<?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="304">
         <a:s>/*
  * Library: IMMZD5DTYellowfeverEncounterElements
  */
library IMMZD5DTYellowfeverEncounterElements</a:s>
      </a:s>
   </annotation>
   <identifier id="IMMZD5DTYellowfeverEncounterElements" 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="18:1-18:62" localIdentifier="YellowfeverElements" path="http://smart.who.int/immunizations/IMMZD5DTYellowfeverElements">
         <annotation xsi:type="a:Annotation">
            <a:s r="222">
               <a:s>include </a:s>
               <a:s>
                  <a:s>IMMZD5DTYellowfeverElements</a:s>
               </a:s>
               <a:s> called YellowfeverElements</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="28:1-30:59" name="Draft Medication Request for Yellow fever dose" context="Patient" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:t name="internal" value="Draft Medication Request for Yellow fever dose"/>
            <a:s r="239">
               <a:s>/*
@internal: Draft Medication Request for Yellow fever dose
*/
define &quot;Draft Medication Request for Yellow fever 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;Yellow fever vaccines&quot;</a:s>
                           </a:s>
                        </a:s>
                     </a:s>
                  </a:s>
               </a:s>
            </a:s>
         </annotation>
         <expression localId="252" locator="29:3-30:59" xsi:type="Query">
            <source localId="240" locator="29:3-29:53" alias="MR">
               <expression localId="242" locator="29:3-29:50" name="Draft Medication Request for Patient" libraryName="Encounter" xsi:type="ExpressionRef"/>
            </source>
            <where localId="248" locator="30:5-30:59" 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="30:11-30:23" path="medication" scope="MR" xsi:type="Property"/>
                  </operand>
               </code>
               <valueset localId="247" locator="30:28-30:59" name="Yellow fever vaccines" libraryName="Concepts" preserve="true"/>
            </where>
         </expression>
      </def>
      <def localId="255" locator="38:1-39:47" name="Client's age is less than 6 months" context="Patient" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:t name="input" value="Client's age is less than 6 months"/>
            <a:t name="pseudocode" value="&quot;Date of birth&quot; &lt; 6 months"/>
            <a:t name="code" value="Client's age is less than 6 months-41"/>
            <a:t name="decision" value="IMMZ.D5.DT.Yellow fever contraindications"/>
            <a:s r="255">
               <a:s>/*
@input: Client's age is less than 6 months
@pseudocode: Today's date − &quot;Date of birth&quot; &lt; 6 months
@code: Client's age is less than 6 months-41
@decision: IMMZ.D5.DT.Yellow fever contraindications
*/
define &quot;Client's age is less than 6 months&quot;:
  </a:s>
               <a:s r="256">
                  <a:s r="258">
                     <a:s r="257">
                        <a:s>Encounter</a:s>
                     </a:s>
                     <a:s>.</a:s>
                     <a:s r="258">
                        <a:s>&quot;Current Patient Age In Months&quot;</a:s>
                     </a:s>
                  </a:s>
                  <a:s r="259"> &lt; 6</a:s>
               </a:s>
            </a:s>
         </annotation>
         <expression localId="256" locator="39:3-39:47" xsi:type="Less">
            <signature localId="260" name="t:Integer" xsi:type="NamedTypeSpecifier"/>
            <signature localId="261" name="t:Integer" xsi:type="NamedTypeSpecifier"/>
            <operand localId="258" locator="39:3-39:43" name="Current Patient Age In Months" libraryName="Encounter" xsi:type="ExpressionRef"/>
            <operand localId="259" locator="39:47" valueType="t:Integer" value="6" xsi:type="Literal"/>
         </expression>
      </def>
      <def localId="264" locator="47:1-49:51" name="Client's age is 6–9 months" context="Patient" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:t name="input" value="Client's age is 6–9 months"/>
            <a:t name="pseudocode" value="&quot;Date of birth&quot; &lt; 9 months"/>
            <a:t name="code" value="Client's age is 6–9 months-52"/>
            <a:t name="decision" value="IMMZ.D5.DT.Yellow fever contraindications"/>
            <a:s r="264">
               <a:s>/*
@input: Client's age is 6–9 months
@pseudocode: 6 months ≤ Today's date − &quot;Date of birth&quot; &lt; 9 months
@code: Client's age is 6–9 months-52
@decision: IMMZ.D5.DT.Yellow fever contraindications
*/
define &quot;Client's age is 6–9 months&quot;:
  </a:s>
               <a:s r="265">
                  <a:s r="266">
                     <a:s r="267">6 &lt;= </a:s>
                     <a:s r="269">
                        <a:s r="268">
                           <a:s>Encounter</a:s>
                        </a:s>
                        <a:s>.</a:s>
                        <a:s r="269">
                           <a:s>&quot;Current Patient Age In Months&quot;</a:s>
                        </a:s>
                     </a:s>
                  </a:s>
                  <a:s>
  and </a:s>
                  <a:s r="272">
                     <a:s r="274">
                        <a:s r="273">
                           <a:s>Encounter</a:s>
                        </a:s>
                        <a:s>.</a:s>
                        <a:s r="274">
                           <a:s>&quot;Current Patient Age In Months&quot;</a:s>
                        </a:s>
                     </a:s>
                     <a:s r="275"> &lt; 9</a:s>
                  </a:s>
               </a:s>
            </a:s>
         </annotation>
         <expression localId="265" locator="48:3-49:51" xsi:type="And">
            <operand localId="266" locator="48:3-48:48" xsi:type="LessOrEqual">
               <signature localId="270" name="t:Integer" xsi:type="NamedTypeSpecifier"/>
               <signature localId="271" name="t:Integer" xsi:type="NamedTypeSpecifier"/>
               <operand localId="267" locator="48:3" valueType="t:Integer" value="6" xsi:type="Literal"/>
               <operand localId="269" locator="48:8-48:48" name="Current Patient Age In Months" libraryName="Encounter" xsi:type="ExpressionRef"/>
            </operand>
            <operand localId="272" locator="49:7-49:51" xsi:type="Less">
               <signature localId="276" name="t:Integer" xsi:type="NamedTypeSpecifier"/>
               <signature localId="277" name="t:Integer" xsi:type="NamedTypeSpecifier"/>
               <operand localId="274" locator="49:7-49:47" name="Current Patient Age In Months" libraryName="Encounter" xsi:type="ExpressionRef"/>
               <operand localId="275" locator="49:51" valueType="t:Integer" value="9" xsi:type="Literal"/>
            </operand>
         </expression>
      </def>
      <def localId="280" locator="57:1-58:48" name="Client's age is more than or equal to 60 years" context="Patient" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:t name="input" value="Client's age is more than or equal to 60 years"/>
            <a:t name="pseudocode" value="&quot;Date of birth&quot; ≥ 60 years"/>
            <a:t name="code" value="Client's age is more than or equal to 60 years-41"/>
            <a:t name="decision" value="IMMZ.D5.DT.Yellow fever contraindications"/>
            <a:s r="280">
               <a:s>/*
@input: Client's age is more than or equal to 60 years
@pseudocode: Today's date − &quot;Date of birth&quot; ≥ 60 years
@code: Client's age is more than or equal to 60 years-41
@decision: IMMZ.D5.DT.Yellow fever contraindications
*/
define &quot;Client's age is more than or equal to 60 years&quot;:
  </a:s>
               <a:s r="281">
                  <a:s r="283">
                     <a:s r="282">
                        <a:s>Encounter</a:s>
                     </a:s>
                     <a:s>.</a:s>
                     <a:s r="283">
                        <a:s>&quot;Current Patient Age In Years&quot;</a:s>
                     </a:s>
                  </a:s>
                  <a:s r="284"> >= 60</a:s>
               </a:s>
            </a:s>
         </annotation>
         <expression localId="281" locator="58:3-58:48" xsi:type="GreaterOrEqual">
            <signature localId="285" name="t:Integer" xsi:type="NamedTypeSpecifier"/>
            <signature localId="286" name="t:Integer" xsi:type="NamedTypeSpecifier"/>
            <operand localId="283" locator="58:3-58:42" name="Current Patient Age In Years" libraryName="Encounter" xsi:type="ExpressionRef"/>
            <operand localId="284" locator="58:47-58:48" valueType="t:Integer" value="60" xsi:type="Literal"/>
         </expression>
      </def>
      <def localId="289" locator="66:1-67:65" name="The client has a history of severe allergic reactions" context="Patient" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:t name="input" value="The client has a 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 a history of severe allergic reactions-59"/>
            <a:t name="decision" value="IMMZ.D5.DT.Yellow fever contraindications"/>
            <a:s r="289">
               <a:s>/*
@input: The client has a history of severe allergic reactions
@pseudocode: &quot;Potential contraindications&quot; = &quot;Severe allergic reactions&quot;
@code: The client has a history of severe allergic reactions-59
@decision: IMMZ.D5.DT.Yellow fever contraindications
*/
define &quot;The client has a history of severe allergic reactions&quot;:
  </a:s>
               <a:s r="291">
                  <a:s r="290">
                     <a:s>Encounter</a:s>
                  </a:s>
                  <a:s>.</a:s>
                  <a:s r="291">
                     <a:s>&quot;The client has history of severe allergic reactions&quot;</a:s>
                  </a:s>
               </a:s>
            </a:s>
         </annotation>
         <expression localId="291" locator="67:3-67:65" name="The client has history of severe allergic reactions" libraryName="Encounter" xsi:type="ExpressionRef"/>
      </def>
      <def localId="294" locator="75:1-76:54" 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.Yellow fever contraindications"/>
            <a:s r="294">
               <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.Yellow fever contraindications
*/
define &quot;The client is severely immunocompromised&quot;:
  </a:s>
               <a:s r="296">
                  <a:s r="295">
                     <a:s>Encounter</a:s>
                  </a:s>
                  <a:s>.</a:s>
                  <a:s r="296">
                     <a:s>&quot;The client is severely immunocompromised&quot;</a:s>
                  </a:s>
               </a:s>
            </a:s>
         </annotation>
         <expression localId="296" locator="76:3-76:54" name="The client is severely immunocompromised" libraryName="Encounter" xsi:type="ExpressionRef"/>
      </def>
      <def localId="299" locator="84:1-85:36" name="The client is currently pregnant" context="Patient" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:t name="input" value="The client is currently pregnant"/>
            <a:t name="pseudocode" value="&quot;Potential contraindications&quot; = &quot;Currently pregnant&quot;"/>
            <a:t name="code" value="The client is currently pregnant-52"/>
            <a:t name="decision" value="IMMZ.D5.DT.Yellow fever contraindications"/>
            <a:s r="299">
               <a:s>/*
@input: The client is currently pregnant
@pseudocode: &quot;Potential contraindications&quot; = &quot;Currently pregnant&quot;
@code: The client is currently pregnant-52
@decision: IMMZ.D5.DT.Yellow fever contraindications
*/
define &quot;The client is currently pregnant&quot;:
  </a:s>
               <a:s r="301">
                  <a:s r="300">
                     <a:s>Encounter</a:s>
                  </a:s>
                  <a:s>.</a:s>
                  <a:s r="301">
                     <a:s>&quot;The client is pregnant&quot;</a:s>
                  </a:s>
               </a:s>
            </a:s>
         </annotation>
         <expression localId="301" locator="85:3-85:36" name="The client is pregnant" libraryName="Encounter" xsi:type="ExpressionRef"/>
      </def>
      <def localId="304" locator="93:1-94:37" name="The client is lactating" context="Patient" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:t name="input" value="The client is lactating"/>
            <a:t name="pseudocode" value="&quot;Potential contraindications&quot; = &quot;Breastfeeding&quot;"/>
            <a:t name="code" value="The client is lactating-47"/>
            <a:t name="decision" value="IMMZ.D5.DT.Yellow fever contraindications"/>
            <a:s r="304">
               <a:s>/*
@input: The client is lactating
@pseudocode: &quot;Potential contraindications&quot; = &quot;Breastfeeding&quot;
@code: The client is lactating-47
@decision: IMMZ.D5.DT.Yellow fever contraindications
*/
define &quot;The client is lactating&quot;:
  </a:s>
               <a:s r="306">
                  <a:s r="305">
                     <a:s>Encounter</a:s>
                  </a:s>
                  <a:s>.</a:s>
                  <a:s r="306">
                     <a:s>&quot;The client is lactating&quot;</a:s>
                  </a:s>
               </a:s>
            </a:s>
         </annotation>
         <expression localId="306" locator="94:3-94:37" name="The client is lactating" libraryName="Encounter" xsi:type="ExpressionRef"/>
      </def>
   </statements>
</library>
