WHO Immunization Implementation Guide
0.2.0 - ci-build
WHO Immunization Implementation Guide, published by WHO. This guide is not an authorized publication; it is the continuous build for version 0.2.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/WorldHealthOrganization/smart-immunizations/ and changes regularly. See the Directory of published versions
| Active as of 2025-08-08 |
{
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"id" : "IMMZ.I",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem IMMZ.I</b></p><a name=\"IMMZ.I\"> </a><a name=\"hcIMMZ.I\"> </a><p>This case-insensitive code system <code>http://smart.who.int/immunizations/CodeSystem/IMMZ.I</code> defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style=\"white-space:nowrap\">DE40<a name=\"IMMZ.I-DE40\"> </a></td><td>Number of doses per vial</td><td>The number of doses contained within a vial</td></tr><tr><td style=\"white-space:nowrap\">DE41<a name=\"IMMZ.I-DE41\"> </a></td><td>Initial balance</td><td>The initial quantity of vials in stock at the beginning of a specific reporting period</td></tr><tr><td style=\"white-space:nowrap\">DE42<a name=\"IMMZ.I-DE42\"> </a></td><td>Closing balance</td><td>The quantity of vials in stock at the end of a specific reporting period</td></tr><tr><td style=\"white-space:nowrap\">DE43<a name=\"IMMZ.I-DE43\"> </a></td><td>Administered doses</td><td>The quantity of vials that have been administered to clients during a specified time frame</td></tr><tr><td style=\"white-space:nowrap\">DE44<a name=\"IMMZ.I-DE44\"> </a></td><td>Stock opened</td><td>The quantity of vials that were opened during a specific period</td></tr><tr><td style=\"white-space:nowrap\">DE45<a name=\"IMMZ.I-DE45\"> </a></td><td>Stock received</td><td>The quantity of vials that have been received from external sources, such as suppliers, during a specific period</td></tr><tr><td style=\"white-space:nowrap\">DE46<a name=\"IMMZ.I-DE46\"> </a></td><td>Physical count adjustment</td><td>An adjustment made to the stock level to correct discrepancies between the recorded inventory and the actual physical count, which may be necessary owing to errors, theft or other discrepancies</td></tr><tr><td style=\"white-space:nowrap\">DE47<a name=\"IMMZ.I-DE47\"> </a></td><td>Closed stock discarded</td><td>The quantity of vials that were not opened and have been wasted or discarded, owing to expiration or other reasons, during a specific period</td></tr><tr><td style=\"white-space:nowrap\">DE48<a name=\"IMMZ.I-DE48\"> </a></td><td>Closed stock discarded type</td><td>Specific reason for the disposal of vaccine</td></tr><tr><td style=\"white-space:nowrap\">DE49<a name=\"IMMZ.I-DE49\"> </a></td><td>Broken/damaged</td><td>The vaccine is physically damaged or broken, rendering it unsuitable for use</td></tr><tr><td style=\"white-space:nowrap\">DE50<a name=\"IMMZ.I-DE50\"> </a></td><td>Expired product</td><td>The vaccine has reached its expiration date and is no longer safe or effective for use</td></tr><tr><td style=\"white-space:nowrap\">DE51<a name=\"IMMZ.I-DE51\"> </a></td><td>Cold storage malfunction</td><td>There has been a malfunction or failure in the cold storage equipment, which has led to the degradation of the vaccine</td></tr><tr><td style=\"white-space:nowrap\">DE52<a name=\"IMMZ.I-DE52\"> </a></td><td>Vaccine vial monitor status change</td><td>The vaccine vial monitor has indicated a change in status, possibly indicating that the vaccines may no longer be viable</td></tr><tr><td style=\"white-space:nowrap\">DE53<a name=\"IMMZ.I-DE53\"> </a></td><td>Frozen</td><td>The vaccine has been exposed to freezing temperatures, making it unsuitable for use as freezing can affect the integrity and efficacy of certain immunization products</td></tr><tr><td style=\"white-space:nowrap\">DE18<a name=\"IMMZ.I-DE18\"> </a></td><td>Report subject area</td><td>Location (vaccination location or place) for which the data in the report are being represented</td></tr><tr><td style=\"white-space:nowrap\">DE20<a name=\"IMMZ.I-DE20\"> </a></td><td>Reporting period start date</td><td>The start date of the reporting period for which data in the report have been included</td></tr><tr><td style=\"white-space:nowrap\">DE21<a name=\"IMMZ.I-DE21\"> </a></td><td>Reporting period end date</td><td>The end date of the reporting period for which data in the report have been included</td></tr><tr><td style=\"white-space:nowrap\">DE30<a name=\"IMMZ.I-DE30\"> </a></td><td>Disaggregation group</td><td>Indicates the overall strata or disaggregation represented in the report (e.g. by gender, by region, by age group, etc.)</td></tr><tr><td style=\"white-space:nowrap\">DE31<a name=\"IMMZ.I-DE31\"> </a></td><td>By-Sex</td><td>A disaggregation grouped by the indicator population's sex values</td></tr><tr><td style=\"white-space:nowrap\">DE32<a name=\"IMMZ.I-DE32\"> </a></td><td>By-Administrative Area</td><td>A disaggregation grouped by the indicator population's administrative regions/areas</td></tr><tr><td style=\"white-space:nowrap\">DE33<a name=\"IMMZ.I-DE33\"> </a></td><td>By-Age group</td><td>A disaggregation grouped by the indicator population's age groups</td></tr><tr><td style=\"white-space:nowrap\">DE34<a name=\"IMMZ.I-DE34\"> </a></td><td>By-Dose number</td><td>A disaggregation grouped by the indicator population's dose numbers for a specific vaccine</td></tr><tr><td style=\"white-space:nowrap\">DE35<a name=\"IMMZ.I-DE35\"> </a></td><td>By-Vaccine type</td><td>A disaggregation grouped by the indicator population's vaccine types</td></tr><tr><td style=\"white-space:nowrap\">DE36<a name=\"IMMZ.I-DE36\"> </a></td><td>By-Vaccine manufacturer</td><td>A disaggregation grouped by the indicator population's vaccine manufacturers for a specific vaccine</td></tr><tr><td style=\"white-space:nowrap\">DE37<a name=\"IMMZ.I-DE37\"> </a></td><td>By-Reaction manifestation</td><td>A disaggregation grouped by the indicator population's reaction manifestations for a specific vaccine</td></tr><tr><td style=\"white-space:nowrap\">DE39<a name=\"IMMZ.I-DE39\"> </a></td><td>By-Type of reaction</td><td>A disaggregation grouped by the indicator population's type of reaction for a specific vaccine</td></tr><tr><td style=\"white-space:nowrap\">DE54<a name=\"IMMZ.I-DE54\"> </a></td><td>By-Risk and occupational group</td><td>A disaggregation grouped by the indicator population's risk and occupational group</td></tr></table></div>"
},
"url" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.I",
"version" : "0.2.0",
"name" : "IMMZ_I",
"title" : "IMMZ.I CodeSystem for Data Elements",
"status" : "active",
"experimental" : false,
"date" : "2025-08-08T19:12:11+00:00",
"publisher" : "WHO",
"contact" : [
{
"name" : "WHO",
"telecom" : [
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"system" : "url",
"value" : "http://who.int"
}
]
}
],
"description" : "CodeSystem for IMMZ.I Data Elements",
"caseSensitive" : false,
"content" : "complete",
"count" : 27,
"concept" : [
{
"code" : "DE40",
"display" : "Number of doses per vial",
"definition" : "The number of doses contained within a vial"
},
{
"code" : "DE41",
"display" : "Initial balance",
"definition" : "The initial quantity of vials in stock at the beginning of a specific reporting period"
},
{
"code" : "DE42",
"display" : "Closing balance",
"definition" : "The quantity of vials in stock at the end of a specific reporting period"
},
{
"code" : "DE43",
"display" : "Administered doses",
"definition" : "The quantity of vials that have been administered to clients during a specified time frame"
},
{
"code" : "DE44",
"display" : "Stock opened",
"definition" : "The quantity of vials that were opened during a specific period"
},
{
"code" : "DE45",
"display" : "Stock received",
"definition" : "The quantity of vials that have been received from external sources, such as suppliers, during a specific period"
},
{
"code" : "DE46",
"display" : "Physical count adjustment",
"definition" : "An adjustment made to the stock level to correct discrepancies between the recorded inventory and the actual physical count, which may be necessary owing to errors, theft or other discrepancies"
},
{
"code" : "DE47",
"display" : "Closed stock discarded",
"definition" : "The quantity of vials that were not opened and have been wasted or discarded, owing to expiration or other reasons, during a specific period"
},
{
"code" : "DE48",
"display" : "Closed stock discarded type",
"definition" : "Specific reason for the disposal of vaccine"
},
{
"code" : "DE49",
"display" : "Broken/damaged",
"definition" : "The vaccine is physically damaged or broken, rendering it unsuitable for use"
},
{
"code" : "DE50",
"display" : "Expired product",
"definition" : "The vaccine has reached its expiration date and is no longer safe or effective for use"
},
{
"code" : "DE51",
"display" : "Cold storage malfunction",
"definition" : "There has been a malfunction or failure in the cold storage equipment, which has led to the degradation of the vaccine"
},
{
"code" : "DE52",
"display" : "Vaccine vial monitor status change",
"definition" : "The vaccine vial monitor has indicated a change in status, possibly indicating that the vaccines may no longer be viable"
},
{
"code" : "DE53",
"display" : "Frozen",
"definition" : "The vaccine has been exposed to freezing temperatures, making it unsuitable for use as freezing can affect the integrity and efficacy of certain immunization products"
},
{
"code" : "DE18",
"display" : "Report subject area",
"definition" : "Location (vaccination location or place) for which the data in the report are being represented"
},
{
"code" : "DE20",
"display" : "Reporting period start date",
"definition" : "The start date of the reporting period for which data in the report have been included"
},
{
"code" : "DE21",
"display" : "Reporting period end date",
"definition" : "The end date of the reporting period for which data in the report have been included"
},
{
"code" : "DE30",
"display" : "Disaggregation group",
"definition" : "Indicates the overall strata or disaggregation represented in the report (e.g. by gender, by region, by age group, etc.)"
},
{
"code" : "DE31",
"display" : "By-Sex",
"definition" : "A disaggregation grouped by the indicator population's sex values"
},
{
"code" : "DE32",
"display" : "By-Administrative Area",
"definition" : "A disaggregation grouped by the indicator population's administrative regions/areas"
},
{
"code" : "DE33",
"display" : "By-Age group",
"definition" : "A disaggregation grouped by the indicator population's age groups"
},
{
"code" : "DE34",
"display" : "By-Dose number",
"definition" : "A disaggregation grouped by the indicator population's dose numbers for a specific vaccine"
},
{
"code" : "DE35",
"display" : "By-Vaccine type",
"definition" : "A disaggregation grouped by the indicator population's vaccine types"
},
{
"code" : "DE36",
"display" : "By-Vaccine manufacturer",
"definition" : "A disaggregation grouped by the indicator population's vaccine manufacturers for a specific vaccine"
},
{
"code" : "DE37",
"display" : "By-Reaction manifestation",
"definition" : "A disaggregation grouped by the indicator population's reaction manifestations for a specific vaccine"
},
{
"code" : "DE39",
"display" : "By-Type of reaction",
"definition" : "A disaggregation grouped by the indicator population's type of reaction for a specific vaccine"
},
{
"code" : "DE54",
"display" : "By-Risk and occupational group",
"definition" : "A disaggregation grouped by the indicator population's risk and occupational group"
}
]
}