CMS117v6 – Childhood Immunization Status

Children who turn 2 years of age during the measurement period and who have a visit during the measurement period are included in the denominator. The system captures the Office visit encounters through Visit codes (E&M) which are recorded in either eSuperbills or charges.

– DENOMINATOR EXCLUSION

Exclude patients who were in hospice care during the measurement year.

– NUMERATOR

Children who have one of the following:

• Received recommended vaccines
• Had documented history of the illness
• Had a seropositive test result
• Had an allergic reaction to the vaccine by their second birthday

For Denominator:

Children who turn 2 years of age during the measurement period and who have a visit during the measurement period are included in this measure. The system captures the Office visit encounters through Visit codes (E&M) which are recorded in either eSuperbills or charges.

Denominator Exclusion:

To exclude patients patients who were in hospice care during the measurement year, navigate to Patient > Clinical > Evaluations

For Numerator:

Children who have evidence showing they received any one of the following:

• Recommended vaccines (Patient > Clinical > Immunization)

  1. Immunization, Administered: Four doses of DTaP Vaccine
  2. Immunization, Administered: Three doses of Inactivated Polio Vaccine (IPV)
  3. Immunization, Administered: One dose of Measles, Mumps and Rubella (MMR) Vaccine
  4. Immunization, Administered: Three doses of Haemophilus Influenzae Type B (HiB) Vaccine
  5. Immunization, Administered: Three doses of Hepatitis B Vaccine
  6. Immunization, Administered: One dose of Varicella Zoster Vaccine (VZV)
  7. Immunization, Administered: Four doses of Pneumococcal Conjugate Vaccine
  8. Immunization, Administered: One dose of Hepatitis A Vaccine
  9. Immunization, Administered: Two doses of Rotavirus Vaccine (2 dose schedule)
  10. Immunization, Administered: Two doses of Influenza Vaccine

• Had documented history of the illness (Patient > Clinical > Diagnosis)

1. Anaphylactic Reaction to Influenza Vaccine
2. Malignant Neoplasm of Lymphatic and Hematopoietic Tissue
3. Anaphylactic Reaction to Neomycin
4. HIV
5. Disorders of the Immune System

• Had a seropositive test result (Patient > Clinical > Orders and Results > Lab > Add Result)

1. These are the Lab tests for any of the following:
2. Measles, Mumps and Rubella (MMR) Vaccine
3. Hepatitis B Vaccine
4. Varicella Zoster Vaccine (VZV)
5. Hepatitis A Vaccine
6. Influenza Vaccine
7. Rubella Virus
8. Mumps Virus

• Had an allergic reaction to the vaccine by their second birthday are included in the numerator. To record a vaccine or diagnosis, navigate to (Patient > Clinical > Allergies)