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

: IMMZIND45 - JSON Representation

Draft as of 2025-06-11

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{
  "resourceType" : "Measure",
  "id" : "IMMZIND45",
  "meta" : {
    "profile" : [
      🔗 "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/proportion-measure-cqfm"
    ]
  },
  "text" : {
    "status" : "extensions",
    "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\">IMMZIND45</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\">IMMZIND45</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.45 Immunization session completion rate</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.45.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=\"#immzind45logic-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.45.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=\"#immzind45logic-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.45.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=\"#immzind45logic-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>: {idprefix}.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>: {idprefix}.S2\n      \n        <br/>\n      \n    \n    \n      \n        <em>Code</em>: By-Administrative Area\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-IMMZIND45Logic.html\">IMMZIND45Logic</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 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<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 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>: Measurement Period\n    <br/>\n    <em>Use</em>: In\n    <br/>\n    <em>Min Cardinality</em>: 0\n    <br/>\n    <em>Max Cardinality</em>: 1\n    <br/>\n    <em>Type</em>: Period\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>: 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 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>: 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 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>: 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>: 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>: 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=\"immzind45logic-initial-population\"> </a>\n    \n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> IMMZIND45Logic</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 &quot;Initial Population&quot;:\n  Immunization.occurrence is not null\n  and Immunization.occurrence.toInterval() starts during &quot;Measurement Period&quot;</code></pre>\n  </td>\n\n</tr>\n        \n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    \n      \n      <a name=\"immzind45logic-denominator\"> </a>\n    \n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> IMMZIND45Logic</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: Number of planned immunization sessions at the vaccination location during the reporting period\n@pseudocode: COUNT number of planned sessions during the reporting period\n*/\ndefine &quot;Denominator&quot;:\n  &quot;Initial Population&quot;</code></pre>\n  </td>\n\n</tr>\n        \n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    \n      \n      <a name=\"immzind45logic-numerator\"> </a>\n    \n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> IMMZIND45Logic</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 immunization sessions completed at the vaccination location during the reporting period\n@pseudocode: COUNT of immunization events WHERE &quot;Immunization event status&quot; = &quot;Completed&quot; during the reporting period\n*/\ndefine &quot;Numerator&quot;:\n  &quot;Denominator&quot;\n    and Immunization.status = 'completed'</code></pre>\n  </td>\n\n</tr>\n        \n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    \n      \n      <a name=\"immzind45logic-stratification-2\"> </a>\n    \n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> IMMZIND45Logic</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 &quot;Stratification 2&quot;:\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=\"immzind45logic-stratification-1\"> </a>\n    \n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> IMMZIND45Logic</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: Vaccination location\n                 Administrative area\n*/\ndefine &quot;Stratification 1&quot;:\n  Elements.GetLocationNameForImmunization( 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=\"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 ImmunizationStatus): 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&lt;Location&gt;):\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<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    \n      \n      <a name=\"immzindicatorelements-getlocationnameforimmunization\"> </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.name The name of the location that the immunization event occurred\n */\ndefine function GetLocationNameForImmunization(immunization Immunization):\n  (\n    [Location] L\n        where immunization.location.references(L)\n  ).only().name</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>"
  },
  "contained" : [
    {
      "resourceType" : "Library",
      "id" : "effective-data-requirements",
      "extension" : [
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "IMMZIND45Logic"
            },
            {
              "url" : "name",
              "valueString" : "Initial Population"
            },
            {
              "url" : "statement",
              "valueString" : "/*\n * As defined by Member State\n */\ndefine \"Initial Population\":\n  Immunization.occurrence is not null\n  and Immunization.occurrence.toInterval() starts during \"Measurement Period\""
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 0
            }
          ],
          "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "IMMZIND45Logic"
            },
            {
              "url" : "name",
              "valueString" : "Denominator"
            },
            {
              "url" : "statement",
              "valueString" : "/*\n@denominator: Number of planned immunization sessions at the vaccination location during the reporting period\n@pseudocode: COUNT number of planned sessions during the reporting period\n*/\ndefine \"Denominator\":\n  \"Initial Population\""
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 1
            }
          ],
          "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "IMMZIND45Logic"
            },
            {
              "url" : "name",
              "valueString" : "Numerator"
            },
            {
              "url" : "statement",
              "valueString" : "/*\n@numerator: Number of immunization sessions completed at the vaccination location during the reporting period\n@pseudocode: COUNT of immunization events WHERE \"Immunization event status\" = \"Completed\" during the reporting period\n*/\ndefine \"Numerator\":\n  \"Denominator\"\n    and Immunization.status = 'completed'"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 2
            }
          ],
          "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "IMMZIND45Logic"
            },
            {
              "url" : "name",
              "valueString" : "Stratification 2"
            },
            {
              "url" : "statement",
              "valueString" : "define \"Stratification 2\":\n  Elements.GetGeographicRegionForImmunization( Immunization )"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 3
            }
          ],
          "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "IMMZIND45Logic"
            },
            {
              "url" : "name",
              "valueString" : "Stratification 1"
            },
            {
              "url" : "statement",
              "valueString" : "/*\n@disaggregation: Vaccination location\n                 Administrative area\n*/\ndefine \"Stratification 1\":\n  Elements.GetLocationNameForImmunization( Immunization )"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 4
            }
          ],
          "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "FHIRHelpers"
            },
            {
              "url" : "name",
              "valueString" : "ToString"
            },
            {
              "url" : "statement",
              "valueString" : "define function ToString(value ImmunizationStatus): value.value"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 5
            }
          ],
          "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" : 6
            }
          ],
          "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" : 7
            }
          ],
          "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" : 8
            }
          ],
          "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" : 9
            }
          ],
          "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "IMMZIndicatorElements"
            },
            {
              "url" : "name",
              "valueString" : "GetLocationNameForImmunization"
            },
            {
              "url" : "statement",
              "valueString" : "/** \n * @function\n * @param immunization The immunization record for which the location should be retrieved\n * @return FHIR.name The name of the location that the immunization event occurred\n */\ndefine function GetLocationNameForImmunization(immunization Immunization):\n  (\n    [Location] L\n        where immunization.location.references(L)\n  ).only().name"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 10
            }
          ],
          "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 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"
        },
        {
          "type" : "depends-on",
          "display" : "Library Elements",
          "resource" : "http://smart.who.int/immunizations/Library/IMMZIndicatorElements"
        },
        {
          "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" : "Measurement Period",
          "use" : "in",
          "min" : 0,
          "max" : "1",
          "type" : "Period"
        },
        {
          "name" : "Numerator",
          "use" : "out",
          "min" : 0,
          "max" : "1",
          "type" : "boolean"
        },
        {
          "name" : "Stratification 2",
          "use" : "out",
          "min" : 0,
          "max" : "1",
          "type" : "string"
        },
        {
          "name" : "Stratification 1",
          "use" : "out",
          "min" : 0,
          "max" : "1",
          "type" : "string"
        },
        {
          "name" : "Denominator",
          "use" : "out",
          "min" : 0,
          "max" : "1",
          "type" : "boolean"
        },
        {
          "name" : "Initial Population",
          "use" : "out",
          "min" : 0,
          "max" : "1",
          "type" : "boolean"
        }
      ],
      "dataRequirement" : [
        {
          "type" : "Immunization",
          "profile" : [
            🔗 "http://hl7.org/fhir/StructureDefinition/Immunization"
          ]
        },
        {
          "type" : "Location",
          "profile" : [
            🔗 "http://hl7.org/fhir/StructureDefinition/Location"
          ]
        },
        {
          "type" : "Location",
          "profile" : [
            🔗 "http://hl7.org/fhir/StructureDefinition/Location"
          ]
        },
        {
          "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/IMMZIND45",
  "version" : "0.2.0",
  "name" : "IMMZIND45",
  "title" : "IMMZIND45",
  "status" : "draft",
  "experimental" : false,
  "date" : "2025-06-11",
  "publisher" : "WHO",
  "contact" : [
    {
      "name" : "WHO",
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://who.int"
        }
      ]
    }
  ],
  "description" : "IMMZ.IND.45 Immunization session completion rate",
  "library" : [
    🔗 "http://smart.who.int/immunizations/Library/IMMZIND45Logic"
  ],
  "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.45.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.45.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.45.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" : "{idprefix}.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" : "{idprefix}.S2",
          "code" : {
            "coding" : [
              {
                "system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.I",
                "code" : "DE32",
                "display" : "By-Administrative Area"
              }
            ]
          },
          "criteria" : {
            "language" : "text/cql-identifier",
            "expression" : "Stratification 2"
          }
        }
      ]
    }
  ]
}