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 "IMMZIND23Logic"] ; #
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;\">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 Elements.\"By Geographic Region Stratifier\"\n\ndefine \"Stratification 2\":\n Elements.\"By Administrative Gender Stratifier\"\n\ndefine \"Stratification 3\":\n Elements.\"Age Stratifier\"\n\ndefine \"Stratification 4\":\n Elements.\"Child By Age Stratifier\"\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/IMMZIND23Logic"^^xsd:anyURI ;
fhir:l <http://smart.who.int/immunizations/Library/IMMZIND23Logic>
] ; #
fhir:version [ fhir:v "1.0.0"] ; #
fhir:name [ fhir:v "IMMZIND23Logic"] ; #
fhir:title [ fhir:v "IMMZIND23Logic"] ; #
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 population criteria logic for the IMMZ.IND.23 indicator in the Immunization CPG"] ; #
fhir:relatedArtifact ( [
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 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/IMMZIndicatorElements"^^xsd:anyURI ;
fhir:l <http://smart.who.int/immunizations/Library/IMMZIndicatorElements> ]
] [
fhir:type [ fhir:v "depends-on" ] ;
fhir:display [ fhir:v "Library DTP" ] ;
fhir:resource [
fhir:v "http://smart.who.int/immunizations/Library/IMMZD2DTDTPElements"^^xsd:anyURI ;
fhir:l <http://smart.who.int/immunizations/Library/IMMZD2DTDTPElements> ]
] ) ; #
fhir:parameter ( [
fhir:name [ fhir:v "Measurement Period" ] ;
fhir:use [ fhir:v "in" ] ;
fhir:min [ fhir:v 0 ] ;
fhir:max [ fhir:v "1" ] ;
fhir:type [ fhir:v "Period" ]
] [
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 "Initial Population" ] ;
fhir:use [ fhir:v "out" ] ;
fhir:min [ fhir:v 0 ] ;
fhir:max [ fhir:v "1" ] ;
fhir:type [ fhir:v "boolean" ]
] [
fhir:name [ fhir:v "Denominator" ] ;
fhir:use [ fhir:v "out" ] ;
fhir:min [ fhir:v 0 ] ;
fhir:max [ fhir:v "1" ] ;
fhir:type [ fhir:v "boolean" ]
] [
fhir:name [ fhir:v "Numerator" ] ;
fhir:use [ fhir:v "out" ] ;
fhir:min [ fhir:v 0 ] ;
fhir:max [ fhir:v "1" ] ;
fhir:type [ fhir:v "boolean" ]
] [
fhir:name [ fhir:v "Stratification 1" ] ;
fhir:use [ fhir:v "out" ] ;
fhir:min [ fhir:v 0 ] ;
fhir:max [ fhir:v "1" ] ;
fhir:type [ fhir:v "string" ]
] [
fhir:name [ fhir:v "Stratification 2" ] ;
fhir:use [ fhir:v "out" ] ;
fhir:min [ fhir:v 0 ] ;
fhir:max [ fhir:v "1" ] ;
fhir:type [ fhir:v "Coding" ]
] [
fhir:name [ fhir:v "Stratification 3" ] ;
fhir:use [ fhir:v "out" ] ;
fhir:min [ fhir:v 0 ] ;
fhir:max [ fhir:v "1" ] ;
fhir:type [ fhir:v "Coding" ]
] [
fhir:name [ fhir:v "Stratification 4" ] ;
fhir:use [ fhir:v "out" ] ;
fhir:min [ fhir:v 0 ] ;
fhir:max [ fhir:v "1" ] ;
fhir:type [ fhir:v "Coding" ]
] ) ; #
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
Links: Table of Contents |
QA Report
| Version History | License