WHO SMART Guidelines - HIV
0.3.0 - ci-build

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

: HIV.IND.86 Logic - XML Representation

Draft as of 2024-10-30

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<Library xmlns="http://hl7.org/fhir">
  <id value="HIVIND86Logic"/>
  <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 HIVIND86Logic</b></p><a name="HIVIND86Logic"> </a><a name="hcHIVIND86Logic"> </a><a name="HIVIND86Logic-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.86 Logic
 * Ref No: HEP.3B
 * Short Name: HBsAg positivity, HIV-positive clients
 *
 * Definition: Percentage of people living with HIV who were tested for HBsAg and had a positive HBsAg test during the reporting period
 *
 * Numerator: Number of people living with HIV who tested positive for HBsAg during the reporting period
 * Numerator Calculation: COUNT of clients with &quot;HIV status&quot;='HIV-positive' AND &quot;HBsAg test date&quot; in the reporting period AND &quot;HBsAg test result&quot;='HBsAg positive
 * Numerator Exclusions: 
 *
 * Denominator: Number of people living with HIV tested for HBsAg during the reporting period
 * Denominator Calculation: COUNT of clients with &quot;HIV status&quot;='HIV-positive' AND &quot;HBsAg test date&quot; in the reporting period
 * Denominator Exclusions: 
 *
 * Disaggregations:
 * • Gender (female, male, other*) 
 *  • Age (15–19, 20–24, 25–29, 30–49, 50+ years) 
 *  • HIV status (HIV-positive, HIV-negative, unknown status) 
 *  • Key populations (men who have sex with men, people living in prisons and other closed settings, people who inject drugs, sex workers, trans and gender diverse people)** 
 *  • Provider type (key population-led or community-led organization, public-sector provider, other entities such as private for-profit and not-for-profit organizations, including faith-based, international, nongovernmental) 
 *  • Cities and other administrative regions of epidemiologic importance
 *
 * Disaggregation Elements: Gender | Age | HIV status | Key population member type
 *
 * Numerator and Denominator Elements:
 * HBsAg test date 
 *  HBsAg test result 
 *  HIV status
 *
 * Reference: Consolidated guidelines on person-centred HIV strategic information: strengthening routine data for impact. Geneva: World Health Organization; 2022
 * 
 * Data Concepts:
 * HIV.A.DE17: Age | Calculated age (number of years) of the client based on date of birth
 * HIV.A.DE18: Gender* | Gender of the client*
 * HIV.A.DE19: Female | Client identifies as female
 * HIV.A.DE20: Male | Client identifies as male
 * HIV.A.DE21: Transgender male | Client identifies as transgender male
 * HIV.A.DE22: Transgender female | Client identifies as transgender female
 * HIV.A.DE23: Other | Additional category
 * HIV.B.DE50: Key population member type* | The type of key population that the client is included in
 * HIV.B.DE51: Sex worker | Client is a sex worker
 * HIV.B.DE52: Men who have sex with men | Client is a man who has sex with men
 * HIV.B.DE53: Trans and gender-diverse people | Client identifies as trans and gender-diverse
 * HIV.B.DE54: People who inject drugs | Client is a person who injects drugs
 * HIV.B.DE55: People living in prisons and other closed settings | Client lives in a prison or another closed setting
 * 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.DE161: HBsAg test date | Date client was tested for hepatitis B virus (HBV)
 * HIV.D.DE162: HBsAg test result | Hepatitis B virus test result (HBsAg)
 * HIV.D.DE163: Positive | HBsAg test result was positive
 * HIV.D.DE164: Negative | HBsAg test result was negative
 * HIV.D.DE165: Indeterminate | HBsAg test result was indeterminate
 * HIV.E.DE114: Key population member type* | The type of key population that the infant's mother is included in
 * HIV.E.DE115: Sex worker | Infant's mother is a sex worker
 * HIV.E.DE116: People who inject drugs | Infant's mother is a person who injects drugs
 * HIV.E.DE117: Trans and gender-diverse people | Infant's mother identifies as trans and gender-diverse
 * HIV.E.DE118: People living in prisons and other closed setting | Infant's mother is in a prison or closed setting
 * HIV.G.DE17: HBsAg test date | Date client was tested for hepatitis B virus (HBV)
 * HIV.G.DE18: HBsAg test result | Hepatitis B virus test result (HBsAg)
 * HIV.G.DE19: Positive | HBsAg test result was positive
 * HIV.G.DE20: Negative | HBsAg test result was negative
 * HIV.G.DE21: Indeterminate | HBsAg test result was indeterminate
 *
 * Additional Context
 * - what it measures: A: % of people attending HIV prevention services who were tested for HBsAg and had a positive HBsAg test result during the reporting period (laboratory-based test or rapid test) | B: % of people living with HIV who were tested for HBsAg and had a positive HBsAg test result during the reporting period (laboratory-based test or rapid test) | C: % of pregnant women who were tested for HBsAg and had a positive HBsAg test result during the reporting period (laboratory-based test or rapid test)
 * - rationale: • Testing for HBV identifies HIV and HBV co-infection so that HIV treatment regimens can be adjusted to treat chronic hepatitis B infection as well. | • The HBsAg positivity rate in ANC attendees can be used to monitor the prevalence of HBV in the population and give an indication of the HBV burden.
 * - method: Patient monitoring tools (electronic or paper), for example, hepatitis and HIV testing service records, lab registers, logbooks and reporting forms at facility and community levels, EMR/electronic information systems
 * 
 * Suggested Scoring Method: proportion | http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/proportion-measure-cqfm
 */

library HIVIND86Logic

// 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 people living with HIV who tested positive for HBsAg during the reporting period
 * Calculation: COUNT of clients with &quot;HIV status&quot;='HIV-positive' AND &quot;HBsAg test date&quot; in the reporting period AND &quot;HBsAg test result&quot;='HBsAg positive
 */

define &quot;Numerator&quot;:
  true


/**
 * Denominator
 *
 * Definition: Number of people living with HIV tested for HBsAg during the reporting period
 * Calculation: COUNT of clients with &quot;HIV status&quot;='HIV-positive' AND &quot;HBsAg test date&quot; in 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/HIVIND86Logic"/>
  <version value="0.3.0"/>
  <name value="HIVIND86Logic"/>
  <title value="HIV.IND.86 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="2024-10-30T19:04:31+00:00"/>
  <publisher value="WHO"/>
  <contact>
    <name value="WHO"/>
    <telecom>
      <system value="url"/>
      <value value="http://who.int"/>
    </telecom>
  </contact>
  <description
               value="Percentage of people living with HIV who were tested for HBsAg and had a positive HBsAg test during the reporting period"/>
  <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.86 Logic
 * Ref No: HEP.3B
 * Short Name: HBsAg positivity, HIV-positive clients
 *
 * Definition: Percentage of people living with HIV who were tested for HBsAg and had a positive HBsAg test during the reporting period
 *
 * Numerator: Number of people living with HIV who tested positive for HBsAg during the reporting period
 * Numerator Calculation: COUNT of clients with "HIV status"='HIV-positive' AND "HBsAg test date" in the reporting period AND "HBsAg test result"='HBsAg positive
 * Numerator Exclusions: 
 *
 * Denominator: Number of people living with HIV tested for HBsAg during the reporting period
 * Denominator Calculation: COUNT of clients with "HIV status"='HIV-positive' AND "HBsAg test date" in the reporting period
 * Denominator Exclusions: 
 *
 * Disaggregations:
 * • Gender (female, male, other*) 
 *  • Age (15–19, 20–24, 25–29, 30–49, 50+ years) 
 *  • HIV status (HIV-positive, HIV-negative, unknown status) 
 *  • Key populations (men who have sex with men, people living in prisons and other closed settings, people who inject drugs, sex workers, trans and gender diverse people)** 
 *  • Provider type (key population-led or community-led organization, public-sector provider, other entities such as private for-profit and not-for-profit organizations, including faith-based, international, nongovernmental) 
 *  • Cities and other administrative regions of epidemiologic importance
 *
 * Disaggregation Elements: Gender | Age | HIV status | Key population member type
 *
 * Numerator and Denominator Elements:
 * HBsAg test date 
 *  HBsAg test result 
 *  HIV status
 *
 * Reference: Consolidated guidelines on person-centred HIV strategic information: strengthening routine data for impact. Geneva: World Health Organization; 2022
 * 
 * Data Concepts:
 * HIV.A.DE17: Age | Calculated age (number of years) of the client based on date of birth
 * HIV.A.DE18: Gender* | Gender of the client*
 * HIV.A.DE19: Female | Client identifies as female
 * HIV.A.DE20: Male | Client identifies as male
 * HIV.A.DE21: Transgender male | Client identifies as transgender male
 * HIV.A.DE22: Transgender female | Client identifies as transgender female
 * HIV.A.DE23: Other | Additional category
 * HIV.B.DE50: Key population member type* | The type of key population that the client is included in
 * HIV.B.DE51: Sex worker | Client is a sex worker
 * HIV.B.DE52: Men who have sex with men | Client is a man who has sex with men
 * HIV.B.DE53: Trans and gender-diverse people | Client identifies as trans and gender-diverse
 * HIV.B.DE54: People who inject drugs | Client is a person who injects drugs
 * HIV.B.DE55: People living in prisons and other closed settings | Client lives in a prison or another closed setting
 * 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.DE161: HBsAg test date | Date client was tested for hepatitis B virus (HBV)
 * HIV.D.DE162: HBsAg test result | Hepatitis B virus test result (HBsAg)
 * HIV.D.DE163: Positive | HBsAg test result was positive
 * HIV.D.DE164: Negative | HBsAg test result was negative
 * HIV.D.DE165: Indeterminate | HBsAg test result was indeterminate
 * HIV.E.DE114: Key population member type* | The type of key population that the infant's mother is included in
 * HIV.E.DE115: Sex worker | Infant's mother is a sex worker
 * HIV.E.DE116: People who inject drugs | Infant's mother is a person who injects drugs
 * HIV.E.DE117: Trans and gender-diverse people | Infant's mother identifies as trans and gender-diverse
 * HIV.E.DE118: People living in prisons and other closed setting | Infant's mother is in a prison or closed setting
 * HIV.G.DE17: HBsAg test date | Date client was tested for hepatitis B virus (HBV)
 * HIV.G.DE18: HBsAg test result | Hepatitis B virus test result (HBsAg)
 * HIV.G.DE19: Positive | HBsAg test result was positive
 * HIV.G.DE20: Negative | HBsAg test result was negative
 * HIV.G.DE21: Indeterminate | HBsAg test result was indeterminate
 *
 * Additional Context
 * - what it measures: A: % of people attending HIV prevention services who were tested for HBsAg and had a positive HBsAg test result during the reporting period (laboratory-based test or rapid test) | B: % of people living with HIV who were tested for HBsAg and had a positive HBsAg test result during the reporting period (laboratory-based test or rapid test) | C: % of pregnant women who were tested for HBsAg and had a positive HBsAg test result during the reporting period (laboratory-based test or rapid test)
 * - rationale: • Testing for HBV identifies HIV and HBV co-infection so that HIV treatment regimens can be adjusted to treat chronic hepatitis B infection as well. | • The HBsAg positivity rate in ANC attendees can be used to monitor the prevalence of HBV in the population and give an indication of the HBV burden.
 * - method: Patient monitoring tools (electronic or paper), for example, hepatitis and HIV testing service records, lab registers, logbooks and reporting forms at facility and community levels, EMR/electronic information systems
 * 
 * Suggested Scoring Method: proportion | http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/proportion-measure-cqfm
 */

library HIVIND86Logic

// 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 people living with HIV who tested positive for HBsAg during the reporting period
 * Calculation: COUNT of clients with "HIV status"='HIV-positive' AND "HBsAg test date" in the reporting period AND "HBsAg test result"='HBsAg positive
 */

define "Numerator":
  true


/**
 * Denominator
 *
 * Definition: Number of people living with HIV tested for HBsAg during the reporting period
 * Calculation: COUNT of clients with "HIV status"='HIV-positive' AND "HBsAg test date" in 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.86 Logic
 * Ref No: HEP.3B
 * Short Name: HBsAg positivity, HIV-positive clients
 *
 * Definition: Percentage of people living with HIV who were tested for HBsAg and had a positive HBsAg test during the reporting period
 *
 * Numerator: Number of people living with HIV who tested positive for HBsAg during the reporting period
 * Numerator Calculation: COUNT of clients with &quot;HIV status&quot;='HIV-positive' AND &quot;HBsAg test date&quot; in the reporting period AND &quot;HBsAg test result&quot;='HBsAg positive
 * Numerator Exclusions: 
 *
 * Denominator: Number of people living with HIV tested for HBsAg during the reporting period
 * Denominator Calculation: COUNT of clients with &quot;HIV status&quot;='HIV-positive' AND &quot;HBsAg test date&quot; in the reporting period
 * Denominator Exclusions: 
 *
 * Disaggregations:
 * • Gender (female, male, other*) 
 *  • Age (15–19, 20–24, 25–29, 30–49, 50+ years) 
 *  • HIV status (HIV-positive, HIV-negative, unknown status) 
 *  • Key populations (men who have sex with men, people living in prisons and other closed settings, people who inject drugs, sex workers, trans and gender diverse people)** 
 *  • Provider type (key population-led or community-led organization, public-sector provider, other entities such as private for-profit and not-for-profit organizations, including faith-based, international, nongovernmental) 
 *  • Cities and other administrative regions of epidemiologic importance
 *
 * Disaggregation Elements: Gender | Age | HIV status | Key population member type
 *
 * Numerator and Denominator Elements:
 * HBsAg test date 
 *  HBsAg test result 
 *  HIV status
 *
 * Reference: Consolidated guidelines on person-centred HIV strategic information: strengthening routine data for impact. Geneva: World Health Organization; 2022
 * 
 * Data Concepts:
 * HIV.A.DE17: Age | Calculated age (number of years) of the client based on date of birth
 * HIV.A.DE18: Gender* | Gender of the client*
 * HIV.A.DE19: Female | Client identifies as female
 * HIV.A.DE20: Male | Client identifies as male
 * HIV.A.DE21: Transgender male | Client identifies as transgender male
 * HIV.A.DE22: Transgender female | Client identifies as transgender female
 * HIV.A.DE23: Other | Additional category
 * HIV.B.DE50: Key population member type* | The type of key population that the client is included in
 * HIV.B.DE51: Sex worker | Client is a sex worker
 * HIV.B.DE52: Men who have sex with men | Client is a man who has sex with men
 * HIV.B.DE53: Trans and gender-diverse people | Client identifies as trans and gender-diverse
 * HIV.B.DE54: People who inject drugs | Client is a person who injects drugs
 * HIV.B.DE55: People living in prisons and other closed settings | Client lives in a prison or another closed setting
 * 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.DE161: HBsAg test date | Date client was tested for hepatitis B virus (HBV)
 * HIV.D.DE162: HBsAg test result | Hepatitis B virus test result (HBsAg)
 * HIV.D.DE163: Positive | HBsAg test result was positive
 * HIV.D.DE164: Negative | HBsAg test result was negative
 * HIV.D.DE165: Indeterminate | HBsAg test result was indeterminate
 * HIV.E.DE114: Key population member type* | The type of key population that the infant's mother is included in
 * HIV.E.DE115: Sex worker | Infant's mother is a sex worker
 * HIV.E.DE116: People who inject drugs | Infant's mother is a person who injects drugs
 * HIV.E.DE117: Trans and gender-diverse people | Infant's mother identifies as trans and gender-diverse
 * HIV.E.DE118: People living in prisons and other closed setting | Infant's mother is in a prison or closed setting
 * HIV.G.DE17: HBsAg test date | Date client was tested for hepatitis B virus (HBV)
 * HIV.G.DE18: HBsAg test result | Hepatitis B virus test result (HBsAg)
 * HIV.G.DE19: Positive | HBsAg test result was positive
 * HIV.G.DE20: Negative | HBsAg test result was negative
 * HIV.G.DE21: Indeterminate | HBsAg test result was indeterminate
 *
 * Additional Context
 * - what it measures: A: % of people attending HIV prevention services who were tested for HBsAg and had a positive HBsAg test result during the reporting period (laboratory-based test or rapid test) | B: % of people living with HIV who were tested for HBsAg and had a positive HBsAg test result during the reporting period (laboratory-based test or rapid test) | C: % of pregnant women who were tested for HBsAg and had a positive HBsAg test result during the reporting period (laboratory-based test or rapid test)
 * - rationale: • Testing for HBV identifies HIV and HBV co-infection so that HIV treatment regimens can be adjusted to treat chronic hepatitis B infection as well. | • The HBsAg positivity rate in ANC attendees can be used to monitor the prevalence of HBV in the population and give an indication of the HBV burden.
 * - method: Patient monitoring tools (electronic or paper), for example, hepatitis and HIV testing service records, lab registers, logbooks and reporting forms at facility and community levels, EMR/electronic information systems
 * 
 * Suggested Scoring Method: proportion | http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/proportion-measure-cqfm
 */

library HIVIND86Logic</a:s>
      </a:s>
   </annotation>
   <identifier id="HIVIND86Logic" 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="78:1-78:26" 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="80:1-80:44" 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="81:1-81:35" 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="83:1-83:29" 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="86:1-86:88" 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="86:55-86:88" lowClosed="true" highClosed="true" xsi:type="Interval">
            <low localId="5" locator="86:64-86:74" 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="86:77-86:87" 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="86:32-86:45" xsi:type="IntervalTypeSpecifier">
            <pointType localId="8" locator="86:41-86:44" name="t:Date" xsi:type="NamedTypeSpecifier"/>
         </parameterTypeSpecifier>
      </def>
   </parameters>
   <contexts>
      <def locator="88:1-88:15" name="Patient"/>
   </contexts>
   <statements>
      <def locator="88:1-88:15" name="Patient" context="Patient">
         <expression xsi:type="SingletonFrom">
            <operand locator="88:1-88:15" dataType="fhir:Patient" templateId="http://hl7.org/fhir/StructureDefinition/Patient" xsi:type="Retrieve"/>
         </expression>
      </def>
      <def localId="12" locator="95:1-96:6" 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="96:3-96:6" valueType="t:Boolean" value="true" xsi:type="Literal"/>
      </def>
      <def localId="14" locator="105:1-106:6" name="Numerator" context="Patient" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:s r="14">
               <a:s r="13">/**
 * Numerator
 * 
 * Definition: Number of people living with HIV who tested positive for HBsAg during the reporting period
 * Calculation: COUNT of clients with &quot;HIV status&quot;='HIV-positive' AND &quot;HBsAg test date&quot; in the reporting period AND &quot;HBsAg test result&quot;='HBsAg positive
 */

define &quot;Numerator&quot;:
  true</a:s>
            </a:s>
         </annotation>
         <expression localId="13" locator="106:3-106:6" valueType="t:Boolean" value="true" xsi:type="Literal"/>
      </def>
      <def localId="16" locator="116:1-117:6" name="Denominator" context="Patient" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:s r="16">
               <a:s r="15">/**
 * Denominator
 *
 * Definition: Number of people living with HIV tested for HBsAg during the reporting period
 * Calculation: COUNT of clients with &quot;HIV status&quot;='HIV-positive' AND &quot;HBsAg test date&quot; in the reporting period
 */

define &quot;Denominator&quot;:
  true</a:s>
            </a:s>
         </annotation>
         <expression localId="15" locator="117:3-117:6" valueType="t:Boolean" value="true" xsi:type="Literal"/>
      </def>
   </statements>
</library>
"/>
  </content>
</Library>