n \n\n \n\n \n\n \n\n \n <tr>\n <th scope=\"row\"><b>Purpose: </b></th>\n <td style=\"padding-left: 4px;\"><div><p>UNKNOWN</p>\n</div></td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Copyright: </b></th>\n <td style=\"padding-left: 4px;\"><div><p>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 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 can be reproduced and distributed, without modification, for noncommercial purposes (e.g., use by healthcare providers in connection with their practices) without obtaining approval from NCQA. Commercial use is defined as the sale, licensing, or distribution of the Measure for commercial gain, or incorporation of the Measure into a product or service that is sold, licensed or distributed for commercial gain. All commercial uses or requests for modification must be approved by NCQA and are subject to a license at the discretion of NCQA. (C) 2012-2024 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 2024. 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) (http://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 2004-2024 Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee, and are available at no cost under the license at http://loinc.org/terms-of-use. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2023 International Health Terminology Standards Development Organisation. ICD-10 copyright 2024 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.</p>\n</div></td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Disclaimer: </b></th>\n <td style=\"padding-left: 4px;\"><div><p>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].</p>\n</div></td>\n </tr>\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n <tr>\n <th scope=\"row\"><b>Rationale: </b></th>\n <td style=\"padding-left: 4px;\"><div><p>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).</p>\n</div></td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Clinical recommendation statement: </b></th>\n <td style=\"padding-left: 4px;\"><div><p>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).</p>\n</div></td>\n </tr>\n \n\n \n\n \n <tr>\n <th scope=\"row\"><b>Guidance (Usage): </b></th>\n <td style=\"padding-left: 4px;\">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: CMS117v13. Please refer to the HL7 QI-Core Implementation Guide (http://hl7.org/fhir/us/qicore/STU4.1.1/) for more information on QI-Core and mapping recommendations from QDM to QI-Core 4.1.1 (http://hl7.org/fhir/us/qicore/STU4.1.1/qdm-to-qicore.html).</td>\n </tr>\n \n\n \n \n <tr>\n <th scope=\"row\"><b>Population Criteria: </b></th>\n <td style=\"padding-left: 4px;\">\n \n <table class=\"grid-dict\">\n \n <tr>\n <th><b>6528188d4f0107128cb3758f</b></th>\n </tr>\n \n \n <tr>\n <td>Initial Population:</td>\n\n \n \n <td>Children who turn 2 years of age during the measurement period and have a visit during the measurement period</td>\n \n \n\n </tr>\n \n <tr>\n <td>Denominator:</td>\n\n \n \n <td>Equals Initial Population</td>\n \n \n\n </tr>\n \n <tr>\n <td>Denominator Exclusion:</td>\n\n \n \n <td>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</td>\n \n \n\n </tr>\n \n <tr>\n <td>Numerator:</td>\n\n \n \n <td>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.</td>\n \n \n\n </tr>\n \n \n </table>\n \n </td>\n </tr>\n \n \n\n \n\n \n\n \n\n \n <tr>\n <th scope=\"row\"><b>Libraries: </b></th>\n <td style=\"padding-left: 4px;\">\n <table class=\"grid-dict\">\n \n <tr>\n <td><a href=\"Library-ChildhoodImmunizationStatusFHIR.html\">ChildhoodImmunizationStatusFHIR</a></td>\n </tr>\n \n </table>\n </td>\n </tr>\n \n\n \n\n \n \n <tr>\n <th scope=\"row\"><b>Terminology and Other Dependencies: </b></th>\n <td style=\"padding-left: 4px;\">\n \n <li><code>Library/Status|1.8.000</code></li>\n \n <li><code>Library/QICoreCommon|2.1.000</code></li>\n \n <li><code>Library/FHIRHelpers|4.4.000</code></li>\n \n <li><code>Library/Hospice|6.12.000</code></li>\n \n <li><a href=\"http://hl7.org/fhir/R4/codesystem-snomedct.html\">SNOMED CT (all versions)</a></li>\n \n <li><a href=\"http://terminology.hl7.org/5.5.0/CodeSystem-icd10PCS.html\">ICD-10 Procedure Codes</a></li>\n \n <li><a href=\"http://terminology.hl7.org/5.5.0/CodeSystem-CVX.html\">Vaccine Administered Code Set (CVX)</a></li>\n \n <li><a href=\"http://terminology.hl7.org/5.5.0/CodeSystem-CPT.html\">Current Procedural Terminology (CPT®)</a></li>\n \n <li><a href=\"http://terminology.hl7.org/5.5.0/CodeSystem-observation-category.html\">Observation Category Codes</a></li>\n \n <li><a href=\"http://terminology.hl7.org/5.5.0/CodeSystem-v3-loinc.html\">Logical Observation Identifiers, Names and Codes (LOINC)</a></li>\n \n <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.196.12.1214/expansion\">DTaP Vaccine</a></li>\n \n <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.110.12.1022/expansion\">DTaP Vaccine Administered</a></li>\n \n <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.199.12.1031/expansion\">Anaphylactic Reaction to DTaP Vaccine</a></li>\n \n <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.1164/expansion\">http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.1164</a></li>\n \n <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.196.12.1219/expansion\">Inactivated Polio Vaccine (IPV)</a></li>\n \n <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.110.12.1045/expansion\">Inactivated Polio Vaccine (IPV) Administered</a></li>\n \n <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.196.12.1224/expansion\">Measles, Mumps and Rubella (MMR) Vaccine</a></li>\n \n <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.110.12.1031/expansion\">Measles, Mumps and Rubella (MMR) Vaccine Administered</a></li>\n \n <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.110.12.1053/expansion\">Measles</a></li>\n \n <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.110.12.1032/expansion\">Mumps</a></li>\n \n <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.110.12.1037/expansion\">Rubella</a></li>\n \n <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.110.12.1083/expansion\">Hib Vaccine (3 dose schedule)</a></li>\n \n <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.110.12.1084/expansion\">Hib Vaccine (3 dose schedule) Administered</a></li>\n \n <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.110.12.1085/expansion\">Hib Vaccine (4 dose schedule)</a></li>\n \n <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.110.12.1086/expansion\">Hib Vaccine (4 dose schedule) Administered</a></li>\n \n <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.196.12.1216/expansion\">Hepatitis B Vaccine</a></li>\n \n <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.110.12.1042/expansion\">Hepatitis B Vaccine Administered</a></li>\n \n <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.110.12.1025/expansion\">Hepatitis B</a></li>\n \n <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.196.12.1170/expansion\">Varicella Zoster Vaccine (VZV)</a></li>\n \n <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.110.12.1040/expansion\">Varicella Zoster Vaccine (VZV) Administered</a></li>\n \n <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.110.12.1039/expansion\">Varicella Zoster</a></li>\n \n <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.196.12.1221/expansion\">Pneumococcal Conjugate Vaccine</a></li>\n \n <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.110.12.1046/expansion\">Pneumococcal Conjugate Vaccine Administered</a></li>\n \n <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.196.12.1215/expansion\">Hepatitis A Vaccine</a></li>\n \n <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.110.12.1041/expansion\">Hepatitis A Vaccine Administered</a></li>\n \n <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.110.12.1024/expansion\">Hepatitis A</a></li>\n \n <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.110.12.1048/expansion\">Rotavirus Vaccine (2 dose schedule) Administered</a></li>\n \n <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.196.12.1223/expansion\">Rotavirus Vaccine (3 dose schedule)</a></li>\n \n <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.110.12.1047/expansion\">Rotavirus Vaccine (3 dose schedule) Administered</a></li>\n \n <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.196.12.1218/expansion\">Influenza Vaccine</a></li>\n \n <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.110.12.1044/expansion\">Influenza Vaccine Administered</a></li>\n \n <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.110.12.1087/expansion\">http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1087</a></li>\n \n <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.110.12.1088/expansion\">http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1088</a></li>\n \n <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.101.12.1001/expansion\">Office Visit</a></li>\n \n <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.101.12.1016/expansion\">Home Healthcare Services</a></li>\n \n <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.101.12.1024/expansion\">Preventive Care, Established Office Visit, 0 to 17</a></li>\n \n <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.101.12.1022/expansion\">Preventive Care Services, Initial Office Visit, 0 to 17</a></li>\n \n <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.101.12.1089/expansion\">http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1089</a></li>\n \n <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.101.12.1080/expansion\">Telephone Visits</a></li>\n \n <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.666.5.307/expansion\">Encounter Inpatient</a></li>\n \n <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.1003/expansion\">http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.1003</a></li>\n \n <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.526.3.1584/expansion\">Hospice Care Ambulatory</a></li>\n \n <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.1165/expansion\">http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.1165</a></li>\n \n <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.120.12.1007/expansion\">Severe Combined Immunodeficiency</a></li>\n \n <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.120.12.1001/expansion\">Disorders of the Immune System</a></li>\n \n <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.120.12.1003/expansion\">HIV</a></li>\n \n <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.108.12.1009/expansion\">Malignant Neoplasm of Lymphatic and Hematopoietic Tissue</a></li>\n \n <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.199.12.1056/expansion\">Intussusception</a></li>\n \n </td>\n </tr>\n <tr>\n <th scope=\"row\"><b>Parameters:</b></th>\n <td style=\"padding-left: 4px;\">\n <table class=\"grid-dict\">\n <tr>\n <th><b>name</b></th>\n <th><b>use</b></th>\n <th><b>min</b></th>\n <th><b>max</b></th>\n <th><b>type</b></th>\n </tr>\n \n <tr>\n <td>Measurement Period</td>\n <td>In</td>\n <td>0</td>\n <td>1</td>\n <td>Period</td>\n </tr>\n \n <tr>\n <td>Numerator</td>\n <td>Out</td>\n <td>0</td>\n <td>1</td>\n <td>boolean</td>\n </tr>\n \n <tr>\n <td>Denominator</td>\n <td>Out</td>\n <td>0</td>\n <td>1</td>\n <td>boolean</td>\n </tr>\n \n <tr>\n <td>Initial Population</td>\n <td>Out</td>\n <td>0</td>\n <td>1</td>\n <td>boolean</td>\n </tr>\n \n <tr>\n <td>Denominator Exclusions</td>\n <td>Out</td>\n <td>0</td>\n <td>1</td>\n <td>boolean</td>\n </tr>\n \n </table>\n </td>\n </tr>\n\n <tr>\n <th scope=\"row\"><b>DataRequirements:</b></th>\n <td style=\"padding-left: 4px;\">\n <table class=\"grid-dict\">\n <tr>\n <th><b>Resource Type</b></th>\n <th><b>Resource Elements</b></th>\n <th><b>Valueset Name</b></th>\n <th><b>Valueset</b></th>\n </tr>\n \n <tr>\n <td>Patient(<a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-patient.html\">QICorePatient</a>)</td>\n <td>\n \n </td>\n <td>\n \n </td>\n <td/>\n </tr>\n \n <tr>\n <td>Immunization(<a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-immunization.html\">QICoreImmunization</a>)</td>\n <td>\n \n vaccineCode\n \n occurrence\n \n occurrence.value\n \n status\n \n status.value\n \n </td>\n <td>\n \n \n DTaP Vaccine\n \n \n </td>\n <td><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.196.12.1214/expansion\">DTaP Vaccine</a></td>\n </tr>\n \n <tr>\n <td>Immunization(<a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-immunization.html\">QICoreImmunization</a>)</td>\n <td>\n \n vaccineCode\n \n occurrence\n \n occurrence.value\n \n status\n \n status.value\n \n </td>\n <td>\n \n \n Inactivated Polio Vaccine (IPV)\n \n \n </td>\n <td><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.196.12.1219/expansion\">Inactivated Polio Vaccine (IPV)</a></td>\n </tr>\n \n <tr>\n <td>Immunization(<a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-immunization.html\">QICoreImmunization</a>)</td>\n <td>\n \n vaccineCode\n \n occurrence\n \n occurrence.value\n \n status\n \n status.value\n \n </td>\n <td>\n \n \n Measles, Mumps and Rubella (MMR) Vaccine\n \n \n </td>\n <td><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.196.12.1224/expansion\">Measles, Mumps and Rubella (MMR) Vaccine</a></td>\n </tr>\n \n <tr>\n <td>Immunization(<a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-immunization.html\">QICoreImmunization</a>)</td>\n <td>\n \n vaccineCode\n \n occurrence\n \n occurrence.value\n \n status\n \n status.value\n \n </td>\n <td>\n \n \n Hib Vaccine (3 dose schedule)\n \n \n </td>\n <td><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.110.12.1083/expansion\">Hib Vaccine (3 dose schedule)</a></td>\n </tr>\n \n <tr>\n <td>Immunization(<a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-immunization.html\">QICoreImmunization</a>)</td>\n <td>\n \n vaccineCode\n \n occurrence\n \n occurrence.value\n \n status\n \n status.value\n \n </td>\n <td>\n \n \n Hib Vaccine (4 dose schedule)\n \n \n </td>\n <td><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.110.12.1085/expansion\">Hib Vaccine (4 dose schedule)</a></td>\n </tr>\n \n <tr>\n <td>Immunization(<a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-immunization.html\">QICoreImmunization</a>)</td>\n <td>\n \n vaccineCode\n \n occurrence\n \n occurrence.value\n \n status\n \n status.value\n \n </td>\n <td>\n \n \n Hepatitis B Vaccine\n \n \n </td>\n <td><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.196.12.1216/expansion\">Hepatitis B Vaccine</a></td>\n </tr>\n \n <tr>\n <td>Immunization(<a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-immunization.html\">QICoreImmunization</a>)</td>\n <td>\n \n vaccineCode\n \n occurrence\n \n occurrence.value\n \n status\n \n status.value\n \n </td>\n <td>\n \n \n Varicella Zoster Vaccine (VZV)\n \n \n </td>\n <td><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.196.12.1170/expansion\">Varicella Zoster Vaccine (VZV)</a></td>\n </tr>\n \n <tr>\n <td>Immunization(<a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-immunization.html\">QICoreImmunization</a>)</td>\n <td>\n \n vaccineCode\n \n occurrence\n \n occurrence.value\n \n status\n \n status.value\n \n </td>\n <td>\n \n \n Pneumococcal Conjugate Vaccine\n \n \n </td>\n <td><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.196.12.1221/expansion\">Pneumococcal Conjugate Vaccine</a></td>\n </tr>\n \n <tr>\n <td>Immunization(<a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-immunization.html\">QICoreImmunization</a>)</td>\n <td>\n \n vaccineCode\n \n occurrence\n \n occurrence.value\n \n status\n \n status.value\n \n </td>\n <td>\n \n \n Hepatitis A Vaccine\n \n \n </td>\n <td><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.196.12.1215/expansion\">Hepatitis A Vaccine</a></td>\n </tr>\n \n <tr>\n <td>Immunization(<a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-immunization.html\">QICoreImmunization</a>)</td>\n <td>\n \n vaccineCode\n \n occurrence\n \n occurrence.value\n \n status\n \n status.value\n \n </td>\n <td>\n \n </td>\n <td/>\n </tr>\n \n <tr>\n <td>Immunization(<a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-immunization.html\">QICoreImmunization</a>)</td>\n <td>\n \n vaccineCode\n \n occurrence\n \n occurrence.value\n \n status\n \n status.value\n \n </td>\n <td>\n \n \n Rotavirus Vaccine (3 dose schedule)\n \n \n </td>\n <td><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.196.12.1223/expansion\">Rotavirus Vaccine (3 dose schedule)</a></td>\n </tr>\n \n <tr>\n <td>Immunization(<a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-immunization.html\">QICoreImmunization</a>)</td>\n <td>\n \n vaccineCode\n \n occurrence\n \n occurrence.value\n \n status\n \n status.value\n \n </td>\n <td>\n \n \n Child Influenza Vaccine\n \n \n </td>\n <td><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.196.12.1218/expansion\">Influenza Vaccine</a></td>\n </tr>\n \n <tr>\n <td>Immunization(<a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-immunization.html\">QICoreImmunization</a>)</td>\n <td>\n \n vaccineCode\n \n occurrence\n \n occurrence.value\n \n status\n \n status.value\n \n </td>\n <td>\n \n \n Influenza Virus LAIV Vaccine\n \n \n </td>\n <td><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.110.12.1087/expansion\">http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1087</a></td>\n </tr>\n \n <tr>\n <td>Procedure(<a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-procedure.html\">QICoreProcedure</a>)</td>\n <td>\n \n code\n \n performed\n \n status\n \n status.value\n \n </td>\n <td>\n \n \n DTaP Vaccine Administered\n \n \n </td>\n <td><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.110.12.1022/expansion\">DTaP Vaccine Administered</a></td>\n </tr>\n \n <tr>\n <td>Procedure(<a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-procedure.html\">QICoreProcedure</a>)</td>\n <td>\n \n code\n \n performed\n \n status\n \n status.value\n \n </td>\n <td>\n \n \n Inactivated Polio Vaccine (IPV) Administered\n \n \n </td>\n <td><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.110.12.1045/expansion\">Inactivated Polio Vaccine (IPV) Administered</a></td>\n </tr>\n \n <tr>\n <td>Procedure(<a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-procedure.html\">QICoreProcedure</a>)</td>\n <td>\n \n code\n \n performed\n \n status\n \n status.value\n \n </td>\n <td>\n \n \n Measles, Mumps and Rubella (MMR) Vaccine Administered\n \n \n </td>\n <td><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.110.12.1031/expansion\">Measles, Mumps and Rubella (MMR) Vaccine Administered</a></td>\n </tr>\n \n <tr>\n <td>Procedure(<a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-procedure.html\">QICoreProcedure</a>)</td>\n <td>\n \n code\n \n performed\n \n status\n \n status.value\n \n </td>\n <td>\n \n \n Hib Vaccine (3 dose schedule) Administered\n \n \n </td>\n <td><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.110.12.1084/expansion\">Hib Vaccine (3 dose schedule) Administered</a></td>\n </tr>\n \n <tr>\n <td>Procedure(<a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-procedure.html\">QICoreProcedure</a>)</td>\n <td>\n \n code\n \n performed\n \n status\n \n status.value\n \n </td>\n <td>\n \n \n Hib Vaccine (4 dose schedule) Administered\n \n \n </td>\n <td><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.110.12.1086/expansion\">Hib Vaccine (4 dose schedule) Administered</a></td>\n </tr>\n \n <tr>\n <td>Procedure(<a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-procedure.html\">QICoreProcedure</a>)</td>\n <td>\n \n code\n \n performed\n \n status\n \n status.value\n \n </td>\n <td>\n \n \n Hepatitis B Vaccine Administered\n \n \n </td>\n <td><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.110.12.1042/expansion\">Hepatitis B Vaccine Administered</a></td>\n </tr>\n \n <tr>\n <td>Procedure(<a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-procedure.html\">QICoreProcedure</a>)</td>\n <td>\n \n code\n \n performed\n \n status\n \n status.value\n \n </td>\n <td>\n \n </td>\n <td/>\n </tr>\n \n <tr>\n <td>Procedure(<a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-procedure.html\">QICoreProcedure</a>)</td>\n <td>\n \n code\n \n performed\n \n status\n \n status.value\n \n </td>\n <td>\n \n \n Varicella Zoster Vaccine (VZV) Administered\n \n \n </td>\n <td><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.110.12.1040/expansion\">Varicella Zoster Vaccine (VZV) Administered</a></td>\n </tr>\n \n <tr>\n <td>Procedure(<a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-procedure.html\">QICoreProcedure</a>)</td>\n <td>\n \n code\n \n performed\n \n status\n \n status.value\n \n </td>\n <td>\n \n \n Pneumococcal Conjugate Vaccine Administered\n \n \n </td>\n <td><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.110.12.1046/expansion\">Pneumococcal Conjugate Vaccine Administered</a></td>\n </tr>\n \n <tr>\n <td>Procedure(<a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-procedure.html\">QICoreProcedure</a>)</td>\n <td>\n \n code\n \n performed\n \n status\n \n status.value\n \n </td>\n <td>\n \n \n Hepatitis A Vaccine Administered\n \n \n </td>\n <td><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.110.12.1041/expansion\">Hepatitis A Vaccine Administered</a></td>\n </tr>\n \n <tr>\n <td>Procedure(<a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-procedure.html\">QICoreProcedure</a>)</td>\n <td>\n \n code\n \n performed\n \n status\n \n status.value\n \n </td>\n <td>\n \n \n Rotavirus Vaccine (2 dose schedule) Administered\n \n \n </td>\n <td><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.110.12.1048/expansion\">Rotavirus Vaccine (2 dose schedule) Administered</a></td>\n </tr>\n \n <tr>\n <td>Procedure(<a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-procedure.html\">QICoreProcedure</a>)</td>\n <td>\n \n code\n \n performed\n \n status\n \n status.value\n \n </td>\n <td>\n \n \n Rotavirus Vaccine (3 dose schedule) Administered\n \n \n </td>\n <td><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.110.12.1047/expansion\">Rotavirus Vaccine (3 dose schedule) Administered</a></td>\n </tr>\n \n <tr>\n <td>Procedure(<a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-procedure.html\">QICoreProcedure</a>)</td>\n <td>\n \n code\n \n performed\n \n status\n \n status.value\n \n </td>\n <td>\n \n \n Child Influenza Vaccine Administered\n \n \n </td>\n <td><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.110.12.1044/expansion\">Influenza Vaccine Administered</a></td>\n </tr>\n \n <tr>\n <td>Procedure(<a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-procedure.html\">QICoreProcedure</a>)</td>\n <td>\n \n code\n \n performed\n \n status\n \n status.value\n \n </td>\n <td>\n \n \n Influenza Virus LAIV Vaccine Administered\n \n \n </td>\n <td><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.110.12.1088/expansion\">http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1088</a></td>\n </tr>\n \n <tr>\n <td>Procedure(<a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-procedure.html\">QICoreProcedure</a>)</td>\n <td>\n \n code\n \n performed\n \n status\n \n status.value\n \n </td>\n <td>\n \n \n Hospice Care Ambulatory\n \n \n </td>\n <td><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.526.3.1584/expansion\">Hospice Care Ambulatory</a></td>\n </tr>\n \n <tr>\n <td>Condition(<a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-condition.html\">QICoreCondition</a>)</td>\n <td>\n \n code\n \n </td>\n <td>\n \n \n Anaphylactic Reaction to DTaP Vaccine\n \n \n </td>\n <td><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.199.12.1031/expansion\">Anaphylactic Reaction to DTaP Vaccine</a></td>\n </tr>\n \n <tr>\n <td>Condition(<a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-condition.html\">QICoreCondition</a>)</td>\n <td>\n \n code\n \n </td>\n <td>\n \n \n Encephalitis Due to Diphtheria, Tetanus or Pertussis Vaccine\n \n \n </td>\n <td><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.1164/expansion\">http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.1164</a></td>\n </tr>\n \n <tr>\n <td>Condition(<a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-condition.html\">QICoreCondition</a>)</td>\n <td>\n \n code\n \n </td>\n <td>\n \n </td>\n <td/>\n </tr>\n \n <tr>\n <td>Condition(<a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-condition.html\">QICoreCondition</a>)</td>\n <td>\n \n code\n \n </td>\n <td>\n \n </td>\n <td/>\n </tr>\n \n <tr>\n <td>Condition(<a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-condition.html\">QICoreCondition</a>)</td>\n <td>\n \n code\n \n </td>\n <td>\n \n \n Measles\n \n \n </td>\n <td><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.110.12.1053/expansion\">Measles</a></td>\n </tr>\n \n <tr>\n <td>Condition(<a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-condition.html\">QICoreCondition</a>)</td>\n <td>\n \n code\n \n </td>\n <td>\n \n \n Mumps\n \n \n </td>\n <td><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.110.12.1032/expansion\">Mumps</a></td>\n </tr>\n \n <tr>\n <td>Condition(<a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-condition.html\">QICoreCondition</a>)</td>\n <td>\n \n code\n \n </td>\n <td>\n \n \n Rubella\n \n \n </td>\n <td><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.110.12.1037/expansion\">Rubella</a></td>\n </tr>\n \n <tr>\n <td>Condition(<a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-condition.html\">QICoreCondition</a>)</td>\n <td>\n \n code\n \n </td>\n <td>\n \n </td>\n <td/>\n </tr>\n \n <tr>\n <td>Condition(<a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-condition.html\">QICoreCondition</a>)</td>\n <td>\n \n code\n \n </td>\n <td>\n \n </td>\n <td/>\n </tr>\n \n <tr>\n <td>Condition(<a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-condition.html\">QICoreCondition</a>)</td>\n <td>\n \n code\n \n </td>\n <td>\n \n \n Hepatitis B\n \n \n </td>\n <td><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.110.12.1025/expansion\">Hepatitis B</a></td>\n </tr>\n \n <tr>\n <td>Condition(<a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-condition.html\">QICoreCondition</a>)</td>\n <td>\n \n code\n \n </td>\n <td>\n \n \n Varicella Zoster\n \n \n </td>\n <td><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.110.12.1039/expansion\">Varicella Zoster</a></td>\n </tr>\n \n <tr>\n <td>Condition(<a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-condition.html\">QICoreCondition</a>)</td>\n <td>\n \n code\n \n </td>\n <td>\n \n </td>\n <td/>\n </tr>\n \n <tr>\n <td>Condition(<a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-condition.html\">QICoreCondition</a>)</td>\n <td>\n \n code\n \n </td>\n <td>\n \n </td>\n <td/>\n </tr>\n \n <tr>\n <td>Condition(<a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-condition.html\">QICoreCondition</a>)</td>\n <td>\n \n code\n \n </td>\n <td>\n \n \n Hepatitis A\n \n \n </td>\n <td><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.110.12.1024/expansion\">Hepatitis A</a></td>\n </tr>\n \n <tr>\n <td>Condition(<a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-condition.html\">QICoreCondition</a>)</td>\n <td>\n \n code\n \n </td>\n <td>\n \n </td>\n <td/>\n </tr>\n \n <tr>\n <td>Condition(<a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-condition.html\">QICoreCondition</a>)</td>\n <td>\n \n code\n \n </td>\n <td>\n \n </td>\n <td/>\n </tr>\n \n <tr>\n <td>Condition(<a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-condition.html\">QICoreCondition</a>)</td>\n <td>\n \n code\n \n </td>\n <td>\n \n </td>\n <td/>\n </tr>\n \n <tr>\n <td>Condition(<a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-condition.html\">QICoreCondition</a>)</td>\n <td>\n \n code\n \n </td>\n <td>\n \n \n Hospice Diagnosis\n \n \n </td>\n <td><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.1165/expansion\">http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.1165</a></td>\n </tr>\n \n <tr>\n <td>Condition(<a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-condition.html\">QICoreCondition</a>)</td>\n <td>\n \n code\n \n </td>\n <td>\n \n \n Severe Combined Immunodeficiency\n \n \n </td>\n <td><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.120.12.1007/expansion\">Severe Combined Immunodeficiency</a></td>\n </tr>\n \n <tr>\n <td>Condition(<a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-condition.html\">QICoreCondition</a>)</td>\n <td>\n \n code\n \n </td>\n <td>\n \n \n Disorders of the Immune System\n \n \n </td>\n <td><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.120.12.1001/expansion\">Disorders of the Immune System</a></td>\n </tr>\n \n <tr>\n <td>Condition(<a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-condition.html\">QICoreCondition</a>)</td>\n <td>\n \n code\n \n </td>\n <td>\n \n \n HIV\n \n \n </td>\n <td><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.120.12.1003/expansion\">HIV</a></td>\n </tr>\n \n <tr>\n <td>Condition(<a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-condition.html\">QICoreCondition</a>)</td>\n <td>\n \n code\n \n </td>\n <td>\n \n \n Malignant Neoplasm of Lymphatic and Hematopoietic Tissue\n \n \n </td>\n <td><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.108.12.1009/expansion\">Malignant Neoplasm of Lymphatic and Hematopoietic Tissue</a></td>\n </tr>\n \n <tr>\n <td>Condition(<a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-condition.html\">QICoreCondition</a>)</td>\n <td>\n \n code\n \n </td>\n <td>\n \n \n Intussusception\n \n \n </td>\n <td><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.199.12.1056/expansion\">Intussusception</a></td>\n </tr>\n \n <tr>\n <td>Encounter(<a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-encounter.html\">QICoreEncounter</a>)</td>\n <td>\n \n type\n \n status\n \n status.value\n \n period\n \n </td>\n <td>\n \n </td>\n <td/>\n </tr>\n \n <tr>\n <td>Encounter(<a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-encounter.html\">QICoreEncounter</a>)</td>\n <td>\n \n type\n \n status\n \n status.value\n \n period\n \n </td>\n <td>\n \n \n Office Visit\n \n \n </td>\n <td><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.101.12.1001/expansion\">Office Visit</a></td>\n </tr>\n \n <tr>\n <td>Encounter(<a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-encounter.html\">QICoreEncounter</a>)</td>\n <td>\n \n type\n \n status\n \n status.value\n \n period\n \n </td>\n <td>\n \n \n Home Healthcare Services\n \n \n </td>\n <td><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.101.12.1016/expansion\">Home Healthcare Services</a></td>\n </tr>\n \n <tr>\n <td>Encounter(<a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-encounter.html\">QICoreEncounter</a>)</td>\n <td>\n \n type\n \n status\n \n status.value\n \n period\n \n </td>\n <td>\n \n \n Preventive Care, Established Office Visit, 0 to 17\n \n \n </td>\n <td><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.101.12.1024/expansion\">Preventive Care, Established Office Visit, 0 to 17</a></td>\n </tr>\n \n <tr>\n <td>Encounter(<a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-encounter.html\">QICoreEncounter</a>)</td>\n <td>\n \n type\n \n status\n \n status.value\n \n period\n \n </td>\n <td>\n \n \n Preventive Care Services, Initial Office Visit, 0 to 17\n \n \n </td>\n <td><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.101.12.1022/expansion\">Preventive Care Services, Initial Office Visit, 0 to 17</a></td>\n </tr>\n \n <tr>\n <td>Encounter(<a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-encounter.html\">QICoreEncounter</a>)</td>\n <td>\n \n type\n \n status\n \n status.value\n \n period\n \n </td>\n <td>\n \n \n Virtual Encounter\n \n \n </td>\n <td><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.101.12.1089/expansion\">http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1089</a></td>\n </tr>\n \n <tr>\n <td>Encounter(<a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-encounter.html\">QICoreEncounter</a>)</td>\n <td>\n \n type\n \n status\n \n status.value\n \n period\n \n </td>\n <td>\n \n \n Telephone Visits\n \n \n </td>\n <td><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.101.12.1080/expansion\">Telephone Visits</a></td>\n </tr>\n \n <tr>\n <td>Encounter(<a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-encounter.html\">QICoreEncounter</a>)</td>\n <td>\n \n type\n \n hospitalization\n \n hospitalization.dischargeDisposition\n \n period\n \n status\n \n status.value\n \n </td>\n <td>\n \n \n Encounter Inpatient\n \n \n </td>\n <td><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.666.5.307/expansion\">Encounter Inpatient</a></td>\n </tr>\n \n <tr>\n <td>Encounter(<a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-encounter.html\">QICoreEncounter</a>)</td>\n <td>\n \n type\n \n period\n \n status\n \n status.value\n \n </td>\n <td>\n \n \n Hospice Encounter\n \n \n </td>\n <td><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.1003/expansion\">http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.1003</a></td>\n </tr>\n \n <tr>\n <td>Observation(<a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-observation.html\">QICoreObservation</a>)</td>\n <td>\n \n code\n \n value\n \n effective\n \n status\n \n status.value\n \n category\n \n </td>\n <td>\n \n </td>\n <td/>\n </tr>\n \n <tr>\n <td>ServiceRequest(<a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-servicerequest.html\">QICoreServiceRequest</a>)</td>\n <td>\n \n code\n \n authoredOn\n \n authoredOn.value\n \n status\n \n status.value\n \n intent\n \n intent.value\n \n </td>\n <td>\n \n \n Hospice Care Ambulatory\n \n \n </td>\n <td><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.526.3.1584/expansion\">Hospice Care Ambulatory</a></td>\n </tr>\n \n </table>\n </td>\n </tr>\n\n \n <tr>\n <th scope=\"row\"><b>Direct Reference Codes:</b></th>\n <td style=\"padding-left: 4px;\">\n <table class=\"grid-dict\">\n <tr>\n <th><b>display</b></th>\n <th><b>code</b></th>\n <th><b>system</b></th>\n </tr>\n \n <tr>\n <td>Anaphylaxis caused by vaccine product containing human poliovirus antigen (disorder)</td>\n <td>471321000124106</td>\n <td><a href=\"http://hl7.org/fhir/R4/codesystem-snomedct.html\">http://snomed.info/sct</a></td>\n </tr>\n \n <tr>\n <td>Anaphylaxis caused by vaccine product containing Measles morbillivirus and Mumps orthorubulavirus and Rubella virus antigens (disorder)</td>\n <td>471331000124109</td>\n <td><a href=\"http://hl7.org/fhir/R4/codesystem-snomedct.html\">http://snomed.info/sct</a></td>\n </tr>\n \n <tr>\n <td>Anaphylaxis caused by vaccine product containing only Haemophilus influenzae type b antigen (disorder)</td>\n <td>433621000124101</td>\n <td><a href=\"http://hl7.org/fhir/R4/codesystem-snomedct.html\">http://snomed.info/sct</a></td>\n </tr>\n \n <tr>\n <td>Introduction of Serum, Toxoid and Vaccine into Muscle, Percutaneous Approach</td>\n <td>3E0234Z</td>\n <td><a href=\"http://terminology.hl7.org/5.5.0/CodeSystem-icd10PCS.html\">http://www.cms.gov/Medicare/Coding/ICD10</a></td>\n </tr>\n \n <tr>\n <td>Anaphylaxis caused by vaccine product containing Hepatitis B virus antigen (disorder)</td>\n <td>428321000124101</td>\n <td><a href=\"http://hl7.org/fhir/R4/codesystem-snomedct.html\">http://snomed.info/sct</a></td>\n </tr>\n \n <tr>\n <td>Anaphylaxis caused by vaccine containing Human alphaherpesvirus 3 antigen (disorder)</td>\n <td>471341000124104</td>\n <td><a href=\"http://hl7.org/fhir/R4/codesystem-snomedct.html\">http://snomed.info/sct</a></td>\n </tr>\n \n <tr>\n <td>Anaphylaxis caused by vaccine product containing Streptococcus pneumoniae antigen (disorder)</td>\n <td>471141000124102</td>\n <td><a href=\"http://hl7.org/fhir/R4/codesystem-snomedct.html\">http://snomed.info/sct</a></td>\n </tr>\n \n <tr>\n <td>Anaphylaxis caused by vaccine product containing Hepatitis A virus antigen (disorder)</td>\n <td>471311000124103</td>\n <td><a href=\"http://hl7.org/fhir/R4/codesystem-snomedct.html\">http://snomed.info/sct</a></td>\n </tr>\n \n <tr>\n <td>rotavirus, live, monovalent vaccine</td>\n <td>119</td>\n <td><a href=\"http://terminology.hl7.org/5.5.0/CodeSystem-CVX.html\">http://hl7.org/fhir/sid/cvx</a></td>\n </tr>\n \n <tr>\n <td>Anaphylaxis due to rotavirus vaccine (disorder)</td>\n <td>428331000124103</td>\n <td><a href=\"http://hl7.org/fhir/R4/codesystem-snomedct.html\">http://snomed.info/sct</a></td>\n </tr>\n \n <tr>\n <td>Anaphylaxis caused by vaccine product containing Influenza virus antigen (disorder)</td>\n <td>471361000124100</td>\n <td><a href=\"http://hl7.org/fhir/R4/codesystem-snomedct.html\">http://snomed.info/sct</a></td>\n </tr>\n \n <tr>\n <td>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</td>\n <td>99211</td>\n <td><a href=\"http://terminology.hl7.org/5.5.0/CodeSystem-CPT.html\">http://www.ama-assn.org/go/cpt</a></td>\n </tr>\n \n <tr>\n <td>Discharge to home for hospice care (procedure)</td>\n <td>428361000124107</td>\n <td><a href=\"http://hl7.org/fhir/R4/codesystem-snomedct.html\">http://snomed.info/sct</a></td>\n </tr>\n \n <tr>\n <td>Discharge to healthcare facility for hospice care (procedure)</td>\n <td>428371000124100</td>\n <td><a href=\"http://hl7.org/fhir/R4/codesystem-snomedct.html\">http://snomed.info/sct</a></td>\n </tr>\n \n <tr>\n <td>survey</td>\n <td>survey</td>\n <td><a href=\"http://hl7.org/fhir/R4/codesystem-observation-category.html\">http://terminology.hl7.org/CodeSystem/observation-category</a></td>\n </tr>\n \n <tr>\n <td>Yes (qualifier value)</td>\n <td>373066001</td>\n <td><a href=\"http://hl7.org/fhir/R4/codesystem-snomedct.html\">http://snomed.info/sct</a></td>\n </tr>\n \n <tr>\n <td>Hospice care [Minimum Data Set]</td>\n <td>45755-6</td>\n <td><a href=\"http://terminology.hl7.org/5.5.0/CodeSystem-v3-loinc.html\">http://loinc.org</a></td>\n </tr>\n \n </table>\n </td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Logic Definitions:</b></th>\n <td style=\"padding-left: 4px;\">\n \n <table class=\"grid-dict\">\n <tr>\n <th><b>Group</b></th>\n <th><b>Scoring</b></th>\n <th><b>Population Criteria</b></th>\n <th><b>Expression</b></th>\n </tr>\n <tr>\n \n <td> 6528188d4f0107128cb3758f </td>\n <td colspan=\"3\" style=\"padding-left: 4px;\">\n \n <b>Group scoring:</b>\n \n <span> proportion </span>\n \n \n\n \n\n \n\n \n\n \n <tr>\n \n <th scope=\"row\"><b>Type: </b></th>\n <td style=\"padding-left: 4px;\">\n \n \n <p style=\"margin-bottom: 5px;\">\n <span>Process </span>\n </p>\n \n \n \n </td>\n \n </tr>\n \n\n \n\n \n <tr>\n <th scope=\"row\"><b>Rate Aggregation: </b></th>\n <td colspan=\"3\" style=\"padding-left: 4px;\">None</td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Improvement Notation: </b></th>\n <td style=\"padding-left: 4px;\">\n \n \n \n <p style=\"margin-bottom: 5px;\">\n <span>increase </span>\n </p>\n \n \n \n \n </td>\n </tr>\n \n\n \n\n </td>\n \n <tr>\n <td/>\n <td/>\n <td>Initial Population</td>\n <td>\n \n <pre><code class=\"language-cql\">define "Initial Population":\n AgeInYearsAt(date from \n end of "Measurement Period"\n ) = 2\n and exists ( "Qualifying Encounters" )</code></pre>\n \n </td>\n </tr>\n \n <tr>\n <td/>\n <td/>\n <td>Denominator</td>\n <td>\n \n <pre><code class=\"language-cql\">define "Denominator":\n "Initial Population"</code></pre>\n \n </td>\n </tr>\n \n <tr>\n <td/>\n <td/>\n <td>Denominator Exclusion</td>\n <td>\n \n <pre><code class=\"language-cql\">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"</code></pre>\n \n </td>\n </tr>\n \n <tr>\n <td/>\n <td/>\n <td>Numerator</td>\n <td>\n \n <pre><code class=\"language-cql\">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 )</code></pre>\n \n </td>\n </tr>\n \n \n \n </tr>\n </table>\n \n\n <table class=\"grid-dict\">\n \n <tr>\n <th><b>Library Name</b></th>\n <th><b>Name</b></th>\n </tr>\n <tr>\n \n <td>ChildhoodImmunizationStatusFHIR</td>\n \n \n <td>Date of Second Birthday</td>\n \n </tr>\n <tr>\n \n <td/>\n <td>\n <pre class=\"highlight language-cql\"><code class=\"language-cql\">define "Date of Second Birthday":\n Patient.birthDate + 2 years</code></pre>\n </td>\n \n </tr>\n \n <tr>\n <th><b>Library Name</b></th>\n <th><b>Name</b></th>\n </tr>\n <tr>\n \n <td>ChildhoodImmunizationStatusFHIR</td>\n \n \n <td>Vaccine Administration Interval - 42 Days up to 2 Years Old</td>\n \n </tr>\n <tr>\n \n <td/>\n <td>\n <pre class=\"highlight language-cql\"><code class=\"language-cql\">define "Vaccine Administration Interval - 42 Days up to 2 Years Old":\n Interval[date from Patient.birthDate + 42 days, "Date of Second Birthday"]</code></pre>\n </td>\n \n </tr>\n \n <tr>\n <th><b>Library Name</b></th>\n <th><b>Name</b></th>\n </tr>\n <tr>\n \n <td>ChildhoodImmunizationStatusFHIR</td>\n \n \n <td>DTaP Immunizations or Procedures</td>\n \n </tr>\n <tr>\n \n <td/>\n <td>\n <pre class=\"highlight language-cql\"><code class=\"language-cql\">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 date from DTaPVaccination.occurrence.earliest ( )\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 date from DTaPProcedure.performed.earliest ( )\n )</code></pre>\n </td>\n \n </tr>\n \n <tr>\n <th><b>Library Name</b></th>\n <th><b>Name</b></th>\n </tr>\n <tr>\n \n <td>ChildhoodImmunizationStatusFHIR</td>\n \n \n <td>Four DTaP Vaccinations</td>\n \n </tr>\n <tr>\n \n <td/>\n <td>\n <pre class=\"highlight language-cql\"><code class=\"language-cql\">//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</code></pre>\n </td>\n \n </tr>\n \n <tr>\n <th><b>Library Name</b></th>\n <th><b>Name</b></th>\n </tr>\n <tr>\n \n <td>ChildhoodImmunizationStatusFHIR</td>\n \n \n <td>First Two Years</td>\n \n </tr>\n <tr>\n \n <td/>\n <td>\n <pre class=\"highlight language-cql\"><code class=\"language-cql\">define "First Two Years":\n Interval[date from Patient.birthDate, "Date of Second Birthday"]</code></pre>\n </td>\n \n </tr>\n \n <tr>\n <th><b>Library Name</b></th>\n <th><b>Name</b></th>\n </tr>\n <tr>\n \n <td>ChildhoodImmunizationStatusFHIR</td>\n \n \n <td>DTaP Numerator Inclusion Conditions</td>\n \n </tr>\n <tr>\n \n <td/>\n <td>\n <pre class=\"highlight language-cql\"><code class=\"language-cql\">define "DTaP Numerator Inclusion Conditions":\n ( ( [Condition: "Anaphylactic Reaction to DTaP Vaccine"]\n union [Condition: "Encephalitis Due to Diphtheria, Tetanus or Pertussis Vaccine"]\n ) ) DTaPConditions\n where date from start of DTaPConditions.prevalenceInterval ( ) during day of "First Two Years"</code></pre>\n </td>\n \n </tr>\n \n <tr>\n <th><b>Library Name</b></th>\n <th><b>Name</b></th>\n </tr>\n <tr>\n \n <td>ChildhoodImmunizationStatusFHIR</td>\n \n \n <td>Polio Immunizations or Procedures</td>\n \n </tr>\n <tr>\n \n <td/>\n <td>\n <pre class=\"highlight language-cql\"><code class=\"language-cql\">//Polio\n\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 date from QICoreCommon."Earliest" ( PolioVaccination.occurrence.toInterval ( ) )\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 date from PolioProcedure.performed.earliest ( )\n )</code></pre>\n </td>\n \n </tr>\n \n <tr>\n <th><b>Library Name</b></th>\n <th><b>Name</b></th>\n </tr>\n <tr>\n \n <td>ChildhoodImmunizationStatusFHIR</td>\n \n \n <td>Three Polio Vaccinations</td>\n \n </tr>\n <tr>\n \n <td/>\n <td>\n <pre class=\"highlight language-cql\"><code class=\"language-cql\">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 ( )</code></pre>\n </td>\n \n </tr>\n \n <tr>\n <th><b>Library Name</b></th>\n <th><b>Name</b></th>\n </tr>\n <tr>\n \n <td>ChildhoodImmunizationStatusFHIR</td>\n \n \n <td>Polio Numerator Inclusion Conditions</td>\n \n </tr>\n <tr>\n \n <td/>\n <td>\n <pre class=\"highlight language-cql\"><code class=\"language-cql\">define "Polio Numerator Inclusion Conditions":\n [Condition: "Anaphylaxis caused by vaccine product containing human poliovirus antigen (disorder)"] PolioConditions\n where date from start of PolioConditions.prevalenceInterval ( ) during day of "First Two Years"</code></pre>\n </td>\n \n </tr>\n \n <tr>\n <th><b>Library Name</b></th>\n <th><b>Name</b></th>\n </tr>\n <tr>\n \n <td>ChildhoodImmunizationStatusFHIR</td>\n \n \n <td>Date of First Birthday</td>\n \n </tr>\n <tr>\n \n <td/>\n <td>\n <pre class=\"highlight language-cql\"><code class=\"language-cql\">define "Date of First Birthday":\n date from Patient.birthDate + 1 year</code></pre>\n </td>\n \n </tr>\n \n <tr>\n <th><b>Library Name</b></th>\n <th><b>Name</b></th>\n </tr>\n <tr>\n \n <td>ChildhoodImmunizationStatusFHIR</td>\n \n \n <td>Date of First Birthday to Date of Second Birthday</td>\n \n </tr>\n <tr>\n \n <td/>\n <td>\n <pre class=\"highlight language-cql\"><code class=\"language-cql\">define "Date of First Birthday to Date of Second Birthday":\n Interval["Date of First Birthday", "Date of Second Birthday"]</code></pre>\n </td>\n \n </tr>\n \n <tr>\n <th><b>Library Name</b></th>\n <th><b>Name</b></th>\n </tr>\n <tr>\n \n <td>ChildhoodImmunizationStatusFHIR</td>\n \n \n <td>One MMR Vaccination</td>\n \n </tr>\n <tr>\n \n <td/>\n <td>\n <pre class=\"highlight language-cql\"><code class=\"language-cql\">//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 )</code></pre>\n </td>\n \n </tr>\n \n <tr>\n <th><b>Library Name</b></th>\n <th><b>Name</b></th>\n </tr>\n <tr>\n \n <td>ChildhoodImmunizationStatusFHIR</td>\n \n \n <td>MMR Numerator Inclusion Conditions</td>\n \n </tr>\n <tr>\n \n <td/>\n <td>\n <pre class=\"highlight language-cql\"><code class=\"language-cql\">define "MMR Numerator Inclusion Conditions":\n ( [Condition: "Anaphylaxis caused by vaccine product containing Measles morbillivirus and Mumps orthorubulavirus and Rubella virus antigens (disorder)"] ) MMRConditions\n where date from start of MMRConditions.prevalenceInterval ( ) during day of "First Two Years"</code></pre>\n </td>\n \n </tr>\n \n <tr>\n <th><b>Library Name</b></th>\n <th><b>Name</b></th>\n </tr>\n <tr>\n \n <td>ChildhoodImmunizationStatusFHIR</td>\n \n \n <td>Measles Indicators</td>\n \n </tr>\n <tr>\n \n <td/>\n <td>\n <pre class=\"highlight language-cql\"><code class=\"language-cql\">define "Measles Indicators":\n [Condition: "Measles"] MeaslesDiagnosis\n where date from start of MeaslesDiagnosis.prevalenceInterval ( ) during day of "First Two Years"</code></pre>\n </td>\n \n </tr>\n \n <tr>\n <th><b>Library Name</b></th>\n <th><b>Name</b></th>\n </tr>\n <tr>\n \n <td>ChildhoodImmunizationStatusFHIR</td>\n \n \n <td>Mumps Indicators</td>\n \n </tr>\n <tr>\n \n <td/>\n <td>\n <pre class=\"highlight language-cql\"><code class=\"language-cql\">define "Mumps Indicators":\n [Condition: "Mumps"] MumpsDiagnosis\n where date from start of MumpsDiagnosis.prevalenceInterval ( ) during day of "First Two Years"</code></pre>\n </td>\n \n </tr>\n \n <tr>\n <th><b>Library Name</b></th>\n <th><b>Name</b></th>\n </tr>\n <tr>\n \n <td>ChildhoodImmunizationStatusFHIR</td>\n \n \n <td>Rubella Indicators</td>\n \n </tr>\n <tr>\n \n <td/>\n <td>\n <pre class=\"highlight language-cql\"><code class=\"language-cql\">define "Rubella Indicators":\n [Condition: "Rubella"] RubellaDiagnosis\n where date from start of RubellaDiagnosis.prevalenceInterval ( ) during day of "First Two Years"</code></pre>\n </td>\n \n </tr>\n \n <tr>\n <th><b>Library Name</b></th>\n <th><b>Name</b></th>\n </tr>\n <tr>\n \n <td>ChildhoodImmunizationStatusFHIR</td>\n \n \n <td>Hib 3 Dose Immunizations or Procedures</td>\n \n </tr>\n <tr>\n \n <td/>\n <td>\n <pre class=\"highlight language-cql\"><code class=\"language-cql\">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 date from ThreeDoseHibVaccine.occurrence.earliest ( )\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 date from ThreeDoseHibProcedure.performed.earliest ( )\n )</code></pre>\n </td>\n \n </tr>\n \n <tr>\n <th><b>Library Name</b></th>\n <th><b>Name</b></th>\n </tr>\n <tr>\n \n <td>ChildhoodImmunizationStatusFHIR</td>\n \n \n <td>Hib 4 Dose Immunizations or Procedures</td>\n \n </tr>\n <tr>\n \n <td/>\n <td>\n <pre class=\"highlight language-cql\"><code class=\"language-cql\">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 date from HibVaccine.occurrence.earliest ( )\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 date from HibProcedure.performed.earliest ( )\n )</code></pre>\n </td>\n \n </tr>\n \n <tr>\n <th><b>Library Name</b></th>\n <th><b>Name</b></th>\n </tr>\n <tr>\n \n <td>ChildhoodImmunizationStatusFHIR</td>\n \n \n <td>Hib 3 or 4 Dose Immunizations</td>\n \n </tr>\n <tr>\n \n <td/>\n <td>\n <pre class=\"highlight language-cql\"><code class=\"language-cql\">define "Hib 3 or 4 Dose Immunizations":\n "Hib 3 Dose Immunizations or Procedures"\n union "Hib 4 Dose Immunizations or Procedures"</code></pre>\n </td>\n \n </tr>\n \n <tr>\n <th><b>Library Name</b></th>\n <th><b>Name</b></th>\n </tr>\n <tr>\n \n <td>ChildhoodImmunizationStatusFHIR</td>\n \n \n <td>Has Appropriate Number of Hib Immunizations</td>\n \n </tr>\n <tr>\n \n <td/>\n <td>\n <pre class=\"highlight language-cql\"><code class=\"language-cql\">//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 )</code></pre>\n </td>\n \n </tr>\n \n <tr>\n <th><b>Library Name</b></th>\n <th><b>Name</b></th>\n </tr>\n <tr>\n \n <td>ChildhoodImmunizationStatusFHIR</td>\n \n \n <td>Hib Numerator Inclusion Conditions</td>\n \n </tr>\n <tr>\n \n <td/>\n <td>\n <pre class=\"highlight language-cql\"><code class=\"language-cql\">define "Hib Numerator Inclusion Conditions":\n ( [Condition: "Anaphylaxis caused by vaccine product containing only Haemophilus influenzae type b antigen (disorder)"] ) HibReaction\n where date from start of HibReaction.prevalenceInterval ( ) during day of "First Two Years"</code></pre>\n </td>\n \n </tr>\n \n <tr>\n <th><b>Library Name</b></th>\n <th><b>Name</b></th>\n </tr>\n <tr>\n \n <td>ChildhoodImmunizationStatusFHIR</td>\n \n \n <td>Hepatitis B Immunizations or Procedures</td>\n \n </tr>\n <tr>\n \n <td/>\n <td>\n <pre class=\"highlight language-cql\"><code class=\"language-cql\">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 date from HepatitisBVaccination.occurrence.earliest ( )\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 date from HepatitisBProcedure.performed.earliest ( )\n )</code></pre>\n </td>\n \n </tr>\n \n <tr>\n <th><b>Library Name</b></th>\n <th><b>Name</b></th>\n </tr>\n <tr>\n \n <td>ChildhoodImmunizationStatusFHIR</td>\n \n \n <td>Three Hepatitis B Vaccinations</td>\n \n </tr>\n <tr>\n \n <td/>\n <td>\n <pre class=\"highlight language-cql\"><code class=\"language-cql\">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 ( )</code></pre>\n </td>\n \n </tr>\n \n <tr>\n <th><b>Library Name</b></th>\n <th><b>Name</b></th>\n </tr>\n <tr>\n \n <td>ChildhoodImmunizationStatusFHIR</td>\n \n \n <td>NewBorn Vaccine Requirement</td>\n \n </tr>\n <tr>\n \n <td/>\n <td>\n <pre class=\"highlight language-cql\"><code class=\"language-cql\">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[date from Patient.birthDate, date from Patient.birthDate + 7 days]\n return date from NewBornVaccine.performed.earliest ( )</code></pre>\n </td>\n \n </tr>\n \n <tr>\n <th><b>Library Name</b></th>\n <th><b>Name</b></th>\n </tr>\n <tr>\n \n <td>ChildhoodImmunizationStatusFHIR</td>\n \n \n <td>Meets HepB Vaccination Requirement</td>\n \n </tr>\n <tr>\n \n <td/>\n <td>\n <pre class=\"highlight language-cql\"><code class=\"language-cql\">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 ( )</code></pre>\n </td>\n \n </tr>\n \n <tr>\n <th><b>Library Name</b></th>\n <th><b>Name</b></th>\n </tr>\n <tr>\n \n <td>ChildhoodImmunizationStatusFHIR</td>\n \n \n <td>Hepatitis B Numerator Inclusion Conditions</td>\n \n </tr>\n <tr>\n \n <td/>\n <td>\n <pre class=\"highlight language-cql\"><code class=\"language-cql\">//HepB\n\n\ndefine "Hepatitis B Numerator Inclusion Conditions":\n ( [Condition: "Anaphylaxis caused by vaccine product containing Hepatitis B virus antigen (disorder)"]\n union [Condition: "Hepatitis B"] ) HepBConditions\n where date from start of HepBConditions.prevalenceInterval ( ) during day of "First Two Years"</code></pre>\n </td>\n \n </tr>\n \n <tr>\n <th><b>Library Name</b></th>\n <th><b>Name</b></th>\n </tr>\n <tr>\n \n <td>ChildhoodImmunizationStatusFHIR</td>\n \n \n <td>One Chicken Pox Vaccination</td>\n \n </tr>\n <tr>\n \n <td/>\n <td>\n <pre class=\"highlight language-cql\"><code class=\"language-cql\">//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 )</code></pre>\n </td>\n \n </tr>\n \n <tr>\n <th><b>Library Name</b></th>\n <th><b>Name</b></th>\n </tr>\n <tr>\n \n <td>ChildhoodImmunizationStatusFHIR</td>\n \n \n <td>Varicella Zoster Numerator Inclusion Conditions</td>\n \n </tr>\n <tr>\n \n <td/>\n <td>\n <pre class=\"highlight language-cql\"><code class=\"language-cql\">define "Varicella Zoster Numerator Inclusion Conditions":\n ( ( [Condition: "Varicella Zoster"]\n union [Condition: "Anaphylaxis caused by vaccine containing Human alphaherpesvirus 3 antigen (disorder)"]\n ) ) VaricellaZoster\n where date from start of VaricellaZoster.prevalenceInterval ( ) during day of "First Two Years"</code></pre>\n </td>\n \n </tr>\n \n <tr>\n <th><b>Library Name</b></th>\n <th><b>Name</b></th>\n </tr>\n <tr>\n \n <td>ChildhoodImmunizationStatusFHIR</td>\n \n \n <td>Pneumococcal Conjugate Immunizations or Procedures</td>\n \n </tr>\n <tr>\n \n <td/>\n <td>\n <pre class=\"highlight language-cql\"><code class=\"language-cql\">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 date from PneumococcalVaccination.occurrence.earliest ( )\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 date from PneumococcalProcedure.performed.earliest ( )\n )</code></pre>\n </td>\n \n </tr>\n \n <tr>\n <th><b>Library Name</b></th>\n <th><b>Name</b></th>\n </tr>\n <tr>\n \n <td>ChildhoodImmunizationStatusFHIR</td>\n \n \n <td>Four Pneumococcal Conjugate Vaccinations</td>\n \n </tr>\n <tr>\n \n <td/>\n <td>\n <pre class=\"highlight language-cql\"><code class=\"language-cql\">//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 ( )</code></pre>\n </td>\n \n </tr>\n \n <tr>\n <th><b>Library Name</b></th>\n <th><b>Name</b></th>\n </tr>\n <tr>\n \n <td>ChildhoodImmunizationStatusFHIR</td>\n \n \n <td>Pneumococcal Conjugate Numerator Inclusion Conditions</td>\n \n </tr>\n <tr>\n \n <td/>\n <td>\n <pre class=\"highlight language-cql\"><code class=\"language-cql\">define "Pneumococcal Conjugate Numerator Inclusion Conditions":\n [Condition: "Anaphylaxis caused by vaccine product containing Streptococcus pneumoniae antigen (disorder)"] PneumococcalReaction\n where date from start of PneumococcalReaction.prevalenceInterval ( ) during day of "First Two Years"</code></pre>\n </td>\n \n </tr>\n \n <tr>\n <th><b>Library Name</b></th>\n <th><b>Name</b></th>\n </tr>\n <tr>\n \n <td>ChildhoodImmunizationStatusFHIR</td>\n \n \n <td>One Hepatitis A Vaccinations</td>\n \n </tr>\n <tr>\n \n <td/>\n <td>\n <pre class=\"highlight language-cql\"><code class=\"language-cql\">//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 )</code></pre>\n </td>\n \n </tr>\n \n <tr>\n <th><b>Library Name</b></th>\n <th><b>Name</b></th>\n </tr>\n <tr>\n \n <td>ChildhoodImmunizationStatusFHIR</td>\n \n \n <td>Hepatitis A Numerator Inclusion Conditions</td>\n \n </tr>\n <tr>\n \n <td/>\n <td>\n <pre class=\"highlight language-cql\"><code class=\"language-cql\">define "Hepatitis A Numerator Inclusion Conditions":\n ( [Condition: "Hepatitis A"]\n union [Condition: "Anaphylaxis caused by vaccine product containing Hepatitis A virus antigen (disorder)"] ) HepatitisADiagnosis\n where date from start of HepatitisADiagnosis.prevalenceInterval ( ) during day of "First Two Years"</code></pre>\n </td>\n \n </tr>\n \n <tr>\n <th><b>Library Name</b></th>\n <th><b>Name</b></th>\n </tr>\n <tr>\n \n <td>ChildhoodImmunizationStatusFHIR</td>\n \n \n <td>Rotavirus 2 Dose Immunizations or Procedures</td>\n \n </tr>\n <tr>\n \n <td/>\n <td>\n <pre class=\"highlight language-cql\"><code class=\"language-cql\">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 date from TwoDoseRotavirusVaccine.occurrence.earliest ( )\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 date from TwoDoseRotavirusProcedure.performed.earliest ( )\n )</code></pre>\n </td>\n \n </tr>\n \n <tr>\n <th><b>Library Name</b></th>\n <th><b>Name</b></th>\n </tr>\n <tr>\n \n <td>ChildhoodImmunizationStatusFHIR</td>\n \n \n <td>Rotavirus 3 Dose Immunizations or Procedures</td>\n \n </tr>\n <tr>\n \n <td/>\n <td>\n <pre class=\"highlight language-cql\"><code class=\"language-cql\">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 date from ThreeDoseRotavirusVaccine.occurrence.earliest ( )\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 date from ThreeDoseRotavirusAdministered.performed.earliest ( )\n )</code></pre>\n </td>\n \n </tr>\n \n <tr>\n <th><b>Library Name</b></th>\n <th><b>Name</b></th>\n </tr>\n <tr>\n \n <td>ChildhoodImmunizationStatusFHIR</td>\n \n \n <td>Rotavirus 2 or 3 Dose Immunizations</td>\n \n </tr>\n <tr>\n \n <td/>\n <td>\n <pre class=\"highlight language-cql\"><code class=\"language-cql\">define "Rotavirus 2 or 3 Dose Immunizations":\n "Rotavirus 2 Dose Immunizations or Procedures"\n union "Rotavirus 3 Dose Immunizations or Procedures"</code></pre>\n </td>\n \n </tr>\n \n <tr>\n <th><b>Library Name</b></th>\n <th><b>Name</b></th>\n </tr>\n <tr>\n \n <td>ChildhoodImmunizationStatusFHIR</td>\n \n \n <td>Has Appropriate Number of Rotavirus Immunizations</td>\n \n </tr>\n <tr>\n \n <td/>\n <td>\n <pre class=\"highlight language-cql\"><code class=\"language-cql\">//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 )</code></pre>\n </td>\n \n </tr>\n \n <tr>\n <th><b>Library Name</b></th>\n <th><b>Name</b></th>\n </tr>\n <tr>\n \n <td>ChildhoodImmunizationStatusFHIR</td>\n \n \n <td>Rotavirus Numerator Inclusion Conditions</td>\n \n </tr>\n <tr>\n \n <td/>\n <td>\n <pre class=\"highlight language-cql\"><code class=\"language-cql\">define "Rotavirus Numerator Inclusion Conditions":\n [Condition: "Anaphylaxis due to rotavirus vaccine (disorder)"] RotavirusConditions\n where date from start of RotavirusConditions.prevalenceInterval ( ) during day of "First Two Years"</code></pre>\n </td>\n \n </tr>\n \n <tr>\n <th><b>Library Name</b></th>\n <th><b>Name</b></th>\n </tr>\n <tr>\n \n <td>ChildhoodImmunizationStatusFHIR</td>\n \n \n <td>Vaccine Administration Interval - 180 Days up to 2 Years Old</td>\n \n </tr>\n <tr>\n \n <td/>\n <td>\n <pre class=\"highlight language-cql\"><code class=\"language-cql\">define "Vaccine Administration Interval - 180 Days up to 2 Years Old":\n Interval[date from Patient.birthDate + 180 days, "Date of Second Birthday"]</code></pre>\n </td>\n \n </tr>\n \n <tr>\n <th><b>Library Name</b></th>\n <th><b>Name</b></th>\n </tr>\n <tr>\n \n <td>ChildhoodImmunizationStatusFHIR</td>\n \n \n <td>Influenza Immunizations or Procedures</td>\n \n </tr>\n <tr>\n \n <td/>\n <td>\n <pre class=\"highlight language-cql\"><code class=\"language-cql\">//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 - 42 Days up to 2 Years Old"\n return date from InfluenzaVaccine.occurrence.earliest ( )\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 date from InfluenzaAdministration.performed.earliest ( )\n )</code></pre>\n </td>\n \n </tr>\n \n <tr>\n <th><b>Library Name</b></th>\n <th><b>Name</b></th>\n </tr>\n <tr>\n \n <td>ChildhoodImmunizationStatusFHIR</td>\n \n \n <td>Two Influenza Vaccinations</td>\n \n </tr>\n <tr>\n \n <td/>\n <td>\n <pre class=\"highlight language-cql\"><code class=\"language-cql\">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 ( )</code></pre>\n </td>\n \n </tr>\n \n <tr>\n <th><b>Library Name</b></th>\n <th><b>Name</b></th>\n </tr>\n <tr>\n \n <td>ChildhoodImmunizationStatusFHIR</td>\n \n \n <td>LAIV Vaccinations</td>\n \n </tr>\n <tr>\n \n <td/>\n <td>\n <pre class=\"highlight language-cql\"><code class=\"language-cql\">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 )</code></pre>\n </td>\n \n </tr>\n \n <tr>\n <th><b>Library Name</b></th>\n <th><b>Name</b></th>\n </tr>\n <tr>\n \n <td>ChildhoodImmunizationStatusFHIR</td>\n \n \n <td>Two Influenza Vaccinations Including One LAIV Vaccination</td>\n \n </tr>\n <tr>\n \n <td/>\n <td>\n <pre class=\"highlight language-cql\"><code class=\"language-cql\">define "Two Influenza Vaccinations Including One LAIV Vaccination":\n exists "LAIV Vaccinations"\n and exists "Influenza Immunizations or Procedures"</code></pre>\n </td>\n \n </tr>\n \n <tr>\n <th><b>Library Name</b></th>\n <th><b>Name</b></th>\n </tr>\n <tr>\n \n <td>ChildhoodImmunizationStatusFHIR</td>\n \n \n <td>Influenza Numerator Inclusion Conditions</td>\n \n </tr>\n <tr>\n \n <td/>\n <td>\n <pre class=\"highlight language-cql\"><code class=\"language-cql\">define "Influenza Numerator Inclusion Conditions":\n [Condition: "Anaphylaxis caused by vaccine product containing Influenza virus antigen (disorder)"] InfluenzaConditions\n where date from start of InfluenzaConditions.prevalenceInterval ( ) during day of "First Two Years"</code></pre>\n </td>\n \n </tr>\n \n <tr>\n <th><b>Library Name</b></th>\n <th><b>Name</b></th>\n </tr>\n <tr>\n \n <td>ChildhoodImmunizationStatusFHIR</td>\n \n \n <td>Numerator</td>\n \n </tr>\n <tr>\n \n <td/>\n <td>\n <pre class=\"highlight language-cql\"><code class=\"language-cql\">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 )</code></pre>\n </td>\n \n </tr>\n \n <tr>\n <th><b>Library Name</b></th>\n <th><b>Name</b></th>\n </tr>\n <tr>\n \n <td>ChildhoodImmunizationStatusFHIR</td>\n \n \n <td>Qualifying Encounters</td>\n \n </tr>\n <tr>\n \n <td/>\n <td>\n <pre class=\"highlight language-cql\"><code class=\"language-cql\">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.toInterval ( ) during day of "Measurement Period"</code></pre>\n </td>\n \n </tr>\n \n <tr>\n <th><b>Library Name</b></th>\n <th><b>Name</b></th>\n </tr>\n <tr>\n \n <td>ChildhoodImmunizationStatusFHIR</td>\n \n \n <td>Initial Population</td>\n \n </tr>\n <tr>\n \n <td/>\n <td>\n <pre class=\"highlight language-cql\"><code class=\"language-cql\">define "Initial Population":\n AgeInYearsAt(date from \n end of "Measurement Period"\n ) = 2\n and exists ( "Qualifying Encounters" )</code></pre>\n </td>\n \n </tr>\n \n <tr>\n <th><b>Library Name</b></th>\n <th><b>Name</b></th>\n </tr>\n <tr>\n \n <td>ChildhoodImmunizationStatusFHIR</td>\n \n \n <td>Denominator</td>\n \n </tr>\n <tr>\n \n <td/>\n <td>\n <pre class=\"highlight language-cql\"><code class=\"language-cql\">define "Denominator":\n "Initial Population"</code></pre>\n </td>\n \n </tr>\n \n <tr>\n <th><b>Library Name</b></th>\n <th><b>Name</b></th>\n </tr>\n <tr>\n \n <td>Hospice</td>\n \n \n <td>Has Hospice Services</td>\n \n </tr>\n <tr>\n \n <td/>\n <td>\n <pre class=\"highlight language-cql\"><code class=\"language-cql\">define "Has Hospice Services":\n exists ((([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.toInterval() ends during day of "Measurement Period"\n )\n or exists ((([Encounter: "Hospice Encounter"]).isEncounterPerformed()) HospiceEncounter\n where HospiceEncounter.period.toInterval() overlaps day of "Measurement Period"\n )\n or exists ((([Observation: "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 ((([ServiceRequest: "Hospice Care Ambulatory"]).isInterventionOrder()) HospiceOrder\n where HospiceOrder.authoredOn.toInterval() during day of "Measurement Period"\n // and HospiceOrder.doNotPerform is not true\n // https://oncprojectracking.healthit.gov/support/browse/CQLIT-447\n )\n or exists ((([Procedure: "Hospice Care Ambulatory"]).isInterventionPerformed()) HospicePerformed\n where HospicePerformed.performed.toInterval() overlaps day of "Measurement Period"\n )\n or exists (([Condition: "Hospice Diagnosis"]) HospiceCareDiagnosis\n where HospiceCareDiagnosis.prevalenceInterval() overlaps day of "Measurement Period"\n )</code></pre>\n </td>\n \n </tr>\n \n <tr>\n <th><b>Library Name</b></th>\n <th><b>Name</b></th>\n </tr>\n <tr>\n \n <td>ChildhoodImmunizationStatusFHIR</td>\n \n \n <td>Has Severe Combined Immunodeficiency</td>\n \n </tr>\n <tr>\n \n <td/>\n <td>\n <pre class=\"highlight language-cql\"><code class=\"language-cql\">define "Has Severe Combined Immunodeficiency":\n exists [Condition: "Severe Combined Immunodeficiency"] SevereImmuneDisorder\n where date from start of SevereImmuneDisorder.prevalenceInterval ( ) during day of "First Two Years"</code></pre>\n </td>\n \n </tr>\n \n <tr>\n <th><b>Library Name</b></th>\n <th><b>Name</b></th>\n </tr>\n <tr>\n \n <td>ChildhoodImmunizationStatusFHIR</td>\n \n \n <td>Has Immunodeficiency</td>\n \n </tr>\n <tr>\n \n <td/>\n <td>\n <pre class=\"highlight language-cql\"><code class=\"language-cql\">define "Has Immunodeficiency":\n exists [Condition: "Disorders of the Immune System"] ImmuneDisorder\n where date from start of ImmuneDisorder.prevalenceInterval ( ) during day of "First Two Years"</code></pre>\n </td>\n \n </tr>\n \n <tr>\n <th><b>Library Name</b></th>\n <th><b>Name</b></th>\n </tr>\n <tr>\n \n <td>ChildhoodImmunizationStatusFHIR</td>\n \n \n <td>Has HIV</td>\n \n </tr>\n <tr>\n \n <td/>\n <td>\n <pre class=\"highlight language-cql\"><code class=\"language-cql\">define "Has HIV":\n exists [Condition: "HIV"] HIV\n where date from start of HIV.prevalenceInterval ( ) during day of "First Two Years"</code></pre>\n </td>\n \n </tr>\n \n <tr>\n <th><b>Library Name</b></th>\n <th><b>Name</b></th>\n </tr>\n <tr>\n \n <td>ChildhoodImmunizationStatusFHIR</td>\n \n \n <td>Has Lymphoreticular Cancer, Multiple Myeloma or Leukemia</td>\n \n </tr>\n <tr>\n \n <td/>\n <td>\n <pre class=\"highlight language-cql\"><code class=\"language-cql\">define "Has Lymphoreticular Cancer, Multiple Myeloma or Leukemia":\n exists [Condition: "Malignant Neoplasm of Lymphatic and Hematopoietic Tissue"] LymphaticMalignantNeoplasm\n where date from start of LymphaticMalignantNeoplasm.prevalenceInterval ( ) during day of "First Two Years"</code></pre>\n </td>\n \n </tr>\n \n <tr>\n <th><b>Library Name</b></th>\n <th><b>Name</b></th>\n </tr>\n <tr>\n \n <td>ChildhoodImmunizationStatusFHIR</td>\n \n \n <td>Has Intussusception</td>\n \n </tr>\n <tr>\n \n <td/>\n <td>\n <pre class=\"highlight language-cql\"><code class=\"language-cql\">define "Has Intussusception":\n exists [Condition: "Intussusception"] IntussusceptionDisorder\n where date from start of IntussusceptionDisorder.prevalenceInterval ( ) during day of "First Two Years"</code></pre>\n </td>\n \n </tr>\n \n <tr>\n <th><b>Library Name</b></th>\n <th><b>Name</b></th>\n </tr>\n <tr>\n \n <td>ChildhoodImmunizationStatusFHIR</td>\n \n \n <td>Denominator Exclusions</td>\n \n </tr>\n <tr>\n \n <td/>\n <td>\n <pre class=\"highlight language-cql\"><code class=\"language-cql\">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"</code></pre>\n </td>\n \n </tr>\n \n <tr>\n <th><b>Library Name</b></th>\n <th><b>Name</b></th>\n </tr>\n <tr>\n \n <td>Status</td>\n \n \n <td>isImmunizationAdministered</td>\n \n </tr>\n <tr>\n \n <td/>\n <td>\n <pre class=\"highlight language-cql\"><code class=\"language-cql\">//Immunization, Administered: completed only\ndefine fluent function isImmunizationAdministered(Immunization List<Immunization>):\n Immunization I\n where I.status ~ 'completed'</code></pre>\n </td>\n \n </tr>\n \n <tr>\n <th><b>Library Name</b></th>\n <th><b>Name</b></th>\n </tr>\n <tr>\n \n <td>QICoreCommon</td>\n \n \n <td>earliest</td>\n \n </tr>\n <tr>\n \n <td/>\n <td>\n <pre class=\"highlight language-cql\"><code class=\"language-cql\">/*\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<DateTime, Quantity, Interval<DateTime>, Interval<Quantity>> ):\n (choice.toInterval()) period\n return\n if (period."hasStart"()) then start of period\n else end of period</code></pre>\n </td>\n \n </tr>\n \n <tr>\n <th><b>Library Name</b></th>\n <th><b>Name</b></th>\n </tr>\n <tr>\n \n <td>Status</td>\n \n \n <td>isProcedurePerformed</td>\n \n </tr>\n <tr>\n \n <td/>\n <td>\n <pre class=\"highlight language-cql\"><code class=\"language-cql\">//Procedure, Performed\ndefine fluent function isProcedurePerformed(Proc List<Procedure>):\n Proc P\n where P.status ~ 'completed'</code></pre>\n </td>\n \n </tr>\n \n <tr>\n <th><b>Library Name</b></th>\n <th><b>Name</b></th>\n </tr>\n <tr>\n \n <td>QICoreCommon</td>\n \n \n <td>prevalenceInterval</td>\n \n </tr>\n <tr>\n \n <td/>\n <td>\n <pre class=\"highlight language-cql\"><code class=\"language-cql\">/*\n@description: Returns an interval representing the normalized prevalence period of a given Condition.\n@comment: Uses the ToInterval and ToAbatementInterval functions to determine the widest potential interval from\nonset to abatement as specified in the given Condition. If the condition is active, or has an abatement date the resulting \ninterval will have a closed ending boundary. Otherwise, the resulting interval will have an open ending boundary.\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 if abatementDate is null then\n Interval[start of condition.onset.toInterval(), abatementDate)\n else\n Interval[start of condition.onset.toInterval(), abatementDate]</code></pre>\n </td>\n \n </tr>\n \n <tr>\n <th><b>Library Name</b></th>\n <th><b>Name</b></th>\n </tr>\n <tr>\n \n <td>QICoreCommon</td>\n \n \n <td>Earliest</td>\n \n </tr>\n <tr>\n \n <td/>\n <td>\n <pre class=\"highlight language-cql\"><code class=\"language-cql\">/*\n@description: Given an interval, return the starting point if the interval has a starting boundary specified,\notherwise, return the ending point\n@deprecated: This function is deprecated. Use the fluent function `earliest()` instead\n*/\ndefine function "Earliest"(choice Choice<DateTime, Quantity, Interval<DateTime>, Interval<Quantity>> ):\n (choice.toInterval()) period\n return\n if (HasStart(period)) then start of period\n else end of period</code></pre>\n </td>\n \n </tr>\n \n <tr>\n <th><b>Library Name</b></th>\n <th><b>Name</b></th>\n </tr>\n <tr>\n \n <td>QICoreCommon</td>\n \n \n <td>toInterval</td>\n \n </tr>\n <tr>\n \n <td/>\n <td>\n <pre class=\"highlight language-cql\"><code class=\"language-cql\">/*\n@description: Normalizes a value that is a choice of timing-valued types to an equivalent interval\n@comment: Normalizes a choice type of DateTime, Quanitty, Interval<DateTime>, or Interval<Quantity> 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 QICore, allowing this function to be used across any resource.\nThe input can be provided as a DateTime, Quantity, Interval<DateTime> or Interval<Quantity>.\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 Quantity, the quantity is expected to be a calendar-duration interpreted as an Age,\nand the result is a DateTime Interval beginning on the Date the patient turned that age and ending immediately before one year later.\nIf the input is a DateTime Interval, the result is the input.\nIf the input is a Quantity Interval, the quantities are expected to be calendar-durations interpreted as an Age, and the result\nis a DateTime Interval beginning on the date the patient turned the age given as the start of the quantity interval, and ending\nimmediately before one year later than the date the patient turned the age given as the end of the quantity interval.\nIf the input is a Timing, an error will be thrown indicating that Timing calculations are not implemented. Any other input will reslt in a null DateTime Interval\n*/\ndefine fluent function toInterval(choice Choice<DateTime, Quantity, Interval<DateTime>, Interval<Quantity>, Timing>):\n case\n\t when choice is DateTime then\n \tInterval[choice as DateTime, choice as DateTime]\n\t\twhen choice is Interval<DateTime> then\n \t\tchoice as Interval<DateTime>\n\t\twhen choice is Quantity then\n\t\t Interval[Patient.birthDate + (choice as Quantity),\n\t\t\t Patient.birthDate + (choice as Quantity) + 1 year)\n\t\twhen choice is Interval<Quantity> then\n\t\t Interval[Patient.birthDate + (choice.low as Quantity),\n\t\t\t Patient.birthDate + (choice.high as Quantity) + 1 year)\n\t\twhen choice is Timing then\n Message(null, true, 'NOT_IMPLEMENTED', 'Error', 'Calculation of an interval from a Timing value is not supported') as Interval<DateTime>\n\t\telse\n\t\t\tnull as Interval<DateTime>\n\tend</code></pre>\n </td>\n \n </tr>\n \n <tr>\n <th><b>Library Name</b></th>\n <th><b>Name</b></th>\n </tr>\n <tr>\n \n <td>Status</td>\n \n \n <td>isEncounterPerformed</td>\n \n </tr>\n <tr>\n \n <td/>\n <td>\n <pre class=\"highlight language-cql\"><code class=\"language-cql\">//Encounter, Performed\n//General usage unless required otherwise by measure intent (e.g., follow-up encounters)\ndefine fluent function isEncounterPerformed(Enc List<Encounter>):\n Enc E\n where E.status in {'finished', 'arrived', 'triaged', 'in-progress', 'onleave'}</code></pre>\n </td>\n \n </tr>\n \n <tr>\n <th><b>Library Name</b></th>\n <th><b>Name</b></th>\n </tr>\n <tr>\n \n <td>FHIRHelpers</td>\n \n \n <td>ToConcept</td>\n \n </tr>\n <tr>\n \n <td/>\n <td>\n <pre class=\"highlight language-cql\"><code class=\"language-cql\">/*\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 }</code></pre>\n </td>\n \n </tr>\n \n <tr>\n <th><b>Library Name</b></th>\n <th><b>Name</b></th>\n </tr>\n <tr>\n \n <td>Status</td>\n \n \n <td>isAssessmentPerformed</td>\n \n </tr>\n <tr>\n \n <td/>\n <td>\n <pre class=\"highlight language-cql\"><code class=\"language-cql\">//This library contains functions that are based on QDM 5.6 to QICore 4.1.1 March 2023 (https://github.com/cqframework/CQL-Formatting-and-Usage-Wiki/wiki/Authoring-Patterns---QICore-v4.1.1). The functions may appear similar to some QICoreCommon functions but different in that they have constraints that are relevant for measures authored by NCQA.\n\n//Assessment, Performed\ndefine fluent function isAssessmentPerformed(Obs List<Observation>):\n Obs O\n where O.status in { 'final', 'amended', 'corrected' }\n and exists ( O.category ObservationCategory\n where ( ObservationCategory ) ~ "survey"\n )</code></pre>\n </td>\n \n </tr>\n \n <tr>\n <th><b>Library Name</b></th>\n <th><b>Name</b></th>\n </tr>\n <tr>\n \n <td>Status</td>\n \n \n <td>isInterventionOrder</td>\n \n </tr>\n <tr>\n \n <td/>\n <td>\n <pre class=\"highlight language-cql\"><code class=\"language-cql\">//Intervention, Order: active and completed only \ndefine fluent function isInterventionOrder(ServiceRequest List<ServiceRequest>):\n ServiceRequest S\n where S.status in { 'active', 'completed' }\n and S.intent = 'order'</code></pre>\n </td>\n \n </tr>\n \n <tr>\n <th><b>Library Name</b></th>\n <th><b>Name</b></th>\n </tr>\n <tr>\n \n <td>Status</td>\n \n \n <td>isInterventionPerformed</td>\n \n </tr>\n <tr>\n \n <td/>\n <td>\n <pre class=\"highlight language-cql\"><code class=\"language-cql\">//Intervention, Performed\ndefine fluent function isInterventionPerformed(Proc List<Procedure>):\n Proc P\n where P.status ~ 'completed'</code></pre>\n </td>\n \n </tr>\n \n </table>\n </td>\n </tr>\n \n \n \n\n </table>\n</div>"
},
"contained" : [
{
"resourceType" : "Library",
"id" : "effective-data-requirements",
"extension" : [
{
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-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/us/cqfmeasures/StructureDefinition/cqfm-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/us/cqfmeasures/StructureDefinition/cqfm-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/us/cqfmeasures/StructureDefinition/cqfm-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/us/cqfmeasures/StructureDefinition/cqfm-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/us/cqfmeasures/StructureDefinition/cqfm-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/us/cqfmeasures/StructureDefinition/cqfm-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/us/cqfmeasures/StructureDefinition/cqfm-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/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode",
"valueCoding" : {
"system" : "http://hl7.org/fhir/sid/cvx",
"code" : "119",
"display" : "rotavirus, live, monovalent vaccine"
}
},
{
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode",
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "428331000124103",
"display" : "Anaphylaxis due to rotavirus vaccine (disorder)"
}
},
{
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-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/us/cqfmeasures/StructureDefinition/cqfm-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/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode",
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "428361000124107",
"display" : "Discharge to home for hospice care (procedure)"
}
},
{
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode",
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "428371000124100",
"display" : "Discharge to healthcare facility for hospice care (procedure)"
}
},
{
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode",
"valueCoding" : {
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "survey",
"display" : "survey"
}
},
{
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode",
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "373066001",
"display" : "Yes (qualifier value)"
}
},
{
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode",
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "45755-6",
"display" : "Hospice care [Minimum Data Set]"
}
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "ChildhoodImmunizationStatusFHIR"
},
{
"url" : "name",
"valueString" : "Date of Second Birthday"
},
{
"url" : "statement",
"valueString" : "define \"Date of Second Birthday\":\n Patient.birthDate + 2 years"
},
{
"url" : "displaySequence",
"valueInteger" : 0
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "ChildhoodImmunizationStatusFHIR"
},
{
"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[date from Patient.birthDate + 42 days, \"Date of Second Birthday\"]"
},
{
"url" : "displaySequence",
"valueInteger" : 1
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "ChildhoodImmunizationStatusFHIR"
},
{
"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 date from DTaPVaccination.occurrence.earliest ( )\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 date from DTaPProcedure.performed.earliest ( )\n )"
},
{
"url" : "displaySequence",
"valueInteger" : 2
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "ChildhoodImmunizationStatusFHIR"
},
{
"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" : 3
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "ChildhoodImmunizationStatusFHIR"
},
{
"url" : "name",
"valueString" : "First Two Years"
},
{
"url" : "statement",
"valueString" : "define \"First Two Years\":\n Interval[date from Patient.birthDate, \"Date of Second Birthday\"]"
},
{
"url" : "displaySequence",
"valueInteger" : 4
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "ChildhoodImmunizationStatusFHIR"
},
{
"url" : "name",
"valueString" : "DTaP Numerator Inclusion Conditions"
},
{
"url" : "statement",
"valueString" : "define \"DTaP Numerator Inclusion Conditions\":\n ( ( [Condition: \"Anaphylactic Reaction to DTaP Vaccine\"]\n union [Condition: \"Encephalitis Due to Diphtheria, Tetanus or Pertussis Vaccine\"]\n ) ) DTaPConditions\n where date from start of DTaPConditions.prevalenceInterval ( ) during day of \"First Two Years\""
},
{
"url" : "displaySequence",
"valueInteger" : 5
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "ChildhoodImmunizationStatusFHIR"
},
{
"url" : "name",
"valueString" : "Polio Immunizations or Procedures"
},
{
"url" : "statement",
"valueString" : "//Polio\n\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 date from QICoreCommon.\"Earliest\" ( PolioVaccination.occurrence.toInterval ( ) )\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 date from PolioProcedure.performed.earliest ( )\n )"
},
{
"url" : "displaySequence",
"valueInteger" : 6
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "ChildhoodImmunizationStatusFHIR"
},
{
"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" : 7
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "ChildhoodImmunizationStatusFHIR"
},
{
"url" : "name",
"valueString" : "Polio Numerator Inclusion Conditions"
},
{
"url" : "statement",
"valueString" : "define \"Polio Numerator Inclusion Conditions\":\n [Condition: \"Anaphylaxis caused by vaccine product containing human poliovirus antigen (disorder)\"] PolioConditions\n where date from start of PolioConditions.prevalenceInterval ( ) during day of \"First Two Years\""
},
{
"url" : "displaySequence",
"valueInteger" : 8
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "ChildhoodImmunizationStatusFHIR"
},
{
"url" : "name",
"valueString" : "Date of First Birthday"
},
{
"url" : "statement",
"valueString" : "define \"Date of First Birthday\":\n date from Patient.birthDate + 1 year"
},
{
"url" : "displaySequence",
"valueInteger" : 9
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "ChildhoodImmunizationStatusFHIR"
},
{
"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" : 10
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "ChildhoodImmunizationStatusFHIR"
},
{
"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" : 11
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "ChildhoodImmunizationStatusFHIR"
},
{
"url" : "name",
"valueString" : "MMR Numerator Inclusion Conditions"
},
{
"url" : "statement",
"valueString" : "define \"MMR Numerator Inclusion Conditions\":\n ( [Condition: \"Anaphylaxis caused by vaccine product containing Measles morbillivirus and Mumps orthorubulavirus and Rubella virus antigens (disorder)\"] ) MMRConditions\n where date from start of MMRConditions.prevalenceInterval ( ) during day of \"First Two Years\""
},
{
"url" : "displaySequence",
"valueInteger" : 12
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "ChildhoodImmunizationStatusFHIR"
},
{
"url" : "name",
"valueString" : "Measles Indicators"
},
{
"url" : "statement",
"valueString" : "define \"Measles Indicators\":\n [Condition: \"Measles\"] MeaslesDiagnosis\n where date from start of MeaslesDiagnosis.prevalenceInterval ( ) during day of \"First Two Years\""
},
{
"url" : "displaySequence",
"valueInteger" : 13
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "ChildhoodImmunizationStatusFHIR"
},
{
"url" : "name",
"valueString" : "Mumps Indicators"
},
{
"url" : "statement",
"valueString" : "define \"Mumps Indicators\":\n [Condition: \"Mumps\"] MumpsDiagnosis\n where date from start of MumpsDiagnosis.prevalenceInterval ( ) during day of \"First Two Years\""
},
{
"url" : "displaySequence",
"valueInteger" : 14
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "ChildhoodImmunizationStatusFHIR"
},
{
"url" : "name",
"valueString" : "Rubella Indicators"
},
{
"url" : "statement",
"valueString" : "define \"Rubella Indicators\":\n [Condition: \"Rubella\"] RubellaDiagnosis\n where date from start of RubellaDiagnosis.prevalenceInterval ( ) during day of \"First Two Years\""
},
{
"url" : "displaySequence",
"valueInteger" : 15
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "ChildhoodImmunizationStatusFHIR"
},
{
"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 date from ThreeDoseHibVaccine.occurrence.earliest ( )\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 date from ThreeDoseHibProcedure.performed.earliest ( )\n )"
},
{
"url" : "displaySequence",
"valueInteger" : 16
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "ChildhoodImmunizationStatusFHIR"
},
{
"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 date from HibVaccine.occurrence.earliest ( )\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 date from HibProcedure.performed.earliest ( )\n )"
},
{
"url" : "displaySequence",
"valueInteger" : 17
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "ChildhoodImmunizationStatusFHIR"
},
{
"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" : 18
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "ChildhoodImmunizationStatusFHIR"
},
{
"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" : 19
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "ChildhoodImmunizationStatusFHIR"
},
{
"url" : "name",
"valueString" : "Hib Numerator Inclusion Conditions"
},
{
"url" : "statement",
"valueString" : "define \"Hib Numerator Inclusion Conditions\":\n ( [Condition: \"Anaphylaxis caused by vaccine product containing only Haemophilus influenzae type b antigen (disorder)\"] ) HibReaction\n where date from start of HibReaction.prevalenceInterval ( ) during day of \"First Two Years\""
},
{
"url" : "displaySequence",
"valueInteger" : 20
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "ChildhoodImmunizationStatusFHIR"
},
{
"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 date from HepatitisBVaccination.occurrence.earliest ( )\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 date from HepatitisBProcedure.performed.earliest ( )\n )"
},
{
"url" : "displaySequence",
"valueInteger" : 21
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "ChildhoodImmunizationStatusFHIR"
},
{
"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" : 22
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "ChildhoodImmunizationStatusFHIR"
},
{
"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[date from Patient.birthDate, date from Patient.birthDate + 7 days]\n return date from NewBornVaccine.performed.earliest ( )"
},
{
"url" : "displaySequence",
"valueInteger" : 23
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "ChildhoodImmunizationStatusFHIR"
},
{
"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" : 24
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "ChildhoodImmunizationStatusFHIR"
},
{
"url" : "name",
"valueString" : "Hepatitis B Numerator Inclusion Conditions"
},
{
"url" : "statement",
"valueString" : "//HepB\n\n\ndefine \"Hepatitis B Numerator Inclusion Conditions\":\n ( [Condition: \"Anaphylaxis caused by vaccine product containing Hepatitis B virus antigen (disorder)\"]\n union [Condition: \"Hepatitis B\"] ) HepBConditions\n where date from start of HepBConditions.prevalenceInterval ( ) during day of \"First Two Years\""
},
{
"url" : "displaySequence",
"valueInteger" : 25
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "ChildhoodImmunizationStatusFHIR"
},
{
"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" : 26
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "ChildhoodImmunizationStatusFHIR"
},
{
"url" : "name",
"valueString" : "Varicella Zoster Numerator Inclusion Conditions"
},
{
"url" : "statement",
"valueString" : "define \"Varicella Zoster Numerator Inclusion Conditions\":\n ( ( [Condition: \"Varicella Zoster\"]\n union [Condition: \"Anaphylaxis caused by vaccine containing Human alphaherpesvirus 3 antigen (disorder)\"]\n ) ) VaricellaZoster\n where date from start of VaricellaZoster.prevalenceInterval ( ) during day of \"First Two Years\""
},
{
"url" : "displaySequence",
"valueInteger" : 27
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "ChildhoodImmunizationStatusFHIR"
},
{
"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 date from PneumococcalVaccination.occurrence.earliest ( )\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 date from PneumococcalProcedure.performed.earliest ( )\n )"
},
{
"url" : "displaySequence",
"valueInteger" : 28
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "ChildhoodImmunizationStatusFHIR"
},
{
"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" : 29
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "ChildhoodImmunizationStatusFHIR"
},
{
"url" : "name",
"valueString" : "Pneumococcal Conjugate Numerator Inclusion Conditions"
},
{
"url" : "statement",
"valueString" : "define \"Pneumococcal Conjugate Numerator Inclusion Conditions\":\n [Condition: \"Anaphylaxis caused by vaccine product containing Streptococcus pneumoniae antigen (disorder)\"] PneumococcalReaction\n where date from start of PneumococcalReaction.prevalenceInterval ( ) during day of \"First Two Years\""
},
{
"url" : "displaySequence",
"valueInteger" : 30
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "ChildhoodImmunizationStatusFHIR"
},
{
"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" : 31
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "ChildhoodImmunizationStatusFHIR"
},
{
"url" : "name",
"valueString" : "Hepatitis A Numerator Inclusion Conditions"
},
{
"url" : "statement",
"valueString" : "define \"Hepatitis A Numerator Inclusion Conditions\":\n ( [Condition: \"Hepatitis A\"]\n union [Condition: \"Anaphylaxis caused by vaccine product containing Hepatitis A virus antigen (disorder)\"] ) HepatitisADiagnosis\n where date from start of HepatitisADiagnosis.prevalenceInterval ( ) during day of \"First Two Years\""
},
{
"url" : "displaySequence",
"valueInteger" : 32
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "ChildhoodImmunizationStatusFHIR"
},
{
"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 date from TwoDoseRotavirusVaccine.occurrence.earliest ( )\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 date from TwoDoseRotavirusProcedure.performed.earliest ( )\n )"
},
{
"url" : "displaySequence",
"valueInteger" : 33
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "ChildhoodImmunizationStatusFHIR"
},
{
"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 date from ThreeDoseRotavirusVaccine.occurrence.earliest ( )\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 date from ThreeDoseRotavirusAdministered.performed.earliest ( )\n )"
},
{
"url" : "displaySequence",
"valueInteger" : 34
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "ChildhoodImmunizationStatusFHIR"
},
{
"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" : 35
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "ChildhoodImmunizationStatusFHIR"
},
{
"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" : 36
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "ChildhoodImmunizationStatusFHIR"
},
{
"url" : "name",
"valueString" : "Rotavirus Numerator Inclusion Conditions"
},
{
"url" : "statement",
"valueString" : "define \"Rotavirus Numerator Inclusion Conditions\":\n [Condition: \"Anaphylaxis due to rotavirus vaccine (disorder)\"] RotavirusConditions\n where date from start of RotavirusConditions.prevalenceInterval ( ) during day of \"First Two Years\""
},
{
"url" : "displaySequence",
"valueInteger" : 37
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "ChildhoodImmunizationStatusFHIR"
},
{
"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[date from Patient.birthDate + 180 days, \"Date of Second Birthday\"]"
},
{
"url" : "displaySequence",
"valueInteger" : 38
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "ChildhoodImmunizationStatusFHIR"
},
{
"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 - 42 Days up to 2 Years Old\"\n return date from InfluenzaVaccine.occurrence.earliest ( )\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 date from InfluenzaAdministration.performed.earliest ( )\n )"
},
{
"url" : "displaySequence",
"valueInteger" : 39
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "ChildhoodImmunizationStatusFHIR"
},
{
"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" : 40
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "ChildhoodImmunizationStatusFHIR"
},
{
"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" : 41
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "ChildhoodImmunizationStatusFHIR"
},
{
"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" : 42
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "ChildhoodImmunizationStatusFHIR"
},
{
"url" : "name",
"valueString" : "Influenza Numerator Inclusion Conditions"
},
{
"url" : "statement",
"valueString" : "define \"Influenza Numerator Inclusion Conditions\":\n [Condition: \"Anaphylaxis caused by vaccine product containing Influenza virus antigen (disorder)\"] InfluenzaConditions\n where date from start of InfluenzaConditions.prevalenceInterval ( ) during day of \"First Two Years\""
},
{
"url" : "displaySequence",
"valueInteger" : 43
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "ChildhoodImmunizationStatusFHIR"
},
{
"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" : 44
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "ChildhoodImmunizationStatusFHIR"
},
{
"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.toInterval ( ) during day of \"Measurement Period\""
},
{
"url" : "displaySequence",
"valueInteger" : 45
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "ChildhoodImmunizationStatusFHIR"
},
{
"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" : 46
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "ChildhoodImmunizationStatusFHIR"
},
{
"url" : "name",
"valueString" : "Denominator"
},
{
"url" : "statement",
"valueString" : "define \"Denominator\":\n \"Initial Population\""
},
{
"url" : "displaySequence",
"valueInteger" : 47
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "Hospice"
},
{
"url" : "name",
"valueString" : "Has Hospice Services"
},
{
"url" : "statement",
"valueString" : "define \"Has Hospice Services\":\n exists ((([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.toInterval() ends during day of \"Measurement Period\"\n )\n or exists ((([Encounter: \"Hospice Encounter\"]).isEncounterPerformed()) HospiceEncounter\n where HospiceEncounter.period.toInterval() overlaps day of \"Measurement Period\"\n )\n or exists ((([Observation: \"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 ((([ServiceRequest: \"Hospice Care Ambulatory\"]).isInterventionOrder()) HospiceOrder\n where HospiceOrder.authoredOn.toInterval() during day of \"Measurement Period\"\n // and HospiceOrder.doNotPerform is not true\n // https://oncprojectracking.healthit.gov/support/browse/CQLIT-447\n )\n or exists ((([Procedure: \"Hospice Care Ambulatory\"]).isInterventionPerformed()) HospicePerformed\n where HospicePerformed.performed.toInterval() overlaps day of \"Measurement Period\"\n )\n or exists (([Condition: \"Hospice Diagnosis\"]) HospiceCareDiagnosis\n where HospiceCareDiagnosis.prevalenceInterval() overlaps day of \"Measurement Period\"\n )"
},
{
"url" : "displaySequence",
"valueInteger" : 48
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "ChildhoodImmunizationStatusFHIR"
},
{
"url" : "name",
"valueString" : "Has Severe Combined Immunodeficiency"
},
{
"url" : "statement",
"valueString" : "define \"Has Severe Combined Immunodeficiency\":\n exists [Condition: \"Severe Combined Immunodeficiency\"] SevereImmuneDisorder\n where date from start of SevereImmuneDisorder.prevalenceInterval ( ) during day of \"First Two Years\""
},
{
"url" : "displaySequence",
"valueInteger" : 49
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "ChildhoodImmunizationStatusFHIR"
},
{
"url" : "name",
"valueString" : "Has Immunodeficiency"
},
{
"url" : "statement",
"valueString" : "define \"Has Immunodeficiency\":\n exists [Condition: \"Disorders of the Immune System\"] ImmuneDisorder\n where date from start of ImmuneDisorder.prevalenceInterval ( ) during day of \"First Two Years\""
},
{
"url" : "displaySequence",
"valueInteger" : 50
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "ChildhoodImmunizationStatusFHIR"
},
{
"url" : "name",
"valueString" : "Has HIV"
},
{
"url" : "statement",
"valueString" : "define \"Has HIV\":\n exists [Condition: \"HIV\"] HIV\n where date from start of HIV.prevalenceInterval ( ) during day of \"First Two Years\""
},
{
"url" : "displaySequence",
"valueInteger" : 51
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "ChildhoodImmunizationStatusFHIR"
},
{
"url" : "name",
"valueString" : "Has Lymphoreticular Cancer, Multiple Myeloma or Leukemia"
},
{
"url" : "statement",
"valueString" : "define \"Has Lymphoreticular Cancer, Multiple Myeloma or Leukemia\":\n exists [Condition: \"Malignant Neoplasm of Lymphatic and Hematopoietic Tissue\"] LymphaticMalignantNeoplasm\n where date from start of LymphaticMalignantNeoplasm.prevalenceInterval ( ) during day of \"First Two Years\""
},
{
"url" : "displaySequence",
"valueInteger" : 52
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "ChildhoodImmunizationStatusFHIR"
},
{
"url" : "name",
"valueString" : "Has Intussusception"
},
{
"url" : "statement",
"valueString" : "define \"Has Intussusception\":\n exists [Condition: \"Intussusception\"] IntussusceptionDisorder\n where date from start of IntussusceptionDisorder.prevalenceInterval ( ) during day of \"First Two Years\""
},
{
"url" : "displaySequence",
"valueInteger" : 53
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "ChildhoodImmunizationStatusFHIR"
},
{
"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" : 54
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "Status"
},
{
"url" : "name",
"valueString" : "isImmunizationAdministered"
},
{
"url" : "statement",
"valueString" : "//Immunization, Administered: completed only\ndefine fluent function isImmunizationAdministered(Immunization List<Immunization>):\n Immunization I\n where I.status ~ 'completed'"
},
{
"url" : "displaySequence",
"valueInteger" : 55
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "QICoreCommon"
},
{
"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<DateTime, Quantity, Interval<DateTime>, Interval<Quantity>> ):\n (choice.toInterval()) period\n return\n if (period.\"hasStart\"()) then start of period\n else end of period"
},
{
"url" : "displaySequence",
"valueInteger" : 56
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "Status"
},
{
"url" : "name",
"valueString" : "isProcedurePerformed"
},
{
"url" : "statement",
"valueString" : "//Procedure, Performed\ndefine fluent function isProcedurePerformed(Proc List<Procedure>):\n Proc P\n where P.status ~ 'completed'"
},
{
"url" : "displaySequence",
"valueInteger" : 57
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "QICoreCommon"
},
{
"url" : "name",
"valueString" : "prevalenceInterval"
},
{
"url" : "statement",
"valueString" : "/*\n@description: Returns an interval representing the normalized prevalence period of a given Condition.\n@comment: Uses the ToInterval and ToAbatementInterval functions to determine the widest potential interval from\nonset to abatement as specified in the given Condition. If the condition is active, or has an abatement date the resulting \ninterval will have a closed ending boundary. Otherwise, the resulting interval will have an open ending boundary.\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 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" : 58
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "QICoreCommon"
},
{
"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@deprecated: This function is deprecated. Use the fluent function `earliest()` instead\n*/\ndefine function \"Earliest\"(choice Choice<DateTime, Quantity, Interval<DateTime>, Interval<Quantity>> ):\n (choice.toInterval()) period\n return\n if (HasStart(period)) then start of period\n else end of period"
},
{
"url" : "displaySequence",
"valueInteger" : 59
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "QICoreCommon"
},
{
"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 DateTime, Quanitty, Interval<DateTime>, or Interval<Quantity> 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 QICore, allowing this function to be used across any resource.\nThe input can be provided as a DateTime, Quantity, Interval<DateTime> or Interval<Quantity>.\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 Quantity, the quantity is expected to be a calendar-duration interpreted as an Age,\nand the result is a DateTime Interval beginning on the Date the patient turned that age and ending immediately before one year later.\nIf the input is a DateTime Interval, the result is the input.\nIf the input is a Quantity Interval, the quantities are expected to be calendar-durations interpreted as an Age, and the result\nis a DateTime Interval beginning on the date the patient turned the age given as the start of the quantity interval, and ending\nimmediately before one year later than the date the patient turned the age given as the end of the quantity interval.\nIf the input is a Timing, an error will be thrown indicating that Timing calculations are not implemented. Any other input will reslt in a null DateTime Interval\n*/\ndefine fluent function toInterval(choice Choice<DateTime, Quantity, Interval<DateTime>, Interval<Quantity>, Timing>):\n case\n\t when choice is DateTime then\n \tInterval[choice as DateTime, choice as DateTime]\n\t\twhen choice is Interval<DateTime> then\n \t\tchoice as Interval<DateTime>\n\t\twhen choice is Quantity then\n\t\t Interval[Patient.birthDate + (choice as Quantity),\n\t\t\t Patient.birthDate + (choice as Quantity) + 1 year)\n\t\twhen choice is Interval<Quantity> then\n\t\t Interval[Patient.birthDate + (choice.low as Quantity),\n\t\t\t Patient.birthDate + (choice.high as Quantity) + 1 year)\n\t\twhen choice is Timing then\n Message(null, true, 'NOT_IMPLEMENTED', 'Error', 'Calculation of an interval from a Timing value is not supported') as Interval<DateTime>\n\t\telse\n\t\t\tnull as Interval<DateTime>\n\tend"
},
{
"url" : "displaySequence",
"valueInteger" : 60
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-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<Encounter>):\n Enc E\n where E.status in {'finished', 'arrived', 'triaged', 'in-progress', 'onleave'}"
},
{
"url" : "displaySequence",
"valueInteger" : 61
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-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" : 62
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "Status"
},
{
"url" : "name",
"valueString" : "isAssessmentPerformed"
},
{
"url" : "statement",
"valueString" : "//This library contains functions that are based on QDM 5.6 to QICore 4.1.1 March 2023 (https://github.com/cqframework/CQL-Formatting-and-Usage-Wiki/wiki/Authoring-Patterns---QICore-v4.1.1). The functions may appear similar to some QICoreCommon functions but different in that they have constraints that are relevant for measures authored by NCQA.\n\n//Assessment, Performed\ndefine fluent function isAssessmentPerformed(Obs List<Observation>):\n Obs O\n where O.status in { 'final', 'amended', 'corrected' }\n and exists ( O.category ObservationCategory\n where ( ObservationCategory ) ~ \"survey\"\n )"
},
{
"url" : "displaySequence",
"valueInteger" : 63
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "Status"
},
{
"url" : "name",
"valueString" : "isInterventionOrder"
},
{
"url" : "statement",
"valueString" : "//Intervention, Order: active and completed only \ndefine fluent function isInterventionOrder(ServiceRequest List<ServiceRequest>):\n ServiceRequest S\n where S.status in { 'active', 'completed' }\n and S.intent = 'order'"
},
{
"url" : "displaySequence",
"valueInteger" : 64
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "Status"
},
{
"url" : "name",
"valueString" : "isInterventionPerformed"
},
{
"url" : "statement",
"valueString" : "//Intervention, Performed\ndefine fluent function isInterventionPerformed(Proc List<Procedure>):\n Proc P\n where P.status ~ 'completed'"
},
{
"url" : "displaySequence",
"valueInteger" : 65
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
}
],
"name" : "EffectiveDataRequirements",
"status" : "active",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/library-type",
"code" : "module-definition"
}
]
},
"relatedArtifact" : [
{
"type" : "depends-on",
"display" : "Library Status",
"resource" : "Library/Status|1.8.000"
},
{
"type" : "depends-on",
"display" : "Library QICoreCommon",
"resource" : "Library/QICoreCommon|2.1.000"
},
{
"type" : "depends-on",
"display" : "Library FHIRHelpers",
"resource" : "Library/FHIRHelpers|4.4.000"
},
{
"type" : "depends-on",
"display" : "Library Hospice",
"resource" : "Library/Hospice|6.12.000"
},
{
"type" : "depends-on",
"display" : "Code system SNOMEDCT",
"resource" : "http://snomed.info/sct"
},
{
"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 ObservationCategoryCodes",
"resource" : "http://terminology.hl7.org/CodeSystem/observation-category"
},
{
"type" : "depends-on",
"display" : "Code system LOINC",
"resource" : "http://loinc.org"
},
{
"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"
},
{
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"value" : "117FHIR",
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"version" : "0.1.000",
"name" : "ChildhoodImmunizationStatusFHIR",
"title" : "Childhood Immunization StatusFHIR",
"status" : "draft",
"experimental" : false,
"date" : "2024-07-09T14:53:56+00:00",
"publisher" : "National Committee for Quality Assurance",
"contact" : [
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"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",
"purpose" : "UNKNOWN",
"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: CMS117v13. Please refer to the HL7 QI-Core Implementation Guide (http://hl7.org/fhir/us/qicore/STU4.1.1/) for more information on QI-Core and mapping recommendations from QDM to QI-Core 4.1.1 (http://hl7.org/fhir/us/qicore/STU4.1.1/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 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 can be reproduced and distributed, without modification, for noncommercial purposes (e.g., use by healthcare providers in connection with their practices) without obtaining approval from NCQA. Commercial use is defined as the sale, licensing, or distribution of the Measure for commercial gain, or incorporation of the Measure into a product or service that is sold, licensed or distributed for commercial gain. All commercial uses or requests for modification must be approved by NCQA and are subject to a license at the discretion of NCQA. (C) 2012-2024 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 2024. 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) (http://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 2004-2024 Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee, and are available at no cost under the license at http://loinc.org/terms-of-use. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2023 International Health Terminology Standards Development Organisation. ICD-10 copyright 2024 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" : "2025-01-01",
"end" : "2025-12-31"
},
"author" : [
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"name" : "National Committee for Quality Assurance",
"telecom" : [
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"value" : "https://www.ncqa.org/"
}
]
}
],
"library" : [
🔗 "https://madie.cms.gov/Library/ChildhoodImmunizationStatusFHIR"
],
"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).",
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"description" : "Children who turn 2 years of age during the measurement period and have a visit during the measurement period",
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"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" : {
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"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.",
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]
}
IG © 2023+ cqframework. Package gov.healthit.ecqi.ecqms#2024.0.0 based on FHIR 4.0.1. Generated 2024-11-07
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