Metadata
Title | Childhood Immunization StatusFHIR
Version | 1.0.000
Short Name | CMS117FHIR
GUID (Version Independent) | urn:uuid:020b451b-0c5e-4582-b069-90128f33a482
GUID (Version Specific) | urn:uuid:2759acfc-8993-4117-955b-c9e3046b06ec
CMS Identifier | 117FHIR
Effective Period | 2026-01-01 through 2026-12-31
Steward (Publisher) | National Committee for Quality Assurance
Developer | National Committee for Quality Assurance
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
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 endorsements about the quality of any product, test or protocol identified as numerator compliant or otherwise identified as meeting the requirements of the measure or specification. 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 may be used for internal, noncommercial purposes (e.g., use by healthcare providers in connection with their practices) without obtaining approval from NCQA. All other uses, including a commercial use (including but not limited to vendors using or embedding the measures and specifications into any product or service to calculate measure results for customers for any purpose), must be approved by NCQA and are subject to a license at the discretion of NCQA. (C) 2012-2025 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 2025. 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) (https://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 2004-2025 Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee, and are available at no cost under the license at https://loinc.org/kb/license/. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2024 International Health Terminology Standards Development Organisation. ICD-10 copyright 2025 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.
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).
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, 2023). -- For the 2023–24 season, see the 2023–24 ACIP influenza vaccine recommendations (Grohskopf, 2023).
Citation | Carrico, J., La, E.M., Talbird, S.E., et al. (2022). Value of the Immunization Program for Children in the 2017 US Birth Cohort. Pediatrics, 150(3). doi:10.1542/peds.2021-056007
Citation | Centers for Disease Control and Prevention. (2023). Recommended Child and Adolescent Immunization Schedule for Ages 18 Years or Younger, United States. Retrieved August 23, 2023, from https://www.cdc.gov/vaccines/schedules/hcp/imz/child-adolescent.html
Citation | Grohskopf, L.A., Blanton, L.H., Ferdinands, J.M., et al. (2023). Prevention and Control of Seasonal Influenza with Vaccines: Recommendations of the Advisory Committee on Immunization Practices — United States, 2023-24 Influenza Season. MMWR. Recommendations and Reports, 72(2), 1–25. DOI: http://dx.doi.org/10.15585/mmwr.rr7202a1
Citation | Talbird, S.E., Carrico, J., La, E.M., et al. (2022). Impact of Routine Childhood Immunization in Reducing Vaccine-Preventable Diseases in the United States. Pediatrics, 150(3). doi:10.1542/peds.2021-056013
Citation | United States Department of Health and Human Services, Office of Infectious Disease and HIV/AIDS policy (HHS-OIDP). (2022). Vaccines for Infants, Children, and Teens. Retrieved August 23, 2023, from https://www.hhs.gov/immunization/who-and-when/infants-to-teens/index.html
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.
Guidance (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: CMS117v14. Please refer to the HL7 QI-Core Implementation Guide (https://hl7.org/fhir/us/qicore/STU6/) for more information on QI-Core and mapping recommendations from QDM to QI-Core STU 6. (https://hl7.org/fhir/us/qicore/STU6/qdm-to-qicore.html).
Measure Group (Rate) (ID: Group_1)
Basis | boolean
Scoring | [http://terminology.hl7.org/CodeSystem/measure-scoring#proportion: 'Proportion']
Type | [http://terminology.hl7.org/CodeSystem/measure-type#process: 'Process']
Rate Aggregation | None
Improvement Notation | [http://terminology.hl7.org/CodeSystem/measure-improvement-notation#increase: 'Increased score indicates improvement']
Initial Population | ID: InitialPopulation_1 Description: Children who turn 2 years of age during the measurement period and have a visit during the measurement period Logic Definition: Initial Population
Denominator | ID: Denominator_1 Description: Equals Initial Population Logic Definition: Denominator
Denominator Exclusion | ID: DenominatorExclusion_1 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 Logic Definition: Denominator Exclusions
Numerator | ID: Numerator_1 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. Logic Definition: Numerator
Supplemental Data Guidance | For every patient evaluated by this measure also identify payer, race, ethnicity and sex
Supplemental Data Elements
Supplemental Data Element | ID: sde-ethnicity Usage Code: [http://terminology.hl7.org/CodeSystem/measure-data-usage#supplemental-data] Description: SDE Ethnicity Logic Definition: SDE Ethnicity
Supplemental Data Element | ID: sde-payer Usage Code: [http://terminology.hl7.org/CodeSystem/measure-data-usage#supplemental-data] Description: SDE Payer Logic Definition: SDE Payer
Supplemental Data Element | ID: sde-race Usage Code: [http://terminology.hl7.org/CodeSystem/measure-data-usage#supplemental-data] Description: SDE Race Logic Definition: SDE Race
Supplemental Data Element | ID: sde-sex Usage Code: [http://terminology.hl7.org/CodeSystem/measure-data-usage#supplemental-data] Description: SDE Sex Logic Definition: SDE Sex
Measure Logic
Primary Library | https://madie.cms.gov/Library/CMS117FHIRChildImmunStatus
Contents | Population Criteria Logic Definitions Terminology Dependencies Data Requirements
Population Criteria
Measure Group (Rate) (ID: Group_1)
Initial Population
    define "Initial Population":
      AgeInYearsAt(date from
        end of "Measurement Period"
      ) = 2
        and exists ( "Qualifying Encounters" )
Denominator
    define "Denominator":
      "Initial Population"
Denominator Exclusion
    define "Denominator Exclusions":
      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"
Numerator
    define "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 ( "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" )
            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 ( "Two Influenza Vaccinations Including One LAIV Vaccination" )
            or exists ( "Influenza Numerator Inclusion Conditions" )
        )
Logic Definitions
Logic Definition | Library Name: Hospice
    define "Has Hospice Services":
      exists ((([Encounter: "Encounter Inpatient"]).isEncounterPerformed()) InpatientEncounter
          where (InpatientEncounter.hospitalization.dischargeDisposition ~ "Discharge to home for hospice care (procedure)"
              or InpatientEncounter.hospitalization.dischargeDisposition ~ "Discharge to healthcare facility for hospice care (procedure)"
          )
            and InpatientEncounter.period ends during day of "Measurement Period"
      )
        or exists ((([Encounter: "Hospice Encounter"]).isEncounterPerformed()) HospiceEncounter
            where HospiceEncounter.period overlaps day of "Measurement Period"
        )
        or exists ((([ObservationScreeningAssessment: "Hospice care [Minimum Data Set]"]).isAssessmentPerformed()) HospiceAssessment
            where HospiceAssessment.value ~ "Yes (qualifier value)"
              and HospiceAssessment.effective.toInterval() overlaps day of "Measurement Period"
        )
        or exists ((([ServiceRequest: "Hospice Care Ambulatory"]).isInterventionOrder()) HospiceOrder
            where HospiceOrder.authoredOn during day of "Measurement Period"
        )
        or exists ((([Procedure: "Hospice Care Ambulatory"]).isInterventionPerformed()) HospicePerformed
            where HospicePerformed.performed.toInterval() overlaps day of "Measurement Period"
        )
        or exists ((([ConditionProblemsHealthConcerns: "Hospice Diagnosis"]
            union [ConditionEncounterDiagnosis: "Hospice Diagnosis"]).verified()) HospiceCareDiagnosis
            where HospiceCareDiagnosis.prevalenceInterval() overlaps day of "Measurement Period"
        )
Logic Definition | Library Name: SupplementalDataElements
    define "SDE Sex":
      case
        when Patient.sex = '248153007' then "Male (finding)"
        when Patient.sex = '248152002' then "Female (finding)"
        else null
      end
Logic Definition | Library Name: SupplementalDataElements
    define "SDE Payer":
      [Coverage: type in "Payer Type"] Payer
        return {
          code: Payer.type,
          period: Payer.period
        }
Logic Definition | Library Name: SupplementalDataElements
    define "SDE Ethnicity":
      Patient.ethnicity E
        return Tuple {
          codes: { E.ombCategory } union E.detailed,
          display: E.text
        }
Logic Definition | Library Name: SupplementalDataElements
    define "SDE Race":
      Patient.race R
        return Tuple {
          codes: R.ombCategory union R.detailed,
          display: R.text
        }
Logic Definition | Library Name: CMS117FHIRChildImmunStatus
    define "SDE Sex":
      SDE."SDE Sex"
Logic Definition | Library Name: CMS117FHIRChildImmunStatus
    define "Date of Second Birthday":
      date from Patient.birthDate + 2 years
Logic Definition | Library Name: CMS117FHIRChildImmunStatus
    define "Vaccine Administration Interval - 42 Days up to 2 Years Old":
      Interval[date from Patient.birthDate + 42 days, "Date of Second Birthday"]
Logic Definition | Library Name: CMS117FHIRChildImmunStatus
    define "DTaP Immunizations or Procedures":
      ( ( ( [Immunization: "DTaP Vaccine"] ).isImmunizationAdministered ( ) ) DTaPVaccination
          where date from DTaPVaccination.occurrence.earliest ( ) during day of "Vaccine Administration Interval - 42 Days up to 2 Years Old"
          return date from DTaPVaccination.occurrence.earliest ( )
      )
        union ( ( ( [Procedure: "DTaP Vaccine Administered"] ).isProcedurePerformed ( ) ) DTaPProcedure
            where date from DTaPProcedure.performed.earliest ( ) during day of "Vaccine Administration Interval - 42 Days up to 2 Years Old"
            return date from DTaPProcedure.performed.earliest ( )
        )
Logic Definition | Library Name: CMS117FHIRChildImmunStatus
    //DTaP

    define "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 date from DTaPVaccination2.earliest ( ) 1 day or more after day of date from DTaPVaccination1.earliest ( )
          and date from DTaPVaccination3.earliest ( ) 1 day or more after day of DTaPVaccination2.earliest ( )
          and date from DTaPVaccination4.earliest ( ) 1 day or more after day of DTaPVaccination3.earliest ( )
        return all DTaPVaccination1
Logic Definition | Library Name: CMS117FHIRChildImmunStatus
    define "First Two Years":
      Interval[date from Patient.birthDate, "Date of Second Birthday"]
Logic Definition | Library Name: CMS117FHIRChildImmunStatus
    define "DTaP Numerator Inclusion Conditions":
      ( ( [ConditionEncounterDiagnosis: "Anaphylactic Reaction to DTaP Vaccine"]
          union [ConditionProblemsHealthConcerns: "Anaphylactic Reaction to DTaP Vaccine"]
          union [ConditionEncounterDiagnosis: "Encephalitis Due to Diphtheria, Tetanus or Pertussis Vaccine"]
          union [ConditionProblemsHealthConcerns: "Encephalitis Due to Diphtheria, Tetanus or Pertussis Vaccine"]
      ).verified ( ) ) DTaPConditions
        where date from start of DTaPConditions.prevalenceInterval ( ) during day of "First Two Years"
Logic Definition | Library Name: CMS117FHIRChildImmunStatus
    //Polio

    define "Polio Immunizations or Procedures":
      ( ( ( [Immunization: "Inactivated Polio Vaccine (IPV)"] ).isImmunizationAdministered ( ) ) PolioVaccination
          where date from PolioVaccination.occurrence.earliest ( ) during day of "Vaccine Administration Interval - 42 Days up to 2 Years Old"
          return date from PolioVaccination.occurrence.earliest ( )
      )
        union ( ( ( [Procedure: "Inactivated Polio Vaccine (IPV) Administered"] ).isProcedurePerformed ( ) ) PolioProcedure
            where date from PolioProcedure.performed.earliest ( ) during day of "Vaccine Administration Interval - 42 Days up to 2 Years Old"
            return date from PolioProcedure.performed.earliest ( )
        )
Logic Definition | Library Name: CMS117FHIRChildImmunStatus
    define "Three Polio Vaccinations":
      from
        "Polio Immunizations or Procedures" PolioVaccination1,
        "Polio Immunizations or Procedures" PolioVaccination2,
        "Polio Immunizations or Procedures" PolioVaccination3
        where date from PolioVaccination2.earliest ( ) 1 day or more after date from PolioVaccination1.earliest ( )
          and date from PolioVaccination3.earliest ( ) 1 day or more after date from PolioVaccination2.earliest ( )
        return date from PolioVaccination1.earliest ( )
Logic Definition | Library Name: CMS117FHIRChildImmunStatus
    define "Polio Numerator Inclusion Conditions":
      ( ( [ConditionEncounterDiagnosis: "Anaphylaxis caused by vaccine product containing human poliovirus antigen (disorder)"]
          union [ConditionProblemsHealthConcerns: "Anaphylaxis caused by vaccine product containing human poliovirus antigen (disorder)"]
      ).verified ( ) ) PolioConditions
        where date from start of PolioConditions.prevalenceInterval ( ) during day of "First Two Years"
Logic Definition | Library Name: CMS117FHIRChildImmunStatus
    define "Date of First Birthday":
      date from Patient.birthDate + 1 year
Logic Definition | Library Name: CMS117FHIRChildImmunStatus
    define "Date of First Birthday to Date of Second Birthday":
      Interval["Date of First Birthday", "Date of Second Birthday"]
Logic Definition | Library Name: CMS117FHIRChildImmunStatus
    //MMR

    define "One MMR Vaccination":
      ( ( ( [Immunization: "Measles, Mumps and Rubella (MMR) Vaccine"] ).isImmunizationAdministered ( ) ) MMRVaccination
          where date from MMRVaccination.occurrence.earliest ( ) during "Date of First Birthday to Date of Second Birthday"
          return date from MMRVaccination.occurrence.earliest ( )
      )
        union ( ( ( [Procedure: "Measles, Mumps and Rubella (MMR) Vaccine Administered"] ).isProcedurePerformed ( ) ) MMRProcedure
            where date from MMRProcedure.performed.earliest ( ) during "Date of First Birthday to Date of Second Birthday"
            return date from MMRProcedure.performed.earliest ( )
        )
Logic Definition | Library Name: CMS117FHIRChildImmunStatus
    define "MMR Numerator Inclusion Conditions":
      ( ( [ConditionEncounterDiagnosis: "Anaphylaxis caused by vaccine product containing Measles morbillivirus and Mumps orthorubulavirus and Rubella virus antigens (disorder)"]
          union [ConditionProblemsHealthConcerns: "Anaphylaxis caused by vaccine product containing Measles morbillivirus and Mumps orthorubulavirus and Rubella virus antigens (disorder)"]
      ).verified ( ) ) MMRConditions
        where date from start of MMRConditions.prevalenceInterval ( ) during day of "First Two Years"
Logic Definition | Library Name: CMS117FHIRChildImmunStatus
    define "Measles Indicators":
      ( ( [ConditionEncounterDiagnosis: "Measles"]
          union [ConditionEncounterDiagnosis: "Measles"]
      ).verified ( ) ) MeaslesDiagnosis
        where date from start of MeaslesDiagnosis.prevalenceInterval ( ) during day of "First Two Years"
Logic Definition | Library Name: CMS117FHIRChildImmunStatus
    define "Mumps Indicators":
      ( ( [ConditionEncounterDiagnosis: "Mumps"]
          union [ConditionProblemsHealthConcerns: "Mumps"]
      ).verified ( ) ) MumpsDiagnosis
        where date from start of MumpsDiagnosis.prevalenceInterval ( ) during day of "First Two Years"
Logic Definition | Library Name: CMS117FHIRChildImmunStatus
    define "Rubella Indicators":
      ( ( [ConditionEncounterDiagnosis: "Rubella"]
          union [ConditionProblemsHealthConcerns: "Rubella"]
      ).verified ( ) ) RubellaDiagnosis
        where date from start of RubellaDiagnosis.prevalenceInterval ( ) during day of "First Two Years"
Logic Definition | Library Name: CMS117FHIRChildImmunStatus
    define "Hib 3 Dose Immunizations or Procedures":
      ( ( ( [Immunization: "Hib Vaccine (3 dose schedule)"] ).isImmunizationAdministered ( ) ) ThreeDoseHibVaccine
          where date from ThreeDoseHibVaccine.occurrence.earliest ( ) during day of "Vaccine Administration Interval - 42 Days up to 2 Years Old"
          return date from ThreeDoseHibVaccine.occurrence.earliest ( )
      )
        union ( ( ( [Procedure: "Hib Vaccine (3 dose schedule) Administered"] ).isProcedurePerformed ( ) ) ThreeDoseHibProcedure
            where date from ThreeDoseHibProcedure.performed.earliest ( ) during day of "Vaccine Administration Interval - 42 Days up to 2 Years Old"
            return date from ThreeDoseHibProcedure.performed.earliest ( )
        )
Logic Definition | Library Name: CMS117FHIRChildImmunStatus
    define "Hib 4 Dose Immunizations or Procedures":
      ( ( ( [Immunization: "Hib Vaccine (4 dose schedule)"] ).isImmunizationAdministered ( ) ) HibVaccine
          where date from HibVaccine.occurrence.earliest ( ) during day of "Vaccine Administration Interval - 42 Days up to 2 Years Old"
          return date from HibVaccine.occurrence.earliest ( )
      )
        union ( ( ( [Procedure: "Hib Vaccine (4 dose schedule) Administered"] ).isProcedurePerformed ( ) ) HibProcedure
            where date from HibProcedure.performed.earliest ( ) during day of "Vaccine Administration Interval - 42 Days up to 2 Years Old"
            return date from HibProcedure.performed.earliest ( )
        )
Logic Definition | Library Name: CMS117FHIRChildImmunStatus
    define "Hib 3 or 4 Dose Immunizations":
      "Hib 3 Dose Immunizations or Procedures"
        union "Hib 4 Dose Immunizations or Procedures"
Logic Definition | Library Name: CMS117FHIRChildImmunStatus
    //HiB

    define "Has Appropriate Number of Hib Immunizations":
      exists ( "Hib 3 or 4 Dose Immunizations" HibImmunization //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("Hib 3 or 4 Dose Immunizations" HibVaccinations
                    return date from HibVaccinations.earliest()
                )
              ) >= 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("Hib 3 or 4 Dose Immunizations" HibVaccinations
                      return date from HibVaccinations.earliest()
                  )
                ) >= 3 //pt must have 3 regimens of 3 dose codes

            )
      )
Logic Definition | Library Name: CMS117FHIRChildImmunStatus
    define "Hib Numerator Inclusion Conditions":
      ( ( [ConditionEncounterDiagnosis: "Anaphylaxis caused by vaccine product containing only Haemophilus influenzae type b antigen (disorder)"]
          union [ConditionProblemsHealthConcerns: "Anaphylaxis caused by vaccine product containing only Haemophilus influenzae type b antigen (disorder)"]
      ).verified ( ) ) HibReaction
        where date from start of HibReaction.prevalenceInterval ( ) during day of "First Two Years"
Logic Definition | Library Name: CMS117FHIRChildImmunStatus
    define "Hepatitis B Immunizations or Procedures":
      ( ( ( [Immunization: "Hepatitis B Vaccine"] ).isImmunizationAdministered ( ) ) HepatitisBVaccination
          where date from HepatitisBVaccination.occurrence.earliest ( ) during day of "First Two Years"
          return date from HepatitisBVaccination.occurrence.earliest ( )
      )
        union ( ( ( [Procedure: "Hepatitis B Vaccine Administered"] ).isProcedurePerformed ( ) ) HepatitisBProcedure
            where date from HepatitisBProcedure.performed.earliest ( ) during day of "First Two Years"
            return date from HepatitisBProcedure.performed.earliest ( )
        )
Logic Definition | Library Name: CMS117FHIRChildImmunStatus
    define "Three Hepatitis B Vaccinations":
      from
        "Hepatitis B Immunizations or Procedures" HepatitisBVaccination1,
        "Hepatitis B Immunizations or Procedures" HepatitisBVaccination2,
        "Hepatitis B Immunizations or Procedures" HepatitisBVaccination3
        where date from HepatitisBVaccination2.earliest ( ) 1 day or more after date from HepatitisBVaccination1.earliest ( )
          and date from HepatitisBVaccination3.earliest ( ) 1 day or more after date from HepatitisBVaccination2.earliest ( )
        return date from HepatitisBVaccination1.earliest ( )
Logic Definition | Library Name: CMS117FHIRChildImmunStatus
    define "NewBorn Vaccine Requirement":
      ( ( [Procedure: "Introduction of Serum, Toxoid and Vaccine into Muscle, Percutaneous Approach"] ).isProcedurePerformed ( ) ) NewBornVaccine
        where date from NewBornVaccine.performed.earliest ( ) during day of Interval[date from Patient.birthDate, date from Patient.birthDate + 7 days]
        return date from NewBornVaccine.performed.earliest ( )
Logic Definition | Library Name: CMS117FHIRChildImmunStatus
    define "Meets HepB Vaccination Requirement":
      from
        "Hepatitis B Immunizations or Procedures" HepatitisBVaccination1,
        "Hepatitis B Immunizations or Procedures" HepatitisBVaccination2,
        "NewBorn Vaccine Requirement" NewBornVaccine3
        where date from HepatitisBVaccination2.earliest ( ) 1 day or more after date from HepatitisBVaccination1.earliest ( )
          and date from HepatitisBVaccination1.earliest ( ) 1 day or more after date from NewBornVaccine3.earliest ( )
          and date from HepatitisBVaccination2.earliest ( ) 1 day or more after date from NewBornVaccine3.earliest ( )
        return date from HepatitisBVaccination1.earliest ( )
Logic Definition | Library Name: CMS117FHIRChildImmunStatus
    //HepB

    define "Hepatitis B Numerator Inclusion Conditions":
      ( ( [ConditionEncounterDiagnosis: "Anaphylaxis caused by vaccine product containing Hepatitis B virus antigen (disorder)"]
          union [ConditionProblemsHealthConcerns: "Anaphylaxis caused by vaccine product containing Hepatitis B virus antigen (disorder)"]
          union [ConditionEncounterDiagnosis: "Hepatitis B"]
          union [ConditionProblemsHealthConcerns: "Hepatitis B"]
      ).verified ( ) ) HepBConditions
        where date from start of HepBConditions.prevalenceInterval ( ) during day of "First Two Years"
Logic Definition | Library Name: CMS117FHIRChildImmunStatus
    //VZV

    define "One Chicken Pox Vaccination":
      ( ( ( [Immunization: "Varicella Zoster Vaccine (VZV)"] ).isImmunizationAdministered ( ) ) ChickenPoxVaccination
          where date from ChickenPoxVaccination.occurrence.earliest ( ) during "Date of First Birthday to Date of Second Birthday"
          return date from ChickenPoxVaccination.occurrence.earliest ( )
      )
        union ( ( ( [Procedure: "Varicella Zoster Vaccine (VZV) Administered"] ).isProcedurePerformed ( ) ) ChickenPoxProcedure
            where date from ChickenPoxProcedure.performed.earliest ( ) during "Date of First Birthday to Date of Second Birthday"
            return date from ChickenPoxProcedure.performed.earliest ( )
        )
Logic Definition | Library Name: CMS117FHIRChildImmunStatus
    define "Varicella Zoster Numerator Inclusion Conditions":
      ( ( [ConditionEncounterDiagnosis: "Varicella Zoster"]
          union [ConditionProblemsHealthConcerns: "Varicella Zoster"]
          union [ConditionEncounterDiagnosis: "Anaphylaxis caused by vaccine containing Human alphaherpesvirus 3 antigen (disorder)"]
          union [ConditionProblemsHealthConcerns: "Anaphylaxis caused by vaccine containing Human alphaherpesvirus 3 antigen (disorder)"]
      ).verified ( ) ) VaricellaZoster
        where date from start of VaricellaZoster.prevalenceInterval ( ) during day of "First Two Years"
Logic Definition | Library Name: CMS117FHIRChildImmunStatus
    define "Pneumococcal Conjugate Immunizations or Procedures":
      ( ( ( [Immunization: "Pneumococcal Conjugate Vaccine"] ).isImmunizationAdministered ( ) ) PneumococcalVaccination
          where date from PneumococcalVaccination.occurrence.earliest ( ) during day of "Vaccine Administration Interval - 42 Days up to 2 Years Old"
          return date from PneumococcalVaccination.occurrence.earliest ( )
      )
        union ( ( ( [Procedure: "Pneumococcal Conjugate Vaccine Administered"] ).isProcedurePerformed ( ) ) PneumococcalProcedure
            where date from PneumococcalProcedure.performed.earliest ( ) during day of "Vaccine Administration Interval - 42 Days up to 2 Years Old"
            return date from PneumococcalProcedure.performed.earliest ( )
        )
Logic Definition | Library Name: CMS117FHIRChildImmunStatus
    //PCV

    define "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 date from PneumococcalVaccination2.earliest ( ) 1 day or more after date from PneumococcalVaccination1.earliest ( )
          and date from PneumococcalVaccination3.earliest ( ) 1 day or more after date from PneumococcalVaccination2.earliest ( )
          and date from PneumococcalVaccination4.earliest ( ) 1 day or more after date from PneumococcalVaccination3.earliest ( )
        return date from PneumococcalVaccination1.earliest ( )
Logic Definition | Library Name: CMS117FHIRChildImmunStatus
    define "Pneumococcal Conjugate Numerator Inclusion Conditions":
      ( ( [ConditionEncounterDiagnosis: "Anaphylaxis caused by vaccine product containing Streptococcus pneumoniae antigen (disorder)"]
          union [ConditionProblemsHealthConcerns: "Anaphylaxis caused by vaccine product containing Streptococcus pneumoniae antigen (disorder)"]
      ).verified ( ) ) PneumococcalReaction
        where date from start of PneumococcalReaction.prevalenceInterval ( ) during day of "First Two Years"
Logic Definition | Library Name: CMS117FHIRChildImmunStatus
    //HepA

    define "One Hepatitis A Vaccinations":
      ( ( ( [Immunization: "Hepatitis A Vaccine"] ).isImmunizationAdministered ( ) ) HepatitisAVaccination
          where date from HepatitisAVaccination.occurrence.earliest ( ) during "Date of First Birthday to Date of Second Birthday"
          return date from HepatitisAVaccination.occurrence.earliest ( )
      )
        union ( ( ( [Procedure: "Hepatitis A Vaccine Administered"] ).isProcedurePerformed ( ) ) HepatitisAProcedure
            where date from HepatitisAProcedure.performed.earliest ( ) during "Date of First Birthday to Date of Second Birthday"
            return date from HepatitisAProcedure.performed.earliest ( )
        )
Logic Definition | Library Name: CMS117FHIRChildImmunStatus
    define "Hepatitis A Numerator Inclusion Conditions":
      ( ( [ConditionEncounterDiagnosis: "Hepatitis A"]
          union [ConditionProblemsHealthConcerns: "Hepatitis A"]
          union [ConditionEncounterDiagnosis: "Anaphylaxis caused by vaccine product containing Hepatitis A virus antigen (disorder)"]
          union [ConditionProblemsHealthConcerns: "Anaphylaxis caused by vaccine product containing Hepatitis A virus antigen (disorder)"]
      ).verified ( ) ) HepatitisADiagnosis
        where date from start of HepatitisADiagnosis.prevalenceInterval ( ) during day of "First Two Years"
Logic Definition | Library Name: CMS117FHIRChildImmunStatus
    define "Rotavirus 2 Dose Immunizations or Procedures":
      ( ( ( [Immunization: "rotavirus, live, monovalent vaccine"] ).isImmunizationAdministered ( ) ) TwoDoseRotavirusVaccine
          where date from TwoDoseRotavirusVaccine.occurrence.earliest ( ) during day of "Vaccine Administration Interval - 42 Days up to 2 Years Old"
          return date from TwoDoseRotavirusVaccine.occurrence.earliest ( )
      )
        union ( ( ( [Procedure: "Rotavirus Vaccine (2 dose schedule) Administered"] ).isProcedurePerformed ( ) ) TwoDoseRotavirusProcedure
            where date from TwoDoseRotavirusProcedure.performed.earliest ( ) during day of "Vaccine Administration Interval - 42 Days up to 2 Years Old"
            return date from TwoDoseRotavirusProcedure.performed.earliest ( )
        )
Logic Definition | Library Name: CMS117FHIRChildImmunStatus
    define "Rotavirus 3 Dose Immunizations or Procedures":
      ( ( ( [Immunization: "Rotavirus Vaccine (3 dose schedule)"] ).isImmunizationAdministered ( ) ) ThreeDoseRotavirusVaccine
          where date from ThreeDoseRotavirusVaccine.occurrence.earliest ( ) during day of "Vaccine Administration Interval - 42 Days up to 2 Years Old"
          return date from ThreeDoseRotavirusVaccine.occurrence.earliest ( )
      )
        union ( ( ( [Procedure: "Rotavirus Vaccine (3 dose schedule) Administered"] ).isProcedurePerformed ( ) ) ThreeDoseRotavirusAdministered
            where date from ThreeDoseRotavirusAdministered.performed.earliest ( ) during day of "Vaccine Administration Interval - 42 Days up to 2 Years Old"
            return date from ThreeDoseRotavirusAdministered.performed.earliest ( )
        )
Logic Definition | Library Name: CMS117FHIRChildImmunStatus
    define "Rotavirus 2 or 3 Dose Immunizations":
      "Rotavirus 2 Dose Immunizations or Procedures"
        union "Rotavirus 3 Dose Immunizations or Procedures"
Logic Definition | Library Name: CMS117FHIRChildImmunStatus
    //RV

    define "Has Appropriate Number of Rotavirus Immunizations":
      exists ( "Rotavirus 2 or 3 Dose Immunizations" RotavirusImmunization
          let HasThreeDose: Count("Rotavirus 3 Dose Immunizations or Procedures") > 0
          where ( HasThreeDose
              and Count(distinct("Rotavirus 2 or 3 Dose Immunizations" RotavirusVaccinations
                    return date from RotavirusVaccinations.earliest()
                )
              ) >= 3
          )
            or ( HasThreeDose is false
                and Count(distinct("Rotavirus 2 or 3 Dose Immunizations" RotavirusVaccinations
                      return date from RotavirusVaccinations.earliest()
                  )
                ) >= 2
            )
      )
Logic Definition | Library Name: CMS117FHIRChildImmunStatus
    define "Rotavirus Numerator Inclusion Conditions":
      ( ( [ConditionEncounterDiagnosis: "Anaphylaxis caused by rotavirus vaccine (disorder)"]
          union [ConditionProblemsHealthConcerns: "Anaphylaxis caused by rotavirus vaccine (disorder)"]
      ).verified ( ) ) RotavirusConditions
        where date from start of RotavirusConditions.prevalenceInterval ( ) during day of "First Two Years"
Logic Definition | Library Name: CMS117FHIRChildImmunStatus
    define "Vaccine Administration Interval - 180 Days up to 2 Years Old":
      Interval[date from Patient.birthDate + 180 days, "Date of Second Birthday"]
Logic Definition | Library Name: CMS117FHIRChildImmunStatus
    //Flu

    define "Influenza Immunizations or Procedures":
      ( ( ( [Immunization: "Child Influenza Vaccine"] ).isImmunizationAdministered ( ) ) InfluenzaVaccine
          where date from InfluenzaVaccine.occurrence.earliest ( ) during day of "Vaccine Administration Interval - 180 Days up to 2 Years Old"
          return date from InfluenzaVaccine.occurrence.earliest ( )
      )
        union ( ( ( [Procedure: "Child Influenza Vaccine Administered"] ).isProcedurePerformed ( ) ) InfluenzaAdministration
            where date from InfluenzaAdministration.performed.earliest ( ) during day of "Vaccine Administration Interval - 180 Days up to 2 Years Old"
            return date from InfluenzaAdministration.performed.earliest ( )
        )
Logic Definition | Library Name: CMS117FHIRChildImmunStatus
    define "Two Influenza Vaccinations":
      from
        "Influenza Immunizations or Procedures" FluVaccination1,
        "Influenza Immunizations or Procedures" FluVaccination2
        where date from FluVaccination2.earliest ( ) 1 day or more after date from FluVaccination1.earliest ( )
        return date from FluVaccination1.earliest ( )
Logic Definition | Library Name: CMS117FHIRChildImmunStatus
    define "LAIV Vaccinations":
      ( ( ( [Immunization: "Influenza Virus LAIV Vaccine"] ).isImmunizationAdministered ( ) ) LAIVVaccine
          where date from LAIVVaccine.occurrence.earliest ( ) during day of Interval["Date of Second Birthday", "Date of Second Birthday"]
          return date from LAIVVaccine.occurrence.earliest ( )
      )
        union ( ( ( [Procedure: "Influenza Virus LAIV Vaccine Administered"] ).isProcedurePerformed ( ) ) InfluenzaAdministration
            where date from InfluenzaAdministration.performed.earliest ( ) during day of Interval["Date of Second Birthday", "Date of Second Birthday"]
            return date from InfluenzaAdministration.performed.earliest ( )
        )
Logic Definition | Library Name: CMS117FHIRChildImmunStatus
    define "Two Influenza Vaccinations Including One LAIV Vaccination":
      exists "LAIV Vaccinations"
        and exists "Influenza Immunizations or Procedures"
Logic Definition | Library Name: CMS117FHIRChildImmunStatus
    define "Influenza Numerator Inclusion Conditions":
      ( ( [ConditionEncounterDiagnosis: "Anaphylaxis caused by vaccine product containing Influenza virus antigen (disorder)"]
          union [ConditionProblemsHealthConcerns: "Anaphylaxis caused by vaccine product containing Influenza virus antigen (disorder)"]
      ).verified ( ) ) InfluenzaConditions
        where date from start of InfluenzaConditions.prevalenceInterval ( ) during day of "First Two Years"
Logic Definition | Library Name: CMS117FHIRChildImmunStatus
    define "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 ( "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" )
            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 ( "Two Influenza Vaccinations Including One LAIV Vaccination" )
            or exists ( "Influenza Numerator Inclusion Conditions" )
        )
Logic Definition | Library Name: CMS117FHIRChildImmunStatus
    define "Qualifying Encounters":
      ( ( [Encounter: "Office Visit"]
          union [Encounter: "Home Healthcare Services"]
          union [Encounter: "Preventive Care, Established Office Visit, 0 to 17"]
          union [Encounter: "Preventive Care Services, Initial Office Visit, 0 to 17"]
          union ( [Encounter] E
              where exists ( ( E.type ) T
                  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"
              )
          )
          union [Encounter: "Virtual Encounter"]
          union [Encounter: "Telephone Visits"]
      ).isEncounterPerformed ( ) ) ValidEncounters
        where ValidEncounters.period during day of "Measurement Period"
Logic Definition | Library Name: CMS117FHIRChildImmunStatus
    define "Initial Population":
      AgeInYearsAt(date from
        end of "Measurement Period"
      ) = 2
        and exists ( "Qualifying Encounters" )
Logic Definition | Library Name: CMS117FHIRChildImmunStatus
    define "Denominator":
      "Initial Population"
Logic Definition | Library Name: CMS117FHIRChildImmunStatus
    define "SDE Payer":
      SDE."SDE Payer"
Logic Definition | Library Name: CMS117FHIRChildImmunStatus
    define "SDE Ethnicity":
      SDE."SDE Ethnicity"
Logic Definition | Library Name: CMS117FHIRChildImmunStatus
    define "Has Severe Combined Immunodeficiency":
      exists ( ( ( [ConditionEncounterDiagnosis: "Severe Combined Immunodeficiency"]
            union [ConditionProblemsHealthConcerns: "Severe Combined Immunodeficiency"]
        ).verified ( ) ) SevereImmuneDisorder
          where date from start of SevereImmuneDisorder.prevalenceInterval ( ) during day of "First Two Years"
      )
Logic Definition | Library Name: CMS117FHIRChildImmunStatus
    define "Has Immunodeficiency":
      exists ( ( ( [ConditionEncounterDiagnosis: "Disorders of the Immune System"]
            union [ConditionProblemsHealthConcerns: "Disorders of the Immune System"]
        ).verified ( ) ) ImmuneDisorder
          where date from start of ImmuneDisorder.prevalenceInterval ( ) during day of "First Two Years"
      )
Logic Definition | Library Name: CMS117FHIRChildImmunStatus
    define "Has HIV":
      exists ( ( ( [ConditionEncounterDiagnosis: "HIV"]
            union [ConditionProblemsHealthConcerns: "HIV"]
        ).verified ( ) ) HIVDiagnosis
          where date from start of HIVDiagnosis.prevalenceInterval ( ) during day of "First Two Years"
      )
Logic Definition | Library Name: CMS117FHIRChildImmunStatus
    define "Has Lymphoreticular Cancer, Multiple Myeloma or Leukemia":
      exists ( ( ( [ConditionEncounterDiagnosis: "Malignant Neoplasm of Lymphatic and Hematopoietic Tissue"]
            union [ConditionProblemsHealthConcerns: "Malignant Neoplasm of Lymphatic and Hematopoietic Tissue"]
        ).verified ( ) ) LymphaticMalignantNeoplasm
          where date from start of LymphaticMalignantNeoplasm.prevalenceInterval ( ) during day of "First Two Years"
      )
Logic Definition | Library Name: CMS117FHIRChildImmunStatus
    define "Has Intussusception":
      exists ( ( ( [ConditionEncounterDiagnosis: "Intussusception"]
            union [ConditionProblemsHealthConcerns: "Intussusception"]
        ).verified ( ) ) IntussusceptionDisorder
          where date from start of IntussusceptionDisorder.prevalenceInterval ( ) during day of "First Two Years"
      )
Logic Definition | Library Name: CMS117FHIRChildImmunStatus
    define "Denominator Exclusions":
      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"
Logic Definition | Library Name: CMS117FHIRChildImmunStatus
    define "SDE Race":
      SDE."SDE Race"
Logic Definition | Library Name: FHIRHelpers
    define function ToString(value uri): value.value
Logic Definition | Library Name: FHIRHelpers
    /*
    @description: Converts the given FHIR [CodeableConcept](https://hl7.org/fhir/datatypes.html#CodeableConcept) value to a CQL Concept.
    */
    define function ToConcept(concept FHIR.CodeableConcept):
        if concept is null then
            null
        else
            System.Concept {
                codes: concept.coding C return ToCode(C),
                display: concept.text.value
            }
Logic Definition | Library Name: FHIRHelpers
    /*
    @description: Converts the given FHIR [Coding](https://hl7.org/fhir/datatypes.html#Coding) value to a CQL Code.
    */
    define function ToCode(coding FHIR.Coding):
        if coding is null then
            null
        else
            System.Code {
              code: coding.code.value,
              system: coding.system.value,
              version: coding.version.value,
              display: coding.display.value
            }
Logic Definition | Library Name: FHIRHelpers
    /*
    @description: Converts the given [Period](https://hl7.org/fhir/datatypes.html#Period)
    value to a CQL DateTime Interval
    @comment: If the start value of the given period is unspecified, the starting
    boundary of the resulting interval will be open (meaning the start of the interval
    is unknown, as opposed to interpreted as the beginning of time).
    */
    define function ToInterval(period FHIR.Period):
        if period is null then
            null
        else
            if period."start" is null then
                Interval(period."start".value, period."end".value]
            else
                Interval[period."start".value, period."end".value]
Logic Definition | Library Name: Status
    //Immunization, Administered
    define fluent function isImmunizationAdministered(Immunization List<Immunization>):
      Immunization I
        where I.status ~ 'completed'
Logic Definition | Library Name: Status
    //Procedure, Performed
    define fluent function isProcedurePerformed(Proc List<Procedure>):
      Proc P
        where P.status ~ 'completed'
Logic Definition | Library Name: Status
    //This library contains functions used to constrain FHIR resource elements for measures authored by NCQA, based on QICore 6.0.0 resources including IG and authoring patterns. The functions may appear similar to some QICoreCommon functions but differ in that they have constraints that are relevant for measures authored by NCQA.

    //Condition
    //Returns conditions in the given list that either have no verification status or have a verification status of confirmed, unconfirmed, provisional, or differential
    define fluent function verified(conditions List<Choice<ConditionProblemsHealthConcerns, ConditionEncounterDiagnosis>>):
      conditions C
        where C.verificationStatus is not null implies
          (C.verificationStatus ~ "confirmed"
            or C.verificationStatus ~ "unconfirmed"
            or C.verificationStatus ~ "provisional"
            or C.verificationStatus ~ "differential"
          )
Logic Definition | Library Name: Status
    //Encounter, Performed
    //General usage unless required otherwise by measure intent (e.g., follow-up encounters)
    define fluent function isEncounterPerformed(Enc List<Encounter>):
      Enc E
        where E.status = 'finished'
Logic Definition | Library Name: Status
    //Assessment, Performed
    define fluent function isAssessmentPerformed(Obs List<ObservationScreeningAssessment>):
      Obs O
        where O.status in { 'final', 'amended', 'corrected' }
Logic Definition | Library Name: Status
    //Intervention, Order
    define fluent function isInterventionOrder(ServiceRequest List<ServiceRequest>):
      ServiceRequest S
        where S.status in { 'active', 'completed' }
          and S.intent in {'order', 'original-order', 'reflex-order', 'filler-order', 'instance-order'}
Logic Definition | Library Name: Status
    //Intervention, Performed
    define fluent function isInterventionPerformed(Proc List<Procedure>):
      Proc P
        where P.status ~ 'completed'
Logic Definition | Library Name: QICoreCommon
    /*
    @description: Given an interval, return the starting point if the interval has a starting boundary specified,
    otherwise, return the ending point
    */
    define fluent function earliest(choice Choice<DateTime, Quantity, Interval<DateTime>, Interval<Quantity>> ):
      (choice.toInterval()) period
        return
          if (period."hasStart"()) then start of period
          else end of period
Logic Definition | Library Name: QICoreCommon
    /*
    @description: Given an interval, return true if the interval has a starting boundary specified
    (i.e. the start of the interval is not null and not the minimum DateTime value)
    */
    define fluent function hasStart(period Interval<DateTime> ):
      not ( start of period is null
          or start of period = minimum DateTime
      )
Logic Definition | Library Name: QICoreCommon
    /*
    @description: Normalizes a value that is a choice of timing-valued types to an equivalent interval
    @comment: Normalizes a choice type of DateTime, Quanitty, Interval<DateTime>, or Interval<Quantity> types
    to an equivalent interval. This selection of choice types is a superset of the majority of choice types that are used as possible
    representations for timing-valued elements in QICore, allowing this function to be used across any resource.
    The input can be provided as a DateTime, Quantity, Interval<DateTime> or Interval<Quantity>.
    The intent of this function is to provide a clear and concise mechanism to treat single
    elements that have multiple possible representations as intervals so that logic doesn't have to account
    for the variability. More complex calculations (such as medication request period or dispense period
    calculation) need specific guidance and consideration. That guidance may make use of this function, but
    the focus of this function is on single element calculations where the semantics are unambiguous.
    If the input is a DateTime, the result a DateTime Interval beginning and ending on that DateTime.
    If the input is a Quantity, the quantity is expected to be a calendar-duration interpreted as an Age,
    and the result is a DateTime Interval beginning on the Date the patient turned that age and ending immediately before one year later.
    If the input is a DateTime Interval, the result is the input.
    If the input is a Quantity Interval, the quantities are expected to be calendar-durations interpreted as an Age, and the result
    is a DateTime Interval beginning on the date the patient turned the age given as the start of the quantity interval, and ending
    immediately before one year later than the date the patient turned the age given as the end of the quantity interval.
    If 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
    */
    define fluent function toInterval(choice Choice<DateTime, Quantity, Interval<DateTime>, Interval<Quantity>, Timing>):
      case
    	  when choice is DateTime then
        	Interval[choice as DateTime, choice as DateTime]
    		when choice is Interval<DateTime> then
      		choice as Interval<DateTime>
    		when choice is Quantity then
    		  Interval[Patient.birthDate + (choice as Quantity),
    			  Patient.birthDate + (choice as Quantity) + 1 year)
    		when choice is Interval<Quantity> then
    		  Interval[Patient.birthDate + (choice.low as Quantity),
    			  Patient.birthDate + (choice.high as Quantity) + 1 year)
    		when choice is Timing then
          Message(null, true, 'NOT_IMPLEMENTED', 'Error', 'Calculation of an interval from a Timing value is not supported') as Interval<DateTime>
    		else
    			null as Interval<DateTime>
    	end
Terminology
Code System | Description: Code system SNOMEDCT Resource: http://snomed.info/sct Canonical URL: `http://snomed.info/sct`
Code System | Description: Code system ConditionVerificationStatusCodes Resource: http://terminology.hl7.org/CodeSystem/condition-ver-status Canonical URL: `http://terminology.hl7.org/CodeSystem/condition-ver-status`
Code System | Description: Code system ICD10 Resource: http://www.cms.gov/Medicare/Coding/ICD10 Canonical URL: `http://www.cms.gov/Medicare/Coding/ICD10`
Code System | Description: Code system CVX Resource: http://hl7.org/fhir/sid/cvx Canonical URL: `http://hl7.org/fhir/sid/cvx`
Code System | Description: Code system CPT Resource: http://www.ama-assn.org/go/cpt Canonical URL: `http://www.ama-assn.org/go/cpt`
Code System | Description: Code system LOINC Resource: http://loinc.org Canonical URL: `http://loinc.org`
Value Set | Description: Value set DTaP Vaccine Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.196.12.1214 Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.196.12.1214`
Value Set | Description: Value set DTaP Vaccine Administered Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1022 Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1022`
Value Set | Description: 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 Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.199.12.1031`
Value Set | Description: 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 Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.1164`
Value Set | Description: 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 Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.196.12.1219`
Value Set | Description: 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 Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1045`
Value Set | Description: 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 Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.196.12.1224`
Value Set | Description: Value set Measles, Mumps and Rubella (MMR) Vaccine Administered Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1031 Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1031`
Value Set | Description: Value set Measles Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1053 Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1053`
Value Set | Description: Value set Mumps Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1032 Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1032`
Value Set | Description: Value set Rubella Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1037 Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1037`
Value Set | Description: Value set Hib Vaccine (3 dose schedule) Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1083 Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1083`
Value Set | Description: Value set Hib Vaccine (3 dose schedule) Administered Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1084 Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1084`
Value Set | Description: Value set Hib Vaccine (4 dose schedule) Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1085 Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1085`
Value Set | Description: Value set Hib Vaccine (4 dose schedule) Administered Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1086 Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1086`
Value Set | Description: Value set Hepatitis B Vaccine Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.196.12.1216 Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.196.12.1216`
Value Set | Description: Value set Hepatitis B Vaccine Administered Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1042 Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1042`
Value Set | Description: Value set Hepatitis B Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1025 Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1025`
Value Set | Description: Value set Varicella Zoster Vaccine (VZV) Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.196.12.1170 Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.196.12.1170`
Value Set | Description: Value set Varicella Zoster Vaccine (VZV) Administered Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1040 Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1040`
Value Set | Description: Value set Varicella Zoster Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1039 Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1039`
Value Set | Description: Value set Pneumococcal Conjugate Vaccine Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.196.12.1221 Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.196.12.1221`
Value Set | Description: Value set Pneumococcal Conjugate Vaccine Administered Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1046 Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1046`
Value Set | Description: Value set Hepatitis A Vaccine Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.196.12.1215 Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.196.12.1215`
Value Set | Description: Value set Hepatitis A Vaccine Administered Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1041 Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1041`
Value Set | Description: Value set Hepatitis A Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1024 Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1024`
Value Set | Description: Value set Rotavirus Vaccine (2 dose schedule) Administered Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1048 Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1048`
Value Set | Description: Value set Rotavirus Vaccine (3 dose schedule) Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.196.12.1223 Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.196.12.1223`
Value Set | Description: Value set Rotavirus Vaccine (3 dose schedule) Administered Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1047 Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1047`
Value Set | Description: Value set Child Influenza Vaccine Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.196.12.1218 Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.196.12.1218`
Value Set | Description: Value set Child Influenza Vaccine Administered Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1044 Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1044`
Value Set | Description: Value set Influenza Virus LAIV Vaccine Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1087 Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1087`
Value Set | Description: Value set Influenza Virus LAIV Vaccine Administered Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1088 Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1088`
Value Set | Description: Value set Office Visit Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001 Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001`
Value Set | Description: Value set Home Healthcare Services Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1016 Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1016`
Value Set | Description: Value set Preventive Care, Established Office Visit, 0 to 17 Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1024 Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1024`
Value Set | Description: Value set Preventive Care Services, Initial Office Visit, 0 to 17 Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1022 Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1022`
Value Set | Description: Value set Virtual Encounter Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1089 Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1089`
Value Set | Description: Value set Telephone Visits Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1080 Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1080`
Value Set | Description: Value set Payer Type Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591 Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591`
Value Set | Description: Value set Encounter Inpatient Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307 Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307`
Value Set | Description: Value set Hospice Encounter Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.1003 Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.1003`
Value Set | Description: Value set Hospice Care Ambulatory Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1584 Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1584`
Value Set | Description: Value set Hospice Diagnosis Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.1165 Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.1165`
Value Set | Description: Value set Severe Combined Immunodeficiency Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.120.12.1007 Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.120.12.1007`
Value Set | Description: Value set Disorders of the Immune System Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.120.12.1001 Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.120.12.1001`
Value Set | Description: Value set HIV Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.120.12.1003 Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.120.12.1003`
Value Set | Description: Value set Malignant Neoplasm of Lymphatic and Hematopoietic Tissue Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1009 Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1009`
Value Set | Description: Value set Intussusception Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.199.12.1056 Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.199.12.1056`
Direct Reference Code | Display: Male (finding) Code: 248153007 System: `http://snomed.info/sct`
Direct Reference Code | Display: Female (finding) Code: 248152002 System: `http://snomed.info/sct`
Direct Reference Code | Display: confirmed Code: confirmed System: `http://terminology.hl7.org/CodeSystem/condition-ver-status`
Direct Reference Code | Display: unconfirmed Code: unconfirmed System: `http://terminology.hl7.org/CodeSystem/condition-ver-status`
Direct Reference Code | Display: provisional Code: provisional System: `http://terminology.hl7.org/CodeSystem/condition-ver-status`
Direct Reference Code | Display: differential Code: differential System: `http://terminology.hl7.org/CodeSystem/condition-ver-status`
Direct Reference Code | Display: Anaphylaxis caused by vaccine product containing human poliovirus antigen (disorder) Code: 471321000124106 System: `http://snomed.info/sct`
Direct Reference Code | Display: Anaphylaxis caused by vaccine product containing Measles morbillivirus and Mumps orthorubulavirus and Rubella virus antigens (disorder) Code: 471331000124109 System: `http://snomed.info/sct`
Direct Reference Code | Display: Anaphylaxis caused by vaccine product containing only Haemophilus influenzae type b antigen (disorder) Code: 433621000124101 System: `http://snomed.info/sct`
Direct Reference Code | Display: Introduction of Serum, Toxoid and Vaccine into Muscle, Percutaneous Approach Code: 3E0234Z System: `http://www.cms.gov/Medicare/Coding/ICD10`
Direct Reference Code | Display: Anaphylaxis caused by vaccine product containing Hepatitis B virus antigen (disorder) Code: 428321000124101 System: `http://snomed.info/sct`
Direct Reference Code | Display: Anaphylaxis caused by vaccine containing Human alphaherpesvirus 3 antigen (disorder) Code: 471341000124104 System: `http://snomed.info/sct`
Direct Reference Code | Display: Anaphylaxis caused by vaccine product containing Streptococcus pneumoniae antigen (disorder) Code: 471141000124102 System: `http://snomed.info/sct`
Direct Reference Code | Display: Anaphylaxis caused by vaccine product containing Hepatitis A virus antigen (disorder) Code: 471311000124103 System: `http://snomed.info/sct`
Direct Reference Code | Display: rotavirus, live, monovalent vaccine Code: 119 System: `http://hl7.org/fhir/sid/cvx`
Direct Reference Code | Display: Anaphylaxis caused by rotavirus vaccine (disorder) Code: 428331000124103 System: `http://snomed.info/sct`
Direct Reference Code | Display: Anaphylaxis caused by vaccine product containing Influenza virus antigen (disorder) Code: 471361000124100 System: `http://snomed.info/sct`
Direct Reference Code | 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 Code: 99211 System: `http://www.ama-assn.org/go/cpt`
Direct Reference Code | Display: Discharge to home for hospice care (procedure) Code: 428361000124107 System: `http://snomed.info/sct`
Direct Reference Code | Display: Discharge to healthcare facility for hospice care (procedure) Code: 428371000124100 System: `http://snomed.info/sct`
Direct Reference Code | Display: Hospice care [Minimum Data Set] Code: 45755-6 System: `http://loinc.org`
Direct Reference Code | Display: Yes (qualifier value) Code: 373066001 System: `http://snomed.info/sct`
Dependencies
Dependency | Description: QICore model information Resource: http://hl7.org/fhir/Library/QICore-ModelInfo Canonical URL: `http://hl7.org/fhir/Library/QICore-ModelInfo`
Dependency | Description: Library SDE Resource: https://madie.cms.gov/Library/SupplementalDataElements|5.1.000 Canonical URL: `https://madie.cms.gov/Library/SupplementalDataElements|5.1.000`
Dependency | Description: Library FHIRHelpers Resource: https://madie.cms.gov/Library/FHIRHelpers|4.4.000 Canonical URL: `https://madie.cms.gov/Library/FHIRHelpers|4.4.000`
Dependency | Description: Library Status Resource: https://madie.cms.gov/Library/Status|1.15.000 Canonical URL: `https://madie.cms.gov/Library/Status|1.15.000`
Dependency | Description: Library QICoreCommon Resource: https://madie.cms.gov/Library/QICoreCommon|4.0.000 Canonical URL: `https://madie.cms.gov/Library/QICoreCommon|4.0.000`
Dependency | Description: Library Hospice Resource: https://madie.cms.gov/Library/Hospice|6.18.000 Canonical URL: `https://madie.cms.gov/Library/Hospice|6.18.000`
Data Requirements
Data Requirement | Type: Patient Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient Must Support Elements: extension, birthDate, birthDate.value, url
Data Requirement | Type: Immunization Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-immunization Must Support Elements: vaccineCode, occurrence, status, status.value Code Filter(s): Path: vaccineCode ValueSet: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.196.12.1214
Data Requirement | Type: Immunization Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-immunization Must Support Elements: vaccineCode, occurrence, status, status.value Code Filter(s): Path: vaccineCode ValueSet: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.196.12.1219
Data Requirement | Type: Immunization Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-immunization Must Support Elements: vaccineCode, occurrence, status, status.value Code Filter(s): Path: vaccineCode ValueSet: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.196.12.1224
Data Requirement | Type: Immunization Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-immunization Must Support Elements: vaccineCode, occurrence, status, status.value Code Filter(s): Path: vaccineCode ValueSet: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1083
Data Requirement | Type: Immunization Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-immunization Must Support Elements: vaccineCode, occurrence, status, status.value Code Filter(s): Path: vaccineCode ValueSet: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1085
Data Requirement | Type: Immunization Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-immunization Must Support Elements: vaccineCode, occurrence, status, status.value Code Filter(s): Path: vaccineCode ValueSet: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.196.12.1216
Data Requirement | Type: Immunization Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-immunization Must Support Elements: vaccineCode, occurrence, status, status.value Code Filter(s): Path: vaccineCode ValueSet: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.196.12.1170
Data Requirement | Type: Immunization Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-immunization Must Support Elements: vaccineCode, occurrence, status, status.value Code Filter(s): Path: vaccineCode ValueSet: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.196.12.1221
Data Requirement | Type: Immunization Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-immunization Must Support Elements: vaccineCode, occurrence, status, status.value Code Filter(s): Path: vaccineCode ValueSet: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.196.12.1215
Data Requirement | Type: Immunization Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-immunization Must Support Elements: vaccineCode, occurrence, status, status.value Code Filter(s): Path: vaccineCode Code(s): http://hl7.org/fhir/sid/cvx#119: 'rotavirus, live, monovalent vaccine'
Data Requirement | Type: Immunization Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-immunization Must Support Elements: vaccineCode, occurrence, status, status.value Code Filter(s): Path: vaccineCode ValueSet: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.196.12.1223
Data Requirement | Type: Immunization Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-immunization Must Support Elements: vaccineCode, occurrence, status, status.value Code Filter(s): Path: vaccineCode ValueSet: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.196.12.1218
Data Requirement | Type: Immunization Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-immunization Must Support Elements: vaccineCode, occurrence, status, status.value Code Filter(s): Path: vaccineCode ValueSet: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1087
Data Requirement | Type: Procedure Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedure Must Support Elements: code, performed, status, status.value Code Filter(s): Path: code ValueSet: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1022
Data Requirement | Type: Procedure Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedure Must Support Elements: code, performed, status, status.value Code Filter(s): Path: code ValueSet: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1045
Data Requirement | Type: Procedure Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedure Must Support Elements: code, performed, status, status.value Code Filter(s): Path: code ValueSet: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1031
Data Requirement | Type: Procedure Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedure Must Support Elements: code, performed, status, status.value Code Filter(s): Path: code ValueSet: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1084
Data Requirement | Type: Procedure Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedure Must Support Elements: code, performed, status, status.value Code Filter(s): Path: code ValueSet: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1086
Data Requirement | Type: Procedure Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedure Must Support Elements: code, performed, status, status.value Code Filter(s): Path: code ValueSet: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1042
Data Requirement | Type: Procedure Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedure Must Support Elements: code, performed, status, status.value Code Filter(s): Path: code Code(s): http://www.cms.gov/Medicare/Coding/ICD10#3E0234Z: 'Introduction of Serum, Toxoid and Vaccine into Muscle, Percutaneous Approach'
Data Requirement | Type: Procedure Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedure Must Support Elements: code, performed, status, status.value Code Filter(s): Path: code ValueSet: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1040
Data Requirement | Type: Procedure Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedure Must Support Elements: code, performed, status, status.value Code Filter(s): Path: code ValueSet: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1046
Data Requirement | Type: Procedure Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedure Must Support Elements: code, performed, status, status.value Code Filter(s): Path: code ValueSet: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1041
Data Requirement | Type: Procedure Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedure Must Support Elements: code, performed, status, status.value Code Filter(s): Path: code ValueSet: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1048
Data Requirement | Type: Procedure Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedure Must Support Elements: code, performed, status, status.value Code Filter(s): Path: code ValueSet: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1047
Data Requirement | Type: Procedure Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedure Must Support Elements: code, performed, status, status.value Code Filter(s): Path: code ValueSet: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1044
Data Requirement | Type: Procedure Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedure Must Support Elements: code, performed, status, status.value Code Filter(s): Path: code ValueSet: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1088
Data Requirement | Type: Procedure Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedure Must Support Elements: code, performed, status, status.value Code Filter(s): Path: code ValueSet: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1584
Data Requirement | Type: Condition Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-encounter-diagnosis Must Support Elements: code Code Filter(s): Path: code ValueSet: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.199.12.1031
Data Requirement | Type: Condition Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-encounter-diagnosis Must Support Elements: code Code Filter(s): Path: code ValueSet: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.1164
Data Requirement | Type: Condition Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-encounter-diagnosis Must Support Elements: code Code Filter(s): Path: code Code(s): http://snomed.info/sct#471321000124106: 'Anaphylaxis caused by vaccine product containing human poliovirus antigen (disorder)'
Data Requirement | Type: Condition Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-encounter-diagnosis Must Support Elements: code Code Filter(s): Path: code Code(s): http://snomed.info/sct#471331000124109: 'Anaphylaxis caused by vaccine product containing Measles morbillivirus and Mumps orthorubulavirus and Rubella virus antigens (disorder)'
Data Requirement | Type: Condition Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-encounter-diagnosis Must Support Elements: code Code Filter(s): Path: code ValueSet: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1053
Data Requirement | Type: Condition Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-encounter-diagnosis Must Support Elements: code Code Filter(s): Path: code ValueSet: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1032
Data Requirement | Type: Condition Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-encounter-diagnosis Must Support Elements: code Code Filter(s): Path: code ValueSet: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1037
Data Requirement | Type: Condition Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-encounter-diagnosis Must Support Elements: code Code Filter(s): Path: code Code(s): http://snomed.info/sct#433621000124101: 'Anaphylaxis caused by vaccine product containing only Haemophilus influenzae type b antigen (disorder)'
Data Requirement | Type: Condition Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-encounter-diagnosis Must Support Elements: code Code Filter(s): Path: code Code(s): http://snomed.info/sct#428321000124101: 'Anaphylaxis caused by vaccine product containing Hepatitis B virus antigen (disorder)'
Data Requirement | Type: Condition Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-encounter-diagnosis Must Support Elements: code Code Filter(s): Path: code ValueSet: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1025
Data Requirement | Type: Condition Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-encounter-diagnosis Must Support Elements: code Code Filter(s): Path: code ValueSet: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1039
Data Requirement | Type: Condition Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-encounter-diagnosis Must Support Elements: code Code Filter(s): Path: code Code(s): http://snomed.info/sct#471341000124104: 'Anaphylaxis caused by vaccine containing Human alphaherpesvirus 3 antigen (disorder)'
Data Requirement | Type: Condition Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-encounter-diagnosis Must Support Elements: code Code Filter(s): Path: code Code(s): http://snomed.info/sct#471141000124102: 'Anaphylaxis caused by vaccine product containing Streptococcus pneumoniae antigen (disorder)'
Data Requirement | Type: Condition Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-encounter-diagnosis Must Support Elements: code Code Filter(s): Path: code ValueSet: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1024
Data Requirement | Type: Condition Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-encounter-diagnosis Must Support Elements: code Code Filter(s): Path: code Code(s): http://snomed.info/sct#471311000124103: 'Anaphylaxis caused by vaccine product containing Hepatitis A virus antigen (disorder)'
Data Requirement | Type: Condition Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-encounter-diagnosis Must Support Elements: code Code Filter(s): Path: code Code(s): http://snomed.info/sct#428331000124103: 'Anaphylaxis caused by rotavirus vaccine (disorder)'
Data Requirement | Type: Condition Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-encounter-diagnosis Must Support Elements: code Code Filter(s): Path: code Code(s): http://snomed.info/sct#471361000124100: 'Anaphylaxis caused by vaccine product containing Influenza virus antigen (disorder)'
Data Requirement | Type: Condition Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-encounter-diagnosis Must Support Elements: code Code Filter(s): Path: code ValueSet: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.1165
Data Requirement | Type: Condition Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-encounter-diagnosis Must Support Elements: code Code Filter(s): Path: code ValueSet: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.120.12.1007
Data Requirement | Type: Condition Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-encounter-diagnosis Must Support Elements: code Code Filter(s): Path: code ValueSet: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.120.12.1001
Data Requirement | Type: Condition Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-encounter-diagnosis Must Support Elements: code Code Filter(s): Path: code ValueSet: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.120.12.1003
Data Requirement | Type: Condition Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-encounter-diagnosis Must Support Elements: code Code Filter(s): Path: code ValueSet: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1009
Data Requirement | Type: Condition Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-encounter-diagnosis Must Support Elements: code Code Filter(s): Path: code ValueSet: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.199.12.1056
Data Requirement | Type: Condition Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-problems-health-concerns Must Support Elements: code Code Filter(s): Path: code ValueSet: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.199.12.1031
Data Requirement | Type: Condition Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-problems-health-concerns Must Support Elements: code Code Filter(s): Path: code ValueSet: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.1164
Data Requirement | Type: Condition Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-problems-health-concerns Must Support Elements: code Code Filter(s): Path: code Code(s): http://snomed.info/sct#471321000124106: 'Anaphylaxis caused by vaccine product containing human poliovirus antigen (disorder)'
Data Requirement | Type: Condition Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-problems-health-concerns Must Support Elements: code Code Filter(s): Path: code Code(s): http://snomed.info/sct#471331000124109: 'Anaphylaxis caused by vaccine product containing Measles morbillivirus and Mumps orthorubulavirus and Rubella virus antigens (disorder)'
Data Requirement | Type: Condition Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-problems-health-concerns Must Support Elements: code Code Filter(s): Path: code ValueSet: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1032
Data Requirement | Type: Condition Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-problems-health-concerns Must Support Elements: code Code Filter(s): Path: code ValueSet: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1037
Data Requirement | Type: Condition Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-problems-health-concerns Must Support Elements: code Code Filter(s): Path: code Code(s): http://snomed.info/sct#433621000124101: 'Anaphylaxis caused by vaccine product containing only Haemophilus influenzae type b antigen (disorder)'
Data Requirement | Type: Condition Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-problems-health-concerns Must Support Elements: code Code Filter(s): Path: code Code(s): http://snomed.info/sct#428321000124101: 'Anaphylaxis caused by vaccine product containing Hepatitis B virus antigen (disorder)'
Data Requirement | Type: Condition Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-problems-health-concerns Must Support Elements: code Code Filter(s): Path: code ValueSet: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1025
Data Requirement | Type: Condition Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-problems-health-concerns Must Support Elements: code Code Filter(s): Path: code ValueSet: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1039
Data Requirement | Type: Condition Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-problems-health-concerns Must Support Elements: code Code Filter(s): Path: code Code(s): http://snomed.info/sct#471341000124104: 'Anaphylaxis caused by vaccine containing Human alphaherpesvirus 3 antigen (disorder)'
Data Requirement | Type: Condition Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-problems-health-concerns Must Support Elements: code Code Filter(s): Path: code Code(s): http://snomed.info/sct#471141000124102: 'Anaphylaxis caused by vaccine product containing Streptococcus pneumoniae antigen (disorder)'
Data Requirement | Type: Condition Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-problems-health-concerns Must Support Elements: code Code Filter(s): Path: code ValueSet: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1024
Data Requirement | Type: Condition Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-problems-health-concerns Must Support Elements: code Code Filter(s): Path: code Code(s): http://snomed.info/sct#471311000124103: 'Anaphylaxis caused by vaccine product containing Hepatitis A virus antigen (disorder)'
Data Requirement | Type: Condition Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-problems-health-concerns Must Support Elements: code Code Filter(s): Path: code Code(s): http://snomed.info/sct#428331000124103: 'Anaphylaxis caused by rotavirus vaccine (disorder)'
Data Requirement | Type: Condition Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-problems-health-concerns Must Support Elements: code Code Filter(s): Path: code Code(s): http://snomed.info/sct#471361000124100: 'Anaphylaxis caused by vaccine product containing Influenza virus antigen (disorder)'
Data Requirement | Type: Condition Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-problems-health-concerns Must Support Elements: code Code Filter(s): Path: code ValueSet: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.1165
Data Requirement | Type: Condition Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-problems-health-concerns Must Support Elements: code Code Filter(s): Path: code ValueSet: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.120.12.1007
Data Requirement | Type: Condition Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-problems-health-concerns Must Support Elements: code Code Filter(s): Path: code ValueSet: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.120.12.1001
Data Requirement | Type: Condition Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-problems-health-concerns Must Support Elements: code Code Filter(s): Path: code ValueSet: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.120.12.1003
Data Requirement | Type: Condition Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-problems-health-concerns Must Support Elements: code Code Filter(s): Path: code ValueSet: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1009
Data Requirement | Type: Condition Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-problems-health-concerns Must Support Elements: code Code Filter(s): Path: code ValueSet: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.199.12.1056
Data Requirement | Type: Encounter Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter Must Support Elements: type, status, status.value, period Code Filter(s): Path: type ValueSet: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001
Data Requirement | Type: Encounter Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter Must Support Elements: type, status, status.value, period Code Filter(s): Path: type ValueSet: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1016
Data Requirement | Type: Encounter Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter Must Support Elements: type, status, status.value, period Code Filter(s): Path: type ValueSet: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1024
Data Requirement | Type: Encounter Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter Must Support Elements: type, status, status.value, period Code Filter(s): Path: type ValueSet: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1022
Data Requirement | Type: Encounter Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter Must Support Elements: type, status, status.value, period
Data Requirement | Type: Encounter Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter Must Support Elements: type, status, status.value, period Code Filter(s): Path: type ValueSet: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1089
Data Requirement | Type: Encounter Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter Must Support Elements: type, status, status.value, period Code Filter(s): Path: type ValueSet: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1080
Data Requirement | Type: Encounter Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter Must Support Elements: type, hospitalization, hospitalization.dischargeDisposition, period, status, status.value Code Filter(s): Path: type ValueSet: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307
Data Requirement | Type: Encounter Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter Must Support Elements: type, period, status, status.value Code Filter(s): Path: type ValueSet: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.1003
Data Requirement | Type: Coverage Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-coverage Must Support Elements: type, period Code Filter(s): Path: type ValueSet: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591
Data Requirement | Type: Observation Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation-screening-assessment Must Support Elements: code, value, effective, status, status.value Code Filter(s): Path: code Code(s): http://loinc.org#45755-6: 'Hospice care [Minimum Data Set]'
Data Requirement | Type: ServiceRequest Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-servicerequest Must Support Elements: code, authoredOn, authoredOn.value, status, status.value, intent, intent.value Code Filter(s): Path: code ValueSet: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1584
Generated using version 0.4.8 of the sample-content-ig Liquid templates