eCQM Title | Childhood Immunization Status |
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eCQM Identifier (Measure Authoring Tool) | 117 | eCQM Version Number | 11.0.000 |
NQF Number | Not Applicable | GUID | b2802b7a-3580-4be8-9458-921aea62b78c |
Measurement Period | January 1, 20XX through December 31, 20XX | ||
Measure Steward | National Committee for Quality Assurance | ||
Measure Developer | National Committee for Quality Assurance | ||
Endorsed By | None | ||
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 (Hep B); one chicken pox (VZV); four pneumococcal conjugate (PCV); one hepatitis A (Hep A); two or three rotavirus (RV); and two influenza (flu) vaccines by their second birthday |
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Copyright |
This Physician Performance Measure (Measure) and related data specifications are owned and were developed by the National Committee for Quality Assurance (NCQA). NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or 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) 2012-2021 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) contained in the Measure specifications is copyright 2004-2021 American Medical Association. LOINC(R) copyright 2004-2021 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2021 International Health Terminology Standards Development Organisation. ICD-10 copyright 2021 World Health Organization. All Rights Reserved. |
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Disclaimer |
The performance Measure is not a clinical guideline and does not establish a standard of medical care, and has not been tested for all potential applications. THE MEASURE AND SPECIFICATIONS ARE PROVIDED "AS IS" WITHOUT WARRANTY OF ANY KIND. Due to technical limitations, registered trademarks are indicated by (R) or [R] and unregistered trademarks are indicated by (TM) or [TM]. |
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Measure Scoring | Proportion | ||
Measure Type | Process | ||
Stratification |
None |
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Risk Adjustment |
None |
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Rate Aggregation |
None |
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Rationale |
Infants and toddlers are particularly vulnerable to infectious diseases because their immune systems have not built up the necessary defenses to fight infection (Centers for Disease Control and Prevention (CDC, 2019). Most childhood vaccines are between 90 and 99 percent effective in preventing diseases (American Academy of Pediatrics, 2013). Vaccination of each U.S. birth cohort with the current childhood immunization schedule prevents approximately 42,000 deaths and 20 million cases of disease and saves nearly $14 billion in direct costs and $69 billion in societal costs each year (Zhou et al., 2014). 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 (CDC, 2018). |
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Clinical Recommendation Statement |
This measure looks for childhood vaccinations that should be completed by age 2, in accordance with the Centers for Disease Control and Prevention Advisory Committee on Immunization Practices (CDC ACIP) recommended child and adolescent immunization schedule (CDC ACIP 2021). -- For the 2021–22 season, see the 2021–22 ACIP influenza vaccine recommendations. |
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Improvement Notation |
Higher score indicates better quality |
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Reference |
Reference Type: CITATION Reference Text: 'American Academy of Pediatrics. (2013). Why Immunize Your Child. Retrieved September 10, 2020, from: http://www.healthychildren.org/english/safety-prevention/immunizations/Pages/Why-Immunize-Your-Child.aspx' |
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Reference |
Reference Type: CITATION Reference Text: 'Centers for Disease Control and Prevention (CDC). (2019). Common Questions About Vaccines. Retrieved September 10, 2020, from https://www.cdc.gov/vaccines/parents/FAQs.html' |
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Reference |
Reference Type: CITATION Reference Text: 'Centers for Disease Control and Prevention. (2021). Recommended Child and Adolescent Immunization Schedule for Ages 18 Years or Younger, United States. Retrieved July 26, 2021, from https://www.cdc.gov/vaccines/schedules/hcp/imz/child-adolescent.html#note-flu' |
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Reference |
Reference Type: CITATION Reference Text: 'Grohskopf LA, Alyanak E, Ferdinands JM, et al. Prevention and Control of Seasonal Influenza with Vaccines: Recommendations of the Advisory Committee on Immunization Practices, United States, 2021–22 Influenza Season. MMWR Recomm Rep 2021;70(No. RR-5),1–28. DOI: http://dx.doi.org/10.15585/mmwr.rr7005a1 external icon.' |
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Reference |
Reference Type: CITATION Reference Text: 'Zhou, F., Shefer, A., Wenger, J., Messonnier, M., Wang, L. Y., Lopez, A., … Rodewald, L. (2014). Economic Evaluation of the Routine Childhood Immunization Program in the United States, 2009. Pediatrics, 133(4), 577–585. https://doi.org/10.1542/peds.2013-0698' |
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Definition |
Recommended vaccines: Vaccines and the schedule of vaccines as recommended by the ACIP for children two years of age. The measure may differ slightly from the ACIP recommendations because the measure focuses on immunizations that are appropriate by age 2. Also, there may be small differences when there are shortages for a particular vaccine. |
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Guidance |
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 version of the eCQM uses QDM version 5.6. Please refer to the eCQI resource center (https://ecqi.healthit.gov/qdm) for more information on the QDM. |
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Transmission Format |
TBD |
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Initial Population |
Children who turn 2 years of age during the measurement period and have a visit during the measurement period |
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Denominator |
Equals Initial Population |
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Denominator Exclusions |
Exclude children with any of the following on or before the child’s second birthday: • Severe combined immunodeficiency • Immunodeficiency • HIV • Lymphoreticular cancer, multiple myeloma or leukemia • Intussusception Exclude children who are in hospice care for any part of the measurement period. |
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Numerator |
Diphtheria, tetanus, and pertussis (DTaP) vaccination 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. Poliovirus vaccination (IPV) At least three IPV 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. Measles, mumps, and rubella vaccination (MMR) Children with either of the following meet criteria: • At least one MMR vaccination on or between the child’s first and second birthdays. • All of the following anytime on or before the child’s second birthday (on the same or different date of service): o History of measles o History of mumps o History of rubella Haemophilus influenzae type b vaccination (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. Hepatitis B 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. o 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. Varicella vaccination (VZV) Children with either 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. • History of varicella zoster (e.g., chicken pox) illness on or before the child’s second birthday. Pneumococcal Conjugate 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. Hepatitis A Children with either 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. • History of hepatitis A illness on or before the child’s second birthday. Rotavirus 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. Influenza 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 an LAIV vaccination administered on the child’s second birthday. Do not count an LAIV vaccination administered before the child’s second birthday. |
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Numerator Exclusions |
Not Applicable |
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Denominator Exceptions |
None |
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Supplemental Data Elements |
For every patient evaluated by this measure also identify payer, race, ethnicity and sex |
AgeInYearsAt(date from end of "Measurement Period" )= 2 and exists ( "Qualifying Encounters" )
"Initial Population"
Hospice."Has Hospice Services" or "Has Severe Combined Immunodeficiency" or "Has Immunodeficiency" or "Has HIV" or "Has Lymphoreticular Cancer, Multiple Myeloma or Leukemia" or "Has Intussusception"
( exists ( "Four DTaP Vaccinations" ) or exists ( "DTaP Numerator Inclusion Conditions" ) ) and ( exists ( "Three Polio Vaccinations" ) ) and ( exists ( "One MMR Vaccination" ) or ( exists ( "Measles Indicators" ) and exists ( "Mumps Indicators" ) and exists ( "Rubella Indicators" ) ) ) and ( "Has Appropriate Number of Hib Immunizations" or exists ( "Hib Numerator Inclusion Conditions" ) ) and ( exists ( "Three Hepatitis B Vaccinations" ) or ( exists ( "Meets HepB Vaccination Requirement" ) or exists ( "Hepatitis B Numerator Inclusion Conditions" ) ) ) and ( exists ( "One Chicken Pox Vaccination" ) or exists ( "Varicella Zoster Numerator Inclusion Conditions" ) ) and ( exists ( "Four Pneumococcal Conjugate Vaccinations" ) ) and ( exists ( "One Hepatitis A Vaccinations" ) or exists ( "Hepatitis A Numerator Inclusion Conditions" ) ) and ( "Has Appropriate Number of Rotavirus Immunizations" or exists ( "Rotavirus Numerator Inclusion Conditions" ) ) and ( exists ( "Two Influenza Vaccinations" ) or ( "Two Influenza Vaccinations Including One LAIV Vaccination" ) )
None
None
None
"Hib 3 or 4 Dose Immunizations" AllHibDoses1 without "Hib 3 or 4 Dose Immunizations" AllHibDoses2 such that AllHibDoses1.relevantDatetime less than 1 day before AllHibDoses2.relevantDatetime
"Rotavirus 2 or 3 Dose Immunizations" AllRotavirusDoses1 without "Rotavirus 2 or 3 Dose Immunizations" AllRotavirusDoses2 such that AllRotavirusDoses1.relevantDatetime less than 1 day before AllRotavirusDoses2.relevantDatetime
date from Patient.birthDatetime + 1 year
Interval["Date of First Birthday", "Date of Second Birthday"]
date from Patient.birthDatetime + 2 years
"Initial Population"
Hospice."Has Hospice Services" or "Has Severe Combined Immunodeficiency" or "Has Immunodeficiency" or "Has HIV" or "Has Lymphoreticular Cancer, Multiple Myeloma or Leukemia" or "Has Intussusception"
( ( ["Immunization, Administered": "DTaP Vaccine"] union ["Procedure, Performed": "DTaP Vaccine Administered"] ) DTaPVaccination where Global."ToDateInterval" ( Global."NormalizeInterval" ( DTaPVaccination.relevantDatetime, DTaPVaccination.relevantPeriod ) ) during day of "Vaccine Administration Interval - 42 Days up to 2 Years Old" )
( ["Diagnosis": "Anaphylactic Reaction to DTaP Vaccine"] union ["Diagnosis": "Encephalitis Due to Diphtheria, Tetanus or Pertussis Vaccine"] ) DTaPConditions where date from start of DTaPConditions.prevalencePeriod during day of "First Two Years"
Interval[date from Patient.birthDatetime, "Date of Second Birthday"]
from "DTaP Immunizations or Procedures" DTaPVaccination1, "DTaP Immunizations or Procedures" DTaPVaccination2, "DTaP Immunizations or Procedures" DTaPVaccination3, "DTaP Immunizations or Procedures" DTaPVaccination4 where DTaPVaccination2.relevantDatetime 1 day or more after day of DTaPVaccination1.relevantDatetime and DTaPVaccination3.relevantDatetime 1 day or more after day of DTaPVaccination2.relevantDatetime and DTaPVaccination4.relevantDatetime 1 day or more after day of DTaPVaccination3.relevantDatetime return DTaPVaccination1
from "Pneumococcal Conjugate Immunizations or Procedures" PneumococcalVaccination1, "Pneumococcal Conjugate Immunizations or Procedures" PneumococcalVaccination2, "Pneumococcal Conjugate Immunizations or Procedures" PneumococcalVaccination3, "Pneumococcal Conjugate Immunizations or Procedures" PneumococcalVaccination4 where PneumococcalVaccination2.relevantDatetime 1 day or more after day of PneumococcalVaccination1.relevantDatetime and PneumococcalVaccination3.relevantDatetime 1 day or more after day of PneumococcalVaccination2.relevantDatetime and PneumococcalVaccination4.relevantDatetime 1 day or more after day of PneumococcalVaccination3.relevantDatetime return PneumococcalVaccination1
exists ( "All Hib Vaccinations" HibImmunization //union of 3 and 4 dose immunizations //4 dose test let HasFourDose: Count("Hib 4 Dose Immunizations or Procedures")> 0 where ( HasFourDose //if pt had at least one 4 dose code and Count(distinct("All Hib Vaccinations" HibVaccinations return HibVaccinations.relevantDatetime ) )>= 4 //pt must have 4 regimens (e.g., 3,3,4,4 or 4,3,4,4) ) or ( HasFourDose is false //if pt did not have at least one 4 dose code and Count(distinct("All Hib Vaccinations" HibVaccinations return HibVaccinations.relevantDatetime ) )>= 3 //pt must have 3 regimens of 3 dose codes ) )
exists ( "All Rotavirus Vaccinations" RotavirusImmunization let HasThreeDose: Count("Rotavirus 3 Dose Immunizations or Procedures")> 0 where ( HasThreeDose and Count(distinct("All Rotavirus Vaccinations" RotavirusVaccinations return RotavirusVaccinations.relevantDatetime ) )>= 3 ) or ( HasThreeDose is false and Count(distinct("All Rotavirus Vaccinations" RotavirusVaccinations return RotavirusVaccinations.relevantDatetime ) )>= 2 ) )
exists ( ["Diagnosis": "HIV"] HIV where date from start of HIV.prevalencePeriod during day of "First Two Years" )
exists ( ["Diagnosis": "Disorders of the Immune System"] ImmuneDisorder where date from start of ImmuneDisorder.prevalencePeriod during day of "First Two Years" )
exists ( ["Diagnosis": "Intussusception"] IntussusceptionDisorder where date from start of IntussusceptionDisorder.prevalencePeriod during day of "First Two Years" )
exists ( ["Diagnosis": "Malignant Neoplasm of Lymphatic and Hematopoietic Tissue"] LymphaticMalignantNeoplasm where date from start of LymphaticMalignantNeoplasm.prevalencePeriod during day of "First Two Years" )
exists ( ["Diagnosis": "Severe Combined Immunodeficiency"] SevereImmuneDisorder where date from start of SevereImmuneDisorder.prevalencePeriod during day of "First Two Years" )
["Diagnosis": "Hepatitis A"] HepatitisADiagnosis where date from start of HepatitisADiagnosis.prevalencePeriod during day of "First Two Years"
( ( ["Immunization, Administered": "Hepatitis B Vaccine"] union ["Procedure, Performed": "Hepatitis B Vaccine Administered"] ) HepatitisBVaccination where Global."ToDateInterval" ( Global."NormalizeInterval" ( HepatitisBVaccination.relevantDatetime, HepatitisBVaccination.relevantPeriod ) ) during day of "First Two Years" )
( ["Diagnosis": "Anaphylaxis due to Hepatitis B vaccine (disorder)"] union ["Diagnosis": "Hepatitis B"] ) HepBConditions where date from start of HepBConditions.prevalencePeriod during day of "First Two Years"
( ( ["Immunization, Administered": "Hib Vaccine (3 dose schedule)"] union ["Procedure, Performed": "Hib Vaccine (3 dose schedule) Administered"] ) ThreeDoseHib where Global."ToDateInterval" ( Global."NormalizeInterval" ( ThreeDoseHib.relevantDatetime, ThreeDoseHib.relevantPeriod ) ) during day of "Vaccine Administration Interval - 42 Days up to 2 Years Old" )
"Hib 3 Dose Immunizations or Procedures" union "Hib 4 Dose Immunizations or Procedures"
( ( ["Immunization, Administered": "Hib Vaccine (4 dose schedule)"] union ["Procedure, Performed": "Hib Vaccine (4 dose schedule) Administered"] ) FourDoseHib where Global."ToDateInterval" ( Global."NormalizeInterval" ( FourDoseHib.relevantDatetime, FourDoseHib.relevantPeriod ) ) during day of "Vaccine Administration Interval - 42 Days up to 2 Years Old" )
["Diagnosis": "Anaphylaxis due to Haemophilus influenzae type b vaccine (disorder)"] HibReaction where date from start of HibReaction.prevalencePeriod during day of "First Two Years"
exists ( ["Encounter, Performed": "Encounter Inpatient"] InpatientEncounter where ( InpatientEncounter.dischargeDisposition ~ "Discharge to home for hospice care (procedure)" or InpatientEncounter.dischargeDisposition ~ "Discharge to healthcare facility for hospice care (procedure)" ) and InpatientEncounter.relevantPeriod ends during day of "Measurement Period" ) or exists ( ["Encounter, Performed": "Hospice Encounter"] HospiceEncounter where HospiceEncounter.relevantPeriod overlaps "Measurement Period" ) or exists ( ["Assessment, Performed": "Hospice care [Minimum Data Set]"] HospiceAssessment where HospiceAssessment.result ~ "Yes (qualifier value)" and Global."NormalizeInterval" ( HospiceAssessment.relevantDatetime, HospiceAssessment.relevantPeriod ) overlaps "Measurement Period" ) or exists ( ["Intervention, Order": "Hospice Care Ambulatory"] HospiceOrder where HospiceOrder.authorDatetime during day of "Measurement Period" ) or exists ( ["Intervention, Performed": "Hospice Care Ambulatory"] HospicePerformed where Global."NormalizeInterval" ( HospicePerformed.relevantDatetime, HospicePerformed.relevantPeriod ) overlaps "Measurement Period" )
( ( ["Immunization, Administered": "Influenza Vaccine"] union ["Procedure, Performed": "Influenza Vaccine Administered"] ) InfluenzaAdministration where Global."NormalizeInterval" ( InfluenzaAdministration.relevantDatetime, InfluenzaAdministration.relevantPeriod ) during day of "Vaccine Administration Interval - 180 Days up to 2 Years Old" )
AgeInYearsAt(date from end of "Measurement Period" )= 2 and exists ( "Qualifying Encounters" )
( ( ["Immunization, Administered": "Influenza Virus LAIV Immunization"] union ["Procedure, Performed": "Influenza Virus LAIV Procedure"] ) InfluenzaAdministration where Global."ToDateInterval" ( Global."NormalizeInterval" ( InfluenzaAdministration.relevantDatetime, InfluenzaAdministration.relevantPeriod ) ) during day of Interval["Date of Second Birthday", "Date of Second Birthday"] )
["Diagnosis": "Measles"] MeaslesDiagnosis where date from start of MeaslesDiagnosis.prevalencePeriod during day of "First Two Years"
"Three Hepatitis B Vaccinations" HepatitisBRequirement where date from HepatitisBRequirement.relevantDatetime during day of Interval[Patient.birthDatetime, Patient.birthDatetime + 7 days]
["Diagnosis": "Mumps"] MumpsDiagnosis where date from start of MumpsDiagnosis.prevalencePeriod during day of "First Two Years"
( exists ( "Four DTaP Vaccinations" ) or exists ( "DTaP Numerator Inclusion Conditions" ) ) and ( exists ( "Three Polio Vaccinations" ) ) and ( exists ( "One MMR Vaccination" ) or ( exists ( "Measles Indicators" ) and exists ( "Mumps Indicators" ) and exists ( "Rubella Indicators" ) ) ) and ( "Has Appropriate Number of Hib Immunizations" or exists ( "Hib Numerator Inclusion Conditions" ) ) and ( exists ( "Three Hepatitis B Vaccinations" ) or ( exists ( "Meets HepB Vaccination Requirement" ) or exists ( "Hepatitis B Numerator Inclusion Conditions" ) ) ) and ( exists ( "One Chicken Pox Vaccination" ) or exists ( "Varicella Zoster Numerator Inclusion Conditions" ) ) and ( exists ( "Four Pneumococcal Conjugate Vaccinations" ) ) and ( exists ( "One Hepatitis A Vaccinations" ) or exists ( "Hepatitis A Numerator Inclusion Conditions" ) ) and ( "Has Appropriate Number of Rotavirus Immunizations" or exists ( "Rotavirus Numerator Inclusion Conditions" ) ) and ( exists ( "Two Influenza Vaccinations" ) or ( "Two Influenza Vaccinations Including One LAIV Vaccination" ) )
( ( ["Immunization, Administered": "Varicella Zoster Vaccine (VZV)"] union ["Procedure, Performed": "Varicella Zoster Vaccine (VZV) Administered"] ) ChickenPoxVaccination where Global."ToDateInterval" ( Global."NormalizeInterval" ( ChickenPoxVaccination.relevantDatetime, ChickenPoxVaccination.relevantPeriod ) ) during "Date of First Birthday to Date of Second Birthday" )
( ( ["Immunization, Administered": "Hepatitis A Vaccine"] union ["Procedure, Performed": "Hepatitis A Vaccine Administered"] ) HepatitisAVaccination where Global."ToDateInterval" ( Global."NormalizeInterval" ( HepatitisAVaccination.relevantDatetime, HepatitisAVaccination.relevantPeriod ) ) during "Date of First Birthday to Date of Second Birthday" )
( ( ["Immunization, Administered": "Measles, Mumps and Rubella (MMR) Vaccine"] union ["Procedure, Performed": "Measles, Mumps and Rubella (MMR) Vaccine Administered"] ) MMRVaccination where Global."ToDateInterval" ( Global."NormalizeInterval" ( MMRVaccination.relevantDatetime, MMRVaccination.relevantPeriod ) ) during "Date of First Birthday to Date of Second Birthday" )
( ( ["Immunization, Administered": "Pneumococcal Conjugate Vaccine"] union ["Procedure, Performed": "Pneumococcal Conjugate Vaccine Administered"] ) PneumococcalVaccination where Global."ToDateInterval" ( Global."NormalizeInterval" ( PneumococcalVaccination.relevantDatetime, PneumococcalVaccination.relevantPeriod ) ) during day of "Vaccine Administration Interval - 42 Days up to 2 Years Old" )
( ( ["Immunization, Administered": "Inactivated Polio Vaccine (IPV)"] union ["Procedure, Performed": "Inactivated Polio Vaccine (IPV) Administered"] ) PolioVaccination where Global."ToDateInterval" ( Global."NormalizeInterval" ( PolioVaccination.relevantDatetime, PolioVaccination.relevantPeriod ) ) during day of "Vaccine Administration Interval - 42 Days up to 2 Years Old" )
( ["Encounter, Performed": "Office Visit"] union ["Encounter, Performed": "Home Healthcare Services"] union ["Encounter, Performed": "Preventive Care, Established Office Visit, 0 to 17"] union ["Encounter, Performed": "Preventive Care Services, Initial Office Visit, 0 to 17"] union ["Encounter, Performed": "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. Usually, the presenting problem(s) are minimal."] union ["Encounter, Performed": "Online Assessments"] union ["Encounter, Performed": "Telephone Visits"] ) ValidEncounters where ValidEncounters.relevantPeriod during day of "Measurement Period"
( ( ["Immunization, Administered": "rotavirus, live, monovalent vaccine"] union ["Procedure, Performed": "Rotavirus Vaccine (2 dose schedule) Administered"] ) TwoDoseRotavirus where Global."NormalizeInterval" ( TwoDoseRotavirus.relevantDatetime, TwoDoseRotavirus.relevantPeriod ) during day of "Vaccine Administration Interval - 42 Days up to 2 Years Old" )
"Rotavirus 2 Dose Immunizations or Procedures" union "Rotavirus 3 Dose Immunizations or Procedures"
( ( ["Immunization, Administered": "Rotavirus Vaccine (3 dose schedule)"] union ["Procedure, Performed": "Rotavirus Vaccine (3 dose schedule) Administered"] ) ThreeDoseRotavirus where Global."ToDateInterval" ( Global."NormalizeInterval" ( ThreeDoseRotavirus.relevantDatetime, ThreeDoseRotavirus.relevantPeriod ) ) during day of "Vaccine Administration Interval - 42 Days up to 2 Years Old" )
( ["Diagnosis": "Anaphylaxis due to rotavirus vaccine (disorder)"] RotavirusConditions where date from start of RotavirusConditions.prevalencePeriod during day of "First Two Years" )
["Diagnosis": "Rubella"] RubellaDiagnosis where date from start of RubellaDiagnosis.prevalencePeriod during day of "First Two Years"
["Patient Characteristic Ethnicity": "Ethnicity"]
["Patient Characteristic Payer": "Payer"]
["Patient Characteristic Race": "Race"]
["Patient Characteristic Sex": "ONC Administrative Sex"]
from "Hepatitis B Immunizations or Procedures" HepatitisBVaccination1, "Hepatitis B Immunizations or Procedures" HepatitisBVaccination2, "Hepatitis B Immunizations or Procedures" HepatitisBVaccination3 where HepatitisBVaccination2.relevantDatetime 1 day or more after day of HepatitisBVaccination1.relevantDatetime and HepatitisBVaccination3.relevantDatetime 1 day or more after day of HepatitisBVaccination2.relevantDatetime return HepatitisBVaccination1
from "Polio Immunizations or Procedures" PolioVaccination1, "Polio Immunizations or Procedures" PolioVaccination2, "Polio Immunizations or Procedures" PolioVaccination3 where PolioVaccination2.relevantDatetime 1 day or more after day of PolioVaccination1.relevantDatetime and PolioVaccination3.relevantDatetime 1 day or more after day of PolioVaccination2.relevantDatetime return PolioVaccination1
from "Influenza Immunizations or Procedures" FluVaccination1, "Influenza Immunizations or Procedures" FluVaccination2 where FluVaccination2.relevantDatetime 1 day or more after day of FluVaccination1.relevantDatetime return FluVaccination1
exists "LAIV Vaccinations" and exists "Influenza Immunizations or Procedures"
Interval[date from Patient.birthDatetime + 180 days, "Date of Second Birthday"]
Interval[date from Patient.birthDatetime + 42 days, "Date of Second Birthday"]
["Diagnosis": "Varicella Zoster"] VaricellaZoster where date from start of VaricellaZoster.prevalencePeriod during day of "First Two Years"
if pointInTime is not null then Interval[pointInTime, pointInTime] else if period is not null then period else null as Interval<DateTime>
Interval[date from start of period, date from end of period]
["Patient Characteristic Ethnicity": "Ethnicity"]
["Patient Characteristic Payer": "Payer"]
["Patient Characteristic Race": "Race"]
["Patient Characteristic Sex": "ONC Administrative Sex"]
Measure Set |
None |
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