Childhood Immunization Status

• • All Hib Vaccinations

    • • "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

       

  • All Rotavirus Vaccinations

    • • "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

       

  • Denominator

    • • "Initial Population"

       

  • Denominator Exclusions

    • • Hospice."Has Hospice"

       

  • DTaP Immunizations or Procedures

    • • ( ( ["Immunization, Administered": "DTaP Vaccine"]
            union ["Procedure, Performed": "DTaP Vaccine Administered"] ) DTaPVaccination
            where DTaPVaccination.relevantDatetime during Interval[Patient.birthDatetime + 42 days, Patient.birthDatetime + 2 years]
        )

       

  • DTaP Numerator Inclusion Conditions

    • • ( ["Diagnosis": "Anaphylactic Reaction to DTaP Vaccine"]
          union ["Diagnosis": "Encephalopathy due to Childhood Vaccination"] ) DTaPConditions
          where ( start of DTaPConditions.prevalencePeriod during Interval[Patient.birthDatetime, Patient.birthDatetime + 2 years])

       

  • Four DTaP Vaccinations

    • • 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

       

  • Four Pneumococcal Conjugate Vaccinations

    • • 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

       

  • Has Appropriate Number of Hib Immunizations

    • • exists ( "All Hib Vaccinations" HibImmunization //union of 3 and 4 dose immunizations
        //4 dose test
            let has_4_dose: Count("Hib 4 Dose Immunizations or Procedures")> 0
            where ( has_4_dose //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 ( has_4_dose 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
              )
        )

       

  • Has Appropriate Number of Rotavirus Immunizations

    • • exists ( "All Rotavirus Vaccinations" RotavirusImmunization
            let has_3_dose: Count("Rotavirus 3 Dose Immunizations or Procedures")> 0
            where ( has_3_dose
                and Count(distinct("All Rotavirus Vaccinations" RotavirusVaccinations
                      return RotavirusVaccinations.relevantDatetime
                  )
                )>= 3
            )
              or ( has_3_dose is false
                  and Count(distinct("All Rotavirus Vaccinations" RotavirusVaccinations
                        return RotavirusVaccinations.relevantDatetime
                    )
                  )>= 2
              )
        )

       

  • Hepatitis A Numerator Inclusion Conditions

    • • ( ( ["Laboratory Test, Performed": "Anti Hepatitis A IgG Antigen Test"] HepatitisAAntigenTest
            where HepatitisAAntigenTest.result as Code in "Positive Finding"
        )
          union ( ["Diagnosis": "Anaphylactic Reaction to Hepatitis A Vaccine"] HepatitisAReaction
              return "Laboratory Test, Performed" { relevantDatetime: start of HepatitisAReaction.prevalencePeriod }
          )
          union ( ["Diagnosis": "Hepatitis A"] HepatitisADiagnosis
              return "Laboratory Test, Performed" { relevantDatetime: start of HepatitisADiagnosis.prevalencePeriod }
          ) ) HepatitisAConditions
          where ( HepatitisAConditions.relevantDatetime during Interval[Patient.birthDatetime, Patient.birthDatetime + 2 years])

       

  • Hepatitis B Immunizations or Procedures

    • • ( ( ["Immunization, Administered": "Hepatitis B Vaccine"]
            union ["Procedure, Performed": "Hepatitis B Vaccine Administered"] ) HepatitisBVaccination
            where HepatitisBVaccination.relevantDatetime during Interval[Patient.birthDatetime, Patient.birthDatetime + 2 years]
        )

       

  • Hepatitis B Numerator Inclusion Conditions

    • • ( ( ["Laboratory Test, Performed": "Anti Hepatitis B Virus Surface Ab"] HepatitisBAntigenTest
            where HepatitisBAntigenTest.result as Code in "Positive Finding"
        )
          union ( ["Diagnosis": "Anaphylaxis due to Hepatitis B vaccine (disorder)"] HepatitisBReaction
              return "Laboratory Test, Performed" { relevantDatetime: start of HepatitisBReaction.prevalencePeriod }
          )
          union ( ["Diagnosis": "Anaphylactic Reaction to Common Baker's Yeast"] YeastReaction
              return "Laboratory Test, Performed" { relevantDatetime: start of YeastReaction.prevalencePeriod }
          )
          union ( ["Diagnosis": "Hepatitis B"] HepatitisBDiagnosis
              return "Laboratory Test, Performed" { relevantDatetime: start of HepatitisBDiagnosis.prevalencePeriod }
          ) ) HepBConditions
          where ( HepBConditions.relevantDatetime during Interval[Patient.birthDatetime, Patient.birthDatetime + 2 years])

       

  • Hib 3 Dose Immunizations or Procedures

    • • ( ( ["Immunization, Administered": "Hib Vaccine (3 dose schedule)"]
            union ["Procedure, Performed": "Hib Vaccine (3 dose schedule) Administered"] ) ThreeDoseHib
            where ThreeDoseHib.relevantDatetime during Interval[Patient.birthDatetime + 42 days, Patient.birthDatetime + 2 years]
        )

       

  • Hib 3 or 4 Dose Immunizations

    • • "Hib 3 Dose Immunizations or Procedures"
          union "Hib 4 Dose Immunizations or Procedures"

       

  • Hib 4 Dose Immunizations or Procedures

    • • ( ( ["Immunization, Administered": "Hib Vaccine (4 dose schedule)"]
            union ["Procedure, Performed": "Hib Vaccine (4 dose schedule) Administered"] ) FourDoseHib
            where FourDoseHib.relevantDatetime during Interval[Patient.birthDatetime + 42 days, Patient.birthDatetime + 2 years]
        )

       

  • Hib Numerator Inclusion Conditions

    • • ["Diagnosis": "Anaphylaxis due to Haemophilus influenzae type b vaccine (disorder)"] HibReaction
          where ( start of HibReaction.prevalencePeriod during Interval[Patient.birthDatetime, Patient.birthDatetime + 2 years])

       

  • Hospice.Has Hospice

    • • exists ( ["Encounter, Performed": "Encounter Inpatient"] DischargeHospice
            where ( DischargeHospice.dischargeDisposition ~ "Discharge to home for hospice care (procedure)"
                or DischargeHospice.dischargeDisposition ~ "Discharge to healthcare facility for hospice care (procedure)"
            )
              and DischargeHospice.relevantPeriod ends during "Measurement Period"
        )
          or exists ( ["Intervention, Order": "Hospice care ambulatory"] HospiceOrder
              where HospiceOrder.authorDatetime during "Measurement Period"
          )
          or exists ( ["Intervention, Performed": "Hospice care ambulatory"] HospicePerformed
              where HospicePerformed.relevantPeriod overlaps "Measurement Period"
          )

       

  • Influenza Immunizations or Procedures

    • • ( ( ["Immunization, Administered": "Influenza Vaccine"]
            union ["Procedure, Performed": "Influenza Vaccine Administered"] ) InfluenzaAdministration
            where InfluenzaAdministration.relevantDatetime during Interval[Patient.birthDatetime + 180 days, Patient.birthDatetime + 2 years]
        )

       

  • Influenza Numerator Inclusion Conditions

    • • ( ["Diagnosis": "Influenza virus vaccine adverse reaction (disorder)"]
          union ["Diagnosis": "Malignant Neoplasm of Lymphatic and Hematopoietic Tissue"]
          union ["Diagnosis": "Neomycin adverse reaction (disorder)"]
          union ["Diagnosis": "HIV"]
          union ["Diagnosis": "Disorders of the Immune System"] ) InfluenzaConditions
          where ( start of InfluenzaConditions.prevalencePeriod during Interval[Patient.birthDatetime, Patient.birthDatetime + 2 years])

       

  • Initial Population

    • • exists ( ["Patient Characteristic Birthdate": "Birth date"] BirthDate
            where Global."CalendarAgeInYearsAt" ( BirthDate.birthDatetime, start of "Measurement Period" ) >= 1
              and Global."CalendarAgeInYearsAt" ( BirthDate.birthDatetime, 
              end of "Measurement Period" ) = 2
        )
          and exists ( "Qualifying Encounter" )

       

  • Measles Indicators

    • • ( ( ["Laboratory Test, Performed": "Measles Antibody Test (IgG Antibody Titer)"] MeaslesTiter
            where MeaslesTiter.result >= 1.10
        )
          union ( ["Laboratory Test, Performed": "Measles Antibody Test (IgG Antibody presence)"] MeaslesIgGPresence
              where MeaslesIgGPresence.result as Code in "Positive Finding"
          )
          union ( ["Diagnosis": "Measles"] MeaslesDiagnosis
              return "Laboratory Test, Performed" { relevantDatetime: start of MeaslesDiagnosis.prevalencePeriod }
          ) ) Measles
          where ( Measles.relevantDatetime during Interval[Patient.birthDatetime, Patient.birthDatetime + 2 years])

       

  • MMR Numerator Inclusion Conditions

    • • ( ["Diagnosis": "Disorders of the Immune System"]
          union ["Diagnosis": "HIV"]
          union ["Diagnosis": "Malignant Neoplasm of Lymphatic and Hematopoietic Tissue"]
          union ["Diagnosis": "Neomycin adverse reaction (disorder)"] ) MMRConditions
          where ( start of MMRConditions.prevalencePeriod during Interval[Patient.birthDatetime, Patient.birthDatetime + 2 years])

       

  • Mumps Indicators

    • • ( ( ["Laboratory Test, Performed": "Mumps Antibody Test (IgG Antibody Titer)"] MumpsTiter
            where MumpsTiter.result >= 1.10
        )
          union ( ["Laboratory Test, Performed": "Mumps Antibody Test (IgG Antibody presence)"] MumpsIgGPresence
              where MumpsIgGPresence.result as Code in "Positive Finding"
          )
          union ( ["Diagnosis": "Mumps"] MumpsDiagnosis
              return "Laboratory Test, Performed" { relevantDatetime: start of MumpsDiagnosis.prevalencePeriod }
          ) ) Mumps
          where ( Mumps.relevantDatetime during Interval[Patient.birthDatetime, Patient.birthDatetime + 2 years])

       

  • Numerator

    • • ( exists ( "Four DTaP Vaccinations" )
            or exists ( "DTaP Numerator Inclusion Conditions" )
        )
          and ( exists ( "Three Polio Vaccinations" )
              or exists ( "Polio Numerator Inclusion Conditions" )
          )
          and ( exists ( "One MMR Vaccination" )
              or exists ( "MMR Numerator Inclusion Conditions" )
              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 ( "Hepatitis B Numerator Inclusion Conditions" )
          )
          and ( exists ( "One Chicken Pox Vaccination" )
              or exists ( "Varicella Zoster Numerator Inclusion Conditions" )
          )
          and ( exists ( "Four Pneumococcal Conjugate Vaccinations" )
              or exists ( "Pneumococcal Conjugate Numerator Inclusion Conditions" )
          )
          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 exists ( "Influenza Numerator Inclusion Conditions" )
          )

       

  • One Chicken Pox Vaccination

    • • ( ( ["Immunization, Administered": "Varicella Zoster Vaccine (VZV)"]
            union ["Procedure, Performed": "Varicella Zoster Vaccine (VZV) Administered"] ) ChickenPoxVaccination
            where ChickenPoxVaccination.relevantDatetime during Interval[Patient.birthDatetime, Patient.birthDatetime + 2 years]
        )

       

  • One Hepatitis A Vaccinations

    • • ( ( ["Immunization, Administered": "Hepatitis A Vaccine"]
            union ["Procedure, Performed": "Hepatitis A Vaccine Administered"] ) HepatitisAVaccination
            where HepatitisAVaccination.relevantDatetime during Interval[Patient.birthDatetime, Patient.birthDatetime + 2 years]
        )

       

  • One MMR Vaccination

    • • ( ( ["Immunization, Administered": "Measles, Mumps and Rubella (MMR) Vaccine"]
            union ["Procedure, Performed": "Measles, Mumps and Rubella (MMR) Vaccine Administered"] ) MMRVaccination
            where MMRVaccination.relevantDatetime during Interval[Patient.birthDatetime, Patient.birthDatetime + 2 years]
        )

       

  • Pneumococcal Conjugate Immunizations or Procedures

    • • ( ( ["Immunization, Administered": "Pneumococcal Conjugate Vaccine"]
            union ["Procedure, Performed": "Pneumococcal Conjugate Vaccine Administered"] ) PneumococcalVaccination
            where PneumococcalVaccination.relevantDatetime during Interval[Patient.birthDatetime + 42 days, Patient.birthDatetime + 2 years]
        )

       

  • Pneumococcal Conjugate Numerator Inclusion Conditions

    • • ["Diagnosis": "Pneumococcal vaccine adverse reaction (disorder)"] PneumococcalReaction
          where ( start of PneumococcalReaction.prevalencePeriod during Interval[Patient.birthDatetime, Patient.birthDatetime + 2 years])

       

  • Polio Immunizations or Procedures

    • • ( ( ["Immunization, Administered": "Inactivated Polio Vaccine (IPV)"]
            union ["Procedure, Performed": "Inactivated Polio Vaccine (IPV) Administered"] ) PolioVaccination
            where PolioVaccination.relevantDatetime during Interval[Patient.birthDatetime + 42 days, Patient.birthDatetime + 2 years]
        )

       

  • Polio Numerator Inclusion Conditions

    • • ( ["Diagnosis": "Poliomyelitis vaccine adverse reaction (disorder)"]
          union ["Diagnosis": "Streptomycin adverse reaction (disorder)"]
          union ["Diagnosis": "Polymyxin B adverse reaction (disorder)"]
          union ["Diagnosis": "Neomycin adverse reaction (disorder)"] ) PolioConditions
          where ( start of PolioConditions.prevalencePeriod during Interval[Patient.birthDatetime, Patient.birthDatetime + 2 years])

       

  • Qualifying Encounter

    • • ( ["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"] ) ValidEncounter
          where ValidEncounter.relevantPeriod during "Measurement Period"

       

  • Rotavirus 2 Dose Immunizations or Procedures

    • • ( ( ["Immunization, Administered": "rotavirus, live, monovalent vaccine"]
            union ["Procedure, Performed": "Rotavirus Vaccine (2 dose schedule) Administered"] ) TwoDoseRotavirus
            where TwoDoseRotavirus.relevantDatetime during Interval[Patient.birthDatetime + 42 days, Patient.birthDatetime + 2 years]
        )

       

  • Rotavirus 2 or 3 Dose Immunizations

    • • "Rotavirus 2 Dose Immunizations or Procedures"
          union "Rotavirus 3 Dose Immunizations or Procedures"

       

  • Rotavirus 3 Dose Immunizations or Procedures

    • • ( ( ["Immunization, Administered": "Rotavirus Vaccine (3 dose schedule)"]
            union ["Procedure, Performed": "Rotavirus Vaccine (3 dose schedule) Administered"] ) ThreeDoseRotavirus
            where ThreeDoseRotavirus.relevantDatetime during Interval[Patient.birthDatetime + 42 days, Patient.birthDatetime + 2 years]
        )

       

  • Rotavirus Numerator Inclusion Conditions

    • • ( ( ["Diagnosis": "Anaphylaxis due to rotavirus vaccine (disorder)"]
            union ["Diagnosis": "Severe Combined Immunodeficiency"]
            union ["Diagnosis": "Intussusception"] ) RotavirusConditions
            where ( start of RotavirusConditions.prevalencePeriod during Interval[Patient.birthDatetime, Patient.birthDatetime + 2 years])
        )

       

  • Rubella Indicators

    • • ( ( ["Laboratory Test, Performed": "Rubella Antibody Test (IgG Antibody Titer)"] RubellaTiter
            where RubellaTiter.result >= 1.10
        )
          union ( ["Laboratory Test, Performed": "Rubella Antibody Test (IgG Antibody presence)"] RubellaIgGPresence
              where RubellaIgGPresence.result as Code in "Positive Finding"
          )
          union ( ["Diagnosis": "Rubella"] RubellaDiagnosis
              return "Laboratory Test, Performed" { relevantDatetime: start of RubellaDiagnosis.prevalencePeriod }
          ) ) Rubella
          where ( Rubella.relevantDatetime during Interval[Patient.birthDatetime, Patient.birthDatetime + 2 years])

       

  • SDE Ethnicity

    • • ["Patient Characteristic Ethnicity": "Ethnicity"]

       

  • SDE Payer

    • • ["Patient Characteristic Payer": "Payer"]

       

  • SDE Race

    • • ["Patient Characteristic Race": "Race"]

       

  • SDE Sex

    • • ["Patient Characteristic Sex": "ONC Administrative Sex"]

       

  • Three Hepatitis B Vaccinations

    • • 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

       

  • Three Polio Vaccinations

    • • 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

       

  • Two Influenza Vaccinations

    • • 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

       

  • Varicella Zoster Numerator Inclusion Conditions

    • • ( ( ["Laboratory Test, Performed": "Varicella Zoster Antibody Test (IgG Antibody Titer)"] ChickenPoxTiter
            where ChickenPoxTiter.result >= 1.10
        )
          union ( ["Laboratory Test, Performed": "Varicella Zoster Antibody Test (IgG Antibody Presence)"] ChickenPoxIgGPresence
              where ChickenPoxIgGPresence.result as Code in "Positive Finding"
          )
          union ( ["Diagnosis": "Disorders of the Immune System"] ImmuneDisorder
              return "Laboratory Test, Performed" { relevantDatetime: start of ImmuneDisorder.prevalencePeriod }
          )
          union ( ["Diagnosis": "HIV"] HIV
              return "Laboratory Test, Performed" { relevantDatetime: start of HIV.prevalencePeriod }
          )
          union ( ["Diagnosis": "Malignant Neoplasm of Lymphatic and Hematopoietic Tissue"] LymphaticMalignantNeoplasm
              return "Laboratory Test, Performed" { relevantDatetime: start of LymphaticMalignantNeoplasm.prevalencePeriod }
          )
          union ( ["Diagnosis": "Neomycin adverse reaction (disorder)"] NeomycinReaction
              return "Laboratory Test, Performed" { relevantDatetime: start of NeomycinReaction.prevalencePeriod }
          )
          union ( ["Diagnosis": "Varicella Zoster"] VaricellaZoster
              return "Laboratory Test, Performed" { relevantDatetime: start of VaricellaZoster.prevalencePeriod }
          ) ) VaricellaZosterConditions
          where ( VaricellaZosterConditions.relevantDatetime during Interval[Patient.birthDatetime, Patient.birthDatetime + 2 years])

       

Functions

None