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

: IMMZIND25Logic - XML Representation

Draft as of 2026-03-31

Raw xml | Download


<Library xmlns="http://hl7.org/fhir">
  <id value="IMMZIND25Logic"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareablelibrary"/>
    <profile
             value="http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-publishablelibrary"/>
    <profile
             value="http://hl7.org/fhir/uv/cql/StructureDefinition/cql-library"/>
    <profile
             value="http://hl7.org/fhir/uv/cql/StructureDefinition/cql-module"/>
  </meta>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
<div>
    <table class="grid dict">
        
        
        <tr>
            <th scope="row"><b>Title: </b></th>
            <td style="padding-left: 4px;">IMMZIND25Logic</td>
        </tr>
        

        
        
        <tr>
            <th scope="row"><b>Id: </b></th>
            <td style="padding-left: 4px;">IMMZIND25Logic</td>
        </tr>
        

        
        
        <tr>
            <th scope="row"><b>Version: </b></th>
            <td style="padding-left: 4px;">1.0.0</td>
        </tr>
        

        
        <tr>
            <th scope="row"><b>Url: </b></th>
            <td style="padding-left: 4px;"><a href="Library-IMMZIND25Logic.html">IMMZIND25Logic</a></td>
        </tr>
        

        

        

        
        <tr>
            <th scope="row"><b>Status: </b></th>
            <td style="padding-left: 4px;">draft</td>
        </tr>
        

        

        
        <tr>
            <th scope="row"><b>Type: </b></th>
            <td style="padding-left: 4px;">
                
                    
                        
                        <p style="margin-bottom: 5px;">
                            <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>
                        </p>
                        
                        
                        <p style="margin-bottom: 5px;">
                            <b>code: </b> <span>logic-library</span>
                        </p>
                        
                        
                    
                
                
            </td>
        </tr>
        

        

        
        <tr>
            <th scope="row"><b>Date: </b></th>
            <td style="padding-left: 4px;">2026-03-31 13:54:17+0000</td>
        </tr>
        

        
        <tr>
            <th scope="row"><b>Publisher: </b></th>
            <td style="padding-left: 4px;">WHO</td>
        </tr>
        

        
        <tr>
            <th scope="row"><b>Description: </b></th>
            <td style="padding-left: 4px;"><div><p>This library defines population criteria logic for the IMMZ.IND.25 indicator in the Immunization CPG</p>
</div></td>
        </tr>
        

        

        

        

        

        

        

        

        

        

        

        
        <tr>
            <th scope="row"><b>Related Artifacts: </b></th>
            <td style="padding-left: 4px;">
                
                
                
                <p><b>Dependencies</b></p>
                <ul>
                  
                    <li><a href="Library-WHOCommon.html">WHOCommon</a></li>
                  
                    <li><a href="Library-IMMZCommon.html">IMMZCommon</a></li>
                  
                    <li><a href="Library-IMMZConcepts.html">IMMZConcepts</a></li>
                  
                    <li><code>http://smart.who.int/immunizations/Library/IMMZIndicatorElements</code></li>
                  
                    <li><a href="Library-IMMZD2DTDTPElements.html">IMMZD2DTDTPElements</a></li>
                  
                </ul>
                
                
                
                
                
            </td>
        </tr>
        

        
        <tr>
          <th scope="row"><b>Parameters: </b></th>
          <td style="padding-left: 4px;">
            <table class="grid-dict">
              <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>
              
                <tr><th>Measurement Period</th><th>Period</th><th>0</th><th>1</th><th>In</th></tr>
              
                <tr><th>Patient</th><th>Patient</th><th>0</th><th>1</th><th>Out</th></tr>
              
                <tr><th>Initial Population</th><th>boolean</th><th>0</th><th>1</th><th>Out</th></tr>
              
                <tr><th>Denominator</th><th>boolean</th><th>0</th><th>1</th><th>Out</th></tr>
              
                <tr><th>Numerator</th><th>boolean</th><th>0</th><th>1</th><th>Out</th></tr>
              
                <tr><th>Stratification 1</th><th>string</th><th>0</th><th>1</th><th>Out</th></tr>
              
                <tr><th>Stratification 2</th><th>Coding</th><th>0</th><th>1</th><th>Out</th></tr>
              
                <tr><th>Stratification 3</th><th>Coding</th><th>0</th><th>1</th><th>Out</th></tr>
              
                <tr><th>Stratification 4</th><th>Coding</th><th>0</th><th>1</th><th>Out</th></tr>
              
            </table>
          </td>
        </tr>
        

        

        
        
        <tr>
          <td colspan="2">
            <table>
              <tr><th><a id="cql-content"><b>Content: </b></a> text/cql</th></tr>
              <tr><td><pre><code class="language-cql">/*
 * Library: IMMZ.IND.25 Logic
 * Immunization coverage for tetanus and diphtheria-containing vaccines (Td), 6th dose
 * The percentage in the target population who have received a sixth dose of tetanus and diphtheria-containing vaccine (Td) during the reporting period
 * 
 * Numerator: Number of tetanus and diphtheria-containing vaccine doses (6th dose) administered through routine services during the reporting period
 * Numerator Computation: COUNT of immunization events WHERE &quot;Vaccine type&quot; = &quot;Tetanus and diphtheria-containing vaccines (Td)&quot; for the sixth dose in the primary series AND &quot;Date and time of vaccination&quot; is during the reporting period
 * Denominator: Number in target group
 * Denominator Computation: As defined by the Member States
 * 
 * Disaggregation
 *  - Administrative area
 *  - Sex
 *  - Age in years
 *  - Age group (depending on schedule)
 *
 * References: WHO Immunization facility analysis guide (5)
 *   WHO Handbook on immunization data (6)
 * 
 * Annotations: –
 */
library IMMZIND25Logic

using FHIR version '4.0.1'

include FHIRHelpers version '4.0.1'

include WHOCommon called WC

include IMMZCommon called Common
include IMMZConcepts called Concepts
include IMMZIndicatorElements called Elements

include IMMZD2DTDTPElements called DTP

parameter &quot;Measurement Period&quot; Interval&lt;Date&gt; default Interval[@2020-01-01, @2025-12-31]

context Patient

/*
 * As defined by Member State
 */
define &quot;Initial Population&quot;:
  true

/*
@denominator: Number in target group
@pseudocode: As defined by the Member States
*/
define &quot;Denominator&quot;:
  true

/*
@numerator: Number of tetanus and diphtheria-containing vaccine doses (6th dose) administered through routine services during the reporting period
@pseudocode: COUNT of immunization events WHERE &quot;Vaccine type&quot; = &quot;Tetanus and diphtheria-containing vaccines (Td)&quot; for the sixth dose in the primary series AND &quot;Date and time of vaccination&quot; is during the reporting period
*/
define &quot;Numerator&quot;:
  Coalesce( DTP.&quot;Td Doses Administered to Patient&quot;.sortedIndex(5).occurrence.toInterval() starts during &quot;Measurement Period&quot;,
    false )

/*
@disaggregation: Administrative area
                 Sex
                 Age in years
                 Age group (depending on schedule)
*/
define &quot;Stratification 1&quot;:
	Elements.&quot;By Geographic Region Stratifier&quot;

define &quot;Stratification 2&quot;:
	Elements.&quot;By Administrative Gender Stratifier&quot;

define &quot;Stratification 3&quot;:
	Elements.&quot;Age Stratifier&quot;

define &quot;Stratification 4&quot;:
	Elements.&quot;Child By Age Stratifier&quot;
</code></pre></td></tr>
            </table>
          </td>
        </tr>
        
        
        
    </table>
</div>
</div>
  </text>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability">
    <valueCode value="computable"/>
  </extension>
  <url value="http://smart.who.int/immunizations/Library/IMMZIND25Logic"/>
  <version value="1.0.0"/>
  <name value="IMMZIND25Logic"/>
  <title value="IMMZIND25Logic"/>
  <status value="draft"/>
  <experimental value="false"/>
  <type>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/library-type"/>
      <code value="logic-library"/>
    </coding>
  </type>
  <date value="2026-03-31T13:54:17+00:00"/>
  <publisher value="WHO"/>
  <contact>
    <name value="WHO"/>
    <telecom>
      <system value="url"/>
      <value value="http://who.int"/>
    </telecom>
  </contact>
  <description
               value="This library defines population criteria logic for the IMMZ.IND.25 indicator in the Immunization CPG"/>
  <relatedArtifact>
    <type value="depends-on"/>
    <display value="Library WC"/>
    <resource value="http://smart.who.int/immunizations/Library/WHOCommon"/>
  </relatedArtifact>
  <relatedArtifact>
    <type value="depends-on"/>
    <display value="Library Common"/>
    <resource value="http://smart.who.int/immunizations/Library/IMMZCommon"/>
  </relatedArtifact>
  <relatedArtifact>
    <type value="depends-on"/>
    <display value="Library Concepts"/>
    <resource
              value="http://smart.who.int/immunizations/Library/IMMZConcepts"/>
  </relatedArtifact>
  <relatedArtifact>
    <type value="depends-on"/>
    <display value="Library Elements"/>
    <resource
              value="http://smart.who.int/immunizations/Library/IMMZIndicatorElements"/>
  </relatedArtifact>
  <relatedArtifact>
    <type value="depends-on"/>
    <display value="Library DTP"/>
    <resource
              value="http://smart.who.int/immunizations/Library/IMMZD2DTDTPElements"/>
  </relatedArtifact>
  <parameter>
    <name value="Measurement Period"/>
    <use value="in"/>
    <min value="0"/>
    <max value="1"/>
    <type value="Period"/>
  </parameter>
  <parameter>
    <name value="Patient"/>
    <use value="out"/>
    <min value="0"/>
    <max value="1"/>
    <type value="Patient"/>
  </parameter>
  <parameter>
    <name value="Initial Population"/>
    <use value="out"/>
    <min value="0"/>
    <max value="1"/>
    <type value="boolean"/>
  </parameter>
  <parameter>
    <name value="Denominator"/>
    <use value="out"/>
    <min value="0"/>
    <max value="1"/>
    <type value="boolean"/>
  </parameter>
  <parameter>
    <name value="Numerator"/>
    <use value="out"/>
    <min value="0"/>
    <max value="1"/>
    <type value="boolean"/>
  </parameter>
  <parameter>
    <name value="Stratification 1"/>
    <use value="out"/>
    <min value="0"/>
    <max value="1"/>
    <type value="string"/>
  </parameter>
  <parameter>
    <name value="Stratification 2"/>
    <use value="out"/>
    <min value="0"/>
    <max value="1"/>
    <type value="Coding"/>
  </parameter>
  <parameter>
    <name value="Stratification 3"/>
    <use value="out"/>
    <min value="0"/>
    <max value="1"/>
    <type value="Coding"/>
  </parameter>
  <parameter>
    <name value="Stratification 4"/>
    <use value="out"/>
    <min value="0"/>
    <max value="1"/>
    <type value="Coding"/>
  </parameter>
  <content>
    <contentType value="text/cql"/>
    <data
          value="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"/>
  </content>
</Library>