<?xml version="1.0" encoding="UTF-8"?>

<Measure xmlns="http://hl7.org/fhir">
  <id value="CXCAIND04"/>
  <text>
    <status value="extensions"/><div xmlns="http://www.w3.org/1999/xhtml">
  <table class="narrative-table">
    <tbody>
<tr>

<th colspan="2" scope="row" class="row-header">Knowledge Artifact Metadata</th>

</tr>

<tr>

<th scope="row" class="row-header">Name (machine-readable)</th>

<td class="content-container">CXCAIND04</td>
</tr>


<tr>

<th scope="row" class="row-header">Title (human-readable)</th>

<td class="content-container">CXCA.IND.04 — Cervical Cancer Screening Coverage at Age 45</td>
</tr>



<tr>

<th scope="row" class="row-header">Status</th>

<td class="content-container">Draft</td>
</tr>


<tr>

<th scope="row" class="row-header">Experimental</th>

<td class="content-container">false</td>
</tr>


<tr>

<th scope="row" class="row-header">Description</th>

<td class="content-container"><div><p>Proportion of women aged 45 in the measurement period who received HPV high-risk DNA screening during the period. Companion to CXCAIND01 (age 35); per A/641 section 2.2 the binding HPV ages are 35 and 45 and coverage should be reported separately at each.</p>
</div></td>
</tr>












<tr>

<th scope="row" class="row-header">Measure Steward</th>

<td class="content-container">Dan Heslinga (independent contributor)</td>
</tr>


<tr>

<th scope="row" class="row-header">Steward Contact Details</th>

<td class="content-container">Dan Heslinga (independent contributor): <a href="https://github.com/dhes">https://github.com/dhes</a></td>
</tr>











<tr>

<th colspan="2" scope="row" class="row-header">Measure Metadata</th>

</tr>






<tr>

<th scope="row" class="row-header">Version Number</th>

<td class="content-container">0.0.1</td>
</tr>


<tr>

<th scope="row" class="row-header">Measure Scoring</th>

<td class="content-container"><span title="Codes:{http://terminology.hl7.org/CodeSystem/measure-scoring proportion}">Proportion</span></td>
</tr>















  
    <tr>

<th colspan="2" scope="row" class="row-header">Measure Population Criteria</th>

</tr>
  
  
  
  
    <tr>
      
        
          
            
<th scope="row" class="row-header">Initial Population</th>

          
          
          
          
          
          
          
          
          
        
      
      <td class="content-container">
        
        
          <em>Description</em>: No description provided
        
        
          
            
            <em>Logic Definition</em>: <a href="#cxcaind04logic-initial-population">Initial Population</a> 
          
        
      </td>
    </tr>
  

  
    <tr>
      
        
          
          
          
          
            
<th scope="row" class="row-header">Denominator</th>

          
          
          
          
          
          
        
      
      <td class="content-container">
        
        
          <em>Description</em>: No description provided
        
        
          
            
            <em>Logic Definition</em>: <a href="#cxcaind04logic-denominator">Denominator</a> 
          
        
      </td>
    </tr>
  

  
    <tr>
      
        
          
          
            
<th scope="row" class="row-header">Numerator</th>

          
          
          
          
          
          
          
          
        
      
      <td class="content-container">
        
        
          <em>Description</em>: No description provided
        
        
          
            
            <em>Logic Definition</em>: <a href="#cxcaind04logic-numerator">Numerator</a> 
          
        
      </td>
    </tr>
  

  
  













<tr>

<th colspan="2" scope="row" class="row-header">Measure Logic</th>

</tr>

<tr>

<th scope="row" class="row-header">Primary Library</th>

<td class="content-container"><a href="Library-CXCAIND04Logic.html">CXCAIND04Logic</a></td>
</tr>




  
  

<tr>
  
  
  
  
  
<th scope="row" class="row-header">Dependency</th>

  
  <td class="content-container">
    
    <em>Description</em>: FHIR model information
    
    <br/>
    
    
    
    
    
    
    <em>Resource</em>: <a href="http://fhir.org/guides/cqf/common/4.0.1/4.0.1/Library-FHIR-ModelInfo.html">http://fhir.org/guides/cqf/common/Library/FHIR-ModelInfo|4.0.1</a>
    <br/>
    <em>Canonical URL</em>: <tt>http://fhir.org/guides/cqf/common/Library/FHIR-ModelInfo|4.0.1</tt>
    
  </td>
</tr>


  
  
  <tr>
  
<th scope="row" class="row-header">Parameter</th>

  <td class="content-container">
    <em>Name</em>: Numerator
    <br/>
    <em>Use</em>: Out
    <br/>
    <em>Min Cardinality</em>: 0
    <br/>
    <em>Max Cardinality</em>: 1
    <br/>
    <em>Type</em>: boolean
  </td>
</tr>
  
  <tr>
  
<th scope="row" class="row-header">Parameter</th>

  <td class="content-container">
    <em>Name</em>: Denominator
    <br/>
    <em>Use</em>: Out
    <br/>
    <em>Min Cardinality</em>: 0
    <br/>
    <em>Max Cardinality</em>: 1
    <br/>
    <em>Type</em>: boolean
  </td>
</tr>
  
  <tr>
  
<th scope="row" class="row-header">Parameter</th>

  <td class="content-container">
    <em>Name</em>: Initial Population
    <br/>
    <em>Use</em>: Out
    <br/>
    <em>Min Cardinality</em>: 0
    <br/>
    <em>Max Cardinality</em>: 1
    <br/>
    <em>Type</em>: boolean
  </td>
</tr>
  
  
  
  
  <tr>

<th colspan="2" scope="row" class="row-header">Measure Logic Definitions</th>

</tr>
  
          
<tr>
  <th scope="row" rowspan="2" class="row-header">
    
      
      <a name="cxcaind04logic-numerator"> </a>
    
    Logic Definition
  </th>

  <td class="content-container"><em>Library Name:</em> CXCAIND04Logic</td>

</tr>
<tr>

  <td>
    <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define &quot;Numerator&quot;: true</code></pre>
  </td>

</tr>
        
<tr>
  <th scope="row" rowspan="2" class="row-header">
    
      
      <a name="cxcaind04logic-denominator"> </a>
    
    Logic Definition
  </th>

  <td class="content-container"><em>Library Name:</em> CXCAIND04Logic</td>

</tr>
<tr>

  <td>
    <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define &quot;Denominator&quot;: true</code></pre>
  </td>

</tr>
        
<tr>
  <th scope="row" rowspan="2" class="row-header">
    
      
      <a name="cxcaind04logic-initial-population"> </a>
    
    Logic Definition
  </th>

  <td class="content-container"><em>Library Name:</em> CXCAIND04Logic</td>

</tr>
<tr>

  <td>
    <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define &quot;Initial Population&quot;: true</code></pre>
  </td>

</tr>

  

<tr>
  <th colspan="2" scope="row" class="row-header">Generated using version 0.4.6 of the sample-content-ig Liquid templates</th>
</tr>
    </tbody>
  </table>
</div>
  </text>
  <contained>
    <Library>
      <id value="effective-data-requirements"/>
      <extension url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="CXCAIND04Logic"/>
        </extension>
        <extension url="name">
          <valueString value="Numerator"/>
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        <extension url="statement">
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      <extension url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="CXCAIND04Logic"/>
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        <extension url="statement">
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      <extension url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="CXCAIND04Logic"/>
        </extension>
        <extension url="name">
          <valueString value="Initial Population"/>
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        <extension url="statement">
          <valueString value="define &quot;Initial Population&quot;: true"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="2"/>
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      <name value="EffectiveDataRequirements"/>
      <status value="active"/>
      <type>
        <coding>
          <system value="http://terminology.hl7.org/CodeSystem/library-type"/>
          <code value="module-definition"/>
        </coding>
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      <relatedArtifact>
        <type value="depends-on"/>
        <display value="FHIR model information"/>
        <resource value="http://fhir.org/guides/cqf/common/Library/FHIR-ModelInfo|4.0.1"/>
      </relatedArtifact>
      <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>
      <parameter>
        <name value="Initial Population"/>
        <use value="out"/>
        <min value="0"/>
        <max value="1"/>
        <type value="boolean"/>
      </parameter>
    </Library>
  </contained>
  <extension url="http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-effectiveDataRequirements">
    <valueCanonical value="#effective-data-requirements"/>
  </extension>
  <url value="http://smart.who.int/cxca/Measure/CXCAIND04"/>
  <version value="0.0.1"/>
  <name value="CXCAIND04"/>
  <title value="CXCA.IND.04 — Cervical Cancer Screening Coverage at Age 45"/>
  <status value="draft"/>
  <experimental value="false"/>
  <date value="2026-05-14T00:50:23+00:00"/>
  <publisher value="Dan Heslinga (independent contributor)"/>
  <contact>
    <name value="Dan Heslinga (independent contributor)"/>
    <telecom>
      <system value="url"/>
      <value value="https://github.com/dhes"/>
    </telecom>
  </contact>
  <description value="Proportion of women aged 45 in the measurement period who received HPV high-risk DNA screening during the period. Companion to CXCAIND01 (age 35); per A/641 section 2.2 the binding HPV ages are 35 and 45 and coverage should be reported separately at each."/>
  <library value="http://smart.who.int/cxca/Library/CXCAIND04Logic"/>
  <scoring>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/measure-scoring"/>
      <code value="proportion"/>
    </coding>
  </scoring>
  <group>
    <population>
      <code>
        <coding>
          <system value="http://terminology.hl7.org/CodeSystem/measure-population"/>
          <code value="initial-population"/>
        </coding>
      </code>
      <criteria>
        <language value="text/cql-identifier"/>
        <expression value="Initial Population"/>
      </criteria>
    </population>
    <population>
      <code>
        <coding>
          <system value="http://terminology.hl7.org/CodeSystem/measure-population"/>
          <code value="denominator"/>
        </coding>
      </code>
      <criteria>
        <language value="text/cql-identifier"/>
        <expression value="Denominator"/>
      </criteria>
    </population>
    <population>
      <code>
        <coding>
          <system value="http://terminology.hl7.org/CodeSystem/measure-population"/>
          <code value="numerator"/>
        </coding>
      </code>
      <criteria>
        <language value="text/cql-identifier"/>
        <expression value="Numerator"/>
      </criteria>
    </population>
  </group>
</Measure>