<?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="293">
         <a:s>/*
  * Library: IMMZD2DTJEElements
  */
library IMMZD2DTJEElements</a:s>
      </a:s>
   </annotation>
   <identifier id="IMMZD2DTJEElements" 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="16:1-16:36" localIdentifier="Elements" path="http://smart.who.int/immunizations/IMMZElements">
         <annotation xsi:type="a:Annotation">
            <a:s r="220">
               <a:s>include </a:s>
               <a:s>
                  <a:s>IMMZElements</a:s>
               </a:s>
               <a:s> called Elements</a:s>
            </a:s>
         </annotation>
      </def>
   </includes>
   <contexts>
      <def localId="225" locator="19:1-19:15" name="Patient"/>
   </contexts>
   <statements>
      <def localId="223" locator="19:1-19:15" name="Patient" context="Patient">
         <expression localId="224" xsi:type="SingletonFrom">
            <operand localId="222" locator="19:1-19:15" dataType="fhir:Patient" templateId="http://hl7.org/fhir/StructureDefinition/Patient" xsi:type="Retrieve"/>
         </expression>
      </def>
      <def localId="228" locator="24:1-27:43" name="JE Doses Administered to Patient" context="Patient" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:t name="internal" value="JE containing Doses Administered to Patient"/>
            <a:s r="228">
               <a:s>/*
@internal: JE containing Doses Administered to Patient
*/
define &quot;JE Doses Administered to Patient&quot;:
  </a:s>
               <a:s r="240">
                  <a:s>
                     <a:s r="229">
                        <a:s r="231">
                           <a:s>
                              <a:s>Elements.&quot;Doses Administered to Patient&quot;</a:s>
                           </a:s>
                        </a:s>
                        <a:s> I</a:s>
                     </a:s>
                  </a:s>
                  <a:s>
  </a:s>
                  <a:s r="237">
                     <a:s>where
    </a:s>
                     <a:s r="237">
                        <a:s r="234">
                           <a:s r="233">
                              <a:s>I</a:s>
                           </a:s>
                           <a:s>.</a:s>
                           <a:s r="234">
                              <a:s>vaccineCode</a:s>
                           </a:s>
                        </a:s>
                        <a:s> in </a:s>
                        <a:s r="236">
                           <a:s r="235">
                              <a:s>Concepts</a:s>
                           </a:s>
                           <a:s>.</a:s>
                           <a:s r="236">
                              <a:s>&quot;JE vaccines&quot;</a:s>
                           </a:s>
                        </a:s>
                     </a:s>
                  </a:s>
               </a:s>
            </a:s>
         </annotation>
         <expression localId="240" locator="25:3-27:43" xsi:type="Query">
            <source localId="229" locator="25:3-25:44" alias="I">
               <expression localId="231" locator="25:3-25:42" name="Doses Administered to Patient" libraryName="Elements" xsi:type="ExpressionRef"/>
            </source>
            <where localId="237" locator="26:3-27:43" xsi:type="InValueSet">
               <signature localId="239" name="t:Concept" xsi:type="NamedTypeSpecifier"/>
               <code localId="238" name="ToConcept" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                  <operand localId="234" locator="27:5-27:17" path="vaccineCode" scope="I" xsi:type="Property"/>
               </code>
               <valueset localId="236" locator="27:22-27:43" name="JE vaccines" libraryName="Concepts" preserve="true"/>
            </where>
         </expression>
      </def>
      <def localId="243" locator="32:1-33:52" name="JE Primary Series Doses Administered to Patient" context="Patient" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:t name="internal" value="JE containing Doses Administered to Patient that are in the Primary series"/>
            <a:s r="243">
               <a:s>/*
@internal: JE containing Doses Administered to Patient that are in the Primary series
*/
define &quot;JE Primary Series Doses Administered to Patient&quot;:
  </a:s>
               <a:s r="245">
                  <a:s r="244">
                     <a:s>&quot;JE Doses Administered to Patient&quot;</a:s>
                  </a:s>
                  <a:s>.</a:s>
                  <a:s r="245">
                     <a:s>seriesPrimary()</a:s>
                  </a:s>
               </a:s>
            </a:s>
         </annotation>
         <expression localId="245" locator="33:3-33:52" name="seriesPrimary" libraryName="Common" xsi:type="FunctionRef">
            <operand localId="244" locator="33:3-33:36" name="JE Doses Administered to Patient" xsi:type="ExpressionRef"/>
         </expression>
      </def>
      <def localId="248" locator="38:1-39:58" name="Number of JE Primary Series Doses Administered" context="Patient" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:t name="internal" value="Number of JE Primary Series doses"/>
            <a:s r="248">
               <a:s>/*
@internal: Number of JE Primary Series doses
*/
define &quot;Number of JE Primary Series Doses Administered&quot;:
  </a:s>
               <a:s r="252">
                  <a:s>Count(</a:s>
                  <a:s r="249">
                     <a:s>&quot;JE Primary Series Doses Administered to Patient&quot;</a:s>
                  </a:s>
                  <a:s>)</a:s>
               </a:s>
            </a:s>
         </annotation>
         <expression localId="252" locator="39:3-39:58" xsi:type="Count">
            <source localId="249" locator="39:9-39:57" name="JE Primary Series Doses Administered to Patient" xsi:type="ExpressionRef"/>
         </expression>
      </def>
      <def localId="255" locator="48:1-49:46" 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.D2.DT.JE.Inactivated Vero cell-derived vaccine: Inactivated Vero cell-derived vaccination schedule (2-dose scheme)&#xa;JE vaccination should be integrated into national immunization schedules in all areas where JE is recognized as a public health priority"/>
            <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.D2.DT.JE.Inactivated Vero cell-derived vaccine: Inactivated Vero cell-derived vaccination schedule (2-dose scheme)
JE vaccination should be integrated into national immunization schedules in all areas where JE is recognized as a public health priority
*/
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>Elements</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="49:3-49:46" 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="49:3-49:42" name="Current Patient Age In Months" libraryName="Elements" xsi:type="ExpressionRef"/>
            <operand localId="259" locator="49:46" valueType="t:Integer" value="6" xsi:type="Literal"/>
         </expression>
      </def>
      <def localId="264" locator="62:1-63:54" name="No JE primary series doses were administered" context="Patient" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:t name="input" value="No JE primary series doses were administered"/>
            <a:t name="pseudocode" value="&quot;Vaccine type&quot; = &quot;JE vaccines&quot; and &quot;Type of dose&quot; = &quot;Primary series&quot;) = 0"/>
            <a:t name="code" value="No JE primary series doses were administered-111"/>
            <a:t name="decision" value="IMMZ.D2.DT.JE.Inactivated Vero cell-derived vaccine: Inactivated Vero cell-derived vaccination schedule (2-dose scheme)&#xa;JE vaccination should be integrated into national immunization schedules in all areas where JE is recognized as a public health priority"/>
            <a:t name="decision" value="IMMZ.D2.DT.JE.Live attenuated vaccine: Live attenuated vaccination schedule (1-dose scheme)&#xa;JE vaccination should be integrated into national immunization schedules in all areas where JE is recognized as a public health priority"/>
            <a:t name="decision" value="IMMZ.D2.DT.JE.Live recombinant vaccine: Live recombinant vaccination schedule (1-dose scheme)&#xa;JE vaccination should be integrated into national immunization schedules in all areas where JE is recognized as a public health priority"/>
            <a:s r="264">
               <a:s>/*
@input: No JE primary series doses were administered
@pseudocode: Count of vaccines administered (where &quot;Vaccine type&quot; = &quot;JE vaccines&quot; and &quot;Type of dose&quot; = &quot;Primary series&quot;) = 0
@code: No JE primary series doses were administered-111
@decision: IMMZ.D2.DT.JE.Inactivated Vero cell-derived vaccine: Inactivated Vero cell-derived vaccination schedule (2-dose scheme)
JE vaccination should be integrated into national immunization schedules in all areas where JE is recognized as a public health priority
@decision: IMMZ.D2.DT.JE.Live attenuated vaccine: Live attenuated vaccination schedule (1-dose scheme)
JE vaccination should be integrated into national immunization schedules in all areas where JE is recognized as a public health priority
@decision: IMMZ.D2.DT.JE.Live recombinant vaccine: Live recombinant vaccination schedule (1-dose scheme)
JE vaccination should be integrated into national immunization schedules in all areas where JE is recognized as a public health priority
*/
define &quot;No JE primary series doses were administered&quot;:
  </a:s>
               <a:s r="265">
                  <a:s r="266">
                     <a:s>&quot;Number of JE Primary Series Doses Administered&quot;</a:s>
                  </a:s>
                  <a:s r="267"> = 0</a:s>
               </a:s>
            </a:s>
         </annotation>
         <expression localId="265" locator="63:3-63:54" xsi:type="Equal">
            <signature localId="268" name="t:Integer" xsi:type="NamedTypeSpecifier"/>
            <signature localId="269" name="t:Integer" xsi:type="NamedTypeSpecifier"/>
            <operand localId="266" locator="63:3-63:50" name="Number of JE Primary Series Doses Administered" xsi:type="ExpressionRef"/>
            <operand localId="267" locator="63:54" valueType="t:Integer" value="0" xsi:type="Literal"/>
         </expression>
      </def>
      <def localId="272" locator="72:1-73:47" name="Client's age is more than or equal to 6 months" context="Patient" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:t name="input" value="Client's age is more than or equal to 6 months"/>
            <a:t name="pseudocode" value="&quot;Date of birth&quot; ≥ 6 months"/>
            <a:t name="code" value="Client's age is more than or equal to 6 months-41"/>
            <a:t name="decision" value="IMMZ.D2.DT.JE.Inactivated Vero cell-derived vaccine: Inactivated Vero cell-derived vaccination schedule (2-dose scheme)&#xa;JE vaccination should be integrated into national immunization schedules in all areas where JE is recognized as a public health priority"/>
            <a:s r="272">
               <a:s>/*
@input: Client's age is more than or equal to 6 months
@pseudocode: Today's date − &quot;Date of birth&quot; ≥ 6 months
@code: Client's age is more than or equal to 6 months-41
@decision: IMMZ.D2.DT.JE.Inactivated Vero cell-derived vaccine: Inactivated Vero cell-derived vaccination schedule (2-dose scheme)
JE vaccination should be integrated into national immunization schedules in all areas where JE is recognized as a public health priority
*/
define &quot;Client's age is more than or equal to 6 months&quot;:
  </a:s>
               <a:s r="273">
                  <a:s r="275">
                     <a:s r="274">
                        <a:s>Elements</a:s>
                     </a:s>
                     <a:s>.</a:s>
                     <a:s r="275">
                        <a:s>&quot;Current Patient Age In Months&quot;</a:s>
                     </a:s>
                  </a:s>
                  <a:s r="276"> >= 6</a:s>
               </a:s>
            </a:s>
         </annotation>
         <expression localId="273" locator="73:3-73:47" xsi:type="GreaterOrEqual">
            <signature localId="277" name="t:Integer" xsi:type="NamedTypeSpecifier"/>
            <signature localId="278" name="t:Integer" xsi:type="NamedTypeSpecifier"/>
            <operand localId="275" locator="73:3-73:42" name="Current Patient Age In Months" libraryName="Elements" xsi:type="ExpressionRef"/>
            <operand localId="276" locator="73:47" valueType="t:Integer" value="6" xsi:type="Literal"/>
         </expression>
      </def>
      <def localId="281" locator="84:1-85:54" name="One JE primary series dose was administered" context="Patient" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:t name="input" value="One JE primary series dose was administered"/>
            <a:t name="pseudocode" value="&quot;Vaccine type&quot; = &quot;JE vaccines&quot; and &quot;Type of dose&quot; = &quot;Primary series&quot;) = 1"/>
            <a:t name="code" value="One JE primary series dose was administered-111"/>
            <a:t name="decision" value="IMMZ.D2.DT.JE.Inactivated Vero cell-derived vaccine: Inactivated Vero cell-derived vaccination schedule (2-dose scheme)&#xa;JE vaccination should be integrated into national immunization schedules in all areas where JE is recognized as a public health priority"/>
            <a:t name="decision" value="IMMZ.D2.DT.JE.Live attenuated vaccine: Live attenuated vaccination schedule (1-dose scheme)&#xa;JE vaccination should be integrated into national immunization schedules in all areas where JE is recognized as a public health priority"/>
            <a:s r="281">
               <a:s>/*
@input: One JE primary series dose was administered
@pseudocode: Count of vaccines administered (where &quot;Vaccine type&quot; = &quot;JE vaccines&quot; and &quot;Type of dose&quot; = &quot;Primary series&quot;) = 1
@code: One JE primary series dose was administered-111
@decision: IMMZ.D2.DT.JE.Inactivated Vero cell-derived vaccine: Inactivated Vero cell-derived vaccination schedule (2-dose scheme)
JE vaccination should be integrated into national immunization schedules in all areas where JE is recognized as a public health priority
@decision: IMMZ.D2.DT.JE.Live attenuated vaccine: Live attenuated vaccination schedule (1-dose scheme)
JE vaccination should be integrated into national immunization schedules in all areas where JE is recognized as a public health priority
*/
define &quot;One JE primary series dose was administered&quot;:
  </a:s>
               <a:s r="282">
                  <a:s r="283">
                     <a:s>&quot;Number of JE Primary Series Doses Administered&quot;</a:s>
                  </a:s>
                  <a:s r="284"> = 1</a:s>
               </a:s>
            </a:s>
         </annotation>
         <expression localId="282" locator="85:3-85:54" xsi:type="Equal">
            <signature localId="285" name="t:Integer" xsi:type="NamedTypeSpecifier"/>
            <signature localId="286" name="t:Integer" xsi:type="NamedTypeSpecifier"/>
            <operand localId="283" locator="85:3-85:50" name="Number of JE Primary Series Doses Administered" xsi:type="ExpressionRef"/>
            <operand localId="284" locator="85:54" valueType="t:Integer" value="1" xsi:type="Literal"/>
         </expression>
      </def>
      <def localId="293" locator="195:1-196:92" name="Date of Latest JE Dose" context="Patient" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:t name="internal" value="Date of Latest JE Dose"/>
            <a:s r="293">
               <a:s>/*
@internal: Date of Latest JE Dose
*/
define &quot;Date of Latest JE Dose&quot;:
  </a:s>
               <a:s r="294">
                  <a:s>date from </a:s>
                  <a:s r="295">
                     <a:s>start of </a:s>
                     <a:s r="301">
                        <a:s r="300">
                           <a:s r="297">
                              <a:s r="296">
                                 <a:s>&quot;JE Doses Administered to Patient&quot;</a:s>
                              </a:s>
                              <a:s>.</a:s>
                              <a:s r="297">
                                 <a:s>mostRecent()</a:s>
                              </a:s>
                           </a:s>
                           <a:s>.</a:s>
                           <a:s r="300">
                              <a:s>occurrence</a:s>
                           </a:s>
                        </a:s>
                        <a:s>.</a:s>
                        <a:s r="301">
                           <a:s>toInterval()</a:s>
                        </a:s>
                     </a:s>
                  </a:s>
               </a:s>
            </a:s>
         </annotation>
         <expression localId="294" locator="196:3-196:92" xsi:type="DateFrom">
            <operand localId="295" locator="196:13-196:92" xsi:type="Start">
               <operand localId="301" locator="196:22-196:92" name="toInterval" libraryName="WC" xsi:type="FunctionRef">
                  <operand localId="300" locator="196:22-196:79" path="occurrence" xsi:type="Property">
                     <source localId="297" locator="196:22-196:68" name="mostRecent" libraryName="WC" xsi:type="FunctionRef">
                        <signature localId="298" xsi:type="ListTypeSpecifier">
                           <elementType localId="299" name="fhir:Immunization" xsi:type="NamedTypeSpecifier"/>
                        </signature>
                        <operand localId="296" locator="196:22-196:55" name="JE Doses Administered to Patient" xsi:type="ExpressionRef"/>
                     </source>
                  </operand>
               </operand>
            </operand>
         </expression>
      </def>
      <def localId="289" locator="94:1-96:72" name="The latest JE dose was administered less than 4 weeks ago" context="Patient" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:t name="input" value="The latest JE dose was administered less than 4 weeks ago"/>
            <a:t name="pseudocode" value="&quot;Date and time of vaccination&quot; (where &quot;Vaccine type&quot; = &quot;JE vaccines&quot;) &lt; 4 weeks"/>
            <a:t name="code" value="The latest JE dose was administered less than 4 weeks ago-94"/>
            <a:t name="decision" value="IMMZ.D2.DT.JE.Inactivated Vero cell-derived vaccine: Inactivated Vero cell-derived vaccination schedule (2-dose scheme)&#xa;JE vaccination should be integrated into national immunization schedules in all areas where JE is recognized as a public health priority"/>
            <a:s r="289">
               <a:s>/*
@input: The latest JE dose was administered less than 4 weeks ago
@pseudocode: Today's date − &quot;Date and time of vaccination&quot; (where &quot;Vaccine type&quot; = &quot;JE vaccines&quot;) &lt; 4 weeks
@code: The latest JE dose was administered less than 4 weeks ago-94
@decision: IMMZ.D2.DT.JE.Inactivated Vero cell-derived vaccine: Inactivated Vero cell-derived vaccination schedule (2-dose scheme)
JE vaccination should be integrated into national immunization schedules in all areas where JE is recognized as a public health priority
*/
define &quot;The latest JE dose was administered less than 4 weeks ago&quot;:
  </a:s>
               <a:s r="290">
                  <a:s r="304">
                     <a:s r="302">
                        <a:s>&quot;Date of Latest JE Dose&quot;</a:s>
                     </a:s>
                     <a:s> is not null</a:s>
                  </a:s>
                  <a:s>
    and </a:s>
                  <a:s r="305">
                     <a:s r="306">
                        <a:s>duration in weeks between </a:s>
                        <a:s r="307">
                           <a:s>&quot;Date of Latest JE Dose&quot;</a:s>
                        </a:s>
                        <a:s> and </a:s>
                        <a:s r="310">
                           <a:s>Now()</a:s>
                        </a:s>
                     </a:s>
                     <a:s r="316"> &lt; 4</a:s>
                  </a:s>
               </a:s>
            </a:s>
         </annotation>
         <expression localId="290" locator="95:3-96:72" xsi:type="And">
            <operand localId="304" locator="95:3-95:38" xsi:type="Not">
               <operand localId="303" locator="95:3-95:38" xsi:type="IsNull">
                  <operand localId="302" locator="95:3-95:26" name="Date of Latest JE Dose" xsi:type="ExpressionRef"/>
               </operand>
            </operand>
            <operand localId="305" locator="96:9-96:72" xsi:type="Less">
               <signature localId="317" name="t:Integer" xsi:type="NamedTypeSpecifier"/>
               <signature localId="318" name="t:Integer" xsi:type="NamedTypeSpecifier"/>
               <operand localId="306" locator="96:9-96:68" precision="Week" xsi:type="DurationBetween">
                  <signature localId="314" name="t:DateTime" xsi:type="NamedTypeSpecifier"/>
                  <signature localId="315" name="t:DateTime" xsi:type="NamedTypeSpecifier"/>
                  <operand localId="312" xsi:type="ToDateTime">
                     <signature localId="313" name="t:Date" xsi:type="NamedTypeSpecifier"/>
                     <operand localId="307" locator="96:35-96:58" name="Date of Latest JE Dose" xsi:type="ExpressionRef"/>
                  </operand>
                  <operand localId="310" locator="96:64-96:68" xsi:type="Now"/>
               </operand>
               <operand localId="316" locator="96:72" valueType="t:Integer" value="4" xsi:type="Literal"/>
            </operand>
         </expression>
      </def>
      <def localId="321" locator="105:1-106:65" name="The latest JE dose was administered more than 4 weeks ago" context="Patient" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:t name="input" value="The latest JE dose was administered more than 4 weeks ago"/>
            <a:t name="pseudocode" value="&quot;Date and time of vaccination&quot; (where &quot;Vaccine type&quot; = &quot;JE vaccines&quot;) ≥ 4 weeks"/>
            <a:t name="code" value="The latest JE dose was administered more than 4 weeks ago-94"/>
            <a:t name="decision" value="IMMZ.D2.DT.JE.Inactivated Vero cell-derived vaccine: Inactivated Vero cell-derived vaccination schedule (2-dose scheme)&#xa;JE vaccination should be integrated into national immunization schedules in all areas where JE is recognized as a public health priority"/>
            <a:s r="321">
               <a:s>/*
@input: The latest JE dose was administered more than 4 weeks ago
@pseudocode: Today's date − &quot;Date and time of vaccination&quot; (where &quot;Vaccine type&quot; = &quot;JE vaccines&quot;) ≥ 4 weeks
@code: The latest JE dose was administered more than 4 weeks ago-94
@decision: IMMZ.D2.DT.JE.Inactivated Vero cell-derived vaccine: Inactivated Vero cell-derived vaccination schedule (2-dose scheme)
JE vaccination should be integrated into national immunization schedules in all areas where JE is recognized as a public health priority
*/
define &quot;The latest JE dose was administered more than 4 weeks ago&quot;:
  </a:s>
               <a:s r="322">
                  <a:s>not </a:s>
                  <a:s r="323">
                     <a:s>&quot;The latest JE dose was administered less than 4 weeks ago&quot;</a:s>
                  </a:s>
               </a:s>
            </a:s>
         </annotation>
         <expression localId="322" locator="106:3-106:65" xsi:type="Not">
            <operand localId="323" locator="106:7-106:65" name="The latest JE dose was administered less than 4 weeks ago" xsi:type="ExpressionRef"/>
         </expression>
      </def>
      <def localId="326" locator="115:1-116:54" name="Two JE primary series doses were administered" context="Patient" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:t name="input" value="Two JE primary series doses were administered"/>
            <a:t name="pseudocode" value="&quot;Vaccine type&quot; = &quot;JE vaccines&quot; and &quot;Type of dose&quot; = &quot;Primary series&quot;) = 2"/>
            <a:t name="code" value="Two JE primary series doses were administered-111"/>
            <a:t name="decision" value="IMMZ.D2.DT.JE.Inactivated Vero cell-derived vaccine: Inactivated Vero cell-derived vaccination schedule (2-dose scheme)&#xa;JE vaccination should be integrated into national immunization schedules in all areas where JE is recognized as a public health priority"/>
            <a:s r="326">
               <a:s>/*
@input: Two JE primary series doses were administered
@pseudocode: Count of vaccines administered (where &quot;Vaccine type&quot; = &quot;JE vaccines&quot; and &quot;Type of dose&quot; = &quot;Primary series&quot;) = 2
@code: Two JE primary series doses were administered-111
@decision: IMMZ.D2.DT.JE.Inactivated Vero cell-derived vaccine: Inactivated Vero cell-derived vaccination schedule (2-dose scheme)
JE vaccination should be integrated into national immunization schedules in all areas where JE is recognized as a public health priority
*/
define &quot;Two JE primary series doses were administered&quot;:
  </a:s>
               <a:s r="327">
                  <a:s r="328">
                     <a:s>&quot;Number of JE Primary Series Doses Administered&quot;</a:s>
                  </a:s>
                  <a:s r="329"> = 2</a:s>
               </a:s>
            </a:s>
         </annotation>
         <expression localId="327" locator="116:3-116:54" xsi:type="Equal">
            <signature localId="330" name="t:Integer" xsi:type="NamedTypeSpecifier"/>
            <signature localId="331" name="t:Integer" xsi:type="NamedTypeSpecifier"/>
            <operand localId="328" locator="116:3-116:50" name="Number of JE Primary Series Doses Administered" xsi:type="ExpressionRef"/>
            <operand localId="329" locator="116:54" valueType="t:Integer" value="2" xsi:type="Literal"/>
         </expression>
      </def>
      <def localId="334" locator="125:1-126:46" name="Client's age is less than 8 months" context="Patient" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:t name="input" value="Client's age is less than 8 months"/>
            <a:t name="pseudocode" value="&quot;Date of birth&quot; &lt; 8 months"/>
            <a:t name="code" value="Client's age is less than 8 months-41"/>
            <a:t name="decision" value="IMMZ.D2.DT.JE.Live attenuated vaccine: Live attenuated vaccination schedule (1-dose scheme)&#xa;JE vaccination should be integrated into national immunization schedules in all areas where JE is recognized as a public health priority"/>
            <a:s r="334">
               <a:s>/*
@input: Client's age is less than 8 months
@pseudocode: Today's date − &quot;Date of birth&quot; &lt; 8 months
@code: Client's age is less than 8 months-41
@decision: IMMZ.D2.DT.JE.Live attenuated vaccine: Live attenuated vaccination schedule (1-dose scheme)
JE vaccination should be integrated into national immunization schedules in all areas where JE is recognized as a public health priority
*/
define &quot;Client's age is less than 8 months&quot;:
  </a:s>
               <a:s r="335">
                  <a:s r="337">
                     <a:s r="336">
                        <a:s>Elements</a:s>
                     </a:s>
                     <a:s>.</a:s>
                     <a:s r="337">
                        <a:s>&quot;Current Patient Age In Months&quot;</a:s>
                     </a:s>
                  </a:s>
                  <a:s r="338"> &lt; 8</a:s>
               </a:s>
            </a:s>
         </annotation>
         <expression localId="335" locator="126:3-126:46" xsi:type="Less">
            <signature localId="339" name="t:Integer" xsi:type="NamedTypeSpecifier"/>
            <signature localId="340" name="t:Integer" xsi:type="NamedTypeSpecifier"/>
            <operand localId="337" locator="126:3-126:42" name="Current Patient Age In Months" libraryName="Elements" xsi:type="ExpressionRef"/>
            <operand localId="338" locator="126:46" valueType="t:Integer" value="8" xsi:type="Literal"/>
         </expression>
      </def>
      <def localId="343" locator="135:1-136:47" name="Client's age is more than or equal to 8 months" context="Patient" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:t name="input" value="Client's age is more than or equal to 8 months"/>
            <a:t name="pseudocode" value="&quot;Date of birth&quot; ≥ 8 months"/>
            <a:t name="code" value="Client's age is more than or equal to 8 months-41"/>
            <a:t name="decision" value="IMMZ.D2.DT.JE.Live attenuated vaccine: Live attenuated vaccination schedule (1-dose scheme)&#xa;JE vaccination should be integrated into national immunization schedules in all areas where JE is recognized as a public health priority"/>
            <a:s r="343">
               <a:s>/*
@input: Client's age is more than or equal to 8 months
@pseudocode: Today's date − &quot;Date of birth&quot; ≥ 8 months
@code: Client's age is more than or equal to 8 months-41
@decision: IMMZ.D2.DT.JE.Live attenuated vaccine: Live attenuated vaccination schedule (1-dose scheme)
JE vaccination should be integrated into national immunization schedules in all areas where JE is recognized as a public health priority
*/
define &quot;Client's age is more than or equal to 8 months&quot;:
  </a:s>
               <a:s r="344">
                  <a:s r="346">
                     <a:s r="345">
                        <a:s>Elements</a:s>
                     </a:s>
                     <a:s>.</a:s>
                     <a:s r="346">
                        <a:s>&quot;Current Patient Age In Months&quot;</a:s>
                     </a:s>
                  </a:s>
                  <a:s r="347"> >= 8</a:s>
               </a:s>
            </a:s>
         </annotation>
         <expression localId="344" locator="136:3-136:47" xsi:type="GreaterOrEqual">
            <signature localId="348" name="t:Integer" xsi:type="NamedTypeSpecifier"/>
            <signature localId="349" name="t:Integer" xsi:type="NamedTypeSpecifier"/>
            <operand localId="346" locator="136:3-136:42" name="Current Patient Age In Months" libraryName="Elements" xsi:type="ExpressionRef"/>
            <operand localId="347" locator="136:47" valueType="t:Integer" value="8" xsi:type="Literal"/>
         </expression>
      </def>
      <def localId="352" locator="147:1-148:65" name="No live vaccine was administered in the last 4 weeks" context="Patient" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:t name="input" value="No live vaccine was administered in the last 4 weeks"/>
            <a:t name="pseudocode" value="&quot;Date and time of vaccination&quot; (where &quot;Vaccine type&quot; = &quot;JE vaccines&quot;) ≥ 4 weeks"/>
            <a:t name="code" value="No live vaccine was administered in the last 4 weeks-101"/>
            <a:t name="decision" value="IMMZ.D2.DT.JE.Live attenuated vaccine: Live attenuated vaccination schedule (1-dose scheme)&#xa;JE vaccination should be integrated into national immunization schedules in all areas where JE is recognized as a public health priority"/>
            <a:t name="decision" value="IMMZ.D2.DT.JE.Live recombinant vaccine: Live recombinant vaccination schedule (1-dose scheme)&#xa;JE vaccination should be integrated into national immunization schedules in all areas where JE is recognized as a public health priority"/>
            <a:s r="352">
               <a:s>/*
@input: No live vaccine was administered in the last 4 weeks
@pseudocode: Today's date − latest &quot;Date and time of vaccination&quot; (where &quot;Vaccine type&quot; = &quot;JE vaccines&quot;) ≥ 4 weeks
@code: No live vaccine was administered in the last 4 weeks-101
@decision: IMMZ.D2.DT.JE.Live attenuated vaccine: Live attenuated vaccination schedule (1-dose scheme)
JE vaccination should be integrated into national immunization schedules in all areas where JE is recognized as a public health priority
@decision: IMMZ.D2.DT.JE.Live recombinant vaccine: Live recombinant vaccination schedule (1-dose scheme)
JE vaccination should be integrated into national immunization schedules in all areas where JE is recognized as a public health priority
*/
define &quot;No live vaccine was administered in the last 4 weeks&quot;:
  </a:s>
               <a:s r="354">
                  <a:s r="353">
                     <a:s>Elements</a:s>
                  </a:s>
                  <a:s>.</a:s>
                  <a:s r="354">
                     <a:s>&quot;No live vaccine was administered in the last 4 weeks&quot;</a:s>
                  </a:s>
               </a:s>
            </a:s>
         </annotation>
         <expression localId="354" locator="148:3-148:65" name="No live vaccine was administered in the last 4 weeks" libraryName="Elements" xsi:type="ExpressionRef"/>
      </def>
      <def localId="357" locator="159:1-160:62" name="Live vaccine was administered in the last 4 weeks" context="Patient" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:t name="input" value="Live vaccine was administered in the last 4 weeks"/>
            <a:t name="pseudocode" value="&quot;Date and time of vaccination&quot; (where &quot;Live vaccine&quot; = TRUE) &lt; 4 weeks"/>
            <a:t name="code" value="Live vaccine was administered in the last 4 weeks-92"/>
            <a:t name="decision" value="IMMZ.D2.DT.JE.Live attenuated vaccine: Live attenuated vaccination schedule (1-dose scheme)&#xa;JE vaccination should be integrated into national immunization schedules in all areas where JE is recognized as a public health priority"/>
            <a:t name="decision" value="IMMZ.D2.DT.JE.Live recombinant vaccine: Live recombinant vaccination schedule (1-dose scheme)&#xa;JE vaccination should be integrated into national immunization schedules in all areas where JE is recognized as a public health priority"/>
            <a:s r="357">
               <a:s>/*
@input: Live vaccine was administered in the last 4 weeks
@pseudocode: Today's date − latest &quot;Date and time of vaccination&quot; (where &quot;Live vaccine&quot; = TRUE) &lt; 4 weeks
@code: Live vaccine was administered in the last 4 weeks-92
@decision: IMMZ.D2.DT.JE.Live attenuated vaccine: Live attenuated vaccination schedule (1-dose scheme)
JE vaccination should be integrated into national immunization schedules in all areas where JE is recognized as a public health priority
@decision: IMMZ.D2.DT.JE.Live recombinant vaccine: Live recombinant vaccination schedule (1-dose scheme)
JE vaccination should be integrated into national immunization schedules in all areas where JE is recognized as a public health priority
*/
define &quot;Live vaccine was administered in the last 4 weeks&quot;:
  </a:s>
               <a:s r="359">
                  <a:s r="358">
                     <a:s>Elements</a:s>
                  </a:s>
                  <a:s>.</a:s>
                  <a:s r="359">
                     <a:s>&quot;Live vaccine was administered in the last 4 weeks&quot;</a:s>
                  </a:s>
               </a:s>
            </a:s>
         </annotation>
         <expression localId="359" locator="160:3-160:62" name="Live vaccine was administered in the last 4 weeks" libraryName="Elements" xsi:type="ExpressionRef"/>
      </def>
      <def localId="362" locator="169:1-170:46" name="Client's age is less than 9 months" context="Patient" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:t name="input" value="Client's age is less than 9 months"/>
            <a:t name="pseudocode" value="&quot;Date of birth&quot; &lt; 9 months"/>
            <a:t name="code" value="Client's age is less than 9 months-41"/>
            <a:t name="decision" value="IMMZ.D2.DT.JE.Live recombinant vaccine: Live recombinant vaccination schedule (1-dose scheme)&#xa;JE vaccination should be integrated into national immunization schedules in all areas where JE is recognized as a public health priority"/>
            <a:s r="362">
               <a:s>/*
@input: Client's age is less than 9 months
@pseudocode: Today's date − &quot;Date of birth&quot; &lt; 9 months
@code: Client's age is less than 9 months-41
@decision: IMMZ.D2.DT.JE.Live recombinant vaccine: Live recombinant vaccination schedule (1-dose scheme)
JE vaccination should be integrated into national immunization schedules in all areas where JE is recognized as a public health priority
*/
define &quot;Client's age is less than 9 months&quot;:
  </a:s>
               <a:s r="363">
                  <a:s r="365">
                     <a:s r="364">
                        <a:s>Elements</a:s>
                     </a:s>
                     <a:s>.</a:s>
                     <a:s r="365">
                        <a:s>&quot;Current Patient Age In Months&quot;</a:s>
                     </a:s>
                  </a:s>
                  <a:s r="366"> &lt; 9</a:s>
               </a:s>
            </a:s>
         </annotation>
         <expression localId="363" locator="170:3-170:46" xsi:type="Less">
            <signature localId="367" name="t:Integer" xsi:type="NamedTypeSpecifier"/>
            <signature localId="368" name="t:Integer" xsi:type="NamedTypeSpecifier"/>
            <operand localId="365" locator="170:3-170:42" name="Current Patient Age In Months" libraryName="Elements" xsi:type="ExpressionRef"/>
            <operand localId="366" locator="170:46" valueType="t:Integer" value="9" xsi:type="Literal"/>
         </expression>
      </def>
      <def localId="371" locator="179:1-180:47" name="Client's age is more than or equal to 9 months" context="Patient" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:t name="input" value="Client's age is more than or equal to 9 months"/>
            <a:t name="pseudocode" value="&quot;Date of birth&quot; ≥ 9 months"/>
            <a:t name="code" value="Client's age is more than or equal to 9 months-41"/>
            <a:t name="decision" value="IMMZ.D2.DT.JE.Live recombinant vaccine: Live recombinant vaccination schedule (1-dose scheme)&#xa;JE vaccination should be integrated into national immunization schedules in all areas where JE is recognized as a public health priority"/>
            <a:s r="371">
               <a:s>/*
@input: Client's age is more than or equal to 9 months
@pseudocode: Today's date − &quot;Date of birth&quot; ≥ 9 months
@code: Client's age is more than or equal to 9 months-41
@decision: IMMZ.D2.DT.JE.Live recombinant vaccine: Live recombinant vaccination schedule (1-dose scheme)
JE vaccination should be integrated into national immunization schedules in all areas where JE is recognized as a public health priority
*/
define &quot;Client's age is more than or equal to 9 months&quot;:
  </a:s>
               <a:s r="372">
                  <a:s r="374">
                     <a:s r="373">
                        <a:s>Elements</a:s>
                     </a:s>
                     <a:s>.</a:s>
                     <a:s r="374">
                        <a:s>&quot;Current Patient Age In Months&quot;</a:s>
                     </a:s>
                  </a:s>
                  <a:s r="375"> >= 9</a:s>
               </a:s>
            </a:s>
         </annotation>
         <expression localId="372" locator="180:3-180:47" xsi:type="GreaterOrEqual">
            <signature localId="376" name="t:Integer" xsi:type="NamedTypeSpecifier"/>
            <signature localId="377" name="t:Integer" xsi:type="NamedTypeSpecifier"/>
            <operand localId="374" locator="180:3-180:42" name="Current Patient Age In Months" libraryName="Elements" xsi:type="ExpressionRef"/>
            <operand localId="375" locator="180:47" valueType="t:Integer" value="9" xsi:type="Literal"/>
         </expression>
      </def>
      <def localId="380" locator="189:1-190:47" name="One JE primary series doses were administered" context="Patient" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:t name="input" value="One JE primary series doses were administered"/>
            <a:t name="pseudocode" value="&quot;Vaccine type&quot; = &quot;JE vaccines&quot; and &quot;Type of dose&quot; = &quot;Primary series&quot;) = 1"/>
            <a:t name="code" value="One JE primary series doses were administered-111"/>
            <a:t name="decision" value="IMMZ.D2.DT.JE.Live recombinant vaccine: Live recombinant vaccination schedule (1-dose scheme)&#xa;JE vaccination should be integrated into national immunization schedules in all areas where JE is recognized as a public health priority"/>
            <a:s r="380">
               <a:s>/*
@input: One JE primary series doses were administered
@pseudocode: Count of vaccines administered (where &quot;Vaccine type&quot; = &quot;JE vaccines&quot; and &quot;Type of dose&quot; = &quot;Primary series&quot;) = 1
@code: One JE primary series doses were administered-111
@decision: IMMZ.D2.DT.JE.Live recombinant vaccine: Live recombinant vaccination schedule (1-dose scheme)
JE vaccination should be integrated into national immunization schedules in all areas where JE is recognized as a public health priority
*/
define &quot;One JE primary series doses were administered&quot;:
  </a:s>
               <a:s r="381">
                  <a:s>&quot;One JE primary series dose was administered&quot;</a:s>
               </a:s>
            </a:s>
         </annotation>
         <expression localId="381" locator="190:3-190:47" name="One JE primary series dose was administered" xsi:type="ExpressionRef"/>
      </def>
   </statements>
</library>
