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

: IMMZ.I CodeSystem for Data Elements - TTL Representation

Active as of 2025-08-08

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@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:CodeSystem ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "IMMZ.I"] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir: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>"^^rdf:XMLLiteral
  ] ; # 
  fhir:url [ fhir:v "http://smart.who.int/immunizations/CodeSystem/IMMZ.I"^^xsd:anyURI] ; # 
  fhir:version [ fhir:v "0.2.0"] ; # 
  fhir:name [ fhir:v "IMMZ_I"] ; # 
  fhir:title [ fhir:v "IMMZ.I CodeSystem for Data Elements"] ; # 
  fhir:status [ fhir:v "active"] ; # 
  fhir:experimental [ fhir:v false] ; # 
  fhir:date [ fhir:v "2025-08-08T19:12:11+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 "CodeSystem for IMMZ.I Data Elements"] ; # 
  fhir:caseSensitive [ fhir:v false] ; # 
  fhir:content [ fhir:v "complete"] ; # 
  fhir:count [ fhir:v "27"^^xsd:nonNegativeInteger] ; # 
  fhir:concept ( [
fhir:code [ fhir:v "DE40" ] ;
fhir:display [ fhir:v "Number of doses per vial" ] ;
fhir:definition [ fhir:v "The number of doses contained within a vial" ]
  ] [
fhir:code [ fhir:v "DE41" ] ;
fhir:display [ fhir:v "Initial balance" ] ;
fhir:definition [ fhir:v "The initial quantity of vials in stock at the beginning of a specific reporting period" ]
  ] [
fhir:code [ fhir:v "DE42" ] ;
fhir:display [ fhir:v "Closing balance" ] ;
fhir:definition [ fhir:v "The quantity of vials in stock at the end of a specific reporting period" ]
  ] [
fhir:code [ fhir:v "DE43" ] ;
fhir:display [ fhir:v "Administered doses" ] ;
fhir:definition [ fhir:v "The quantity of vials that have been administered to clients during a specified time frame" ]
  ] [
fhir:code [ fhir:v "DE44" ] ;
fhir:display [ fhir:v "Stock opened" ] ;
fhir:definition [ fhir:v "The quantity of vials that were opened during a specific period" ]
  ] [
fhir:code [ fhir:v "DE45" ] ;
fhir:display [ fhir:v "Stock received" ] ;
fhir:definition [ fhir:v "The quantity of vials that have been received from external sources, such as suppliers, during a specific period" ]
  ] [
fhir:code [ fhir:v "DE46" ] ;
fhir:display [ fhir:v "Physical count adjustment" ] ;
fhir:definition [ fhir:v "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" ]
  ] [
fhir:code [ fhir:v "DE47" ] ;
fhir:display [ fhir:v "Closed stock discarded" ] ;
fhir:definition [ fhir:v "The quantity of vials that were not opened and have been wasted or discarded, owing to expiration or other reasons, during a specific period" ]
  ] [
fhir:code [ fhir:v "DE48" ] ;
fhir:display [ fhir:v "Closed stock discarded type" ] ;
fhir:definition [ fhir:v "Specific reason for the disposal of vaccine" ]
  ] [
fhir:code [ fhir:v "DE49" ] ;
fhir:display [ fhir:v "Broken/damaged" ] ;
fhir:definition [ fhir:v "The vaccine is physically damaged or broken, rendering it unsuitable for use" ]
  ] [
fhir:code [ fhir:v "DE50" ] ;
fhir:display [ fhir:v "Expired product" ] ;
fhir:definition [ fhir:v "The vaccine has reached its expiration date and is no longer safe or effective for use" ]
  ] [
fhir:code [ fhir:v "DE51" ] ;
fhir:display [ fhir:v "Cold storage malfunction" ] ;
fhir:definition [ fhir:v "There has been a malfunction or failure in the cold storage equipment, which has led to the degradation of the vaccine" ]
  ] [
fhir:code [ fhir:v "DE52" ] ;
fhir:display [ fhir:v "Vaccine vial monitor status change" ] ;
fhir:definition [ fhir:v "The vaccine vial monitor has indicated a change in status, possibly indicating that the vaccines may no longer be viable" ]
  ] [
fhir:code [ fhir:v "DE53" ] ;
fhir:display [ fhir:v "Frozen" ] ;
fhir:definition [ fhir:v "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" ]
  ] [
fhir:code [ fhir:v "DE18" ] ;
fhir:display [ fhir:v "Report subject area" ] ;
fhir:definition [ fhir:v "Location (vaccination location or place) for which the data in the report are being represented" ]
  ] [
fhir:code [ fhir:v "DE20" ] ;
fhir:display [ fhir:v "Reporting period start date" ] ;
fhir:definition [ fhir:v "The start date of the reporting period for which data in the report have been included" ]
  ] [
fhir:code [ fhir:v "DE21" ] ;
fhir:display [ fhir:v "Reporting period end date" ] ;
fhir:definition [ fhir:v "The end date of the reporting period for which data in the report have been included" ]
  ] [
fhir:code [ fhir:v "DE30" ] ;
fhir:display [ fhir:v "Disaggregation group" ] ;
fhir:definition [ fhir:v "Indicates the overall strata or disaggregation represented in the report (e.g. by gender, by region, by age group, etc.)" ]
  ] [
fhir:code [ fhir:v "DE31" ] ;
fhir:display [ fhir:v "By-Sex" ] ;
fhir:definition [ fhir:v "A disaggregation grouped by the indicator population's sex values" ]
  ] [
fhir:code [ fhir:v "DE32" ] ;
fhir:display [ fhir:v "By-Administrative Area" ] ;
fhir:definition [ fhir:v "A disaggregation grouped by the indicator population's administrative regions/areas" ]
  ] [
fhir:code [ fhir:v "DE33" ] ;
fhir:display [ fhir:v "By-Age group" ] ;
fhir:definition [ fhir:v "A disaggregation grouped by the indicator population's age groups" ]
  ] [
fhir:code [ fhir:v "DE34" ] ;
fhir:display [ fhir:v "By-Dose number" ] ;
fhir:definition [ fhir:v "A disaggregation grouped by the indicator population's dose numbers for a specific vaccine" ]
  ] [
fhir:code [ fhir:v "DE35" ] ;
fhir:display [ fhir:v "By-Vaccine type" ] ;
fhir:definition [ fhir:v "A disaggregation grouped by the indicator population's vaccine types" ]
  ] [
fhir:code [ fhir:v "DE36" ] ;
fhir:display [ fhir:v "By-Vaccine manufacturer" ] ;
fhir:definition [ fhir:v "A disaggregation grouped by the indicator population's vaccine manufacturers for a specific vaccine" ]
  ] [
fhir:code [ fhir:v "DE37" ] ;
fhir:display [ fhir:v "By-Reaction manifestation" ] ;
fhir:definition [ fhir:v "A disaggregation grouped by the indicator population's reaction manifestations for a specific vaccine" ]
  ] [
fhir:code [ fhir:v "DE39" ] ;
fhir:display [ fhir:v "By-Type of reaction" ] ;
fhir:definition [ fhir:v "A disaggregation grouped by the indicator population's type of reaction for a specific vaccine" ]
  ] [
fhir:code [ fhir:v "DE54" ] ;
fhir:display [ fhir:v "By-Risk and occupational group" ] ;
fhir:definition [ fhir:v "A disaggregation grouped by the indicator population's risk and occupational group" ]
  ] ) . #