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 "IMMZD5DTBCGElements"] ; #
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;\">IMMZD5DTBCGElements</td>\n </tr>\n \n\n \n \n <tr>\n <th scope=\"row\"><b>Id: </b></th>\n <td style=\"padding-left: 4px;\">IMMZD5DTBCGElements</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-IMMZD5DTBCGElements.html\">IMMZD5DTBCGElements</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 context-independent elements for BCG used throughout 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-WHOConcepts.html\">WHOConcepts</a></li>\n \n <li><a href=\"Library-WHOCommon.html\">WHOCommon</a></li>\n \n <li><a href=\"Library-WHOElements.html\">WHOElements</a></li>\n \n <li><a href=\"Library-IMMZCommon.html\">IMMZCommon</a></li>\n \n <li><a href=\"Library-IMMZConcepts.html\">IMMZConcepts</a></li>\n \n <li><a href=\"Library-IMMZElements.html\">IMMZElements</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>Patient</th><th>Patient</th><th>0</th><th>1</th><th>Out</th></tr>\n \n <tr><th>Draft Medication Request for BCG dose</th><th>MedicationRequest</th><th>0</th><th>*</th><th>Out</th></tr>\n \n <tr><th>The client is pregnant</th><th>boolean</th><th>0</th><th>1</th><th>Out</th></tr>\n \n <tr><th>The client has history of severe allergic reactions</th><th>boolean</th><th>0</th><th>1</th><th>Out</th></tr>\n \n <tr><th>The client has immunodeficiency syndromes</th><th>boolean</th><th>0</th><th>1</th><th>Out</th></tr>\n \n <tr><th>The client is exposed to immunosuppressive treatment</th><th>boolean</th><th>0</th><th>1</th><th>Out</th></tr>\n \n <tr><th>Client's age is less than 1 year</th><th>boolean</th><th>0</th><th>1</th><th>Out</th></tr>\n \n <tr><th>Client's age is more than or equal to 1 year</th><th>boolean</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/*\n * Library: IMMZD5DTBCGElements\n */\nlibrary IMMZD5DTBCGElements\n\nusing FHIR version '4.0.1'\ninclude FHIRHelpers version '4.0.1'\n\ninclude WHOConcepts\ninclude WHOCommon called WC\ninclude WHOElements called WE\n\ninclude IMMZCommon called Common\ninclude IMMZConcepts called Concepts\ninclude IMMZElements called Elements\n\ncontext Patient\n\n/*\n@internal: Draft Medication Request for BCG dose\n*/\ndefine \"Draft Medication Request for BCG dose\":\n Elements.\"Draft Medication Request for Patient\" MR\n where MR.medication in Concepts.\"BCG vaccines\"\n\n/*\n@input: The client is pregnant\n@pseudocode: \"Potential contraindications\" = \"Currently pregnant\"\n@code: The client is pregnant-52\n@decision: IMMZ.D5.DT.BCG contraindications\n*/\ndefine \"The client is pregnant\":\n Elements.\"The client is pregnant\"\n\n/*\n@input: The client has history of severe allergic reactions\n@pseudocode: '\"Potential contraindications\" = \"Severe allergic reactions\"\n@code: The client has history of severe allergic reactions-60\n@decision: IMMZ.D5.DT.BCG contraindications\n*/\ndefine \"The client has history of severe allergic reactions\":\n Elements.\"The client has history of severe allergic reactions\"\n\n/*\n@input: The client has immunodeficiency syndromes\n@pseudocode: \"Potential contraindications\" = \"Immunodeficiency syndromes\"\n@code: The client has immunodeficiency syndromes-60\n@decision: IMMZ.D5.DT.BCG contraindications\n*/\ndefine \"The client has immunodeficiency syndromes\":\n Elements.\"The client has immunodeficiency syndromes\"\n\n/*\n@input: The client is exposed to immunosuppressive treatment\n@pseudocode: \"Potential contraindications\" = \"Exposed to immunosuppressive treatment\"\n@code: The client is exposed to immunosuppressive treatment-72\n@decision: IMMZ.D5.DT.BCG contraindications\n*/\ndefine \"The client is exposed to immunosuppressive treatment\":\n Elements.\"The client is exposed to immunosuppressive treatment\"\n\n/*\n@input: Client's age is less than 1 year\n@pseudocode: \"Age\" < 1 year\n@code: Client's age is less than 1 year-14\n@decision: IMMZ.D5.DT.BCG contraindications\n*/\ndefine \"Client's age is less than 1 year\":\n Elements.\"Current Patient Age In Years\" < 1\n\n/*\n@input: Client's age is more than or equal to 1 year\n@pseudocode: \"Age\" ≥ 1 year\n@code: Client's age is more than or equal to 1 year-14\n@decision: IMMZ.D5.DT.BCG contraindications\n*/\ndefine \"Client's age is more than or equal to 1 year\":\n Elements.\"Current Patient Age In Years\" >= 1\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/IMMZD5DTBCGElements"^^xsd:anyURI ;
fhir:l <http://smart.who.int/immunizations/Library/IMMZD5DTBCGElements>
] ; #
fhir:version [ fhir:v "1.0.0"] ; #
fhir:name [ fhir:v "IMMZD5DTBCGElements"] ; #
fhir:title [ fhir:v "IMMZD5DTBCGElements"] ; #
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 context-independent elements for BCG used throughout the Immunization CPG"] ; #
fhir:relatedArtifact ( [
fhir:type [ fhir:v "depends-on" ] ;
fhir:display [ fhir:v "Library WHOConcepts" ] ;
fhir:resource [
fhir:v "http://smart.who.int/immunizations/Library/WHOConcepts"^^xsd:anyURI ;
fhir:l <http://smart.who.int/immunizations/Library/WHOConcepts> ]
] [
fhir:type [ fhir:v "depends-on" ] ;
fhir:display [ fhir:v "Library WC" ] ;
fhir:resource [
fhir:v "http://smart.who.int/immunizations/Library/WHOCommon"^^xsd:anyURI ;
fhir:l <http://smart.who.int/immunizations/Library/WHOCommon> ]
] [
fhir:type [ fhir:v "depends-on" ] ;
fhir:display [ fhir:v "Library WE" ] ;
fhir:resource [
fhir:v "http://smart.who.int/immunizations/Library/WHOElements"^^xsd:anyURI ;
fhir:l <http://smart.who.int/immunizations/Library/WHOElements> ]
] [
fhir:type [ fhir:v "depends-on" ] ;
fhir:display [ fhir:v "Library Common" ] ;
fhir:resource [
fhir:v "http://smart.who.int/immunizations/Library/IMMZCommon"^^xsd:anyURI ;
fhir:l <http://smart.who.int/immunizations/Library/IMMZCommon> ]
] [
fhir:type [ fhir:v "depends-on" ] ;
fhir:display [ fhir:v "Library Concepts" ] ;
fhir:resource [
fhir:v "http://smart.who.int/immunizations/Library/IMMZConcepts"^^xsd:anyURI ;
fhir:l <http://smart.who.int/immunizations/Library/IMMZConcepts> ]
] [
fhir:type [ fhir:v "depends-on" ] ;
fhir:display [ fhir:v "Library Elements" ] ;
fhir:resource [
fhir:v "http://smart.who.int/immunizations/Library/IMMZElements"^^xsd:anyURI ;
fhir:l <http://smart.who.int/immunizations/Library/IMMZElements> ]
] ) ; #
fhir:parameter ( [
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 "Draft Medication Request for BCG dose" ] ;
fhir:use [ fhir:v "out" ] ;
fhir:min [ fhir:v 0 ] ;
fhir:max [ fhir:v "*" ] ;
fhir:type [ fhir:v "MedicationRequest" ]
] [
fhir:name [ fhir:v "The client is pregnant" ] ;
fhir:use [ fhir:v "out" ] ;
fhir:min [ fhir:v 0 ] ;
fhir:max [ fhir:v "1" ] ;
fhir:type [ fhir:v "boolean" ]
] [
fhir:name [ fhir:v "The client has history of severe allergic reactions" ] ;
fhir:use [ fhir:v "out" ] ;
fhir:min [ fhir:v 0 ] ;
fhir:max [ fhir:v "1" ] ;
fhir:type [ fhir:v "boolean" ]
] [
fhir:name [ fhir:v "The client has immunodeficiency syndromes" ] ;
fhir:use [ fhir:v "out" ] ;
fhir:min [ fhir:v 0 ] ;
fhir:max [ fhir:v "1" ] ;
fhir:type [ fhir:v "boolean" ]
] [
fhir:name [ fhir:v "The client is exposed to immunosuppressive treatment" ] ;
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's age is less than 1 year" ] ;
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's age is more than or equal to 1 year" ] ;
fhir:use [ fhir:v "out" ] ;
fhir:min [ fhir:v 0 ] ;
fhir:max [ fhir:v "1" ] ;
fhir:type [ fhir:v "boolean" ]
] ) ; #
fhir:content ( [
fhir:contentType [ fhir:v "text/cql" ] ;
fhir:data [ fhir:v "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"^^xsd:base64Binary ]
] ) . #
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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