IMMZIND45 - XML Representation - WHO Immunization Implementation Guide v0.2.0

WHO Immunization Implementation Guide, published by WHO. This guide is not an authorized publication; it is the continuous build for version 0.2.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/WorldHealthOrganization/smart-immunizations/tree/123/merge and changes regularly. See the Directory of published versions
: IMMZIND45 - XML Representation

Draft as of 2025-06-11
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<Measure xmlns="http://hl7.org/fhir">
  <id value="IMMZIND45"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/proportion-measure-cqfm"/>
  </meta>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
  <table class="narrative-table">
    <tbody>
<tr>

<th colspan="2" scope="row" class="row-header">Knowledge Artifact Metadata</th>

</tr>

<tr>

<th scope="row" class="row-header">Name (machine-readable)</th>

<td class="content-container">IMMZIND45</td>
</tr>


<tr>

<th scope="row" class="row-header">Title (human-readable)</th>

<td class="content-container">IMMZIND45</td>
</tr>



<tr>

<th scope="row" class="row-header">Status</th>

<td class="content-container">Draft</td>
</tr>


<tr>

<th scope="row" class="row-header">Experimental</th>

<td class="content-container">false</td>
</tr>


<tr>

<th scope="row" class="row-header">Description</th>

<td class="content-container"><div><p>IMMZ.IND.45 Immunization session completion rate</p>
</div></td>
</tr>












<tr>

<th scope="row" class="row-header">Measure Steward</th>

<td class="content-container">WHO</td>
</tr>


<tr>

<th scope="row" class="row-header">Steward Contact Details</th>

<td class="content-container">WHO: <a href="http://who.int">http://who.int</a></td>
</tr>











<tr>

<th colspan="2" scope="row" class="row-header">Measure Metadata</th>

</tr>






<tr>

<th scope="row" class="row-header">Version Number</th>

<td class="content-container">0.2.0</td>
</tr>


<tr>

<th scope="row" class="row-header">Measure Scoring</th>

<td class="content-container"><span title="Codes:{http://terminology.hl7.org/CodeSystem/measure-scoring proportion}">Proportion</span></td>
</tr>















  
    <tr>

<th colspan="2" scope="row" class="row-header">Measure Population Criteria</th>

</tr>
  
  
  
  
    <tr>
      
        
<th scope="row" class="row-header">Initial Population</th>

      
      <td class="content-container">
        
        <em>ID</em>: IMMZ.IND.45.IP
        <br/>
        
        
          <em>Description</em>:
          <p style="white-space: pre-line" class="tab-one">Initial Population</p>
        
        
          
            
            <em>Logic Definition</em>: <a href="#immzind45logic-initial-population">Initial Population</a> 
          
        
      </td>
    </tr>
  

  
    <tr>
      
        
<th scope="row" class="row-header">Denominator</th>

      
      <td class="content-container">
        
        <em>ID</em>: IMMZ.IND.45.D
        <br/>
        
        
          <em>Description</em>:
          <p style="white-space: pre-line" class="tab-one">Denominator</p>
        
        
          
            
            <em>Logic Definition</em>: <a href="#immzind45logic-denominator">Denominator</a> 
          
        
      </td>
    </tr>
  

  
    <tr>
      
        
<th scope="row" class="row-header">Numerator</th>

      
      <td class="content-container">
        
        <em>ID</em>: IMMZ.IND.45.N
        <br/>
        
        
          <em>Description</em>:
          <p style="white-space: pre-line" class="tab-one">Numerator</p>
        
        
          
            
            <em>Logic Definition</em>: <a href="#immzind45logic-numerator">Numerator</a> 
          
        
      </td>
    </tr>
  

  
<tr>
  
<th scope="row" class="row-header">Stratifier</th>

  <td class="content-container">
    
      <em>ID</em>: {idprefix}.S1
      
        <br/>
      
    
    
      
        <em>Code</em>: By-Administrative Area
      
      
    
    
  </td>
</tr>

<tr>
  
<th scope="row" class="row-header">Stratifier</th>

  <td class="content-container">
    
      <em>ID</em>: {idprefix}.S2
      
        <br/>
      
    
    
      
        <em>Code</em>: By-Administrative Area
      
      
    
    
  </td>
</tr>

  
  
<tr>

<th scope="row" class="row-header">Population Basis</th>

<td class="content-container">boolean</td>
</tr>















<tr>

<th colspan="2" scope="row" class="row-header">Measure Logic</th>

</tr>

<tr>

<th scope="row" class="row-header">Primary Library</th>

<td class="content-container"><a href="Library-IMMZIND45Logic.html">IMMZIND45Logic</a></td>
</tr>




  
  

<tr>
  
  
  
  
  
<th scope="row" class="row-header">Dependency</th>

  
  <td class="content-container">
    
    <em>Description</em>: FHIR model information
    
    <br/>
    
    
    
    
    
    
    <em>Resource</em>: <a href="http://fhir.org/guides/cqf/common/4.0.1/4.0.1/Library-FHIR-ModelInfo.html">http://fhir.org/guides/cqf/common/Library/FHIR-ModelInfo|4.0.1</a>
    <br/>
    <em>Canonical URL</em>: <tt>http://fhir.org/guides/cqf/common/Library/FHIR-ModelInfo|4.0.1</tt>
    
  </td>
</tr>

<tr>
  
  
  
  
  
<th scope="row" class="row-header">Dependency</th>

  
  <td class="content-container">
    
    <em>Description</em>: Library WC
    
    <br/>
    
    
    
    
    
    
    <em>Resource</em>: <a href="Library-WHOCommon.html">WHOCommon</a>
    <br/>
    <em>Canonical URL</em>: <tt>http://smart.who.int/immunizations/Library/WHOCommon</tt>
    
  </td>
</tr>

<tr>
  
  
  
  
  
<th scope="row" class="row-header">Dependency</th>

  
  <td class="content-container">
    
    <em>Description</em>: Library FHIRHelpers
    
    <br/>
    
    
    
    
    
    
    <em>Resource</em>: <a href="http://fhir.org/guides/cqf/common/4.0.1/4.0.1/Library-FHIRHelpers.html">http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1</a>
    <br/>
    <em>Canonical URL</em>: <tt>http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1</tt>
    
  </td>
</tr>

<tr>
  
  
  
  
  
<th scope="row" class="row-header">Dependency</th>

  
  <td class="content-container">
    
    <em>Description</em>: Library Elements
    
    <br/>
    
    
    
    
    
    
    <em>Resource</em>: <code>http://smart.who.int/immunizations/Library/IMMZIndicatorElements</code>
    <br/>
    <em>Canonical URL</em>: <tt>http://smart.who.int/immunizations/Library/IMMZIndicatorElements</tt>
    
  </td>
</tr>

<tr>
  
  
  
  
  
<th scope="row" class="row-header">Dependency</th>

  
  <td class="content-container">
    
    <em>Description</em>: Library WC
    
    <br/>
    
    
    
    
    
    
    <em>Resource</em>: <a href="Library-WHOCommon.html">WHOCommon</a>
    <br/>
    <em>Canonical URL</em>: <tt>http://smart.who.int/immunizations/Library/WHOCommon</tt>
    
  </td>
</tr>

<tr>
  
  
  
  
  
<th scope="row" class="row-header">Dependency</th>

  
  <td class="content-container">
    
    <em>Description</em>: Library FHIRHelpers
    
    <br/>
    
    
    
    
    
    
    <em>Resource</em>: <a href="http://fhir.org/guides/cqf/common/4.0.1/4.0.1/Library-FHIRHelpers.html">http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1</a>
    <br/>
    <em>Canonical URL</em>: <tt>http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1</tt>
    
  </td>
</tr>


  
  
  <tr>
  
<th scope="row" class="row-header">Parameter</th>

  <td class="content-container">
    <em>Name</em>: Measurement Period
    <br/>
    <em>Use</em>: In
    <br/>
    <em>Min Cardinality</em>: 0
    <br/>
    <em>Max Cardinality</em>: 1
    <br/>
    <em>Type</em>: Period
  </td>
</tr>
  
  <tr>
  
<th scope="row" class="row-header">Parameter</th>

  <td class="content-container">
    <em>Name</em>: Numerator
    <br/>
    <em>Use</em>: Out
    <br/>
    <em>Min Cardinality</em>: 0
    <br/>
    <em>Max Cardinality</em>: 1
    <br/>
    <em>Type</em>: boolean
  </td>
</tr>
  
  <tr>
  
<th scope="row" class="row-header">Parameter</th>

  <td class="content-container">
    <em>Name</em>: Stratification 2
    <br/>
    <em>Use</em>: Out
    <br/>
    <em>Min Cardinality</em>: 0
    <br/>
    <em>Max Cardinality</em>: 1
    <br/>
    <em>Type</em>: string
  </td>
</tr>
  
  <tr>
  
<th scope="row" class="row-header">Parameter</th>

  <td class="content-container">
    <em>Name</em>: Stratification 1
    <br/>
    <em>Use</em>: Out
    <br/>
    <em>Min Cardinality</em>: 0
    <br/>
    <em>Max Cardinality</em>: 1
    <br/>
    <em>Type</em>: string
  </td>
</tr>
  
  <tr>
  
<th scope="row" class="row-header">Parameter</th>

  <td class="content-container">
    <em>Name</em>: Denominator
    <br/>
    <em>Use</em>: Out
    <br/>
    <em>Min Cardinality</em>: 0
    <br/>
    <em>Max Cardinality</em>: 1
    <br/>
    <em>Type</em>: boolean
  </td>
</tr>
  
  <tr>
  
<th scope="row" class="row-header">Parameter</th>

  <td class="content-container">
    <em>Name</em>: Initial Population
    <br/>
    <em>Use</em>: Out
    <br/>
    <em>Min Cardinality</em>: 0
    <br/>
    <em>Max Cardinality</em>: 1
    <br/>
    <em>Type</em>: boolean
  </td>
</tr>
  
  
  <tr>
    <th colspan="2" scope="row" class="section-header"><a name="effective-data-requirements"> </a>Measure Logic Data Requirements</th>
  </tr>
  
  
<tr>
  <th scope="row" class="row-header">Data Requirement</th>
  <td class="content-container">
    <em>Type</em>: Location
    <br/>
  
    <em>Profile(s)</em>: 
  
    <a href="http://hl7.org/fhir/R4/location.html">Location</a>
    <br/>        
  
   
   
   
  </td>
</tr>

<tr>
  <th scope="row" class="row-header">Data Requirement</th>
  <td class="content-container">
    <em>Type</em>: Immunization
    <br/>
  
    <em>Profile(s)</em>: 
  
    <a href="http://hl7.org/fhir/R4/immunization.html">Immunization</a>
    <br/>        
  
   
   
   
  </td>
</tr>

  
  <tr>

<th colspan="2" scope="row" class="row-header">Measure Logic Definitions</th>

</tr>
  
          
<tr>
  <th scope="row" rowspan="2" class="row-header">
    
      
      <a name="immzind45logic-initial-population"> </a>
    
    Logic Definition
  </th>

  <td class="content-container"><em>Library Name:</em> IMMZIND45Logic</td>

</tr>
<tr>

  <td>
    <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">/*
 * As defined by Member State
 */
define &quot;Initial Population&quot;:
  Immunization.occurrence is not null
  and Immunization.occurrence.toInterval() starts during &quot;Measurement Period&quot;</code></pre>
  </td>

</tr>
        
<tr>
  <th scope="row" rowspan="2" class="row-header">
    
      
      <a name="immzind45logic-denominator"> </a>
    
    Logic Definition
  </th>

  <td class="content-container"><em>Library Name:</em> IMMZIND45Logic</td>

</tr>
<tr>

  <td>
    <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">/*
@denominator: Number of planned immunization sessions at the vaccination location during the reporting period
@pseudocode: COUNT number of planned sessions during the reporting period
*/
define &quot;Denominator&quot;:
  &quot;Initial Population&quot;</code></pre>
  </td>

</tr>
        
<tr>
  <th scope="row" rowspan="2" class="row-header">
    
      
      <a name="immzind45logic-numerator"> </a>
    
    Logic Definition
  </th>

  <td class="content-container"><em>Library Name:</em> IMMZIND45Logic</td>

</tr>
<tr>

  <td>
    <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">/*
@numerator: Number of immunization sessions completed at the vaccination location during the reporting period
@pseudocode: COUNT of immunization events WHERE &quot;Immunization event status&quot; = &quot;Completed&quot; during the reporting period
*/
define &quot;Numerator&quot;:
  &quot;Denominator&quot;
    and Immunization.status = 'completed'</code></pre>
  </td>

</tr>
        
<tr>
  <th scope="row" rowspan="2" class="row-header">
    
      
      <a name="immzind45logic-stratification-2"> </a>
    
    Logic Definition
  </th>

  <td class="content-container"><em>Library Name:</em> IMMZIND45Logic</td>

</tr>
<tr>

  <td>
    <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define &quot;Stratification 2&quot;:
  Elements.GetGeographicRegionForImmunization( Immunization )</code></pre>
  </td>

</tr>
        
<tr>
  <th scope="row" rowspan="2" class="row-header">
    
      
      <a name="immzind45logic-stratification-1"> </a>
    
    Logic Definition
  </th>

  <td class="content-container"><em>Library Name:</em> IMMZIND45Logic</td>

</tr>
<tr>

  <td>
    <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">/*
@disaggregation: Vaccination location
                 Administrative area
*/
define &quot;Stratification 1&quot;:
  Elements.GetLocationNameForImmunization( Immunization )</code></pre>
  </td>

</tr>
        
<tr>
  <th scope="row" rowspan="2" class="row-header">
    
      
      <a name="fhirhelpers-tostring"> </a>
    
    Logic Definition
  </th>

  <td class="content-container"><em>Library Name:</em> FHIRHelpers</td>

</tr>
<tr>

  <td>
    <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define function ToString(value ImmunizationStatus): value.value</code></pre>
  </td>

</tr>
        
<tr>
  <th scope="row" rowspan="2" class="row-header">
    
      
      <a name="immzindicatorelements-getgeographicregionforimmunization"> </a>
    
    Logic Definition
  </th>

  <td class="content-container"><em>Library Name:</em> IMMZIndicatorElements</td>

</tr>
<tr>

  <td>
    <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">/** 
 * @function
 * @param immunization The immunization record for which the location should be retrieved
 * @return FHIR.address The location that the immunization event occurred
 */
define function GetGeographicRegionForImmunization(immunization Immunization):
  (
    [Location] L
        where immunization.location.references(L)
  ).only().address.state</code></pre>
  </td>

</tr>
        
<tr>
  <th scope="row" rowspan="2" class="row-header">
    
      
      <a name="whocommon-only"> </a>
    
    Logic Definition
  </th>

  <td class="content-container"><em>Library Name:</em> WHOCommon</td>

</tr>
<tr>

  <td>
    <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define fluent function only(locations List&lt;Location&gt;):
  singleton from locations</code></pre>
  </td>

</tr>
        
<tr>
  <th scope="row" rowspan="2" class="row-header">
    
      
      <a name="whocommon-references"> </a>
    
    Logic Definition
  </th>

  <td class="content-container"><em>Library Name:</em> WHOCommon</td>

</tr>
<tr>

  <td>
    <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">/*
@description: Returns true if the given reference is to the given resource
@comment: Returns true if the `id` element of the given resource exactly equals the tail of the given reference.
NOTE: This function assumes resources from the same source server.
*/
define fluent function references(reference FHIR.Reference, resource FHIR.Resource):
  resource.id = Last(Split(reference.reference, '/'))</code></pre>
  </td>

</tr>
        
<tr>
  <th scope="row" rowspan="2" class="row-header">
    
      
      <a name="fhirhelpers-tostring"> </a>
    
    Logic Definition
  </th>

  <td class="content-container"><em>Library Name:</em> FHIRHelpers</td>

</tr>
<tr>

  <td>
    <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define function ToString(value string): value.value</code></pre>
  </td>

</tr>
        
<tr>
  <th scope="row" rowspan="2" class="row-header">
    
      
      <a name="immzindicatorelements-getlocationnameforimmunization"> </a>
    
    Logic Definition
  </th>

  <td class="content-container"><em>Library Name:</em> IMMZIndicatorElements</td>

</tr>
<tr>

  <td>
    <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">/** 
 * @function
 * @param immunization The immunization record for which the location should be retrieved
 * @return FHIR.name The name of the location that the immunization event occurred
 */
define function GetLocationNameForImmunization(immunization Immunization):
  (
    [Location] L
        where immunization.location.references(L)
  ).only().name</code></pre>
  </td>

</tr>

  

<tr>
  <th colspan="2" scope="row" class="row-header">Generated using version 0.4.6 of the sample-content-ig Liquid templates</th>
</tr>
    </tbody>
  </table>
</div>
  </text>
  <contained>
    <Library>
      <id value="effective-data-requirements"/>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZIND45Logic"/>
        </extension>
        <extension url="name">
          <valueString value="Initial Population"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/*
 * As defined by Member State
 */
define &quot;Initial Population&quot;:
  Immunization.occurrence is not null
  and Immunization.occurrence.toInterval() starts during &quot;Measurement Period&quot;"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="0"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZIND45Logic"/>
        </extension>
        <extension url="name">
          <valueString value="Denominator"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/*
@denominator: Number of planned immunization sessions at the vaccination location during the reporting period
@pseudocode: COUNT number of planned sessions during the reporting period
*/
define &quot;Denominator&quot;:
  &quot;Initial Population&quot;"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="1"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZIND45Logic"/>
        </extension>
        <extension url="name">
          <valueString value="Numerator"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/*
@numerator: Number of immunization sessions completed at the vaccination location during the reporting period
@pseudocode: COUNT of immunization events WHERE &quot;Immunization event status&quot; = &quot;Completed&quot; during the reporting period
*/
define &quot;Numerator&quot;:
  &quot;Denominator&quot;
    and Immunization.status = 'completed'"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="2"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZIND45Logic"/>
        </extension>
        <extension url="name">
          <valueString value="Stratification 2"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="define &quot;Stratification 2&quot;:
  Elements.GetGeographicRegionForImmunization( Immunization )"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="3"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZIND45Logic"/>
        </extension>
        <extension url="name">
          <valueString value="Stratification 1"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/*
@disaggregation: Vaccination location
                 Administrative area
*/
define &quot;Stratification 1&quot;:
  Elements.GetLocationNameForImmunization( Immunization )"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="4"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="FHIRHelpers"/>
        </extension>
        <extension url="name">
          <valueString value="ToString"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="define function ToString(value ImmunizationStatus): value.value"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="5"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZIndicatorElements"/>
        </extension>
        <extension url="name">
          <valueString value="GetGeographicRegionForImmunization"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/** 
 * @function
 * @param immunization The immunization record for which the location should be retrieved
 * @return FHIR.address The location that the immunization event occurred
 */
define function GetGeographicRegionForImmunization(immunization Immunization):
  (
    [Location] L
        where immunization.location.references(L)
  ).only().address.state"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="6"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="WHOCommon"/>
        </extension>
        <extension url="name">
          <valueString value="only"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="define fluent function only(locations List&lt;Location&gt;):
  singleton from locations"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="7"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="WHOCommon"/>
        </extension>
        <extension url="name">
          <valueString value="references"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/*
@description: Returns true if the given reference is to the given resource
@comment: Returns true if the `id` element of the given resource exactly equals the tail of the given reference.
NOTE: This function assumes resources from the same source server.
*/
define fluent function references(reference FHIR.Reference, resource FHIR.Resource):
  resource.id = Last(Split(reference.reference, '/'))"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="8"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="FHIRHelpers"/>
        </extension>
        <extension url="name">
          <valueString value="ToString"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="define function ToString(value string): value.value"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="9"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZIndicatorElements"/>
        </extension>
        <extension url="name">
          <valueString value="GetLocationNameForImmunization"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/** 
 * @function
 * @param immunization The immunization record for which the location should be retrieved
 * @return FHIR.name The name of the location that the immunization event occurred
 */
define function GetLocationNameForImmunization(immunization Immunization):
  (
    [Location] L
        where immunization.location.references(L)
  ).only().name"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="10"/>
        </extension>
      </extension>
      <name value="EffectiveDataRequirements"/>
      <status value="active"/>
      <type>
        <coding>
          <system value="http://terminology.hl7.org/CodeSystem/library-type"/>
          <code value="module-definition"/>
        </coding>
      </type>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="FHIR model information"/>
        <resource
                  value="http://fhir.org/guides/cqf/common/Library/FHIR-ModelInfo|4.0.1"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Library WC"/>
        <resource
                  value="http://smart.who.int/immunizations/Library/WHOCommon"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Library FHIRHelpers"/>
        <resource
                  value="http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Library Elements"/>
        <resource
                  value="http://smart.who.int/immunizations/Library/IMMZIndicatorElements"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Library WC"/>
        <resource
                  value="http://smart.who.int/immunizations/Library/WHOCommon"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Library FHIRHelpers"/>
        <resource
                  value="http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1"/>
      </relatedArtifact>
      <parameter>
        <name value="Measurement Period"/>
        <use value="in"/>
        <min value="0"/>
        <max value="1"/>
        <type value="Period"/>
      </parameter>
      <parameter>
        <name value="Numerator"/>
        <use value="out"/>
        <min value="0"/>
        <max value="1"/>
        <type value="boolean"/>
      </parameter>
      <parameter>
        <name value="Stratification 2"/>
        <use value="out"/>
        <min value="0"/>
        <max value="1"/>
        <type value="string"/>
      </parameter>
      <parameter>
        <name value="Stratification 1"/>
        <use value="out"/>
        <min value="0"/>
        <max value="1"/>
        <type value="string"/>
      </parameter>
      <parameter>
        <name value="Denominator"/>
        <use value="out"/>
        <min value="0"/>
        <max value="1"/>
        <type value="boolean"/>
      </parameter>
      <parameter>
        <name value="Initial Population"/>
        <use value="out"/>
        <min value="0"/>
        <max value="1"/>
        <type value="boolean"/>
      </parameter>
      <dataRequirement>
        <type value="Immunization"/>
        <profile
                 value="http://hl7.org/fhir/StructureDefinition/Immunization"/>
      </dataRequirement>
      <dataRequirement>
        <type value="Location"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Location"/>
      </dataRequirement>
      <dataRequirement>
        <type value="Location"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Location"/>
      </dataRequirement>
      <dataRequirement>
        <type value="Immunization"/>
        <profile
                 value="http://hl7.org/fhir/StructureDefinition/Immunization"/>
      </dataRequirement>
      <dataRequirement>
        <type value="Immunization"/>
        <profile
                 value="http://hl7.org/fhir/StructureDefinition/Immunization"/>
      </dataRequirement>
    </Library>
  </contained>
  <extension
             url="http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-effectiveDataRequirements">
    <valueCanonical value="#effective-data-requirements"/>
  </extension>
  <url value="http://smart.who.int/immunizations/Measure/IMMZIND45"/>
  <version value="0.2.0"/>
  <name value="IMMZIND45"/>
  <title value="IMMZIND45"/>
  <status value="draft"/>
  <experimental value="false"/>
  <date value="2025-06-11"/>
  <publisher value="WHO"/>
  <contact>
    <name value="WHO"/>
    <telecom>
      <system value="url"/>
      <value value="http://who.int"/>
    </telecom>
  </contact>
  <description value="IMMZ.IND.45 Immunization session completion rate"/>
  <library value="http://smart.who.int/immunizations/Library/IMMZIND45Logic"/>
  <scoring>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/measure-scoring"/>
      <code value="proportion"/>
      <display value="Proportion"/>
    </coding>
  </scoring>
  <group>
    <extension
               url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis">
      <valueCode value="boolean"/>
    </extension>
    <population id="IMMZ.IND.45.IP">
      <code>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/measure-population"/>
          <code value="initial-population"/>
          <display value="Initial Population"/>
        </coding>
      </code>
      <description value="Initial Population"/>
      <criteria>
        <language value="text/cql-identifier"/>
        <expression value="Initial Population"/>
      </criteria>
    </population>
    <population id="IMMZ.IND.45.D">
      <code>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/measure-population"/>
          <code value="denominator"/>
          <display value="Denominator"/>
        </coding>
      </code>
      <description value="Denominator"/>
      <criteria>
        <language value="text/cql-identifier"/>
        <expression value="Denominator"/>
      </criteria>
    </population>
    <population id="IMMZ.IND.45.N">
      <code>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/measure-population"/>
          <code value="numerator"/>
          <display value="Numerator"/>
        </coding>
      </code>
      <description value="Numerator"/>
      <criteria>
        <language value="text/cql-identifier"/>
        <expression value="Numerator"/>
      </criteria>
    </population>
    <stratifier id="{idprefix}.S1">
      <code>
        <coding>
          <system
                  value="http://smart.who.int/immunizations/CodeSystem/IMMZ.I"/>
          <code value="DE32"/>
          <display value="By-Administrative Area"/>
        </coding>
      </code>
      <criteria>
        <language value="text/cql-identifier"/>
        <expression value="Stratification 1"/>
      </criteria>
    </stratifier>
    <stratifier id="{idprefix}.S2">
      <code>
        <coding>
          <system
                  value="http://smart.who.int/immunizations/CodeSystem/IMMZ.I"/>
          <code value="DE32"/>
          <display value="By-Administrative Area"/>
        </coding>
      </code>
      <criteria>
        <language value="text/cql-identifier"/>
        <expression value="Stratification 2"/>
      </criteria>
    </stratifier>
  </group>
</Measure>