WHO Immunization Implementation Guide
0.1.0 - CI Build
WHO Immunization Implementation Guide
0.1.0 - CI Build
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
| Draft as of 2022-05-12 |
<Measure xmlns="http://hl7.org/fhir">
<id value="IMMZIND54"/>
<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="IMMZIND54"> </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 "IMMZIND54" </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/IMMZIND54</code></p><p><b>version</b>: 0.1.0</p><p><b>name</b>: IMMZIND54</p><p><b>title</b>: IMMZ.IND.54 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 15:36:35-0400</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-IMMZIND54.html">IMMZIND54</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>IMMZIND54</blockquote><blockquote><p><b>population</b></p><blockquote><p><b>id</b></p>numerator</blockquote><p><b>code</b>: Numerator <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>#numerator)</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>numerator</td></tr></table></blockquote><blockquote><p><b>population</b></p><blockquote><p><b>id</b></p>denominator</blockquote><p><b>code</b>: Denominator <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>#denominator)</span></p><p><b>description</b>: Number of registered surviving newborns</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>denominator</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="< 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="> 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 "By Administrative Gender Stratifier":
case
when Patient.gender = 'male' then "Males"
when Patient.gender = 'female' then "Females"
else "Other"
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="IMMZIND54"/>
</extension>
<extension url="name">
<valueString value="Administrative Gender Stratifier"/>
</extension>
<extension url="statement">
<valueString
value="/*
* Disaggregator: Administrative Gender (or Biological Sex)
*/
define "Administrative Gender Stratifier":
IMMZIndCom."By Administrative Gender Stratifier""/>
</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="IMMZIndicatorCommon"/>
</extension>
<extension url="name">
<valueString value="Newborn By Age Stratifier"/>
</extension>
<extension url="statement">
<valueString
value="/**
* Infant disaggregations by age
*/
define "Newborn By Age Stratifier":
case
when AgeInHoursAt(start of "Measurement Period") <= 24 then "PT0H--PT24H"
when AgeInWeeksAt(start of "Measurement Period") <= 2 then "PT24H--P2W"
when AgeInWeeksAt(start of "Measurement Period") > 2 then "P2W--P9999Y"
else null
end"/>
</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="IMMZIND54"/>
</extension>
<extension url="name">
<valueString value="Age Group Stratifier"/>
</extension>
<extension url="statement">
<valueString
value="/*
* Disaggregator: Age Group (<24H of Birth, < 2 weeks)
*/
define "Age Group Stratifier":
IMMZIndCom."Newborn By Age Stratifier""/>
</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="By Geographic Region Stratifier"/>
</extension>
<extension url="statement">
<valueString
value="/**
* By Administrative Gender of Patient Stratifier
*/
define "By Geographic Region Stratifier":
First(Patient.address A where A.use in { 'home' }).state"/>
</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="IMMZIND54"/>
</extension>
<extension url="name">
<valueString value="Geographic Region Stratifier"/>
</extension>
<extension url="statement">
<valueString
value="/*
* Disaggregator: Geographic Region
*/
define "Geographic Region Stratifier":
IMMZIndCom."By Geographic Region Stratifier""/>
</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="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 "Doses Administered to Patient":
[Immunization] I
where I.status = 'completed'
sort by date from (occurrence as FHIR.dateTime) desc"/>
</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="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 "bOPV Doses Administered to Patient":
"Doses Administered to Patient" I
where
I.vaccineCode in IMMZc."Oral Polio Vaccine""/>
</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="bOPV Birth Doses Administered to Patient During Measurement Period"/>
</extension>
<extension url="statement">
<valueString
value="/**
* OPV Birth Doses Administered to Patient
*/
define "bOPV Birth Doses Administered to Patient During Measurement Period":
IMMZCom."bOPV Doses Administered to Patient" I
where IMMZCom.ToDate(I.occurrence) during "Measurement Period"
and (singleton from I.protocolApplied).doseNumber = 0"/>
</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="IMMZIND54"/>
</extension>
<extension url="name">
<valueString value="numerator"/>
</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 "numerator":
exists(IMMZIndCom."bOPV Birth Doses Administered to Patient During Measurement Period")"/>
</extension>
<extension url="displaySequence">
<valueInteger value="9"/>
</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="Patient Born During Measurement Period"/>
</extension>
<extension url="statement">
<valueString
value="/**
* Patient was born during measurement period
*/
define "Patient Born During Measurement Period":
Patient.birthDate during "Measurement Period""/>
</extension>
<extension url="displaySequence">
<valueInteger value="10"/>
</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="Patient Deceased During Measurement Period"/>
</extension>
<extension url="statement">
<valueString
value="/**
* @dataElement Patient is deceased
*/
define "Patient Deceased During Measurement Period":
case
when Patient.deceased is FHIR.boolean then Patient.deceased as FHIR.boolean
when Patient.deceased is FHIR.dateTime then Patient.deceased as FHIR.dateTime before end of "Measurement Period"
else false
end"/>
</extension>
<extension url="displaySequence">
<valueInteger value="11"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
<extension url="libraryName">
<valueString value="IMMZIND54"/>
</extension>
<extension url="name">
<valueString value="denominator"/>
</extension>
<extension url="statement">
<valueString
value="/*
* Denominator: Number of registered surviving newborns
* Denominator Computation: COUNT Patient WHERE birthDate during reporting period AND deceasedDate is not populated.
*/
define "denominator":
IMMZIndCom."Patient Born During Measurement Period"
and not (IMMZIndCom."Patient Deceased During Measurement Period")"/>
</extension>
<extension url="displaySequence">
<valueInteger value="12"/>
</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="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>
<parameter>
<name value="numerator"/>
<use value="out"/>
<min value="0"/>
<max value="1"/>
<type value="boolean"/>
</parameter>
<parameter>
<name value="denominator"/>
<use value="out"/>
<min value="0"/>
<max value="1"/>
<type value="boolean"/>
</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/IMMZIND54"/>
<version value="0.1.0"/>
<name value="IMMZIND54"/>
<title
value="IMMZ.IND.54 Immunization coverage for oral polio containing vaccine birth doses (Estimated Denominator)"/>
<status value="draft"/>
<date value="2022-05-12T15:36:35.095-04:00"/>
<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/IMMZIND54"/>
<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="IMMZIND54">
<population id="numerator">
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="numerator"/>
</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="numerator"/>
</criteria>
</population>
<population id="denominator">
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="denominator"/>
</coding>
</code>
<description value="Number of registered surviving newborns"/>
<criteria>
<language value="text/cql"/>
<expression value="denominator"/>
</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>
IG © 2021+ World Health Organization (WHO). Package who.fhir.immunization#0.1.0 based on FHIR 4.0.1. Generated 2023-04-13
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