HIV.IND.40 Logic - XML Representation - WHO SMART Guidelines

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.40 Logic - XML Representation

Draft as of 2024-11-07
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<Library xmlns="http://hl7.org/fhir">
  <id value="HIVIND40Logic"/>
  <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 HIVIND40Logic</b></p><a name="HIVIND40Logic"> </a><a name="hcHIVIND40Logic"> </a><a name="HIVIND40Logic-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.40 Logic
 * Ref No: VER.4
 * Short Name: ART coverage in pregnant women
 *
 * Definition: % of HIV-positive pregnant women who received ART during pregnancy and/or at labour and delivery
 *
 * Numerator: Number of HIV-positive pregnant women who delivered during the reporting period and received ART during pregnancy and/or at labour and delivery
 * Numerator Calculation: COUNT of women with &quot;HIV status&quot;='HIV-positive' AND &quot;Delivery date&quot; in the reporting period AND ((&quot;On ART&quot;=True at labour and delivery) OR (&quot;On ART&quot;=True during pregnancy, for this pregnancy))
 * Numerator Exclusions: 
 *
 * Denominator: a) Programme-based/service delivery denominator | Number of HIV-positive pregnant women who delivered during the reporting period and attended ANC or had a facility-based delivery | b) Population-based denominator | Number of HIV-positive pregnant women who delivered during the reporting period
 * Denominator Calculation: Programme-based/service delivery denominator: | COUNT of women with &quot;HIV status&quot;='HIV-positive' AND &quot;Delivery date&quot; in the reporting period AND (had an &quot;ANC contact date&quot; during reporting period OR &quot;Place of delivery&quot; was a 'Health facility') |  | Population-based denominator: | *Number of HIV-positive pregnant women who delivered during the reporting period
 * Denominator Exclusions: 
 *
 * Disaggregations:
 * Numerator: 
 *  • Timing of ART initiation (1. already on ART at first ANC visit, 2. newly on ART during pregnancy, 3. newly on ART during labour and delivery, 4. on non-recommended ART regimen) 
 *   
 *  The primary indicator calculation should include ART status categories 1, 2 and 3. Removing the women in category 1 &quot;already on ART at first ANC visit&quot; from the numerator and denominator gives a measure of ART coverage among HIV-positive pregnant women newly diagnosed during ANC. Dividing category 2 by the sum of categories 2 and 3 gives the proportion of new ART initiations occurring during pregnancy rather than at delivery. Calculating the indicator with those in category 4 (non-recommended ARV regimen) included in the numerator gives a broader measure, that is, coverage of HIV-positive pregnant women receiving any ARV drug.
 *
 * Disaggregation Elements: Timing of ART initiation
 *
 * Numerator and Denominator Elements:
 * ANC contact date 
 *  Delivery date 
 *  HIV status 
 *  On ART 
 *  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.DE38: On ART | Client is currently taking ART
 * HIV.E.DE41: Timing of ART initiation | When the pregnant woman or mother initiated ART, for women living with HIV.
 * HIV.E.DE42: Already on ART at first antenatal care visit | The pregnant woman was already on antiretroviral therapy (ART) at first antenatal care visit
 * HIV.E.DE43: Newly on ART during pregnancy | The pregnant woman started ART during her pregnancy
 * HIV.E.DE44: Newly on ART during labour and delivery | The woman started ART during labour and delivery
 * 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.DE85: ANC contact date | The date and time of the client's ANC contact (in the ANC DAK this is called 'Contact date')
 * HIV.H.DE47: On ART | Client is currently taking ART 
 * HIV.SRV.DE18: ANC contact date | The date and time of the client's ANC contact (in the ANC DAK this is called 'Contact date')
 *
 * Additional Context
 * - what it measures: This indicator measures whether a recommended course of ART has been provided to HIV-positive pregnant women.
 * - rationale: • Providing ART for HIV-positive pregnant women is a critical strategy for preventing vertical transmission of HIV. | • In an era of &quot;Treat All&quot;, all HIV-positive pregnant women should be given a recommended regimen of ART as soon as possible after diagnosis, including during labour and delivery.
 * - method: a) For the numerator and programme-based/service delivery denominator: Programme records (for example, PMTCT registers, ARV registers, labour and delivery registers) |  | b) For the population-based denominator: Modelling-based estimates (for example, Spectrum AIM) |  | The recommended reporting period is 12 months.
 * 
 * Suggested Scoring Method: proportion | http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/proportion-measure-cqfm
 */

library HIVIND40Logic

// 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-positive pregnant women who delivered during the reporting period and received ART during pregnancy and/or at labour and delivery
 * Calculation: COUNT of women with &quot;HIV status&quot;='HIV-positive' AND &quot;Delivery date&quot; in the reporting period AND ((&quot;On ART&quot;=True at labour and delivery) OR (&quot;On ART&quot;=True during pregnancy, for this pregnancy))
 */

define &quot;Numerator&quot;:
  true


/**
 * Denominator
 *
 * Definition: a) Programme-based/service delivery denominator | Number of HIV-positive pregnant women who delivered during the reporting period and attended ANC or had a facility-based delivery | b) Population-based denominator | Number of HIV-positive pregnant women who delivered during the reporting period
 * Calculation: Programme-based/service delivery denominator: | COUNT of women with &quot;HIV status&quot;='HIV-positive' AND &quot;Delivery date&quot; in the reporting period AND (had an &quot;ANC contact date&quot; during reporting period OR &quot;Place of delivery&quot; was a 'Health facility') |  | Population-based denominator: | *Number of HIV-positive pregnant women who delivered during the reporting period
 */

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/HIVIND40Logic"/>
  <version value="0.3.0"/>
  <name value="HIVIND40Logic"/>
  <title value="HIV.IND.40 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="2024-11-07T21:07:17+00:00"/>
  <publisher value="WHO"/>
  <contact>
    <name value="WHO"/>
    <telecom>
      <system value="url"/>
      <value value="http://who.int"/>
    </telecom>
  </contact>
  <description
               value="% of HIV-positive pregnant women who received ART during pregnancy and/or at labour and delivery"/>
  <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="/**
 * Library: HIV.IND.40 Logic
 * Ref No: VER.4
 * Short Name: ART coverage in pregnant women
 *
 * Definition: % of HIV-positive pregnant women who received ART during pregnancy and/or at labour and delivery
 *
 * Numerator: Number of HIV-positive pregnant women who delivered during the reporting period and received ART during pregnancy and/or at labour and delivery
 * Numerator Calculation: COUNT of women with "HIV status"='HIV-positive' AND "Delivery date" in the reporting period AND (("On ART"=True at labour and delivery) OR ("On ART"=True during pregnancy, for this pregnancy))
 * Numerator Exclusions: 
 *
 * Denominator: a) Programme-based/service delivery denominator | Number of HIV-positive pregnant women who delivered during the reporting period and attended ANC or had a facility-based delivery | b) Population-based denominator | Number of HIV-positive pregnant women who delivered during the reporting period
 * Denominator Calculation: Programme-based/service delivery denominator: | COUNT of women with "HIV status"='HIV-positive' AND "Delivery date" in the reporting period AND (had an "ANC contact date" during reporting period OR "Place of delivery" was a 'Health facility') |  | Population-based denominator: | *Number of HIV-positive pregnant women who delivered during the reporting period
 * Denominator Exclusions: 
 *
 * Disaggregations:
 * Numerator: 
 *  • Timing of ART initiation (1. already on ART at first ANC visit, 2. newly on ART during pregnancy, 3. newly on ART during labour and delivery, 4. on non-recommended ART regimen) 
 *   
 *  The primary indicator calculation should include ART status categories 1, 2 and 3. Removing the women in category 1 "already on ART at first ANC visit" from the numerator and denominator gives a measure of ART coverage among HIV-positive pregnant women newly diagnosed during ANC. Dividing category 2 by the sum of categories 2 and 3 gives the proportion of new ART initiations occurring during pregnancy rather than at delivery. Calculating the indicator with those in category 4 (non-recommended ARV regimen) included in the numerator gives a broader measure, that is, coverage of HIV-positive pregnant women receiving any ARV drug.
 *
 * Disaggregation Elements: Timing of ART initiation
 *
 * Numerator and Denominator Elements:
 * ANC contact date 
 *  Delivery date 
 *  HIV status 
 *  On ART 
 *  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.DE38: On ART | Client is currently taking ART
 * HIV.E.DE41: Timing of ART initiation | When the pregnant woman or mother initiated ART, for women living with HIV.
 * HIV.E.DE42: Already on ART at first antenatal care visit | The pregnant woman was already on antiretroviral therapy (ART) at first antenatal care visit
 * HIV.E.DE43: Newly on ART during pregnancy | The pregnant woman started ART during her pregnancy
 * HIV.E.DE44: Newly on ART during labour and delivery | The woman started ART during labour and delivery
 * 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.DE85: ANC contact date | The date and time of the client's ANC contact (in the ANC DAK this is called 'Contact date')
 * HIV.H.DE47: On ART | Client is currently taking ART 
 * HIV.SRV.DE18: ANC contact date | The date and time of the client's ANC contact (in the ANC DAK this is called 'Contact date')
 *
 * Additional Context
 * - what it measures: This indicator measures whether a recommended course of ART has been provided to HIV-positive pregnant women.
 * - rationale: • Providing ART for HIV-positive pregnant women is a critical strategy for preventing vertical transmission of HIV. | • In an era of "Treat All", all HIV-positive pregnant women should be given a recommended regimen of ART as soon as possible after diagnosis, including during labour and delivery.
 * - method: a) For the numerator and programme-based/service delivery denominator: Programme records (for example, PMTCT registers, ARV registers, labour and delivery registers) |  | b) For the population-based denominator: Modelling-based estimates (for example, Spectrum AIM) |  | The recommended reporting period is 12 months.
 * 
 * Suggested Scoring Method: proportion | http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/proportion-measure-cqfm
 */

library HIVIND40Logic

// 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 "Measurement Period" Interval<Date> default Interval[@2023-01-01, @2023-01-30]

context Patient
/* Populations */

/*
 *Initial Population
 */

define "Initial Population":
  true

/**
 * Numerator
 * 
 * Definition: Number of HIV-positive pregnant women who delivered during the reporting period and received ART during pregnancy and/or at labour and delivery
 * Calculation: COUNT of women with "HIV status"='HIV-positive' AND "Delivery date" in the reporting period AND (("On ART"=True at labour and delivery) OR ("On ART"=True during pregnancy, for this pregnancy))
 */

define "Numerator":
  true


/**
 * Denominator
 *
 * Definition: a) Programme-based/service delivery denominator | Number of HIV-positive pregnant women who delivered during the reporting period and attended ANC or had a facility-based delivery | b) Population-based denominator | Number of HIV-positive pregnant women who delivered during the reporting period
 * Calculation: Programme-based/service delivery denominator: | COUNT of women with "HIV status"='HIV-positive' AND "Delivery date" in the reporting period AND (had an "ANC contact date" during reporting period OR "Place of delivery" was a 'Health facility') |  | Population-based denominator: | *Number of HIV-positive pregnant women who delivered during the reporting period
 */

define "Denominator":
  true
    

/* end Populations */

"/>
  </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.40 Logic
 * Ref No: VER.4
 * Short Name: ART coverage in pregnant women
 *
 * Definition: % of HIV-positive pregnant women who received ART during pregnancy and/or at labour and delivery
 *
 * Numerator: Number of HIV-positive pregnant women who delivered during the reporting period and received ART during pregnancy and/or at labour and delivery
 * Numerator Calculation: COUNT of women with &quot;HIV status&quot;='HIV-positive' AND &quot;Delivery date&quot; in the reporting period AND ((&quot;On ART&quot;=True at labour and delivery) OR (&quot;On ART&quot;=True during pregnancy, for this pregnancy))
 * Numerator Exclusions: 
 *
 * Denominator: a) Programme-based/service delivery denominator | Number of HIV-positive pregnant women who delivered during the reporting period and attended ANC or had a facility-based delivery | b) Population-based denominator | Number of HIV-positive pregnant women who delivered during the reporting period
 * Denominator Calculation: Programme-based/service delivery denominator: | COUNT of women with &quot;HIV status&quot;='HIV-positive' AND &quot;Delivery date&quot; in the reporting period AND (had an &quot;ANC contact date&quot; during reporting period OR &quot;Place of delivery&quot; was a 'Health facility') |  | Population-based denominator: | *Number of HIV-positive pregnant women who delivered during the reporting period
 * Denominator Exclusions: 
 *
 * Disaggregations:
 * Numerator: 
 *  • Timing of ART initiation (1. already on ART at first ANC visit, 2. newly on ART during pregnancy, 3. newly on ART during labour and delivery, 4. on non-recommended ART regimen) 
 *   
 *  The primary indicator calculation should include ART status categories 1, 2 and 3. Removing the women in category 1 &quot;already on ART at first ANC visit&quot; from the numerator and denominator gives a measure of ART coverage among HIV-positive pregnant women newly diagnosed during ANC. Dividing category 2 by the sum of categories 2 and 3 gives the proportion of new ART initiations occurring during pregnancy rather than at delivery. Calculating the indicator with those in category 4 (non-recommended ARV regimen) included in the numerator gives a broader measure, that is, coverage of HIV-positive pregnant women receiving any ARV drug.
 *
 * Disaggregation Elements: Timing of ART initiation
 *
 * Numerator and Denominator Elements:
 * ANC contact date 
 *  Delivery date 
 *  HIV status 
 *  On ART 
 *  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.DE38: On ART | Client is currently taking ART
 * HIV.E.DE41: Timing of ART initiation | When the pregnant woman or mother initiated ART, for women living with HIV.
 * HIV.E.DE42: Already on ART at first antenatal care visit | The pregnant woman was already on antiretroviral therapy (ART) at first antenatal care visit
 * HIV.E.DE43: Newly on ART during pregnancy | The pregnant woman started ART during her pregnancy
 * HIV.E.DE44: Newly on ART during labour and delivery | The woman started ART during labour and delivery
 * 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.DE85: ANC contact date | The date and time of the client's ANC contact (in the ANC DAK this is called 'Contact date')
 * HIV.H.DE47: On ART | Client is currently taking ART 
 * HIV.SRV.DE18: ANC contact date | The date and time of the client's ANC contact (in the ANC DAK this is called 'Contact date')
 *
 * Additional Context
 * - what it measures: This indicator measures whether a recommended course of ART has been provided to HIV-positive pregnant women.
 * - rationale: • Providing ART for HIV-positive pregnant women is a critical strategy for preventing vertical transmission of HIV. | • In an era of &quot;Treat All&quot;, all HIV-positive pregnant women should be given a recommended regimen of ART as soon as possible after diagnosis, including during labour and delivery.
 * - method: a) For the numerator and programme-based/service delivery denominator: Programme records (for example, PMTCT registers, ARV registers, labour and delivery registers) |  | b) For the population-based denominator: Modelling-based estimates (for example, Spectrum AIM) |  | The recommended reporting period is 12 months.
 * 
 * Suggested Scoring Method: proportion | http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/proportion-measure-cqfm
 */

library HIVIND40Logic</a:s>
      </a:s>
   </annotation>
   <identifier id="HIVIND40Logic" 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: Number of HIV-positive pregnant women who delivered during the reporting period and received ART during pregnancy and/or at labour and delivery
 * Calculation: COUNT of women with &quot;HIV status&quot;='HIV-positive' AND &quot;Delivery date&quot; in the reporting period AND ((&quot;On ART&quot;=True at labour and delivery) OR (&quot;On ART&quot;=True during pregnancy, for this pregnancy))
 */

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-based/service delivery denominator | Number of HIV-positive pregnant women who delivered during the reporting period and attended ANC or had a facility-based delivery | b) Population-based denominator | Number of HIV-positive pregnant women who delivered during the reporting period
 * Calculation: Programme-based/service delivery denominator: | COUNT of women with &quot;HIV status&quot;='HIV-positive' AND &quot;Delivery date&quot; in the reporting period AND (had an &quot;ANC contact date&quot; during reporting period OR &quot;Place of delivery&quot; was a 'Health facility') |  | Population-based denominator: | *Number of HIV-positive pregnant women who delivered during the reporting period
 */

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>