<?xml version="1.0" encoding="UTF-8"?>
<library xmlns="urn:hl7-org:elm:r1" xmlns:t="urn:hl7-org:elm-types:r1" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:xsd="http://www.w3.org/2001/XMLSchema" xmlns:fhir="http://hl7.org/fhir" xmlns:qdm43="urn:healthit-gov:qdm:v4_3" xmlns:qdm53="urn:healthit-gov:qdm:v5_3" xmlns:a="urn:hl7-org:cql-annotations:r1" localId="0">
   <annotation translatorOptions="EnableAnnotations,EnableLocators,DisableListDemotion,DisableListPromotion" signatureLevel="Overloads" xsi:type="a:CqlToElmInfo"/>
   <annotation message="An operand identifier reference is hiding another identifier of the same name." errorType="semantic" errorSeverity="warning" xsi:type="a:CqlToElmError"/>
   <annotation message="An operand identifier reference is hiding another identifier of the same name." errorType="semantic" errorSeverity="warning" xsi:type="a:CqlToElmError"/>
   <annotation message="An operand identifier reference is hiding another identifier of the same name." errorType="semantic" errorSeverity="warning" xsi:type="a:CqlToElmError"/>
   <annotation xsi:type="a:Annotation">
      <a:s r="286">
         <a:s>/*
 * Library: IMMZD2DTMeningococcalQuadrivalentConjugateVaccines1DoseLogic (IMMZ.D2.DT.Meningococcal.Quadrivalent conjugate vaccines 1 dose)
 * Rule: Determine if the client is due for a meningococcal vaccination according to the national immunization schedule
 * Decision Table: Quadrivalent conjugate vaccines (A,C,W135,Y-CRM), 1-dose schedule
 * Trigger: IMMZ.D2 Determine required vaccination(s) if any
 */
library IMMZD2DTMeningococcalQuadrivalentConjugateVaccines1DoseLogic</a:s>
      </a:s>
   </annotation>
   <identifier id="IMMZD2DTMeningococcalQuadrivalentConjugateVaccines1DoseLogic" system="http://smart.who.int/immunizations"/>
   <schemaIdentifier id="urn:hl7-org:elm" version="r1"/>
   <usings>
      <def localId="1" localIdentifier="System" uri="urn:hl7-org:elm-types:r1" version="1.0.0"/>
      <def localId="206" locator="9:1-9:26" localIdentifier="FHIR" uri="http://hl7.org/fhir" version="4.0.1">
         <annotation xsi:type="a:Annotation">
            <a:s r="206">
               <a:s>using </a:s>
               <a:s>
                  <a:s>FHIR</a:s>
               </a:s>
               <a:s> version '4.0.1'</a:s>
            </a:s>
         </annotation>
      </def>
   </usings>
   <includes>
      <def localId="208" locator="10:1-10:35" localIdentifier="FHIRHelpers" path="http://hl7.org/fhir/FHIRHelpers" version="4.0.1">
         <annotation xsi:type="a:Annotation">
            <a:s r="208">
               <a:s>include </a:s>
               <a:s>
                  <a:s>FHIRHelpers</a:s>
               </a:s>
               <a:s> version '4.0.1'</a:s>
            </a:s>
         </annotation>
      </def>
      <def localId="210" locator="12:1-12:63" localIdentifier="Encounter" path="http://smart.who.int/immunizations/IMMZD2DTMeningococcalEncounterElements">
         <annotation xsi:type="a:Annotation">
            <a:s r="210">
               <a:s>include </a:s>
               <a:s>
                  <a:s>IMMZD2DTMeningococcalEncounterElements</a:s>
               </a:s>
               <a:s> called Encounter</a:s>
            </a:s>
         </annotation>
      </def>
   </includes>
   <parameters>
      <def localId="212" locator="14:1-14:36" name="Today" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:s r="212">
               <a:s>parameter Today </a:s>
               <a:s r="216">
                  <a:s>Date</a:s>
               </a:s>
               <a:s> default </a:s>
               <a:s r="215">
                  <a:s>Today()</a:s>
               </a:s>
            </a:s>
         </annotation>
         <default localId="215" locator="14:30-14:36" xsi:type="Today"/>
         <parameterTypeSpecifier localId="216" locator="14:17-14:20" name="t:Date" xsi:type="NamedTypeSpecifier"/>
      </def>
   </parameters>
   <contexts>
      <def localId="221" locator="16:1-16:15" name="Patient"/>
   </contexts>
   <statements>
      <def localId="219" locator="16:1-16:15" name="Patient" context="Patient">
         <expression localId="220" xsi:type="SingletonFrom">
            <operand localId="218" locator="16:1-16:15" dataType="fhir:Patient" templateId="http://hl7.org/fhir/StructureDefinition/Patient" xsi:type="Retrieve"/>
         </expression>
      </def>
      <def localId="229" locator="37:1-38:47" name="Client is not due for meningococcal vaccination" context="Patient" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:t name="output" value="Client is not due for meningococcal vaccination"/>
            <a:t name="pseudocode" value="&quot;Immunization recommendation status&quot; = &quot;Not due&quot;"/>
            <a:s r="229">
               <a:s>/*
@output: Client is not due for meningococcal vaccination
@pseudocode: &quot;Immunization recommendation status&quot; = &quot;Not due&quot;
*/
define &quot;Client is not due for meningococcal vaccination&quot;:
  </a:s>
               <a:s r="231">
                  <a:s r="230">
                     <a:s>Encounter</a:s>
                  </a:s>
                  <a:s>.</a:s>
                  <a:s r="231">
                     <a:s>&quot;Client's age is less than 2 years&quot;</a:s>
                  </a:s>
               </a:s>
            </a:s>
         </annotation>
         <expression localId="231" locator="38:3-38:47" name="Client's age is less than 2 years" libraryName="Encounter" xsi:type="ExpressionRef"/>
      </def>
      <def localId="235" locator="45:1-46:193" name="Client is not due for meningococcal vaccination Guidance" context="Patient" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:t name="output" value="Client is not due for meningococcal vaccination Guidance"/>
            <a:t name="guidance" value="Should not vaccinate client with first meningococcal dose as client's age is less than 2 years.&#xa;Check for any vaccines due and inform the caregiver of when to come back for the first dose."/>
            <a:s r="235">
               <a:s>/*
@output: Client is not due for meningococcal vaccination Guidance
@guidance: Should not vaccinate client with first meningococcal dose as client's age is less than 2 years.
Check for any vaccines due and inform the caregiver of when to come back for the first dose.
*/
define &quot;Client is not due for meningococcal vaccination Guidance&quot;:
  </a:s>
               <a:s r="236">
                  <a:s>'Should not vaccinate client with first meningococcal dose as client\'s age is less than 2 years.
Check for any vaccines due and inform the caregiver of when to come back for the first dose.'</a:s>
               </a:s>
            </a:s>
         </annotation>
         <expression localId="236" locator="46:3-46:193" valueType="t:String" value="Should not vaccinate client with first meningococcal dose as client's age is less than 2 years.&#xa;Check for any vaccines due and inform the caregiver of when to come back for the first dose." xsi:type="Literal"/>
      </def>
      <def localId="242" locator="53:1-55:65" name="Client is due for meningococcal vaccination" context="Patient" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:t name="output" value="Client is due for meningococcal vaccination"/>
            <a:t name="pseudocode" value="&quot;Immunization recommendation status&quot; = &quot;Due&quot;"/>
            <a:s r="242">
               <a:s>/*
@output: Client is due for meningococcal vaccination
@pseudocode: &quot;Immunization recommendation status&quot; = &quot;Due&quot;
*/
define &quot;Client is due for meningococcal vaccination&quot;:
  </a:s>
               <a:s r="243">
                  <a:s r="245">
                     <a:s r="244">
                        <a:s>Encounter</a:s>
                     </a:s>
                     <a:s>.</a:s>
                     <a:s r="245">
                        <a:s>&quot;No meningococcal primary series dose was administered&quot;</a:s>
                     </a:s>
                  </a:s>
                  <a:s>
    and </a:s>
                  <a:s r="247">
                     <a:s r="246">
                        <a:s>Encounter</a:s>
                     </a:s>
                     <a:s>.</a:s>
                     <a:s r="247">
                        <a:s>&quot;Client's age is more than or equal to 2 years&quot;</a:s>
                     </a:s>
                  </a:s>
               </a:s>
            </a:s>
         </annotation>
         <expression localId="243" locator="54:3-55:65" xsi:type="And">
            <operand localId="245" locator="54:3-54:67" name="No meningococcal primary series dose was administered" libraryName="Encounter" xsi:type="ExpressionRef"/>
            <operand localId="247" locator="55:9-55:65" name="Client's age is more than or equal to 2 years" libraryName="Encounter" xsi:type="ExpressionRef"/>
         </expression>
      </def>
      <def localId="251" locator="62:1-63:179" name="Client is due for meningococcal vaccination Guidance" context="Patient" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:t name="output" value="Client is due for meningococcal vaccination Guidance"/>
            <a:t name="guidance" value="Should vaccinate client with first meningococcal dose as no meningococcal dose was administered and client's age is within appropriate age range.&#xa;Check for contraindications."/>
            <a:s r="251">
               <a:s>/*
@output: Client is due for meningococcal vaccination Guidance
@guidance: Should vaccinate client with first meningococcal dose as no meningococcal dose was administered and client's age is within appropriate age range.
Check for contraindications.
*/
define &quot;Client is due for meningococcal vaccination Guidance&quot;:
  </a:s>
               <a:s r="252">
                  <a:s>'Should vaccinate client with first meningococcal dose as no meningococcal dose was administered and client\'s age is within appropriate age range.
Check for contraindications.'</a:s>
               </a:s>
            </a:s>
         </annotation>
         <expression localId="252" locator="63:3-63:179" valueType="t:String" value="Should vaccinate client with first meningococcal dose as no meningococcal dose was administered and client's age is within appropriate age range.&#xa;Check for contraindications." xsi:type="Literal"/>
      </def>
      <def localId="258" locator="71:1-72:68" name="Meningococcal immunization schedule is complete" context="Patient" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:t name="output" value="Meningococcal immunization schedule is complete"/>
            <a:t name="pseudocode" value="&quot;Immunization recommendation status&quot; = &quot;Complete&quot;"/>
            <a:s r="258">
               <a:s>/*
@output: Meningococcal immunization schedule is complete
@pseudocode: &quot;Immunization recommendation status&quot; = &quot;Complete&quot;
&quot;Completed the primary vaccination series&quot; (where &quot;Vaccine type&quot; = &quot;Meningococcal vaccines&quot;) = TRUE
*/
define &quot;Meningococcal immunization schedule is complete&quot;:
  </a:s>
               <a:s r="260">
                  <a:s r="259">
                     <a:s>Encounter</a:s>
                  </a:s>
                  <a:s>.</a:s>
                  <a:s r="260">
                     <a:s>&quot;One meningococcal primary series dose was administered&quot;</a:s>
                  </a:s>
               </a:s>
            </a:s>
         </annotation>
         <expression localId="260" locator="72:3-72:68" name="One meningococcal primary series dose was administered" libraryName="Encounter" xsi:type="ExpressionRef"/>
      </def>
      <def localId="264" locator="79:1-80:128" name="Meningococcal immunization schedule is complete Guidance" context="Patient" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:t name="output" value="Meningococcal immunization schedule is complete Guidance"/>
            <a:t name="guidance" value="Meningococcal immunization schedule is complete. One primary series dose was administered.&#xa;Check for any other vaccines due."/>
            <a:s r="264">
               <a:s>/*
@output: Meningococcal immunization schedule is complete Guidance
@guidance: Meningococcal immunization schedule is complete. One primary series dose was administered.
Check for any other vaccines due.
*/
define &quot;Meningococcal immunization schedule is complete Guidance&quot;:
  </a:s>
               <a:s r="265">
                  <a:s>'Meningococcal immunization schedule is complete. One primary series dose was administered.
Check for any other vaccines due.'</a:s>
               </a:s>
            </a:s>
         </annotation>
         <expression localId="265" locator="80:3-80:128" valueType="t:String" value="Meningococcal immunization schedule is complete. One primary series dose was administered.&#xa;Check for any other vaccines due." xsi:type="Literal"/>
      </def>
      <def localId="224" locator="22:1-28:5" name="Guidance" context="Patient" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:t name="dynamicValue" value="Guidance"/>
            <a:s r="224">
               <a:s>/*
@dynamicValue: Guidance
*/
define &quot;Guidance&quot;:
  </a:s>
               <a:s r="225">
                  <a:s>case 
    </a:s>
                  <a:s r="226">
                     <a:s>when </a:s>
                     <a:s r="232">
                        <a:s>&quot;Client is not due for meningococcal vaccination&quot;</a:s>
                     </a:s>
                     <a:s> then </a:s>
                     <a:s r="238">
                        <a:s>&quot;Client is not due for meningococcal vaccination Guidance&quot;</a:s>
                     </a:s>
                  </a:s>
                  <a:s>
    </a:s>
                  <a:s r="239">
                     <a:s>when </a:s>
                     <a:s r="248">
                        <a:s>&quot;Client is due for meningococcal vaccination&quot;</a:s>
                     </a:s>
                     <a:s> then </a:s>
                     <a:s r="254">
                        <a:s>&quot;Client is due for meningococcal vaccination Guidance&quot;</a:s>
                     </a:s>
                  </a:s>
                  <a:s>
    </a:s>
                  <a:s r="255">
                     <a:s>when </a:s>
                     <a:s r="261">
                        <a:s>&quot;Meningococcal immunization schedule is complete&quot;</a:s>
                     </a:s>
                     <a:s> then </a:s>
                     <a:s r="267">
                        <a:s>&quot;Meningococcal immunization schedule is complete Guidance&quot;</a:s>
                     </a:s>
                  </a:s>
                  <a:s> 
    else </a:s>
                  <a:s r="268">
                     <a:s>''</a:s>
                  </a:s>
                  <a:s>
  end</a:s>
               </a:s>
            </a:s>
         </annotation>
         <expression localId="225" locator="23:3-28:5" xsi:type="Case">
            <caseItem localId="226" locator="24:5-24:122">
               <when localId="232" locator="24:10-24:58" name="Client is not due for meningococcal vaccination" xsi:type="ExpressionRef"/>
               <then localId="238" locator="24:65-24:122" name="Client is not due for meningococcal vaccination Guidance" xsi:type="ExpressionRef"/>
            </caseItem>
            <caseItem localId="239" locator="25:5-25:114">
               <when localId="248" locator="25:10-25:54" name="Client is due for meningococcal vaccination" xsi:type="ExpressionRef"/>
               <then localId="254" locator="25:61-25:114" name="Client is due for meningococcal vaccination Guidance" xsi:type="ExpressionRef"/>
            </caseItem>
            <caseItem localId="255" locator="26:5-26:122">
               <when localId="261" locator="26:10-26:58" name="Meningococcal immunization schedule is complete" xsi:type="ExpressionRef"/>
               <then localId="267" locator="26:65-26:122" name="Meningococcal immunization schedule is complete Guidance" xsi:type="ExpressionRef"/>
            </caseItem>
            <else localId="268" locator="27:10-27:11" valueType="t:String" value="" xsi:type="Literal"/>
         </expression>
      </def>
      <def localId="272" locator="30:1-31:45" name="Has Guidance" context="Patient" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:s r="272">
               <a:s>define &quot;Has Guidance&quot;:
  </a:s>
               <a:s r="273">
                  <a:s r="276">
                     <a:s r="274">
                        <a:s>&quot;Guidance&quot;</a:s>
                     </a:s>
                     <a:s> is not null</a:s>
                  </a:s>
                  <a:s> and </a:s>
                  <a:s r="283">
                     <a:s r="278">
                        <a:s>&quot;Guidance&quot;</a:s>
                     </a:s>
                     <a:s> != </a:s>
                     <a:s r="279">
                        <a:s>''</a:s>
                     </a:s>
                  </a:s>
               </a:s>
            </a:s>
         </annotation>
         <expression localId="273" locator="31:3-31:45" xsi:type="And">
            <operand localId="276" locator="31:3-31:24" xsi:type="Not">
               <operand localId="275" locator="31:3-31:24" xsi:type="IsNull">
                  <operand localId="274" locator="31:3-31:12" name="Guidance" xsi:type="ExpressionRef"/>
               </operand>
            </operand>
            <operand localId="283" locator="31:30-31:45" xsi:type="Not">
               <operand localId="277" locator="31:30-31:45" xsi:type="Equal">
                  <signature localId="281" name="t:String" xsi:type="NamedTypeSpecifier"/>
                  <signature localId="282" name="t:String" xsi:type="NamedTypeSpecifier"/>
                  <operand localId="278" locator="31:30-31:39" name="Guidance" xsi:type="ExpressionRef"/>
                  <operand localId="279" locator="31:44-31:45" valueType="t:String" value="" xsi:type="Literal"/>
               </operand>
            </operand>
         </expression>
      </def>
      <def localId="286" locator="87:1-96:5" name="Test Validation" context="Patient" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:t name="test" value="Test expected results based on example patients"/>
            <a:s r="286">
               <a:s>/*
@test: Test expected results based on example patients
*/
define &quot;Test Validation&quot;:
  </a:s>
               <a:s r="287">
                  <a:s>case
    </a:s>
                  <a:s r="288">
                     <a:s>when </a:s>
                     <a:s r="289">
                        <a:s r="291">
                           <a:s r="290">
                              <a:s>Patient</a:s>
                           </a:s>
                           <a:s>.</a:s>
                           <a:s r="291">
                              <a:s>id</a:s>
                           </a:s>
                        </a:s>
                        <a:s> = </a:s>
                        <a:s r="292">
                           <a:s>'Meningococcal45.1'</a:s>
                        </a:s>
                     </a:s>
                     <a:s> then </a:s>
                     <a:s r="298">
                        <a:s r="299">
                           <a:s>&quot;Client is not due for meningococcal vaccination&quot;</a:s>
                        </a:s>
                        <a:s> and </a:s>
                        <a:s r="300">
                           <a:s r="301">
                              <a:s>&quot;Guidance&quot;</a:s>
                           </a:s>
                           <a:s> = </a:s>
                           <a:s r="302">
                              <a:s>'Should not vaccinate client with first meningococcal dose as client\'s age is less than 2 years.
Check for any vaccines due and inform the caregiver of when to come back for the first dose.'</a:s>
                           </a:s>
                        </a:s>
                     </a:s>
                  </a:s>
                  <a:s>
    </a:s>
                  <a:s r="306">
                     <a:s>when </a:s>
                     <a:s r="307">
                        <a:s r="309">
                           <a:s r="308">
                              <a:s>Patient</a:s>
                           </a:s>
                           <a:s>.</a:s>
                           <a:s r="309">
                              <a:s>id</a:s>
                           </a:s>
                        </a:s>
                        <a:s> = </a:s>
                        <a:s r="310">
                           <a:s>'Meningococcal46.2'</a:s>
                        </a:s>
                     </a:s>
                     <a:s> then </a:s>
                     <a:s r="316">
                        <a:s r="317">
                           <a:s>&quot;Client is due for meningococcal vaccination&quot;</a:s>
                        </a:s>
                        <a:s> and </a:s>
                        <a:s r="318">
                           <a:s r="319">
                              <a:s>&quot;Guidance&quot;</a:s>
                           </a:s>
                           <a:s> = </a:s>
                           <a:s r="320">
                              <a:s>'Should vaccinate client with first meningococcal dose as no meningococcal dose was administered and client\'s age is within appropriate age range.
Check for contraindications.'</a:s>
                           </a:s>
                        </a:s>
                     </a:s>
                  </a:s>
                  <a:s>
    </a:s>
                  <a:s r="324">
                     <a:s>when </a:s>
                     <a:s r="325">
                        <a:s r="327">
                           <a:s r="326">
                              <a:s>Patient</a:s>
                           </a:s>
                           <a:s>.</a:s>
                           <a:s r="327">
                              <a:s>id</a:s>
                           </a:s>
                        </a:s>
                        <a:s> = </a:s>
                        <a:s r="328">
                           <a:s>'Meningococcal47.1'</a:s>
                        </a:s>
                     </a:s>
                     <a:s> then </a:s>
                     <a:s r="334">
                        <a:s r="335">
                           <a:s>&quot;Meningococcal immunization schedule is complete&quot;</a:s>
                        </a:s>
                        <a:s> and </a:s>
                        <a:s r="336">
                           <a:s r="337">
                              <a:s>&quot;Guidance&quot;</a:s>
                           </a:s>
                           <a:s> = </a:s>
                           <a:s r="338">
                              <a:s>'Meningococcal immunization schedule is complete. One primary series dose was administered.
Check for any other vaccines due.'</a:s>
                           </a:s>
                        </a:s>
                     </a:s>
                  </a:s>
                  <a:s>
    else </a:s>
                  <a:s r="342">
                     <a:s>'No test case set'</a:s>
                  </a:s>
                  <a:s>
  end</a:s>
               </a:s>
            </a:s>
         </annotation>
         <expression localId="287" locator="88:3-96:5" xsi:type="Case">
            <caseItem localId="288" locator="89:5-89:305">
               <when localId="289" locator="89:10-89:41" xsi:type="Equal">
                  <signature localId="296" name="t:String" xsi:type="NamedTypeSpecifier"/>
                  <signature localId="297" name="t:String" xsi:type="NamedTypeSpecifier"/>
                  <operand localId="294" name="ToString" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                     <signature localId="295" name="fhir:string" xsi:type="NamedTypeSpecifier"/>
                     <operand localId="291" locator="89:10-89:19" path="id" xsi:type="Property">
                        <source localId="290" locator="89:10-89:16" name="Patient" xsi:type="ExpressionRef"/>
                     </operand>
                  </operand>
                  <operand localId="292" locator="89:23-89:41" valueType="t:String" value="Meningococcal45.1" xsi:type="Literal"/>
               </when>
               <then localId="344" xsi:type="As">
                  <operand localId="298" locator="89:48-89:305" xsi:type="And">
                     <operand localId="299" locator="89:48-89:96" name="Client is not due for meningococcal vaccination" xsi:type="ExpressionRef"/>
                     <operand localId="300" locator="89:102-89:305" xsi:type="Equal">
                        <signature localId="304" name="t:String" xsi:type="NamedTypeSpecifier"/>
                        <signature localId="305" name="t:String" xsi:type="NamedTypeSpecifier"/>
                        <operand localId="301" locator="89:102-89:111" name="Guidance" xsi:type="ExpressionRef"/>
                        <operand localId="302" locator="89:115-89:305" valueType="t:String" value="Should not vaccinate client with first meningococcal dose as client's age is less than 2 years.&#xa;Check for any vaccines due and inform the caregiver of when to come back for the first dose." xsi:type="Literal"/>
                     </operand>
                  </operand>
                  <asTypeSpecifier localId="345" xsi:type="ChoiceTypeSpecifier">
                     <choice localId="346" name="t:Boolean" xsi:type="NamedTypeSpecifier"/>
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