<?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="375">
         <a:s>/*
 * Library: IMMZD18SMeningococcalPolysaccharideVaccinesLogic (IMMZ.D18.S.Meningococcal.Polysaccharide vaccines schedule)
 * Schedule Table: Polysaccharide vaccines, 1-dose and booster dose schedule
 */
library IMMZD18SMeningococcalPolysaccharideVaccinesLogic</a:s>
      </a:s>
   </annotation>
   <identifier id="IMMZD18SMeningococcalPolysaccharideVaccinesLogic" 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="10:1-10:27" localIdentifier="WC" path="http://smart.who.int/immunizations/WHOCommon">
         <annotation xsi:type="a:Annotation">
            <a:s r="210">
               <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="212" locator="12:1-12:32" localIdentifier="Common" path="http://smart.who.int/immunizations/IMMZCommon">
         <annotation xsi:type="a:Annotation">
            <a:s r="212">
               <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="214" locator="13:1-13:36" localIdentifier="Concepts" path="http://smart.who.int/immunizations/IMMZConcepts">
         <annotation xsi:type="a:Annotation">
            <a:s r="214">
               <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="216" locator="15:1-15:39" localIdentifier="IE" path="http://smart.who.int/immunizations/IMMZEncounterElements">
         <annotation xsi:type="a:Annotation">
            <a:s r="216">
               <a:s>include </a:s>
               <a:s>
                  <a:s>IMMZEncounterElements</a:s>
               </a:s>
               <a:s> called IE</a:s>
            </a:s>
         </annotation>
      </def>
      <def localId="218" locator="16:1-16:63" localIdentifier="Encounter" path="http://smart.who.int/immunizations/IMMZD2DTMeningococcalEncounterElements">
         <annotation xsi:type="a:Annotation">
            <a:s r="218">
               <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="220" locator="18:1-18:36" name="Today" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:s r="220">
               <a:s>parameter Today </a:s>
               <a:s r="224">
                  <a:s>Date</a:s>
               </a:s>
               <a:s> default </a:s>
               <a:s r="223">
                  <a:s>Today()</a:s>
               </a:s>
            </a:s>
         </annotation>
         <default localId="223" locator="18:30-18:36" xsi:type="Today"/>
         <parameterTypeSpecifier localId="224" locator="18:17-18:20" name="t:Date" xsi:type="NamedTypeSpecifier"/>
      </def>
   </parameters>
   <contexts>
      <def localId="229" locator="21:1-21:15" name="Patient"/>
   </contexts>
   <statements>
      <def localId="227" locator="21:1-21:15" name="Patient" context="Patient">
         <expression localId="228" xsi:type="SingletonFrom">
            <operand localId="226" locator="21:1-21:15" dataType="fhir:Patient" templateId="http://hl7.org/fhir/StructureDefinition/Patient" xsi:type="Retrieve"/>
         </expression>
      </def>
      <def localId="239" locator="76:1-77:68" name="One meningococcal dose from primary series was administered. The primary series has been completed" context="Patient" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:t name="complete" value="One meningococcal dose from primary series was administered. The primary series has been completed"/>
            <a:t name="pseudocode" value="&quot;Completed the primary vaccination series&quot; (where &quot;Vaccine type&quot; = &quot;Meningococcal vaccines&quot;) = TRUE"/>
            <a:s r="239">
               <a:s>/*
@complete: One meningococcal dose from primary series was administered. The primary series has been completed
@pseudocode: &quot;Completed the primary vaccination series&quot; (where &quot;Vaccine type&quot; = &quot;Meningococcal vaccines&quot;) = TRUE
*/
define &quot;One meningococcal dose from primary series was administered. The primary series has been completed&quot;:
  </a:s>
               <a:s r="241">
                  <a:s r="240">
                     <a:s>Encounter</a:s>
                  </a:s>
                  <a:s>.</a:s>
                  <a:s r="241">
                     <a:s>&quot;One meningococcal primary series dose was administered&quot;</a:s>
                  </a:s>
               </a:s>
            </a:s>
         </annotation>
         <expression localId="241" locator="77:3-77:68" name="One meningococcal primary series dose was administered" libraryName="Encounter" xsi:type="ExpressionRef"/>
      </def>
      <def localId="232" locator="31:1-33:110" name="Meningococcal dose 1" context="Patient" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:t name="output" value="Meningococcal dose 1"/>
            <a:t name="description" value="Provision of the meningococcal dose 1"/>
            <a:t name="trigger" value="Child's birth"/>
            <a:t name="pseudo"/>
            <a:t name="triggerDate" value="&quot;Date of birth&quot;"/>
            <a:s r="232">
               <a:s>/*
@output: Meningococcal dose 1
@description: Provision of the meningococcal dose 1
@trigger: Child's birth
@pseudo: 
@triggerDate: &quot;Date of birth&quot;
*/
define &quot;Meningococcal dose 1&quot;:
  </a:s>
               <a:s r="233">
                  <a:s r="235">
                     <a:s r="234">
                        <a:s>Encounter</a:s>
                     </a:s>
                     <a:s>.</a:s>
                     <a:s r="235">
                        <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="236">
                     <a:s>not </a:s>
                     <a:s r="242">
                        <a:s>&quot;One meningococcal dose from primary series was administered. The primary series has been completed&quot;</a:s>
                     </a:s>
                  </a:s>
               </a:s>
            </a:s>
         </annotation>
         <expression localId="233" locator="32:3-33:110" xsi:type="And">
            <operand localId="235" locator="32:3-32:67" name="No meningococcal primary series dose was administered" libraryName="Encounter" xsi:type="ExpressionRef"/>
            <operand localId="236" locator="33:7-33:110" xsi:type="Not">
               <operand localId="242" locator="33:11-33:110" name="One meningococcal dose from primary series was administered. The primary series has been completed" xsi:type="ExpressionRef"/>
            </operand>
         </expression>
      </def>
      <def localId="259" locator="51:1-53:11" name="Meningococcal dose 1 Due Date" context="Patient" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:t name="dynamicValue" value="Meningococcal dose 1 Due Date"/>
            <a:t name="pseudocode" value="&quot;Date of birth&quot; + 2 years"/>
            <a:s r="259">
               <a:s>/*
@dynamicValue: Meningococcal dose 1 Due Date
@pseudocode: &quot;Date of birth&quot; + 2 years
*/
define &quot;Meningococcal dose 1 Due Date&quot;:
  </a:s>
               <a:s r="260">
                  <a:s>if </a:s>
                  <a:s r="261">
                     <a:s>&quot;Meningococcal dose 1&quot;</a:s>
                  </a:s>
                  <a:s> then </a:s>
                  <a:s r="262">
                     <a:s r="264">
                        <a:s r="263">
                           <a:s>Patient</a:s>
                        </a:s>
                        <a:s>.</a:s>
                        <a:s r="264">
                           <a:s>birthDate</a:s>
                        </a:s>
                     </a:s>
                     <a:s> + </a:s>
                     <a:s r="265">
                        <a:s>2 years</a:s>
                     </a:s>
                  </a:s>
                  <a:s r="269">
  else null</a:s>
               </a:s>
            </a:s>
         </annotation>
         <expression localId="260" locator="52:3-53:11" xsi:type="If">
            <condition localId="261" locator="52:6-52:27" name="Meningococcal dose 1" xsi:type="ExpressionRef"/>
            <then localId="262" locator="52:34-52:60" xsi:type="Add">
               <signature localId="267" name="t:Date" xsi:type="NamedTypeSpecifier"/>
               <signature localId="268" name="t:Quantity" xsi:type="NamedTypeSpecifier"/>
               <operand localId="266" name="ToDate" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                  <operand localId="264" locator="52:34-52:50" path="birthDate" xsi:type="Property">
                     <source localId="263" locator="52:34-52:40" name="Patient" xsi:type="ExpressionRef"/>
                  </operand>
               </operand>
               <operand localId="265" locator="52:54-52:60" value="2" unit="years" xsi:type="Quantity"/>
            </then>
            <else localId="270" asType="t:Date" xsi:type="As">
               <operand localId="269" locator="53:8-53:11" xsi:type="Null"/>
            </else>
         </expression>
      </def>
      <def localId="245" locator="40:1-44:9" name="Meningococcal dose 1 Create" context="Patient" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:t name="output" value="Meningococcal dose 1 Create"/>
            <a:t name="create" value="Polysaccharide vaccines should be administered to individuals aged ≥ 2 years."/>
            <a:s r="245">
               <a:s>/*
@output: Meningococcal dose 1 Create
@create: Polysaccharide vaccines should be administered to individuals aged ≥ 2 years.
*/
define &quot;Meningococcal dose 1 Create&quot;:
  </a:s>
               <a:s r="246">
                  <a:s>if </a:s>
                  <a:s r="247">
                     <a:s>&quot;Meningococcal dose 1&quot;</a:s>
                  </a:s>
                  <a:s>
  then </a:s>
                  <a:s r="279">
                     <a:s r="256">
                        <a:s r="250">
                           <a:s>'Polysaccharide vaccines should be administered to individuals aged ≥ 2 years.'</a:s>
                        </a:s>
                        <a:s> + </a:s>
                        <a:s r="252">
                           <a:s>'
Due Date: '</a:s>
                        </a:s>
                     </a:s>
                     <a:s> + </a:s>
                     <a:s r="275">
                        <a:s>ToString(</a:s>
                        <a:s r="271">
                           <a:s>&quot;Meningococcal dose 1 Due Date&quot;</a:s>
                        </a:s>
                        <a:s>)</a:s>
                     </a:s>
                  </a:s>
                  <a:s>
  else </a:s>
                  <a:s r="280">
                     <a:s>''</a:s>
                  </a:s>
               </a:s>
            </a:s>
         </annotation>
         <expression localId="246" locator="41:3-44:9" xsi:type="If">
            <condition localId="247" locator="41:6-41:27" name="Meningococcal dose 1" xsi:type="ExpressionRef"/>
            <then localId="279" locator="42:8-43:55" xsi:type="Concatenate">
               <operand localId="256" locator="42:8-42:102" xsi:type="Concatenate">
                  <operand localId="250" locator="42:8-42:86" valueType="t:String" value="Polysaccharide vaccines should be administered to individuals aged ≥ 2 years." xsi:type="Literal"/>
                  <operand localId="252" locator="42:90-42:102" valueType="t:String" value="&#xa;Due Date: " xsi:type="Literal"/>
               </operand>
               <operand localId="275" locator="43:15-43:55" xsi:type="ToString">
                  <signature localId="276" name="t:Date" xsi:type="NamedTypeSpecifier"/>
                  <operand localId="271" locator="43:24-43:54" name="Meningococcal dose 1 Due Date" xsi:type="ExpressionRef"/>
               </operand>
            </then>
            <else localId="280" locator="44:8-44:9" valueType="t:String" value="" xsi:type="Literal"/>
         </expression>
      </def>
      <def localId="284" locator="60:1-61:6" name="Meningococcal dose 1 Overdue" context="Patient" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:t name="dynamicValue" value="Meningococcal dose 1 Overdue"/>
            <a:t name="pseudocode" value="To be determined by Member States; however, there is no recommended overdue date and individuals are always eligible to be vaccinated."/>
            <a:s r="284">
               <a:s r="285">/*
@dynamicValue: Meningococcal dose 1 Overdue
@pseudocode: To be determined by Member States; however, there is no recommended overdue date and individuals are always eligible to be vaccinated.
*/
define &quot;Meningococcal dose 1 Overdue&quot;:
  null</a:s>
            </a:s>
         </annotation>
         <expression localId="285" locator="61:3-61:6" xsi:type="Null"/>
      </def>
      <def localId="288" locator="68:1-69:6" name="Meningococcal dose 1 Expiration" context="Patient" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:t name="dynamicValue" value="Meningococcal dose 1 Expiration"/>
            <a:t name="pseudocode" value="To be determined by Member States; however, there is no recommended expiration date and individuals are always eligible to be vaccinated."/>
            <a:s r="288">
               <a:s r="289">/*
@dynamicValue: Meningococcal dose 1 Expiration
@pseudocode: To be determined by Member States; however, there is no recommended expiration date and individuals are always eligible to be vaccinated.
*/
define &quot;Meningococcal dose 1 Expiration&quot;:
  null</a:s>
            </a:s>
         </annotation>
         <expression localId="289" locator="69:3-69:6" xsi:type="Null"/>
      </def>
      <def localId="298" locator="135:1-136:57" name="Meningococcal booster dose was administered. The immunization schedule has been completed" context="Patient" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:t name="complete" value="Meningococcal booster dose was administered. The immunization schedule has been completed"/>
            <a:t name="pseudocode" value="&quot;Vaccine type&quot; = &quot;Meningococcal vaccines&quot; AND &quot;Type of dose&quot; = &quot;Booster dose&quot;) = 1"/>
            <a:s r="298">
               <a:s>/*
@complete: Meningococcal booster dose was administered. The immunization schedule has been completed
@pseudocode: Count of vaccines administered (where &quot;Vaccine type&quot; = &quot;Meningococcal vaccines&quot; AND &quot;Type of dose&quot; = &quot;Booster dose&quot;) = 1
*/
define &quot;Meningococcal booster dose was administered. The immunization schedule has been completed&quot;:
  </a:s>
               <a:s r="300">
                  <a:s r="299">
                     <a:s>Encounter</a:s>
                  </a:s>
                  <a:s>.</a:s>
                  <a:s r="300">
                     <a:s>&quot;Meningococcal booster dose was administered&quot;</a:s>
                  </a:s>
               </a:s>
            </a:s>
         </annotation>
         <expression localId="300" locator="136:3-136:57" name="Meningococcal booster dose was administered" libraryName="Encounter" xsi:type="ExpressionRef"/>
      </def>
      <def localId="292" locator="88:1-90:101" name="Meningococcal booster dose" context="Patient" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:t name="output" value="Meningococcal booster dose"/>
            <a:t name="description" value="Provision of the meningococcal booster dose"/>
            <a:t name="trigger" value="Primary series has been completed"/>
            <a:t name="pseudo" value="&quot;Completed the primary vaccination series&quot; (where &quot;Vaccine type&quot; = &quot;Meningococcal vaccines&quot;) = TRUE"/>
            <a:t name="triggerDate" value="&quot;Date and time of vaccination&quot; (where &quot;Vaccine type&quot; = &quot;Meningococcal vaccines&quot;)"/>
            <a:s r="292">
               <a:s>/*
@output: Meningococcal booster dose
@description: Provision of the meningococcal booster dose
@trigger: Primary series has been completed
@pseudo: &quot;Completed the primary vaccination series&quot; (where &quot;Vaccine type&quot; = &quot;Meningococcal vaccines&quot;) = TRUE
@triggerDate: &quot;Date and time of vaccination&quot; (where &quot;Vaccine type&quot; = &quot;Meningococcal vaccines&quot;)
*/
define &quot;Meningococcal booster dose&quot;:
  </a:s>
               <a:s r="293">
                  <a:s r="294">
                     <a:s>&quot;One meningococcal dose from primary series was administered. The primary series has been completed&quot;</a:s>
                  </a:s>
                  <a:s>
  and </a:s>
                  <a:s r="295">
                     <a:s>not </a:s>
                     <a:s r="301">
                        <a:s>&quot;Meningococcal booster dose was administered. The immunization schedule has been completed&quot;</a:s>
                     </a:s>
                  </a:s>
               </a:s>
            </a:s>
         </annotation>
         <expression localId="293" locator="89:3-90:101" xsi:type="And">
            <operand localId="294" locator="89:3-89:102" name="One meningococcal dose from primary series was administered. The primary series has been completed" xsi:type="ExpressionRef"/>
            <operand localId="295" locator="90:7-90:101" xsi:type="Not">
               <operand localId="301" locator="90:11-90:101" name="Meningococcal booster dose was administered. The immunization schedule has been completed" xsi:type="ExpressionRef"/>
            </operand>
         </expression>
      </def>
      <def localId="320" locator="109:1-111:11" name="Meningococcal booster dose Due Date" context="Patient" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:t name="dynamicValue" value="Meningococcal booster dose Due Date"/>
            <a:t name="pseudocode" value="&quot;Date and time of vaccination&quot; (where &quot;Vaccine type&quot; = &quot;Meningococcal vaccines&quot;) + 3 years"/>
            <a:s r="320">
               <a:s>/*
@dynamicValue: Meningococcal booster dose Due Date
@pseudocode: &quot;Date and time of vaccination&quot; (where &quot;Vaccine type&quot; = &quot;Meningococcal vaccines&quot;) + 3 years
*/
define &quot;Meningococcal booster dose Due Date&quot;:
  </a:s>
               <a:s r="321">
                  <a:s>if </a:s>
                  <a:s r="322">
                     <a:s>&quot;Meningococcal booster dose&quot;</a:s>
                  </a:s>
                  <a:s> then </a:s>
                  <a:s r="323">
                     <a:s r="325">
                        <a:s r="324">
                           <a:s>Encounter</a:s>
                        </a:s>
                        <a:s>.</a:s>
                        <a:s r="325">
                           <a:s>&quot;Date of Latest Primary Meningococcal Dose&quot;</a:s>
                        </a:s>
                     </a:s>
                     <a:s> + </a:s>
                     <a:s r="326">
                        <a:s>3 years</a:s>
                     </a:s>
                  </a:s>
                  <a:s r="329">
  else null</a:s>
               </a:s>
            </a:s>
         </annotation>
         <expression localId="321" locator="110:3-111:11" xsi:type="If">
            <condition localId="322" locator="110:6-110:33" name="Meningococcal booster dose" xsi:type="ExpressionRef"/>
            <then localId="323" locator="110:40-110:102" xsi:type="Add">
               <signature localId="327" name="t:Date" xsi:type="NamedTypeSpecifier"/>
               <signature localId="328" name="t:Quantity" xsi:type="NamedTypeSpecifier"/>
               <operand localId="325" locator="110:40-110:92" name="Date of Latest Primary Meningococcal Dose" libraryName="Encounter" xsi:type="ExpressionRef"/>
               <operand localId="326" locator="110:96-110:102" value="3" unit="years" xsi:type="Quantity"/>
            </then>
            <else localId="330" asType="t:Date" xsi:type="As">
               <operand localId="329" locator="111:8-111:11" xsi:type="Null"/>
            </else>
         </expression>
      </def>
      <def localId="347" locator="118:1-120:11" name="Meningococcal booster dose Overdue" context="Patient" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:t name="dynamicValue" value="Meningococcal booster dose Overdue"/>
            <a:t name="pseudocode" value="&quot;Date and time of vaccination&quot; (where &quot;Vaccine type&quot; = &quot;Meningococcal vaccines&quot;) + 5 years"/>
            <a:s r="347">
               <a:s>/*
@dynamicValue: Meningococcal booster dose Overdue
@pseudocode: &quot;Date and time of vaccination&quot; (where &quot;Vaccine type&quot; = &quot;Meningococcal vaccines&quot;) + 5 years
*/
define &quot;Meningococcal booster dose Overdue&quot;:
  </a:s>
               <a:s r="348">
                  <a:s>if </a:s>
                  <a:s r="349">
                     <a:s>&quot;Meningococcal booster dose&quot;</a:s>
                  </a:s>
                  <a:s> then </a:s>
                  <a:s r="350">
                     <a:s r="352">
                        <a:s r="351">
                           <a:s>Encounter</a:s>
                        </a:s>
                        <a:s>.</a:s>
                        <a:s r="352">
                           <a:s>&quot;Date of Latest Primary Meningococcal Dose&quot;</a:s>
                        </a:s>
                     </a:s>
                     <a:s> + </a:s>
                     <a:s r="353">
                        <a:s>5 years</a:s>
                     </a:s>
                  </a:s>
                  <a:s r="356">
  else null</a:s>
               </a:s>
            </a:s>
         </annotation>
         <expression localId="348" locator="119:3-120:11" xsi:type="If">
            <condition localId="349" locator="119:6-119:33" name="Meningococcal booster dose" xsi:type="ExpressionRef"/>
            <then localId="350" locator="119:40-119:102" xsi:type="Add">
               <signature localId="354" name="t:Date" xsi:type="NamedTypeSpecifier"/>
               <signature localId="355" name="t:Quantity" xsi:type="NamedTypeSpecifier"/>
               <operand localId="352" locator="119:40-119:92" name="Date of Latest Primary Meningococcal Dose" libraryName="Encounter" xsi:type="ExpressionRef"/>
               <operand localId="353" locator="119:96-119:102" value="5" unit="years" xsi:type="Quantity"/>
            </then>
            <else localId="357" asType="t:Date" xsi:type="As">
               <operand localId="356" locator="120:8-120:11" xsi:type="Null"/>
            </else>
         </expression>
      </def>
      <def localId="304" locator="97:1-102:9" name="Meningococcal booster dose Create" context="Patient" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:t name="output" value="Meningococcal booster dose Create"/>
            <a:t name="create" value="One booster 3–5 years after the primary dose may be given to persons considered to be a continued high risk of exposure, including some health workers."/>
            <a:s r="304">
               <a:s>/*
@output: Meningococcal booster dose Create
@create: One booster 3–5 years after the primary dose may be given to persons considered to be a continued high risk of exposure, including some health workers.
*/
define &quot;Meningococcal booster dose Create&quot;:
  </a:s>
               <a:s r="305">
                  <a:s>if </a:s>
                  <a:s r="306">
                     <a:s>&quot;Meningococcal booster dose&quot;</a:s>
                  </a:s>
                  <a:s>
  then </a:s>
                  <a:s r="366">
                     <a:s r="344">
                        <a:s r="339">
                           <a:s r="317">
                              <a:s r="311">
                                 <a:s>'One booster 3–5 years after the primary dose may be given to persons considered to be a continued high risk of exposure, including some health workers.'</a:s>
                              </a:s>
                              <a:s> + </a:s>
                              <a:s r="313">
                                 <a:s>'
Due Date: '</a:s>
                              </a:s>
                           </a:s>
                           <a:s> + </a:s>
                           <a:s r="335">
                              <a:s>ToString(</a:s>
                              <a:s r="331">
                                 <a:s>&quot;Meningococcal booster dose Due Date&quot;</a:s>
                              </a:s>
                              <a:s>)</a:s>
                           </a:s>
                        </a:s>
                        <a:s> + </a:s>
                        <a:s r="340">
                           <a:s>'
Overdue: '</a:s>
                        </a:s>
                     </a:s>
                     <a:s> + </a:s>
                     <a:s r="362">
                        <a:s>ToString(</a:s>
                        <a:s r="358">
                           <a:s>&quot;Meningococcal booster dose Overdue&quot;</a:s>
                        </a:s>
                        <a:s>)</a:s>
                     </a:s>
                  </a:s>
                  <a:s>
  else </a:s>
                  <a:s r="367">
                     <a:s>''</a:s>
                  </a:s>
               </a:s>
            </a:s>
         </annotation>
         <expression localId="305" locator="98:3-102:9" xsi:type="If">
            <condition localId="306" locator="98:6-98:33" name="Meningococcal booster dose" xsi:type="ExpressionRef"/>
            <then localId="366" locator="99:8-101:59" xsi:type="Concatenate">
               <operand localId="344" locator="99:8-100:76" xsi:type="Concatenate">
                  <operand localId="339" locator="99:8-100:61" xsi:type="Concatenate">
                     <operand localId="317" locator="99:8-99:176" xsi:type="Concatenate">
                        <operand localId="311" locator="99:8-99:160" valueType="t:String" value="One booster 3–5 years after the primary dose may be given to persons considered to be a continued high risk of exposure, including some health workers." xsi:type="Literal"/>
                        <operand localId="313" locator="99:164-99:176" valueType="t:String" value="&#xa;Due Date: " xsi:type="Literal"/>
                     </operand>
                     <operand localId="335" locator="100:15-100:61" xsi:type="ToString">
                        <signature localId="336" name="t:Date" xsi:type="NamedTypeSpecifier"/>
                        <operand localId="331" locator="100:24-100:60" name="Meningococcal booster dose Due Date" xsi:type="ExpressionRef"/>
                     </operand>
                  </operand>
                  <operand localId="340" locator="100:65-100:76" valueType="t:String" value="&#xa;Overdue: " xsi:type="Literal"/>
               </operand>
               <operand localId="362" locator="101:14-101:59" xsi:type="ToString">
                  <signature localId="363" name="t:Date" xsi:type="NamedTypeSpecifier"/>
                  <operand localId="358" locator="101:23-101:58" name="Meningococcal booster dose Overdue" xsi:type="ExpressionRef"/>
               </operand>
            </then>
            <else localId="367" locator="102:8-102:9" valueType="t:String" value="" xsi:type="Literal"/>
         </expression>
      </def>
      <def localId="371" locator="127:1-128:6" name="Meningococcal booster dose Expiration" context="Patient" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:t name="dynamicValue" value="Meningococcal booster dose Expiration"/>
            <a:t name="pseudocode" value="To be determined by Member States; however, there is no recommended expiration date and individuals are always eligible to be vaccinated."/>
            <a:s r="371">
               <a:s r="372">/*
@dynamicValue: Meningococcal booster dose Expiration
@pseudocode: To be determined by Member States; however, there is no recommended expiration date and individuals are always eligible to be vaccinated.
*/
define &quot;Meningococcal booster dose Expiration&quot;:
  null</a:s>
            </a:s>
         </annotation>
         <expression localId="372" locator="128:3-128:6" xsi:type="Null"/>
      </def>
      <def localId="375" locator="143:1-151:5" 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="375">
               <a:s>/*
@test: Test expected results based on example patients
*/
define &quot;Test Validation&quot;:
  </a:s>
               <a:s r="376">
                  <a:s>case
    </a:s>
                  <a:s r="377">
                     <a:s>when </a:s>
                     <a:s r="378">
                        <a:s r="380">
                           <a:s r="379">
                              <a:s>Patient</a:s>
                           </a:s>
                           <a:s>.</a:s>
                           <a:s r="380">
                              <a:s>id</a:s>
                           </a:s>
                        </a:s>
                        <a:s> = </a:s>
                        <a:s r="381">
                           <a:s>'Meningococcal68.1'</a:s>
                        </a:s>
                     </a:s>
                     <a:s> then </a:s>
                     <a:s r="387">
                        <a:s>&quot;Meningococcal dose 1&quot;</a:s>
                     </a:s>
                  </a:s>
                  <a:s>
    </a:s>
                  <a:s r="388">
                     <a:s>when </a:s>
                     <a:s r="389">
                        <a:s r="391">
                           <a:s r="390">
                              <a:s>Patient</a:s>
                           </a:s>
                           <a:s>.</a:s>
                           <a:s r="391">
                              <a:s>id</a:s>
                           </a:s>
                        </a:s>
                        <a:s> = </a:s>
                        <a:s r="392">
                           <a:s>'Meningococcal69.2'</a:s>
                        </a:s>
                     </a:s>
                     <a:s> then </a:s>
                     <a:s r="398">
                        <a:s>&quot;Meningococcal dose 1&quot;</a:s>
                     </a:s>
                  </a:s>
                  <a:s>
    </a:s>
                  <a:s r="399">
                     <a:s>when </a:s>
                     <a:s r="400">
                        <a:s r="402">
                           <a:s r="401">
                              <a:s>Patient</a:s>
                           </a:s>
                           <a:s>.</a:s>
                           <a:s r="402">
                              <a:s>id</a:s>
                           </a:s>
                        </a:s>
                        <a:s> = </a:s>
                        <a:s r="403">
                           <a:s>'Meningococcal70.2'</a:s>
                        </a:s>
                     </a:s>
                     <a:s> then </a:s>
                     <a:s r="409">
                        <a:s>&quot;Meningococcal booster dose&quot;</a:s>
                     </a:s>
                  </a:s>
                  <a:s>
    </a:s>
                  <a:s r="410">
                     <a:s>when </a:s>
                     <a:s r="411">
                        <a:s r="413">
                           <a:s r="412">
                              <a:s>Patient</a:s>
                           </a:s>
                           <a:s>.</a:s>
                           <a:s r="413">
                              <a:s>id</a:s>
                           </a:s>
                        </a:s>
                        <a:s> = </a:s>
                        <a:s r="414">
                           <a:s>'Meningococcal71.3'</a:s>
                        </a:s>
                     </a:s>
                     <a:s> then </a:s>
                     <a:s r="420">
                        <a:s>&quot;Meningococcal booster dose&quot;</a:s>
                     </a:s>
                  </a:s>
                  <a:s>
    </a:s>
                  <a:s r="421">
                     <a:s>when </a:s>
                     <a:s r="422">
                        <a:s r="424">
                           <a:s r="423">
                              <a:s>Patient</a:s>
                           </a:s>
                           <a:s>.</a:s>
                           <a:s r="424">
                              <a:s>id</a:s>
                           </a:s>
                        </a:s>
                        <a:s> = </a:s>
                        <a:s r="425">
                           <a:s>'Meningococcal72.3'</a:s>
                        </a:s>
                     </a:s>
                     <a:s> then </a:s>
                     <a:s r="431">
                        <a:s>&quot;Meningococcal booster dose was administered. The immunization schedule has been completed&quot;</a:s>
                     </a:s>
                  </a:s>
                  <a:s>
    else </a:s>
                  <a:s r="432">
                     <a:s>'No test case set'</a:s>
                  </a:s>
                  <a:s>
  end</a:s>
               </a:s>
            </a:s>
         </annotation>
         <expression localId="376" locator="144:3-151:5" xsi:type="Case">
            <caseItem localId="377" locator="145:5-145:69">
               <when localId="378" locator="145:10-145:41" xsi:type="Equal">
                  <signature localId="385" name="t:String" xsi:type="NamedTypeSpecifier"/>
                  <signature localId="386" name="t:String" xsi:type="NamedTypeSpecifier"/>
                  <operand localId="383" name="ToString" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                     <signature localId="384" name="fhir:string" xsi:type="NamedTypeSpecifier"/>
                     <operand localId="380" locator="145:10-145:19" path="id" xsi:type="Property">
                        <source localId="379" locator="145:10-145:16" name="Patient" xsi:type="ExpressionRef"/>
                     </operand>
                  </operand>
                  <operand localId="381" locator="145:23-145:41" valueType="t:String" value="Meningococcal68.1" xsi:type="Literal"/>
               </when>
               <then localId="434" xsi:type="As">
                  <operand localId="387" locator="145:48-145:69" name="Meningococcal dose 1" xsi:type="ExpressionRef"/>
                  <asTypeSpecifier localId="435" xsi:type="ChoiceTypeSpecifier">
                     <choice localId="436" name="t:Boolean" xsi:type="NamedTypeSpecifier"/>
                     <choice localId="437" name="t:String" xsi:type="NamedTypeSpecifier"/>
                  </asTypeSpecifier>
               </then>
            </caseItem>
            <caseItem localId="388" locator="146:5-146:69">
               <when localId="389" locator="146:10-146:41" xsi:type="Equal">
                  <signature localId="396" name="t:String" xsi:type="NamedTypeSpecifier"/>
                  <signature localId="397" name="t:String" xsi:type="NamedTypeSpecifier"/>
                  <operand localId="394" name="ToString" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                     <signature localId="395" name="fhir:string" xsi:type="NamedTypeSpecifier"/>
                     <operand localId="391" locator="146:10-146:19" path="id" xsi:type="Property">
                        <source localId="390" locator="146:10-146:16" name="Patient" xsi:type="ExpressionRef"/>
                     </operand>
                  </operand>
                  <operand localId="392" locator="146:23-146:41" valueType="t:String" value="Meningococcal69.2" xsi:type="Literal"/>
               </when>
               <then localId="438" xsi:type="As">
                  <operand localId="398" locator="146:48-146:69" name="Meningococcal dose 1" xsi:type="ExpressionRef"/>
                  <asTypeSpecifier localId="439" xsi:type="ChoiceTypeSpecifier">
                     <choice localId="440" name="t:Boolean" xsi:type="NamedTypeSpecifier"/>
                     <choice localId="441" name="t:String" xsi:type="NamedTypeSpecifier"/>
                  </asTypeSpecifier>
               </then>
            </caseItem>
            <caseItem localId="399" locator="147:5-147:75">
               <when localId="400" locator="147:10-147:41" xsi:type="Equal">
                  <signature localId="407" name="t:String" xsi:type="NamedTypeSpecifier"/>
                  <signature localId="408" name="t:String" xsi:type="NamedTypeSpecifier"/>
                  <operand localId="405" name="ToString" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                     <signature localId="406" name="fhir:string" xsi:type="NamedTypeSpecifier"/>
                     <operand localId="402" locator="147:10-147:19" path="id" xsi:type="Property">
                        <source localId="401" locator="147:10-147:16" name="Patient" xsi:type="ExpressionRef"/>
                     </operand>
                  </operand>
                  <operand localId="403" locator="147:23-147:41" valueType="t:String" value="Meningococcal70.2" xsi:type="Literal"/>
               </when>
               <then localId="442" xsi:type="As">
                  <operand localId="409" locator="147:48-147:75" name="Meningococcal booster dose" xsi:type="ExpressionRef"/>
                  <asTypeSpecifier localId="443" xsi:type="ChoiceTypeSpecifier">
                     <choice localId="444" name="t:Boolean" xsi:type="NamedTypeSpecifier"/>
                     <choice localId="445" name="t:String" xsi:type="NamedTypeSpecifier"/>
                  </asTypeSpecifier>
               </then>
            </caseItem>
            <caseItem localId="410" locator="148:5-148:75">
               <when localId="411" locator="148:10-148:41" xsi:type="Equal">
                  <signature localId="418" name="t:String" xsi:type="NamedTypeSpecifier"/>
                  <signature localId="419" name="t:String" xsi:type="NamedTypeSpecifier"/>
                  <operand localId="416" name="ToString" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                     <signature localId="417" name="fhir:string" xsi:type="NamedTypeSpecifier"/>
                     <operand localId="413" locator="148:10-148:19" path="id" xsi:type="Property">
                        <source localId="412" locator="148:10-148:16" name="Patient" xsi:type="ExpressionRef"/>
                     </operand>
                  </operand>
                  <operand localId="414" locator="148:23-148:41" valueType="t:String" value="Meningococcal71.3" xsi:type="Literal"/>
               </when>
               <then localId="446" xsi:type="As">
                  <operand localId="420" locator="148:48-148:75" name="Meningococcal booster dose" xsi:type="ExpressionRef"/>
                  <asTypeSpecifier localId="447" xsi:type="ChoiceTypeSpecifier">
                     <choice localId="448" name="t:Boolean" xsi:type="NamedTypeSpecifier"/>
                     <choice localId="449" name="t:String" xsi:type="NamedTypeSpecifier"/>
                  </asTypeSpecifier>
               </then>
            </caseItem>
            <caseItem localId="421" locator="149:5-149:138">
               <when localId="422" locator="149:10-149:41" xsi:type="Equal">
                  <signature localId="429" name="t:String" xsi:type="NamedTypeSpecifier"/>
                  <signature localId="430" name="t:String" xsi:type="NamedTypeSpecifier"/>
                  <operand localId="427" name="ToString" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                     <signature localId="428" name="fhir:string" xsi:type="NamedTypeSpecifier"/>
                     <operand localId="424" locator="149:10-149:19" path="id" xsi:type="Property">
                        <source localId="423" locator="149:10-149:16" name="Patient" xsi:type="ExpressionRef"/>
                     </operand>
                  </operand>
                  <operand localId="425" locator="149:23-149:41" valueType="t:String" value="Meningococcal72.3" xsi:type="Literal"/>
               </when>
               <then localId="450" xsi:type="As">
                  <operand localId="431" locator="149:48-149:138" name="Meningococcal booster dose was administered. The immunization schedule has been completed" xsi:type="ExpressionRef"/>
                  <asTypeSpecifier localId="451" xsi:type="ChoiceTypeSpecifier">
                     <choice localId="452" name="t:Boolean" xsi:type="NamedTypeSpecifier"/>
                     <choice localId="453" name="t:String" xsi:type="NamedTypeSpecifier"/>
                  </asTypeSpecifier>
               </then>
            </caseItem>
            <else localId="454" xsi:type="As">
               <operand localId="432" locator="150:10-150:27" valueType="t:String" value="No test case set" xsi:type="Literal"/>
               <asTypeSpecifier localId="455" xsi:type="ChoiceTypeSpecifier">
                  <choice localId="456" name="t:Boolean" xsi:type="NamedTypeSpecifier"/>
                  <choice localId="457" name="t:String" xsi:type="NamedTypeSpecifier"/>
               </asTypeSpecifier>
            </else>
         </expression>
      </def>
   </statements>
</library>
