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
| Draft as of 2024-10-30 |
{
"resourceType" : "Library",
"id" : "HIVIND41Logic",
"meta" : {
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"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Library HIVIND41Logic</b></p><a name=\"HIVIND41Logic\"> </a><a name=\"hcHIVIND41Logic\"> </a><a name=\"HIVIND41Logic-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\">/**\n * Library: HIV.IND.41 Logic\n * Ref No: VER.5\n * Short Name: ART coverage in breastfeeding mothers\n *\n * Definition: % of HIV-exposed breastfeeding infants whose mothers are receiving ART at 12 (and 24 months) postpartum\n *\n * Numerator: Number of HIV-exposed breastfeeding infants whose mothers are receiving ART at 12 months (and 24 months*) postpartum\n * Numerator Calculation: COUNT of infants who are an "HIV-exposed infant or child" AND whose mothers are "Breastfeeding" 12 months after "Delivery date" AND mothers with "On ART"=True 12 months after "Delivery date" | | Also reported for 24 months after "Delivery date"\n * Numerator Exclusions: \n *\n * Denominator: Number of HIV-exposed infants attending MNCH services for a 12-month visit (and 24-month visit or first visit after the end of breastfeeding)\n * Denominator Calculation: COUNT of infants who are an "HIV-exposed infant or child" AND [(whose mothers attend a 12-month "Maternal and child health service visit") OR (first "Maternal and child health service visit" after "Delivery date" where mother is NOT "Breastfeeding")] | | Also reported for mothers attending 24-month "Maternal and child health service visit"\n * Denominator Exclusions: \n *\n * Disaggregations:\n * • Age (<15, 15–19, 20–24, 25+ years) \n * • Timing of ART initiation (already on ART at first ANC visit, newly on ART during pregnancy or labour and delivery) \n * •\u00a0Cities and other administrative regions of epidemiologic importance\n *\n * Disaggregation Elements: Age | Timing of ART initiation | Breastfeeding at 24 months\n *\n * Numerator and Denominator Elements:\n * Breastfeeding \n * Delivery date \n * HIV-exposed infant or child \n * Maternal and child health service visit \n * On ART\n *\n * Reference: Consolidated guidelines on person-centred HIV strategic information: strengthening routine data for impact. Geneva: World Health Organization; 2022\n * \n * Data Concepts:\n * HIV.A.DE17: Age | Calculated age (number of years) of the client based on date of birth\n * HIV.B.DE32: Breastfeeding | Infant is being breastfed by mother\n * HIV.D.DE32: Breastfeeding | Client is giving infant breast milk\n * HIV.D.DE38: On ART | Client is currently taking ART\n * HIV.E.DE41: Timing of ART initiation | When the pregnant woman or mother initiated ART, for women living with HIV.\n * 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\n * HIV.E.DE43: Newly on ART during pregnancy | The pregnant woman started ART during her pregnancy\n * HIV.E.DE44: Newly on ART during labour and delivery | The woman started ART during labour and delivery\n * HIV.E.DE46: Delivery date | Date on which the woman delivered\n * HIV.E.DE112: HIV-exposed infant or child | Whether the infant or child was determined to have had HIV exposure\n * HIV.E.DE173: Maternal and child health service visit | Maternal and child health service visit attended by an HIV-exposed infant\n * HIV.E.DE174: 12-month visit | HIV-exposed infant attending MCH services for a 12-month visit\n * HIV.E.DE175: 24-month visit | HIV-exposed infants attending MCH services for a 24-month visit\n * HIV.E.DE176: First visit after the end of breastfeeding | HIV-exposed infant attending MCH services for a first visit after the end of breastfeeding\n * HIV.H.DE47: On ART | Client is currently taking ART \n * HIV.SRV.DE20: HIV-exposed infant or child | Whether the infant or child was determined to have had HIV exposure\n *\n * Additional Context\n * - what it measures: This indicator measures the programme's ability to reduce the risk of transmission via breastfeeding (Prong 3 of the PMTCT strategy).\n * - rationale: •\u00a0In many countries the average breastfeeding period is 18–24 months. The long breastfeeding period represents an important risk period for HIV-exposed infants. | •\u00a0Ensuring that HIV-positive mothers are retained on ART, especially during the breastfeeding period, is critical to sustaining the health of the mother and preventing infection of her infant.\n * - method: For the numerator: Programme records (for example, PMTCT registers, ART registers). | | For the denominator: Programme records (for example, MCH service records)\n * \n * Suggested Scoring Method: proportion | http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/proportion-measure-cqfm\n */\n\nlibrary HIVIND41Logic\n\n// Included Libraries\nusing FHIR version '4.0.1'\n\ninclude HIVCommon version '0.0.1' called HIC\ninclude FHIRHelpers version '4.0.1'\n\ninclude WHOCommon called WCom\n\n// Indicator Definition\nparameter "Measurement Period" Interval<Date> default Interval[@2023-01-01, @2023-01-30]\n\ncontext Patient\n/* Populations */\n\n/*\n *Initial Population\n */\n\ndefine "Initial Population":\n true\n\n/**\n * Numerator\n * \n * Definition: Number of HIV-exposed breastfeeding infants whose mothers are receiving ART at 12 months (and 24 months*) postpartum\n * Calculation: COUNT of infants who are an "HIV-exposed infant or child" AND whose mothers are "Breastfeeding" 12 months after "Delivery date" AND mothers with "On ART"=True 12 months after "Delivery date" | | Also reported for 24 months after "Delivery date"\n */\n\ndefine "Numerator":\n true\n\n\n/**\n * Denominator\n *\n * Definition: Number of HIV-exposed infants attending MNCH services for a 12-month visit (and 24-month visit or first visit after the end of breastfeeding)\n * Calculation: COUNT of infants who are an "HIV-exposed infant or child" AND [(whose mothers attend a 12-month "Maternal and child health service visit") OR (first "Maternal and child health service visit" after "Delivery date" where mother is NOT "Breastfeeding")] | | Also reported for mothers attending 24-month "Maternal and child health service visit"\n */\n\ndefine "Denominator":\n true\n \n\n/* end Populations */\n\n</code></pre><p><code>Content not shown - (</code><code>application/elm+xml</code>, size = 12Kb )</p></div>"
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],
"url" : "http://smart.who.int/hiv/Library/HIVIND41Logic",
"version" : "0.3.0",
"name" : "HIVIND41Logic",
"title" : "HIV.IND.41 Logic",
"status" : "draft",
"experimental" : true,
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/library-type",
"code" : "logic-library"
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},
"date" : "2024-10-30T19:04:31+00:00",
"publisher" : "WHO",
"contact" : [
{
"name" : "WHO",
"telecom" : [
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"system" : "url",
"value" : "http://who.int"
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}
],
"description" : "% of HIV-exposed breastfeeding infants whose mothers are receiving ART at 12 (and 24 months) postpartum",
"relatedArtifact" : [
{
"type" : "depends-on",
"display" : "Library HIC",
"resource" : "http://smart.who.int/hiv/Library/HIVCommon|0.0.1"
},
{
"type" : "depends-on",
"display" : "Library WCom",
"resource" : "http://smart.who.int/hiv/Library/WHOCommon"
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],
"parameter" : [
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"name" : "Measurement Period",
"use" : "in",
"min" : 0,
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"type" : "Period"
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{
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{
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"data" : 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nZSBicmVhc3RmZWVkaW5nIHBlcmlvZCBpcyAxOOKAkzI0IG1vbnRocy4gVGhlIGxvbmcgYnJlYXN0ZmVlZGluZyBwZXJpb2QgcmVwcmVzZW50cyBhbiBpbXBvcnRhbnQgcmlzayBwZXJpb2QgZm9yIEhJVi1leHBvc2VkIGluZmFudHMuIHwg4oCiwqBFbnN1cmluZyB0aGF0IEhJVi1wb3NpdGl2ZSBtb3RoZXJzIGFyZSByZXRhaW5lZCBvbiBBUlQsIGVzcGVjaWFsbHkgZHVyaW5nIHRoZSBicmVhc3RmZWVkaW5nIHBlcmlvZCwgaXMgY3JpdGljYWwgdG8gc3VzdGFpbmluZyB0aGUgaGVhbHRoIG9mIHRoZSBtb3RoZXIgYW5kIHByZXZlbnRpbmcgaW5mZWN0aW9uIG9mIGhlciBpbmZhbnQuCiAqIC0gbWV0aG9kOiBGb3IgdGhlIG51bWVyYXRvcjogUHJvZ3JhbW1lIHJlY29yZHMgKGZvciBleGFtcGxlLCBQTVRDVCByZWdpc3RlcnMsIEFSVCByZWdpc3RlcnMpLiB8ICB8IEZvciB0aGUgZGVub21pbmF0b3I6IFByb2dyYW1tZSByZWNvcmRzIChmb3IgZXhhbXBsZSwgTUNIIHNlcnZpY2UgcmVjb3JkcykKICogCiAqIFN1Z2dlc3RlZCBTY29yaW5nIE1ldGhvZDogcHJvcG9ydGlvbiB8IGh0dHA6Ly9obDcub3JnL2ZoaXIvdXMvY3FmbWVhc3VyZXMvU3RydWN0dXJlRGVmaW5pdGlvbi9wcm9wb3J0aW9uLW1lYXN1cmUtY3FmbQogKi8KCmxpYnJhcnkgSElWSU5ENDFMb2dpYwoKLy8gSW5jbHVkZWQgTGlicmFyaWVzCnVzaW5nIEZISVIgdmVyc2lvbiAnNC4wLjEnCgppbmNsdWRlIEhJVkNvbW1vbiB2ZXJzaW9uICcwLjAuMScgY2FsbGVkIEhJQwppbmNsdWRlIEZISVJIZWxwZXJzIHZlcnNpb24gJzQuMC4xJwoKaW5jbHVkZSBXSE9Db21tb24gY2FsbGVkIFdDb20KCi8vIEluZGljYXRvciBEZWZpbml0aW9uCnBhcmFtZXRlciAiTWVhc3VyZW1lbnQgUGVyaW9kIiBJbnRlcnZhbDxEYXRlPiBkZWZhdWx0IEludGVydmFsW0AyMDIzLTAxLTAxLCBAMjAyMy0wMS0zMF0KCmNvbnRleHQgUGF0aWVudAovKiBQb3B1bGF0aW9ucyAqLwoKLyoKICpJbml0aWFsIFBvcHVsYXRpb24KICovCgpkZWZpbmUgIkluaXRpYWwgUG9wdWxhdGlvbiI6CiAgdHJ1ZQoKLyoqCiAqIE51bWVyYXRvcgogKiAKICogRGVmaW5pdGlvbjogTnVtYmVyIG9mIEhJVi1leHBvc2VkIGJyZWFzdGZlZWRpbmcgaW5mYW50cyB3aG9zZSBtb3RoZXJzIGFyZSByZWNlaXZpbmcgQVJUIGF0IDEyIG1vbnRocyAoYW5kIDI0IG1vbnRocyopIHBvc3RwYXJ0dW0KICogQ2FsY3VsYXRpb246IENPVU5UIG9mIGluZmFudHMgd2hvIGFyZSBhbiAiSElWLWV4cG9zZWQgaW5mYW50IG9yIGNoaWxkIiBBTkQgd2hvc2UgbW90aGVycyBhcmUgIkJyZWFzdGZlZWRpbmciIDEyIG1vbnRocyBhZnRlciAiRGVsaXZlcnkgZGF0ZSIgQU5EIG1vdGhlcnMgd2l0aCAiT24gQVJUIj1UcnVlIDEyIG1vbnRocyBhZnRlciAiRGVsaXZlcnkgZGF0ZSIgfCAgfCBBbHNvIHJlcG9ydGVkIGZvciAyNCBtb250aHMgYWZ0ZXIgIkRlbGl2ZXJ5IGRhdGUiCiAqLwoKZGVmaW5lICJOdW1lcmF0b3IiOgogIHRydWUKCgovKioKICogRGVub21pbmF0b3IKICoKICogRGVmaW5pdGlvbjogTnVtYmVyIG9mIEhJVi1leHBvc2VkIGluZmFudHMgYXR0ZW5kaW5nIE1OQ0ggc2VydmljZXMgZm9yIGEgMTItbW9udGggdmlzaXQgKGFuZCAyNC1tb250aCB2aXNpdCBvciBmaXJzdCB2aXNpdCBhZnRlciB0aGUgZW5kIG9mIGJyZWFzdGZlZWRpbmcpCiAqIENhbGN1bGF0aW9uOiBDT1VOVCBvZiBpbmZhbnRzIHdobyBhcmUgYW4gIkhJVi1leHBvc2VkIGluZmFudCBvciBjaGlsZCIgQU5EIFsod2hvc2UgbW90aGVycyBhdHRlbmQgYSAxMi1tb250aCAiTWF0ZXJuYWwgYW5kIGNoaWxkIGhlYWx0aCBzZXJ2aWNlIHZpc2l0IikgT1IgKGZpcnN0ICJNYXRlcm5hbCBhbmQgY2hpbGQgaGVhbHRoIHNlcnZpY2UgdmlzaXQiIGFmdGVyICJEZWxpdmVyeSBkYXRlIiB3aGVyZSBtb3RoZXIgaXMgTk9UICJCcmVhc3RmZWVkaW5nIildIHwgIHwgQWxzbyByZXBvcnRlZCBmb3IgbW90aGVycyBhdHRlbmRpbmcgMjQtbW9udGggIk1hdGVybmFsIGFuZCBjaGlsZCBoZWFsdGggc2VydmljZSB2aXNpdCIKICovCgpkZWZpbmUgIkRlbm9taW5hdG9yIjoKICB0cnVlCiAgICAKCi8qIGVuZCBQb3B1bGF0aW9ucyAqLwoK"
},
{
"contentType" : "application/elm+xml",
"data" : "<?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.41 Logic
 * Ref No: VER.5
 * Short Name: ART coverage in breastfeeding mothers
 *
 * Definition: % of HIV-exposed breastfeeding infants whose mothers are receiving ART at 12 (and 24 months) postpartum
 *
 * Numerator: Number of HIV-exposed breastfeeding infants whose mothers are receiving ART at 12 months (and 24 months*) postpartum
 * Numerator Calculation: COUNT of infants who are an &quot;HIV-exposed infant or child&quot; AND whose mothers are &quot;Breastfeeding&quot; 12 months after &quot;Delivery date&quot; AND mothers with &quot;On ART&quot;=True 12 months after &quot;Delivery date&quot; |  | Also reported for 24 months after &quot;Delivery date&quot;
 * Numerator Exclusions: 
 *
 * Denominator: Number of HIV-exposed infants attending MNCH services for a 12-month visit (and 24-month visit or first visit after the end of breastfeeding)
 * Denominator Calculation: COUNT of infants who are an &quot;HIV-exposed infant or child&quot; AND [(whose mothers attend a 12-month &quot;Maternal and child health service visit&quot;) OR (first &quot;Maternal and child health service visit&quot; after &quot;Delivery date&quot; where mother is NOT &quot;Breastfeeding&quot;)] |  | Also reported for mothers attending 24-month &quot;Maternal and child health service visit&quot;
 * Denominator Exclusions: 
 *
 * Disaggregations:
 * • Age (&lt;15, 15–19, 20–24, 25+ years) 
 *  • Timing of ART initiation (already on ART at first ANC visit, newly on ART during pregnancy or labour and delivery) 
 *  • Cities and other administrative regions of epidemiologic importance
 *
 * Disaggregation Elements: Age | Timing of ART initiation | Breastfeeding at 24 months
 *
 * Numerator and Denominator Elements:
 * Breastfeeding 
 *  Delivery date 
 *  HIV-exposed infant or child 
 *  Maternal and child health service visit 
 *  On ART
 *
 * 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.B.DE32: Breastfeeding | Infant is being breastfed by mother
 * HIV.D.DE32: Breastfeeding | Client is giving infant breast milk
 * 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.DE112: HIV-exposed infant or child | Whether the infant or child was determined to have had HIV exposure
 * HIV.E.DE173: Maternal and child health service visit | Maternal and child health service visit attended by an HIV-exposed infant
 * HIV.E.DE174: 12-month visit | HIV-exposed infant attending MCH services for a 12-month visit
 * HIV.E.DE175: 24-month visit | HIV-exposed infants attending MCH services for a 24-month visit
 * HIV.E.DE176: First visit after the end of breastfeeding | HIV-exposed infant attending MCH services for a first visit after the end of breastfeeding
 * HIV.H.DE47: On ART | Client is currently taking 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 programme's ability to reduce the risk of transmission via breastfeeding (Prong 3 of the PMTCT strategy).
 * - rationale: • In many countries the average breastfeeding period is 18–24 months. The long breastfeeding period represents an important risk period for HIV-exposed infants. | • Ensuring that HIV-positive mothers are retained on ART, especially during the breastfeeding period, is critical to sustaining the health of the mother and preventing infection of her infant.
 * - method: For the numerator: Programme records (for example, PMTCT registers, ART registers). |  | For the denominator: Programme records (for example, MCH service records)
 * 
 * Suggested Scoring Method: proportion | http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/proportion-measure-cqfm
 */

library HIVIND41Logic</a:s>
      </a:s>
   </annotation>
   <identifier id="HIVIND41Logic" 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="61:1-61:26" 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="63:1-63:44" 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="64:1-64:35" 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="66:1-66:29" 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="69:1-69:88" 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="69:55-69:88" lowClosed="true" highClosed="true" xsi:type="Interval">
            <low localId="5" locator="69:64-69:74" 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="69:77-69:87" 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="69:32-69:45" xsi:type="IntervalTypeSpecifier">
            <pointType localId="8" locator="69:41-69:44" name="t:Date" xsi:type="NamedTypeSpecifier"/>
         </parameterTypeSpecifier>
      </def>
   </parameters>
   <contexts>
      <def locator="71:1-71:15" name="Patient"/>
   </contexts>
   <statements>
      <def locator="71:1-71:15" name="Patient" context="Patient">
         <expression xsi:type="SingletonFrom">
            <operand locator="71:1-71:15" dataType="fhir:Patient" templateId="http://hl7.org/fhir/StructureDefinition/Patient" xsi:type="Retrieve"/>
         </expression>
      </def>
      <def localId="12" locator="78:1-79:6" 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="79:3-79:6" valueType="t:Boolean" value="true" xsi:type="Literal"/>
      </def>
      <def localId="14" locator="88:1-89:6" 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 breastfeeding infants whose mothers are receiving ART at 12 months (and 24 months*) postpartum
 * Calculation: COUNT of infants who are an &quot;HIV-exposed infant or child&quot; AND whose mothers are &quot;Breastfeeding&quot; 12 months after &quot;Delivery date&quot; AND mothers with &quot;On ART&quot;=True 12 months after &quot;Delivery date&quot; |  | Also reported for 24 months after &quot;Delivery date&quot;
 */

define &quot;Numerator&quot;:
  true</a:s>
            </a:s>
         </annotation>
         <expression localId="13" locator="89:3-89:6" valueType="t:Boolean" value="true" xsi:type="Literal"/>
      </def>
      <def localId="16" locator="99:1-100:6" name="Denominator" context="Patient" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:s r="16">
               <a:s r="15">/**
 * Denominator
 *
 * Definition: Number of HIV-exposed infants attending MNCH services for a 12-month visit (and 24-month visit or first visit after the end of breastfeeding)
 * Calculation: COUNT of infants who are an &quot;HIV-exposed infant or child&quot; AND [(whose mothers attend a 12-month &quot;Maternal and child health service visit&quot;) OR (first &quot;Maternal and child health service visit&quot; after &quot;Delivery date&quot; where mother is NOT &quot;Breastfeeding&quot;)] |  | Also reported for mothers attending 24-month &quot;Maternal and child health service visit&quot;
 */

define &quot;Denominator&quot;:
  true</a:s>
            </a:s>
         </annotation>
         <expression localId="15" locator="100:3-100:6" valueType="t:Boolean" value="true" xsi:type="Literal"/>
      </def>
   </statements>
</library>
"
}
]
}