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

: IMMZIND44 - TTL Representation

Draft as of 2025-06-11

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

<http://hl7.org/fhir/Measure/IMMZIND44> a fhir:Measure ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "IMMZIND44"] ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/proportion-measure-cqfm" ;
       fhir:index 0 ;
       fhir:link <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/proportion-measure-cqfm>
     ]
  ] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "extensions" ] ;
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n  <table class=\"narrative-table\">\n    <tbody>\n<tr>\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\">Knowledge Artifact Metadata</th>\n\n</tr>\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Name (machine-readable)</th>\n\n<td class=\"content-container\">IMMZIND44</td>\n</tr>\n\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Title (human-readable)</th>\n\n<td class=\"content-container\">IMMZIND44</td>\n</tr>\n\n\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Status</th>\n\n<td class=\"content-container\">Draft</td>\n</tr>\n\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Experimental</th>\n\n<td class=\"content-container\">false</td>\n</tr>\n\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Description</th>\n\n<td class=\"content-container\"><div><p>IMMZ.IND.44 Adverse event following immunization (AEFI) cases</p>\n</div></td>\n</tr>\n\n\n\n\n\n\n\n\n\n\n\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Measure Steward</th>\n\n<td class=\"content-container\">WHO</td>\n</tr>\n\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Steward Contact Details</th>\n\n<td class=\"content-container\">WHO: <a href=\"http://who.int\">http://who.int</a></td>\n</tr>\n\n\n\n\n\n\n\n\n\n\n\n<tr>\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\">Measure Metadata</th>\n\n</tr>\n\n\n\n\n\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Version Number</th>\n\n<td class=\"content-container\">0.2.0</td>\n</tr>\n\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Measure Scoring</th>\n\n<td class=\"content-container\"><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-scoring proportion}\">Proportion</span></td>\n</tr>\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n  \n    <tr>\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\">Measure Population Criteria</th>\n\n</tr>\n  \n  \n  \n  \n    <tr>\n      \n        \n<th scope=\"row\" class=\"row-header\">Initial Population</th>\n\n      \n      <td class=\"content-container\">\n        \n        <em>ID</em>: IMMZ.IND.44.IP\n        <br/>\n        \n        \n          <em>Description</em>:\n          <p style=\"white-space: pre-line\" class=\"tab-one\">Initial Population</p>\n        \n        \n          \n            \n            <em>Logic Definition</em>: <a href=\"#immzind44logic-initial-population\">Initial Population</a> \n          \n        \n      </td>\n    </tr>\n  \n\n  \n    <tr>\n      \n        \n<th scope=\"row\" class=\"row-header\">Denominator</th>\n\n      \n      <td class=\"content-container\">\n        \n        <em>ID</em>: IMMZ.IND.44.D\n        <br/>\n        \n        \n          <em>Description</em>:\n          <p style=\"white-space: pre-line\" class=\"tab-one\">Denominator</p>\n        \n        \n          \n            \n            <em>Logic Definition</em>: <a href=\"#immzind44logic-denominator\">Denominator</a> \n          \n        \n      </td>\n    </tr>\n  \n\n  \n    <tr>\n      \n        \n<th scope=\"row\" class=\"row-header\">Numerator</th>\n\n      \n      <td class=\"content-container\">\n        \n        <em>ID</em>: IMMZ.IND.44.N\n        <br/>\n        \n        \n          <em>Description</em>:\n          <p style=\"white-space: pre-line\" class=\"tab-one\">Numerator</p>\n        \n        \n          \n            \n            <em>Logic Definition</em>: <a href=\"#immzind44logic-numerator\">Numerator</a> \n          \n        \n      </td>\n    </tr>\n  \n\n  \n<tr>\n  \n<th scope=\"row\" class=\"row-header\">Stratifier</th>\n\n  <td class=\"content-container\">\n    \n      <em>ID</em>: IMMZ.IND.44.S1\n      \n        <br/>\n      \n    \n    \n      \n        <em>Code</em>: By-Administrative Area\n      \n      \n    \n    \n  </td>\n</tr>\n\n<tr>\n  \n<th scope=\"row\" class=\"row-header\">Stratifier</th>\n\n  <td class=\"content-container\">\n    \n      <em>ID</em>: IMMZ.IND.44.S2\n      \n        <br/>\n      \n    \n    \n      \n        <em>Code</em>: By-Sex\n      \n      \n    \n    \n  </td>\n</tr>\n\n<tr>\n  \n<th scope=\"row\" class=\"row-header\">Stratifier</th>\n\n  <td class=\"content-container\">\n    \n      <em>ID</em>: IMMZ.IND.44.S3\n      \n        <br/>\n      \n    \n    \n      \n        <em>Code</em>: By-Age group\n      \n      \n    \n    \n  </td>\n</tr>\n\n<tr>\n  \n<th scope=\"row\" class=\"row-header\">Stratifier</th>\n\n  <td class=\"content-container\">\n    \n      <em>ID</em>: IMMZ.IND.44.S4\n      \n        <br/>\n      \n    \n    \n      \n        <em>Code</em>: By-Age group\n      \n      \n    \n    \n  </td>\n</tr>\n\n  \n  \n<tr>\n\n<th scope=\"row\" class=\"row-header\">Population Basis</th>\n\n<td class=\"content-container\">boolean</td>\n</tr>\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n<tr>\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\">Measure Logic</th>\n\n</tr>\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Primary Library</th>\n\n<td class=\"content-container\"><a href=\"Library-IMMZIND44Logic.html\">IMMZIND44Logic</a></td>\n</tr>\n\n\n\n\n  \n  \n\n<tr>\n  \n  \n  \n  \n  \n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n  \n  <td class=\"content-container\">\n    \n    <em>Description</em>: FHIR model information\n    \n    <br/>\n    \n    \n    \n    \n    \n    \n    <em>Resource</em>: <a href=\"http://fhir.org/guides/cqf/common/4.0.1/4.0.1/Library-FHIR-ModelInfo.html\">http://fhir.org/guides/cqf/common/Library/FHIR-ModelInfo|4.0.1</a>\n    <br/>\n    <em>Canonical URL</em>: <tt>http://fhir.org/guides/cqf/common/Library/FHIR-ModelInfo|4.0.1</tt>\n    \n  </td>\n</tr>\n\n<tr>\n  \n  \n  \n  \n  \n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n  \n  <td class=\"content-container\">\n    \n    <em>Description</em>: Library Elements\n    \n    <br/>\n    \n    \n    \n    \n    \n    \n    <em>Resource</em>: <code>http://smart.who.int/immunizations/Library/IMMZIndicatorElements</code>\n    <br/>\n    <em>Canonical URL</em>: <tt>http://smart.who.int/immunizations/Library/IMMZIndicatorElements</tt>\n    \n  </td>\n</tr>\n\n<tr>\n  \n  \n  \n  \n  \n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n  \n  <td class=\"content-container\">\n    \n    <em>Description</em>: Library FHIRHelpers\n    \n    <br/>\n    \n    \n    \n    \n    \n    \n    <em>Resource</em>: <a href=\"http://fhir.org/guides/cqf/common/4.0.1/4.0.1/Library-FHIRHelpers.html\">http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1</a>\n    <br/>\n    <em>Canonical URL</em>: <tt>http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1</tt>\n    \n  </td>\n</tr>\n\n<tr>\n  \n  \n  \n  \n  \n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n  \n  <td class=\"content-container\">\n    \n    <em>Description</em>: Library WC\n    \n    <br/>\n    \n    \n    \n    \n    \n    \n    <em>Resource</em>: <a href=\"Library-WHOCommon.html\">WHOCommon</a>\n    <br/>\n    <em>Canonical URL</em>: <tt>http://smart.who.int/immunizations/Library/WHOCommon</tt>\n    \n  </td>\n</tr>\n\n<tr>\n  \n  \n  \n  \n  \n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n  \n  <td class=\"content-container\">\n    \n    <em>Description</em>: Library FHIRHelpers\n    \n    <br/>\n    \n    \n    \n    \n    \n    \n    <em>Resource</em>: <a href=\"http://fhir.org/guides/cqf/common/4.0.1/4.0.1/Library-FHIRHelpers.html\">http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1</a>\n    <br/>\n    <em>Canonical URL</em>: <tt>http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1</tt>\n    \n  </td>\n</tr>\n\n\n  \n  \n  <tr>\n  \n<th scope=\"row\" class=\"row-header\">Parameter</th>\n\n  <td class=\"content-container\">\n    <em>Name</em>: Numerator\n    <br/>\n    <em>Use</em>: Out\n    <br/>\n    <em>Min Cardinality</em>: 0\n    <br/>\n    <em>Max Cardinality</em>: 1\n    <br/>\n    <em>Type</em>: boolean\n  </td>\n</tr>\n  \n  <tr>\n  \n<th scope=\"row\" class=\"row-header\">Parameter</th>\n\n  <td class=\"content-container\">\n    <em>Name</em>: Stratification 4\n    <br/>\n    <em>Use</em>: Out\n    <br/>\n    <em>Min Cardinality</em>: 0\n    <br/>\n    <em>Max Cardinality</em>: 1\n    <br/>\n    <em>Type</em>: string\n  </td>\n</tr>\n  \n  <tr>\n  \n<th scope=\"row\" class=\"row-header\">Parameter</th>\n\n  <td class=\"content-container\">\n    <em>Name</em>: Stratification 3\n    <br/>\n    <em>Use</em>: Out\n    <br/>\n    <em>Min Cardinality</em>: 0\n    <br/>\n    <em>Max Cardinality</em>: 1\n    <br/>\n    <em>Type</em>: Coding\n  </td>\n</tr>\n  \n  <tr>\n  \n<th scope=\"row\" class=\"row-header\">Parameter</th>\n\n  <td class=\"content-container\">\n    <em>Name</em>: Stratification 2\n    <br/>\n    <em>Use</em>: Out\n    <br/>\n    <em>Min Cardinality</em>: 0\n    <br/>\n    <em>Max Cardinality</em>: 1\n    <br/>\n    <em>Type</em>: Reference\n  </td>\n</tr>\n  \n  <tr>\n  \n<th scope=\"row\" class=\"row-header\">Parameter</th>\n\n  <td class=\"content-container\">\n    <em>Name</em>: Stratification 1\n    <br/>\n    <em>Use</em>: Out\n    <br/>\n    <em>Min Cardinality</em>: 0\n    <br/>\n    <em>Max Cardinality</em>: 1\n    <br/>\n    <em>Type</em>: Coding\n  </td>\n</tr>\n  \n  <tr>\n  \n<th scope=\"row\" class=\"row-header\">Parameter</th>\n\n  <td class=\"content-container\">\n    <em>Name</em>: Denominator\n    <br/>\n    <em>Use</em>: Out\n    <br/>\n    <em>Min Cardinality</em>: 0\n    <br/>\n    <em>Max Cardinality</em>: 1\n    <br/>\n    <em>Type</em>: boolean\n  </td>\n</tr>\n  \n  <tr>\n  \n<th scope=\"row\" class=\"row-header\">Parameter</th>\n\n  <td class=\"content-container\">\n    <em>Name</em>: Initial Population\n    <br/>\n    <em>Use</em>: Out\n    <br/>\n    <em>Min Cardinality</em>: 0\n    <br/>\n    <em>Max Cardinality</em>: 1\n    <br/>\n    <em>Type</em>: boolean\n  </td>\n</tr>\n  \n  \n  <tr>\n    <th colspan=\"2\" scope=\"row\" class=\"section-header\"><a name=\"effective-data-requirements\"> </a>Measure Logic Data Requirements</th>\n  </tr>\n  \n  \n<tr>\n  <th scope=\"row\" class=\"row-header\">Data Requirement</th>\n  <td class=\"content-container\">\n    <em>Type</em>: Location\n    <br/>\n  \n    <em>Profile(s)</em>: \n  \n    <a href=\"http://hl7.org/fhir/R4/location.html\">Location</a>\n    <br/>        \n  \n   \n   \n   \n  </td>\n</tr>\n\n<tr>\n  <th scope=\"row\" class=\"row-header\">Data Requirement</th>\n  <td class=\"content-container\">\n    <em>Type</em>: AdverseEvent\n    <br/>\n  \n    <em>Profile(s)</em>: \n  \n    <a href=\"http://hl7.org/fhir/R4/adverseevent.html\">AdverseEvent</a>\n    <br/>        \n  \n   \n   \n    <em>Must Support Elements</em>: actuality\n    <br/>\n   \n   \n  </td>\n</tr>\n\n<tr>\n  <th scope=\"row\" class=\"row-header\">Data Requirement</th>\n  <td class=\"content-container\">\n    <em>Type</em>: Immunization\n    <br/>\n  \n    <em>Profile(s)</em>: \n  \n    <a href=\"http://hl7.org/fhir/R4/immunization.html\">Immunization</a>\n    <br/>        \n  \n   \n   \n   \n  </td>\n</tr>\n\n  \n  <tr>\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\">Measure Logic Definitions</th>\n\n</tr>\n  \n          \n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    \n      \n      <a name=\"immzindicatorelements-adverse-events-for-immunization\"> </a>\n    \n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> IMMZIndicatorElements</td>\n\n</tr>\n<tr>\n\n  <td>\n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define \"Adverse Events for Immunization\":\n  [AdverseEvent] AE\n    where AE.actuality = 'actual'</code></pre>\n  </td>\n\n</tr>\n        \n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    \n      \n      <a name=\"immzind44logic-numerator\"> </a>\n    \n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> IMMZIND44Logic</td>\n\n</tr>\n<tr>\n\n  <td>\n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">/*\n@numerator: Number of AEFI cases during the reporting period\n@pseudocode: COUNT of immunization events WHERE \"Reaction reported\" is \"Yes\" AND \"Date and time of vaccination\" is during the reporting period\n*/\ndefine \"Numerator\":\n  exists Elements.\"Adverse Events for Immunization\"</code></pre>\n  </td>\n\n</tr>\n        \n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    \n      \n      <a name=\"immzind44logic-stratification-4\"> </a>\n    \n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> IMMZIND44Logic</td>\n\n</tr>\n<tr>\n\n  <td>\n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define \"Stratification 4\":\n  Elements.GetGeographicRegionForImmunization( Immunization )</code></pre>\n  </td>\n\n</tr>\n        \n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    \n      \n      <a name=\"immzind44logic-stratification-3\"> </a>\n    \n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> IMMZIND44Logic</td>\n\n</tr>\n<tr>\n\n  <td>\n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define \"Stratification 3\":\n  First( First (Elements.\"Adverse Events for Immunization\" ).seriousness.coding )</code></pre>\n  </td>\n\n</tr>\n        \n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    \n      \n      <a name=\"immzind44logic-stratification-2\"> </a>\n    \n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> IMMZIND44Logic</td>\n\n</tr>\n<tr>\n\n  <td>\n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define \"Stratification 2\":\n  Immunization.manufacturer</code></pre>\n  </td>\n\n</tr>\n        \n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    \n      \n      <a name=\"immzind44logic-stratification-1\"> </a>\n    \n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> IMMZIND44Logic</td>\n\n</tr>\n<tr>\n\n  <td>\n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">/*\n@disaggregation: Vaccine type: BCG, OPV, etc.\n                 Vaccine manufacturer\n                 Type of reaction: non-serious, disability, etc.\n                 Administrative area\n                 Reaction manifestation: rash, vomiting, etc.\n*/\ndefine \"Stratification 1\":\n  First( Immunization.vaccineCode.coding )</code></pre>\n  </td>\n\n</tr>\n        \n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    \n      \n      <a name=\"immzind44logic-denominator\"> </a>\n    \n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> IMMZIND44Logic</td>\n\n</tr>\n<tr>\n\n  <td>\n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">/*\n@denominator: Not applicable\n@pseudocode: Not applicable\n*/\ndefine \"Denominator\":\n  true</code></pre>\n  </td>\n\n</tr>\n        \n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    \n      \n      <a name=\"immzind44logic-initial-population\"> </a>\n    \n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> IMMZIND44Logic</td>\n\n</tr>\n<tr>\n\n  <td>\n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">/*\n * As defined by Member State\n */\ndefine \"Initial Population\":\n  true</code></pre>\n  </td>\n\n</tr>\n        \n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    \n      \n      <a name=\"fhirhelpers-tostring\"> </a>\n    \n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> FHIRHelpers</td>\n\n</tr>\n<tr>\n\n  <td>\n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define function ToString(value AdverseEventActuality): value.value</code></pre>\n  </td>\n\n</tr>\n        \n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    \n      \n      <a name=\"immzindicatorelements-getgeographicregionforimmunization\"> </a>\n    \n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> IMMZIndicatorElements</td>\n\n</tr>\n<tr>\n\n  <td>\n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">/** \n * @function\n * @param immunization The immunization record for which the location should be retrieved\n * @return FHIR.address The location that the immunization event occurred\n */\ndefine function GetGeographicRegionForImmunization(immunization Immunization):\n  (\n    [Location] L\n        where immunization.location.references(L)\n  ).only().address.state</code></pre>\n  </td>\n\n</tr>\n        \n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    \n      \n      <a name=\"whocommon-only\"> </a>\n    \n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> WHOCommon</td>\n\n</tr>\n<tr>\n\n  <td>\n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define fluent function only(locations List&lt;Location&gt;):\n  singleton from locations</code></pre>\n  </td>\n\n</tr>\n        \n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    \n      \n      <a name=\"whocommon-references\"> </a>\n    \n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> WHOCommon</td>\n\n</tr>\n<tr>\n\n  <td>\n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">/*\n@description: Returns true if the given reference is to the given resource\n@comment: Returns true if the `id` element of the given resource exactly equals the tail of the given reference.\nNOTE: This function assumes resources from the same source server.\n*/\ndefine fluent function references(reference FHIR.Reference, resource FHIR.Resource):\n  resource.id = Last(Split(reference.reference, '/'))</code></pre>\n  </td>\n\n</tr>\n        \n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    \n      \n      <a name=\"fhirhelpers-tostring\"> </a>\n    \n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> FHIRHelpers</td>\n\n</tr>\n<tr>\n\n  <td>\n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define function ToString(value string): value.value</code></pre>\n  </td>\n\n</tr>\n\n  \n\n<tr>\n  <th colspan=\"2\" scope=\"row\" class=\"row-header\">Generated using version 0.4.6 of the sample-content-ig Liquid templates</th>\n</tr>\n    </tbody>\n  </table>\n</div>"
  ] ;
  fhir:DomainResource.contained [
     a fhir:Library ;
     fhir:index 0 ;
     fhir:Resource.id [ fhir:value "effective-data-requirements" ] ;
     fhir:DomainResource.extension [
       fhir:index 0 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "libraryName" ] ;
         fhir:Extension.valueString [ fhir:value "IMMZIndicatorElements" ]
       ], [
         fhir:index 1 ;
         fhir:Extension.url [ fhir:value "name" ] ;
         fhir:Extension.valueString [ fhir:value "Adverse Events for Immunization" ]
       ], [
         fhir:index 2 ;
         fhir:Extension.url [ fhir:value "statement" ] ;
         fhir:Extension.valueString [ fhir:value "define \"Adverse Events for Immunization\":\n  [AdverseEvent] AE\n    where AE.actuality = 'actual'" ]
       ], [
         fhir:index 3 ;
         fhir:Extension.url [ fhir:value "displaySequence" ] ;
         fhir:Extension.valueInteger [ fhir:value "0"^^xsd:integer ]
       ] ;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ]
     ], [
       fhir:index 1 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "libraryName" ] ;
         fhir:Extension.valueString [ fhir:value "IMMZIND44Logic" ]
       ], [
         fhir:index 1 ;
         fhir:Extension.url [ fhir:value "name" ] ;
         fhir:Extension.valueString [ fhir:value "Numerator" ]
       ], [
         fhir:index 2 ;
         fhir:Extension.url [ fhir:value "statement" ] ;
         fhir:Extension.valueString [ fhir:value "/*\n@numerator: Number of AEFI cases during the reporting period\n@pseudocode: COUNT of immunization events WHERE \"Reaction reported\" is \"Yes\" AND \"Date and time of vaccination\" is during the reporting period\n*/\ndefine \"Numerator\":\n  exists Elements.\"Adverse Events for Immunization\"" ]
       ], [
         fhir:index 3 ;
         fhir:Extension.url [ fhir:value "displaySequence" ] ;
         fhir:Extension.valueInteger [ fhir:value "1"^^xsd:integer ]
       ] ;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ]
     ], [
       fhir:index 2 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "libraryName" ] ;
         fhir:Extension.valueString [ fhir:value "IMMZIND44Logic" ]
       ], [
         fhir:index 1 ;
         fhir:Extension.url [ fhir:value "name" ] ;
         fhir:Extension.valueString [ fhir:value "Stratification 4" ]
       ], [
         fhir:index 2 ;
         fhir:Extension.url [ fhir:value "statement" ] ;
         fhir:Extension.valueString [ fhir:value "define \"Stratification 4\":\n  Elements.GetGeographicRegionForImmunization( Immunization )" ]
       ], [
         fhir:index 3 ;
         fhir:Extension.url [ fhir:value "displaySequence" ] ;
         fhir:Extension.valueInteger [ fhir:value "2"^^xsd:integer ]
       ] ;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ]
     ], [
       fhir:index 3 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "libraryName" ] ;
         fhir:Extension.valueString [ fhir:value "IMMZIND44Logic" ]
       ], [
         fhir:index 1 ;
         fhir:Extension.url [ fhir:value "name" ] ;
         fhir:Extension.valueString [ fhir:value "Stratification 3" ]
       ], [
         fhir:index 2 ;
         fhir:Extension.url [ fhir:value "statement" ] ;
         fhir:Extension.valueString [ fhir:value "define \"Stratification 3\":\n  First( First (Elements.\"Adverse Events for Immunization\" ).seriousness.coding )" ]
       ], [
         fhir:index 3 ;
         fhir:Extension.url [ fhir:value "displaySequence" ] ;
         fhir:Extension.valueInteger [ fhir:value "3"^^xsd:integer ]
       ] ;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ]
     ], [
       fhir:index 4 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "libraryName" ] ;
         fhir:Extension.valueString [ fhir:value "IMMZIND44Logic" ]
       ], [
         fhir:index 1 ;
         fhir:Extension.url [ fhir:value "name" ] ;
         fhir:Extension.valueString [ fhir:value "Stratification 2" ]
       ], [
         fhir:index 2 ;
         fhir:Extension.url [ fhir:value "statement" ] ;
         fhir:Extension.valueString [ fhir:value "define \"Stratification 2\":\n  Immunization.manufacturer" ]
       ], [
         fhir:index 3 ;
         fhir:Extension.url [ fhir:value "displaySequence" ] ;
         fhir:Extension.valueInteger [ fhir:value "4"^^xsd:integer ]
       ] ;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ]
     ], [
       fhir:index 5 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "libraryName" ] ;
         fhir:Extension.valueString [ fhir:value "IMMZIND44Logic" ]
       ], [
         fhir:index 1 ;
         fhir:Extension.url [ fhir:value "name" ] ;
         fhir:Extension.valueString [ fhir:value "Stratification 1" ]
       ], [
         fhir:index 2 ;
         fhir:Extension.url [ fhir:value "statement" ] ;
         fhir:Extension.valueString [ fhir:value "/*\n@disaggregation: Vaccine type: BCG, OPV, etc.\n                 Vaccine manufacturer\n                 Type of reaction: non-serious, disability, etc.\n                 Administrative area\n                 Reaction manifestation: rash, vomiting, etc.\n*/\ndefine \"Stratification 1\":\n  First( Immunization.vaccineCode.coding )" ]
       ], [
         fhir:index 3 ;
         fhir:Extension.url [ fhir:value "displaySequence" ] ;
         fhir:Extension.valueInteger [ fhir:value "5"^^xsd:integer ]
       ] ;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ]
     ], [
       fhir:index 6 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "libraryName" ] ;
         fhir:Extension.valueString [ fhir:value "IMMZIND44Logic" ]
       ], [
         fhir:index 1 ;
         fhir:Extension.url [ fhir:value "name" ] ;
         fhir:Extension.valueString [ fhir:value "Denominator" ]
       ], [
         fhir:index 2 ;
         fhir:Extension.url [ fhir:value "statement" ] ;
         fhir:Extension.valueString [ fhir:value "/*\n@denominator: Not applicable\n@pseudocode: Not applicable\n*/\ndefine \"Denominator\":\n  true" ]
       ], [
         fhir:index 3 ;
         fhir:Extension.url [ fhir:value "displaySequence" ] ;
         fhir:Extension.valueInteger [ fhir:value "6"^^xsd:integer ]
       ] ;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ]
     ], [
       fhir:index 7 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "libraryName" ] ;
         fhir:Extension.valueString [ fhir:value "IMMZIND44Logic" ]
       ], [
         fhir:index 1 ;
         fhir:Extension.url [ fhir:value "name" ] ;
         fhir:Extension.valueString [ fhir:value "Initial Population" ]
       ], [
         fhir:index 2 ;
         fhir:Extension.url [ fhir:value "statement" ] ;
         fhir:Extension.valueString [ fhir:value "/*\n * As defined by Member State\n */\ndefine \"Initial Population\":\n  true" ]
       ], [
         fhir:index 3 ;
         fhir:Extension.url [ fhir:value "displaySequence" ] ;
         fhir:Extension.valueInteger [ fhir:value "7"^^xsd:integer ]
       ] ;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ]
     ], [
       fhir:index 8 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "libraryName" ] ;
         fhir:Extension.valueString [ fhir:value "FHIRHelpers" ]
       ], [
         fhir:index 1 ;
         fhir:Extension.url [ fhir:value "name" ] ;
         fhir:Extension.valueString [ fhir:value "ToString" ]
       ], [
         fhir:index 2 ;
         fhir:Extension.url [ fhir:value "statement" ] ;
         fhir:Extension.valueString [ fhir:value "define function ToString(value AdverseEventActuality): value.value" ]
       ], [
         fhir:index 3 ;
         fhir:Extension.url [ fhir:value "displaySequence" ] ;
         fhir:Extension.valueInteger [ fhir:value "8"^^xsd:integer ]
       ] ;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ]
     ], [
       fhir:index 9 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "libraryName" ] ;
         fhir:Extension.valueString [ fhir:value "IMMZIndicatorElements" ]
       ], [
         fhir:index 1 ;
         fhir:Extension.url [ fhir:value "name" ] ;
         fhir:Extension.valueString [ fhir:value "GetGeographicRegionForImmunization" ]
       ], [
         fhir:index 2 ;
         fhir:Extension.url [ fhir:value "statement" ] ;
         fhir:Extension.valueString [ fhir:value "/** \n * @function\n * @param immunization The immunization record for which the location should be retrieved\n * @return FHIR.address The location that the immunization event occurred\n */\ndefine function GetGeographicRegionForImmunization(immunization Immunization):\n  (\n    [Location] L\n        where immunization.location.references(L)\n  ).only().address.state" ]
       ], [
         fhir:index 3 ;
         fhir:Extension.url [ fhir:value "displaySequence" ] ;
         fhir:Extension.valueInteger [ fhir:value "9"^^xsd:integer ]
       ] ;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ]
     ], [
       fhir:index 10 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "libraryName" ] ;
         fhir:Extension.valueString [ fhir:value "WHOCommon" ]
       ], [
         fhir:index 1 ;
         fhir:Extension.url [ fhir:value "name" ] ;
         fhir:Extension.valueString [ fhir:value "only" ]
       ], [
         fhir:index 2 ;
         fhir:Extension.url [ fhir:value "statement" ] ;
         fhir:Extension.valueString [ fhir:value "define fluent function only(locations List<Location>):\n  singleton from locations" ]
       ], [
         fhir:index 3 ;
         fhir:Extension.url [ fhir:value "displaySequence" ] ;
         fhir:Extension.valueInteger [ fhir:value "10"^^xsd:integer ]
       ] ;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ]
     ], [
       fhir:index 11 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "libraryName" ] ;
         fhir:Extension.valueString [ fhir:value "WHOCommon" ]
       ], [
         fhir:index 1 ;
         fhir:Extension.url [ fhir:value "name" ] ;
         fhir:Extension.valueString [ fhir:value "references" ]
       ], [
         fhir:index 2 ;
         fhir:Extension.url [ fhir:value "statement" ] ;
         fhir:Extension.valueString [ fhir:value "/*\n@description: Returns true if the given reference is to the given resource\n@comment: Returns true if the `id` element of the given resource exactly equals the tail of the given reference.\nNOTE: This function assumes resources from the same source server.\n*/\ndefine fluent function references(reference FHIR.Reference, resource FHIR.Resource):\n  resource.id = Last(Split(reference.reference, '/'))" ]
       ], [
         fhir:index 3 ;
         fhir:Extension.url [ fhir:value "displaySequence" ] ;
         fhir:Extension.valueInteger [ fhir:value "11"^^xsd:integer ]
       ] ;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ]
     ], [
       fhir:index 12 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "libraryName" ] ;
         fhir:Extension.valueString [ fhir:value "FHIRHelpers" ]
       ], [
         fhir:index 1 ;
         fhir:Extension.url [ fhir:value "name" ] ;
         fhir:Extension.valueString [ fhir:value "ToString" ]
       ], [
         fhir:index 2 ;
         fhir:Extension.url [ fhir:value "statement" ] ;
         fhir:Extension.valueString [ fhir:value "define function ToString(value string): value.value" ]
       ], [
         fhir:index 3 ;
         fhir:Extension.url [ fhir:value "displaySequence" ] ;
         fhir:Extension.valueInteger [ fhir:value "12"^^xsd:integer ]
       ] ;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ]
     ] ;
     fhir:Library.name [ fhir:value "EffectiveDataRequirements" ] ;
     fhir:Library.status [ fhir:value "active" ] ;
     fhir:Library.type [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/library-type" ] ;
         fhir:Coding.code [ fhir:value "module-definition" ]
       ]
     ] ;
     fhir:Library.relatedArtifact [
       fhir:index 0 ;
       fhir:RelatedArtifact.type [ fhir:value "depends-on" ] ;
       fhir:RelatedArtifact.display [ fhir:value "FHIR model information" ] ;
       fhir:RelatedArtifact.resource [
         fhir:value "http://fhir.org/guides/cqf/common/Library/FHIR-ModelInfo|4.0.1" ;
         fhir:link <http://fhir.org/guides/cqf/common/Library/FHIR-ModelInfo|4.0.1>
       ]
     ], [
       fhir:index 1 ;
       fhir:RelatedArtifact.type [ fhir:value "depends-on" ] ;
       fhir:RelatedArtifact.display [ fhir:value "Library Elements" ] ;
       fhir:RelatedArtifact.resource [
         fhir:value "http://smart.who.int/immunizations/Library/IMMZIndicatorElements" ;
         fhir:link <http://smart.who.int/immunizations/Library/IMMZIndicatorElements>
       ]
     ], [
       fhir:index 2 ;
       fhir:RelatedArtifact.type [ fhir:value "depends-on" ] ;
       fhir:RelatedArtifact.display [ fhir:value "Library FHIRHelpers" ] ;
       fhir:RelatedArtifact.resource [
         fhir:value "http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1" ;
         fhir:link <http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1>
       ]
     ], [
       fhir:index 3 ;
       fhir:RelatedArtifact.type [ fhir:value "depends-on" ] ;
       fhir:RelatedArtifact.display [ fhir:value "Library WC" ] ;
       fhir:RelatedArtifact.resource [
         fhir:value "http://smart.who.int/immunizations/Library/WHOCommon" ;
         fhir:link <http://smart.who.int/immunizations/Library/WHOCommon>
       ]
     ], [
       fhir:index 4 ;
       fhir:RelatedArtifact.type [ fhir:value "depends-on" ] ;
       fhir:RelatedArtifact.display [ fhir:value "Library FHIRHelpers" ] ;
       fhir:RelatedArtifact.resource [
         fhir:value "http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1" ;
         fhir:link <http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1>
       ]
     ] ;
     fhir:Library.parameter [
       fhir:index 0 ;
       fhir:ParameterDefinition.name [ fhir:value "Numerator" ] ;
       fhir:ParameterDefinition.use [ fhir:value "out" ] ;
       fhir:ParameterDefinition.min [ fhir:value "0"^^xsd:integer ] ;
       fhir:ParameterDefinition.max [ fhir:value "1" ] ;
       fhir:ParameterDefinition.type [ fhir:value "boolean" ]
     ], [
       fhir:index 1 ;
       fhir:ParameterDefinition.name [ fhir:value "Stratification 4" ] ;
       fhir:ParameterDefinition.use [ fhir:value "out" ] ;
       fhir:ParameterDefinition.min [ fhir:value "0"^^xsd:integer ] ;
       fhir:ParameterDefinition.max [ fhir:value "1" ] ;
       fhir:ParameterDefinition.type [ fhir:value "string" ]
     ], [
       fhir:index 2 ;
       fhir:ParameterDefinition.name [ fhir:value "Stratification 3" ] ;
       fhir:ParameterDefinition.use [ fhir:value "out" ] ;
       fhir:ParameterDefinition.min [ fhir:value "0"^^xsd:integer ] ;
       fhir:ParameterDefinition.max [ fhir:value "1" ] ;
       fhir:ParameterDefinition.type [ fhir:value "Coding" ]
     ], [
       fhir:index 3 ;
       fhir:ParameterDefinition.name [ fhir:value "Stratification 2" ] ;
       fhir:ParameterDefinition.use [ fhir:value "out" ] ;
       fhir:ParameterDefinition.min [ fhir:value "0"^^xsd:integer ] ;
       fhir:ParameterDefinition.max [ fhir:value "1" ] ;
       fhir:ParameterDefinition.type [ fhir:value "Reference" ]
     ], [
       fhir:index 4 ;
       fhir:ParameterDefinition.name [ fhir:value "Stratification 1" ] ;
       fhir:ParameterDefinition.use [ fhir:value "out" ] ;
       fhir:ParameterDefinition.min [ fhir:value "0"^^xsd:integer ] ;
       fhir:ParameterDefinition.max [ fhir:value "1" ] ;
       fhir:ParameterDefinition.type [ fhir:value "Coding" ]
     ], [
       fhir:index 5 ;
       fhir:ParameterDefinition.name [ fhir:value "Denominator" ] ;
       fhir:ParameterDefinition.use [ fhir:value "out" ] ;
       fhir:ParameterDefinition.min [ fhir:value "0"^^xsd:integer ] ;
       fhir:ParameterDefinition.max [ fhir:value "1" ] ;
       fhir:ParameterDefinition.type [ fhir:value "boolean" ]
     ], [
       fhir:index 6 ;
       fhir:ParameterDefinition.name [ fhir:value "Initial Population" ] ;
       fhir:ParameterDefinition.use [ fhir:value "out" ] ;
       fhir:ParameterDefinition.min [ fhir:value "0"^^xsd:integer ] ;
       fhir:ParameterDefinition.max [ fhir:value "1" ] ;
       fhir:ParameterDefinition.type [ fhir:value "boolean" ]
     ] ;
     fhir:Library.dataRequirement [
       fhir:index 0 ;
       fhir:DataRequirement.type [ fhir:value "AdverseEvent" ] ;
       fhir:DataRequirement.profile [
         fhir:value "http://hl7.org/fhir/StructureDefinition/AdverseEvent" ;
         fhir:index 0 ;
         fhir:link <http://hl7.org/fhir/StructureDefinition/AdverseEvent>
       ] ;
       fhir:DataRequirement.mustSupport [
         fhir:value "actuality" ;
         fhir:index 0
       ]
     ], [
       fhir:index 1 ;
       fhir:DataRequirement.type [ fhir:value "Location" ] ;
       fhir:DataRequirement.profile [
         fhir:value "http://hl7.org/fhir/StructureDefinition/Location" ;
         fhir:index 0 ;
         fhir:link <http://hl7.org/fhir/StructureDefinition/Location>
       ]
     ], [
       fhir:index 2 ;
       fhir:DataRequirement.type [ fhir:value "Immunization" ] ;
       fhir:DataRequirement.profile [
         fhir:value "http://hl7.org/fhir/StructureDefinition/Immunization" ;
         fhir:index 0 ;
         fhir:link <http://hl7.org/fhir/StructureDefinition/Immunization>
       ]
     ], [
       fhir:index 3 ;
       fhir:DataRequirement.type [ fhir:value "AdverseEvent" ] ;
       fhir:DataRequirement.profile [
         fhir:value "http://hl7.org/fhir/StructureDefinition/AdverseEvent" ;
         fhir:index 0 ;
         fhir:link <http://hl7.org/fhir/StructureDefinition/AdverseEvent>
       ] ;
       fhir:DataRequirement.mustSupport [
         fhir:value "actuality" ;
         fhir:index 0
       ]
     ], [
       fhir:index 4 ;
       fhir:DataRequirement.type [ fhir:value "Immunization" ] ;
       fhir:DataRequirement.profile [
         fhir:value "http://hl7.org/fhir/StructureDefinition/Immunization" ;
         fhir:index 0 ;
         fhir:link <http://hl7.org/fhir/StructureDefinition/Immunization>
       ]
     ], [
       fhir:index 5 ;
       fhir:DataRequirement.type [ fhir:value "AdverseEvent" ] ;
       fhir:DataRequirement.profile [
         fhir:value "http://hl7.org/fhir/StructureDefinition/AdverseEvent" ;
         fhir:index 0 ;
         fhir:link <http://hl7.org/fhir/StructureDefinition/AdverseEvent>
       ] ;
       fhir:DataRequirement.mustSupport [
         fhir:value "actuality" ;
         fhir:index 0
       ]
     ], [
       fhir:index 6 ;
       fhir:DataRequirement.type [ fhir:value "Immunization" ] ;
       fhir:DataRequirement.profile [
         fhir:value "http://hl7.org/fhir/StructureDefinition/Immunization" ;
         fhir:index 0 ;
         fhir:link <http://hl7.org/fhir/StructureDefinition/Immunization>
       ]
     ], [
       fhir:index 7 ;
       fhir:DataRequirement.type [ fhir:value "Immunization" ] ;
       fhir:DataRequirement.profile [
         fhir:value "http://hl7.org/fhir/StructureDefinition/Immunization" ;
         fhir:index 0 ;
         fhir:link <http://hl7.org/fhir/StructureDefinition/Immunization>
       ]
     ]
  ] ;
  fhir:DomainResource.extension [
     fhir:index 0 ;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-effectiveDataRequirements" ] ;
     fhir:Extension.valueCanonical [ fhir:value "#effective-data-requirements" ]
  ] ;
  fhir:Measure.url [ fhir:value "http://smart.who.int/immunizations/Measure/IMMZIND44"] ;
  fhir:Measure.version [ fhir:value "0.2.0"] ;
  fhir:Measure.name [ fhir:value "IMMZIND44"] ;
  fhir:Measure.title [ fhir:value "IMMZIND44"] ;
  fhir:Measure.status [ fhir:value "draft"] ;
  fhir:Measure.experimental [ fhir:value "false"^^xsd:boolean] ;
  fhir:Measure.date [ fhir:value "2025-06-11"^^xsd:date] ;
  fhir:Measure.publisher [ fhir:value "WHO"] ;
  fhir:Measure.contact [
     fhir:index 0 ;
     fhir:ContactDetail.name [ fhir:value "WHO" ] ;
     fhir:ContactDetail.telecom [
       fhir:index 0 ;
       fhir:ContactPoint.system [ fhir:value "url" ] ;
       fhir:ContactPoint.value [ fhir:value "http://who.int" ]
     ]
  ] ;
  fhir:Measure.description [ fhir:value "IMMZ.IND.44 Adverse event following immunization (AEFI) cases"] ;
  fhir:Measure.library [
     fhir:value "http://smart.who.int/immunizations/Library/IMMZIND44Logic" ;
     fhir:index 0 ;
     fhir:link <http://smart.who.int/immunizations/Library/IMMZIND44Logic>
  ] ;
  fhir:Measure.scoring [
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-scoring" ] ;
       fhir:Coding.code [ fhir:value "proportion" ] ;
       fhir:Coding.display [ fhir:value "Proportion" ]
     ]
  ] ;
  fhir:Measure.group [
     fhir:index 0 ;
     fhir:Element.extension [
       fhir:index 0 ;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis" ] ;
       fhir:Extension.valueCode [ fhir:value "boolean" ]
     ] ;
     fhir:Measure.group.population [
       fhir:index 0 ;
       fhir:Element.id [ fhir:value "IMMZ.IND.44.IP" ] ;
       fhir:Measure.group.population.code [
         fhir:CodeableConcept.coding [
           fhir:index 0 ;
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-population" ] ;
           fhir:Coding.code [ fhir:value "initial-population" ] ;
           fhir:Coding.display [ fhir:value "Initial Population" ]
         ]
       ] ;
       fhir:Measure.group.population.description [ fhir:value "Initial Population" ] ;
       fhir:Measure.group.population.criteria [
         fhir:Expression.language [ fhir:value "text/cql-identifier" ] ;
         fhir:Expression.expression [ fhir:value "Initial Population" ]
       ]
     ], [
       fhir:index 1 ;
       fhir:Element.id [ fhir:value "IMMZ.IND.44.D" ] ;
       fhir:Measure.group.population.code [
         fhir:CodeableConcept.coding [
           fhir:index 0 ;
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-population" ] ;
           fhir:Coding.code [ fhir:value "denominator" ] ;
           fhir:Coding.display [ fhir:value "Denominator" ]
         ]
       ] ;
       fhir:Measure.group.population.description [ fhir:value "Denominator" ] ;
       fhir:Measure.group.population.criteria [
         fhir:Expression.language [ fhir:value "text/cql-identifier" ] ;
         fhir:Expression.expression [ fhir:value "Denominator" ]
       ]
     ], [
       fhir:index 2 ;
       fhir:Element.id [ fhir:value "IMMZ.IND.44.N" ] ;
       fhir:Measure.group.population.code [
         fhir:CodeableConcept.coding [
           fhir:index 0 ;
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-population" ] ;
           fhir:Coding.code [ fhir:value "numerator" ] ;
           fhir:Coding.display [ fhir:value "Numerator" ]
         ]
       ] ;
       fhir:Measure.group.population.description [ fhir:value "Numerator" ] ;
       fhir:Measure.group.population.criteria [
         fhir:Expression.language [ fhir:value "text/cql-identifier" ] ;
         fhir:Expression.expression [ fhir:value "Numerator" ]
       ]
     ] ;
     fhir:Measure.group.stratifier [
       fhir:index 0 ;
       fhir:Element.id [ fhir:value "IMMZ.IND.44.S1" ] ;
       fhir:Measure.group.stratifier.code [
         fhir:CodeableConcept.coding [
           fhir:index 0 ;
           fhir:Coding.system [ fhir:value "http://smart.who.int/immunizations/CodeSystem/IMMZ.I" ] ;
           fhir:Coding.code [ fhir:value "DE32" ] ;
           fhir:Coding.display [ fhir:value "By-Administrative Area" ]
         ]
       ] ;
       fhir:Measure.group.stratifier.criteria [
         fhir:Expression.language [ fhir:value "text/cql-identifier" ] ;
         fhir:Expression.expression [ fhir:value "Stratification 1" ]
       ]
     ], [
       fhir:index 1 ;
       fhir:Element.id [ fhir:value "IMMZ.IND.44.S2" ] ;
       fhir:Measure.group.stratifier.code [
         fhir:CodeableConcept.coding [
           fhir:index 0 ;
           fhir:Coding.system [ fhir:value "http://smart.who.int/immunizations/CodeSystem/IMMZ.I" ] ;
           fhir:Coding.code [ fhir:value "DE31" ] ;
           fhir:Coding.display [ fhir:value "By-Sex" ]
         ]
       ] ;
       fhir:Measure.group.stratifier.criteria [
         fhir:Expression.language [ fhir:value "text/cql-identifier" ] ;
         fhir:Expression.expression [ fhir:value "Stratification 2" ]
       ]
     ], [
       fhir:index 2 ;
       fhir:Element.id [ fhir:value "IMMZ.IND.44.S3" ] ;
       fhir:Measure.group.stratifier.code [
         fhir:CodeableConcept.coding [
           fhir:index 0 ;
           fhir:Coding.system [ fhir:value "http://smart.who.int/immunizations/CodeSystem/IMMZ.I" ] ;
           fhir:Coding.code [ fhir:value "DE33" ] ;
           fhir:Coding.display [ fhir:value "By-Age group" ]
         ]
       ] ;
       fhir:Measure.group.stratifier.criteria [
         fhir:Expression.language [ fhir:value "text/cql-identifier" ] ;
         fhir:Expression.expression [ fhir:value "Stratification 3" ]
       ]
     ], [
       fhir:index 3 ;
       fhir:Element.id [ fhir:value "IMMZ.IND.44.S4" ] ;
       fhir:Measure.group.stratifier.code [
         fhir:CodeableConcept.coding [
           fhir:index 0 ;
           fhir:Coding.system [ fhir:value "http://smart.who.int/immunizations/CodeSystem/IMMZ.I" ] ;
           fhir:Coding.code [ fhir:value "DE33" ] ;
           fhir:Coding.display [ fhir:value "By-Age group" ]
         ]
       ] ;
       fhir:Measure.group.stratifier.criteria [
         fhir:Expression.language [ fhir:value "text/cql-identifier" ] ;
         fhir:Expression.expression [ fhir:value "Stratification 4" ]
       ]
     ]
  ] .

# - ontology header ------------------------------------------------------------

<http://hl7.org/fhir/Measure/IMMZIND44.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl ;
  owl:versionIRI <http://build.fhir.org/Measure/IMMZIND44.ttl> .