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 |
<Library xmlns="http://hl7.org/fhir">
<id value="IMMZIND37Logic"/>
<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;">IMMZIND37Logic</td>
</tr>
<tr>
<th scope="row"><b>Id: </b></th>
<td style="padding-left: 4px;">IMMZIND37Logic</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-IMMZIND37Logic.html">IMMZIND37Logic</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.37 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>
</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.37 Logic
* Drop-out rate from the 1st dose of measles and rubella-containing vaccine to the 2nd dose
* The percentage in the target population who received a 1st dose of measles and rubella-containing vaccine in the primary series but have not received the 2nd dose of measles and rubella-containing vaccine in the primary series (i.e. are past due for measles and rubella-containing vaccine 2nd dose) during the reporting period
*
* Numerator: Number of clients who received a 1st dose of measles and rubella-containing vaccine during the reporting period who should have received the 2nd dose of measles and rubella-containing vaccine during the reporting period but did not receive it
* Numerator Computation: (COUNT of clients with an immunization event WHERE "Vaccine type"" = "Measles and rubella-containing vaccines" for the 1st dose in the primary series AND "Date and time of vaccination" is during the reporting period) - (COUNT of clients with an immunization event WHERE "Vaccine type"" = "Measles and rubella-containing vaccines" for the 2nd dose in the primary series AND "Date and time of vaccination" is during the reporting period)
* Denominator: Number of clients in the target population who received dose 1 of measles and rubella-containing vaccine during the reporting period
* Denominator Computation: COUNT clients with an immunization event WHERE "Vaccine type" = "Measles and rubella-containing vaccines" for a 1st dose in the primary series AND "Date and time of vaccination" is during the reporting period
*
* Disaggregation
* - Administrative area
* - Sex
* - Age in years
* - Age group (depending on schedule)
*
* References: WHO Immunization facility analysis guide (5)
*
* Annotations: –
*/
library IMMZIND37Logic
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
parameter "Measurement Period" Interval<Date> default Interval[@2025-01-01, @2025-12-31]
context Patient
/*
* As defined by Member State
*/
define "Initial Population":
true
/*
@denominator: Number of clients in the target population who received dose 1 of measles and rubella-containing vaccine during the reporting period
@pseudocode: COUNT clients with an immunization event WHERE "Vaccine type" = "Measles and rubella-containing vaccines" for a 1st dose in the primary series AND "Date and time of vaccination" is during the reporting period
@note: Updated to include those who have received the first dose and are due for the second during the measurement period
*/
define "Denominator":
exists( Elements."Measles and Rubella Doses Administered to Patient".getDose('1') )
and Patient.birthDate + 15 months during "Measurement Period"
/*
@numerator: Number of clients who received a 1st dose of measles and rubella-containing vaccine during the reporting period who should have received the 2nd dose of measles and rubella-containing vaccine during the reporting period but did not receive it
@pseudocode: (COUNT of clients with an immunization event WHERE "Vaccine type"" = "Measles and rubella-containing vaccines" for the 1st dose in the primary series AND "Date and time of vaccination" is during the reporting period) - (COUNT of clients with an immunization event WHERE "Vaccine type"" = "Measles and rubella-containing vaccines" for the 2nd dose in the primary series AND "Date and time of vaccination" is during the reporting period)
@note: Only include those from the denominator that did not receive a measles/rubella 2nd dose during the measurement period.
Those where the 2nd dose due date is during the period but have not received the 2nd dose.
*/
define "Numerator":
"Denominator"
and not exists( Elements."Measles and Rubella Doses Administered to Patient During Measurement Period".getDose('2') )
/*
@disaggregation: Administrative area
Sex
Age in years
Age group (depending on schedule)
*/
define "Stratification 1":
Elements."By Geographic Region Stratifier"
define "Stratification 2":
Elements."By Administrative Gender Stratifier"
define "Stratification 3":
Elements."Age Stratifier"
define "Stratification 4":
Elements."Toddler By Age Stratifier"
</code></pre></td></tr>
</table>
</td>
</tr>
</table>
</div>
</div>
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url="http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability">
<valueCode value="computable"/>
</extension>
<url value="http://smart.who.int/immunizations/Library/IMMZIND37Logic"/>
<version value="1.0.0"/>
<name value="IMMZIND37Logic"/>
<title value="IMMZIND37Logic"/>
<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.37 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>
<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>
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<contentType value="text/cql"/>
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"/>
</content>
</Library>