WHO Immunization Implementation Guide
1.0.0 - release
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 |
{
"resourceType" : "Library",
"id" : "IMMZIND23Logic",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareablelibrary"🔗 ,
"http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-publishablelibrary"🔗 ,
"http://hl7.org/fhir/uv/cql/StructureDefinition/cql-library"🔗 ,
"http://hl7.org/fhir/uv/cql/StructureDefinition/cql-module"
]
},
"text" : {
"status" : "extensions",
"div" : "<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;\">IMMZIND23Logic</td>\n </tr>\n \n\n \n \n <tr>\n <th scope=\"row\"><b>Id: </b></th>\n <td style=\"padding-left: 4px;\">IMMZIND23Logic</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-IMMZIND23Logic.html\">IMMZIND23Logic</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 population criteria logic for the IMMZ.IND.23 indicator 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-WHOCommon.html\">WHOCommon</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><code>http://smart.who.int/immunizations/Library/IMMZIndicatorElements</code></li>\n \n <li><a href=\"Library-IMMZD2DTDTPElements.html\">IMMZD2DTDTPElements</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>Measurement Period</th><th>Period</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>Initial Population</th><th>boolean</th><th>0</th><th>1</th><th>Out</th></tr>\n \n <tr><th>Denominator</th><th>boolean</th><th>0</th><th>1</th><th>Out</th></tr>\n \n <tr><th>Numerator</th><th>boolean</th><th>0</th><th>1</th><th>Out</th></tr>\n \n <tr><th>Stratification 1</th><th>string</th><th>0</th><th>1</th><th>Out</th></tr>\n \n <tr><th>Stratification 2</th><th>Coding</th><th>0</th><th>1</th><th>Out</th></tr>\n \n <tr><th>Stratification 3</th><th>Coding</th><th>0</th><th>1</th><th>Out</th></tr>\n \n <tr><th>Stratification 4</th><th>Coding</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: IMMZ.IND.23 Logic\n * Immunization coverage for tetanus and diphtheria-containing vaccines (DT), 4th dose\n * The percentage in the target population who have received a 4th dose of a tetanus and diphtheria-containing vaccine (DT) during the reporting period\n * \n * Numerator: Number of tetanus and diphtheria-containing vaccine doses (4th dose) administered through routine services during the reporting period\n * Numerator Computation: COUNT of immunization events WHERE "Vaccine type" = "Tetanus and diphtheria-containing vaccines (DT)" for the 4th dose in the primary series AND "Date and time of vaccination" is during the reporting period\n * Denominator: Number in target group\n * Denominator Computation: As defined by the Member States\n * \n * Disaggregation\n * - Administrative area\n * - Sex\n * - Age in years\n * - Age group (depending on schedule)\n *\n * References: WHO Immunization facility analysis guide (5)\n * WHO Handbook on immunization data (6)\n * \n * Annotations: –\n */\nlibrary IMMZIND23Logic\n\nusing FHIR version '4.0.1'\n\ninclude FHIRHelpers version '4.0.1'\n\ninclude WHOCommon called WC\n\ninclude IMMZCommon called Common\ninclude IMMZConcepts called Concepts\ninclude IMMZIndicatorElements called Elements\n\ninclude IMMZD2DTDTPElements called DTP\n\nparameter "Measurement Period" Interval<Date> default Interval[@2020-01-01, @2025-12-31]\n\ncontext Patient\n\n/*\n * As defined by Member State\n */\ndefine "Initial Population":\n true\n\n/*\n@denominator: Number in target group\n@pseudocode: As defined by the Member States\n*/\ndefine "Denominator":\n true\n\n/*\n@numerator: Number of tetanus and diphtheria-containing vaccine doses (4th dose) administered through routine services during the reporting period\n@pseudocode: COUNT of immunization events WHERE "Vaccine type" = "Tetanus and diphtheria-containing vaccines (DT)" for the 4th dose in the primary series AND "Date and time of vaccination" is during the reporting period\n*/\ndefine "Numerator":\n Coalesce( DTP."Td Doses Administered to Patient".sortedIndex(3).occurrence.toInterval() starts during "Measurement Period",\n false )\n\n/*\n@disaggregation: Administrative area\n Sex\n Age in years\n Age group (depending on schedule)\n*/\ndefine "Stratification 1":\n\tElements."By Geographic Region Stratifier"\n\ndefine "Stratification 2":\n\tElements."By Administrative Gender Stratifier"\n\ndefine "Stratification 3":\n\tElements."Age Stratifier"\n\ndefine "Stratification 4":\n\tElements."Child By Age Stratifier"\n</code></pre></td></tr>\n </table>\n </td>\n </tr>\n \n \n \n </table>\n</div>\n</div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability",
"valueCode" : "computable"
}
],
"url" : "http://smart.who.int/immunizations/Library/IMMZIND23Logic",
"version" : "1.0.0",
"name" : "IMMZIND23Logic",
"title" : "IMMZIND23Logic",
"status" : "draft",
"experimental" : false,
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/library-type",
"code" : "logic-library"
}
]
},
"date" : "2026-03-31T13:54:17+00:00",
"publisher" : "WHO",
"contact" : [
{
"name" : "WHO",
"telecom" : [
{
"system" : "url",
"value" : "http://who.int"
}
]
}
],
"description" : "This library defines population criteria logic for the IMMZ.IND.23 indicator in the Immunization CPG",
"relatedArtifact" : [
{
"type" : "depends-on",
"display" : "Library WC",
"resource" : "http://smart.who.int/immunizations/Library/WHOCommon"
},
{
"type" : "depends-on",
"display" : "Library Common",
"resource" : "http://smart.who.int/immunizations/Library/IMMZCommon"
},
{
"type" : "depends-on",
"display" : "Library Concepts",
"resource" : "http://smart.who.int/immunizations/Library/IMMZConcepts"
},
{
"type" : "depends-on",
"display" : "Library Elements",
"resource" : "http://smart.who.int/immunizations/Library/IMMZIndicatorElements"
},
{
"type" : "depends-on",
"display" : "Library DTP",
"resource" : "http://smart.who.int/immunizations/Library/IMMZD2DTDTPElements"
}
],
"parameter" : [
{
"name" : "Measurement Period",
"use" : "in",
"min" : 0,
"max" : "1",
"type" : "Period"
},
{
"name" : "Patient",
"use" : "out",
"min" : 0,
"max" : "1",
"type" : "Patient"
},
{
"name" : "Initial Population",
"use" : "out",
"min" : 0,
"max" : "1",
"type" : "boolean"
},
{
"name" : "Denominator",
"use" : "out",
"min" : 0,
"max" : "1",
"type" : "boolean"
},
{
"name" : "Numerator",
"use" : "out",
"min" : 0,
"max" : "1",
"type" : "boolean"
},
{
"name" : "Stratification 1",
"use" : "out",
"min" : 0,
"max" : "1",
"type" : "string"
},
{
"name" : "Stratification 2",
"use" : "out",
"min" : 0,
"max" : "1",
"type" : "Coding"
},
{
"name" : "Stratification 3",
"use" : "out",
"min" : 0,
"max" : "1",
"type" : "Coding"
},
{
"name" : "Stratification 4",
"use" : "out",
"min" : 0,
"max" : "1",
"type" : "Coding"
}
],
"content" : [
{
"contentType" : "text/cql",
"data" : "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"
}
]
}