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

• Narrative Content
• XML
• JSON
• TTL

: HIV.IND.30 New ART patients - XML Representation

Draft as of 2024-09-16

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<Measure xmlns="http://hl7.org/fhir">
  <id value="HIVIND30"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cv-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 HIVIND30</b></p><a name="HIVIND30"> </a><a name="hcHIVIND30"> </a><a name="HIVIND30-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="#hcHIVIND30/effective-data-requirements">EffectiveDataRequirements</a></p><p><b>url</b>: <a href="Measure-HIVIND30.html">Measure HIV.IND.30 New ART patients</a></p><p><b>version</b>: 0.1.0</p><p><b>name</b>: HIVIND30</p><p><b>title</b>: HIV.IND.30 New ART patients</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 of people living with HIV who initiated ART</p>
</div><p><b>library</b>: <a href="Library-HIVIND30Logic.html">HIV.IND.30 Logic</a></p><p><b>scoring</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/measure-scoring continuous-variable}">Continuous Variable</span></p><blockquote><p><b>group</b></p><blockquote><p><b>population</b></p><blockquote><p><b>id</b></p>HIV.IND.30.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.30.MP</blockquote><p><b>org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis</b>: boolean</p><p><b>code</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/measure-population measure-population}">Measure Population</span></p><p><b>description</b>: Measure 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>Measure Population</td></tr></table></blockquote><blockquote><p><b>population</b></p><blockquote><p><b>id</b></p>HIV.IND.30.MO</blockquote><p><b>org/fhir/us/cqfmeasures/StructureDefinition/cqfm-criteriaReference</b>: measure-population</p><p><b>org/fhir/us/cqfmeasures/StructureDefinition/cqfm-aggregateMethod</b>: count</p><p><b>code</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/measure-population measure-observation}">Measure Observation</span></p><p><b>description</b>: Measure Observation</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>Measure Observation</td></tr></table></blockquote><blockquote><p><b>stratifier</b></p><blockquote><p><b>id</b></p>HIV.IND.30.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-directReferenceCode">
        <valueCoding>
          <system value="http://smart.who.int/hiv/CodeSystem/HIVConcepts"/>
          <code value="HIV.B.DE116"/>
          <display value="HIV-positive"/>
        </valueCoding>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode">
        <valueCoding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
          <code value="active"/>
        </valueCoding>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode">
        <valueCoding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/condition-category"/>
          <code value="encounter-diagnosis"/>
          <display value="Encounter Diagnosis"/>
        </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.DE115"/>
          <display value="HIV status"/>
        </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.D.DE38"/>
          <display value="On ART"/>
        </valueCoding>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
        <extension url="libraryName">
          <valueString value="HIVIND30Logic"/>
        </extension>
        <extension url="name">
          <valueString value="Initial Population"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/*
 * As defined by Member States
 */
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="HIVIND30Logic"/>
        </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, ':')"/>
        </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="HIVElements"/>
        </extension>
        <extension url="name">
          <valueString value="HIV Status Positive Condition"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="define &quot;HIV Status Positive Condition&quot;:
  [Condition: Concepts.&quot;HIV-positive - HIV.B.DE116&quot;] C
    where C.clinicalStatus ~ ConceptsCustom.&quot;active&quot;
      and exists(C.category CC where CC ~ ConceptsCustom.&quot;encounter-diagnosis&quot;)
    sort by start of onset.toInterval()"/>
        </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="HIVIndicatorElements"/>
        </extension>
        <extension url="name">
          <valueString value="HIV Status Positive Condition"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="define &quot;HIV Status Positive Condition&quot;:
  Elements.&quot;HIV Status Positive Condition&quot; C
  where C.onset before end of &quot;Measurement Period&quot;"/>
        </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="HIVElements"/>
        </extension>
        <extension url="name">
          <valueString value="HIV Status Observation"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/* End of HIV-inconclusive */

/*
@dataElement: HIV.B.DE115 - HIV status
@activity: HIV.B7 Test for HIV using testing algorithm
@description: HIV status reported after applying the national HIV testing algorithm. No single HIV test can provide an HIV-positive diagnosis.
*/
define &quot;HIV Status Observation&quot;:
  [Observation: Concepts.&quot;HIV status&quot;] O
    where O.status in { 'final', 'amended', 'corrected' }"/>
        </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="HIVElements"/>
        </extension>
        <extension url="name">
          <valueString value="HIV Status Positive Observation"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="define &quot;HIV Status Positive Observation&quot;:
&quot;HIV Status Observation&quot; O
    where O.value ~ Concepts.&quot;HIV-positive - HIV.B.DE116&quot;
      sort by start of effective.toInterval()"/>
        </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="HIVIndicatorElements"/>
        </extension>
        <extension url="name">
          <valueString value="HIV Status Positive Observation"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="define &quot;HIV Status Positive Observation&quot;:
  Elements.&quot;HIV Status Positive Observation&quot; O
  where O.issued before end of &quot;Measurement Period&quot;
  or O.effective.toInterval() starts before end of &quot;Measurement Period&quot;"/>
        </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="HIVIndicatorElements"/>
        </extension>
        <extension url="name">
          <valueString value="Has HIV-positive Status"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="define &quot;Has HIV-positive Status&quot;:
  exists &quot;HIV Status Positive Condition&quot;
  or exists &quot;HIV Status Positive Observation&quot;"/>
        </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="HIVElements"/>
        </extension>
        <extension url="name">
          <valueString value="On ART D.DE38"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/* End of Serodiscordant partner D.DE37 */

/*
@dataElement: HIV.D.DE38 - On ART
@activity: HIV.D8 Capture or update client history
@description: Client is currently taking ART
*/

define &quot;On ART D.DE38&quot;:
    [MedicationStatement] MS
    where exists(MS.reasonCode C where C ~ Concepts.&quot;On ART - HIV.D.DE38&quot;)
    sort by start of effective.toInterval()"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="15"/>
        </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="First On ART"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="define &quot;First On ART&quot;:
  (First(&quot;On ART D.DE38&quot;))"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="16"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
        <extension url="libraryName">
          <valueString value="HIVIND30Logic"/>
        </extension>
        <extension url="name">
          <valueString value="Measure Population"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="define &quot;Measure Population&quot;:
  HIE.&quot;Has HIV-positive Status&quot; 
   and (date from start of HE.&quot;First On ART&quot;.effective.toInterval() during &quot;Measurement Period&quot;)"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="17"/>
        </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="18"/>
        </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="19"/>
        </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="20"/>
        </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="21"/>
        </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="22"/>
        </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="23"/>
        </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 dateTime): value.value"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="24"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
        <extension url="libraryName">
          <valueString value="HIVIND30Logic"/>
        </extension>
        <extension url="name">
          <valueString value="Measure Observation"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="/*
 * NOTE: Modeled as a Continuous Variable measure because this is an estimated denominator proportion measure
 */

define function &quot;Measure Observation&quot;(Patient &quot;Patient&quot;):
  1"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="25"/>
        </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="Library WC"/>
        <resource value="Library/WHOCommon"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Library WCom"/>
        <resource value="Library/WHOCommon"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Library HE"/>
        <resource value="Library/HIVElements"/>
      </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>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Code system ConditionClinicalStatusCodes"/>
        <resource
                  value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Code system ConditionCategoryCodes"/>
        <resource
                  value="http://terminology.hl7.org/CodeSystem/condition-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>
      <parameter>
        <name value="Measure Population"/>
        <use value="out"/>
        <min value="0"/>
        <max value="1"/>
        <type value="boolean"/>
      </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>
      <dataRequirement>
        <type value="Condition"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Condition"/>
        <mustSupport value="code"/>
        <mustSupport value="clinicalStatus"/>
        <mustSupport value="category"/>
        <codeFilter>
          <path value="code"/>
          <code>
            <system value="http://smart.who.int/hiv/CodeSystem/HIVConcepts"/>
            <code value="HIV.B.DE116"/>
            <display value="HIV-positive"/>
          </code>
        </codeFilter>
      </dataRequirement>
      <dataRequirement>
        <type value="Condition"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Condition"/>
        <mustSupport value="code"/>
        <mustSupport value="clinicalStatus"/>
        <mustSupport value="category"/>
        <mustSupport value="onset"/>
        <codeFilter>
          <path value="code"/>
          <code>
            <system value="http://smart.who.int/hiv/CodeSystem/HIVConcepts"/>
            <code value="HIV.B.DE116"/>
            <display value="HIV-positive"/>
          </code>
        </codeFilter>
      </dataRequirement>
      <dataRequirement>
        <type value="Observation"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Observation"/>
        <mustSupport value="code"/>
        <mustSupport value="status"/>
        <codeFilter>
          <path value="code"/>
          <code>
            <system value="http://smart.who.int/hiv/CodeSystem/HIVConcepts"/>
            <code value="HIV.B.DE115"/>
            <display value="HIV status"/>
          </code>
        </codeFilter>
      </dataRequirement>
      <dataRequirement>
        <type value="Observation"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Observation"/>
        <mustSupport value="code"/>
        <mustSupport value="status"/>
        <mustSupport value="value"/>
        <codeFilter>
          <path value="code"/>
          <code>
            <system value="http://smart.who.int/hiv/CodeSystem/HIVConcepts"/>
            <code value="HIV.B.DE115"/>
            <display value="HIV status"/>
          </code>
        </codeFilter>
      </dataRequirement>
      <dataRequirement>
        <type value="Observation"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Observation"/>
        <mustSupport value="code"/>
        <mustSupport value="status"/>
        <mustSupport value="value"/>
        <mustSupport value="issued"/>
        <mustSupport value="effective"/>
        <codeFilter>
          <path value="code"/>
          <code>
            <system value="http://smart.who.int/hiv/CodeSystem/HIVConcepts"/>
            <code value="HIV.B.DE115"/>
            <display value="HIV status"/>
          </code>
        </codeFilter>
      </dataRequirement>
      <dataRequirement>
        <type value="MedicationStatement"/>
        <profile
                 value="http://hl7.org/fhir/StructureDefinition/MedicationStatement"/>
        <mustSupport value="reasonCode"/>
      </dataRequirement>
      <dataRequirement>
        <type value="MedicationStatement"/>
        <profile
                 value="http://hl7.org/fhir/StructureDefinition/MedicationStatement"/>
        <mustSupport value="reasonCode"/>
      </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/HIVIND30"/>
  <version value="0.1.0"/>
  <name value="HIVIND30"/>
  <title value="HIV.IND.30 New ART patients"/>
  <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 of people living with HIV who initiated ART"/>
  <library value="http://smart.who.int/hiv/Library/HIVIND30Logic"/>
  <scoring>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/measure-scoring"/>
      <code value="continuous-variable"/>
      <display value="Continuous Variable"/>
    </coding>
  </scoring>
  <group>
    <population id="HIV.IND.30.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.30.MP">
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis">
        <valueCode value="boolean"/>
      </extension>
      <code>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/measure-population"/>
          <code value="measure-population"/>
          <display value="Measure Population"/>
        </coding>
      </code>
      <description value="Measure Population"/>
      <criteria>
        <language value="text/cql"/>
        <expression value="Measure Population"/>
      </criteria>
    </population>
    <population id="HIV.IND.30.MO">
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-criteriaReference">
        <valueString value="measure-population"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-aggregateMethod">
        <valueCode value="count"/>
      </extension>
      <code>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/measure-population"/>
          <code value="measure-observation"/>
          <display value="Measure Observation"/>
        </coding>
      </code>
      <description value="Measure Observation"/>
      <criteria>
        <language value="text/cql"/>
        <expression value="Measure Observation"/>
      </criteria>
    </population>
    <stratifier id="HIV.IND.30.S">
      <criteria>
        <language value="text/cql"/>
        <expression value="Stratification"/>
      </criteria>
    </stratifier>
  </group>
</Measure>