0.1.0 - ci-build

HIVFHIRIG, published by intellisoftkenya. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/IntelliSOFT-Consulting/HIV-FHIR-IG/ and changes regularly. See the Directory of published versions

: HIV.IND.28 Total attrition from ART - XML Representation

Draft as of 2024-09-16

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<Measure xmlns="http://hl7.org/fhir">
  <id value="HIVIND28"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/proportion-measure-cqfm"/>
    <profile
             value="http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareablemeasure"/>
    <profile
             value="http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-publishablemeasure"/>
    <profile
             value="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm"/>
  </meta>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Measure HIVIND28</b></p><a name="HIVIND28"> </a><a name="hcHIVIND28"> </a><a name="HIVIND28-en-US"> </a><p><b>org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis</b>: boolean</p><p><b>org/fhir/us/cqfmeasures/StructureDefinition/cqfm-softwaresystem</b>: <a href="Device-cqf-tooling.html">Device: manufacturer = CQFramework; type = tooling</a></p><p><b>org/fhir/us/cqfmeasures/StructureDefinition/cqfm-effectiveDataRequirements</b>: <a href="#hcHIVIND28/effective-data-requirements">EffectiveDataRequirements</a></p><p><b>url</b>: <a href="Measure-HIVIND28.html">Measure HIV.IND.28 Total attrition from ART</a></p><p><b>version</b>: 0.1.0</p><p><b>name</b>: HIVIND28</p><p><b>title</b>: HIV.IND.28 Total attrition from ART</p><p><b>status</b>: Draft</p><p><b>experimental</b>: true</p><p><b>date</b>: 2024-09-16</p><p><b>publisher</b>: intellisoftkenya</p><p><b>contact</b>: intellisoftkenya: <a href="https://www.intellisoftkenya.com/">https://www.intellisoftkenya.com/</a></p><p><b>description</b>: </p><div><p>Number and % of people living with HIV on ART at the end of the last reporting period and those newly initiating ART during the current reporting period who were not on ART at the end of the current reporting period</p>
</div><p><b>library</b>: <a href="Library-HIVIND28Logic.html">HIV.IND.28 Logic</a></p><p><b>scoring</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/measure-scoring proportion}">Proportion</span></p><blockquote><p><b>group</b></p><blockquote><p><b>population</b></p><blockquote><p><b>id</b></p>HIV.IND.28.IP</blockquote><p><b>code</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/measure-population initial-population}">Initial Population</span></p><p><b>description</b>: Initial Population</p><h3>Criteria</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style="display: none">*</td><td>CQL</td><td>Initial Population</td></tr></table></blockquote><blockquote><p><b>population</b></p><blockquote><p><b>id</b></p>HIV.IND.28.DEN</blockquote><p><b>code</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/measure-population denominator}">Denominator</span></p><p><b>description</b>: Number of people reported on ART at the end of the last reporting period | plus | those newly initiated on ART during the current reporting period</p><h3>Criteria</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style="display: none">*</td><td>CQL</td><td>Denominator</td></tr></table></blockquote><blockquote><p><b>population</b></p><blockquote><p><b>id</b></p>HIV.IND.28.NUM</blockquote><p><b>code</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/measure-population numerator}">Numerator</span></p><p><b>description</b>: Number of people living with HIV reported on ART at the end of the last reporting period | plus | Number of people living with HIV newly initiated on ART during the current reporting period | minus | Total number of people living with HIV on ART at the end of the current reporting period</p><h3>Criteria</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style="display: none">*</td><td>CQL</td><td>Numerator</td></tr></table></blockquote><blockquote><p><b>stratifier</b></p><blockquote><p><b>id</b></p>HIV.IND.28.S</blockquote><h3>Criteria</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style="display: none">*</td><td>CQL</td><td>Stratification</td></tr></table></blockquote></blockquote></div>
  </text>
  <contained>
    <Library>
      <id value="effective-data-requirements"/>
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode">
        <valueCoding>
          <system value="http://smart.who.int/hiv/CodeSystem/HIVConcepts"/>
          <code value="HIV.A.DE20"/>
          <display value="Male"/>
        </valueCoding>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode">
        <valueCoding>
          <system value="http://smart.who.int/hiv/CodeSystem/HIVConcepts"/>
          <code value="HIV.A.DE19"/>
          <display value="Female"/>
        </valueCoding>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode">
        <valueCoding>
          <system value="http://smart.who.int/hiv/CodeSystem/HIVConcepts"/>
          <code value="HIV.A.DE22"/>
          <display value="Transgender female"/>
        </valueCoding>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode">
        <valueCoding>
          <system value="http://smart.who.int/hiv/CodeSystem/HIVConcepts"/>
          <code value="HIV.A.DE21"/>
          <display value="Transgender male"/>
        </valueCoding>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode">
        <valueCoding>
          <system value="http://smart.who.int/hiv/CodeSystem/HIVConcepts"/>
          <code value="HIV.A.DE23"/>
          <display value="Other"/>
        </valueCoding>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode">
        <valueCoding>
          <system value="http://smart.who.int/hiv/CodeSystem/HIVConcepts"/>
          <code value="HIV.B.DE49"/>
          <display value="Key population member*"/>
        </valueCoding>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode">
        <valueCoding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/observation-category"/>
          <code value="social-history"/>
          <display value="Social History"/>
        </valueCoding>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
        <extension url="libraryName">
          <valueString value="HIVIND28Logic"/>
        </extension>
        <extension url="name">
          <valueString value="Initial Population"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/*
 * As defined by Member State
 */
define &quot;Initial Population&quot;:
  true"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="0"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
        <extension url="libraryName">
          <valueString value="HIVIndicatorElements"/>
        </extension>
        <extension url="name">
          <valueString value="By Administrative Gender Stratifier"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/* End of Age */






/*
@dataElement: HIV.A.DE18 - Gender
@activity: HIV.A6.1 Review sociodemographic data with client | HIV.A5 Create new client record
@description: Gender of the client
*/

/*
 * By Administrative Gender of Patient Stratifier
 * Need to expand codes
 */

define &quot;By Administrative Gender Stratifier&quot;:
  case 
      when Patient.gender = 'male' then Concepts.&quot;Male&quot;
      when Patient.gender = 'female' then Concepts.&quot;Female&quot;
      when Patient.gender = 'transgender female' then Concepts.&quot;Transgender female&quot;
      when Patient.gender = 'transgender male' then Concepts.&quot;Transgender male&quot;
      else Concepts.&quot;Other - HIV.A.DE23&quot;
  end"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="1"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
        <extension url="libraryName">
          <valueString value="HIVIndicatorElements"/>
        </extension>
        <extension url="name">
          <valueString value="Age In Years"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/* End of Visit date A.DE3 */

/*
@dataElement: HIV.A.DE17 - Age
@activity: HIV.A6.1 Review sociodemographic data with client | HIV.A5 Create new client record
@description: Calculated age (number of years) of the client based on date of birth
*/
define &quot;Age In Years&quot;:
  AgeInYearsAt(start of &quot;Measurement Period&quot;)"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="2"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
        <extension url="libraryName">
          <valueString value="HIVIndicatorElements"/>
        </extension>
        <extension url="name">
          <valueString value="By Age Stratifier"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/*
 * By Age Stratifiers
 * (0–4, 5–9, 10–14, 15–19, 20–24, 25–29, 30–34, 35–39, 40–44, 45–49, 50+ years)
 * 
 */
define &quot;By Age Stratifier&quot;:
  case 
      when &quot;Age In Years&quot; &lt;= 4 then '0-4'
      when &quot;Age In Years&quot; &lt;= 9 then '5-9'
      when &quot;Age In Years&quot; &lt;= 14 then '10–14'
      when &quot;Age In Years&quot; &lt;= 19 then '15–19'
      when &quot;Age In Years&quot; &lt;= 24 then '20–24'
      when &quot;Age In Years&quot; &lt;= 29 then '25–29'
      when &quot;Age In Years&quot; &lt;= 34 then '30–34'
      when &quot;Age In Years&quot; &lt;= 39 then '35–39'
      when &quot;Age In Years&quot; &lt;= 44 then '40–44'
      when &quot;Age In Years&quot; &lt;= 49 then '45–49'
      when &quot;Age In Years&quot; &gt;= 50 then '50+'
      else null
  end"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="3"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
        <extension url="libraryName">
          <valueString value="HIVIndicatorElements"/>
        </extension>
        <extension url="name">
          <valueString value="By Geographic Region Stratifier"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="// Geographic Region
define &quot;By Geographic Region Stratifier&quot;:
    First(Patient.address A where A.use in { 'home' }).state"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="4"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
        <extension url="libraryName">
          <valueString value="HIVElements"/>
        </extension>
        <extension url="name">
          <valueString value="Key population member type Observation"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/* End of Key population member B.DE49 */

/*
@dataElement: HIV.B.DE50 - Key population member type
@activity: HIV.B6 Capture or update client history
@description: The type of key population that the client is included in
*/
define &quot;Key population member type Observation&quot;:
  [Observation: Concepts.&quot;Key population member - HIV.B.DE49&quot;] O
    where O.status in { 'final', 'amended', 'corrected' }
    and exists(O.category OC where OC ~ ConceptsCustom.&quot;social-history&quot;)"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="5"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
        <extension url="libraryName">
          <valueString value="HIVIndicatorElements"/>
        </extension>
        <extension url="name">
          <valueString value="Key population member type Observation"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="define &quot;Key population member type Observation&quot;:
  Elements.&quot;Key population member type Observation&quot; O
    where O.effective.toInterval() before end of &quot;Measurement Period&quot;
    or O.issued before end of &quot;Measurement Period&quot;"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="6"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
        <extension url="libraryName">
          <valueString value="HIVIndicatorElements"/>
        </extension>
        <extension url="name">
          <valueString value="patientGroups"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="// Stratifier
define patientGroups:
  &quot;Key population member type Observation&quot; O
  return Combine(O.code.coding.code, ':')"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="7"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
        <extension url="libraryName">
          <valueString value="HIVIndicatorElements"/>
        </extension>
        <extension url="name">
          <valueString value="Treatment outcome category"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="define &quot;Treatment outcome category&quot;:
  List&lt;String&gt;{
    if &quot;Is lost to follow-up&quot; then 'LTFU' else null,
    if &quot;Has transferred out&quot; then 'Transfer Out' else null,
    if &quot;Has death documented&quot; then 'Death' else null,
    if &quot;Refused stopped treatment&quot; then 'Stopped' else null,
    if &quot;On ART H.DE47&quot; then 'On ART' else null
  }"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="8"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
        <extension url="libraryName">
          <valueString value="HIVIND28Logic"/>
        </extension>
        <extension url="name">
          <valueString value="Stratification"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="define &quot;Stratification&quot;:
 HIE.&quot;By Administrative Gender Stratifier&quot;.code 
  + ':' + HIE.&quot;By Age Stratifier&quot;
+ ':' + HIE.&quot;By Geographic Region Stratifier&quot;
+ Combine(HIE.patientGroups, ':')
+ Combine(HIE.&quot;Treatment outcome category&quot;, ':')"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="9"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
        <extension url="libraryName">
          <valueString value="FHIRHelpers"/>
        </extension>
        <extension url="name">
          <valueString value="ToString"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="define function ToString(value AdministrativeGender): value.value"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="10"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
        <extension url="libraryName">
          <valueString value="FHIRHelpers"/>
        </extension>
        <extension url="name">
          <valueString value="ToString"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="define function ToString(value string): value.value"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="11"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
        <extension url="libraryName">
          <valueString value="FHIRHelpers"/>
        </extension>
        <extension url="name">
          <valueString value="ToString"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="define function ToString(value AddressUse): value.value"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="12"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
        <extension url="libraryName">
          <valueString value="FHIRHelpers"/>
        </extension>
        <extension url="name">
          <valueString value="ToString"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="define function ToString(value ObservationStatus): value.value"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="13"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
        <extension url="libraryName">
          <valueString value="FHIRHelpers"/>
        </extension>
        <extension url="name">
          <valueString value="ToConcept"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="define function ToConcept(concept FHIR.CodeableConcept):
    if concept is null then
        null
    else
        System.Concept {
            codes: concept.coding C return ToCode(C),
            display: concept.text.value
        }"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="14"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
        <extension url="libraryName">
          <valueString value="FHIRHelpers"/>
        </extension>
        <extension url="name">
          <valueString value="ToDateTime"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="define function ToDateTime(value instant): value.value"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="15"/>
        </extension>
      </extension>
      <name value="EffectiveDataRequirements"/>
      <status value="active"/>
      <type>
        <coding>
          <system value="http://terminology.hl7.org/CodeSystem/library-type"/>
          <code value="module-definition"/>
        </coding>
      </type>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Library HIE"/>
        <resource value="Library/HIVIndicatorElements"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Library FHIRHelpers"/>
        <resource value="Library/FHIRHelpers|4.0.1"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Library Concepts"/>
        <resource value="Library/HIVConcepts"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Library FHIRHelpers"/>
        <resource value="Library/FHIRHelpers|4.0.1"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Library Elements"/>
        <resource value="Library/HIVElements"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Library Concepts"/>
        <resource value="Library/HIVConcepts"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Library FHIRHelpers"/>
        <resource value="Library/FHIRHelpers|4.0.1"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Library ConceptsCustom"/>
        <resource value="Library/HIVConceptsCustom"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Library WC"/>
        <resource value="Library/WHOCommon"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Code system HIVConcepts"/>
        <resource value="http://smart.who.int/hiv/CodeSystem/HIVConcepts"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Code system ObservationCategoryCodes"/>
        <resource
                  value="http://terminology.hl7.org/CodeSystem/observation-category"/>
      </relatedArtifact>
      <parameter>
        <name value="Measurement Period"/>
        <use value="in"/>
        <min value="0"/>
        <max value="1"/>
        <type value="Period"/>
      </parameter>
      <parameter>
        <name value="Initial Population"/>
        <use value="out"/>
        <min value="0"/>
        <max value="1"/>
        <type value="boolean"/>
      </parameter>
      <parameter>
        <name value="Stratification"/>
        <use value="out"/>
        <min value="0"/>
        <max value="1"/>
        <type value="string"/>
      </parameter>
      <dataRequirement>
        <type value="Patient"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Patient"/>
      </dataRequirement>
      <dataRequirement>
        <type value="Patient"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Patient"/>
        <mustSupport value="use"/>
      </dataRequirement>
      <dataRequirement>
        <type value="Observation"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Observation"/>
        <mustSupport value="code"/>
        <mustSupport value="status"/>
        <mustSupport value="category"/>
        <codeFilter>
          <path value="code"/>
          <code>
            <system value="http://smart.who.int/hiv/CodeSystem/HIVConcepts"/>
            <code value="HIV.B.DE49"/>
            <display value="Key population member*"/>
          </code>
        </codeFilter>
      </dataRequirement>
      <dataRequirement>
        <type value="Observation"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Observation"/>
        <mustSupport value="code"/>
        <mustSupport value="status"/>
        <mustSupport value="category"/>
        <mustSupport value="effective"/>
        <mustSupport value="issued"/>
        <codeFilter>
          <path value="code"/>
          <code>
            <system value="http://smart.who.int/hiv/CodeSystem/HIVConcepts"/>
            <code value="HIV.B.DE49"/>
            <display value="Key population member*"/>
          </code>
        </codeFilter>
      </dataRequirement>
      <dataRequirement>
        <type value="Observation"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Observation"/>
        <mustSupport value="code"/>
        <mustSupport value="status"/>
        <mustSupport value="category"/>
        <mustSupport value="effective"/>
        <mustSupport value="issued"/>
        <mustSupport value="code.coding"/>
        <codeFilter>
          <path value="code"/>
          <code>
            <system value="http://smart.who.int/hiv/CodeSystem/HIVConcepts"/>
            <code value="HIV.B.DE49"/>
            <display value="Key population member*"/>
          </code>
        </codeFilter>
      </dataRequirement>
    </Library>
  </contained>
  <extension
             url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis">
    <valueCode value="boolean"/>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-softwaresystem">
    <valueReference>🔗 
      <reference value="Device/cqf-tooling"/>
    </valueReference>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-effectiveDataRequirements" id="effective-data-requirements">
    <valueReference>
      <reference value="#effective-data-requirements"/>
    </valueReference>
  </extension>
  <url value="http://smart.who.int/hiv/Measure/HIVIND28"/>
  <version value="0.1.0"/>
  <name value="HIVIND28"/>
  <title value="HIV.IND.28 Total attrition from ART"/>
  <status value="draft"/>
  <experimental value="true"/>
  <date value="2024-09-16"/>
  <publisher value="intellisoftkenya"/>
  <contact>
    <name value="intellisoftkenya"/>
    <telecom>
      <system value="url"/>
      <value value="https://www.intellisoftkenya.com/"/>
    </telecom>
  </contact>
  <description
               value="Number and % of people living with HIV on ART at the end of the last reporting period and those newly initiating ART during the current reporting period who were not on ART at the end of the current reporting period"/>
  <library value="http://smart.who.int/hiv/Library/HIVIND28Logic"/>
  <scoring>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/measure-scoring"/>
      <code value="proportion"/>
      <display value="Proportion"/>
    </coding>
  </scoring>
  <group>
    <population id="HIV.IND.28.IP">
      <code>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/measure-population"/>
          <code value="initial-population"/>
          <display value="Initial Population"/>
        </coding>
      </code>
      <description value="Initial Population"/>
      <criteria>
        <language value="text/cql"/>
        <expression value="Initial Population"/>
      </criteria>
    </population>
    <population id="HIV.IND.28.DEN">
      <code>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/measure-population"/>
          <code value="denominator"/>
          <display value="Denominator"/>
        </coding>
      </code>
      <description
                   value="Number of people reported on ART at the end of the last reporting period | plus | those newly initiated on ART during the current reporting period"/>
      <criteria>
        <language value="text/cql"/>
        <expression value="Denominator"/>
      </criteria>
    </population>
    <population id="HIV.IND.28.NUM">
      <code>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/measure-population"/>
          <code value="numerator"/>
          <display value="Numerator"/>
        </coding>
      </code>
      <description
                   value="Number of people living with HIV reported on ART at the end of the last reporting period | plus | Number of people living with HIV newly initiated on ART during the current reporting period | minus | Total number of people living with HIV on ART at the end of the current reporting period"/>
      <criteria>
        <language value="text/cql"/>
        <expression value="Numerator"/>
      </criteria>
    </population>
    <stratifier id="HIV.IND.28.S">
      <criteria>
        <language value="text/cql"/>
        <expression value="Stratification"/>
      </criteria>
    </stratifier>
  </group>
</Measure>