Updated indicators for measles and added high/low tx for scheduling d…

…ose 0 for the expiration dates.

input/cql/IMMZD18SMeaslesDose0.cql → input/cql/IMMZD18SMeaslesDose0HighTx.cql

@@ -1,9 +1,9 @@
 /*
- * Library: IMMZD18SMeaslesDose0 (IMMZ.D18.S.Measles.Dose0)
+ * Library: IMMZD18SMeaslesDose0HighTx (IMMZ.D18.S.Measles.Dose0.HighTx)
  * Rule: Measles MCV0 dose schedule
  * Trigger: IMMZ.D18 Determine required vaccination(s) Schedule if any
  */
-library IMMZD18SMeaslesDose0
+library IMMZD18SMeaslesDose0HighTx
 // Start Skeleton CQL
 using FHIR version '4.0.1'
 include FHIRHelpers version '4.0.1'

input/cql/IMMZD18SMeaslesDose0LowTx.cql

@@ -0,0 +1,63 @@
+/*
+ * Library: IMMZD18SMeaslesDose0LowTx (IMMZ.D18.S.Measles.Dose0.LowTx)
+ * Rule: Measles MCV0 dose schedule
+ * Trigger: IMMZ.D18 Determine required vaccination(s) Schedule if any
+ */
+library IMMZD18SMeaslesDose0LowTx
+// Start Skeleton CQL
+using FHIR version '4.0.1'
+include FHIRHelpers version '4.0.1'
+include IMMZCommon called IMMZCom
+include IMMZConcepts called IMMZc
+include IMMZConfig called IMMZCon
+include IMMZVaccineLibrary called IMMZvl
+include FHIRCommon called FC
+include IMMZD2DTMeaslesInput called input
+
+// End Skeleton CQL
+context Patient
+
+
+/*
+@output: Measles MCV0 dose
+@trigger: Child's birth
+*/
+define "Measles MCV0 dose":
+	Count(input."MCV Doses Administered to Patient") = 0 and Now() <= "Measles MCV0 dose Expiration"
+
+/*
+@output: Measles MCV0 dose Create
+@create: In the following situations, a supplementary dose of MCV should be given to infants from 6 months of age: 
+-	(1) during a measles outbreak as part of intensified service delivery;
+-	(2) during campaigns in settings where the risk of measles among infants < 9 months of age remains high (e.g. in endemic countries experiencing regular outbreaks);
+-	(3) for internally displaced populations and refugees, and populations in conflict zones;
+-	(4) for individual infants at high risk of contracting measles (e.g. contacts of known measles cases or in settings with increased risk of exposure during outbreaks such as day-care facilities);
+-	(5) for infants travelling to countries experiencing measles outbreaks;
+-	(6) for infants known to be HIV-infected or exposed (i.e. born to an HIV-infected woman).
+*/
+define "Measles MCV0 dose Create":
+	if "Measles MCV0 dose" then 	'In the following situations, a supplementary dose of MCV should be given to infants from 6 months of age: \n-	(1) during a measles outbreak as part of intensified service delivery;\n-	(2) during campaigns in settings where the risk of measles among infants < 9 months of age remains high (e.g. in endemic countries experiencing regular outbreaks);\n-	(3) for internally displaced populations and refugees, and populations in conflict zones;\n-	(4) for individual infants at high risk of contracting measles (e.g. contacts of known measles cases or in settings with increased risk of exposure during outbreaks such as day-care facilities);\n-	(5) for infants travelling to countries experiencing measles outbreaks;\n-	(6) for infants known to be HIV-infected or exposed (i.e. born to an HIV-infected woman).\nDue Date is '
+		+ ToString("Measles MCV0 dose Due Date")
+	else ''
+
+/*
+@dynamicValue: Measles MCV0 dose Due Date
+@pseudocode: "Date of birth" + 6 'month'
+*/
+define "Measles MCV0 dose Due Date":
+	if "Measles MCV0 dose" then Patient.birthDate + 6 months
+	else null
+
+/*
+@dynamicValue: Measles MCV0 dose Overdue
+@pseudocode: To be determined by Member States however there is no recommended overdue date and individuals are always eligible to be vaccinated
+*/
+define "Measles MCV0 dose Overdue":
+	null
+
+/*
+@dynamicValue: Measles MCV0 dose Expiration
+@pseudocode: "Date of birth" + 9 'month' for countries with ongoing transmission in which the risk of measles mortality remains high OR "Date of birth" + 12 'month' for countries with low levels of measles transmission
+*/
+define "Measles MCV0 dose Expiration":
+	Patient.birthDate + 12 months

input/cql/IMMZIND07MeaslesHighTx.cql

@@ -0,0 +1,65 @@
+/*
+ * Library: IMMZ.IND.07.MeaslesHighTx
+ * Immunization coverage for measles containing vaccine, 1st dose  
+ * The percentage in the target population who have received one dose of measles-containing vaccine during reporting period
+ * 
+ * 
+ * References: WHO / UNICEF Joint Reporting Form
+ *             WHO Immunization data portal
+ */
+
+library IMMZIND07MeaslesHighTx
+
+// Start Skeleton CQL
+using FHIR version '4.0.1'
+include FHIRHelpers version '4.0.1'
+include IMMZCommon called IMMZCom
+include IMMZConcepts called IMMZc
+include IMMZConfig called IMMZCon
+//include IMMZIndicatorCommon called IMMZIndCom
+include IMMZVaccineLibrary called IMMZvl
+include FHIRCommon called FC
+include IMMZINDMeasles called Ind
+include IMMZStratifiers called Stratifiers
+// End Skeleton CQL
+parameter "Measurement Period" Interval<DateTime> default Interval[@2023-01-01T00:00:00.0, @2023-12-31T23:59:59.9]
+
+context Patient
+
+/*
+@population: Initial population for first dose: Any one over 9 months (in high transmission area)
+*/ 
+define "Initial Population":
+	Patient.birthDate + 9 months before end of "Measurement Period"
+
+/*
+@numerator: Number of Measles doses (1st dose) administered through routine services during reporting period
+@computation: COUNT of immunization events WHERE "Vaccine type" = "Measles containing vaccines"  for the first dose in the primary series (MCV1) AND "Date and time of vaccination" is during the reporting period
+*/
+define "Numerator":
+	exists( Ind."Measles Doses in Measurement Period" I where IMMZCom.ToPositiveInt((singleton from I.protocolApplied).doseNumber) = 1 )
+
+/*
+@denominator: Number in target group
+@computation: As defined by the Member States
+*/
+define "Denominator":
+	"Initial Population"
+
+/*
+@disaggregation: Administrative area
+                 Sex
+                 Age in years
+                 Age group (depending on schedule)
+*/
+define "Stratification 1":
+	Stratifiers."Administrative Area"
+
+define "Stratification 2":
+	Stratifiers."Sex"
+
+define "Stratification 3":
+	Stratifiers."Age"
+
+define "Stratification 4":
+	Stratifiers."Age Group"

input/cql/IMMZIND07MeaslesLowTx.cql

@@ -0,0 +1,65 @@
+/*
+ * Library: IMMZ.IND.07.MeaslesLowTx
+ * Immunization coverage for measles containing vaccine, 1st dose  
+ * The percentage in the target population who have received one dose of measles-containing vaccine during reporting period
+ * 
+ * 
+ * References: WHO / UNICEF Joint Reporting Form
+ *             WHO Immunization data portal
+ */
+
+library IMMZIND07MeaslesLowTx
+
+// Start Skeleton CQL
+using FHIR version '4.0.1'
+include FHIRHelpers version '4.0.1'
+include IMMZCommon called IMMZCom
+include IMMZConcepts called IMMZc
+include IMMZConfig called IMMZCon
+//include IMMZIndicatorCommon called IMMZIndCom
+include IMMZVaccineLibrary called IMMZvl
+include FHIRCommon called FC
+include IMMZINDMeasles called Ind
+include IMMZStratifiers called Stratifiers
+// End Skeleton CQL
+parameter "Measurement Period" Interval<DateTime> default Interval[@2023-01-01T00:00:00.0, @2023-12-31T23:59:59.9]
+
+context Patient
+
+/*
+@population: Initial population for first dose: Any one over 12 months (in low transmission area)
+*/ 
+define "Initial Population":
+	Patient.birthDate + 12 months before end of "Measurement Period"
+
+/*
+@numerator: Number of Measles doses (1st dose) administered through routine services during reporting period
+@computation: COUNT of immunization events WHERE "Vaccine type" = "Measles containing vaccines"  for the first dose in the primary series (MCV1) AND "Date and time of vaccination" is during the reporting period
+*/
+define "Numerator":
+	exists( Ind."Measles Doses in Measurement Period" I where IMMZCom.ToPositiveInt((singleton from I.protocolApplied).doseNumber) = 1 )
+
+/*
+@denominator: Number in target group
+@computation: As defined by the Member States
+*/
+define "Denominator":
+	"Initial Population"
+
+/*
+@disaggregation: Administrative area
+                 Sex
+                 Age in years
+                 Age group (depending on schedule)
+*/
+define "Stratification 1":
+	Stratifiers."Administrative Area"
+
+define "Stratification 2":
+	Stratifiers."Sex"
+
+define "Stratification 3":
+	Stratifiers."Age"
+
+define "Stratification 4":
+	Stratifiers."Age Group"

input/cql/IMMZIND08Measles.cql

@@ -0,0 +1,65 @@
+/*
+ * Library: IMMZ.IND.08.Measles
+ * Immunization coverage for measles containing vaccine, 2nd dose 
+ * The percentage in the target population who have received second dose of measles-containing vaccine during reporting period
+ * 
+ * 
+ * References: WHO / UNICEF Joint Reporting Form
+ *             WHO Immunization data portal
+ */
+
+library IMMZIND08Measles
+
+// Start Skeleton CQL
+using FHIR version '4.0.1'
+include FHIRHelpers version '4.0.1'
+include IMMZCommon called IMMZCom
+include IMMZConcepts called IMMZc
+include IMMZConfig called IMMZCon
+//include IMMZIndicatorCommon called IMMZIndCom
+include IMMZVaccineLibrary called IMMZvl
+include FHIRCommon called FC
+include IMMZINDMeasles called Ind
+include IMMZStratifiers called Stratifiers
+// End Skeleton CQL
+parameter "Measurement Period" Interval<DateTime> default Interval[@2023-01-01T00:00:00.0, @2023-12-31T23:59:59.9]
+
+context Patient
+
+/*
+@population: Initial population for second dose: Any one over 15 months
+*/ 
+define "Initial Population":
+	Patient.birthDate + 15 months before end of "Measurement Period"
+
+/*
+@numerator: Number of Measles doses (2nd dose) administered through routine services during reporting period
+@computation: COUNT of immunization events WHERE "Vaccine type" = "Measles containing vaccines" for the second dose in the primary series (MCV2) AND "Date and time of vaccination" is during the reporting period 
+*/
+define "Numerator":
+	exists( Ind."Measles Doses in Measurement Period" I where IMMZCom.ToPositiveInt((singleton from I.protocolApplied).doseNumber) = 2 )
+
+/*
+@denominator: Number in target group
+@computation: As defined by the Member States
+*/
+define "Denominator":
+	"Initial Population"
+
+/*
+@disaggregation: Administrative area
+                 Sex
+                 Age in years
+                 Age group (depending on schedule)
+*/
+define "Stratification 1":
+	Stratifiers."Administrative Area"
+
+define "Stratification 2":
+	Stratifiers."Sex"
+
+define "Stratification 3":
+	Stratifiers."Age"
+
+define "Stratification 4":
+	Stratifiers."Age Group"

input/cql/IMMZIND40Measles.cql

@@ -0,0 +1,79 @@
+/*
+ * Library: IMMZ.IND.40.Measles
+ * Dropout rate of MCV1 to MCV2 
+ * The percentage in the target population who received a first dose of measles containing vaccine in the primary series (MCV1) 
+ * but have not received the second dose of measles containing vaccine in the primary series (i.e. are past due for MCV2) during the reporting period
+ * 
+ * 
+ * References: WHO Immunization Facility Analysis Guide
+ *       
+ */
+
+library IMMZIND40Measles
+
+// Start Skeleton CQL
+using FHIR version '4.0.1'
+include FHIRHelpers version '4.0.1'
+include IMMZCommon called IMMZCom
+include IMMZConcepts called IMMZc
+include IMMZConfig called IMMZCon
+//include IMMZIndicatorCommon called IMMZIndCom
+include IMMZVaccineLibrary called IMMZvl
+include FHIRCommon called FC
+include IMMZINDMeasles called Ind
+include IMMZStratifiers called Stratifiers
+// End Skeleton CQL
+parameter "Measurement Period" Interval<DateTime> default Interval[@2023-01-01T00:00:00.0, @2023-12-31T23:59:59.9]
+
+context Patient
+
+/*
+@internal: First dose received during reporting period
+*/
+define "First Dose":
+	exists( Ind."Measles Doses in Measurement Period" I where IMMZCom.ToPositiveInt((singleton from I.protocolApplied).doseNumber) = 1 )
+
+/*
+@internal: Second dose received during reporting period
+*/
+define "Second Dose":
+	exists( Ind."Measles Doses in Measurement Period" I where IMMZCom.ToPositiveInt((singleton from I.protocolApplied).doseNumber) = 2 )
+
+/*
+@population: Number of clients in the target population who received dose 1 of MCV containing vaccine during the reporting period
+*/ 
+define "Initial Population":
+	"First Dose"
+
+/*
+@numerator: Number of clients who received dose 1 of MCV containing vaccine during the reporting period who should have received dose 2 of MCV containing vaccine during the reporting period, however did not receive MCV dose 2.
+@computation: COUNT of clients with an immunization event WHERE "Vaccine type" = "Measles containing vaccines" for the first dose in the primary series (MCV1) AND "Date and time of vaccination" is during the reporting period
+MINUS
+COUNT of clients with an immunization event WHERE "Vaccine type"" = "Measles containing vaccines" for the second dose in the primary series (MCV2) AND "Date and time of vaccination" is during the reporting period
+*/
+define "Numerator":
+	"First Dose" and not( "Second Dose" )
+/*
+@denominator: Number of clients in the target population who received dose 1 of MCV containing vaccine during the reporting period
+@computation: COUNT clients with an immunization event WHERE "Vaccine type" = "Measles containing vaccines" for a first dose in the primary series (MCV1)  AND "Date and time of vaccination" is during the reporting period
+*/
+define "Denominator":
+	"Initial Population"
+
+/*
+@disaggregation: Administrative area
+                 Sex
+                 Age in years
+                 Age group (depending on schedule)
+*/
+define "Stratification 1":
+	Stratifiers."Administrative Area"
+
+define "Stratification 2":
+	Stratifiers."Sex"
+
+define "Stratification 3":
+	Stratifiers."Age"
+
+define "Stratification 4":
+	Stratifiers."Age Group"