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 2024-11-07 |
{
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"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Library HIVIND42Logic</b></p><a name=\"HIVIND42Logic\"> </a><a name=\"hcHIVIND42Logic\"> </a><a name=\"HIVIND42Logic-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.42 Logic\n * Ref No: VER.6\n * Short Name: Final outcome of PMTCT\n *\n * Definition: % of HIV-exposed infants whose final HIV outcome status is known\n *\n * Numerator: HIV-exposed infants born within the past 12 months (or 24 months in breastfeeding settings) who have known final HIV outcome status\n * Numerator Calculation: COUNT of infants who are an "HIV-exposed infant or child" AND [(with an "Infant date of birth" in past 12 months) OR (with an "Infant date of birth" in past 24 months IF mothers are "Breastfeeding")] AND "Registered in birth cohort"=True AND with a "Final diagnosis of HIV-exposed infant" of NOT NULL\n * Numerator Exclusions: \n *\n * Denominator: a) Programme-based/service delivery denominator | Number of HIV-exposed infants who were born within the 12 months (or 24 months in breastfeeding settings) prior to the reporting period and registered in the birth cohort | For example, for the reporting period January to December 2021 the denominator would be the number of HIV-exposed infants born between January to December 2020 in non-breast feeding settings and January to December 2019 in breastfeeding settings. | | b) Population-based denominator | Estimated number of HIV-positive women who delivered within the past 12 months | (or 24 months in breastfeeding settings)\n * Denominator Calculation: COUNT of infants who are an "HIV-exposed infant or child" AND [(with an "Infant date of birth" within past 12 months) OR (with an "Infant date of birth" within past 24 months IF mothers are "Breastfeeding")] AND "Registered in birth cohort"=True\n * Denominator Exclusions: \n *\n * Disaggregations:\n * •\u00a0Outcome status (HIV-positive, HIV-negative, no longer breastfeeding) \n * •\u00a0Cities and other administrative regions of epidemiologic importance\n *\n * Disaggregation Elements: Infant HIV status\n *\n * Numerator and Denominator Elements:\n * Breastfeeding \n * Final diagnosis of HIV-exposed infant \n * HIV-exposed infant or child \n * Infant date of birth \n * Registered in birth cohort\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.B.DE32: Breastfeeding | Infant is being breastfed by mother\n * HIV.D.DE32: Breastfeeding | Client is giving infant breast milk\n * HIV.E.DE87: Infant date of birth | The infant's date of birth (DOB) if known\n * HIV.E.DE112: HIV-exposed infant or child | Whether the infant or child was determined to have had HIV exposure\n * HIV.E.DE179: Registered in birth cohort | Whether the infant has been registered in a birth cohort\n * HIV.E.DE225: Infant HIV status | HIV status reported after applying the HIV testing algorithm. No single HIV test can provide an HIV-positive diagnosis.\n * HIV.E.DE226: HIV-positive | Infant is HIV-positive\n * HIV.E.DE227: HIV-negative | Infant is HIV-negative\n * HIV.E.DE228: Unknown | Infant has unknown HIV status\n * HIV.E.DE230: Final diagnosis of HIV-exposed infant | HIV-exposed infant final status at 18 months or 3 months after cessation of breastfeeding (whichever is later).\n * HIV.E.DE231: HIV-positive | The infant is HIV-positive\n * HIV.E.DE232: HIV-negative and no longer breastfeeding | The infant is HIV-negative and the mother has quit breastfeeding\n * HIV.E.DE233: HIV status unknown | The final HIV status of the child is unknown because the infant died, was lost to follow-up or transferred out without ever having an HIV-positive diagnosis or is active in care but was not tested at 18 months\n * HIV.SRV.DE20: HIV-exposed infant or child | Whether the infant or child was determined to have had HIV exposure\n * HIV.SRV.DE22: Final diagnosis of HIV-exposed infant | HIV-exposed infant final status at 18 months or 3 months after cessation of breastfeeding (whichever is later).\n *\n * Additional Context\n * - what it measures: This indicator measures quality of programme follow-up to track exposed infants and ascertain final HIV status.\n * - rationale: •\u00a0Effective PMTCT programmes must follow HIV-exposed infants until the end of the breastfeeding period to ensure that the full cascade of services and support is provided to HIV-positive mothers and their infants. | •\u00a0The ability to ascertain final outcome status through routine programme data across multiple points of care is a key challenge.\n * - method: This indicator measures quality of programme follow-up to track exposed infants and ascertain final HIV status.\n * \n * Suggested Scoring Method: proportion | http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/proportion-measure-cqfm\n */\n\nlibrary HIVIND42Logic\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: HIV-exposed infants born within the past 12 months (or 24 months in breastfeeding settings) who have known final HIV outcome status\n * Calculation: COUNT of infants who are an "HIV-exposed infant or child" AND [(with an "Infant date of birth" in past 12 months) OR (with an "Infant date of birth" in past 24 months IF mothers are "Breastfeeding")] AND "Registered in birth cohort"=True AND with a "Final diagnosis of HIV-exposed infant" of NOT NULL\n */\n\ndefine "Numerator":\n true\n\n\n/**\n * Denominator\n *\n * Definition: a) Programme-based/service delivery denominator | Number of HIV-exposed infants who were born within the 12 months (or 24 months in breastfeeding settings) prior to the reporting period and registered in the birth cohort | For example, for the reporting period January to December 2021 the denominator would be the number of HIV-exposed infants born between January to December 2020 in non-breast feeding settings and January to December 2019 in breastfeeding settings. | | b) Population-based denominator | Estimated number of HIV-positive women who delivered within the past 12 months | (or 24 months in breastfeeding settings)\n * Calculation: COUNT of infants who are an "HIV-exposed infant or child" AND [(with an "Infant date of birth" within past 12 months) OR (with an "Infant date of birth" within past 24 months IF mothers are "Breastfeeding")] AND "Registered in birth cohort"=True\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>"
},
"extension" : [
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"url" : "http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability",
"valueCode" : "computable"
}
],
"url" : "http://smart.who.int/hiv/Library/HIVIND42Logic",
"version" : "0.3.0",
"name" : "HIVIND42Logic",
"title" : "HIV.IND.42 Logic",
"status" : "draft",
"experimental" : true,
"type" : {
"coding" : [
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"date" : "2024-11-07T21:07:17+00:00",
"publisher" : "WHO",
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"description" : "% of HIV-exposed infants whose final HIV outcome status is known",
"relatedArtifact" : [
{
"type" : "depends-on",
"display" : "Library HIC",
"resource" : "http://smart.who.int/hiv/Library/HIVCommon|0.0.1"
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{
"type" : "depends-on",
"display" : "Library WCom",
"resource" : "http://smart.who.int/hiv/Library/WHOCommon"
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{
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"content" : [
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"contentType" : "text/cql",
"data" : "/**
 * Library: HIV.IND.42 Logic
 * Ref No: VER.6
 * Short Name: Final outcome of PMTCT
 *
 * Definition: % of HIV-exposed infants whose final HIV outcome status is known
 *
 * Numerator: HIV-exposed infants born within the past 12 months (or 24 months in breastfeeding settings) who have known final HIV outcome status
 * Numerator Calculation: COUNT of infants who are an "HIV-exposed infant or child" AND [(with an "Infant date of birth" in past 12 months) OR (with an "Infant date of birth" in past 24 months IF mothers are "Breastfeeding")] AND "Registered in birth cohort"=True AND with a "Final diagnosis of HIV-exposed infant" of NOT NULL
 * Numerator Exclusions: 
 *
 * Denominator: a) Programme-based/service delivery denominator | Number of HIV-exposed infants who were born within the 12 months (or 24 months in breastfeeding settings) prior to the reporting period and registered in the birth cohort | For example, for the reporting period January to December 2021 the denominator would be the number of HIV-exposed infants born between January to December 2020 in non-breast feeding settings and January to December 2019 in breastfeeding settings. |  | b) Population-based denominator | Estimated number of HIV-positive women who delivered within the past 12 months | (or 24 months in breastfeeding settings)
 * Denominator Calculation: COUNT of infants who are an "HIV-exposed infant or child" AND [(with an "Infant date of birth" within past 12 months) OR (with an "Infant date of birth" within past 24 months IF mothers are "Breastfeeding")] AND "Registered in birth cohort"=True
 * Denominator Exclusions: 
 *
 * Disaggregations:
 * • Outcome status (HIV-positive, HIV-negative, no longer breastfeeding) 
 *  • Cities and other administrative regions of epidemiologic importance
 *
 * Disaggregation Elements: Infant HIV status
 *
 * Numerator and Denominator Elements:
 * Breastfeeding 
 *  Final diagnosis of HIV-exposed infant 
 *  HIV-exposed infant or child 
 *  Infant date of birth 
 *  Registered in birth cohort
 *
 * Reference: Consolidated guidelines on person-centred HIV strategic information: strengthening routine data for impact. Geneva: World Health Organization; 2022
 * 
 * Data Concepts:
 * HIV.B.DE32: Breastfeeding | Infant is being breastfed by mother
 * HIV.D.DE32: Breastfeeding | Client is giving infant breast milk
 * 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.DE179: Registered in birth cohort | Whether the infant has been registered in a birth cohort
 * HIV.E.DE225: Infant HIV status | HIV status reported after applying the HIV testing algorithm. No single HIV test can provide an HIV-positive diagnosis.
 * HIV.E.DE226: HIV-positive | Infant is HIV-positive
 * HIV.E.DE227: HIV-negative | Infant is HIV-negative
 * HIV.E.DE228: Unknown | Infant has unknown HIV status
 * HIV.E.DE230: Final diagnosis of HIV-exposed infant | HIV-exposed infant final status at 18 months or 3 months after cessation of breastfeeding (whichever is later).
 * HIV.E.DE231: HIV-positive | The infant is HIV-positive
 * HIV.E.DE232: HIV-negative and no longer breastfeeding | The infant is HIV-negative and the mother has quit breastfeeding
 * HIV.E.DE233: HIV status unknown | The final HIV status of the child is unknown because the infant died, was lost to follow-up or transferred out without ever having an HIV-positive diagnosis or is active in care but was not tested at 18 months
 * HIV.SRV.DE20: HIV-exposed infant or child | Whether the infant or child was determined to have had HIV exposure
 * HIV.SRV.DE22: Final diagnosis of HIV-exposed infant | HIV-exposed infant final status at 18 months or 3 months after cessation of breastfeeding (whichever is later).
 *
 * Additional Context
 * - what it measures: This indicator measures quality of programme follow-up to track exposed infants and ascertain final HIV status.
 * - rationale: • Effective PMTCT programmes must follow HIV-exposed infants until the end of the breastfeeding period to ensure that the full cascade of services and support is provided to HIV-positive mothers and their infants. | • The ability to ascertain final outcome status through routine programme data across multiple points of care is a key challenge.
 * - method: This indicator measures quality of programme follow-up to track exposed infants and ascertain final HIV status.
 * 
 * Suggested Scoring Method: proportion | http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/proportion-measure-cqfm
 */

library HIVIND42Logic

// 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: HIV-exposed infants born within the past 12 months (or 24 months in breastfeeding settings) who have known final HIV outcome status
 * Calculation: COUNT of infants who are an "HIV-exposed infant or child" AND [(with an "Infant date of birth" in past 12 months) OR (with an "Infant date of birth" in past 24 months IF mothers are "Breastfeeding")] AND "Registered in birth cohort"=True AND with a "Final diagnosis of HIV-exposed infant" of NOT NULL
 */

define "Numerator":
  true


/**
 * Denominator
 *
 * Definition: a) Programme-based/service delivery denominator | Number of HIV-exposed infants who were born within the 12 months (or 24 months in breastfeeding settings) prior to the reporting period and registered in the birth cohort | For example, for the reporting period January to December 2021 the denominator would be the number of HIV-exposed infants born between January to December 2020 in non-breast feeding settings and January to December 2019 in breastfeeding settings. |  | b) Population-based denominator | Estimated number of HIV-positive women who delivered within the past 12 months | (or 24 months in breastfeeding settings)
 * Calculation: COUNT of infants who are an "HIV-exposed infant or child" AND [(with an "Infant date of birth" within past 12 months) OR (with an "Infant date of birth" within past 24 months IF mothers are "Breastfeeding")] AND "Registered in birth cohort"=True
 */

define "Denominator":
  true
    

/* end Populations */

"
},
{
"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.42 Logic
 * Ref No: VER.6
 * Short Name: Final outcome of PMTCT
 *
 * Definition: % of HIV-exposed infants whose final HIV outcome status is known
 *
 * Numerator: HIV-exposed infants born within the past 12 months (or 24 months in breastfeeding settings) who have known final HIV outcome status
 * Numerator Calculation: COUNT of infants who are an &quot;HIV-exposed infant or child&quot; AND [(with an &quot;Infant date of birth&quot; in past 12 months) OR (with an &quot;Infant date of birth&quot; in past 24 months IF mothers are &quot;Breastfeeding&quot;)] AND &quot;Registered in birth cohort&quot;=True AND with a &quot;Final diagnosis of HIV-exposed infant&quot; of NOT NULL
 * Numerator Exclusions: 
 *
 * Denominator: a) Programme-based/service delivery denominator | Number of HIV-exposed infants who were born within the 12 months (or 24 months in breastfeeding settings) prior to the reporting period and registered in the birth cohort | For example, for the reporting period January to December 2021 the denominator would be the number of HIV-exposed infants born between January to December 2020 in non-breast feeding settings and January to December 2019 in breastfeeding settings. |  | b) Population-based denominator | Estimated number of HIV-positive women who delivered within the past 12 months | (or 24 months in breastfeeding settings)
 * Denominator Calculation: COUNT of infants who are an &quot;HIV-exposed infant or child&quot; AND [(with an &quot;Infant date of birth&quot; within past 12 months) OR (with an &quot;Infant date of birth&quot; within past 24 months IF mothers are &quot;Breastfeeding&quot;)] AND &quot;Registered in birth cohort&quot;=True
 * Denominator Exclusions: 
 *
 * Disaggregations:
 * • Outcome status (HIV-positive, HIV-negative, no longer breastfeeding) 
 *  • Cities and other administrative regions of epidemiologic importance
 *
 * Disaggregation Elements: Infant HIV status
 *
 * Numerator and Denominator Elements:
 * Breastfeeding 
 *  Final diagnosis of HIV-exposed infant 
 *  HIV-exposed infant or child 
 *  Infant date of birth 
 *  Registered in birth cohort
 *
 * Reference: Consolidated guidelines on person-centred HIV strategic information: strengthening routine data for impact. Geneva: World Health Organization; 2022
 * 
 * Data Concepts:
 * HIV.B.DE32: Breastfeeding | Infant is being breastfed by mother
 * HIV.D.DE32: Breastfeeding | Client is giving infant breast milk
 * 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.DE179: Registered in birth cohort | Whether the infant has been registered in a birth cohort
 * HIV.E.DE225: Infant HIV status | HIV status reported after applying the HIV testing algorithm. No single HIV test can provide an HIV-positive diagnosis.
 * HIV.E.DE226: HIV-positive | Infant is HIV-positive
 * HIV.E.DE227: HIV-negative | Infant is HIV-negative
 * HIV.E.DE228: Unknown | Infant has unknown HIV status
 * HIV.E.DE230: Final diagnosis of HIV-exposed infant | HIV-exposed infant final status at 18 months or 3 months after cessation of breastfeeding (whichever is later).
 * HIV.E.DE231: HIV-positive | The infant is HIV-positive
 * HIV.E.DE232: HIV-negative and no longer breastfeeding | The infant is HIV-negative and the mother has quit breastfeeding
 * HIV.E.DE233: HIV status unknown | The final HIV status of the child is unknown because the infant died, was lost to follow-up or transferred out without ever having an HIV-positive diagnosis or is active in care but was not tested at 18 months
 * HIV.SRV.DE20: HIV-exposed infant or child | Whether the infant or child was determined to have had HIV exposure
 * HIV.SRV.DE22: Final diagnosis of HIV-exposed infant | HIV-exposed infant final status at 18 months or 3 months after cessation of breastfeeding (whichever is later).
 *
 * Additional Context
 * - what it measures: This indicator measures quality of programme follow-up to track exposed infants and ascertain final HIV status.
 * - rationale: • Effective PMTCT programmes must follow HIV-exposed infants until the end of the breastfeeding period to ensure that the full cascade of services and support is provided to HIV-positive mothers and their infants. | • The ability to ascertain final outcome status through routine programme data across multiple points of care is a key challenge.
 * - method: This indicator measures quality of programme follow-up to track exposed infants and ascertain final HIV status.
 * 
 * Suggested Scoring Method: proportion | http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/proportion-measure-cqfm
 */

library HIVIND42Logic</a:s>
      </a:s>
   </annotation>
   <identifier id="HIVIND42Logic" 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: HIV-exposed infants born within the past 12 months (or 24 months in breastfeeding settings) who have known final HIV outcome status
 * Calculation: COUNT of infants who are an &quot;HIV-exposed infant or child&quot; AND [(with an &quot;Infant date of birth&quot; in past 12 months) OR (with an &quot;Infant date of birth&quot; in past 24 months IF mothers are &quot;Breastfeeding&quot;)] AND &quot;Registered in birth cohort&quot;=True AND with a &quot;Final diagnosis of HIV-exposed infant&quot; of NOT NULL
 */

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-exposed infants who were born within the 12 months (or 24 months in breastfeeding settings) prior to the reporting period and registered in the birth cohort | For example, for the reporting period January to December 2021 the denominator would be the number of HIV-exposed infants born between January to December 2020 in non-breast feeding settings and January to December 2019 in breastfeeding settings. |  | b) Population-based denominator | Estimated number of HIV-positive women who delivered within the past 12 months | (or 24 months in breastfeeding settings)
 * Calculation: COUNT of infants who are an &quot;HIV-exposed infant or child&quot; AND [(with an &quot;Infant date of birth&quot; within past 12 months) OR (with an &quot;Infant date of birth&quot; within past 24 months IF mothers are &quot;Breastfeeding&quot;)] AND &quot;Registered in birth cohort&quot;=True
 */

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>
"
}
]
}