WHO SMART Guidelines - HIV
0.3.0 - ci-build

WHO SMART Guidelines - HIV - Local Development build (v0.3.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

: HIV.IND.12 Logic - XML Representation

Draft as of 2024-08-21

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<Library xmlns="http://hl7.org/fhir">
  <id value="HIVIND12Logic"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareablelibrary"/>
    <profile
             value="http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-publishablelibrary"/>
    <profile
             value="http://hl7.org/fhir/uv/cql/StructureDefinition/cql-library"/>
    <profile
             value="http://hl7.org/fhir/uv/cql/StructureDefinition/cql-module"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Library HIVIND12Logic</b></p><a name="HIVIND12Logic"> </a><a name="hcHIVIND12Logic"> </a><a name="HIVIND12Logic-en-US"> </a><h2>Related Artifacts</h2><table class="grid"><tr><td>Depends On</td><td>Library HIC</td><td><code>http://smart.who.int/hiv/Library/HIVCommon|0.0.1</code></td></tr><tr><td>Depends On</td><td>Library WCom</td><td><a href="Library-WHOCommon.html">WHOCommon</a></td></tr></table><h2>Parameters</h2><table class="grid"><tr><td>Measurement Period</td><td>in</td><td>0</td><td>1</td><td>Period</td></tr><tr><td>Patient</td><td>out</td><td>0</td><td>1</td><td>Patient</td></tr><tr><td>Initial Population</td><td>out</td><td>0</td><td>1</td><td>boolean</td></tr><tr><td>Numerator</td><td>out</td><td>0</td><td>1</td><td>boolean</td></tr><tr><td>Denominator</td><td>out</td><td>0</td><td>1</td><td>boolean</td></tr></table><h2>Contents</h2><p><code>text/cql</code></p><pre><code class="language-sql">/**
 * Library: HIV.IND.12 Logic
 * Ref No: PRV.12
 * Short Name: Total person-years on OAMT
 *
 * Definition: % of person-years of follow-up (PYFU) on OAMT among opioid dependent people
 *
 * Numerator: Total PYFU on OAMT during defined reporting period. | Calculated from the sum of the time on OAMT of each OAMT recipient during the reporting period.
 * Numerator Calculation: SUM of [DIFFERENCE in MIN(&quot;Date OAMT initiated&quot;, &quot;Reporting period start date&quot;) and MAX(&quot;Date of loss to follow-up or OAMT stopped&quot;, &quot;Reporting period end date&quot;)] for all clients with &quot;Medications prescribed&quot; IN 'Methadone', 'Buprenorphine'
 * Numerator Exclusions: 
 *
 * Denominator: a) Programme/service provider level: estimated PYFU for all opioid dependent people accessing service during defined reporting period | b) Population level: estimated PYFU for total population of opioid dependent people in relevant geographic area during defined reporting period
 * Denominator Calculation: Service level: Not calculated in DAK |  | Population denominator:  | *Estimated PYFU for all opioid-dependent people accessing service during defined reporting period |  | Note: Can be reported only as numerator; by population or service level if these denominator estimates available.
 * Denominator Exclusions: 
 *
 * Disaggregations:
 * • Gender (female, male, other*) 
 *  • Age (15–19, 20–24, 25–49, 50+ years) 
 *  • Provider type (key population-led or community-led organization, public sector provider, other entities such as private for-profit and not-for-profit organizations, including faith-based, international, nongovernmental) 
 *  • Setting: facility-based service (including hospitals, health clinics, general practice offices, etc.) or community-based service (including drop-in centres, community service delivery points, mobile clinics or vans, outreach teams, community support groups, etc.) 
 *  • Cities and other administrative regions of epidemiologic importance
 *
 * Disaggregation Elements: Gender | Age
 *
 * Numerator and Denominator Elements:
 * Date OAMT initiated 
 *  Date of loss to follow-up or OAMT stopped 
 *  Medications prescribed 
 *  Reporting period end date 
 *  Reporting period start date
 *
 * Reference: Consolidated guidelines on person-centred HIV strategic information: strengthening routine data for impact. Geneva: World Health Organization; 2022
 * 
 * Data Concepts:
 * HIV.A.DE17: Age | Calculated age (number of years) of the client based on date of birth
 * HIV.A.DE18: Gender* | Gender of the client*
 * HIV.A.DE19: Female | Client identifies as female
 * HIV.A.DE20: Male | Client identifies as male
 * HIV.A.DE21: Transgender male | Client identifies as transgender male
 * HIV.A.DE22: Transgender female | Client identifies as transgender female
 * HIV.A.DE23: Other | Additional category
 * HIV.C.DE75: Medications prescribed | Medications the client was prescribed
 * HIV.C.DE76: PrEP for HIV prevention | Client was prescribed pre-exposure prophylaxis (PrEP) for HIV prevention
 * HIV.C.DE77: PEP for HIV prevention | Client was prescribed post-exposure prophylaxis (PEP) for HIV prevention
 * HIV.C.DE78: Other | Client was prescribed other medications
 * HIV.D.DE457: Medications prescribed | Name or regimen code of all other medications prescribed during the visit
 * HIV.PRV.DE17: Date OAMT initiated | Date client initiated opioid agonist maintenance treatment (OAMT)
 * HIV.PRV.DE25: Date of loss to follow-up or OAMT stopped | Date of loss to follow-up or opioid agonist maintenance treatment (OAMT) stopped
 * HIV.Config.DE20: Reporting period end date | End date of the reporting period
 * HIV.Config.DE21: Reporting period start date | Start date of the reporting period
 *
 * Additional Context
 * - what it measures: Measure of the proportion of person time in which individuals who are opioid dependent are covered by OAMT.
 * - rationale: Evidence demonstrates that HIV risk is reduced among individuals who are opioid dependent during periods when receiving OAMT.
 * - method: Individual-level data obtained from programme records.
 * 
 * Suggested Scoring Method: proportion | http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/proportion-measure-cqfm
 */

library HIVIND12Logic

// Included Libraries
using FHIR version '4.0.1'

include HIVCommon version '0.0.1' called HIC
include FHIRHelpers version '4.0.1'

include WHOCommon called WCom

// Indicator Definition
parameter &quot;Measurement Period&quot; Interval&lt;Date&gt; default Interval[@2023-01-01, @2023-01-30]

context Patient
/* Populations */

/*
 *Initial Population
 */

define &quot;Initial Population&quot;:
  true

/**
 * Numerator
 * 
 * Definition: Total PYFU on OAMT during defined reporting period. | Calculated from the sum of the time on OAMT of each OAMT recipient during the reporting period.
 * Calculation: SUM of [DIFFERENCE in MIN(&quot;Date OAMT initiated&quot;, &quot;Reporting period start date&quot;) and MAX(&quot;Date of loss to follow-up or OAMT stopped&quot;, &quot;Reporting period end date&quot;)] for all clients with &quot;Medications prescribed&quot; IN 'Methadone', 'Buprenorphine'
 */

define &quot;Numerator&quot;:
  true


/**
 * Denominator
 *
 * Definition: a) Programme/service provider level: estimated PYFU for all opioid dependent people accessing service during defined reporting period | b) Population level: estimated PYFU for total population of opioid dependent people in relevant geographic area during defined reporting period
 * Calculation: Service level: Not calculated in DAK |  | Population denominator:  | *Estimated PYFU for all opioid-dependent people accessing service during defined reporting period |  | Note: Can be reported only as numerator; by population or service level if these denominator estimates available.
 */

define &quot;Denominator&quot;:
  true
    

/* end Populations */

</code></pre><p><code>Content not shown - (</code><code>application/elm+xml</code>, size = 12Kb )</p></div>
  </text>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability">
    <valueCode value="computable"/>
  </extension>
  <url value="http://smart.who.int/hiv/Library/HIVIND12Logic"/>
  <version value="0.3.0"/>
  <name value="HIVIND12Logic"/>
  <title value="HIV.IND.12 Logic"/>
  <status value="draft"/>
  <experimental value="true"/>
  <type>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/library-type"/>
      <code value="logic-library"/>
    </coding>
  </type>
  <date value="2024-08-21T16:05:17+00:00"/>
  <publisher value="WHO"/>
  <contact>
    <name value="WHO"/>
    <telecom>
      <system value="url"/>
      <value value="http://who.int"/>
    </telecom>
  </contact>
  <description
               value="% of person-years of follow-up (PYFU) on OAMT among opioid dependent people"/>
  <relatedArtifact>
    <type value="depends-on"/>
    <display value="Library HIC"/>
    <resource value="http://smart.who.int/hiv/Library/HIVCommon|0.0.1"/>
  </relatedArtifact>
  <relatedArtifact>
    <type value="depends-on"/>
    <display value="Library WCom"/>
    <resource value="http://smart.who.int/hiv/Library/WHOCommon"/>
  </relatedArtifact>
  <parameter>
    <name value="Measurement Period"/>
    <use value="in"/>
    <min value="0"/>
    <max value="1"/>
    <type value="Period"/>
  </parameter>
  <parameter>
    <name value="Patient"/>
    <use value="out"/>
    <min value="0"/>
    <max value="1"/>
    <type value="Patient"/>
  </parameter>
  <parameter>
    <name value="Initial Population"/>
    <use value="out"/>
    <min value="0"/>
    <max value="1"/>
    <type value="boolean"/>
  </parameter>
  <parameter>
    <name value="Numerator"/>
    <use value="out"/>
    <min value="0"/>
    <max value="1"/>
    <type value="boolean"/>
  </parameter>
  <parameter>
    <name value="Denominator"/>
    <use value="out"/>
    <min value="0"/>
    <max value="1"/>
    <type value="boolean"/>
  </parameter>
  <content>
    <contentType value="text/cql"/>
    <data
          value="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"/>
  </content>
  <content>
    <contentType value="application/elm+xml"/>
    <data
          value="<?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">
   <annotation translatorOptions="EnableAnnotations,EnableLocators,DisableListDemotion,DisableListPromotion" signatureLevel="None" xsi:type="a:CqlToElmInfo"/>
   <annotation message="The function FHIRHelpers.ToInterval has multiple overloads and due to the SignatureLevel setting (None), the overload signature is not being included in the output. This may result in ambiguous function resolution at runtime, consider setting the SignatureLevel to Overloads or All to ensure that the output includes sufficient information to support correct overload selection at runtime." errorType="semantic" errorSeverity="warning" xsi:type="a:CqlToElmError"/>
   <annotation message="The function FHIRHelpers.ToInterval has multiple overloads and due to the SignatureLevel setting (None), the overload signature is not being included in the output. This may result in ambiguous function resolution at runtime, consider setting the SignatureLevel to Overloads or All to ensure that the output includes sufficient information to support correct overload selection at runtime." errorType="semantic" errorSeverity="warning" xsi:type="a:CqlToElmError"/>
   <annotation xsi:type="a:Annotation">
      <a:s r="16">
         <a:s>/**
 * Library: HIV.IND.12 Logic
 * Ref No: PRV.12
 * Short Name: Total person-years on OAMT
 *
 * Definition: % of person-years of follow-up (PYFU) on OAMT among opioid dependent people
 *
 * Numerator: Total PYFU on OAMT during defined reporting period. | Calculated from the sum of the time on OAMT of each OAMT recipient during the reporting period.
 * Numerator Calculation: SUM of [DIFFERENCE in MIN(&quot;Date OAMT initiated&quot;, &quot;Reporting period start date&quot;) and MAX(&quot;Date of loss to follow-up or OAMT stopped&quot;, &quot;Reporting period end date&quot;)] for all clients with &quot;Medications prescribed&quot; IN 'Methadone', 'Buprenorphine'
 * Numerator Exclusions: 
 *
 * Denominator: a) Programme/service provider level: estimated PYFU for all opioid dependent people accessing service during defined reporting period | b) Population level: estimated PYFU for total population of opioid dependent people in relevant geographic area during defined reporting period
 * Denominator Calculation: Service level: Not calculated in DAK |  | Population denominator:  | *Estimated PYFU for all opioid-dependent people accessing service during defined reporting period |  | Note: Can be reported only as numerator; by population or service level if these denominator estimates available.
 * Denominator Exclusions: 
 *
 * Disaggregations:
 * • Gender (female, male, other*) 
 *  • Age (15–19, 20–24, 25–49, 50+ years) 
 *  • Provider type (key population-led or community-led organization, public sector provider, other entities such as private for-profit and not-for-profit organizations, including faith-based, international, nongovernmental) 
 *  • Setting: facility-based service (including hospitals, health clinics, general practice offices, etc.) or community-based service (including drop-in centres, community service delivery points, mobile clinics or vans, outreach teams, community support groups, etc.) 
 *  • Cities and other administrative regions of epidemiologic importance
 *
 * Disaggregation Elements: Gender | Age
 *
 * Numerator and Denominator Elements:
 * Date OAMT initiated 
 *  Date of loss to follow-up or OAMT stopped 
 *  Medications prescribed 
 *  Reporting period end date 
 *  Reporting period start date
 *
 * Reference: Consolidated guidelines on person-centred HIV strategic information: strengthening routine data for impact. Geneva: World Health Organization; 2022
 * 
 * Data Concepts:
 * HIV.A.DE17: Age | Calculated age (number of years) of the client based on date of birth
 * HIV.A.DE18: Gender* | Gender of the client*
 * HIV.A.DE19: Female | Client identifies as female
 * HIV.A.DE20: Male | Client identifies as male
 * HIV.A.DE21: Transgender male | Client identifies as transgender male
 * HIV.A.DE22: Transgender female | Client identifies as transgender female
 * HIV.A.DE23: Other | Additional category
 * HIV.C.DE75: Medications prescribed | Medications the client was prescribed
 * HIV.C.DE76: PrEP for HIV prevention | Client was prescribed pre-exposure prophylaxis (PrEP) for HIV prevention
 * HIV.C.DE77: PEP for HIV prevention | Client was prescribed post-exposure prophylaxis (PEP) for HIV prevention
 * HIV.C.DE78: Other | Client was prescribed other medications
 * HIV.D.DE457: Medications prescribed | Name or regimen code of all other medications prescribed during the visit
 * HIV.PRV.DE17: Date OAMT initiated | Date client initiated opioid agonist maintenance treatment (OAMT)
 * HIV.PRV.DE25: Date of loss to follow-up or OAMT stopped | Date of loss to follow-up or opioid agonist maintenance treatment (OAMT) stopped
 * HIV.Config.DE20: Reporting period end date | End date of the reporting period
 * HIV.Config.DE21: Reporting period start date | Start date of the reporting period
 *
 * Additional Context
 * - what it measures: Measure of the proportion of person time in which individuals who are opioid dependent are covered by OAMT.
 * - rationale: Evidence demonstrates that HIV risk is reduced among individuals who are opioid dependent during periods when receiving OAMT.
 * - method: Individual-level data obtained from programme records.
 * 
 * Suggested Scoring Method: proportion | http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/proportion-measure-cqfm
 */

library HIVIND12Logic</a:s>
      </a:s>
   </annotation>
   <identifier id="HIVIND12Logic" system="http://smart.who.int/hiv"/>
   <schemaIdentifier id="urn:hl7-org:elm" version="r1"/>
   <usings>
      <def localIdentifier="System" uri="urn:hl7-org:elm-types:r1"/>
      <def localId="1" locator="63:1-63:26" localIdentifier="FHIR" uri="http://hl7.org/fhir" version="4.0.1">
         <annotation xsi:type="a:Annotation">
            <a:s r="1">
               <a:s>// Included Libraries
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="2" locator="65:1-65:44" localIdentifier="HIC" path="http://smart.who.int/hiv/HIVCommon" version="0.0.1">
         <annotation xsi:type="a:Annotation">
            <a:s r="2">
               <a:s>include </a:s>
               <a:s>
                  <a:s>HIVCommon</a:s>
               </a:s>
               <a:s> version '0.0.1' called HIC</a:s>
            </a:s>
         </annotation>
      </def>
      <def localId="3" locator="66:1-66:35" localIdentifier="FHIRHelpers" path="http://hl7.org/fhir/FHIRHelpers" version="4.0.1">
         <annotation xsi:type="a:Annotation">
            <a:s r="3">
               <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="4" locator="68:1-68:29" localIdentifier="WCom" path="http://smart.who.int/hiv/WHOCommon">
         <annotation xsi:type="a:Annotation">
            <a:s r="4">
               <a:s>include </a:s>
               <a:s>
                  <a:s>WHOCommon</a:s>
               </a:s>
               <a:s> called WCom</a:s>
            </a:s>
         </annotation>
      </def>
   </includes>
   <parameters>
      <def localId="10" locator="71:1-71:88" name="Measurement Period" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:s r="10">
               <a:s>// Indicator Definition
parameter &quot;Measurement Period&quot; </a:s>
               <a:s r="9">
                  <a:s>Interval&lt;</a:s>
                  <a:s r="8">
                     <a:s>Date</a:s>
                  </a:s>
                  <a:s>></a:s>
               </a:s>
               <a:s> default </a:s>
               <a:s r="7">
                  <a:s r="5">Interval[@2023-01-01, @2023-01-30]</a:s>
               </a:s>
            </a:s>
         </annotation>
         <default localId="7" locator="71:55-71:88" lowClosed="true" highClosed="true" xsi:type="Interval">
            <low localId="5" locator="71:64-71:74" xsi:type="Date">
               <year valueType="t:Integer" value="2023" xsi:type="Literal"/>
               <month valueType="t:Integer" value="1" xsi:type="Literal"/>
               <day valueType="t:Integer" value="1" xsi:type="Literal"/>
            </low>
            <high localId="6" locator="71:77-71:87" xsi:type="Date">
               <year valueType="t:Integer" value="2023" xsi:type="Literal"/>
               <month valueType="t:Integer" value="1" xsi:type="Literal"/>
               <day valueType="t:Integer" value="30" xsi:type="Literal"/>
            </high>
         </default>
         <parameterTypeSpecifier localId="9" locator="71:32-71:45" xsi:type="IntervalTypeSpecifier">
            <pointType localId="8" locator="71:41-71:44" name="t:Date" xsi:type="NamedTypeSpecifier"/>
         </parameterTypeSpecifier>
      </def>
   </parameters>
   <contexts>
      <def locator="73:1-73:15" name="Patient"/>
   </contexts>
   <statements>
      <def locator="73:1-73:15" name="Patient" context="Patient">
         <expression xsi:type="SingletonFrom">
            <operand locator="73:1-73:15" dataType="fhir:Patient" templateId="http://hl7.org/fhir/StructureDefinition/Patient" xsi:type="Retrieve"/>
         </expression>
      </def>
      <def localId="12" locator="80:1-81:6" name="Initial Population" context="Patient" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:s r="12">
               <a:s r="11">/* Populations */

/*
 *Initial Population
 */

define &quot;Initial Population&quot;:
  true</a:s>
            </a:s>
         </annotation>
         <expression localId="11" locator="81:3-81:6" valueType="t:Boolean" value="true" xsi:type="Literal"/>
      </def>
      <def localId="14" locator="90:1-91:6" name="Numerator" context="Patient" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:s r="14">
               <a:s r="13">/**
 * Numerator
 * 
 * Definition: Total PYFU on OAMT during defined reporting period. | Calculated from the sum of the time on OAMT of each OAMT recipient during the reporting period.
 * Calculation: SUM of [DIFFERENCE in MIN(&quot;Date OAMT initiated&quot;, &quot;Reporting period start date&quot;) and MAX(&quot;Date of loss to follow-up or OAMT stopped&quot;, &quot;Reporting period end date&quot;)] for all clients with &quot;Medications prescribed&quot; IN 'Methadone', 'Buprenorphine'
 */

define &quot;Numerator&quot;:
  true</a:s>
            </a:s>
         </annotation>
         <expression localId="13" locator="91:3-91:6" valueType="t:Boolean" value="true" xsi:type="Literal"/>
      </def>
      <def localId="16" locator="101:1-102:6" name="Denominator" context="Patient" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:s r="16">
               <a:s r="15">/**
 * Denominator
 *
 * Definition: a) Programme/service provider level: estimated PYFU for all opioid dependent people accessing service during defined reporting period | b) Population level: estimated PYFU for total population of opioid dependent people in relevant geographic area during defined reporting period
 * Calculation: Service level: Not calculated in DAK |  | Population denominator:  | *Estimated PYFU for all opioid-dependent people accessing service during defined reporting period |  | Note: Can be reported only as numerator; by population or service level if these denominator estimates available.
 */

define &quot;Denominator&quot;:
  true</a:s>
            </a:s>
         </annotation>
         <expression localId="15" locator="102:3-102:6" valueType="t:Boolean" value="true" xsi:type="Literal"/>
      </def>
   </statements>
</library>
"/>
  </content>
</Library>