<?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="313">
         <a:s>/*
  * Library: IMMZD2DTSeasonalinfluenzaEncounterElements
  */
library IMMZD2DTSeasonalinfluenzaEncounterElements</a:s>
      </a:s>
   </annotation>
   <identifier id="IMMZD2DTSeasonalinfluenzaEncounterElements" system="http://smart.who.int/immunizations"/>
   <schemaIdentifier id="urn:hl7-org:elm" version="r1"/>
   <usings>
      <def localId="1" localIdentifier="System" uri="urn:hl7-org:elm-types:r1" version="1.0.0"/>
      <def localId="206" locator="7:1-7:26" localIdentifier="FHIR" uri="http://hl7.org/fhir" version="4.0.1">
         <annotation xsi:type="a:Annotation">
            <a:s r="206">
               <a:s>using </a:s>
               <a:s>
                  <a:s>FHIR</a:s>
               </a:s>
               <a:s> version '4.0.1'</a:s>
            </a:s>
         </annotation>
      </def>
   </usings>
   <includes>
      <def localId="208" locator="8:1-8:35" localIdentifier="FHIRHelpers" path="http://hl7.org/fhir/FHIRHelpers" version="4.0.1">
         <annotation xsi:type="a:Annotation">
            <a:s r="208">
               <a:s>include </a:s>
               <a:s>
                  <a:s>FHIRHelpers</a:s>
               </a:s>
               <a:s> version '4.0.1'</a:s>
            </a:s>
         </annotation>
      </def>
      <def localId="210" locator="10:1-10:19" localIdentifier="WHOConcepts" path="http://smart.who.int/immunizations/WHOConcepts">
         <annotation xsi:type="a:Annotation">
            <a:s r="210">
               <a:s>include </a:s>
               <a:s>
                  <a:s>WHOConcepts</a:s>
               </a:s>
            </a:s>
         </annotation>
      </def>
      <def localId="212" locator="11:1-11:27" localIdentifier="WC" path="http://smart.who.int/immunizations/WHOCommon">
         <annotation xsi:type="a:Annotation">
            <a:s r="212">
               <a:s>include </a:s>
               <a:s>
                  <a:s>WHOCommon</a:s>
               </a:s>
               <a:s> called WC</a:s>
            </a:s>
         </annotation>
      </def>
      <def localId="214" locator="12:1-12:29" localIdentifier="WE" path="http://smart.who.int/immunizations/WHOElements">
         <annotation xsi:type="a:Annotation">
            <a:s r="214">
               <a:s>include </a:s>
               <a:s>
                  <a:s>WHOElements</a:s>
               </a:s>
               <a:s> called WE</a:s>
            </a:s>
         </annotation>
      </def>
      <def localId="216" locator="14:1-14:32" localIdentifier="Common" path="http://smart.who.int/immunizations/IMMZCommon">
         <annotation xsi:type="a:Annotation">
            <a:s r="216">
               <a:s>include </a:s>
               <a:s>
                  <a:s>IMMZCommon</a:s>
               </a:s>
               <a:s> called Common</a:s>
            </a:s>
         </annotation>
      </def>
      <def localId="218" locator="15:1-15:36" localIdentifier="Concepts" path="http://smart.who.int/immunizations/IMMZConcepts">
         <annotation xsi:type="a:Annotation">
            <a:s r="218">
               <a:s>include </a:s>
               <a:s>
                  <a:s>IMMZConcepts</a:s>
               </a:s>
               <a:s> called Concepts</a:s>
            </a:s>
         </annotation>
      </def>
      <def localId="220" locator="16:1-16:46" localIdentifier="Encounter" path="http://smart.who.int/immunizations/IMMZEncounterElements">
         <annotation xsi:type="a:Annotation">
            <a:s r="220">
               <a:s>include </a:s>
               <a:s>
                  <a:s>IMMZEncounterElements</a:s>
               </a:s>
               <a:s> called Encounter</a:s>
            </a:s>
         </annotation>
      </def>
      <def localId="222" locator="18:1-18:74" localIdentifier="SeasonalinfluenzaElements" path="http://smart.who.int/immunizations/IMMZD2DTSeasonalinfluenzaElements">
         <annotation xsi:type="a:Annotation">
            <a:s r="222">
               <a:s>include </a:s>
               <a:s>
                  <a:s>IMMZD2DTSeasonalinfluenzaElements</a:s>
               </a:s>
               <a:s> called SeasonalinfluenzaElements</a:s>
            </a:s>
         </annotation>
      </def>
   </includes>
   <parameters>
      <def localId="224" locator="20:1-20:36" name="Today" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:s r="224">
               <a:s>parameter Today </a:s>
               <a:s r="228">
                  <a:s>Date</a:s>
               </a:s>
               <a:s> default </a:s>
               <a:s r="227">
                  <a:s>Today()</a:s>
               </a:s>
            </a:s>
         </annotation>
         <default localId="227" locator="20:30-20:36" xsi:type="Today"/>
         <parameterTypeSpecifier localId="228" locator="20:17-20:20" name="t:Date" xsi:type="NamedTypeSpecifier"/>
      </def>
      <def localId="230" locator="21:1-21:28" name="EncounterId" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:s r="230">
               <a:s>parameter EncounterId </a:s>
               <a:s r="231">
                  <a:s>String</a:s>
               </a:s>
            </a:s>
         </annotation>
         <parameterTypeSpecifier localId="231" locator="21:23-21:28" name="t:String" xsi:type="NamedTypeSpecifier"/>
      </def>
   </parameters>
   <contexts>
      <def localId="236" locator="23:1-23:15" name="Patient"/>
   </contexts>
   <statements>
      <def localId="234" locator="23:1-23:15" name="Patient" context="Patient">
         <expression localId="235" xsi:type="SingletonFrom">
            <operand localId="233" locator="23:1-23:15" dataType="fhir:Patient" templateId="http://hl7.org/fhir/StructureDefinition/Patient" xsi:type="Retrieve"/>
         </expression>
      </def>
      <def localId="239" locator="28:1-31:59" name="Seasonal influenza Doses Administered to Patient" context="Patient" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:t name="internal" value="Seasonal influenza containing Doses Administered to Patient"/>
            <a:s r="239">
               <a:s>/*
@internal: Seasonal influenza containing Doses Administered to Patient
*/
define &quot;Seasonal influenza Doses Administered to Patient&quot;:
  </a:s>
               <a:s r="251">
                  <a:s>
                     <a:s r="240">
                        <a:s r="242">
                           <a:s>
                              <a:s>Encounter.&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="248">
                     <a:s>where
    </a:s>
                     <a:s r="248">
                        <a:s r="245">
                           <a:s r="244">
                              <a:s>I</a:s>
                           </a:s>
                           <a:s>.</a:s>
                           <a:s r="245">
                              <a:s>vaccineCode</a:s>
                           </a:s>
                        </a:s>
                        <a:s> in </a:s>
                        <a:s r="247">
                           <a:s r="246">
                              <a:s>Concepts</a:s>
                           </a:s>
                           <a:s>.</a:s>
                           <a:s r="247">
                              <a:s>&quot;Seasonal influenza vaccines&quot;</a:s>
                           </a:s>
                        </a:s>
                     </a:s>
                  </a:s>
               </a:s>
            </a:s>
         </annotation>
         <expression localId="251" locator="29:3-31:59" xsi:type="Query">
            <source localId="240" locator="29:3-29:45" alias="I">
               <expression localId="242" locator="29:3-29:43" name="Doses Administered to Patient" libraryName="Encounter" xsi:type="ExpressionRef"/>
            </source>
            <where localId="248" locator="30:3-31:59" xsi:type="InValueSet">
               <signature localId="250" name="t:Concept" xsi:type="NamedTypeSpecifier"/>
               <code localId="249" name="ToConcept" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                  <operand localId="245" locator="31:5-31:17" path="vaccineCode" scope="I" xsi:type="Property"/>
               </code>
               <valueset localId="247" locator="31:22-31:59" name="Seasonal influenza vaccines" libraryName="Concepts" preserve="true"/>
            </where>
         </expression>
      </def>
      <def localId="254" locator="36:1-37:68" name="Seasonal influenza Primary Series Doses Administered to Patient" context="Patient" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:t name="internal" value="Seasonal influenza containing Doses Administered to Patient that are in the Primary series"/>
            <a:s r="254">
               <a:s>/*
@internal: Seasonal influenza containing Doses Administered to Patient that are in the Primary series
*/
define &quot;Seasonal influenza Primary Series Doses Administered to Patient&quot;:
  </a:s>
               <a:s r="256">
                  <a:s r="255">
                     <a:s>&quot;Seasonal influenza Doses Administered to Patient&quot;</a:s>
                  </a:s>
                  <a:s>.</a:s>
                  <a:s r="256">
                     <a:s>seriesPrimary()</a:s>
                  </a:s>
               </a:s>
            </a:s>
         </annotation>
         <expression localId="256" locator="37:3-37:68" name="seriesPrimary" libraryName="Common" xsi:type="FunctionRef">
            <operand localId="255" locator="37:3-37:52" name="Seasonal influenza Doses Administered to Patient" xsi:type="ExpressionRef"/>
         </expression>
      </def>
      <def localId="259" locator="42:1-43:74" name="Number of Seasonal influenza Primary Series Doses Administered" context="Patient" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:t name="internal" value="Number of Seasonal influenza Primary Series doses"/>
            <a:s r="259">
               <a:s>/*
@internal: Number of Seasonal influenza Primary Series doses
*/
define &quot;Number of Seasonal influenza Primary Series Doses Administered&quot;:
  </a:s>
               <a:s r="263">
                  <a:s>Count(</a:s>
                  <a:s r="260">
                     <a:s>&quot;Seasonal influenza Primary Series Doses Administered to Patient&quot;</a:s>
                  </a:s>
                  <a:s>)</a:s>
               </a:s>
            </a:s>
         </annotation>
         <expression localId="263" locator="43:3-43:74" xsi:type="Count">
            <source localId="260" locator="43:9-43:73" name="Seasonal influenza Primary Series Doses Administered to Patient" xsi:type="ExpressionRef"/>
         </expression>
      </def>
      <def localId="266" locator="51:1-52:47" name="Client's age is less than 6 months" context="Patient" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:t name="input" value="Client's age is less than 6 months"/>
            <a:t name="pseudocode" value="&quot;Date of birth&quot; &lt; 6 months"/>
            <a:t name="code" value="Client's age is less than 6 months-41"/>
            <a:t name="decision" value="IMMZ.D2.DT.Seasonal influenza: Inactivated trivalent and quadrivalent vaccines, 2-dose schedule"/>
            <a:s r="266">
               <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.Seasonal influenza: Inactivated trivalent and quadrivalent vaccines, 2-dose schedule
*/
define &quot;Client's age is less than 6 months&quot;:
  </a:s>
               <a:s r="267">
                  <a:s r="269">
                     <a:s r="268">
                        <a:s>Encounter</a:s>
                     </a:s>
                     <a:s>.</a:s>
                     <a:s r="269">
                        <a:s>&quot;Current Patient Age In Months&quot;</a:s>
                     </a:s>
                  </a:s>
                  <a:s r="270"> &lt; 6</a:s>
               </a:s>
            </a:s>
         </annotation>
         <expression localId="267" locator="52:3-52:47" xsi:type="Less">
            <signature localId="271" name="t:Integer" xsi:type="NamedTypeSpecifier"/>
            <signature localId="272" name="t:Integer" xsi:type="NamedTypeSpecifier"/>
            <operand localId="269" locator="52:3-52:43" name="Current Patient Age In Months" libraryName="Encounter" xsi:type="ExpressionRef"/>
            <operand localId="270" locator="52:47" valueType="t:Integer" value="6" xsi:type="Literal"/>
         </expression>
      </def>
      <def localId="275" locator="60:1-61:70" name="No seasonal influenza primary series doses were administered" context="Patient" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:t name="input" value="No seasonal influenza primary series doses were administered"/>
            <a:t name="pseudocode" value="&quot;Vaccine type&quot; = &quot;Seasonal influenza vaccines&quot; and &quot;Type of dose&quot; = &quot;Primary series&quot;) = 0"/>
            <a:t name="code" value="No seasonal influenza primary series doses were administered-127"/>
            <a:t name="decision" value="IMMZ.D2.DT.Seasonal influenza: Inactivated trivalent and quadrivalent vaccines, 2-dose schedule"/>
            <a:s r="275">
               <a:s>/*
@input: No seasonal influenza primary series doses were administered
@pseudocode: Count of vaccines administered (where &quot;Vaccine type&quot; = &quot;Seasonal influenza vaccines&quot; and &quot;Type of dose&quot; = &quot;Primary series&quot;) = 0
@code: No seasonal influenza primary series doses were administered-127
@decision: IMMZ.D2.DT.Seasonal influenza: Inactivated trivalent and quadrivalent vaccines, 2-dose schedule
*/
define &quot;No seasonal influenza primary series doses were administered&quot;:
  </a:s>
               <a:s r="276">
                  <a:s r="277">
                     <a:s>&quot;Number of Seasonal influenza Primary Series Doses Administered&quot;</a:s>
                  </a:s>
                  <a:s r="278"> = 0</a:s>
               </a:s>
            </a:s>
         </annotation>
         <expression localId="276" locator="61:3-61:70" xsi:type="Equal">
            <signature localId="279" name="t:Integer" xsi:type="NamedTypeSpecifier"/>
            <signature localId="280" name="t:Integer" xsi:type="NamedTypeSpecifier"/>
            <operand localId="277" locator="61:3-61:66" name="Number of Seasonal influenza Primary Series Doses Administered" xsi:type="ExpressionRef"/>
            <operand localId="278" locator="61:70" valueType="t:Integer" value="0" xsi:type="Literal"/>
         </expression>
      </def>
      <def localId="283" locator="69:1-70:48" 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.Seasonal influenza: Inactivated trivalent and quadrivalent vaccines, 2-dose schedule"/>
            <a:s r="283">
               <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.Seasonal influenza: Inactivated trivalent and quadrivalent vaccines, 2-dose schedule
*/
define &quot;Client's age is more than or equal to 6 months&quot;:
  </a:s>
               <a:s r="284">
                  <a:s r="286">
                     <a:s r="285">
                        <a:s>Encounter</a:s>
                     </a:s>
                     <a:s>.</a:s>
                     <a:s r="286">
                        <a:s>&quot;Current Patient Age In Months&quot;</a:s>
                     </a:s>
                  </a:s>
                  <a:s r="287"> >= 6</a:s>
               </a:s>
            </a:s>
         </annotation>
         <expression localId="284" locator="70:3-70:48" xsi:type="GreaterOrEqual">
            <signature localId="288" name="t:Integer" xsi:type="NamedTypeSpecifier"/>
            <signature localId="289" name="t:Integer" xsi:type="NamedTypeSpecifier"/>
            <operand localId="286" locator="70:3-70:43" name="Current Patient Age In Months" libraryName="Encounter" xsi:type="ExpressionRef"/>
            <operand localId="287" locator="70:48" valueType="t:Integer" value="6" xsi:type="Literal"/>
         </expression>
      </def>
      <def localId="292" locator="78:1-79:70" name="One seasonal influenza primary series doses were administered" context="Patient" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:t name="input" value="One seasonal influenza primary series doses were administered"/>
            <a:t name="pseudocode" value="&quot;Vaccine type&quot; = &quot;Seasonal influenza vaccines&quot; and &quot;Type of dose&quot; = &quot;Primary series&quot;) = 1"/>
            <a:t name="code" value="One seasonal influenza primary series doses were administered-127"/>
            <a:t name="decision" value="IMMZ.D2.DT.Seasonal influenza: Inactivated trivalent and quadrivalent vaccines, 2-dose schedule"/>
            <a:s r="292">
               <a:s>/*
@input: One seasonal influenza primary series doses were administered
@pseudocode: Count of vaccines administered (where &quot;Vaccine type&quot; = &quot;Seasonal influenza vaccines&quot; and &quot;Type of dose&quot; = &quot;Primary series&quot;) = 1
@code: One seasonal influenza primary series doses were administered-127
@decision: IMMZ.D2.DT.Seasonal influenza: Inactivated trivalent and quadrivalent vaccines, 2-dose schedule
*/
define &quot;One seasonal influenza primary series doses were administered&quot;:
  </a:s>
               <a:s r="293">
                  <a:s r="294">
                     <a:s>&quot;Number of Seasonal influenza Primary Series Doses Administered&quot;</a:s>
                  </a:s>
                  <a:s r="295"> = 1</a:s>
               </a:s>
            </a:s>
         </annotation>
         <expression localId="293" locator="79:3-79:70" xsi:type="Equal">
            <signature localId="296" name="t:Integer" xsi:type="NamedTypeSpecifier"/>
            <signature localId="297" name="t:Integer" xsi:type="NamedTypeSpecifier"/>
            <operand localId="294" locator="79:3-79:66" name="Number of Seasonal influenza Primary Series Doses Administered" xsi:type="ExpressionRef"/>
            <operand localId="295" locator="79:70" valueType="t:Integer" value="1" xsi:type="Literal"/>
         </expression>
      </def>
      <def localId="300" locator="87:1-88:46" name="Client's age is less than 9 years" context="Patient" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:t name="input" value="Client's age is less than 9 years"/>
            <a:t name="pseudocode" value="&quot;Date of birth&quot; &lt; 9 years"/>
            <a:t name="code" value="Client's age is less than 9 years-40"/>
            <a:t name="decision" value="IMMZ.D2.DT.Seasonal influenza: Inactivated trivalent and quadrivalent vaccines, 2-dose schedule"/>
            <a:s r="300">
               <a:s>/*
@input: Client's age is less than 9 years
@pseudocode: Today's date − &quot;Date of birth&quot; &lt; 9 years
@code: Client's age is less than 9 years-40
@decision: IMMZ.D2.DT.Seasonal influenza: Inactivated trivalent and quadrivalent vaccines, 2-dose schedule
*/
define &quot;Client's age is less than 9 years&quot;:
  </a:s>
               <a:s r="301">
                  <a:s r="303">
                     <a:s r="302">
                        <a:s>Encounter</a:s>
                     </a:s>
                     <a:s>.</a:s>
                     <a:s r="303">
                        <a:s>&quot;Current Patient Age In Years&quot;</a:s>
                     </a:s>
                  </a:s>
                  <a:s r="304"> &lt; 9</a:s>
               </a:s>
            </a:s>
         </annotation>
         <expression localId="301" locator="88:3-88:46" xsi:type="Less">
            <signature localId="305" name="t:Integer" xsi:type="NamedTypeSpecifier"/>
            <signature localId="306" name="t:Integer" xsi:type="NamedTypeSpecifier"/>
            <operand localId="303" locator="88:3-88:42" name="Current Patient Age In Years" libraryName="Encounter" xsi:type="ExpressionRef"/>
            <operand localId="304" locator="88:46" valueType="t:Integer" value="9" xsi:type="Literal"/>
         </expression>
      </def>
      <def localId="313" locator="149:1-150:108" name="Date of Latest Seasonal influenza Dose" context="Patient" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:t name="internal" value="Date of Latest Seasonal influenza Dose"/>
            <a:s r="313">
               <a:s>/*
@internal: Date of Latest Seasonal influenza Dose
*/
define &quot;Date of Latest Seasonal influenza Dose&quot;:
  </a:s>
               <a:s r="314">
                  <a:s>date from </a:s>
                  <a:s r="315">
                     <a:s>start of </a:s>
                     <a:s r="321">
                        <a:s r="320">
                           <a:s r="317">
                              <a:s r="316">
                                 <a:s>&quot;Seasonal influenza Doses Administered to Patient&quot;</a:s>
                              </a:s>
                              <a:s>.</a:s>
                              <a:s r="317">
                                 <a:s>mostRecent()</a:s>
                              </a:s>
                           </a:s>
                           <a:s>.</a:s>
                           <a:s r="320">
                              <a:s>occurrence</a:s>
                           </a:s>
                        </a:s>
                        <a:s>.</a:s>
                        <a:s r="321">
                           <a:s>toInterval()</a:s>
                        </a:s>
                     </a:s>
                  </a:s>
               </a:s>
            </a:s>
         </annotation>
         <expression localId="314" locator="150:3-150:108" xsi:type="DateFrom">
            <operand localId="315" locator="150:13-150:108" xsi:type="Start">
               <operand localId="321" locator="150:22-150:108" name="toInterval" libraryName="WC" xsi:type="FunctionRef">
                  <operand localId="320" locator="150:22-150:95" path="occurrence" xsi:type="Property">
                     <source localId="317" locator="150:22-150:84" name="mostRecent" libraryName="WC" xsi:type="FunctionRef">
                        <signature localId="318" xsi:type="ListTypeSpecifier">
                           <elementType localId="319" name="fhir:Immunization" xsi:type="NamedTypeSpecifier"/>
                        </signature>
                        <operand localId="316" locator="150:22-150:71" name="Seasonal influenza Doses Administered to Patient" xsi:type="ExpressionRef"/>
                     </source>
                  </operand>
               </operand>
            </operand>
         </expression>
      </def>
      <def localId="309" locator="96:1-98:86" name="The latest seasonal influenza dose was administered less than 4 weeks ago" context="Patient" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:t name="input" value="The latest seasonal influenza 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;Seasonal influenza vaccines&quot;) &lt; 4 weeks"/>
            <a:t name="code" value="The latest seasonal influenza dose was administered less than 4 weeks ago-110"/>
            <a:t name="decision" value="IMMZ.D2.DT.Seasonal influenza: Inactivated trivalent and quadrivalent vaccines, 2-dose schedule"/>
            <a:s r="309">
               <a:s>/*
@input: The latest seasonal influenza 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;Seasonal influenza vaccines&quot;) &lt; 4 weeks
@code: The latest seasonal influenza dose was administered less than 4 weeks ago-110
@decision: IMMZ.D2.DT.Seasonal influenza: Inactivated trivalent and quadrivalent vaccines, 2-dose schedule
*/
define &quot;The latest seasonal influenza dose was administered less than 4 weeks ago&quot;:
  </a:s>
               <a:s r="310">
                  <a:s r="324">
                     <a:s r="322">
                        <a:s>&quot;Date of Latest Seasonal influenza Dose&quot;</a:s>
                     </a:s>
                     <a:s> is not null</a:s>
                  </a:s>
                  <a:s>
  and </a:s>
                  <a:s r="325">
                     <a:s r="326">
                        <a:s>duration in weeks between </a:s>
                        <a:s r="327">
                           <a:s>&quot;Date of Latest Seasonal influenza Dose&quot;</a:s>
                        </a:s>
                        <a:s> and </a:s>
                        <a:s r="328">
                           <a:s>Today</a:s>
                        </a:s>
                     </a:s>
                     <a:s r="331"> &lt; 4</a:s>
                  </a:s>
               </a:s>
            </a:s>
         </annotation>
         <expression localId="310" locator="97:3-98:86" xsi:type="And">
            <operand localId="324" locator="97:3-97:54" xsi:type="Not">
               <operand localId="323" locator="97:3-97:54" xsi:type="IsNull">
                  <operand localId="322" locator="97:3-97:42" name="Date of Latest Seasonal influenza Dose" xsi:type="ExpressionRef"/>
               </operand>
            </operand>
            <operand localId="325" locator="98:7-98:86" xsi:type="Less">
               <signature localId="332" name="t:Integer" xsi:type="NamedTypeSpecifier"/>
               <signature localId="333" name="t:Integer" xsi:type="NamedTypeSpecifier"/>
               <operand localId="326" locator="98:7-98:82" precision="Week" xsi:type="DurationBetween">
                  <signature localId="329" name="t:Date" xsi:type="NamedTypeSpecifier"/>
                  <signature localId="330" name="t:Date" xsi:type="NamedTypeSpecifier"/>
                  <operand localId="327" locator="98:33-98:72" name="Date of Latest Seasonal influenza Dose" xsi:type="ExpressionRef"/>
                  <operand localId="328" locator="98:78-98:82" name="Today" xsi:type="ParameterRef"/>
               </operand>
               <operand localId="331" locator="98:86" valueType="t:Integer" value="4" xsi:type="Literal"/>
            </operand>
         </expression>
      </def>
      <def localId="336" locator="106:1-107:81" name="The latest seasonal influenza dose was administered more than 4 weeks ago" context="Patient" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:t name="input" value="The latest seasonal influenza 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;Seasonal influenza vaccines&quot;) ≥ 4 weeks"/>
            <a:t name="code" value="The latest seasonal influenza dose was administered more than 4 weeks ago-110"/>
            <a:t name="decision" value="IMMZ.D2.DT.Seasonal influenza: Inactivated trivalent and quadrivalent vaccines, 2-dose schedule"/>
            <a:s r="336">
               <a:s>/*
@input: The latest seasonal influenza 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;Seasonal influenza vaccines&quot;) ≥ 4 weeks
@code: The latest seasonal influenza dose was administered more than 4 weeks ago-110
@decision: IMMZ.D2.DT.Seasonal influenza: Inactivated trivalent and quadrivalent vaccines, 2-dose schedule
*/
define &quot;The latest seasonal influenza dose was administered more than 4 weeks ago&quot;:
  </a:s>
               <a:s r="337">
                  <a:s>not </a:s>
                  <a:s r="338">
                     <a:s>&quot;The latest seasonal influenza dose was administered less than 4 weeks ago&quot;</a:s>
                  </a:s>
               </a:s>
            </a:s>
         </annotation>
         <expression localId="337" locator="107:3-107:81" xsi:type="Not">
            <operand localId="338" locator="107:7-107:81" name="The latest seasonal influenza dose was administered less than 4 weeks ago" xsi:type="ExpressionRef"/>
         </expression>
      </def>
      <def localId="341" locator="115:1-116:47" name="Client's age is more than or equal to 9 years" context="Patient" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:t name="input" value="Client's age is more than or equal to 9 years"/>
            <a:t name="pseudocode" value="&quot;Date of birth&quot; ≥ 9 years"/>
            <a:t name="code" value="Client's age is more than or equal to 9 years-40"/>
            <a:t name="decision" value="IMMZ.D2.DT.Seasonal influenza: Inactivated trivalent and quadrivalent vaccines, 2-dose schedule"/>
            <a:s r="341">
               <a:s>/*
@input: Client's age is more than or equal to 9 years
@pseudocode: Today's date − &quot;Date of birth&quot; ≥ 9 years
@code: Client's age is more than or equal to 9 years-40
@decision: IMMZ.D2.DT.Seasonal influenza: Inactivated trivalent and quadrivalent vaccines, 2-dose schedule
*/
define &quot;Client's age is more than or equal to 9 years&quot;:
  </a:s>
               <a:s r="342">
                  <a:s r="344">
                     <a:s r="343">
                        <a:s>Encounter</a:s>
                     </a:s>
                     <a:s>.</a:s>
                     <a:s r="344">
                        <a:s>&quot;Current Patient Age In Years&quot;</a:s>
                     </a:s>
                  </a:s>
                  <a:s r="345"> >= 9</a:s>
               </a:s>
            </a:s>
         </annotation>
         <expression localId="342" locator="116:3-116:47" xsi:type="GreaterOrEqual">
            <signature localId="346" name="t:Integer" xsi:type="NamedTypeSpecifier"/>
            <signature localId="347" name="t:Integer" xsi:type="NamedTypeSpecifier"/>
            <operand localId="344" locator="116:3-116:42" name="Current Patient Age In Years" libraryName="Encounter" xsi:type="ExpressionRef"/>
            <operand localId="345" locator="116:47" valueType="t:Integer" value="9" xsi:type="Literal"/>
         </expression>
      </def>
      <def localId="350" locator="124:1-126:86" name="The latest seasonal influenza dose was administered less than 1 year ago" context="Patient" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:t name="input" value="The latest seasonal influenza dose was administered less than 1 year ago"/>
            <a:t name="pseudocode" value="&quot;Date and time of vaccination&quot; (where &quot;Vaccine type&quot; = &quot;Seasonal influenza vaccines&quot;) &lt; 1 year"/>
            <a:t name="code" value="The latest seasonal influenza dose was administered less than 1 year ago-109"/>
            <a:t name="decision" value="IMMZ.D2.DT.Seasonal influenza: Inactivated trivalent and quadrivalent vaccines, 2-dose schedule"/>
            <a:s r="350">
               <a:s>/*
@input: The latest seasonal influenza dose was administered less than 1 year ago
@pseudocode: Today's date − &quot;Date and time of vaccination&quot; (where &quot;Vaccine type&quot; = &quot;Seasonal influenza vaccines&quot;) &lt; 1 year
@code: The latest seasonal influenza dose was administered less than 1 year ago-109
@decision: IMMZ.D2.DT.Seasonal influenza: Inactivated trivalent and quadrivalent vaccines, 2-dose schedule
*/
define &quot;The latest seasonal influenza dose was administered less than 1 year ago&quot;:
  </a:s>
               <a:s r="351">
                  <a:s r="354">
                     <a:s r="352">
                        <a:s>&quot;Date of Latest Seasonal influenza Dose&quot;</a:s>
                     </a:s>
                     <a:s> is not null</a:s>
                  </a:s>
                  <a:s>
  and </a:s>
                  <a:s r="355">
                     <a:s r="356">
                        <a:s>duration in years between </a:s>
                        <a:s r="357">
                           <a:s>&quot;Date of Latest Seasonal influenza Dose&quot;</a:s>
                        </a:s>
                        <a:s> and </a:s>
                        <a:s r="358">
                           <a:s>Today</a:s>
                        </a:s>
                     </a:s>
                     <a:s r="361"> &lt; 1</a:s>
                  </a:s>
               </a:s>
            </a:s>
         </annotation>
         <expression localId="351" locator="125:3-126:86" xsi:type="And">
            <operand localId="354" locator="125:3-125:54" xsi:type="Not">
               <operand localId="353" locator="125:3-125:54" xsi:type="IsNull">
                  <operand localId="352" locator="125:3-125:42" name="Date of Latest Seasonal influenza Dose" xsi:type="ExpressionRef"/>
               </operand>
            </operand>
            <operand localId="355" locator="126:7-126:86" xsi:type="Less">
               <signature localId="362" name="t:Integer" xsi:type="NamedTypeSpecifier"/>
               <signature localId="363" name="t:Integer" xsi:type="NamedTypeSpecifier"/>
               <operand localId="356" locator="126:7-126:82" precision="Year" xsi:type="DurationBetween">
                  <signature localId="359" name="t:Date" xsi:type="NamedTypeSpecifier"/>
                  <signature localId="360" name="t:Date" xsi:type="NamedTypeSpecifier"/>
                  <operand localId="357" locator="126:33-126:72" name="Date of Latest Seasonal influenza Dose" xsi:type="ExpressionRef"/>
                  <operand localId="358" locator="126:78-126:82" name="Today" xsi:type="ParameterRef"/>
               </operand>
               <operand localId="361" locator="126:86" valueType="t:Integer" value="1" xsi:type="Literal"/>
            </operand>
         </expression>
      </def>
      <def localId="366" locator="134:1-135:80" name="The latest seasonal influenza dose was administered more than 1 year ago" context="Patient" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:t name="input" value="The latest seasonal influenza dose was administered more than 1 year ago"/>
            <a:t name="pseudocode" value="&quot;Date and time of vaccination&quot; (where &quot;Vaccine type&quot; = &quot;Seasonal influenza vaccines&quot;) ≥ 1 year"/>
            <a:t name="code" value="The latest seasonal influenza dose was administered more than 1 year ago-109"/>
            <a:t name="decision" value="IMMZ.D2.DT.Seasonal influenza: Inactivated trivalent and quadrivalent vaccines, 2-dose schedule"/>
            <a:s r="366">
               <a:s>/*
@input: The latest seasonal influenza dose was administered more than 1 year ago
@pseudocode: Today's date − &quot;Date and time of vaccination&quot; (where &quot;Vaccine type&quot; = &quot;Seasonal influenza vaccines&quot;) ≥ 1 year
@code: The latest seasonal influenza dose was administered more than 1 year ago-109
@decision: IMMZ.D2.DT.Seasonal influenza: Inactivated trivalent and quadrivalent vaccines, 2-dose schedule
*/
define &quot;The latest seasonal influenza dose was administered more than 1 year ago&quot;:
  </a:s>
               <a:s r="367">
                  <a:s>not </a:s>
                  <a:s r="368">
                     <a:s>&quot;The latest seasonal influenza dose was administered less than 1 year ago&quot;</a:s>
                  </a:s>
               </a:s>
            </a:s>
         </annotation>
         <expression localId="367" locator="135:3-135:80" xsi:type="Not">
            <operand localId="368" locator="135:7-135:80" name="The latest seasonal influenza dose was administered less than 1 year ago" xsi:type="ExpressionRef"/>
         </expression>
      </def>
      <def localId="371" locator="143:1-144:70" name="Two seasonal influenza primary series doses were administered" context="Patient" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:t name="input" value="Two seasonal influenza primary series doses were administered"/>
            <a:t name="pseudocode" value="&quot;Vaccine type&quot; = &quot;Seasonal influenza vaccines&quot; and &quot;Type of dose&quot; = &quot;Primary series&quot;) = 2"/>
            <a:t name="code" value="Two seasonal influenza primary series doses were administered-127"/>
            <a:t name="decision" value="IMMZ.D2.DT.Seasonal influenza: Inactivated trivalent and quadrivalent vaccines, 2-dose schedule"/>
            <a:s r="371">
               <a:s>/*
@input: Two seasonal influenza primary series doses were administered
@pseudocode: Count of vaccines administered (where &quot;Vaccine type&quot; = &quot;Seasonal influenza vaccines&quot; and &quot;Type of dose&quot; = &quot;Primary series&quot;) = 2
@code: Two seasonal influenza primary series doses were administered-127
@decision: IMMZ.D2.DT.Seasonal influenza: Inactivated trivalent and quadrivalent vaccines, 2-dose schedule
*/
define &quot;Two seasonal influenza primary series doses were administered&quot;:
  </a:s>
               <a:s r="372">
                  <a:s r="373">
                     <a:s>&quot;Number of Seasonal influenza Primary Series Doses Administered&quot;</a:s>
                  </a:s>
                  <a:s r="374"> = 2</a:s>
               </a:s>
            </a:s>
         </annotation>
         <expression localId="372" locator="144:3-144:70" xsi:type="Equal">
            <signature localId="375" name="t:Integer" xsi:type="NamedTypeSpecifier"/>
            <signature localId="376" name="t:Integer" xsi:type="NamedTypeSpecifier"/>
            <operand localId="373" locator="144:3-144:66" name="Number of Seasonal influenza Primary Series Doses Administered" xsi:type="ExpressionRef"/>
            <operand localId="374" locator="144:70" valueType="t:Integer" value="2" xsi:type="Literal"/>
         </expression>
      </def>
   </statements>
</library>
