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

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

Draft as of 2022-05-12

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<Measure xmlns="http://hl7.org/fhir">
  <id value="IMMZIND06"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm"/>
  </meta>
  <text>
    <status value="generated"/>
    <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>
  </text>
  <contained>
    <Library>
      <id value="effective-data-requirements"/>
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode">
        <valueCoding>
          <system value="http://hl7.org/fhir/administrative-gender"/>
          <code value="male"/>
          <display value="Males"/>
        </valueCoding>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode">
        <valueCoding>
          <system value="http://hl7.org/fhir/administrative-gender"/>
          <code value="female"/>
          <display value="Females"/>
        </valueCoding>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode">
        <valueCoding>
          <system value="http://hl7.org/fhir/administrative-gender"/>
          <code value="other"/>
          <display value="Other/NA"/>
        </valueCoding>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode">
        <valueCoding>
          <system
                  value="http://ohie.org/CodeSystem/iso-8601-derived-periods"/>
          <code value="PT0H--PT24H"/>
          <display value="Within 24H of Birth"/>
        </valueCoding>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode">
        <valueCoding>
          <system
                  value="http://ohie.org/CodeSystem/iso-8601-derived-periods"/>
          <code value="PT24H--P2W"/>
          <display value="&lt; 2 Weeks"/>
        </valueCoding>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode">
        <valueCoding>
          <system
                  value="http://ohie.org/CodeSystem/iso-8601-derived-periods"/>
          <code value="P2W--P9999Y"/>
          <display value="&gt; 2 Weeks"/>
        </valueCoding>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZIndicatorCommon"/>
        </extension>
        <extension url="name">
          <valueString value="By Administrative Gender Stratifier"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/**
 * By Administrative Gender of Patient Stratifier
 */
define &quot;By Administrative Gender Stratifier&quot;:
    case 
        when Patient.gender = 'male' then &quot;Males&quot;
        when Patient.gender = 'female' then &quot;Females&quot;
        else &quot;Other&quot;
    end"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="0"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZIND06"/>
        </extension>
        <extension url="name">
          <valueString value="Administrative Gender Stratifier"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/*
 * Disaggregator: Administrative Gender (or Biological Sex)
 */
define &quot;Administrative Gender Stratifier&quot;:
	IMMZIndCom.&quot;By Administrative Gender Stratifier&quot;"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="1"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZCommon"/>
        </extension>
        <extension url="name">
          <valueString value="Doses Administered to Patient"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/**
 * @dataElement All Doses Administered to Patient to patient ordered newest to oldest
 */
define &quot;Doses Administered to Patient&quot;:
  [Immunization] I
    where I.status = 'completed'
    sort by date from (occurrence as FHIR.dateTime) desc"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="2"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZCommon"/>
        </extension>
        <extension url="name">
          <valueString value="bOPV Doses Administered to Patient"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/**
 * @dataElement Polio Doses Administered to Patient
 */
define &quot;bOPV Doses Administered to Patient&quot;:
  &quot;Doses Administered to Patient&quot; I
  where
    I.vaccineCode in IMMZc.&quot;Oral Polio Vaccine&quot;"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="3"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZIndicatorCommon"/>
        </extension>
        <extension url="name">
          <valueString
                       value="bOPV Birth Doses Administered to Patient During Measurement Period"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/**
 * OPV Birth Doses Administered to Patient
 */
define &quot;bOPV Birth Doses Administered to Patient During Measurement Period&quot;:
    IMMZCom.&quot;bOPV Doses Administered to Patient&quot; I 
    where IMMZCom.ToDate(I.occurrence) during &quot;Measurement Period&quot;
    and (singleton from I.protocolApplied).doseNumber = 0"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="4"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZIND06"/>
        </extension>
        <extension url="name">
          <valueString value="measure-population"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/*
 * Numerator: Number of administrations of vaccinations using an oral polio vaccine (OPV) where the dose sequence is 0 (birth dose) during the reporting period.
 * Numerator Computation: COUNT immunization events WHERE administered product is an oral polio vaccine (IMMZ.A1.DE26) and dose sequence = 0 during reporitng period.
 */
define &quot;measure-population&quot;:
	exists(IMMZIndCom.&quot;bOPV Birth Doses Administered to Patient During Measurement Period&quot;)"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="5"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZIndicatorCommon"/>
        </extension>
        <extension url="name">
          <valueString value="Newborn By Age Stratifier"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/** 
 * Infant disaggregations by age
 */
define &quot;Newborn By Age Stratifier&quot;:
    case 
        when AgeInHoursAt(start of &quot;Measurement Period&quot;) &lt;= 24 then &quot;PT0H--PT24H&quot;
        when AgeInWeeksAt(start of &quot;Measurement Period&quot;) &lt;= 2 then &quot;PT24H--P2W&quot;
        when AgeInWeeksAt(start of &quot;Measurement Period&quot;) &gt; 2 then &quot;P2W--P9999Y&quot;
        else null
    end"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="6"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZIND06"/>
        </extension>
        <extension url="name">
          <valueString value="Age Group Stratifier"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/*
 * Disaggregator: Age Group (&lt;24H of Birth, &lt; 2 weeks)
 */
define &quot;Age Group Stratifier&quot;:
	IMMZIndCom.&quot;Newborn By Age Stratifier&quot;"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="7"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZIndicatorCommon"/>
        </extension>
        <extension url="name">
          <valueString value="By Geographic Region Stratifier"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/**
 * By Administrative Gender of Patient Stratifier
 */
define &quot;By Geographic Region Stratifier&quot;:
    First(Patient.address A where A.use in { 'home' }).state"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="8"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
        <extension url="libraryName">
          <valueString value="IMMZIND06"/>
        </extension>
        <extension url="name">
          <valueString value="Geographic Region Stratifier"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/*
 * Disaggregator: Geographic Region
 */
define &quot;Geographic Region Stratifier&quot;:
	IMMZIndCom.&quot;By Geographic Region Stratifier&quot;"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="9"/>
        </extension>
      </extension>
      <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="Library IMMZIndCom"/>
        <resource
                  value="http://fhir.org/guides/who/smart-immunization/Library/IMMZIndicatorCommon"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Library FHIRHelpers"/>
        <resource
                  value="http://fhir.org/guides/who/smart-immunization/Library/FHIRHelpers|4.0.1"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Library IMMZCom"/>
        <resource
                  value="http://fhir.org/guides/who/smart-immunization/Library/IMMZCommon"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Library IMMZc"/>
        <resource
                  value="http://fhir.org/guides/who/smart-immunization/Library/IMMZConcepts"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Code system Administrative Gender Codes"/>
        <resource value="http://hl7.org/fhir/administrative-gender"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Code system ISO-8601-Derived Periods"/>
        <resource
                  value="http://ohie.org/CodeSystem/iso-8601-derived-periods"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Value set Oral Polio Vaccine"/>
        <resource
                  value="http://fhir.org/guides/who/smart-immunization/ValueSet/IMMZ.A1.DE26"/>
      </relatedArtifact>
      <parameter>
        <name value="Measurement Period"/>
        <use value="in"/>
        <min value="0"/>
        <max value="1"/>
        <type value="Period"/>
      </parameter>
      <parameter>
        <name value="Administrative Gender Stratifier"/>
        <use value="out"/>
        <min value="0"/>
        <max value="1"/>
        <type value="Coding"/>
      </parameter>
      <parameter>
        <name value="measure-population"/>
        <use value="out"/>
        <min value="0"/>
        <max value="1"/>
        <type value="boolean"/>
      </parameter>
      <parameter>
        <name value="Age Group Stratifier"/>
        <use value="out"/>
        <min value="0"/>
        <max value="1"/>
        <type value="Coding"/>
      </parameter>
      <parameter>
        <name value="Geographic Region Stratifier"/>
        <use value="out"/>
        <min value="0"/>
        <max value="1"/>
        <type value="string"/>
      </parameter>
      <dataRequirement>
        <type value="Patient"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Patient"/>
        <mustSupport value="use"/>
      </dataRequirement>
      <dataRequirement>
        <type value="Immunization"/>
        <profile
                 value="http://hl7.org/fhir/StructureDefinition/Immunization"/>
        <mustSupport value="status"/>
        <mustSupport value="vaccineCode"/>
        <mustSupport value="occurrence"/>
        <mustSupport value="protocolApplied"/>
        <mustSupport value="protocolApplied.doseNumber"/>
      </dataRequirement>
    </Library>
  </contained>
  <extension
             url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-softwaresystem">
    <valueReference>
      <reference value="Device/cqf-tooling"/>
    </valueReference>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-effectiveDataRequirements" id="effective-data-requirements">
    <valueReference>
      <reference value="#effective-data-requirements"/>
    </valueReference>
  </extension>
  <url
       value="http://fhir.org/guides/who/smart-immunization/Measure/IMMZIND06"/>
  <version value="0.1.0"/>
  <name value="IMMZIND06"/>
  <title
         value="IMMZ.IND.06 Immunization coverage for oral polio containing vaccine birth doses (Estimated Denominator)"/>
  <status value="draft"/>
  <date value="2022-05-12T15:36:34.950-04:00"/>
  <publisher value="World Health Organization (WHO)"/>
  <description
               value="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 value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
      <code value="001"/>
    </coding>
  </jurisdiction>
  <library
           value="http://fhir.org/guides/who/smart-immunization/Library/IMMZIND06"/>
  <scoring>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/measure-scoring"/>
      <code value="proportion"/>
    </coding>
  </scoring>
  <type>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/measure-type"/>
      <code value="process"/>
    </coding>
  </type>
  <improvementNotation>
    <coding>
      <system
              value="http://terminology.hl7.org/CodeSystem/measure-improvement-notation"/>
      <code value="increase"/>
    </coding>
  </improvementNotation>
  <group id="IMMZIND06">
    <population id="measure-population">
      <code>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/measure-population"/>
          <code value="measure-population"/>
        </coding>
      </code>
      <description
                   value="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 value="text/cql"/>
        <expression value="measure-population"/>
      </criteria>
    </population>
    <stratifier id="age-group-stratifier">
      <criteria>
        <language value="text/cql"/>
        <expression value="Age Group Stratifier"/>
      </criteria>
    </stratifier>
    <stratifier id="geographic-region-stratifier">
      <criteria>
        <language value="text/cql"/>
        <expression value="Geographic Region Stratifier"/>
      </criteria>
    </stratifier>
    <stratifier id="administrative-gender-stratifier">
      <criteria>
        <language value="text/cql"/>
        <expression value="Administrative Gender Stratifier"/>
      </criteria>
    </stratifier>
  </group>
</Measure>