WHO Immunization Implementation Guide
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WHO Immunization Implementation Guide, published by World Health Organization (WHO). This is not an authorized publication; it is the continuous build for version 0.1.0). This version is based on the current content of https://github.com/WorldHealthOrganization/smart-immunizations and changes regularly. See the Directory of published versions

: IMMZ.IND.06 Immunization coverage for oral polio containing vaccine birth doses (Estimated Denominator) - JSON Representation

Draft as of 2022-05-12

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{
  "resourceType" : "Measure",
  "id" : "IMMZIND06",
  "meta" : {
    "profile" : [
      "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Measure</b><a name=\"IMMZIND06\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Measure &quot;IMMZIND06&quot; </p><p style=\"margin-bottom: 0px\">Profile: <code>http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm</code></p></div><p><b>url</b>: <code>http://fhir.org/guides/who/smart-immunization/Measure/IMMZIND06</code></p><p><b>version</b>: 0.1.0</p><p><b>name</b>: IMMZIND06</p><p><b>title</b>: IMMZ.IND.06 Immunization coverage for oral polio containing vaccine birth doses (Estimated Denominator)</p><p><b>status</b>: draft</p><p><b>date</b>: 2022-05-12 15:36:34-0400</p><p><b>publisher</b>: World Health Organization (WHO)</p><p><b>description</b>: Compares the administered doses of oral polio containing vaccines (OPV) given at birth (dose sequence 0) with the number of live births. This indicator should only be used in contexts where an OPV birth dose is administered.</p><p><b>jurisdiction</b>: Global (Whole world) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (m49.htm#001)</span></p><p><b>library</b>: <a href=\"Library-IMMZIND06.html\">IMMZIND06</a></p><p><b>scoring</b>: Proportion <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-measure-scoring.html\">MeasureScoring</a>#proportion)</span></p><p><b>type</b>: Process <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-measure-type.html\">MeasureType</a>#process)</span></p><p><b>improvementNotation</b>: Increased score indicates improvement <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-measure-improvement-notation.html\">MeasureImprovementNotation</a>#increase)</span></p><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>IMMZIND06</blockquote><blockquote><p><b>population</b></p><blockquote><p><b>id</b></p>measure-population</blockquote><p><b>code</b>: Measure Population <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-measure-population.html\">MeasurePopulationType</a>#measure-population)</span></p><p><b>description</b>: Number of administrations of vaccinations using an oral polio vaccine (OPV) where the dose sequence is 0 (birth dose) during the reporting period.</p><h3>Criteria</h3><table class=\"grid\"><tr><td>-</td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td>*</td><td>text/cql</td><td>measure-population</td></tr></table></blockquote><blockquote><p><b>stratifier</b></p><blockquote><p><b>id</b></p>age-group-stratifier</blockquote><h3>Criteria</h3><table class=\"grid\"><tr><td>-</td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td>*</td><td>text/cql</td><td>Age Group Stratifier</td></tr></table></blockquote><blockquote><p><b>stratifier</b></p><blockquote><p><b>id</b></p>geographic-region-stratifier</blockquote><h3>Criteria</h3><table class=\"grid\"><tr><td>-</td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td>*</td><td>text/cql</td><td>Geographic Region Stratifier</td></tr></table></blockquote><blockquote><p><b>stratifier</b></p><blockquote><p><b>id</b></p>administrative-gender-stratifier</blockquote><h3>Criteria</h3><table class=\"grid\"><tr><td>-</td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td>*</td><td>text/cql</td><td>Administrative Gender Stratifier</td></tr></table></blockquote></blockquote></div>"
  },
  "contained" : [
    {
      "resourceType" : "Library",
      "id" : "effective-data-requirements",
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode",
          "valueCoding" : {
            "system" : "http://hl7.org/fhir/administrative-gender",
            "code" : "male",
            "display" : "Males"
          }
        },
        {
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode",
          "valueCoding" : {
            "system" : "http://hl7.org/fhir/administrative-gender",
            "code" : "female",
            "display" : "Females"
          }
        },
        {
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode",
          "valueCoding" : {
            "system" : "http://hl7.org/fhir/administrative-gender",
            "code" : "other",
            "display" : "Other/NA"
          }
        },
        {
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode",
          "valueCoding" : {
            "system" : "http://ohie.org/CodeSystem/iso-8601-derived-periods",
            "code" : "PT0H--PT24H",
            "display" : "Within 24H of Birth"
          }
        },
        {
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode",
          "valueCoding" : {
            "system" : "http://ohie.org/CodeSystem/iso-8601-derived-periods",
            "code" : "PT24H--P2W",
            "display" : "< 2 Weeks"
          }
        },
        {
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode",
          "valueCoding" : {
            "system" : "http://ohie.org/CodeSystem/iso-8601-derived-periods",
            "code" : "P2W--P9999Y",
            "display" : "> 2 Weeks"
          }
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "IMMZIndicatorCommon"
            },
            {
              "url" : "name",
              "valueString" : "By Administrative Gender Stratifier"
            },
            {
              "url" : "statement",
              "valueString" : "/**\n * By Administrative Gender of Patient Stratifier\n */\ndefine \"By Administrative Gender Stratifier\":\n    case \n        when Patient.gender = 'male' then \"Males\"\n        when Patient.gender = 'female' then \"Females\"\n        else \"Other\"\n    end"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 0
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "IMMZIND06"
            },
            {
              "url" : "name",
              "valueString" : "Administrative Gender Stratifier"
            },
            {
              "url" : "statement",
              "valueString" : "/*\n * Disaggregator: Administrative Gender (or Biological Sex)\n */\ndefine \"Administrative Gender Stratifier\":\n\tIMMZIndCom.\"By Administrative Gender Stratifier\""
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 1
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "IMMZCommon"
            },
            {
              "url" : "name",
              "valueString" : "Doses Administered to Patient"
            },
            {
              "url" : "statement",
              "valueString" : "/**\n * @dataElement All Doses Administered to Patient to patient ordered newest to oldest\n */\ndefine \"Doses Administered to Patient\":\n  [Immunization] I\n    where I.status = 'completed'\n    sort by date from (occurrence as FHIR.dateTime) desc"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 2
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "IMMZCommon"
            },
            {
              "url" : "name",
              "valueString" : "bOPV Doses Administered to Patient"
            },
            {
              "url" : "statement",
              "valueString" : "/**\n * @dataElement Polio Doses Administered to Patient\n */\ndefine \"bOPV Doses Administered to Patient\":\n  \"Doses Administered to Patient\" I\n  where\n    I.vaccineCode in IMMZc.\"Oral Polio Vaccine\""
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 3
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "IMMZIndicatorCommon"
            },
            {
              "url" : "name",
              "valueString" : "bOPV Birth Doses Administered to Patient During Measurement Period"
            },
            {
              "url" : "statement",
              "valueString" : "/**\n * OPV Birth Doses Administered to Patient\n */\ndefine \"bOPV Birth Doses Administered to Patient During Measurement Period\":\n    IMMZCom.\"bOPV Doses Administered to Patient\" I \n    where IMMZCom.ToDate(I.occurrence) during \"Measurement Period\"\n    and (singleton from I.protocolApplied).doseNumber = 0"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 4
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "IMMZIND06"
            },
            {
              "url" : "name",
              "valueString" : "measure-population"
            },
            {
              "url" : "statement",
              "valueString" : "/*\n * Numerator: Number of administrations of vaccinations using an oral polio vaccine (OPV) where the dose sequence is 0 (birth dose) during the reporting period.\n * Numerator Computation: COUNT immunization events WHERE administered product is an oral polio vaccine (IMMZ.A1.DE26) and dose sequence = 0 during reporitng period.\n */\ndefine \"measure-population\":\n\texists(IMMZIndCom.\"bOPV Birth Doses Administered to Patient During Measurement Period\")"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 5
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "IMMZIndicatorCommon"
            },
            {
              "url" : "name",
              "valueString" : "Newborn By Age Stratifier"
            },
            {
              "url" : "statement",
              "valueString" : "/** \n * Infant disaggregations by age\n */\ndefine \"Newborn By Age Stratifier\":\n    case \n        when AgeInHoursAt(start of \"Measurement Period\") <= 24 then \"PT0H--PT24H\"\n        when AgeInWeeksAt(start of \"Measurement Period\") <= 2 then \"PT24H--P2W\"\n        when AgeInWeeksAt(start of \"Measurement Period\") > 2 then \"P2W--P9999Y\"\n        else null\n    end"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 6
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "IMMZIND06"
            },
            {
              "url" : "name",
              "valueString" : "Age Group Stratifier"
            },
            {
              "url" : "statement",
              "valueString" : "/*\n * Disaggregator: Age Group (<24H of Birth, < 2 weeks)\n */\ndefine \"Age Group Stratifier\":\n\tIMMZIndCom.\"Newborn By Age Stratifier\""
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 7
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "IMMZIndicatorCommon"
            },
            {
              "url" : "name",
              "valueString" : "By Geographic Region Stratifier"
            },
            {
              "url" : "statement",
              "valueString" : "/**\n * By Administrative Gender of Patient Stratifier\n */\ndefine \"By Geographic Region Stratifier\":\n    First(Patient.address A where A.use in { 'home' }).state"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 8
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "IMMZIND06"
            },
            {
              "url" : "name",
              "valueString" : "Geographic Region Stratifier"
            },
            {
              "url" : "statement",
              "valueString" : "/*\n * Disaggregator: Geographic Region\n */\ndefine \"Geographic Region Stratifier\":\n\tIMMZIndCom.\"By Geographic Region Stratifier\""
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 9
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        }
      ],
      "status" : "active",
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/library-type",
            "code" : "module-definition"
          }
        ]
      },
      "relatedArtifact" : [
        {
          "type" : "depends-on",
          "display" : "Library IMMZIndCom",
          "resource" : "http://fhir.org/guides/who/smart-immunization/Library/IMMZIndicatorCommon"
        },
        {
          "type" : "depends-on",
          "display" : "Library FHIRHelpers",
          "resource" : "http://fhir.org/guides/who/smart-immunization/Library/FHIRHelpers|4.0.1"
        },
        {
          "type" : "depends-on",
          "display" : "Library IMMZCom",
          "resource" : "http://fhir.org/guides/who/smart-immunization/Library/IMMZCommon"
        },
        {
          "type" : "depends-on",
          "display" : "Library IMMZc",
          "resource" : "http://fhir.org/guides/who/smart-immunization/Library/IMMZConcepts"
        },
        {
          "type" : "depends-on",
          "display" : "Code system Administrative Gender Codes",
          "resource" : "http://hl7.org/fhir/administrative-gender"
        },
        {
          "type" : "depends-on",
          "display" : "Code system ISO-8601-Derived Periods",
          "resource" : "http://ohie.org/CodeSystem/iso-8601-derived-periods"
        },
        {
          "type" : "depends-on",
          "display" : "Value set Oral Polio Vaccine",
          "resource" : "http://fhir.org/guides/who/smart-immunization/ValueSet/IMMZ.A1.DE26"
        }
      ],
      "parameter" : [
        {
          "name" : "Measurement Period",
          "use" : "in",
          "min" : 0,
          "max" : "1",
          "type" : "Period"
        },
        {
          "name" : "Administrative Gender Stratifier",
          "use" : "out",
          "min" : 0,
          "max" : "1",
          "type" : "Coding"
        },
        {
          "name" : "measure-population",
          "use" : "out",
          "min" : 0,
          "max" : "1",
          "type" : "boolean"
        },
        {
          "name" : "Age Group Stratifier",
          "use" : "out",
          "min" : 0,
          "max" : "1",
          "type" : "Coding"
        },
        {
          "name" : "Geographic Region Stratifier",
          "use" : "out",
          "min" : 0,
          "max" : "1",
          "type" : "string"
        }
      ],
      "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",
            "protocolApplied",
            "protocolApplied.doseNumber"
          ]
        }
      ]
    }
  ],
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-softwaresystem",
      "valueReference" : {
        "reference" : "Device/cqf-tooling"
      }
    },
    {
      "id" : "effective-data-requirements",
      "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-effectiveDataRequirements",
      "valueReference" : {
        "reference" : "#effective-data-requirements"
      }
    }
  ],
  "url" : "http://fhir.org/guides/who/smart-immunization/Measure/IMMZIND06",
  "version" : "0.1.0",
  "name" : "IMMZIND06",
  "title" : "IMMZ.IND.06 Immunization coverage for oral polio containing vaccine birth doses (Estimated Denominator)",
  "status" : "draft",
  "date" : "2022-05-12T15:36:34.950-04:00",
  "publisher" : "World Health Organization (WHO)",
  "description" : "Compares the administered doses of oral polio containing vaccines (OPV) given at birth (dose sequence 0) with the number of live births. This indicator should only be used in contexts where an OPV birth dose is administered.",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code" : "001"
        }
      ]
    }
  ],
  "library" : [
    "http://fhir.org/guides/who/smart-immunization/Library/IMMZIND06"
  ],
  "scoring" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/measure-scoring",
        "code" : "proportion"
      }
    ]
  },
  "type" : [
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/measure-type",
          "code" : "process"
        }
      ]
    }
  ],
  "improvementNotation" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/measure-improvement-notation",
        "code" : "increase"
      }
    ]
  },
  "group" : [
    {
      "id" : "IMMZIND06",
      "population" : [
        {
          "id" : "measure-population",
          "code" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                "code" : "measure-population"
              }
            ]
          },
          "description" : "Number of administrations of vaccinations using an oral polio vaccine (OPV) where the dose sequence is 0 (birth dose) during the reporting period.",
          "criteria" : {
            "language" : "text/cql",
            "expression" : "measure-population"
          }
        }
      ],
      "stratifier" : [
        {
          "id" : "age-group-stratifier",
          "criteria" : {
            "language" : "text/cql",
            "expression" : "Age Group Stratifier"
          }
        },
        {
          "id" : "geographic-region-stratifier",
          "criteria" : {
            "language" : "text/cql",
            "expression" : "Geographic Region Stratifier"
          }
        },
        {
          "id" : "administrative-gender-stratifier",
          "criteria" : {
            "language" : "text/cql",
            "expression" : "Administrative Gender Stratifier"
          }
        }
      ]
    }
  ]
}