<?xml version="1.0" encoding="UTF-8" standalone="yes"?>
<!--
  This file is part of the Dutch Taxonomy (Nederlandse Taxonomie; NT)
  Intellectual Property of the State of the Netherlands
  Architecture: NT13
  Version: 20181212.a
  Release date: Tue Jun 19 09:00:00 2018
-->
<link:linkbase xmlns:link="http://www.xbrl.org/2003/linkbase" xmlns:xlink="http://www.w3.org/1999/xlink">
  <link:roleRef roleURI="urn:rj:linkrole:annual-reporting-guidelines-655" xlink:href="../presentation/rj-linkroles.xsd#rj-lr_AnnualReportingGuidelines655" xlink:type="simple"/>
  <link:arcroleRef arcroleURI="http://xbrl.org/int/dim/arcrole/domain-member" xlink:href="http://www.xbrl.org/2005/xbrldt-2005.xsd#domain-member" xlink:type="simple"/>
  <link:definitionLink xlink:role="urn:rj:linkrole:annual-reporting-guidelines-655" xlink:type="extended">
    <link:definitionArc xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="sbr-dim_ValidationLineItems_loc" xlink:to="jenv-bw2-i_AmortisationIntangibleAssets_loc" xlink:type="arc"/>
    <link:definitionArc xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="sbr-dim_ValidationLineItems_loc" xlink:to="jenv-bw2-i_AssetsCurrent_loc" xlink:type="arc"/>
    <link:definitionArc xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="sbr-dim_ValidationLineItems_loc" xlink:to="jenv-bw2-i_AssetsNoncurrent_loc" xlink:type="arc"/>
    <link:definitionArc xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="sbr-dim_ValidationLineItems_loc" xlink:to="jenv-bw2-i_Assets_loc" xlink:type="arc"/>
    <link:definitionArc xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="sbr-dim_ValidationLineItems_loc" xlink:to="jenv-bw2-i_CashAndCashEquivalents_loc" xlink:type="arc"/>
    <link:definitionArc xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="sbr-dim_ValidationLineItems_loc" xlink:to="jenv-bw2-i_ChangesValueFinancialAssetsSecurities_loc" xlink:type="arc"/>
    <link:definitionArc xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="sbr-dim_ValidationLineItems_loc" xlink:to="jenv-bw2-i_ConsolidationExemptionDescription_loc" xlink:type="arc"/>
    <link:definitionArc xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="sbr-dim_ValidationLineItems_loc" xlink:to="jenv-bw2-i_DepreciationPropertyPlantEquipmentAmortisationIntangibleAssets_loc" xlink:type="arc"/>
    <link:definitionArc xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="sbr-dim_ValidationLineItems_loc" xlink:to="jenv-bw2-i_DepreciationPropertyPlantEquipment_loc" xlink:type="arc"/>
    <link:definitionArc xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="sbr-dim_ValidationLineItems_loc" xlink:to="jenv-bw2-i_DifferencesEquityResultSeparateConsolidatedFinancialStatementsDisclosure_loc" xlink:type="arc"/>
    <link:definitionArc xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="sbr-dim_ValidationLineItems_loc" xlink:to="jenv-bw2-i_EmployeeBenefitsExpenses_loc" xlink:type="arc"/>
    <link:definitionArc xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="sbr-dim_ValidationLineItems_loc" xlink:to="jenv-bw2-i_EquityAndLiabilities_loc" xlink:type="arc"/>
    <link:definitionArc xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="sbr-dim_ValidationLineItems_loc" xlink:to="jenv-bw2-i_EquityConsolidatedFinancialStatements_loc" xlink:type="arc"/>
    <link:definitionArc xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="sbr-dim_ValidationLineItems_loc" xlink:to="jenv-bw2-i_EquityDifferenceSeparateConsolidatedFinancialStatements_loc" xlink:type="arc"/>
    <link:definitionArc xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="sbr-dim_ValidationLineItems_loc" xlink:to="jenv-bw2-i_EquityGroup_loc" xlink:type="arc"/>
    <link:definitionArc xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="sbr-dim_ValidationLineItems_loc" xlink:to="jenv-bw2-i_EquityMovement_loc" xlink:type="arc"/>
    <link:definitionArc xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="sbr-dim_ValidationLineItems_loc" xlink:to="jenv-bw2-i_EquitySeparateFinancialStatements_loc" xlink:type="arc"/>
    <link:definitionArc xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="sbr-dim_ValidationLineItems_loc" xlink:to="jenv-bw2-i_Equity_loc" xlink:type="arc"/>
    <link:definitionArc xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="sbr-dim_ValidationLineItems_loc" xlink:to="jenv-bw2-i_FinancialAssets_loc" xlink:type="arc"/>
    <link:definitionArc xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="sbr-dim_ValidationLineItems_loc" xlink:to="jenv-bw2-i_IntangibleAssets_loc" xlink:type="arc"/>
    <link:definitionArc xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="sbr-dim_ValidationLineItems_loc" xlink:to="jenv-bw2-i_Inventories_loc" xlink:type="arc"/>
    <link:definitionArc xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="sbr-dim_ValidationLineItems_loc" xlink:to="jenv-bw2-i_LiabilitiesCurrent_loc" xlink:type="arc"/>
    <link:definitionArc xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="sbr-dim_ValidationLineItems_loc" xlink:to="jenv-bw2-i_LiabilitiesNoncurrent_loc" xlink:type="arc"/>
    <link:definitionArc xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="sbr-dim_ValidationLineItems_loc" xlink:to="jenv-bw2-i_NoncontrollingInterest_loc" xlink:type="arc"/>
    <link:definitionArc xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="sbr-dim_ValidationLineItems_loc" xlink:to="jenv-bw2-i_OperatingExpensesOther_loc" xlink:type="arc"/>
    <link:definitionArc xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="sbr-dim_ValidationLineItems_loc" xlink:to="jenv-bw2-i_OperatingExpenses_loc" xlink:type="arc"/>
    <link:definitionArc xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="sbr-dim_ValidationLineItems_loc" xlink:to="jenv-bw2-i_OperatingIncomeOther_loc" xlink:type="arc"/>
    <link:definitionArc xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="sbr-dim_ValidationLineItems_loc" xlink:to="jenv-bw2-i_OperatingIncome_loc" xlink:type="arc"/>
    <link:definitionArc xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="sbr-dim_ValidationLineItems_loc" xlink:to="jenv-bw2-i_OperatingResult_loc" xlink:type="arc"/>
    <link:definitionArc xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="sbr-dim_ValidationLineItems_loc" xlink:to="jenv-bw2-i_PensionCosts_loc" xlink:type="arc"/>
    <link:definitionArc xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="sbr-dim_ValidationLineItems_loc" xlink:to="jenv-bw2-i_PropertyPlantEquipment_loc" xlink:type="arc"/>
    <link:definitionArc xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="sbr-dim_ValidationLineItems_loc" xlink:to="jenv-bw2-i_Provisions_loc" xlink:type="arc"/>
    <link:definitionArc xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="sbr-dim_ValidationLineItems_loc" xlink:to="jenv-bw2-i_ResultsAppropriationDisclosure_loc" xlink:type="arc"/>
    <link:definitionArc xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="sbr-dim_ValidationLineItems_loc" xlink:to="jenv-bw2-i_SecuritiesCurrent_loc" xlink:type="arc"/>
    <link:definitionArc xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="sbr-dim_ValidationLineItems_loc" xlink:to="jenv-bw2-i_ShareInResultsParticipatingInterests_loc" xlink:type="arc"/>
    <link:definitionArc xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="sbr-dim_ValidationLineItems_loc" xlink:to="jenv-bw2-i_WagesSalaries_loc" xlink:type="arc"/>
    <link:definitionArc xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="sbr-dim_ValidationLineItems_loc" xlink:to="rj-i_AdditionsProvisions_loc" xlink:type="arc"/>
    <link:definitionArc xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="sbr-dim_ValidationLineItems_loc" xlink:to="rj-i_CentralGovernmentContributionsWorkplaceFunctionMedicalFacultyUMCsDisclosure_loc" xlink:type="arc"/>
    <link:definitionArc xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="sbr-dim_ValidationLineItems_loc" xlink:to="rj-i_CentralGovernmentContributionsWorkplaceFunctionMedicalFacultyUMCs_loc" xlink:type="arc"/>
    <link:definitionArc xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="sbr-dim_ValidationLineItems_loc" xlink:to="rj-i_DBCsDBCHealthcareProductsInProgressAssets_loc" xlink:type="arc"/>
    <link:definitionArc xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="sbr-dim_ValidationLineItems_loc" xlink:to="rj-i_DBCsDBCHealthcareProductsInProgressBillings_loc" xlink:type="arc"/>
    <link:definitionArc xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="sbr-dim_ValidationLineItems_loc" xlink:to="rj-i_DBCsDBCHealthcareProductsInProgressGross_loc" xlink:type="arc"/>
    <link:definitionArc xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="sbr-dim_ValidationLineItems_loc" xlink:to="rj-i_DBCsDBCHealthcareProductsInProgressLiabilities_loc" xlink:type="arc"/>
    <link:definitionArc xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="sbr-dim_ValidationLineItems_loc" xlink:to="rj-i_DBCsDBCHealthcareProductsInProgressNet_loc" xlink:type="arc"/>
    <link:definitionArc xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="sbr-dim_ValidationLineItems_loc" xlink:to="rj-i_DBCsDBCHealthcareProductsInProgressProvision_loc" xlink:type="arc"/>
    <link:definitionArc xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="sbr-dim_ValidationLineItems_loc" xlink:to="rj-i_DesignatedFundDescription_loc" xlink:type="arc"/>
    <link:definitionArc xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="sbr-dim_ValidationLineItems_loc" xlink:to="rj-i_DesignatedFund_loc" xlink:type="arc"/>
    <link:definitionArc xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="sbr-dim_ValidationLineItems_loc" xlink:to="rj-i_DesignatedFunds_loc" xlink:type="arc"/>
    <link:definitionArc xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="sbr-dim_ValidationLineItems_loc" xlink:to="rj-i_DesignatedReserveDescription_loc" xlink:type="arc"/>
    <link:definitionArc xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="sbr-dim_ValidationLineItems_loc" xlink:to="rj-i_DesignatedReserve_loc" xlink:type="arc"/>
    <link:definitionArc xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="sbr-dim_ValidationLineItems_loc" xlink:to="rj-i_DesignatedReserves_loc" xlink:type="arc"/>
    <link:definitionArc xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="sbr-dim_ValidationLineItems_loc" xlink:to="rj-i_EmployeeBenefitsExpensesExcludingExternalEmployees_loc" xlink:type="arc"/>
    <link:definitionArc xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="sbr-dim_ValidationLineItems_loc" xlink:to="rj-i_EmployeeBenefitsExpensesOther_loc" xlink:type="arc"/>
    <link:definitionArc xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="sbr-dim_ValidationLineItems_loc" xlink:to="rj-i_ExpensesFeesIndependentMedicalSpecialists_loc" xlink:type="arc"/>
    <link:definitionArc xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="sbr-dim_ValidationLineItems_loc" xlink:to="rj-i_ExternalEmployeesExpenses_loc" xlink:type="arc"/>
    <link:definitionArc xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="sbr-dim_ValidationLineItems_loc" xlink:to="rj-i_FeesToCoverLegalBudgetAcceptableCosts_loc" xlink:type="arc"/>
    <link:definitionArc xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="sbr-dim_ValidationLineItems_loc" xlink:to="rj-i_FinancialIncomeExpenses_loc" xlink:type="arc"/>
    <link:definitionArc xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="sbr-dim_ValidationLineItems_loc" xlink:to="rj-i_FinancingDeficitSurplusToBeSettledInRatesCorrectionsPreviousYears_loc" xlink:type="arc"/>
    <link:definitionArc xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="sbr-dim_ValidationLineItems_loc" xlink:to="rj-i_FinancingDeficitSurplusToBeSettledInRatesFinancingDifferenceDuringPeriod_loc" xlink:type="arc"/>
    <link:definitionArc xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="sbr-dim_ValidationLineItems_loc" xlink:to="rj-i_FinancingDeficitSurplusToBeSettledInRatesIncludedInLiabilitiesFinancingSurplus_loc" xlink:type="arc"/>
    <link:definitionArc xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="sbr-dim_ValidationLineItems_loc" xlink:to="rj-i_FinancingDeficitSurplusToBeSettledInRatesIncludedInReceivablesFinancingDeficit_loc" xlink:type="arc"/>
    <link:definitionArc xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="sbr-dim_ValidationLineItems_loc" xlink:to="rj-i_FinancingDeficitSurplusToBeSettledInRatesMovement_loc" xlink:type="arc"/>
    <link:definitionArc xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="sbr-dim_ValidationLineItems_loc" xlink:to="rj-i_FinancingDeficitSurplusToBeSettledInRatesPaymentsReceipts_loc" xlink:type="arc"/>
    <link:definitionArc xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="sbr-dim_ValidationLineItems_loc" xlink:to="rj-i_FinancingDeficitSurplusToBeSettledInRatesStageOfAdoption_loc" xlink:type="arc"/>
    <link:definitionArc xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="sbr-dim_ValidationLineItems_loc" xlink:to="rj-i_FinancingDeficitSurplusToBeSettledInRates_loc" xlink:type="arc"/>
    <link:definitionArc xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="sbr-dim_ValidationLineItems_loc" xlink:to="rj-i_FinancingDeficitSurplus_loc" xlink:type="arc"/>
    <link:definitionArc xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="sbr-dim_ValidationLineItems_loc" xlink:to="rj-i_FoodAndHospitalityExpenses_loc" xlink:type="arc"/>
    <link:definitionArc xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="sbr-dim_ValidationLineItems_loc" xlink:to="rj-i_FoundationCapital_loc" xlink:type="arc"/>
    <link:definitionArc xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="sbr-dim_ValidationLineItems_loc" xlink:to="rj-i_GeneralExpenses_loc" xlink:type="arc"/>
    <link:definitionArc xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="sbr-dim_ValidationLineItems_loc" xlink:to="rj-i_GeneralOtherReserves_loc" xlink:type="arc"/>
    <link:definitionArc xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="sbr-dim_ValidationLineItems_loc" xlink:to="rj-i_ImpairmentAssetsNoncurrent_loc" xlink:type="arc"/>
    <link:definitionArc xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="sbr-dim_ValidationLineItems_loc" xlink:to="rj-i_IncomeAvailabilityContributionsEducation_loc" xlink:type="arc"/>
    <link:definitionArc xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="sbr-dim_ValidationLineItems_loc" xlink:to="rj-i_IncomeAvailabilityContributionsHealthcare_loc" xlink:type="arc"/>
    <link:definitionArc xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="sbr-dim_ValidationLineItems_loc" xlink:to="rj-i_IncomeBudgetedCareServices_loc" xlink:type="arc"/>
    <link:definitionArc xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="sbr-dim_ValidationLineItems_loc" xlink:to="rj-i_IncomeCareServicesOther_loc" xlink:type="arc"/>
    <link:definitionArc xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="sbr-dim_ValidationLineItems_loc" xlink:to="rj-i_IncomeFromCareServicesAndSocialSupport_loc" xlink:type="arc"/>
    <link:definitionArc xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="sbr-dim_ValidationLineItems_loc" xlink:to="rj-i_IncomeHealthInsuranceAct_loc" xlink:type="arc"/>
    <link:definitionArc xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="sbr-dim_ValidationLineItems_loc" xlink:to="rj-i_IncomeLegalBudgetAcceptableCostsWlz_loc" xlink:type="arc"/>
    <link:definitionArc xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="sbr-dim_ValidationLineItems_loc" xlink:to="rj-i_IncomeLegalBudgetAcceptableCosts_loc" xlink:type="arc"/>
    <link:definitionArc xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="sbr-dim_ValidationLineItems_loc" xlink:to="rj-i_IncomeMinistryVenJ_loc" xlink:type="arc"/>
    <link:definitionArc xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="sbr-dim_ValidationLineItems_loc" xlink:to="rj-i_IncomeOtherFinancialAssetsSecurities_loc" xlink:type="arc"/>
    <link:definitionArc xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="sbr-dim_ValidationLineItems_loc" xlink:to="rj-i_IncomeWMO_loc" xlink:type="arc"/>
    <link:definitionArc xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="sbr-dim_ValidationLineItems_loc" xlink:to="rj-i_IncomeYouthLaw_loc" xlink:type="arc"/>
    <link:definitionArc xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="sbr-dim_ValidationLineItems_loc" xlink:to="rj-i_InterestExpenses_loc" xlink:type="arc"/>
    <link:definitionArc xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="sbr-dim_ValidationLineItems_loc" xlink:to="rj-i_InterestIncome_loc" xlink:type="arc"/>
    <link:definitionArc xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="sbr-dim_ValidationLineItems_loc" xlink:to="rj-i_JointVenturesActivitiesDescription_loc" xlink:type="arc"/>
    <link:definitionArc xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="sbr-dim_ValidationLineItems_loc" xlink:to="rj-i_JointVenturesAdministrativeRelationsDescription_loc" xlink:type="arc"/>
    <link:definitionArc xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="sbr-dim_ValidationLineItems_loc" xlink:to="rj-i_JointVenturesCompositionManagementSupervisoryBodyDescription_loc" xlink:type="arc"/>
    <link:definitionArc xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="sbr-dim_ValidationLineItems_loc" xlink:to="rj-i_JointVenturesDisclosure_loc" xlink:type="arc"/>
    <link:definitionArc xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="sbr-dim_ValidationLineItems_loc" xlink:to="rj-i_JointVenturesOtherPartiesDescription_loc" xlink:type="arc"/>
    <link:definitionArc xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="sbr-dim_ValidationLineItems_loc" xlink:to="rj-i_LiabilitiesCurrentOther_loc" xlink:type="arc"/>
    <link:definitionArc xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="sbr-dim_ValidationLineItems_loc" xlink:to="rj-i_LiabilitiesFinancingSurplusCurrent_loc" xlink:type="arc"/>
    <link:definitionArc xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="sbr-dim_ValidationLineItems_loc" xlink:to="rj-i_MacroControlInstrumentTaxableBasisDisclosure_loc" xlink:type="arc"/>
    <link:definitionArc xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="sbr-dim_ValidationLineItems_loc" xlink:to="rj-i_MacroControlInstrumentTaxableBasis_loc" xlink:type="arc"/>
    <link:definitionArc xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="sbr-dim_ValidationLineItems_loc" xlink:to="rj-i_MaintenanceAndEnergyExpenses_loc" xlink:type="arc"/>
    <link:definitionArc xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="sbr-dim_ValidationLineItems_loc" xlink:to="rj-i_OperatingIncomeOtherIncomeOther_loc" xlink:type="arc"/>
    <link:definitionArc xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="sbr-dim_ValidationLineItems_loc" xlink:to="rj-i_OperatingIncomeOtherServicesOther_loc" xlink:type="arc"/>
    <link:definitionArc xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="sbr-dim_ValidationLineItems_loc" xlink:to="rj-i_PatientAndResidentsDependentExpenses_loc" xlink:type="arc"/>
    <link:definitionArc xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="sbr-dim_ValidationLineItems_loc" xlink:to="rj-i_ReceivablesFinancingDeficit_loc" xlink:type="arc"/>
    <link:definitionArc xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="sbr-dim_ValidationLineItems_loc" xlink:to="rj-i_RentalLeasingExpenses_loc" xlink:type="arc"/>
    <link:definitionArc xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="sbr-dim_ValidationLineItems_loc" xlink:to="rj-i_Result_loc" xlink:type="arc"/>
    <link:definitionArc xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="sbr-dim_ValidationLineItems_loc" xlink:to="rj-i_StaffingLevelDisclosure_loc" xlink:type="arc"/>
    <link:definitionArc xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="sbr-dim_ValidationLineItems_loc" xlink:to="rj-i_StaffingLevel_loc" xlink:type="arc"/>
    <link:definitionArc xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="sbr-dim_ValidationLineItems_loc" xlink:to="rj-i_SubsidyIncomeCentralGovernmentsMinistryVWS_loc" xlink:type="arc"/>
    <link:definitionArc xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="sbr-dim_ValidationLineItems_loc" xlink:to="rj-i_SubsidyIncomeCentralGovernmentsMinistryVenJ_loc" xlink:type="arc"/>
    <link:definitionArc xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="sbr-dim_ValidationLineItems_loc" xlink:to="rj-i_SubsidyIncomeCentralGovernmentsOther_loc" xlink:type="arc"/>
    <link:definitionArc xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="sbr-dim_ValidationLineItems_loc" xlink:to="rj-i_SubsidyIncomeOther_loc" xlink:type="arc"/>
    <link:definitionArc xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="sbr-dim_ValidationLineItems_loc" xlink:to="rj-i_SubsidyIncomeProvincesMunicipalitiesExcludingWMOYouthLaw_loc" xlink:type="arc"/>
    <link:definitionArc xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="sbr-dim_ValidationLineItems_loc" xlink:to="rj-i_SubsidyIncome_loc" xlink:type="arc"/>
    <link:definitionArc xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="sbr-dim_ValidationLineItems_loc" xlink:to="rj-i_TradeOtherReceivables_loc" xlink:type="arc"/>
    <link:loc xlink:href="../../../jenv/20181212.a/dictionary/jenv-bw2-data.xsd#jenv-bw2-i_AmortisationIntangibleAssets" xlink:label="jenv-bw2-i_AmortisationIntangibleAssets_loc" xlink:type="locator"/>
    <link:loc xlink:href="../../../jenv/20181212.a/dictionary/jenv-bw2-data.xsd#jenv-bw2-i_AssetsCurrent" xlink:label="jenv-bw2-i_AssetsCurrent_loc" xlink:type="locator"/>
    <link:loc xlink:href="../../../jenv/20181212.a/dictionary/jenv-bw2-data.xsd#jenv-bw2-i_AssetsNoncurrent" xlink:label="jenv-bw2-i_AssetsNoncurrent_loc" xlink:type="locator"/>
    <link:loc xlink:href="../../../jenv/20181212.a/dictionary/jenv-bw2-data.xsd#jenv-bw2-i_Assets" xlink:label="jenv-bw2-i_Assets_loc" xlink:type="locator"/>
    <link:loc xlink:href="../../../jenv/20181212.a/dictionary/jenv-bw2-data.xsd#jenv-bw2-i_CashAndCashEquivalents" xlink:label="jenv-bw2-i_CashAndCashEquivalents_loc" xlink:type="locator"/>
    <link:loc xlink:href="../../../jenv/20181212.a/dictionary/jenv-bw2-data.xsd#jenv-bw2-i_ChangesValueFinancialAssetsSecurities" xlink:label="jenv-bw2-i_ChangesValueFinancialAssetsSecurities_loc" xlink:type="locator"/>
    <link:loc xlink:href="../../../jenv/20181212.a/dictionary/jenv-bw2-data.xsd#jenv-bw2-i_ConsolidationExemptionDescription" xlink:label="jenv-bw2-i_ConsolidationExemptionDescription_loc" xlink:type="locator"/>
    <link:loc xlink:href="../../../jenv/20181212.a/dictionary/jenv-bw2-data.xsd#jenv-bw2-i_DepreciationPropertyPlantEquipmentAmortisationIntangibleAssets" xlink:label="jenv-bw2-i_DepreciationPropertyPlantEquipmentAmortisationIntangibleAssets_loc" xlink:type="locator"/>
    <link:loc xlink:href="../../../jenv/20181212.a/dictionary/jenv-bw2-data.xsd#jenv-bw2-i_DepreciationPropertyPlantEquipment" xlink:label="jenv-bw2-i_DepreciationPropertyPlantEquipment_loc" xlink:type="locator"/>
    <link:loc xlink:href="../../../jenv/20181212.a/dictionary/jenv-bw2-data.xsd#jenv-bw2-i_DifferencesEquityResultSeparateConsolidatedFinancialStatementsDisclosure" xlink:label="jenv-bw2-i_DifferencesEquityResultSeparateConsolidatedFinancialStatementsDisclosure_loc" xlink:type="locator"/>
    <link:loc xlink:href="../../../jenv/20181212.a/dictionary/jenv-bw2-data.xsd#jenv-bw2-i_EmployeeBenefitsExpenses" xlink:label="jenv-bw2-i_EmployeeBenefitsExpenses_loc" xlink:type="locator"/>
    <link:loc xlink:href="../../../jenv/20181212.a/dictionary/jenv-bw2-data.xsd#jenv-bw2-i_EquityAndLiabilities" xlink:label="jenv-bw2-i_EquityAndLiabilities_loc" xlink:type="locator"/>
    <link:loc xlink:href="../../../jenv/20181212.a/dictionary/jenv-bw2-data.xsd#jenv-bw2-i_EquityConsolidatedFinancialStatements" xlink:label="jenv-bw2-i_EquityConsolidatedFinancialStatements_loc" xlink:type="locator"/>
    <link:loc xlink:href="../../../jenv/20181212.a/dictionary/jenv-bw2-data.xsd#jenv-bw2-i_EquityDifferenceSeparateConsolidatedFinancialStatements" xlink:label="jenv-bw2-i_EquityDifferenceSeparateConsolidatedFinancialStatements_loc" xlink:type="locator"/>
    <link:loc xlink:href="../../../jenv/20181212.a/dictionary/jenv-bw2-data.xsd#jenv-bw2-i_EquityGroup" xlink:label="jenv-bw2-i_EquityGroup_loc" xlink:type="locator"/>
    <link:loc xlink:href="../../../jenv/20181212.a/dictionary/jenv-bw2-data.xsd#jenv-bw2-i_EquityMovement" xlink:label="jenv-bw2-i_EquityMovement_loc" xlink:type="locator"/>
    <link:loc xlink:href="../../../jenv/20181212.a/dictionary/jenv-bw2-data.xsd#jenv-bw2-i_EquitySeparateFinancialStatements" xlink:label="jenv-bw2-i_EquitySeparateFinancialStatements_loc" xlink:type="locator"/>
    <link:loc xlink:href="../../../jenv/20181212.a/dictionary/jenv-bw2-data.xsd#jenv-bw2-i_Equity" xlink:label="jenv-bw2-i_Equity_loc" xlink:type="locator"/>
    <link:loc xlink:href="../../../jenv/20181212.a/dictionary/jenv-bw2-data.xsd#jenv-bw2-i_FinancialAssets" xlink:label="jenv-bw2-i_FinancialAssets_loc" xlink:type="locator"/>
    <link:loc xlink:href="../../../jenv/20181212.a/dictionary/jenv-bw2-data.xsd#jenv-bw2-i_IntangibleAssets" xlink:label="jenv-bw2-i_IntangibleAssets_loc" xlink:type="locator"/>
    <link:loc xlink:href="../../../jenv/20181212.a/dictionary/jenv-bw2-data.xsd#jenv-bw2-i_Inventories" xlink:label="jenv-bw2-i_Inventories_loc" xlink:type="locator"/>
    <link:loc xlink:href="../../../jenv/20181212.a/dictionary/jenv-bw2-data.xsd#jenv-bw2-i_LiabilitiesCurrent" xlink:label="jenv-bw2-i_LiabilitiesCurrent_loc" xlink:type="locator"/>
    <link:loc xlink:href="../../../jenv/20181212.a/dictionary/jenv-bw2-data.xsd#jenv-bw2-i_LiabilitiesNoncurrent" xlink:label="jenv-bw2-i_LiabilitiesNoncurrent_loc" xlink:type="locator"/>
    <link:loc xlink:href="../../../jenv/20181212.a/dictionary/jenv-bw2-data.xsd#jenv-bw2-i_NoncontrollingInterest" xlink:label="jenv-bw2-i_NoncontrollingInterest_loc" xlink:type="locator"/>
    <link:loc xlink:href="../../../jenv/20181212.a/dictionary/jenv-bw2-data.xsd#jenv-bw2-i_OperatingExpensesOther" xlink:label="jenv-bw2-i_OperatingExpensesOther_loc" xlink:type="locator"/>
    <link:loc xlink:href="../../../jenv/20181212.a/dictionary/jenv-bw2-data.xsd#jenv-bw2-i_OperatingExpenses" xlink:label="jenv-bw2-i_OperatingExpenses_loc" xlink:type="locator"/>
    <link:loc xlink:href="../../../jenv/20181212.a/dictionary/jenv-bw2-data.xsd#jenv-bw2-i_OperatingIncomeOther" xlink:label="jenv-bw2-i_OperatingIncomeOther_loc" xlink:type="locator"/>
    <link:loc xlink:href="../../../jenv/20181212.a/dictionary/jenv-bw2-data.xsd#jenv-bw2-i_OperatingIncome" xlink:label="jenv-bw2-i_OperatingIncome_loc" xlink:type="locator"/>
    <link:loc xlink:href="../../../jenv/20181212.a/dictionary/jenv-bw2-data.xsd#jenv-bw2-i_OperatingResult" xlink:label="jenv-bw2-i_OperatingResult_loc" xlink:type="locator"/>
    <link:loc xlink:href="../../../jenv/20181212.a/dictionary/jenv-bw2-data.xsd#jenv-bw2-i_PensionCosts" xlink:label="jenv-bw2-i_PensionCosts_loc" xlink:type="locator"/>
    <link:loc xlink:href="../../../jenv/20181212.a/dictionary/jenv-bw2-data.xsd#jenv-bw2-i_PropertyPlantEquipment" xlink:label="jenv-bw2-i_PropertyPlantEquipment_loc" xlink:type="locator"/>
    <link:loc xlink:href="../../../jenv/20181212.a/dictionary/jenv-bw2-data.xsd#jenv-bw2-i_Provisions" xlink:label="jenv-bw2-i_Provisions_loc" xlink:type="locator"/>
    <link:loc xlink:href="../../../jenv/20181212.a/dictionary/jenv-bw2-data.xsd#jenv-bw2-i_ResultsAppropriationDisclosure" xlink:label="jenv-bw2-i_ResultsAppropriationDisclosure_loc" xlink:type="locator"/>
    <link:loc xlink:href="../../../jenv/20181212.a/dictionary/jenv-bw2-data.xsd#jenv-bw2-i_SecuritiesCurrent" xlink:label="jenv-bw2-i_SecuritiesCurrent_loc" xlink:type="locator"/>
    <link:loc xlink:href="../../../jenv/20181212.a/dictionary/jenv-bw2-data.xsd#jenv-bw2-i_ShareInResultsParticipatingInterests" xlink:label="jenv-bw2-i_ShareInResultsParticipatingInterests_loc" xlink:type="locator"/>
    <link:loc xlink:href="../../../jenv/20181212.a/dictionary/jenv-bw2-data.xsd#jenv-bw2-i_WagesSalaries" xlink:label="jenv-bw2-i_WagesSalaries_loc" xlink:type="locator"/>
    <link:loc xlink:href="../dictionary/rj-data.xsd#rj-i_AdditionsProvisions" xlink:label="rj-i_AdditionsProvisions_loc" xlink:type="locator"/>
    <link:loc xlink:href="../dictionary/rj-data.xsd#rj-i_CentralGovernmentContributionsWorkplaceFunctionMedicalFacultyUMCsDisclosure" xlink:label="rj-i_CentralGovernmentContributionsWorkplaceFunctionMedicalFacultyUMCsDisclosure_loc" xlink:type="locator"/>
    <link:loc xlink:href="../dictionary/rj-data.xsd#rj-i_CentralGovernmentContributionsWorkplaceFunctionMedicalFacultyUMCs" xlink:label="rj-i_CentralGovernmentContributionsWorkplaceFunctionMedicalFacultyUMCs_loc" xlink:type="locator"/>
    <link:loc xlink:href="../dictionary/rj-data.xsd#rj-i_DBCsDBCHealthcareProductsInProgressAssets" xlink:label="rj-i_DBCsDBCHealthcareProductsInProgressAssets_loc" xlink:type="locator"/>
    <link:loc xlink:href="../dictionary/rj-data.xsd#rj-i_DBCsDBCHealthcareProductsInProgressBillings" xlink:label="rj-i_DBCsDBCHealthcareProductsInProgressBillings_loc" xlink:type="locator"/>
    <link:loc xlink:href="../dictionary/rj-data.xsd#rj-i_DBCsDBCHealthcareProductsInProgressGross" xlink:label="rj-i_DBCsDBCHealthcareProductsInProgressGross_loc" xlink:type="locator"/>
    <link:loc xlink:href="../dictionary/rj-data.xsd#rj-i_DBCsDBCHealthcareProductsInProgressLiabilities" xlink:label="rj-i_DBCsDBCHealthcareProductsInProgressLiabilities_loc" xlink:type="locator"/>
    <link:loc xlink:href="../dictionary/rj-data.xsd#rj-i_DBCsDBCHealthcareProductsInProgressNet" xlink:label="rj-i_DBCsDBCHealthcareProductsInProgressNet_loc" xlink:type="locator"/>
    <link:loc xlink:href="../dictionary/rj-data.xsd#rj-i_DBCsDBCHealthcareProductsInProgressProvision" xlink:label="rj-i_DBCsDBCHealthcareProductsInProgressProvision_loc" xlink:type="locator"/>
    <link:loc xlink:href="../dictionary/rj-data.xsd#rj-i_DesignatedFundDescription" xlink:label="rj-i_DesignatedFundDescription_loc" xlink:type="locator"/>
    <link:loc xlink:href="../dictionary/rj-data.xsd#rj-i_DesignatedFund" xlink:label="rj-i_DesignatedFund_loc" xlink:type="locator"/>
    <link:loc xlink:href="../dictionary/rj-data.xsd#rj-i_DesignatedFunds" xlink:label="rj-i_DesignatedFunds_loc" xlink:type="locator"/>
    <link:loc xlink:href="../dictionary/rj-data.xsd#rj-i_DesignatedReserveDescription" xlink:label="rj-i_DesignatedReserveDescription_loc" xlink:type="locator"/>
    <link:loc xlink:href="../dictionary/rj-data.xsd#rj-i_DesignatedReserve" xlink:label="rj-i_DesignatedReserve_loc" xlink:type="locator"/>
    <link:loc xlink:href="../dictionary/rj-data.xsd#rj-i_DesignatedReserves" xlink:label="rj-i_DesignatedReserves_loc" xlink:type="locator"/>
    <link:loc xlink:href="../dictionary/rj-data.xsd#rj-i_EmployeeBenefitsExpensesExcludingExternalEmployees" xlink:label="rj-i_EmployeeBenefitsExpensesExcludingExternalEmployees_loc" xlink:type="locator"/>
    <link:loc xlink:href="../dictionary/rj-data.xsd#rj-i_EmployeeBenefitsExpensesOther" xlink:label="rj-i_EmployeeBenefitsExpensesOther_loc" xlink:type="locator"/>
    <link:loc xlink:href="../dictionary/rj-data.xsd#rj-i_ExpensesFeesIndependentMedicalSpecialists" xlink:label="rj-i_ExpensesFeesIndependentMedicalSpecialists_loc" xlink:type="locator"/>
    <link:loc xlink:href="../dictionary/rj-data.xsd#rj-i_ExternalEmployeesExpenses" xlink:label="rj-i_ExternalEmployeesExpenses_loc" xlink:type="locator"/>
    <link:loc xlink:href="../dictionary/rj-data.xsd#rj-i_FeesToCoverLegalBudgetAcceptableCosts" xlink:label="rj-i_FeesToCoverLegalBudgetAcceptableCosts_loc" xlink:type="locator"/>
    <link:loc xlink:href="../dictionary/rj-data.xsd#rj-i_FinancialIncomeExpenses" xlink:label="rj-i_FinancialIncomeExpenses_loc" xlink:type="locator"/>
    <link:loc xlink:href="../dictionary/rj-data.xsd#rj-i_FinancingDeficitSurplusToBeSettledInRatesCorrectionsPreviousYears" xlink:label="rj-i_FinancingDeficitSurplusToBeSettledInRatesCorrectionsPreviousYears_loc" xlink:type="locator"/>
    <link:loc xlink:href="../dictionary/rj-data.xsd#rj-i_FinancingDeficitSurplusToBeSettledInRatesFinancingDifferenceDuringPeriod" xlink:label="rj-i_FinancingDeficitSurplusToBeSettledInRatesFinancingDifferenceDuringPeriod_loc" xlink:type="locator"/>
    <link:loc xlink:href="../dictionary/rj-data.xsd#rj-i_FinancingDeficitSurplusToBeSettledInRatesIncludedInLiabilitiesFinancingSurplus" xlink:label="rj-i_FinancingDeficitSurplusToBeSettledInRatesIncludedInLiabilitiesFinancingSurplus_loc" xlink:type="locator"/>
    <link:loc xlink:href="../dictionary/rj-data.xsd#rj-i_FinancingDeficitSurplusToBeSettledInRatesIncludedInReceivablesFinancingDeficit" xlink:label="rj-i_FinancingDeficitSurplusToBeSettledInRatesIncludedInReceivablesFinancingDeficit_loc" xlink:type="locator"/>
    <link:loc xlink:href="../dictionary/rj-data.xsd#rj-i_FinancingDeficitSurplusToBeSettledInRatesMovement" xlink:label="rj-i_FinancingDeficitSurplusToBeSettledInRatesMovement_loc" xlink:type="locator"/>
    <link:loc xlink:href="../dictionary/rj-data.xsd#rj-i_FinancingDeficitSurplusToBeSettledInRatesPaymentsReceipts" xlink:label="rj-i_FinancingDeficitSurplusToBeSettledInRatesPaymentsReceipts_loc" xlink:type="locator"/>
    <link:loc xlink:href="../dictionary/rj-data.xsd#rj-i_FinancingDeficitSurplusToBeSettledInRatesStageOfAdoption" xlink:label="rj-i_FinancingDeficitSurplusToBeSettledInRatesStageOfAdoption_loc" xlink:type="locator"/>
    <link:loc xlink:href="../dictionary/rj-data.xsd#rj-i_FinancingDeficitSurplusToBeSettledInRates" xlink:label="rj-i_FinancingDeficitSurplusToBeSettledInRates_loc" xlink:type="locator"/>
    <link:loc xlink:href="../dictionary/rj-data.xsd#rj-i_FinancingDeficitSurplus" xlink:label="rj-i_FinancingDeficitSurplus_loc" xlink:type="locator"/>
    <link:loc xlink:href="../dictionary/rj-data.xsd#rj-i_FoodAndHospitalityExpenses" xlink:label="rj-i_FoodAndHospitalityExpenses_loc" xlink:type="locator"/>
    <link:loc xlink:href="../dictionary/rj-data.xsd#rj-i_FoundationCapital" xlink:label="rj-i_FoundationCapital_loc" xlink:type="locator"/>
    <link:loc xlink:href="../dictionary/rj-data.xsd#rj-i_GeneralExpenses" xlink:label="rj-i_GeneralExpenses_loc" xlink:type="locator"/>
    <link:loc xlink:href="../dictionary/rj-data.xsd#rj-i_GeneralOtherReserves" xlink:label="rj-i_GeneralOtherReserves_loc" xlink:type="locator"/>
    <link:loc xlink:href="../dictionary/rj-data.xsd#rj-i_ImpairmentAssetsNoncurrent" xlink:label="rj-i_ImpairmentAssetsNoncurrent_loc" xlink:type="locator"/>
    <link:loc xlink:href="../dictionary/rj-data.xsd#rj-i_IncomeAvailabilityContributionsEducation" xlink:label="rj-i_IncomeAvailabilityContributionsEducation_loc" xlink:type="locator"/>
    <link:loc xlink:href="../dictionary/rj-data.xsd#rj-i_IncomeAvailabilityContributionsHealthcare" xlink:label="rj-i_IncomeAvailabilityContributionsHealthcare_loc" xlink:type="locator"/>
    <link:loc xlink:href="../dictionary/rj-data.xsd#rj-i_IncomeBudgetedCareServices" xlink:label="rj-i_IncomeBudgetedCareServices_loc" xlink:type="locator"/>
    <link:loc xlink:href="../dictionary/rj-data.xsd#rj-i_IncomeCareServicesOther" xlink:label="rj-i_IncomeCareServicesOther_loc" xlink:type="locator"/>
    <link:loc xlink:href="../dictionary/rj-data.xsd#rj-i_IncomeFromCareServicesAndSocialSupport" xlink:label="rj-i_IncomeFromCareServicesAndSocialSupport_loc" xlink:type="locator"/>
    <link:loc xlink:href="../dictionary/rj-data.xsd#rj-i_IncomeHealthInsuranceAct" xlink:label="rj-i_IncomeHealthInsuranceAct_loc" xlink:type="locator"/>
    <link:loc xlink:href="../dictionary/rj-data.xsd#rj-i_IncomeLegalBudgetAcceptableCostsWlz" xlink:label="rj-i_IncomeLegalBudgetAcceptableCostsWlz_loc" xlink:type="locator"/>
    <link:loc xlink:href="../dictionary/rj-data.xsd#rj-i_IncomeLegalBudgetAcceptableCosts" xlink:label="rj-i_IncomeLegalBudgetAcceptableCosts_loc" xlink:type="locator"/>
    <link:loc xlink:href="../dictionary/rj-data.xsd#rj-i_IncomeMinistryVenJ" xlink:label="rj-i_IncomeMinistryVenJ_loc" xlink:type="locator"/>
    <link:loc xlink:href="../dictionary/rj-data.xsd#rj-i_IncomeOtherFinancialAssetsSecurities" xlink:label="rj-i_IncomeOtherFinancialAssetsSecurities_loc" xlink:type="locator"/>
    <link:loc xlink:href="../dictionary/rj-data.xsd#rj-i_IncomeWMO" xlink:label="rj-i_IncomeWMO_loc" xlink:type="locator"/>
    <link:loc xlink:href="../dictionary/rj-data.xsd#rj-i_IncomeYouthLaw" xlink:label="rj-i_IncomeYouthLaw_loc" xlink:type="locator"/>
    <link:loc xlink:href="../dictionary/rj-data.xsd#rj-i_InterestExpenses" xlink:label="rj-i_InterestExpenses_loc" xlink:type="locator"/>
    <link:loc xlink:href="../dictionary/rj-data.xsd#rj-i_InterestIncome" xlink:label="rj-i_InterestIncome_loc" xlink:type="locator"/>
    <link:loc xlink:href="../dictionary/rj-data.xsd#rj-i_JointVenturesActivitiesDescription" xlink:label="rj-i_JointVenturesActivitiesDescription_loc" xlink:type="locator"/>
    <link:loc xlink:href="../dictionary/rj-data.xsd#rj-i_JointVenturesAdministrativeRelationsDescription" xlink:label="rj-i_JointVenturesAdministrativeRelationsDescription_loc" xlink:type="locator"/>
    <link:loc xlink:href="../dictionary/rj-data.xsd#rj-i_JointVenturesCompositionManagementSupervisoryBodyDescription" xlink:label="rj-i_JointVenturesCompositionManagementSupervisoryBodyDescription_loc" xlink:type="locator"/>
    <link:loc xlink:href="../dictionary/rj-data.xsd#rj-i_JointVenturesDisclosure" xlink:label="rj-i_JointVenturesDisclosure_loc" xlink:type="locator"/>
    <link:loc xlink:href="../dictionary/rj-data.xsd#rj-i_JointVenturesOtherPartiesDescription" xlink:label="rj-i_JointVenturesOtherPartiesDescription_loc" xlink:type="locator"/>
    <link:loc xlink:href="../dictionary/rj-data.xsd#rj-i_LiabilitiesCurrentOther" xlink:label="rj-i_LiabilitiesCurrentOther_loc" xlink:type="locator"/>
    <link:loc xlink:href="../dictionary/rj-data.xsd#rj-i_LiabilitiesFinancingSurplusCurrent" xlink:label="rj-i_LiabilitiesFinancingSurplusCurrent_loc" xlink:type="locator"/>
    <link:loc xlink:href="../dictionary/rj-data.xsd#rj-i_MacroControlInstrumentTaxableBasisDisclosure" xlink:label="rj-i_MacroControlInstrumentTaxableBasisDisclosure_loc" xlink:type="locator"/>
    <link:loc xlink:href="../dictionary/rj-data.xsd#rj-i_MacroControlInstrumentTaxableBasis" xlink:label="rj-i_MacroControlInstrumentTaxableBasis_loc" xlink:type="locator"/>
    <link:loc xlink:href="../dictionary/rj-data.xsd#rj-i_MaintenanceAndEnergyExpenses" xlink:label="rj-i_MaintenanceAndEnergyExpenses_loc" xlink:type="locator"/>
    <link:loc xlink:href="../dictionary/rj-data.xsd#rj-i_OperatingIncomeOtherIncomeOther" xlink:label="rj-i_OperatingIncomeOtherIncomeOther_loc" xlink:type="locator"/>
    <link:loc xlink:href="../dictionary/rj-data.xsd#rj-i_OperatingIncomeOtherServicesOther" xlink:label="rj-i_OperatingIncomeOtherServicesOther_loc" xlink:type="locator"/>
    <link:loc xlink:href="../dictionary/rj-data.xsd#rj-i_PatientAndResidentsDependentExpenses" xlink:label="rj-i_PatientAndResidentsDependentExpenses_loc" xlink:type="locator"/>
    <link:loc xlink:href="../dictionary/rj-data.xsd#rj-i_ReceivablesFinancingDeficit" xlink:label="rj-i_ReceivablesFinancingDeficit_loc" xlink:type="locator"/>
    <link:loc xlink:href="../dictionary/rj-data.xsd#rj-i_RentalLeasingExpenses" xlink:label="rj-i_RentalLeasingExpenses_loc" xlink:type="locator"/>
    <link:loc xlink:href="../dictionary/rj-data.xsd#rj-i_Result" xlink:label="rj-i_Result_loc" xlink:type="locator"/>
    <link:loc xlink:href="../dictionary/rj-data.xsd#rj-i_StaffingLevelDisclosure" xlink:label="rj-i_StaffingLevelDisclosure_loc" xlink:type="locator"/>
    <link:loc xlink:href="../dictionary/rj-data.xsd#rj-i_StaffingLevel" xlink:label="rj-i_StaffingLevel_loc" xlink:type="locator"/>
    <link:loc xlink:href="../dictionary/rj-data.xsd#rj-i_SubsidyIncomeCentralGovernmentsMinistryVWS" xlink:label="rj-i_SubsidyIncomeCentralGovernmentsMinistryVWS_loc" xlink:type="locator"/>
    <link:loc xlink:href="../dictionary/rj-data.xsd#rj-i_SubsidyIncomeCentralGovernmentsMinistryVenJ" xlink:label="rj-i_SubsidyIncomeCentralGovernmentsMinistryVenJ_loc" xlink:type="locator"/>
    <link:loc xlink:href="../dictionary/rj-data.xsd#rj-i_SubsidyIncomeCentralGovernmentsOther" xlink:label="rj-i_SubsidyIncomeCentralGovernmentsOther_loc" xlink:type="locator"/>
    <link:loc xlink:href="../dictionary/rj-data.xsd#rj-i_SubsidyIncomeOther" xlink:label="rj-i_SubsidyIncomeOther_loc" xlink:type="locator"/>
    <link:loc xlink:href="../dictionary/rj-data.xsd#rj-i_SubsidyIncomeProvincesMunicipalitiesExcludingWMOYouthLaw" xlink:label="rj-i_SubsidyIncomeProvincesMunicipalitiesExcludingWMOYouthLaw_loc" xlink:type="locator"/>
    <link:loc xlink:href="../dictionary/rj-data.xsd#rj-i_SubsidyIncome" xlink:label="rj-i_SubsidyIncome_loc" xlink:type="locator"/>
    <link:loc xlink:href="../dictionary/rj-data.xsd#rj-i_TradeOtherReceivables" xlink:label="rj-i_TradeOtherReceivables_loc" xlink:type="locator"/>
    <link:loc xlink:href="http://www.nltaxonomie.nl/2013/xbrl/sbr-dimensional-concepts.xsd#sbr-dim_ValidationLineItems" xlink:label="sbr-dim_ValidationLineItems_loc" xlink:type="locator"/>
  </link:definitionLink>
</link:linkbase>
