<?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="288">
         <a:s>/*
 * Library: IMMZ.IND.45 Logic
 * Immunization session completion rate
 * The percentage of immunization sessions completed during the reporting period
 * 
 * Numerator: Number of immunization sessions completed at the vaccination location during the reporting period
 * Numerator Computation: COUNT of immunization events WHERE &quot;Immunization event status&quot; = &quot;Completed&quot; during the reporting period
 * Denominator: Number of planned immunization sessions at the vaccination location during the reporting period
 * Denominator Computation: COUNT number of planned sessions during the reporting period
 * 
 * Disaggregation
 *  - Vaccination location
 *  - Administrative area
 *
 * References: WHO Immunization facility analysis guide (5)
 * 
 * Annotations: –
 */
library IMMZIND45Logic</a:s>
      </a:s>
   </annotation>
   <identifier id="IMMZIND45Logic" 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="21:1-21:26" 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="23:1-23:35" 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="25:1-25:27" 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="27:1-27:32" 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="28:1-28:36" 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="29:1-29:45" localIdentifier="Elements" path="http://smart.who.int/immunizations/IMMZIndicatorElements">
         <annotation xsi:type="a:Annotation">
            <a:s r="216">
               <a:s>include </a:s>
               <a:s>
                  <a:s>IMMZIndicatorElements</a:s>
               </a:s>
               <a:s> called Elements</a:s>
            </a:s>
         </annotation>
      </def>
   </includes>
   <parameters>
      <def localId="218" locator="32:1-32:88" name="Measurement Period" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:s r="218">
               <a:s>parameter &quot;Measurement Period&quot; </a:s>
               <a:s r="230">
                  <a:s>Interval&lt;</a:s>
                  <a:s r="231">
                     <a:s>Date</a:s>
                  </a:s>
                  <a:s>></a:s>
               </a:s>
               <a:s> default </a:s>
               <a:s r="229">
                  <a:s r="223">Interval[@2025-01-01, @2025-12-31]</a:s>
               </a:s>
            </a:s>
         </annotation>
         <default localId="229" locator="32:55-32:88" lowClosed="true" highClosed="true" xsi:type="Interval">
            <low localId="223" locator="32:64-32:74" xsi:type="Date">
               <year localId="220" valueType="t:Integer" value="2025" xsi:type="Literal"/>
               <month localId="221" valueType="t:Integer" value="1" xsi:type="Literal"/>
               <day localId="222" valueType="t:Integer" value="1" xsi:type="Literal"/>
            </low>
            <high localId="228" locator="32:77-32:87" xsi:type="Date">
               <year localId="225" valueType="t:Integer" value="2025" xsi:type="Literal"/>
               <month localId="226" valueType="t:Integer" value="12" xsi:type="Literal"/>
               <day localId="227" valueType="t:Integer" value="31" xsi:type="Literal"/>
            </high>
         </default>
         <parameterTypeSpecifier localId="230" locator="32:32-32:45" xsi:type="IntervalTypeSpecifier">
            <pointType localId="231" locator="32:41-32:44" name="t:Date" xsi:type="NamedTypeSpecifier"/>
         </parameterTypeSpecifier>
      </def>
   </parameters>
   <contexts>
      <def localId="236" locator="34:1-34:20" name="Immunization"/>
   </contexts>
   <statements>
      <def localId="234" locator="34:1-34:20" name="Immunization" context="Immunization">
         <expression localId="235" xsi:type="SingletonFrom">
            <operand localId="233" locator="34:1-34:20" dataType="fhir:Immunization" templateId="http://hl7.org/fhir/StructureDefinition/Immunization" xsi:type="Retrieve"/>
         </expression>
      </def>
      <def localId="239" locator="39:1-41:77" name="Initial Population" context="Immunization" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:s r="239">
               <a:s>/*
 * As defined by Member State
 */
define &quot;Initial Population&quot;:
  </a:s>
               <a:s r="240">
                  <a:s r="244">
                     <a:s r="242">
                        <a:s r="241">
                           <a:s>Immunization</a:s>
                        </a:s>
                        <a:s>.</a:s>
                        <a:s r="242">
                           <a:s>occurrence</a:s>
                        </a:s>
                     </a:s>
                     <a:s> is not null</a:s>
                  </a:s>
                  <a:s>
  and </a:s>
                  <a:s r="250">
                     <a:s r="247">
                        <a:s r="246">
                           <a:s r="245">
                              <a:s>Immunization</a:s>
                           </a:s>
                           <a:s>.</a:s>
                           <a:s r="246">
                              <a:s>occurrence</a:s>
                           </a:s>
                        </a:s>
                        <a:s>.</a:s>
                        <a:s r="247">
                           <a:s>toInterval()</a:s>
                        </a:s>
                     </a:s>
                     <a:s r="250"> starts during </a:s>
                     <a:s r="248">
                        <a:s>&quot;Measurement Period&quot;</a:s>
                     </a:s>
                  </a:s>
               </a:s>
            </a:s>
         </annotation>
         <expression localId="240" locator="40:3-41:77" xsi:type="And">
            <operand localId="244" locator="40:3-40:37" xsi:type="Not">
               <operand localId="243" locator="40:3-40:37" xsi:type="IsNull">
                  <operand localId="242" locator="40:3-40:25" path="occurrence" xsi:type="Property">
                     <source localId="241" locator="40:3-40:14" name="Immunization" xsi:type="ExpressionRef"/>
                  </operand>
               </operand>
            </operand>
            <operand localId="250" locator="41:7-41:77" xsi:type="In">
               <operand localId="249" locator="41:44-41:49" xsi:type="Start">
                  <operand localId="247" locator="41:7-41:42" name="toInterval" libraryName="WC" xsi:type="FunctionRef">
                     <operand localId="246" locator="41:7-41:29" path="occurrence" xsi:type="Property">
                        <source localId="245" locator="41:7-41:18" name="Immunization" xsi:type="ExpressionRef"/>
                     </operand>
                  </operand>
               </operand>
               <operand localId="251" xsi:type="Interval">
                  <low localId="254" xsi:type="ToDateTime">
                     <signature localId="255" name="t:Date" xsi:type="NamedTypeSpecifier"/>
                     <operand localId="252" path="low" xsi:type="Property">
                        <source localId="248" locator="41:58-41:77" name="Measurement Period" xsi:type="ParameterRef"/>
                     </operand>
                  </low>
                  <lowClosedExpression localId="256" path="lowClosed" xsi:type="Property">
                     <source localId="248" locator="41:58-41:77" name="Measurement Period" xsi:type="ParameterRef"/>
                  </lowClosedExpression>
                  <high localId="259" xsi:type="ToDateTime">
                     <signature localId="260" name="t:Date" xsi:type="NamedTypeSpecifier"/>
                     <operand localId="257" path="high" xsi:type="Property">
                        <source localId="248" locator="41:58-41:77" name="Measurement Period" xsi:type="ParameterRef"/>
                     </operand>
                  </high>
                  <highClosedExpression localId="261" path="highClosed" xsi:type="Property">
                     <source localId="248" locator="41:58-41:77" name="Measurement Period" xsi:type="ParameterRef"/>
                  </highClosedExpression>
               </operand>
            </operand>
         </expression>
      </def>
      <def localId="264" locator="47:1-48:22" name="Denominator" context="Immunization" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:t name="denominator" value="Number of planned immunization sessions at the vaccination location during the reporting period"/>
            <a:t name="pseudocode" value="COUNT number of planned sessions during the reporting period"/>
            <a:s r="264">
               <a:s>/*
@denominator: Number of planned immunization sessions at the vaccination location during the reporting period
@pseudocode: COUNT number of planned sessions during the reporting period
*/
define &quot;Denominator&quot;:
  </a:s>
               <a:s r="265">
                  <a:s>&quot;Initial Population&quot;</a:s>
               </a:s>
            </a:s>
         </annotation>
         <expression localId="265" locator="48:3-48:22" name="Initial Population" xsi:type="ExpressionRef"/>
      </def>
      <def localId="268" locator="54:1-56:41" name="Numerator" context="Immunization" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:t name="numerator" value="Number of immunization sessions completed at the vaccination location during the reporting period"/>
            <a:t name="pseudocode" value="&quot;Immunization event status&quot; = &quot;Completed&quot; during the reporting period"/>
            <a:s r="268">
               <a:s>/*
@numerator: Number of immunization sessions completed at the vaccination location during the reporting period
@pseudocode: COUNT of immunization events WHERE &quot;Immunization event status&quot; = &quot;Completed&quot; during the reporting period
*/
define &quot;Numerator&quot;:
  </a:s>
               <a:s r="269">
                  <a:s r="270">
                     <a:s>&quot;Denominator&quot;</a:s>
                  </a:s>
                  <a:s>
    and </a:s>
                  <a:s r="271">
                     <a:s r="273">
                        <a:s r="272">
                           <a:s>Immunization</a:s>
                        </a:s>
                        <a:s>.</a:s>
                        <a:s r="273">
                           <a:s>status</a:s>
                        </a:s>
                     </a:s>
                     <a:s> = </a:s>
                     <a:s r="274">
                        <a:s>'completed'</a:s>
                     </a:s>
                  </a:s>
               </a:s>
            </a:s>
         </annotation>
         <expression localId="269" locator="55:3-56:41" xsi:type="And">
            <operand localId="270" locator="55:3-55:15" name="Denominator" xsi:type="ExpressionRef"/>
            <operand localId="271" locator="56:9-56:41" xsi:type="Equal">
               <signature localId="278" name="t:String" xsi:type="NamedTypeSpecifier"/>
               <signature localId="279" name="t:String" xsi:type="NamedTypeSpecifier"/>
               <operand localId="276" name="ToString" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                  <signature localId="277" name="fhir:ImmunizationStatus" xsi:type="NamedTypeSpecifier"/>
                  <operand localId="273" locator="56:9-56:27" path="status" xsi:type="Property">
                     <source localId="272" locator="56:9-56:20" name="Immunization" xsi:type="ExpressionRef"/>
                  </operand>
               </operand>
               <operand localId="274" locator="56:31-56:41" valueType="t:String" value="completed" xsi:type="Literal"/>
            </operand>
         </expression>
      </def>
      <def localId="282" locator="62:1-63:57" name="Stratification 1" context="Immunization" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:t name="disaggregation" value="Vaccination location&#xa;                 Administrative area"/>
            <a:s r="282">
               <a:s>/*
@disaggregation: Vaccination location
                 Administrative area
*/
define &quot;Stratification 1&quot;:
  </a:s>
               <a:s r="285">
                  <a:s r="283">
                     <a:s>Elements</a:s>
                  </a:s>
                  <a:s>.</a:s>
                  <a:s r="285">
                     <a:s>GetLocationNameForImmunization( </a:s>
                     <a:s r="284">
                        <a:s>Immunization</a:s>
                     </a:s>
                     <a:s> )</a:s>
                  </a:s>
               </a:s>
            </a:s>
         </annotation>
         <expression localId="285" locator="63:3-63:57" name="GetLocationNameForImmunization" libraryName="Elements" xsi:type="FunctionRef">
            <operand localId="284" locator="63:44-63:55" name="Immunization" xsi:type="ExpressionRef"/>
         </expression>
      </def>
      <def localId="288" locator="65:1-66:61" name="Stratification 2" context="Immunization" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:s r="288">
               <a:s>define &quot;Stratification 2&quot;:
  </a:s>
               <a:s r="291">
                  <a:s r="289">
                     <a:s>Elements</a:s>
                  </a:s>
                  <a:s>.</a:s>
                  <a:s r="291">
                     <a:s>GetGeographicRegionForImmunization( </a:s>
                     <a:s r="290">
                        <a:s>Immunization</a:s>
                     </a:s>
                     <a:s> )</a:s>
                  </a:s>
               </a:s>
            </a:s>
         </annotation>
         <expression localId="291" locator="66:3-66:61" name="GetGeographicRegionForImmunization" libraryName="Elements" xsi:type="FunctionRef">
            <operand localId="290" locator="66:48-66:59" name="Immunization" xsi:type="ExpressionRef"/>
         </expression>
      </def>
   </statements>
</library>
