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  1. eCQM Issue Tracker
  2. CQM-4865

Replace Hib Vaccine (3 dose schedule) value set with DRC

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    • EP/EC eCQMs
    • Status: Open
    • Moderate
    • Resolution: Unresolved
    • None

    Description

      Brief Description of Measure:

      ​CMS117: Childhood Immunization Status:
      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

      Description of Issue:

      ​The value set Hib Vaccine (3 dose schedule) grouping OID (2.16.840.1.113883.3.464.1003.110.12.1083) contains one member OID (2.16.840.1.113883.3.464.1003.110.11.115) which consists of a single code.
      This does not align with best practices for value set and direct reference code (DRC) management; therefore, we plan to replace this value set with the indicated DRC directly within the logic and terminology section of the eCQM.

      Proposed Solution:

      ​Remove value set Hib Vaccine (3 dose schedule) grouping OID (2.16.840.1.113883.3.464.1003.110.12.1083). Replace this with direct reference code: 
      CVX 49 - Haemophilus influenzae type b vaccine, PRP-OMP conjugate. 
      Before:
      //Terminology
      valueset "Hib Vaccine (3 dose schedule)" (2.16.840.1.113883.3.464.1003.110.12.1083)
       
      //Logic definition
      define "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 "Vaccine Administration Interval - 42 Days up to 2 Years Old")

      After:
      //Terminology
      code "Haemophilus influenzae type b vaccine, PRP-OMP conjugate": "49" from "CVX" display 'Haemophilus influenzae type b vaccine, PRP-OMP conjugate'
       
      //Logic definition
      define "Hib 3 Dose Immunizations or Procedures"
      ( ( ["Immunization, Administered": "Haemophilus influenzae type b vaccine, PRP-OMP conjugate"] 
          union ["Procedure, Performed": "Hib Vaccine (3 dose schedule) Administered"] ) ThreeDoseHib
          where ThreeDoseHib.relevantDatetime during "Vaccine Administration Interval - 42 Days up to 2 Years Old"
      )

      Rationale for Change:

      ​​To align with value set best practices, we replaced a single-code value set ("Hib Vaccine (3 dose schedule)") with a direct reference code.

       

       

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            khancock Mathematica EC eCQM Team
            sgearhart Mathematica EH eCQM Team
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              Created:
              Updated: