Polio Vaccine Group Evaluation and Forecasting Rules
General Rules for Polio
General rules are not series-specific; general rules apply to the entire vaccine group.
Rules Based on Patient's Age
- If a patient is >= 18 years old and has NOT completed the series, then the Recommendation is Conditional and the reason code is HIGH_RISK.2
- Shots administered to a patient who is >= 18 years of age will continue to be evaluated (based on minimum intervals) and, if valid, will count toward completion of the series.2
|89||Polio, unspecified formulation|
|179||OPV, monovalent, unspecified (NOS)|
|182||OPV, Unspecified (NOS)|
Combination Vaccines that Include Polio
|132||DTaP-IPV-Hib-Hep B, historical||10||IPV|
|146||DTaP, IPV, Hib, Hep B||10||IPV|
CVX Code Specific Rules
Rule for CVX 178 and CVX 179
- If a patient receives CVX 178 or CVX 179, evaluate these shots as Invalid with reason code MISSING_ANTIGEN.
Immunization Series and Selection Rules
Series Selection Rules
- There is only one series for this vaccine group.
Immunization Series: Polio 4-dose Series
The Polio 4-dose series is complete after 4 doses, except when one of the 4-dose Series Exception Rules apply.
Vaccine Dose Parameters - Minimum and Routine Ages
|Latest Recommended Age (less than)||Valid CVX Code(s) per Dose for this Series||Invalid CVX Code(s) per Dose for this Series|
|42 days (6 weeks)|
|3 months + 4 weeks|| 02, 10, 89, 110, 120, 130, 132, 146, 170, 182|| N/A|
|70 days (10 weeks)|
|5 months + 4 weeks|| 02, 10, 89, 110, 120, 130, 132, 146, 170, 182|| N/A|
|98 days (14 weeks)|
|19 months + 4 weeks|| 02, 10, 89, 110, 120, 130, 132, 146, 170, 182|| N/A|
122 days if dose 4 administered < 8/7/2010 1
4 years - 4 days if dose 4 administered >= 8/7/2010
126 days if dose 4 administered < 8/7/20101
4 years if dose 4 administered >= 8/7/2010
|7 years + 4 weeks|| 02, 10, 89, 110, 120, 130, 132, 146, 170, 182|| N/A|
Vaccine Dose Parameters - Minimum and Recommended Intervals
Absolute Minimum Interval
Minimum Recommended Interval
|Latest Recommended Interval (less than)|
Dose 1 to 2
|15 months + 4 weeks|
Dose 2 to 3
Dose 3 to 4
24 days if dose 4 was administered before 8/7/2010 1
6 months minus 4 days if dose 4 was administered >= 8/7/2010
28 days if dose 4 was administered before 8/7/2010 1, 3
6 months if dose 4 was administered >= 8/7/2010
|6 years + 4 weeks|
Series Special Rules
4-dose Series Exception Rules
The 4-dose series above applies unless:
- Series complete with 3 doses:
- If all administered doses are IPVs (containing component CVX 10) or all administered doses are OPVs (containing component CVX 02 or CVX 182), and dose 3 was administered when the patient was >= 4 years and was administered at least 6 months - 4 days after the previous dose, then the series is complete with 3 doses.
- For children who received target dose 4 at >= 8/7/2010 and before 4 years - 4 days of age, evaluate target dose 4 as Accepted/ BELOW_MINIMUM_AGE_FINAL_DOSE (if absolute minimum interval is met). (An additional dose will be recommended at >= 4 years of age).
If a patient receives shots of OPV administered >= 4/1/2016, these shots do not count towards the series. Evaluate these shots as Invalid with reason code MISSING_ANTIGEN.
- ICE takes into consideration changes to the polio schedule (dose 4) made in early 2010, and will evaluate under the old schedule if the conditions are met.1 The CDC CDSi rules do not take this into consideration in their CDS logic; the CDC CDSi uses only the "new" rules.
- CDSi follows a maximum age of 18 years for all Polio series, for all doses. Therefore, according to the CDSi Logic Specifications, a shot administered at >= 18 years old would be NOT be evaluated as Valid and the patient would NOT be able to complete the series at >= 18 years old.2
- In rare circumstances, when the Overdue Date calculation results in a date that is earlier than the Recommended Due Date, ICE will set the Overdue Date to be equal to the Recommended Due Date. Here's an example test scenario:3
- Patient has 3 doses on record and Dose 3 was given on 1/1/2008 (at 8 years old).
- Target Dose 4 Overdue Date would be calculated as Dose 3 + Latest Minimum Interval (28 days) = 1/29/2008.
- Recommended Due Date would be calculated as Dose 3 + Recommended Interval (6 months) = 7/1/2008.
- Since the Overdue Date results in a date that is earlier than the Recommended Due Date, ICE will set the Overdue Date to be equal to the Recommended Due Date. So adjusted Overdue Date will be set to 7/1/2008.