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 value="IMMZ.I"/>
<text>
<status value="generated"/>
<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>
</text>
<url value="http://smart.who.int/immunizations/CodeSystem/IMMZ.I"/>
<version value="0.2.0"/>
<name value="IMMZ_I"/>
<title value="IMMZ.I CodeSystem for Data Elements"/>
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<experimental value="false"/>
<date value="2025-08-08T19:12:11+00:00"/>
<publisher value="WHO"/>
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<name value="WHO"/>
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<description value="CodeSystem for IMMZ.I Data Elements"/>
<caseSensitive value="false"/>
<content value="complete"/>
<count value="27"/>
<concept>
<code value="DE40"/>
<display value="Number of doses per vial"/>
<definition value="The number of doses contained within a vial"/>
</concept>
<concept>
<code value="DE41"/>
<display value="Initial balance"/>
<definition
value="The initial quantity of vials in stock at the beginning of a specific reporting period"/>
</concept>
<concept>
<code value="DE42"/>
<display value="Closing balance"/>
<definition
value="The quantity of vials in stock at the end of a specific reporting period"/>
</concept>
<concept>
<code value="DE43"/>
<display value="Administered doses"/>
<definition
value="The quantity of vials that have been administered to clients during a specified time frame"/>
</concept>
<concept>
<code value="DE44"/>
<display value="Stock opened"/>
<definition
value="The quantity of vials that were opened during a specific period"/>
</concept>
<concept>
<code value="DE45"/>
<display value="Stock received"/>
<definition
value="The quantity of vials that have been received from external sources, such as suppliers, during a specific period"/>
</concept>
<concept>
<code value="DE46"/>
<display value="Physical count adjustment"/>
<definition
value="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"/>
</concept>
<concept>
<code value="DE47"/>
<display value="Closed stock discarded"/>
<definition
value="The quantity of vials that were not opened and have been wasted or discarded, owing to expiration or other reasons, during a specific period"/>
</concept>
<concept>
<code value="DE48"/>
<display value="Closed stock discarded type"/>
<definition value="Specific reason for the disposal of vaccine"/>
</concept>
<concept>
<code value="DE49"/>
<display value="Broken/damaged"/>
<definition
value="The vaccine is physically damaged or broken, rendering it unsuitable for use"/>
</concept>
<concept>
<code value="DE50"/>
<display value="Expired product"/>
<definition
value="The vaccine has reached its expiration date and is no longer safe or effective for use"/>
</concept>
<concept>
<code value="DE51"/>
<display value="Cold storage malfunction"/>
<definition
value="There has been a malfunction or failure in the cold storage equipment, which has led to the degradation of the vaccine"/>
</concept>
<concept>
<code value="DE52"/>
<display value="Vaccine vial monitor status change"/>
<definition
value="The vaccine vial monitor has indicated a change in status, possibly indicating that the vaccines may no longer be viable"/>
</concept>
<concept>
<code value="DE53"/>
<display value="Frozen"/>
<definition
value="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"/>
</concept>
<concept>
<code value="DE18"/>
<display value="Report subject area"/>
<definition
value="Location (vaccination location or place) for which the data in the report are being represented"/>
</concept>
<concept>
<code value="DE20"/>
<display value="Reporting period start date"/>
<definition
value="The start date of the reporting period for which data in the report have been included"/>
</concept>
<concept>
<code value="DE21"/>
<display value="Reporting period end date"/>
<definition
value="The end date of the reporting period for which data in the report have been included"/>
</concept>
<concept>
<code value="DE30"/>
<display value="Disaggregation group"/>
<definition
value="Indicates the overall strata or disaggregation represented in the report (e.g. by gender, by region, by age group, etc.)"/>
</concept>
<concept>
<code value="DE31"/>
<display value="By-Sex"/>
<definition
value="A disaggregation grouped by the indicator population's sex values"/>
</concept>
<concept>
<code value="DE32"/>
<display value="By-Administrative Area"/>
<definition
value="A disaggregation grouped by the indicator population's administrative regions/areas"/>
</concept>
<concept>
<code value="DE33"/>
<display value="By-Age group"/>
<definition
value="A disaggregation grouped by the indicator population's age groups"/>
</concept>
<concept>
<code value="DE34"/>
<display value="By-Dose number"/>
<definition
value="A disaggregation grouped by the indicator population's dose numbers for a specific vaccine"/>
</concept>
<concept>
<code value="DE35"/>
<display value="By-Vaccine type"/>
<definition
value="A disaggregation grouped by the indicator population's vaccine types"/>
</concept>
<concept>
<code value="DE36"/>
<display value="By-Vaccine manufacturer"/>
<definition
value="A disaggregation grouped by the indicator population's vaccine manufacturers for a specific vaccine"/>
</concept>
<concept>
<code value="DE37"/>
<display value="By-Reaction manifestation"/>
<definition
value="A disaggregation grouped by the indicator population's reaction manifestations for a specific vaccine"/>
</concept>
<concept>
<code value="DE39"/>
<display value="By-Type of reaction"/>
<definition
value="A disaggregation grouped by the indicator population's type of reaction for a specific vaccine"/>
</concept>
<concept>
<code value="DE54"/>
<display value="By-Risk and occupational group"/>
<definition
value="A disaggregation grouped by the indicator population's risk and occupational group"/>
</concept>
</CodeSystem>