<?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="270">
         <a:s>/*
  * Library: IMMZD5DTPolioEncounterElements
  */
library IMMZD5DTPolioEncounterElements</a:s>
      </a:s>
   </annotation>
   <identifier id="IMMZD5DTPolioEncounterElements" 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="7:1-7:26" 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="8:1-8:35" 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="10:1-10:19" localIdentifier="WHOConcepts" path="http://smart.who.int/immunizations/WHOConcepts">
         <annotation xsi:type="a:Annotation">
            <a:s r="210">
               <a:s>include </a:s>
               <a:s>
                  <a:s>WHOConcepts</a:s>
               </a:s>
            </a:s>
         </annotation>
      </def>
      <def localId="212" locator="11:1-11:27" localIdentifier="WC" path="http://smart.who.int/immunizations/WHOCommon">
         <annotation xsi:type="a:Annotation">
            <a:s r="212">
               <a:s>include </a:s>
               <a:s>
                  <a:s>WHOCommon</a:s>
               </a:s>
               <a:s> called WC</a:s>
            </a:s>
         </annotation>
      </def>
      <def localId="214" locator="12:1-12:29" localIdentifier="WE" path="http://smart.who.int/immunizations/WHOElements">
         <annotation xsi:type="a:Annotation">
            <a:s r="214">
               <a:s>include </a:s>
               <a:s>
                  <a:s>WHOElements</a:s>
               </a:s>
               <a:s> called WE</a:s>
            </a:s>
         </annotation>
      </def>
      <def localId="216" locator="14:1-14:32" localIdentifier="Common" path="http://smart.who.int/immunizations/IMMZCommon">
         <annotation xsi:type="a:Annotation">
            <a:s r="216">
               <a:s>include </a:s>
               <a:s>
                  <a:s>IMMZCommon</a:s>
               </a:s>
               <a:s> called Common</a:s>
            </a:s>
         </annotation>
      </def>
      <def localId="218" locator="15:1-15:36" localIdentifier="Concepts" path="http://smart.who.int/immunizations/IMMZConcepts">
         <annotation xsi:type="a:Annotation">
            <a:s r="218">
               <a:s>include </a:s>
               <a:s>
                  <a:s>IMMZConcepts</a:s>
               </a:s>
               <a:s> called Concepts</a:s>
            </a:s>
         </annotation>
      </def>
      <def localId="220" locator="16:1-16:46" localIdentifier="Encounter" path="http://smart.who.int/immunizations/IMMZEncounterElements">
         <annotation xsi:type="a:Annotation">
            <a:s r="220">
               <a:s>include </a:s>
               <a:s>
                  <a:s>IMMZEncounterElements</a:s>
               </a:s>
               <a:s> called Encounter</a:s>
            </a:s>
         </annotation>
      </def>
      <def localId="222" locator="18:1-18:50" localIdentifier="PolioElements" path="http://smart.who.int/immunizations/IMMZD5DTPolioElements">
         <annotation xsi:type="a:Annotation">
            <a:s r="222">
               <a:s>include </a:s>
               <a:s>
                  <a:s>IMMZD5DTPolioElements</a:s>
               </a:s>
               <a:s> called PolioElements</a:s>
            </a:s>
         </annotation>
      </def>
   </includes>
   <parameters>
      <def localId="224" locator="20:1-20:36" name="Today" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:s r="224">
               <a:s>parameter Today </a:s>
               <a:s r="228">
                  <a:s>Date</a:s>
               </a:s>
               <a:s> default </a:s>
               <a:s r="227">
                  <a:s>Today()</a:s>
               </a:s>
            </a:s>
         </annotation>
         <default localId="227" locator="20:30-20:36" xsi:type="Today"/>
         <parameterTypeSpecifier localId="228" locator="20:17-20:20" name="t:Date" xsi:type="NamedTypeSpecifier"/>
      </def>
      <def localId="230" locator="21:1-21:28" name="EncounterId" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:s r="230">
               <a:s>parameter EncounterId </a:s>
               <a:s r="231">
                  <a:s>String</a:s>
               </a:s>
            </a:s>
         </annotation>
         <parameterTypeSpecifier localId="231" locator="21:23-21:28" name="t:String" xsi:type="NamedTypeSpecifier"/>
      </def>
   </parameters>
   <contexts>
      <def localId="236" locator="23:1-23:15" name="Patient"/>
   </contexts>
   <statements>
      <def localId="234" locator="23:1-23:15" name="Patient" context="Patient">
         <expression localId="235" xsi:type="SingletonFrom">
            <operand localId="233" locator="23:1-23:15" dataType="fhir:Patient" templateId="http://hl7.org/fhir/StructureDefinition/Patient" xsi:type="Retrieve"/>
         </expression>
      </def>
      <def localId="239" locator="28:1-31:68" name="Draft Medication Request for Polio dose" context="Patient" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:t name="internal" value="Draft Medication Request for Polio dose"/>
            <a:s r="239">
               <a:s>/*
@internal: Draft Medication Request for Polio dose
*/
define &quot;Draft Medication Request for Polio dose&quot;:

  </a:s>
               <a:s r="252">
                  <a:s>
                     <a:s r="240">
                        <a:s r="242">
                           <a:s>
                              <a:s>Encounter.&quot;Draft Medication Request for Patient&quot;</a:s>
                           </a:s>
                        </a:s>
                        <a:s> MR</a:s>
                     </a:s>
                  </a:s>
                  <a:s> 
    </a:s>
                  <a:s r="248">
                     <a:s>where </a:s>
                     <a:s r="248">
                        <a:s r="245">
                           <a:s r="244">
                              <a:s>MR</a:s>
                           </a:s>
                           <a:s>.</a:s>
                           <a:s r="245">
                              <a:s>medication</a:s>
                           </a:s>
                        </a:s>
                        <a:s> in </a:s>
                        <a:s r="247">
                           <a:s r="246">
                              <a:s>Concepts</a:s>
                           </a:s>
                           <a:s>.</a:s>
                           <a:s r="247">
                              <a:s>&quot;Poliovirus-containing vaccines&quot;</a:s>
                           </a:s>
                        </a:s>
                     </a:s>
                  </a:s>
               </a:s>
            </a:s>
         </annotation>
         <expression localId="252" locator="30:3-31:68" xsi:type="Query">
            <source localId="240" locator="30:3-30:53" alias="MR">
               <expression localId="242" locator="30:3-30:50" name="Draft Medication Request for Patient" libraryName="Encounter" xsi:type="ExpressionRef"/>
            </source>
            <where localId="248" locator="31:5-31:68" xsi:type="InValueSet">
               <signature localId="251" name="t:Concept" xsi:type="NamedTypeSpecifier"/>
               <code localId="250" name="ToConcept" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                  <operand localId="249" asType="fhir:CodeableConcept" xsi:type="As">
                     <operand localId="245" locator="31:11-31:23" path="medication" scope="MR" xsi:type="Property"/>
                  </operand>
               </code>
               <valueset localId="247" locator="31:28-31:68" name="Poliovirus-containing vaccines" libraryName="Concepts" preserve="true"/>
            </where>
         </expression>
      </def>
      <def localId="255" locator="39:1-40:65" name="The client has history of severe allergic reactions" context="Patient" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:t name="input" value="The client has history of severe allergic reactions"/>
            <a:t name="pseudocode" value="&quot;Potential contraindications&quot; = &quot;Severe allergic reactions&quot;"/>
            <a:t name="code" value="The client has history of severe allergic reactions-59"/>
            <a:t name="decision" value="IMMZ.D5.DT.Polio contraindications"/>
            <a:s r="255">
               <a:s>/*
@input: The client has history of severe allergic reactions
@pseudocode: &quot;Potential contraindications&quot; = &quot;Severe allergic reactions&quot;
@code: The client has history of severe allergic reactions-59
@decision: IMMZ.D5.DT.Polio contraindications
*/
define &quot;The client has history of severe allergic reactions&quot;:
  </a:s>
               <a:s r="257">
                  <a:s r="256">
                     <a:s>Encounter</a:s>
                  </a:s>
                  <a:s>.</a:s>
                  <a:s r="257">
                     <a:s>&quot;The client has history of severe allergic reactions&quot;</a:s>
                  </a:s>
               </a:s>
            </a:s>
         </annotation>
         <expression localId="257" locator="40:3-40:65" name="The client has history of severe allergic reactions" libraryName="Encounter" xsi:type="ExpressionRef"/>
      </def>
      <def localId="260" locator="48:1-49:54" name="The client is severely immunocompromised" context="Patient" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:t name="input" value="The client is severely immunocompromised"/>
            <a:t name="pseudocode" value="&quot;Potential contraindications&quot; = &quot;Severely immunocompromised&quot;"/>
            <a:t name="code" value="The client is severely immunocompromised-60"/>
            <a:t name="decision" value="IMMZ.D5.DT.Polio contraindications"/>
            <a:s r="260">
               <a:s>/*
@input: The client is severely immunocompromised
@pseudocode: &quot;Potential contraindications&quot; = &quot;Severely immunocompromised&quot;
@code: The client is severely immunocompromised-60
@decision: IMMZ.D5.DT.Polio contraindications
*/
define &quot;The client is severely immunocompromised&quot;:
  </a:s>
               <a:s r="262">
                  <a:s r="261">
                     <a:s>Encounter</a:s>
                  </a:s>
                  <a:s>.</a:s>
                  <a:s r="262">
                     <a:s>&quot;The client is severely immunocompromised&quot;</a:s>
                  </a:s>
               </a:s>
            </a:s>
         </annotation>
         <expression localId="262" locator="49:3-49:54" name="The client is severely immunocompromised" libraryName="Encounter" xsi:type="ExpressionRef"/>
      </def>
      <def localId="265" locator="57:1-58:55" name="The client has immunodeficiency syndromes" context="Patient" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:t name="input" value="The client has immunodeficiency syndromes"/>
            <a:t name="pseudocode" value="&quot;Potential contraindications&quot; = &quot;Immunodeficiency syndromes&quot;"/>
            <a:t name="code" value="The client has immunodeficiency syndromes-60"/>
            <a:t name="decision" value="IMMZ.D5.DT.Polio contraindications"/>
            <a:s r="265">
               <a:s>/*
@input: The client has immunodeficiency syndromes
@pseudocode: &quot;Potential contraindications&quot; = &quot;Immunodeficiency syndromes&quot;
@code: The client has immunodeficiency syndromes-60
@decision: IMMZ.D5.DT.Polio contraindications
*/
define &quot;The client has immunodeficiency syndromes&quot;:
  </a:s>
               <a:s r="267">
                  <a:s r="266">
                     <a:s>Encounter</a:s>
                  </a:s>
                  <a:s>.</a:s>
                  <a:s r="267">
                     <a:s>&quot;The client has immunodeficiency syndromes&quot;</a:s>
                  </a:s>
               </a:s>
            </a:s>
         </annotation>
         <expression localId="267" locator="58:3-58:55" name="The client has immunodeficiency syndromes" libraryName="Encounter" xsi:type="ExpressionRef"/>
      </def>
      <def localId="270" locator="63:1-65:57" name="Draft Medication Request for bOPV dose" context="Patient" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:t name="internal" value="Draft Medication Request for bOPV dose"/>
            <a:s r="270">
               <a:s>/*
@internal: Draft Medication Request for bOPV dose
*/
define &quot;Draft Medication Request for bOPV dose&quot;:
  </a:s>
               <a:s r="283">
                  <a:s>
                     <a:s r="271">
                        <a:s r="273">
                           <a:s>
                              <a:s>Encounter.&quot;Draft Medication Request for Patient&quot;</a:s>
                           </a:s>
                        </a:s>
                        <a:s> MR</a:s>
                     </a:s>
                  </a:s>
                  <a:s>
    </a:s>
                  <a:s r="279">
                     <a:s>where </a:s>
                     <a:s r="279">
                        <a:s r="276">
                           <a:s r="275">
                              <a:s>MR</a:s>
                           </a:s>
                           <a:s>.</a:s>
                           <a:s r="276">
                              <a:s>medication</a:s>
                           </a:s>
                        </a:s>
                        <a:s> in </a:s>
                        <a:s r="278">
                           <a:s r="277">
                              <a:s>Concepts</a:s>
                           </a:s>
                           <a:s>.</a:s>
                           <a:s r="278">
                              <a:s>&quot;Oral polio vaccines&quot;</a:s>
                           </a:s>
                        </a:s>
                     </a:s>
                  </a:s>
               </a:s>
            </a:s>
         </annotation>
         <expression localId="283" locator="64:3-65:57" xsi:type="Query">
            <source localId="271" locator="64:3-64:53" alias="MR">
               <expression localId="273" locator="64:3-64:50" name="Draft Medication Request for Patient" libraryName="Encounter" xsi:type="ExpressionRef"/>
            </source>
            <where localId="279" locator="65:5-65:57" xsi:type="InValueSet">
               <signature localId="282" name="t:Concept" xsi:type="NamedTypeSpecifier"/>
               <code localId="281" name="ToConcept" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                  <operand localId="280" asType="fhir:CodeableConcept" xsi:type="As">
                     <operand localId="276" locator="65:11-65:23" path="medication" scope="MR" xsi:type="Property"/>
                  </operand>
               </code>
               <valueset localId="278" locator="65:28-65:57" name="Oral polio vaccines" libraryName="Concepts" preserve="true"/>
            </where>
         </expression>
      </def>
   </statements>
</library>
