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

Library: IMMZIND23Logic

Official URL: http://smart.who.int/immunizations/Library/IMMZIND23Logic Version: 0.2.0
Draft as of 2025-09-17 Computable Name: IMMZIND23Logic

This library defines population criteria logic for the IMMZ.IND.23 indicator in the Immunization CPG

Title: IMMZIND23Logic
Id: IMMZIND23Logic
Version: 0.2.0
Url: IMMZIND23Logic
Status: draft
Type:

system: http://terminology.hl7.org/CodeSystem/library-type

code: logic-library

Date: 2025-09-17 23:03:28+0000
Publisher: WHO
Description:

This library defines population criteria logic for the IMMZ.IND.23 indicator in the Immunization CPG

Related Artifacts:

Dependencies

Parameters:
NameTypeMinMaxIn/Out
Measurement PeriodPeriod01In
PatientPatient01Out
Initial Populationboolean01Out
Denominatorboolean01Out
Numeratorboolean01Out
Stratification 1string01Out
Stratification 2Coding01Out
Stratification 3Coding01Out
Stratification 4Coding01Out
Content: text/cql
/*
 * Library: IMMZ.IND.23 Logic
 * Immunization coverage for tetanus and diphtheria-containing vaccines (DT), 4th dose
 * The percentage in the target population who have received a 4th dose of a tetanus and diphtheria-containing vaccine (DT) during the reporting period
 * 
 * Numerator: Number of tetanus and diphtheria-containing vaccine doses (4th dose) administered through routine services during the reporting period
 * Numerator Computation: COUNT of immunization events WHERE "Vaccine type" = "Tetanus and diphtheria-containing vaccines (DT)" for the 4th dose in the primary series AND "Date and time of vaccination" 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 IMMZIND23Logic

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 "Measurement Period" Interval<Date> default Interval[@2020-01-01, @2025-12-31]

context Patient

/*
 * As defined by Member State
 */
define "Initial Population":
  true

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

/*
@numerator: Number of tetanus and diphtheria-containing vaccine doses (4th dose) administered through routine services during the reporting period
@pseudocode: COUNT of immunization events WHERE "Vaccine type" = "Tetanus and diphtheria-containing vaccines (DT)" for the 4th dose in the primary series AND "Date and time of vaccination" is during the reporting period
*/
define "Numerator":
  Coalesce( DTP."Td Doses Administered to Patient".sortedIndex(3).occurrence.toInterval() starts during "Measurement Period",
    false )

/*
@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."Child By Age Stratifier"
Content: application/elm+xml
Encoded data (23128 characters)