add measure measles

input/cql/IMMZCommon.cql

@@ -229,6 +229,8 @@ define function ToDate(choice Choice<FHIR.date, FHIR.string>):
   case
 	  when choice is FHIR.date then
     	choice as FHIR.date
+    when  ConvertsToDate(choice) then
+      ToDate(choice)
 		else
       Message(null as FHIR.date, true, '1', 'Error', 'Cannot compute a date from a String value')
 	end
@@ -240,6 +242,8 @@ define function ToDateTime(choice Choice<FHIR.dateTime, FHIR.string>):
   case
 	  when choice is FHIR.dateTime then
     	choice as FHIR.dateTime
+		when  ConvertsToDateTime(choice) then
+      ToDateTime(choice)
 		else
       Message(null as FHIR.dateTime, true, '1', 'Error', 'Cannot compute a date from a String value')
 	end

input/cql/IMMZIND08.cql

@@ -1,68 +1,165 @@
 /*
  * Library: IMMZ.IND.08
  * Immunization coverage for Measles containing vaccine (Estimated Denominator) 
- * Compares the administered doses of measles containing vaccines (MCV) with the estimated number of surviving infants (if dose 1) or a country supplied denominator (if dose 2) expressed as a percentage. 
- * 
- * Numerator: Number of administrations of vaccinations containing a Measles component during reporting period 
- * Numerator Computation: COUNT immunization events WHERE administered product is a Measles vaccine (IMMZ.A1.DE9) during reporting period
- * Denominator: Estimated number of surviving infants (for dose 1) and country supplied denominator for dose sequence 2 (see comments)
- * Denominator Computation: PARAMETER number of surviving infants (if Dose Sequence = 1) or PARAMETER of country supplied denominator (if Dose Sequence = 2)
+ * References: WHO Immunization Facility Analysis Guide (1), WHO / UNICEF Joint Reporting Form (3 - elements 4240 and 4260 )
+ */
+/* ============================================================================
+ * Measle Dose 1
+ * ============================================================================
+ * Initial Patient Population =
+ *     All patient
+ *
+ * Denominator =
+ *     Demographic data from measure report
+ *
+ * Numerator =
+ *     Patient with 1st Measle immunization in the reporting period
+ *
+ * Denominator Exceptions =
+ *     None
+ *
+ * Disaggregation:
+ *    Age Group (< 1 year or 1 year or > 2 years)
+ *    Geographic Region
+ *    Administrative Gender (or Biological Sex)
  * 
+ * ============================================================================
+
+ /* ============================================================================
+ * Measle Dose 2
+ * ============================================================================
+ * Initial Patient Population =
+ *     All patient
+ *
+ * Denominator =
+ *     Demographic data from measure report
+ *
+ * Numerator =
+ *     Patient with 2nd Measle immunization in the reporting period
+ *
+ * Denominator Exceptions =
+ *     None
+ *
  * Disaggregation:
- *   - Dose Sequence (1, 2)
- *   - Age Group (< 1 year or > 1 year)
- *   - Geographic Region
- *   - Administrative Gender (or Biological Sex)
+ *    Age Group (< 1 year or 1 year or > 2 years)
+ *    Geographic Region
+ *    Administrative Gender (or Biological Sex)
  * 
- * References: WHO Immunization Facility Analysis Guide (1), WHO / UNICEF Joint Reporting Form (3 - elements 4240 and 4260 )
+ * ============================================================================
  */
+library IMMZIND08 version '1.0.2'
 
-library IMMZIND08
 
-// Start Skeleton CQL
 using FHIR version '4.0.1'
 include FHIRHelpers version '4.0.1'
-include IMMZCommon called IMMZCom
-include IMMZConcepts called IMMZc
-include IMMZConfig called IMMZCon
-include IMMZIndicatorCommon called IMMZIndCom
-include IMMZVaccineLibrary called IMMZvl
-include FHIRCommon called FC
-// End Skeleton CQL
+
 parameter "Measurement Period" Interval<Date>
+parameter "canonical_demographic_measure_url" String default 'https://fhir.who.org/Measure/demographicForImmunization'
+
+valueset "Measles Vaccines": 'http://fhir.org/guides/who/smart-immunization/ValueSet/IMMZ.A1.DE'
+
+// Age codes
+codesystem "ISO-8601-Derived Periods": 'http://ohie.org/ValueSet/iso-8601-derived-periods' // { 'P0Y--P1Y', 'P1Y--P5Y', ... }
+code "P0Y--P1Y": 'P0Y--P1Y' from "ISO-8601-Derived Periods" display '< 1 year'
+code "P1Y--P2Y": 'P1Y--P2Y' from "ISO-8601-Derived Periods" display '1 year'
+code "P2Y--P9999Y": 'P1Y--P9999Y' from "ISO-8601-Derived Periods" display '2+ years'
+
+
+// Sex codes
+codesystem "Administrative Gender Codes": 'http://hl7.org/fhir/administrative-gender'
+code "Males" : 'male' from "Administrative Gender Codes" display 'Males'
+code "Females" : 'female' from "Administrative Gender Codes" display 'Females'
+code "Other" : 'other' from "Administrative Gender Codes" display 'Other/NA'
 
 context Patient
 
-/*
- * Numerator: Number of administrations of vaccinations containing a Measles component during reporting period
- * Numerator Computation: COUNT immunization events WHERE administered product is a Measles vaccine (IMMZ.A1.DE9) during reporting period
- */
-define "measure-population":
-	exists(IMMZIndCom."MCV Doses Administered to Patient During Measurement Period")
+define getPatientGeographicStr:
+	Coalesce(First(Patient.address A where A.use in { 'home' }).district, 'nodistrict')
+
+define getPatientGeographicLocation:
+    if getPatientGeographicStr is not null and getPatientGeographicStr != 'nodistrict' then
+      First([Location] L where L.id = id { value: getPatientGeographicStr})
+    else null
 
 /*
- * Disaggregator: Dose Sequence (1, 2)
- */
-define "Dose Sequence  Stratifier":
-	IMMZIndCom."MCV Doses Administered to Patient During Measurement Period" I
-	return (singleton from I.protocolApplied).doseNumber
+All patient should be included 
+*/
+define InitialPopulation:
+	true
 
 /*
- * Disaggregator: Age Group (<24H of Birth, < 2 weeks)
+Denominator initiation population from population measure report on district, 
+needs https://build.fhir.org/ig/HL7/cqf-measures/StructureDefinition-cqfm-aggregateMethod.html 
+with https://terminology.hl7.org/5.2.0/CodeSystem-measure-aggregate-method.html#measure-aggregate-method-maximum
+*/
+define DenominatorPopulation:
+	First(
+		[MeasureReport] MR 
+		where MR.subject.reference = 'Location/' + getPatientGeographicStr
+		and MR.measure = FHIR.canonical {value:canonical_demographic_measure_url}
+		and start of "Measurement Period" in MR.period ).group.first().stratifier.first().stratum.where(
+			exists(component.where(code.coding.first().code ~ 'sex' and  value.coding.first().code ~ "Administrative Gender Stratifier".code)) 
+			and exists(component.where(code.coding.first().code ~ 'AgeGroup' and value.coding.first().code ~ "Age Group Stratifier".code))
+		).first().population.first().count
+
+
+define getdoses:
+	[Immunization] I 
+	where I.vaccineCode in "Measles Vaccines"
+	sort by (occurrence as FHIR.dateTime).value desc
+
+
+
+define FirstDose:
+	Count(getdoses) = 1 and exists(getdoses.where(ToDate(occurrence) during "Measurement Period"))
+
+
+define SecondDose:
+	Count(getdoses) = 2 and exists(getdoses.where(ToDate(occurrence) during "Measurement Period"))
+
+
+/**
+ * @description Takes the date choice of a date/string choice (for Immunization date)
  */
+define function ToDate(choice Choice<FHIR.date, FHIR.string>):
+  case
+	  when choice is FHIR.date then
+    	choice as FHIR.date
+    when  ConvertsToDate(choice) then
+      ToDate(choice)
+		else
+      Message(null as FHIR.date, true, '1', 'Error', 'Cannot compute a date from a String value')
+	end
+
+// Stratifiers
+
+// Age Group
 define "Age Group Stratifier":
-	IMMZIndCom."Infant By Age Stratifier"
+  case
+    when AgeInYearsAt(start of "Measurement Period") in Interval[0, 1) then "P0Y--P1Y"
+    when AgeInYearsAt(start of "Measurement Period") in Interval[1, 2) then "P1Y--P2Y"
+    else "P2Y--P9999Y"
+  end
 
-/*
- * Disaggregator: Geographic Region
- */
-define "Geographic Region Stratifier":
-	IMMZIndCom."By Geographic Region Stratifier"
+// Sex
+define "Sex": Patient.gender
 
-/*
- * Disaggregator: Administrative Gender (or Biological Sex)
+/**
+ * By Administrative Gender of Patient Stratifier
  */
 define "Administrative Gender Stratifier":
-	IMMZIndCom."By Administrative Gender Stratifier"
+    case 
+        when Patient.gender = 'male' then "Males"
+        when Patient.gender = 'female' then "Females"
+        else "Other"
+    end
+
+/**
+ * By Administrative Gender of Patient Stratifier
+ */
+define "Geographic Region Stratifier":
+    System.Code {code: getPatientGeographicStr}
+
+define "Region - Sex - Age Group Stratifier":
+	"Geographic Region Stratifier".code + ':' + "Administrative Gender Stratifier".code + ':' + "Age Group Stratifier".code
 
-/* End of IMMZ.IND.08 */

input/resources/library/IMMZIND08.json

@@ -0,0 +1,35 @@
+{
+  "resourceType": "Library",
+  "id": "IMMZIND08",
+  "version": "1.0.2",
+  "extension": [ {
+    "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-softwaresystem",
+    "valueReference": {
+      "reference": "Device/cqf-tooling"
+    }
+  } ],
+  "url": "http://fhir.org/guides/who/smart-immunization/Library/IMMZIND08",
+  "name": "IMMZ.IND.08",
+  "parameter": [ {
+    "name": "Measurement Period",
+    "use": "in",
+    "min": 0,
+    "max": "1",
+    "type": "Period"
+  } ],
+  "dataRequirement": [ {
+    "type": "Patient",
+    "profile": [ "http://hl7.org/fhir/StructureDefinition/Patient" ],
+    "mustSupport": [ "use" ]
+  }, {
+    "type": "Immunization",
+    "profile": [ "http://hl7.org/fhir/StructureDefinition/Immunization" ],
+    "mustSupport": [ "status", "vaccineCode", "occurrence" ]
+  } ],
+  "content": [ 
+    {
+      "contentType": "text/cql",
+      "data": 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"
+    }
+  ]
+}