WHO Immunization Implementation Guide
0.2.0 - ci-build
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
| Draft as of 2025-06-11 |
{
"resourceType" : "Measure",
"id" : "IMMZIND44",
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🔗 "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/proportion-measure-cqfm"
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"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <table class=\"narrative-table\">\n <tbody>\n<tr>\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\">Knowledge Artifact Metadata</th>\n\n</tr>\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Name (machine-readable)</th>\n\n<td class=\"content-container\">IMMZIND44</td>\n</tr>\n\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Title (human-readable)</th>\n\n<td class=\"content-container\">IMMZIND44</td>\n</tr>\n\n\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Status</th>\n\n<td class=\"content-container\">Draft</td>\n</tr>\n\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Experimental</th>\n\n<td class=\"content-container\">false</td>\n</tr>\n\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Description</th>\n\n<td class=\"content-container\"><div><p>IMMZ.IND.44 Adverse event following immunization (AEFI) cases</p>\n</div></td>\n</tr>\n\n\n\n\n\n\n\n\n\n\n\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Measure Steward</th>\n\n<td class=\"content-container\">WHO</td>\n</tr>\n\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Steward Contact Details</th>\n\n<td class=\"content-container\">WHO: <a href=\"http://who.int\">http://who.int</a></td>\n</tr>\n\n\n\n\n\n\n\n\n\n\n\n<tr>\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\">Measure Metadata</th>\n\n</tr>\n\n\n\n\n\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Version Number</th>\n\n<td class=\"content-container\">0.2.0</td>\n</tr>\n\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Measure Scoring</th>\n\n<td class=\"content-container\"><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-scoring proportion}\">Proportion</span></td>\n</tr>\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n \n <tr>\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\">Measure Population Criteria</th>\n\n</tr>\n \n \n \n \n <tr>\n \n \n<th scope=\"row\" class=\"row-header\">Initial Population</th>\n\n \n <td class=\"content-container\">\n \n <em>ID</em>: IMMZ.IND.44.IP\n <br/>\n \n \n <em>Description</em>:\n <p style=\"white-space: pre-line\" class=\"tab-one\">Initial Population</p>\n \n \n \n \n <em>Logic Definition</em>: <a href=\"#immzind44logic-initial-population\">Initial Population</a> \n \n \n </td>\n </tr>\n \n\n \n <tr>\n \n \n<th scope=\"row\" class=\"row-header\">Denominator</th>\n\n \n <td class=\"content-container\">\n \n <em>ID</em>: IMMZ.IND.44.D\n <br/>\n \n \n <em>Description</em>:\n <p style=\"white-space: pre-line\" class=\"tab-one\">Denominator</p>\n \n \n \n \n <em>Logic Definition</em>: <a href=\"#immzind44logic-denominator\">Denominator</a> \n \n \n </td>\n </tr>\n \n\n \n <tr>\n \n \n<th scope=\"row\" class=\"row-header\">Numerator</th>\n\n \n <td class=\"content-container\">\n \n <em>ID</em>: IMMZ.IND.44.N\n <br/>\n \n \n <em>Description</em>:\n <p style=\"white-space: pre-line\" class=\"tab-one\">Numerator</p>\n \n \n \n \n <em>Logic Definition</em>: <a href=\"#immzind44logic-numerator\">Numerator</a> \n \n \n </td>\n </tr>\n \n\n \n<tr>\n \n<th scope=\"row\" class=\"row-header\">Stratifier</th>\n\n <td class=\"content-container\">\n \n <em>ID</em>: IMMZ.IND.44.S1\n \n <br/>\n \n \n \n \n <em>Code</em>: By-Administrative Area\n \n \n \n \n </td>\n</tr>\n\n<tr>\n \n<th scope=\"row\" class=\"row-header\">Stratifier</th>\n\n <td class=\"content-container\">\n \n <em>ID</em>: IMMZ.IND.44.S2\n \n <br/>\n \n \n \n \n <em>Code</em>: By-Sex\n \n \n \n \n </td>\n</tr>\n\n<tr>\n \n<th scope=\"row\" class=\"row-header\">Stratifier</th>\n\n <td class=\"content-container\">\n \n <em>ID</em>: IMMZ.IND.44.S3\n \n <br/>\n \n \n \n \n <em>Code</em>: By-Age group\n \n \n \n \n </td>\n</tr>\n\n<tr>\n \n<th scope=\"row\" class=\"row-header\">Stratifier</th>\n\n <td class=\"content-container\">\n \n <em>ID</em>: IMMZ.IND.44.S4\n \n <br/>\n \n \n \n \n <em>Code</em>: By-Age group\n \n \n \n \n </td>\n</tr>\n\n \n \n<tr>\n\n<th scope=\"row\" class=\"row-header\">Population Basis</th>\n\n<td class=\"content-container\">boolean</td>\n</tr>\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n<tr>\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\">Measure Logic</th>\n\n</tr>\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Primary Library</th>\n\n<td class=\"content-container\"><a href=\"Library-IMMZIND44Logic.html\">IMMZIND44Logic</a></td>\n</tr>\n\n\n\n\n \n \n\n<tr>\n \n \n \n \n \n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n \n <td class=\"content-container\">\n \n <em>Description</em>: FHIR model information\n \n <br/>\n \n \n \n \n \n \n <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>\n <br/>\n <em>Canonical URL</em>: <tt>http://fhir.org/guides/cqf/common/Library/FHIR-ModelInfo|4.0.1</tt>\n \n </td>\n</tr>\n\n<tr>\n \n \n \n \n \n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n \n <td class=\"content-container\">\n \n <em>Description</em>: Library Elements\n \n <br/>\n \n \n \n \n \n \n <em>Resource</em>: <code>http://smart.who.int/immunizations/Library/IMMZIndicatorElements</code>\n <br/>\n <em>Canonical URL</em>: <tt>http://smart.who.int/immunizations/Library/IMMZIndicatorElements</tt>\n \n </td>\n</tr>\n\n<tr>\n \n \n \n \n \n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n \n <td class=\"content-container\">\n \n <em>Description</em>: Library FHIRHelpers\n \n <br/>\n \n \n \n \n \n \n <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>\n <br/>\n <em>Canonical URL</em>: <tt>http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1</tt>\n \n </td>\n</tr>\n\n<tr>\n \n \n \n \n \n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n \n <td class=\"content-container\">\n \n <em>Description</em>: Library WC\n \n <br/>\n \n \n \n \n \n \n <em>Resource</em>: <a href=\"Library-WHOCommon.html\">WHOCommon</a>\n <br/>\n <em>Canonical URL</em>: <tt>http://smart.who.int/immunizations/Library/WHOCommon</tt>\n \n </td>\n</tr>\n\n<tr>\n \n \n \n \n \n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n \n <td class=\"content-container\">\n \n <em>Description</em>: Library FHIRHelpers\n \n <br/>\n \n \n \n \n \n \n <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>\n <br/>\n <em>Canonical URL</em>: <tt>http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1</tt>\n \n </td>\n</tr>\n\n\n \n \n <tr>\n \n<th scope=\"row\" class=\"row-header\">Parameter</th>\n\n <td class=\"content-container\">\n <em>Name</em>: Numerator\n <br/>\n <em>Use</em>: Out\n <br/>\n <em>Min Cardinality</em>: 0\n <br/>\n <em>Max Cardinality</em>: 1\n <br/>\n <em>Type</em>: boolean\n </td>\n</tr>\n \n <tr>\n \n<th scope=\"row\" class=\"row-header\">Parameter</th>\n\n <td class=\"content-container\">\n <em>Name</em>: Stratification 4\n <br/>\n <em>Use</em>: Out\n <br/>\n <em>Min Cardinality</em>: 0\n <br/>\n <em>Max Cardinality</em>: 1\n <br/>\n <em>Type</em>: string\n </td>\n</tr>\n \n <tr>\n \n<th scope=\"row\" class=\"row-header\">Parameter</th>\n\n <td class=\"content-container\">\n <em>Name</em>: Stratification 3\n <br/>\n <em>Use</em>: Out\n <br/>\n <em>Min Cardinality</em>: 0\n <br/>\n <em>Max Cardinality</em>: 1\n <br/>\n <em>Type</em>: Coding\n </td>\n</tr>\n \n <tr>\n \n<th scope=\"row\" class=\"row-header\">Parameter</th>\n\n <td class=\"content-container\">\n <em>Name</em>: Stratification 2\n <br/>\n <em>Use</em>: Out\n <br/>\n <em>Min Cardinality</em>: 0\n <br/>\n <em>Max Cardinality</em>: 1\n <br/>\n <em>Type</em>: Reference\n </td>\n</tr>\n \n <tr>\n \n<th scope=\"row\" class=\"row-header\">Parameter</th>\n\n <td class=\"content-container\">\n <em>Name</em>: Stratification 1\n <br/>\n <em>Use</em>: Out\n <br/>\n <em>Min Cardinality</em>: 0\n <br/>\n <em>Max Cardinality</em>: 1\n <br/>\n <em>Type</em>: Coding\n </td>\n</tr>\n \n <tr>\n \n<th scope=\"row\" class=\"row-header\">Parameter</th>\n\n <td class=\"content-container\">\n <em>Name</em>: Denominator\n <br/>\n <em>Use</em>: Out\n <br/>\n <em>Min Cardinality</em>: 0\n <br/>\n <em>Max Cardinality</em>: 1\n <br/>\n <em>Type</em>: boolean\n </td>\n</tr>\n \n <tr>\n \n<th scope=\"row\" class=\"row-header\">Parameter</th>\n\n <td class=\"content-container\">\n <em>Name</em>: Initial Population\n <br/>\n <em>Use</em>: Out\n <br/>\n <em>Min Cardinality</em>: 0\n <br/>\n <em>Max Cardinality</em>: 1\n <br/>\n <em>Type</em>: boolean\n </td>\n</tr>\n \n \n <tr>\n <th colspan=\"2\" scope=\"row\" class=\"section-header\"><a name=\"effective-data-requirements\"> </a>Measure Logic Data Requirements</th>\n </tr>\n \n \n<tr>\n <th scope=\"row\" class=\"row-header\">Data Requirement</th>\n <td class=\"content-container\">\n <em>Type</em>: Location\n <br/>\n \n <em>Profile(s)</em>: \n \n <a href=\"http://hl7.org/fhir/R4/location.html\">Location</a>\n <br/> \n \n \n \n \n </td>\n</tr>\n\n<tr>\n <th scope=\"row\" class=\"row-header\">Data Requirement</th>\n <td class=\"content-container\">\n <em>Type</em>: AdverseEvent\n <br/>\n \n <em>Profile(s)</em>: \n \n <a href=\"http://hl7.org/fhir/R4/adverseevent.html\">AdverseEvent</a>\n <br/> \n \n \n \n <em>Must Support Elements</em>: actuality\n <br/>\n \n \n </td>\n</tr>\n\n<tr>\n <th scope=\"row\" class=\"row-header\">Data Requirement</th>\n <td class=\"content-container\">\n <em>Type</em>: Immunization\n <br/>\n \n <em>Profile(s)</em>: \n \n <a href=\"http://hl7.org/fhir/R4/immunization.html\">Immunization</a>\n <br/> \n \n \n \n \n </td>\n</tr>\n\n \n <tr>\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\">Measure Logic Definitions</th>\n\n</tr>\n \n \n<tr>\n <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n \n \n <a name=\"immzindicatorelements-adverse-events-for-immunization\"> </a>\n \n Logic Definition\n </th>\n\n <td class=\"content-container\"><em>Library Name:</em> IMMZIndicatorElements</td>\n\n</tr>\n<tr>\n\n <td>\n <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define "Adverse Events for Immunization":\n [AdverseEvent] AE\n where AE.actuality = 'actual'</code></pre>\n </td>\n\n</tr>\n \n<tr>\n <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n \n \n <a name=\"immzind44logic-numerator\"> </a>\n \n Logic Definition\n </th>\n\n <td class=\"content-container\"><em>Library Name:</em> IMMZIND44Logic</td>\n\n</tr>\n<tr>\n\n <td>\n <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">/*\n@numerator: Number of AEFI cases during the reporting period\n@pseudocode: COUNT of immunization events WHERE "Reaction reported" is "Yes" AND "Date and time of vaccination" is during the reporting period\n*/\ndefine "Numerator":\n exists Elements."Adverse Events for Immunization"</code></pre>\n </td>\n\n</tr>\n \n<tr>\n <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n \n \n <a name=\"immzind44logic-stratification-4\"> </a>\n \n Logic Definition\n </th>\n\n <td class=\"content-container\"><em>Library Name:</em> IMMZIND44Logic</td>\n\n</tr>\n<tr>\n\n <td>\n <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define "Stratification 4":\n Elements.GetGeographicRegionForImmunization( Immunization )</code></pre>\n </td>\n\n</tr>\n \n<tr>\n <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n \n \n <a name=\"immzind44logic-stratification-3\"> </a>\n \n Logic Definition\n </th>\n\n <td class=\"content-container\"><em>Library Name:</em> IMMZIND44Logic</td>\n\n</tr>\n<tr>\n\n <td>\n <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define "Stratification 3":\n First( First (Elements."Adverse Events for Immunization" ).seriousness.coding )</code></pre>\n </td>\n\n</tr>\n \n<tr>\n <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n \n \n <a name=\"immzind44logic-stratification-2\"> </a>\n \n Logic Definition\n </th>\n\n <td class=\"content-container\"><em>Library Name:</em> IMMZIND44Logic</td>\n\n</tr>\n<tr>\n\n <td>\n <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define "Stratification 2":\n Immunization.manufacturer</code></pre>\n </td>\n\n</tr>\n \n<tr>\n <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n \n \n <a name=\"immzind44logic-stratification-1\"> </a>\n \n Logic Definition\n </th>\n\n <td class=\"content-container\"><em>Library Name:</em> IMMZIND44Logic</td>\n\n</tr>\n<tr>\n\n <td>\n <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">/*\n@disaggregation: Vaccine type: BCG, OPV, etc.\n Vaccine manufacturer\n Type of reaction: non-serious, disability, etc.\n Administrative area\n Reaction manifestation: rash, vomiting, etc.\n*/\ndefine "Stratification 1":\n First( Immunization.vaccineCode.coding )</code></pre>\n </td>\n\n</tr>\n \n<tr>\n <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n \n \n <a name=\"immzind44logic-denominator\"> </a>\n \n Logic Definition\n </th>\n\n <td class=\"content-container\"><em>Library Name:</em> IMMZIND44Logic</td>\n\n</tr>\n<tr>\n\n <td>\n <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">/*\n@denominator: Not applicable\n@pseudocode: Not applicable\n*/\ndefine "Denominator":\n true</code></pre>\n </td>\n\n</tr>\n \n<tr>\n <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n \n \n <a name=\"immzind44logic-initial-population\"> </a>\n \n Logic Definition\n </th>\n\n <td class=\"content-container\"><em>Library Name:</em> IMMZIND44Logic</td>\n\n</tr>\n<tr>\n\n <td>\n <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">/*\n * As defined by Member State\n */\ndefine "Initial Population":\n true</code></pre>\n </td>\n\n</tr>\n \n<tr>\n <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n \n \n <a name=\"fhirhelpers-tostring\"> </a>\n \n Logic Definition\n </th>\n\n <td class=\"content-container\"><em>Library Name:</em> FHIRHelpers</td>\n\n</tr>\n<tr>\n\n <td>\n <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define function ToString(value AdverseEventActuality): value.value</code></pre>\n </td>\n\n</tr>\n \n<tr>\n <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n \n \n <a name=\"immzindicatorelements-getgeographicregionforimmunization\"> </a>\n \n Logic Definition\n </th>\n\n <td class=\"content-container\"><em>Library Name:</em> IMMZIndicatorElements</td>\n\n</tr>\n<tr>\n\n <td>\n <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">/** \n * @function\n * @param immunization The immunization record for which the location should be retrieved\n * @return FHIR.address The location that the immunization event occurred\n */\ndefine function GetGeographicRegionForImmunization(immunization Immunization):\n (\n [Location] L\n where immunization.location.references(L)\n ).only().address.state</code></pre>\n </td>\n\n</tr>\n \n<tr>\n <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n \n \n <a name=\"whocommon-only\"> </a>\n \n Logic Definition\n </th>\n\n <td class=\"content-container\"><em>Library Name:</em> WHOCommon</td>\n\n</tr>\n<tr>\n\n <td>\n <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define fluent function only(locations List<Location>):\n singleton from locations</code></pre>\n </td>\n\n</tr>\n \n<tr>\n <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n \n \n <a name=\"whocommon-references\"> </a>\n \n Logic Definition\n </th>\n\n <td class=\"content-container\"><em>Library Name:</em> WHOCommon</td>\n\n</tr>\n<tr>\n\n <td>\n <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">/*\n@description: Returns true if the given reference is to the given resource\n@comment: Returns true if the `id` element of the given resource exactly equals the tail of the given reference.\nNOTE: This function assumes resources from the same source server.\n*/\ndefine fluent function references(reference FHIR.Reference, resource FHIR.Resource):\n resource.id = Last(Split(reference.reference, '/'))</code></pre>\n </td>\n\n</tr>\n \n<tr>\n <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n \n \n <a name=\"fhirhelpers-tostring\"> </a>\n \n Logic Definition\n </th>\n\n <td class=\"content-container\"><em>Library Name:</em> FHIRHelpers</td>\n\n</tr>\n<tr>\n\n <td>\n <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define function ToString(value string): value.value</code></pre>\n </td>\n\n</tr>\n\n \n\n<tr>\n <th colspan=\"2\" scope=\"row\" class=\"row-header\">Generated using version 0.4.6 of the sample-content-ig Liquid templates</th>\n</tr>\n </tbody>\n </table>\n</div>"
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"resourceType" : "Library",
"id" : "effective-data-requirements",
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"extension" : [
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"url" : "name",
"valueString" : "Adverse Events for Immunization"
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"url" : "statement",
"valueString" : "define \"Adverse Events for Immunization\":\n [AdverseEvent] AE\n where AE.actuality = 'actual'"
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"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
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"url" : "statement",
"valueString" : "/*\n@numerator: Number of AEFI cases during the reporting period\n@pseudocode: COUNT of immunization events WHERE \"Reaction reported\" is \"Yes\" AND \"Date and time of vaccination\" is during the reporting period\n*/\ndefine \"Numerator\":\n exists Elements.\"Adverse Events for Immunization\""
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"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
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"extension" : [
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"valueString" : "IMMZIND44Logic"
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"valueString" : "Stratification 4"
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{
"url" : "statement",
"valueString" : "define \"Stratification 4\":\n Elements.GetGeographicRegionForImmunization( Immunization )"
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"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
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{
"url" : "statement",
"valueString" : "define \"Stratification 3\":\n First( First (Elements.\"Adverse Events for Immunization\" ).seriousness.coding )"
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"url" : "displaySequence",
"valueInteger" : 3
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"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
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{
"extension" : [
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"url" : "libraryName",
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{
"url" : "statement",
"valueString" : "define \"Stratification 2\":\n Immunization.manufacturer"
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"url" : "displaySequence",
"valueInteger" : 4
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"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
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{
"extension" : [
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"url" : "libraryName",
"valueString" : "IMMZIND44Logic"
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"url" : "name",
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"url" : "statement",
"valueString" : "/*\n@disaggregation: Vaccine type: BCG, OPV, etc.\n Vaccine manufacturer\n Type of reaction: non-serious, disability, etc.\n Administrative area\n Reaction manifestation: rash, vomiting, etc.\n*/\ndefine \"Stratification 1\":\n First( Immunization.vaccineCode.coding )"
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"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
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"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZIND44Logic"
},
{
"url" : "name",
"valueString" : "Denominator"
},
{
"url" : "statement",
"valueString" : "/*\n@denominator: Not applicable\n@pseudocode: Not applicable\n*/\ndefine \"Denominator\":\n true"
},
{
"url" : "displaySequence",
"valueInteger" : 6
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZIND44Logic"
},
{
"url" : "name",
"valueString" : "Initial Population"
},
{
"url" : "statement",
"valueString" : "/*\n * As defined by Member State\n */\ndefine \"Initial Population\":\n true"
},
{
"url" : "displaySequence",
"valueInteger" : 7
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "FHIRHelpers"
},
{
"url" : "name",
"valueString" : "ToString"
},
{
"url" : "statement",
"valueString" : "define function ToString(value AdverseEventActuality): value.value"
},
{
"url" : "displaySequence",
"valueInteger" : 8
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "IMMZIndicatorElements"
},
{
"url" : "name",
"valueString" : "GetGeographicRegionForImmunization"
},
{
"url" : "statement",
"valueString" : "/** \n * @function\n * @param immunization The immunization record for which the location should be retrieved\n * @return FHIR.address The location that the immunization event occurred\n */\ndefine function GetGeographicRegionForImmunization(immunization Immunization):\n (\n [Location] L\n where immunization.location.references(L)\n ).only().address.state"
},
{
"url" : "displaySequence",
"valueInteger" : 9
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "WHOCommon"
},
{
"url" : "name",
"valueString" : "only"
},
{
"url" : "statement",
"valueString" : "define fluent function only(locations List<Location>):\n singleton from locations"
},
{
"url" : "displaySequence",
"valueInteger" : 10
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "WHOCommon"
},
{
"url" : "name",
"valueString" : "references"
},
{
"url" : "statement",
"valueString" : "/*\n@description: Returns true if the given reference is to the given resource\n@comment: Returns true if the `id` element of the given resource exactly equals the tail of the given reference.\nNOTE: This function assumes resources from the same source server.\n*/\ndefine fluent function references(reference FHIR.Reference, resource FHIR.Resource):\n resource.id = Last(Split(reference.reference, '/'))"
},
{
"url" : "displaySequence",
"valueInteger" : 11
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "FHIRHelpers"
},
{
"url" : "name",
"valueString" : "ToString"
},
{
"url" : "statement",
"valueString" : "define function ToString(value string): value.value"
},
{
"url" : "displaySequence",
"valueInteger" : 12
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
}
],
"name" : "EffectiveDataRequirements",
"status" : "active",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/library-type",
"code" : "module-definition"
}
]
},
"relatedArtifact" : [
{
"type" : "depends-on",
"display" : "FHIR model information",
"resource" : "http://fhir.org/guides/cqf/common/Library/FHIR-ModelInfo|4.0.1"
},
{
"type" : "depends-on",
"display" : "Library Elements",
"resource" : "http://smart.who.int/immunizations/Library/IMMZIndicatorElements"
},
{
"type" : "depends-on",
"display" : "Library FHIRHelpers",
"resource" : "http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1"
},
{
"type" : "depends-on",
"display" : "Library WC",
"resource" : "http://smart.who.int/immunizations/Library/WHOCommon"
},
{
"type" : "depends-on",
"display" : "Library FHIRHelpers",
"resource" : "http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1"
}
],
"parameter" : [
{
"name" : "Numerator",
"use" : "out",
"min" : 0,
"max" : "1",
"type" : "boolean"
},
{
"name" : "Stratification 4",
"use" : "out",
"min" : 0,
"max" : "1",
"type" : "string"
},
{
"name" : "Stratification 3",
"use" : "out",
"min" : 0,
"max" : "1",
"type" : "Coding"
},
{
"name" : "Stratification 2",
"use" : "out",
"min" : 0,
"max" : "1",
"type" : "Reference"
},
{
"name" : "Stratification 1",
"use" : "out",
"min" : 0,
"max" : "1",
"type" : "Coding"
},
{
"name" : "Denominator",
"use" : "out",
"min" : 0,
"max" : "1",
"type" : "boolean"
},
{
"name" : "Initial Population",
"use" : "out",
"min" : 0,
"max" : "1",
"type" : "boolean"
}
],
"dataRequirement" : [
{
"type" : "AdverseEvent",
"profile" : [
🔗 "http://hl7.org/fhir/StructureDefinition/AdverseEvent"
],
"mustSupport" : [
"actuality"
]
},
{
"type" : "Location",
"profile" : [
🔗 "http://hl7.org/fhir/StructureDefinition/Location"
]
},
{
"type" : "Immunization",
"profile" : [
🔗 "http://hl7.org/fhir/StructureDefinition/Immunization"
]
},
{
"type" : "AdverseEvent",
"profile" : [
🔗 "http://hl7.org/fhir/StructureDefinition/AdverseEvent"
],
"mustSupport" : [
"actuality"
]
},
{
"type" : "Immunization",
"profile" : [
🔗 "http://hl7.org/fhir/StructureDefinition/Immunization"
]
},
{
"type" : "AdverseEvent",
"profile" : [
🔗 "http://hl7.org/fhir/StructureDefinition/AdverseEvent"
],
"mustSupport" : [
"actuality"
]
},
{
"type" : "Immunization",
"profile" : [
🔗 "http://hl7.org/fhir/StructureDefinition/Immunization"
]
},
{
"type" : "Immunization",
"profile" : [
🔗 "http://hl7.org/fhir/StructureDefinition/Immunization"
]
}
]
}
],
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-effectiveDataRequirements",
"valueCanonical" : "#effective-data-requirements"
}
],
"url" : "http://smart.who.int/immunizations/Measure/IMMZIND44",
"version" : "0.2.0",
"name" : "IMMZIND44",
"title" : "IMMZIND44",
"status" : "draft",
"experimental" : false,
"date" : "2025-06-11",
"publisher" : "WHO",
"contact" : [
{
"name" : "WHO",
"telecom" : [
{
"system" : "url",
"value" : "http://who.int"
}
]
}
],
"description" : "IMMZ.IND.44 Adverse event following immunization (AEFI) cases",
"library" : [
🔗 "http://smart.who.int/immunizations/Library/IMMZIND44Logic"
],
"scoring" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-scoring",
"code" : "proportion",
"display" : "Proportion"
}
]
},
"group" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis",
"valueCode" : "boolean"
}
],
"population" : [
{
"id" : "IMMZ.IND.44.IP",
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "initial-population",
"display" : "Initial Population"
}
]
},
"description" : "Initial Population",
"criteria" : {
"language" : "text/cql-identifier",
"expression" : "Initial Population"
}
},
{
"id" : "IMMZ.IND.44.D",
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "denominator",
"display" : "Denominator"
}
]
},
"description" : "Denominator",
"criteria" : {
"language" : "text/cql-identifier",
"expression" : "Denominator"
}
},
{
"id" : "IMMZ.IND.44.N",
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "numerator",
"display" : "Numerator"
}
]
},
"description" : "Numerator",
"criteria" : {
"language" : "text/cql-identifier",
"expression" : "Numerator"
}
}
],
"stratifier" : [
{
"id" : "IMMZ.IND.44.S1",
"code" : {
"coding" : [
{
"system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.I",
"code" : "DE32",
"display" : "By-Administrative Area"
}
]
},
"criteria" : {
"language" : "text/cql-identifier",
"expression" : "Stratification 1"
}
},
{
"id" : "IMMZ.IND.44.S2",
"code" : {
"coding" : [
{
"system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.I",
"code" : "DE31",
"display" : "By-Sex"
}
]
},
"criteria" : {
"language" : "text/cql-identifier",
"expression" : "Stratification 2"
}
},
{
"id" : "IMMZ.IND.44.S3",
"code" : {
"coding" : [
{
"system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.I",
"code" : "DE33",
"display" : "By-Age group"
}
]
},
"criteria" : {
"language" : "text/cql-identifier",
"expression" : "Stratification 3"
}
},
{
"id" : "IMMZ.IND.44.S4",
"code" : {
"coding" : [
{
"system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.I",
"code" : "DE33",
"display" : "By-Age group"
}
]
},
"criteria" : {
"language" : "text/cql-identifier",
"expression" : "Stratification 4"
}
}
]
}
]
}