WHO Immunization Implementation Guide
1.0.0 - release
WHO Immunization Implementation Guide, published by WHO. This guide is not an authorized publication; it is the continuous build for version 1.0.0 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/132/merge and changes regularly. See the Directory of published versions
| Draft as of 2026-03-31 |
@prefix fhir: <http://hl7.org/fhir/> . @prefix owl: <http://www.w3.org/2002/07/owl#> . @prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> . @prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> . @prefix xsd: <http://www.w3.org/2001/XMLSchema#> . # - resource ------------------------------------------------------------------- a fhir:Library ; fhir:nodeRole fhir:treeRoot ; fhir:id [ fhir:v "IMMZD2DTRubellaHighIncidenceLogic"] ; # fhir:meta [ ( fhir:profile [ fhir:v "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareablelibrary"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareablelibrary> ] [ fhir:v "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-publishablelibrary"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-publishablelibrary> ] [ fhir:v "http://hl7.org/fhir/uv/cql/StructureDefinition/cql-library"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/uv/cql/StructureDefinition/cql-library> ] [ fhir:v "http://hl7.org/fhir/uv/cql/StructureDefinition/cql-module"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/uv/cql/StructureDefinition/cql-module> ] ) ] ; # fhir:text [ fhir:status [ fhir:v "extensions" ] ; fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n<div>\n <table class=\"grid dict\">\n \n \n <tr>\n <th scope=\"row\"><b>Title: </b></th>\n <td style=\"padding-left: 4px;\">IMMZD2DTRubellaHighIncidenceLogic</td>\n </tr>\n \n\n \n \n <tr>\n <th scope=\"row\"><b>Id: </b></th>\n <td style=\"padding-left: 4px;\">IMMZD2DTRubellaHighIncidenceLogic</td>\n </tr>\n \n\n \n \n <tr>\n <th scope=\"row\"><b>Version: </b></th>\n <td style=\"padding-left: 4px;\">1.0.0</td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Url: </b></th>\n <td style=\"padding-left: 4px;\"><a href=\"Library-IMMZD2DTRubellaHighIncidenceLogic.html\">IMMZD2DTRubellaHighIncidenceLogic</a></td>\n </tr>\n \n\n \n\n \n\n \n <tr>\n <th scope=\"row\"><b>Status: </b></th>\n <td style=\"padding-left: 4px;\">draft</td>\n </tr>\n \n\n \n\n \n <tr>\n <th scope=\"row\"><b>Type: </b></th>\n <td style=\"padding-left: 4px;\">\n \n \n \n <p style=\"margin-bottom: 5px;\">\n <b>system: </b> <span><a href=\"http://terminology.hl7.org/7.1.0/CodeSystem-library-type.html\">http://terminology.hl7.org/CodeSystem/library-type</a></span>\n </p>\n \n \n <p style=\"margin-bottom: 5px;\">\n <b>code: </b> <span>logic-library</span>\n </p>\n \n \n \n \n \n </td>\n </tr>\n \n\n \n\n \n <tr>\n <th scope=\"row\"><b>Date: </b></th>\n <td style=\"padding-left: 4px;\">2026-03-31 13:54:17+0000</td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Publisher: </b></th>\n <td style=\"padding-left: 4px;\">WHO</td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Description: </b></th>\n <td style=\"padding-left: 4px;\"><div><p>This library defines decision support logic for the IMMZ.D2.DT.Rubella.High incidence decision table in the Immunization CPG</p>\n</div></td>\n </tr>\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n <tr>\n <th scope=\"row\"><b>Related Artifacts: </b></th>\n <td style=\"padding-left: 4px;\">\n \n \n \n <p><b>Dependencies</b></p>\n <ul>\n \n <li><a href=\"Library-IMMZD2DTRubellaEncounterElements.html\">IMMZD2DTRubellaEncounterElements</a></li>\n \n </ul>\n \n \n \n \n \n </td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Parameters: </b></th>\n <td style=\"padding-left: 4px;\">\n <table class=\"grid-dict\">\n <tr><th><b>Name</b></th><th><b>Type</b></th><th><b>Min</b></th><th><b>Max</b></th><th><b>In/Out</b></th></tr>\n \n <tr><th>Today</th><th>date</th><th>0</th><th>1</th><th>In</th></tr>\n \n <tr><th>Patient</th><th>Patient</th><th>0</th><th>1</th><th>Out</th></tr>\n \n <tr><th>Client is not due for rubella vaccination Case 1</th><th>boolean</th><th>0</th><th>1</th><th>Out</th></tr>\n \n <tr><th>Client is not due for rubella vaccination Case 2</th><th>boolean</th><th>0</th><th>1</th><th>Out</th></tr>\n \n <tr><th>Client is not due for rubella vaccination</th><th>boolean</th><th>0</th><th>1</th><th>Out</th></tr>\n \n <tr><th>Client is not due for rubella vaccination Guidance</th><th>string</th><th>0</th><th>1</th><th>Out</th></tr>\n \n <tr><th>Client is due for rubella vaccination</th><th>boolean</th><th>0</th><th>1</th><th>Out</th></tr>\n \n <tr><th>Client is due for rubella vaccination Guidance</th><th>string</th><th>0</th><th>1</th><th>Out</th></tr>\n \n <tr><th>Rubella immunization schedule is complete</th><th>boolean</th><th>0</th><th>1</th><th>Out</th></tr>\n \n <tr><th>Rubella immunization schedule is complete Guidance</th><th>string</th><th>0</th><th>1</th><th>Out</th></tr>\n \n <tr><th>Guidance</th><th>string</th><th>0</th><th>1</th><th>Out</th></tr>\n \n <tr><th>Has Guidance</th><th>boolean</th><th>0</th><th>1</th><th>Out</th></tr>\n \n <tr><th>Test Validation</th><th>Resource</th><th>0</th><th>1</th><th>Out</th></tr>\n \n </table>\n </td>\n </tr>\n \n\n \n\n \n \n <tr>\n <td colspan=\"2\">\n <table>\n <tr><th><a id=\"cql-content\"><b>Content: </b></a> text/cql</th></tr>\n <tr><td><pre><code class=\"language-cql\">/*\n * Library: IMMZD2DTRubellaHighIncidenceLogic (IMMZ.D2.DT.Rubella.High incidence)\n * Rule: Determine if the client is due for a rubella vaccination according to the national immunization schedule\n * Decision Table: Countries with high incidence and mortality from rubella\n * Trigger: IMMZ.D2 Determine required vaccination(s) if any\n */\nlibrary IMMZD2DTRubellaHighIncidenceLogic\n\nusing FHIR version '4.0.1'\ninclude FHIRHelpers version '4.0.1'\n\ninclude IMMZD2DTRubellaEncounterElements called Encounter\n\nparameter Today Date default Today()\n\ncontext Patient\n\n\n/*\n@dynamicValue: Guidance\n*/\ndefine \"Guidance\":\n case \n when \"Client is not due for rubella vaccination\" then \"Client is not due for rubella vaccination Guidance\"\n when \"Client is due for rubella vaccination\" then \"Client is due for rubella vaccination Guidance\"\n when \"Rubella immunization schedule is complete\" then \"Rubella immunization schedule is complete Guidance\" \n else ''\n end\n \ndefine \"Has Guidance\":\n \"Guidance\" is not null and \"Guidance\" != ''\n\n/*\n@output: Client is not due for rubella vaccination Case 1\n@pseudocode: \"Immunization recommendation status\" = \"Not due\"\n*/\ndefine \"Client is not due for rubella vaccination Case 1\":\n Encounter.\"Client's age is less than 9 months\"\n\n/*\n@output: Client is not due for rubella vaccination Case 2\n@pseudocode: \"Immunization recommendation status\" = \"Not due\"\n*/\ndefine \"Client is not due for rubella vaccination Case 2\":\n Encounter.\"No rubella primary series dose was administered\"\n and Encounter.\"Client's age is more than or equal to 9 months\"\n and Encounter.\"Live vaccine was administered in the last 4 weeks\"\n\n/*\n@output: Client is not due for rubella vaccination\n@pseudocode: \"Immunization recommendation status\" = \"Not due\"\n*/\ndefine \"Client is not due for rubella vaccination\":\n \"Client is not due for rubella vaccination Case 1\"\n or \"Client is not due for rubella vaccination Case 2\"\n\n/*\n@output: Client is not due for rubella vaccination Guidance\n@guidance = Should not vaccinate client with rubella dose as client's age is less than 9 months.\nCheck for any vaccines due and inform the caregiver of when to come back for the first dose.\n@guidance = Should not vaccinate client with rubella dose as live vaccine was administered in the last 4 weeks.\nCheck for any other vaccines due.\n*/\ndefine \"Client is not due for rubella vaccination Guidance\":\n case\n when \"Client is not due for rubella vaccination Case 1\" then 'Should not vaccinate client with rubella dose as client\\'s age is less than 9 months.\nCheck for any vaccines due and inform the caregiver of when to come back for the first dose.'\n when \"Client is not due for rubella vaccination Case 2\" then 'Should not vaccinate client with rubella dose as live vaccine was administered in the last 4 weeks.\nCheck for any other vaccines due.'\n else ''\n end\n\n/*\n@output: Client is due for rubella vaccination\n@pseudocode: \"Immunization recommendation status\" = \"Due\"\n*/\ndefine \"Client is due for rubella vaccination\":\n Encounter.\"No rubella primary series dose was administered\"\n and Encounter.\"Client's age is more than or equal to 9 months\"\n and Encounter.\"No live vaccine was administered in the last 4 weeks\"\n\n/*\n@output: Client is due for rubella vaccination Guidance\n@guidance: Should vaccinate client with rubella dose as no rubella doses were administered, client is within the appropriate age range and no live vaccine was administered in the last 4 weeks.\nCheck for contraindications.\n*/\ndefine \"Client is due for rubella vaccination Guidance\":\n 'Should vaccinate client with rubella dose as no rubella doses were administered, client is within the appropriate age range and no live vaccine was administered in the last 4 weeks.\nCheck for contraindications.'\n\n/*\n@output: Rubella immunization schedule is complete\n@pseudocode: \"Immunization recommendation status\" = \"Complete\"\n\"Completed the primary vaccination series\" = TRUE (where \"Vaccine type\" = \"Rubella-containing vaccines\")\n*/\ndefine \"Rubella immunization schedule is complete\":\n Encounter.\"One rubella primary series dose was administered\"\n\n/*\n@output: Rubella immunization schedule is complete Guidance\n@guidance: Rubella immunization schedule is complete. One rubella primary series dose was administered.\nCheck for any other vaccines due.\n*/\ndefine \"Rubella immunization schedule is complete Guidance\":\n 'Rubella immunization schedule is complete. One rubella primary series dose was administered.\nCheck for any other vaccines due.'\n\n\n/*\n@test: Test expected results based on example patients\n*/\ndefine \"Test Validation\":\n case\n when Patient.id = 'Rubella08.1' then \"Client is not due for rubella vaccination Case 1\" and \"Guidance\" = 'Should not vaccinate client with rubella dose as client\\'s age is less than 9 months.\nCheck for any vaccines due and inform the caregiver of when to come back for the first dose.'\n when Patient.id = 'Rubella09.3' then \"Client is due for rubella vaccination\" and \"Guidance\" = 'Should vaccinate client with rubella dose as no rubella doses were administered, client is within the appropriate age range and no live vaccine was administered in the last 4 weeks.\nCheck for contraindications.'\n when Patient.id = 'Rubella10.3' then \"Client is not due for rubella vaccination Case 2\" and \"Guidance\" = 'Should not vaccinate client with rubella dose as live vaccine was administered in the last 4 weeks.\nCheck for any other vaccines due.'\n when Patient.id = 'Rubella11.1' then \"Rubella immunization schedule is complete\" and \"Guidance\" = 'Rubella immunization schedule is complete. One rubella primary series dose was administered.\nCheck for any other vaccines due.'\n else 'No test case set'\n end\n</code></pre></td></tr>\n </table>\n </td>\n </tr>\n \n \n \n </table>\n</div>\n</div>"^^rdf:XMLLiteral ] ] ; # fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability> ] ; fhir:value [ a fhir:Code ; fhir:v "computable" ] ] ) ; # fhir:url [ fhir:v "http://smart.who.int/immunizations/Library/IMMZD2DTRubellaHighIncidenceLogic"^^xsd:anyURI ; fhir:l <http://smart.who.int/immunizations/Library/IMMZD2DTRubellaHighIncidenceLogic> ] ; # fhir:version [ fhir:v "1.0.0"] ; # fhir:name [ fhir:v "IMMZD2DTRubellaHighIncidenceLogic"] ; # fhir:title [ fhir:v "IMMZD2DTRubellaHighIncidenceLogic"] ; # fhir:status [ fhir:v "draft"] ; # fhir:experimental [ fhir:v false] ; # fhir:type [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/library-type"^^xsd:anyURI ; fhir:l <http://terminology.hl7.org/CodeSystem/library-type> ] ; fhir:code [ fhir:v "logic-library" ] ] ) ] ; # fhir:date [ fhir:v "2026-03-31T13:54:17+00:00"^^xsd:dateTime] ; # fhir:publisher [ fhir:v "WHO"] ; # fhir:contact ( [ fhir:name [ fhir:v "WHO" ] ; ( fhir:telecom [ fhir:system [ fhir:v "url" ] ; fhir:value [ fhir:v "http://who.int" ] ] ) ] ) ; # fhir:description [ fhir:v "This library defines decision support logic for the IMMZ.D2.DT.Rubella.High incidence decision table in the Immunization CPG"] ; # fhir:relatedArtifact ( [ fhir:type [ fhir:v "depends-on" ] ; fhir:display [ fhir:v "Library Encounter" ] ; fhir:resource [ fhir:v "http://smart.who.int/immunizations/Library/IMMZD2DTRubellaEncounterElements"^^xsd:anyURI ; fhir:l <http://smart.who.int/immunizations/Library/IMMZD2DTRubellaEncounterElements> ] ] ) ; # fhir:parameter ( [ fhir:name [ fhir:v "Today" ] ; fhir:use [ fhir:v "in" ] ; fhir:min [ fhir:v 0 ] ; fhir:max [ fhir:v "1" ] ; fhir:type [ fhir:v "date" ] ] [ fhir:name [ fhir:v "Patient" ] ; fhir:use [ fhir:v "out" ] ; fhir:min [ fhir:v 0 ] ; fhir:max [ fhir:v "1" ] ; fhir:type [ fhir:v "Patient" ] ] [ fhir:name [ fhir:v "Client is not due for rubella vaccination Case 1" ] ; fhir:use [ fhir:v "out" ] ; fhir:min [ fhir:v 0 ] ; fhir:max [ fhir:v "1" ] ; fhir:type [ fhir:v "boolean" ] ] [ fhir:name [ fhir:v "Client is not due for rubella vaccination Case 2" ] ; fhir:use [ fhir:v "out" ] ; fhir:min [ fhir:v 0 ] ; fhir:max [ fhir:v "1" ] ; fhir:type [ fhir:v "boolean" ] ] [ fhir:name [ fhir:v "Client is not due for rubella vaccination" ] ; fhir:use [ fhir:v "out" ] ; fhir:min [ fhir:v 0 ] ; fhir:max [ fhir:v "1" ] ; fhir:type [ fhir:v "boolean" ] ] [ fhir:name [ fhir:v "Client is not due for rubella vaccination Guidance" ] ; fhir:use [ fhir:v "out" ] ; fhir:min [ fhir:v 0 ] ; fhir:max [ fhir:v "1" ] ; fhir:type [ fhir:v "string" ] ] [ fhir:name [ fhir:v "Client is due for rubella vaccination" ] ; fhir:use [ fhir:v "out" ] ; fhir:min [ fhir:v 0 ] ; fhir:max [ fhir:v "1" ] ; fhir:type [ fhir:v "boolean" ] ] [ fhir:name [ fhir:v "Client is due for rubella vaccination Guidance" ] ; fhir:use [ fhir:v "out" ] ; fhir:min [ fhir:v 0 ] ; fhir:max [ fhir:v "1" ] ; fhir:type [ fhir:v "string" ] ] [ fhir:name [ fhir:v "Rubella immunization schedule is complete" ] ; fhir:use [ fhir:v "out" ] ; fhir:min [ fhir:v 0 ] ; fhir:max [ fhir:v "1" ] ; fhir:type [ fhir:v "boolean" ] ] [ fhir:name [ fhir:v "Rubella immunization schedule is complete Guidance" ] ; fhir:use [ fhir:v "out" ] ; fhir:min [ fhir:v 0 ] ; fhir:max [ fhir:v "1" ] ; fhir:type [ fhir:v "string" ] ] [ fhir:name [ fhir:v "Guidance" ] ; fhir:use [ fhir:v "out" ] ; fhir:min [ fhir:v 0 ] ; fhir:max [ fhir:v "1" ] ; fhir:type [ fhir:v "string" ] ] [ fhir:name [ fhir:v "Has Guidance" ] ; fhir:use [ fhir:v "out" ] ; fhir:min [ fhir:v 0 ] ; fhir:max [ fhir:v "1" ] ; fhir:type [ fhir:v "boolean" ] ] [ fhir:name [ fhir:v "Test Validation" ] ; fhir:use [ fhir:v "out" ] ; fhir:min [ fhir:v 0 ] ; fhir:max [ fhir:v "1" ] ; fhir:type [ fhir:v "Resource" ] ] ) ; # fhir:content ( [ fhir:contentType [ fhir:v "text/cql" ] ; fhir:data [ fhir:v 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] ] ) . #
IG © 2023+ WHO. Package smart.who.int.immunizations#1.0.0 based on FHIR 4.0.1. Generated 2026-03-31
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