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

: IMMZIND24Logic - JSON Representation

Draft as of 2026-03-31

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{
  "resourceType" : "Library",
  "id" : "IMMZIND24Logic",
  "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;\">IMMZIND24Logic</td>\n        </tr>\n        \n\n        \n        \n        <tr>\n            <th scope=\"row\"><b>Id: </b></th>\n            <td style=\"padding-left: 4px;\">IMMZIND24Logic</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-IMMZIND24Logic.html\">IMMZIND24Logic</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.24 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.24 Logic\n * Immunization coverage for tetanus and diphtheria-containing vaccines (Td), 5th dose\n * The percentage in the target population who have received a 5th dose of tetanus and diphtheria-containing vaccine (Td) during the reporting period\n * \n * Numerator: Number of tetanus and diphtheria-containing vaccine doses (5th dose) administered through routine services during the reporting period\n * Numerator Computation: COUNT of immunization events WHERE &quot;Vaccine type&quot; = &quot;Tetanus and diphtheria-containing vaccines (Td)&quot; for the fifth dose in the primary series AND &quot;Date and time of vaccination&quot; 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 IMMZIND24Logic\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 &quot;Measurement Period&quot; Interval&lt;Date&gt; default Interval[@2020-01-01, @2025-12-31]\n\ncontext Patient\n\n/*\n * As defined by Member State\n */\ndefine &quot;Initial Population&quot;:\n  true\n\n/*\n@denominator: Number in target group\n@pseudocode: As defined by the Member States\n*/\ndefine &quot;Denominator&quot;:\n  true\n\n/*\n@numerator: Number of tetanus and diphtheria-containing vaccine doses (5th dose) administered through routine services during the reporting period\n@pseudocode: COUNT of immunization events WHERE &quot;Vaccine type&quot; = &quot;Tetanus and diphtheria-containing vaccines (Td)&quot; for the fifth dose in the primary series AND &quot;Date and time of vaccination&quot; is during the reporting period\n*/\ndefine &quot;Numerator&quot;:\n  Coalesce( DTP.&quot;Td Doses Administered to Patient&quot;.sortedIndex(4).occurrence.toInterval() starts during &quot;Measurement Period&quot;,\n    false )\n\n/*\n@disaggregation: Administrative area\n                 Sex\n                 Age in years\n                 Age group (depending on schedule)\n*/\ndefine &quot;Stratification 1&quot;:\n\tElements.&quot;By Geographic Region Stratifier&quot;\n\ndefine &quot;Stratification 2&quot;:\n\tElements.&quot;By Administrative Gender Stratifier&quot;\n\ndefine &quot;Stratification 3&quot;:\n\tElements.&quot;Age Stratifier&quot;\n\ndefine &quot;Stratification 4&quot;:\n\tElements.&quot;Child By Age Stratifier&quot;\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/IMMZIND24Logic",
  "version" : "1.0.0",
  "name" : "IMMZIND24Logic",
  "title" : "IMMZIND24Logic",
  "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.24 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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"
    }
  ]
}