{
    "title": "Pneumonia Vaccination Status for Older Adults",
    "description": "The percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine.",
    "population_criteria": {
        "IPP": {
            "conjunction?": true,
            "preconditions": [{
                "preconditions": [{
                    "reference": "PatientCharacteristicBirthDate",
                    "conjunction_code": "characteristicReference"
                }],
                "conjunction_code": "allTrue"
            }]
        },
        "DENOM": {
            "conjunction?": true,
            "preconditions": [{
                "preconditions": [{
                    "reference": "EncounterEncounterOutpatient",
                    "conjunction_code": "encounterReference"
                }],
                "conjunction_code": "allTrue"
            }]
        },
        "NUMER": {
            "conjunction?": true,
            "preconditions": [{
                "preconditions": [{
                    "preconditions": [{
                        "reference": "MedicationAdministeredPneumococcalVaccineAllAges",
                        "conjunction_code": "medicationReference"
                    },
                    {
                        "reference": "ProcedurePerformedPneumococcalVaccinationAllAges",
                        "conjunction_code": "procedureReference"
                    }],
                    "conjunction_code": "atLeastOneTrue"
                }],
                "conjunction_code": "allTrue"
            }]
        }
    },
    "data_criteria": {
        "PatientCharacteristicBirthDate": {
            "title": "Patient Characteristic: birth date",
            "section": "characteristic",
            "code_list_id": "2.16.840.1.113883.3.560.100.4",
            "property": "age",
            "type": "characteristic",
            "value": {
                "type": "IVL_PQ",
                "low": {
                    "type": "PQ",
                    "unit": "a",
                    "value": "64",
                    "inclusive?": true
                },
                "high": {
                    "type": "PQ",
                    "unit": "a",
                    "value": "64",
                    "inclusive?": true
                }
            },
            "effective_time": {
                "type": "IVL_TS",
                "high": {
                    "type": "TS",
                    "value": "20120101"
                }
            }
        },
        "EncounterEncounterOutpatient": {
            "title": "Encounter: Encounter outpatient",
            "section": "encounters",
            "code_list_id": "2.16.840.1.113883.3.464.0001.49",
            "type": "encounter",
            "effective_time": {
                "type": "IVL_TS",
                "low": {
                    "type": "TS",
                    "value": "20120101"
                },
                "high": {
                    "type": "TS",
                    "value": "20121231"
                },
                "width": {
                    "type": "PQ",
                    "unit": "a",
                    "value": "1"
                }
            }
        },
        "ProcedurePerformedPneumococcalVaccinationAllAges": {
            "title": "Procedure, Performed: Pneumococcal Vaccination all ages",
            "section": "procedures",
            "code_list_id": "2.16.840.1.113883.3.464.0001.143",
            "type": "procedure",
            "effective_time": {
                "type": "IVL_TS",
                "low": {
                    "type": "TS",
                    "value": "20120101"
                },
                "high": {
                    "type": "TS",
                    "value": "20121231"
                },
                "width": {
                    "type": "PQ",
                    "unit": "a",
                    "value": "1"
                }
            }
        },
        "MedicationAdministeredPneumococcalVaccineAllAges": {
            "title": "Medication, Administered: Pneumococcal Vaccine all ages",
            "section": "medications",
            "code_list_id": "2.16.840.1.113883.3.464.0001.430",
            "type": "medication",
            "effective_time": {
                "type": "IVL_TS",
                "low": {
                    "type": "TS",
                    "value": "20120101"
                },
                "high": {
                    "type": "TS",
                    "value": "20121231"
                },
                "width": {
                    "type": "PQ",
                    "unit": "a",
                    "value": "1"
                }
            }
        },
        "StartDate": {
            "title": "StartDate",
            "type": "variable",
            "value": {
                "type": "TS",
                "value": "20120101"
            }
        },
        "EndDate": {
            "title": "EndDate",
            "type": "variable",
            "value": {
                "type": "TS",
                "value": "20121231"
            }
        }
    },
    "measure_period": {
        "type": "IVL_TS",
        "low": {
            "type": "TS",
            "value": "20120101"
        },
        "high": {
            "type": "TS",
            "value": "20121231"
        },
        "width": {
            "type": "PQ",
            "unit": "a",
            "value": "1"
        }
    }
}