HIV.IND.39 Logic - XML Representation - WHO SMART Guidelines

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: HIV.IND.39 Logic - XML Representation

Draft as of 2024-08-21
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<Library xmlns="http://hl7.org/fhir">
  <id value="HIVIND39Logic"/>
  <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 HIVIND39Logic</b></p><a name="HIVIND39Logic"> </a><a name="hcHIVIND39Logic"> </a><a name="HIVIND39Logic-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.39 Logic
 * Ref No: VER.3
 * Short Name: Infant ARV prophylaxis coverage
 *
 * Definition: % of HIV-exposed infants who initiated ARV prophylaxis
 *
 * Numerator: Number of HIV-exposed infants born within the past 12 months who were started on ARV prophylaxis at birth
 * Numerator Calculation: COUNT of infants who are an &quot;HIV-exposed infant or child&quot; AND &quot;Infant date of birth&quot; within reporting period AND &quot;Infant ART start date&quot; is on&quot;Infant date of birth&quot;
 * Numerator Exclusions: 
 *
 * Denominator: a) Programme-based/service delivery denominator: Number of HIV-positive women who delivered in a facility within the past 12 months. |  | B) Population-based denominator: Number of HIV-positive women who delivered within the past 12 months.
 * Denominator Calculation: Programme-based/service delivery denominator: | COUNT of women with &quot;HIV status&quot;='HIV-positive' AND &quot;Place of delivery&quot; is a 'Health facility' AND &quot;Delivery date&quot; within reporting period |  | Population-based denominator: | *Estimated number of HIV-positive women who delivered during the past 12 months
 * Denominator Exclusions: 
 *
 * Disaggregations:
 * • ARV drug regimen 
 *  • Cities and other administrative regions of epidemiologic importance
 *
 * Disaggregation Elements: Current ART regimen
 *
 * Numerator and Denominator Elements:
 * Delivery date 
 *  HIV status 
 *  HIV-exposed infant or child 
 *  Infant ART start date 
 *  Infant date of birth 
 *  Place of delivery
 *
 * Reference: Consolidated guidelines on person-centred HIV strategic information: strengthening routine data for impact. Geneva: World Health Organization; 2022
 * 
 * Data Concepts:
 * HIV.B.DE115: HIV status | HIV status reported after applying the national HIV testing algorithm. No single HIV test can provide an HIV-positive diagnosis.
 * HIV.B.DE116: HIV-positive | Client is HIV-positive
 * HIV.B.DE117: HIV-negative | Client is HIV-negative
 * HIV.B.DE118: Unknown | Client has unknown HIV status
 * HIV.D.DE75: Current ART regimen | The current ART regimen the client is taking
 * HIV.E.DE46: Delivery date | Date on which the woman delivered
 * HIV.E.DE67: Place of delivery | The type of place where the woman delivered
 * HIV.E.DE68: Health facility | The woman delivered at a health facility
 * HIV.E.DE69: Home | The woman delivered at home
 * HIV.E.DE70: Other | The woman delivered at another location that is not at home or at a health facility
 * HIV.E.DE87: Infant date of birth | The infant's date of birth (DOB) if known
 * HIV.E.DE112: HIV-exposed infant or child | Whether the infant or child was determined to have had HIV exposure
 * HIV.E.DE229: Infant ART start date | The date on which the infant was started or restarted on antiretroviral therapy (ART)
 * HIV.SRV.DE20: HIV-exposed infant or child | Whether the infant or child was determined to have had HIV exposure
 *
 * Additional Context
 * - what it measures: This indicator measures the delivery of prevention services to HIV-exposed infants immediately after birth.
 * - rationale: • ARV prophylaxis for HIV-exposed infants is critical for reducing the risk of mother-to-child transmission in the immediate postpartum period – part of Prong 3 of the PMTCT strategy. | • In particular, coverage of HIV-exposed infants who are born in facilities should be very high. | • When using the programme-based/service delivery denominator, the indicator measures coverage among only HIV-exposed infants who are born in facilities, which is a direct measure of a programme's ability to meet standards of care.
 * - method: For the numerator: Programme records (for example, PMTCT registers) | a) For the programme-based/service delivery denominator: Programme records, labour and delivery registers | b) For the population-based denominator: Modelling-based estimates (for example, Spectrum AIM). |  | Note: The population-based denominator is a proxy measure for the number of infants born to HIV-infected women. |  | The recommended reporting period is 12 months.
 * 
 * Suggested Scoring Method: proportion | http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/proportion-measure-cqfm
 */

library HIVIND39Logic

// 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: Number of HIV-exposed infants born within the past 12 months who were started on ARV prophylaxis at birth
 * Calculation: COUNT of infants who are an &quot;HIV-exposed infant or child&quot; AND &quot;Infant date of birth&quot; within reporting period AND &quot;Infant ART start date&quot; is on&quot;Infant date of birth&quot;
 */

define &quot;Numerator&quot;:
  true


/**
 * Denominator
 *
 * Definition: a) Programme-based/service delivery denominator: Number of HIV-positive women who delivered in a facility within the past 12 months. |  | B) Population-based denominator: Number of HIV-positive women who delivered within the past 12 months.
 * Calculation: Programme-based/service delivery denominator: | COUNT of women with &quot;HIV status&quot;='HIV-positive' AND &quot;Place of delivery&quot; is a 'Health facility' AND &quot;Delivery date&quot; within reporting period |  | Population-based denominator: | *Estimated number of HIV-positive women who delivered during the past 12 months
 */

define &quot;Denominator&quot;:
  true
    

/* end Populations */

</code></pre><p><code>Content not shown - (</code><code>application/elm+xml</code>, size = 11Kb )</p></div>
  </text>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability">
    <valueCode value="computable"/>
  </extension>
  <url value="http://smart.who.int/hiv/Library/HIVIND39Logic"/>
  <version value="0.3.0"/>
  <name value="HIVIND39Logic"/>
  <title value="HIV.IND.39 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 HIV-exposed infants who initiated ARV prophylaxis"/>
  <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.39 Logic
 * Ref No: VER.3
 * Short Name: Infant ARV prophylaxis coverage
 *
 * Definition: % of HIV-exposed infants who initiated ARV prophylaxis
 *
 * Numerator: Number of HIV-exposed infants born within the past 12 months who were started on ARV prophylaxis at birth
 * Numerator Calculation: COUNT of infants who are an &quot;HIV-exposed infant or child&quot; AND &quot;Infant date of birth&quot; within reporting period AND &quot;Infant ART start date&quot; is on&quot;Infant date of birth&quot;
 * Numerator Exclusions: 
 *
 * Denominator: a) Programme-based/service delivery denominator: Number of HIV-positive women who delivered in a facility within the past 12 months. |  | B) Population-based denominator: Number of HIV-positive women who delivered within the past 12 months.
 * Denominator Calculation: Programme-based/service delivery denominator: | COUNT of women with &quot;HIV status&quot;='HIV-positive' AND &quot;Place of delivery&quot; is a 'Health facility' AND &quot;Delivery date&quot; within reporting period |  | Population-based denominator: | *Estimated number of HIV-positive women who delivered during the past 12 months
 * Denominator Exclusions: 
 *
 * Disaggregations:
 * • ARV drug regimen 
 *  • Cities and other administrative regions of epidemiologic importance
 *
 * Disaggregation Elements: Current ART regimen
 *
 * Numerator and Denominator Elements:
 * Delivery date 
 *  HIV status 
 *  HIV-exposed infant or child 
 *  Infant ART start date 
 *  Infant date of birth 
 *  Place of delivery
 *
 * Reference: Consolidated guidelines on person-centred HIV strategic information: strengthening routine data for impact. Geneva: World Health Organization; 2022
 * 
 * Data Concepts:
 * HIV.B.DE115: HIV status | HIV status reported after applying the national HIV testing algorithm. No single HIV test can provide an HIV-positive diagnosis.
 * HIV.B.DE116: HIV-positive | Client is HIV-positive
 * HIV.B.DE117: HIV-negative | Client is HIV-negative
 * HIV.B.DE118: Unknown | Client has unknown HIV status
 * HIV.D.DE75: Current ART regimen | The current ART regimen the client is taking
 * HIV.E.DE46: Delivery date | Date on which the woman delivered
 * HIV.E.DE67: Place of delivery | The type of place where the woman delivered
 * HIV.E.DE68: Health facility | The woman delivered at a health facility
 * HIV.E.DE69: Home | The woman delivered at home
 * HIV.E.DE70: Other | The woman delivered at another location that is not at home or at a health facility
 * HIV.E.DE87: Infant date of birth | The infant's date of birth (DOB) if known
 * HIV.E.DE112: HIV-exposed infant or child | Whether the infant or child was determined to have had HIV exposure
 * HIV.E.DE229: Infant ART start date | The date on which the infant was started or restarted on antiretroviral therapy (ART)
 * HIV.SRV.DE20: HIV-exposed infant or child | Whether the infant or child was determined to have had HIV exposure
 *
 * Additional Context
 * - what it measures: This indicator measures the delivery of prevention services to HIV-exposed infants immediately after birth.
 * - rationale: • ARV prophylaxis for HIV-exposed infants is critical for reducing the risk of mother-to-child transmission in the immediate postpartum period – part of Prong 3 of the PMTCT strategy. | • In particular, coverage of HIV-exposed infants who are born in facilities should be very high. | • When using the programme-based/service delivery denominator, the indicator measures coverage among only HIV-exposed infants who are born in facilities, which is a direct measure of a programme's ability to meet standards of care.
 * - method: For the numerator: Programme records (for example, PMTCT registers) | a) For the programme-based/service delivery denominator: Programme records, labour and delivery registers | b) For the population-based denominator: Modelling-based estimates (for example, Spectrum AIM). |  | Note: The population-based denominator is a proxy measure for the number of infants born to HIV-infected women. |  | The recommended reporting period is 12 months.
 * 
 * Suggested Scoring Method: proportion | http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/proportion-measure-cqfm
 */

library HIVIND39Logic</a:s>
      </a:s>
   </annotation>
   <identifier id="HIVIND39Logic" 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="59:1-59:26" 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="61:1-61:44" 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="62:1-62:35" 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="64:1-64:29" 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="67:1-67:88" 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="67:55-67:88" lowClosed="true" highClosed="true" xsi:type="Interval">
            <low localId="5" locator="67:64-67:74" 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="67:77-67:87" 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="67:32-67:45" xsi:type="IntervalTypeSpecifier">
            <pointType localId="8" locator="67:41-67:44" name="t:Date" xsi:type="NamedTypeSpecifier"/>
         </parameterTypeSpecifier>
      </def>
   </parameters>
   <contexts>
      <def locator="69:1-69:15" name="Patient"/>
   </contexts>
   <statements>
      <def locator="69:1-69:15" name="Patient" context="Patient">
         <expression xsi:type="SingletonFrom">
            <operand locator="69:1-69:15" dataType="fhir:Patient" templateId="http://hl7.org/fhir/StructureDefinition/Patient" xsi:type="Retrieve"/>
         </expression>
      </def>
      <def localId="12" locator="76:1-77:6" 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="77:3-77:6" valueType="t:Boolean" value="true" xsi:type="Literal"/>
      </def>
      <def localId="14" locator="86:1-87:6" name="Numerator" context="Patient" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:s r="14">
               <a:s r="13">/**
 * Numerator
 * 
 * Definition: Number of HIV-exposed infants born within the past 12 months who were started on ARV prophylaxis at birth
 * Calculation: COUNT of infants who are an &quot;HIV-exposed infant or child&quot; AND &quot;Infant date of birth&quot; within reporting period AND &quot;Infant ART start date&quot; is on&quot;Infant date of birth&quot;
 */

define &quot;Numerator&quot;:
  true</a:s>
            </a:s>
         </annotation>
         <expression localId="13" locator="87:3-87:6" valueType="t:Boolean" value="true" xsi:type="Literal"/>
      </def>
      <def localId="16" locator="97:1-98:6" name="Denominator" context="Patient" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:s r="16">
               <a:s r="15">/**
 * Denominator
 *
 * Definition: a) Programme-based/service delivery denominator: Number of HIV-positive women who delivered in a facility within the past 12 months. |  | B) Population-based denominator: Number of HIV-positive women who delivered within the past 12 months.
 * Calculation: Programme-based/service delivery denominator: | COUNT of women with &quot;HIV status&quot;='HIV-positive' AND &quot;Place of delivery&quot; is a 'Health facility' AND &quot;Delivery date&quot; within reporting period |  | Population-based denominator: | *Estimated number of HIV-positive women who delivered during the past 12 months
 */

define &quot;Denominator&quot;:
  true</a:s>
            </a:s>
         </annotation>
         <expression localId="15" locator="98:3-98:6" valueType="t:Boolean" value="true" xsi:type="Literal"/>
      </def>
   </statements>
</library>
"/>
  </content>
</Library>