| HIVIND61 |
| HIV.IND.61 Syphilis testing coverage, pregnant women, any ANC visit |
| Draft |
| true |
% of pregnant women who were tested for syphilis on any ANC visit during the reporting period
|
| WHO |
| WHO: http://who.int |
| 0.4.4 |
| Proportion |
| Increased score indicates improvement |
| boolean |
ID: HIV.IND.61.IP
Description:
Initial Population
Logic Definition: Initial Population
|
ID: HIV.IND.61.DEN
Description:
Number of pregnant women attending ANC services
Logic Definition: Denominator
|
ID: HIV.IND.61.NUM
Description:
Number of pregnant women tested for syphilis while attending any ANC services
Logic Definition: Numerator
|
|
ID: HIV.IND.61.S
|
| HIV.IND.61 Logic |
Description: FHIR model information
Resource: http://fhir.org/guides/cqf/common/Library/FHIR-ModelInfo|4.0.1
Canonical URL: http://fhir.org/guides/cqf/common/Library/FHIR-ModelInfo|4.0.1
|
Description: Library HIE
Resource: HIVIndicatorElements
Canonical URL: http://smart.who.int/hiv/Library/HIVIndicatorElements
|
Description: Library Elements
Resource: HIVElements
Canonical URL: http://smart.who.int/hiv/Library/HIVElements
|
Description: Library FHIRHelpers
Resource: http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1
Canonical URL: http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1
|
Description: Library ConceptsCustom
Resource: http://smart.who.int/hiv/Library/HIVConceptsCustom|0.0.1
Canonical URL: http://smart.who.int/hiv/Library/HIVConceptsCustom|0.0.1
|
Description: Library WC
Resource: WHOCommon
Canonical URL: http://smart.who.int/hiv/Library/WHOCommon
|
Description: Library Concepts
Resource: http://smart.who.int/hiv/Library/HIVConcepts|0.0.2
Canonical URL: http://smart.who.int/hiv/Library/HIVConcepts|0.0.2
|
Description: Code system missing concepts
Resource: https://worldhealthorganization.github.io/smart-hiv/CodeSystem/missing-concepts
Canonical URL: https://worldhealthorganization.github.io/smart-hiv/CodeSystem/missing-concepts
|
Description: Code system ConditionClinicalStatusCodes
Resource: Condition Clinical Status Codes
Canonical URL: http://terminology.hl7.org/CodeSystem/condition-clinical
|
Description: Code system HIVConcepts
Resource: WHO SMART HIV Concepts CodeSystem
Canonical URL: http://smart.who.int/hiv/CodeSystem/HIVConcepts
|
Description: Code system ConditionCategoryCodes
Resource: Condition Category Codes
Canonical URL: http://terminology.hl7.org/CodeSystem/condition-category
|
Code: Antenatal care contact
System: https://worldhealthorganization.github.io/smart-hiv/CodeSystem/missing-concepts
|
Code: active
System: http://terminology.hl7.org/CodeSystem/condition-clinical
|
Code: recurrence
System: http://terminology.hl7.org/CodeSystem/condition-clinical
|
Code: relapse
System: http://terminology.hl7.org/CodeSystem/condition-clinical
|
Display: Currently pregnant
Code: HIV.B.DE29
System: http://smart.who.int/hiv/CodeSystem/HIVConcepts
|
Code: syphilis test
System: https://worldhealthorganization.github.io/smart-hiv/CodeSystem/missing-concepts
|
Display: HIV-positive
Code: HIV.B.DE116
System: http://smart.who.int/hiv/CodeSystem/HIVConcepts
|
Display: Encounter Diagnosis
Code: encounter-diagnosis
System: http://terminology.hl7.org/CodeSystem/condition-category
|
Display: HIV status
Code: HIV.B.DE115
System: http://smart.who.int/hiv/CodeSystem/HIVConcepts
|
Display: HIV-negative
Code: HIV.B.DE117
System: http://smart.who.int/hiv/CodeSystem/HIVConcepts
|
Display: Unknown
Code: HIV.B.DE118
System: http://smart.who.int/hiv/CodeSystem/HIVConcepts
|
Name: Measurement Period
Use: In
Min Cardinality: 0
Max Cardinality: 1
Type: Period
|
Name: Numerator
Use: Out
Min Cardinality: 0
Max Cardinality: 1
Type: boolean
|
Name: Denominator
Use: Out
Min Cardinality: 0
Max Cardinality: 1
Type: boolean
|
Name: Initial Population
Use: Out
Min Cardinality: 0
Max Cardinality: 1
Type: boolean
|
Name: Stratification
Use: Out
Min Cardinality: 0
Max Cardinality: 1
Type: string
|
Type: Encounter
Profile(s):
Encounter
Must Support Elements: type, period
|
Type: Patient
Profile(s):
Patient
Must Support Elements: use
|
Type: Condition
Profile(s):
Condition
Must Support Elements: code
Code Filter(s):
Path: code
Code:
|
Type: Condition
Profile(s):
Condition
Must Support Elements: code, clinicalStatus, category, onset
Code Filter(s):
Path: code
Code:
|
Type: Procedure
Profile(s):
Procedure
Must Support Elements: status, code, performed
|
Type: Observation
Profile(s):
Observation
Must Support Elements: code, status, value, issued, effective
Code Filter(s):
Path: code
Code:
|
| Library Name: HIVElements |
/* End of Other E.DE70 */
/*
@dataElement: HIV.E.DE85 - ANC contact date
@activity: HIV.E1 Capture or update mother's history
@description: The date and time of the client's ANC contact (in the ANC DAK this is called 'Contact date')
*/
define "Antenatal care contact":
[Encounter] E
where E.type.coding.code contains ConceptsCustom."Antenatal care contact".code
|
| Library Name: HIVElements |
/* End of Facility-level testing */
/*
@dataElement: HIV.B.DE29 - Currently pregnant
@activity: HIV.B6 Capture or update client history
@description: Client is currently pregnant
*/
define "Currently pregnant B.DE29":
[Condition: Concepts."Currently pregnant - HIV.B.DE29"] C
sort by start of prevalenceInterval()
|
| Library Name: HIVIndicatorElements |
/* End of Facility-level testing */
/*
@dataElement: HIV.B.DE29 - Currently pregnant
@activity: HIV.B6 Capture or update client history
@description: Client is currently pregnant
*/
define "Currently pregnant B.DE29":
Elements."Currently pregnant B.DE29" C
where C.prevalenceInterval() during "Measurement Period"
|
| Library Name: HIVIndicatorElements |
define "ANC within pregnancy within measurement period":
Elements."Antenatal care contact" E
where E.period.toInterval() during First("Currently pregnant B.DE29").prevalenceInterval()
and E.period.toInterval() during "Measurement Period"
|
| Library Name: HIVElements |
/* End of Any STI syndrome diagnosed B.DE235 */
/*
@dataElement: HIV.B.DE249 - Syphilis test date
@activity: HIV.B23 Offer sexual and reproductive health services
@description: Date of syphilis test
*/
define "Syphilis test date B.DE249":
[Procedure] P
where P.status = 'completed'
and P.code ~ ConceptsCustom."syphilis test"
|
| Library Name: HIVIndicatorElements |
define "ANC within pregnancy dates":
Elements."Antenatal care contact" E
where E.period.toInterval() during First("Currently pregnant B.DE29").prevalenceInterval()
return E.period.toInterval()
|
| Library Name: HIVIndicatorElements |
define "all anc dates":
flatten{"ANC within pregnancy dates"}
|
| Library Name: HIVIND61Logic |
/**
* Numerator
*
* Definition: Number of pregnant women tested for syphilis while attending any ANC services
* Calculation: COUNT of pregnant women with "ANC contact date" in reporting period AND "Syphilis test date" on ANY "ANC contact date" for this pregnancy
*/
define "Numerator":
exists(HIE."ANC within pregnancy within measurement period")
and exists(HE."Syphilis test date B.DE249" P
where exists(HIE."all anc dates" t where duration in days of (t intersect P.performed.toInterval()) > 0)
)
|
| Library Name: HIVIND61Logic |
/**
* Denominator
*
* Definition: Number of pregnant women attending ANC services
* Calculation: COUNT of pregnant women with "ANC contact date" in reporting period
*/
define "Denominator":
exists(HIE."ANC within pregnancy within measurement period")
|
| Library Name: HIVIND61Logic |
/* Populations */
/*
*Initial Population
*/
define "Initial Population":
true
|
| Library Name: HIVIndicatorElements |
/* 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 "Age In Years":
AgeInYearsAt(start of "Measurement Period")
|
| Library Name: HIVIndicatorElements |
define "By Age Stratifier 9":
case
when "Age In Years" >= 15 and "Age In Years"<= 19 then '15-19'
when "Age In Years" <= 24 then '20-24'
when "Age In Years" <= 29 then '25–29'
when "Age In Years" <= 49 then '30–49'
when "Age In Years" >= 50 then '50+'
else null
end
|
| Library Name: HIVIndicatorElements |
// Geographic Region
define "By Geographic Region Stratifier":
First(Patient.address A where A.use in { 'home' }).state
|
| Library Name: HIVElements |
define "HIV Status Positive Condition":
[Condition: Concepts."HIV-positive - HIV.B.DE116"] C
where C.clinicalStatus ~ ConceptsCustom."active"
and exists(C.category CC where CC ~ ConceptsCustom."encounter-diagnosis")
sort by start of onset.toInterval()
|
| Library Name: HIVIndicatorElements |
define "HIV Status Positive Condition":
Elements."HIV Status Positive Condition" C
where C.onset before end of "Measurement Period"
|
| Library Name: HIVElements |
/* 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 "HIV Status Observation":
[Observation: Concepts."HIV status"] O
where O.status in { 'final', 'amended', 'corrected' }
|
| Library Name: HIVElements |
define "HIV Status Positive Observation":
"HIV Status Observation" O
where O.value ~ Concepts."HIV-positive - HIV.B.DE116"
sort by start of effective.toInterval()
|
| Library Name: HIVIndicatorElements |
define "HIV Status Positive Observation":
Elements."HIV Status Positive Observation" O
where O.issued before end of "Measurement Period"
or O.effective.toInterval() starts before end of "Measurement Period"
|
| Library Name: HIVIndicatorElements |
define "Has HIV-positive Status":
exists "HIV Status Positive Condition"
or exists "HIV Status Positive Observation"
|
| Library Name: HIVElements |
define "HIV Status Negative Observation":
"HIV Status Observation" O
where O.value ~ Concepts."HIV-negative - HIV.B.DE117"
sort by start of effective.toInterval()
|
| Library Name: HIVIndicatorElements |
/* End of HIV-positive B.DE116 */
define "HIV Status Negative Observation":
Elements."HIV Status Negative Observation" O
where O.issued before end of "Measurement Period"
or O.effective.toInterval() starts before end of "Measurement Period"
|
| Library Name: HIVIndicatorElements |
/* End of HIV-negative B.DE113 */
/*
@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 "HIV Status Stratifier":
case
when "Has HIV-positive Status" then Concepts."HIV-positive - HIV.B.DE116"
when not exists("HIV Status Positive Condition") and exists("HIV Status Negative Observation") then Concepts."HIV-negative - HIV.B.DE117"
else Concepts."Unknown - HIV.B.DE118"
end
|
| Library Name: HIVIND61Logic |
define "Stratification":
HIE."By Age Stratifier 9"
+ ':' + HIE."By Geographic Region Stratifier"
+ ':' + HIE."HIV Status Stratifier".code
|
| Library Name: FHIRHelpers |
define function ToString(value string): value.value
|
| Library Name: WHOCommon |
/*
From FHIRCommon 4.1.0:
*/
/*
@description: Normalizes a value that is a choice of timing-valued types to an equivalent interval
@comment: Normalizes a choice type of FHIR.dateTime, FHIR.Period, FHIR.Timing, FHIR.instance, FHIR.string, FHIR.Age, or FHIR.Range types
to an equivalent interval. This selection of choice types is a superset of the majority of choice types that are used as possible
representations for timing-valued elements in FHIR, allowing this function to be used across any resource.
The input can be provided as a dateTime, Period, Timing, instant, string, Age, or Range.
The intent of this function is to provide a clear and concise mechanism to treat single
elements that have multiple possible representations as intervals so that logic doesn't have to account
for the variability. More complex calculations (such as medication request period or dispense period
calculation) need specific guidance and consideration. That guidance may make use of this function, but
the focus of this function is on single element calculations where the semantics are unambiguous.
If the input is a dateTime, the result a DateTime Interval beginning and ending on that dateTime.
If the input is a Period, the result is a DateTime Interval.
If the input is a Timing, an error is raised indicating a single interval cannot be computed from a Timing.
If the input is an instant, the result is a DateTime Interval beginning and ending on that instant.
If the input is a string, an error is raised indicating a single interval cannot be computed from a string.
If the input is an Age, the result is a DateTime Interval beginning when the patient was the given Age,
and ending immediately prior to when the patient was the given Age plus one year.
If the input is a Range, the result is a DateTime Interval beginning when the patient was the Age given
by the low end of the Range, and ending immediately prior to when the patient was the Age given by the
high end of the Range plus one year.
NOTE: Due to the
complexity of determining a single interval from a Timing or String type, this function will throw a run-time exception if it is used
with a Timing or String.
*/
define fluent function toInterval(choice Choice<FHIR.dateTime, FHIR.Period, FHIR.Timing, FHIR.instant, FHIR.string, FHIR.Age, FHIR.Range>):
case
when choice is FHIR.dateTime then
Interval[FHIRHelpers.ToDateTime(choice as FHIR.dateTime), FHIRHelpers.ToDateTime(choice as FHIR.dateTime)]
when choice is FHIR.Period then
FHIRHelpers.ToInterval(choice as FHIR.Period)
when choice is FHIR.instant then
Interval[FHIRHelpers.ToDateTime(choice as FHIR.instant), FHIRHelpers.ToDateTime(choice as FHIR.instant)]
when choice is FHIR.Age then
Interval[FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity(choice as FHIR.Age),
FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity(choice as FHIR.Age) + 1 year)
when choice is FHIR.Range then
Interval[FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity((choice as FHIR.Range).low),
FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity((choice as FHIR.Range).high) + 1 year)
when choice is FHIR.Timing then
Message(null as Interval<DateTime>, true, 'NOT_IMPLEMENTED', 'Error', 'Calculation of an interval from a Timing value is not supported')
when choice is FHIR.string then
Message(null as Interval<DateTime>, true, 'NOT_IMPLEMENTED', 'Error', 'Calculation of an interval from a String value is not supported')
else
null as Interval<DateTime>
end
|
| Library Name: FHIRHelpers |
define function ToDateTime(value dateTime): value.value
|
| Library Name: FHIRHelpers |
define function ToInterval(period FHIR.Period):
if period is null then
null
else
if period."start" is null then
Interval(period."start".value, period."end".value]
else
Interval[period."start".value, period."end".value]
|
| Library Name: FHIRHelpers |
define function ToDateTime(value instant): value.value
|
| Library Name: FHIRHelpers |
define function ToDate(value date): value.value
|
| Library Name: FHIRHelpers |
define function ToQuantity(quantity FHIR.Quantity):
case
when quantity is null then null
when quantity.value is null then null
when quantity.comparator is not null then
Message(null, true, 'FHIRHelpers.ToQuantity.ComparatorQuantityNotSupported', 'Error', 'FHIR Quantity value has a comparator and cannot be converted to a System.Quantity value.')
when quantity.system is null or quantity.system.value = 'http://unitsofmeasure.org'
or quantity.system.value = 'http://hl7.org/fhirpath/CodeSystem/calendar-units' then
System.Quantity { value: quantity.value.value, unit: ToCalendarUnit(Coalesce(quantity.code.value, quantity.unit.value, '1')) }
else
Message(null, true, 'FHIRHelpers.ToQuantity.InvalidFHIRQuantity', 'Error', 'Invalid FHIR Quantity code: ' & quantity.unit.value & ' (' & quantity.system.value & '|' & quantity.code.value & ')')
end
|
| Library Name: FHIRHelpers |
define function ToCalendarUnit(unit System.String):
case unit
when 'ms' then 'millisecond'
when 's' then 'second'
when 'min' then 'minute'
when 'h' then 'hour'
when 'd' then 'day'
when 'wk' then 'week'
when 'mo' then 'month'
when 'a' then 'year'
else unit
end
|
| Library Name: WHOCommon |
/*
@description: Returns an interval representing the normalized prevalence period of a given Condition resource.
@comment: Uses the toInterval and toAbatementInterval functions to determine the widest potential interval from
onset to abatement as specified in the given Condition.
*/
define fluent function prevalenceInterval(condition Condition):
if condition.clinicalStatus ~ "active"
or condition.clinicalStatus ~ "recurrence"
or condition.clinicalStatus ~ "relapse" then
Interval[start of condition.onset.toInterval(), end of condition.abatementInterval()]
else
(end of condition.abatementInterval()) abatementDate
return
if abatementDate is null then
Interval[start of condition.onset.toInterval(), abatementDate)
else
Interval[start of condition.onset.toInterval(), abatementDate]
|
| Library Name: FHIRHelpers |
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
}
|
| Library Name: FHIRHelpers |
define function ToCode(coding FHIR.Coding):
if coding is null then
null
else
System.Code {
code: coding.code.value,
system: coding.system.value,
version: coding.version.value,
display: coding.display.value
}
|
| Library Name: WHOCommon |
/*
@description: Returns an interval representing the normalized Abatement of a given Condition resource.
@comment: NOTE: Due to the complexity of determining an interval from a String, this function will throw
a run-time exception if used with a Condition instance that has a String as the abatement value.
*/
define fluent function abatementInterval(condition Condition):
if condition.abatement is FHIR.dateTime then
Interval[FHIRHelpers.ToDateTime(condition.abatement as FHIR.dateTime), FHIRHelpers.ToDateTime(condition.abatement as FHIR.dateTime)]
else if condition.abatement is FHIR.Period then
FHIRHelpers.ToInterval(condition.abatement as FHIR.Period)
else if condition.abatement is FHIR.string then
Message(null as Interval<DateTime>, true, 'NOT_IMPLEMENTED', 'Error', 'Calculation of an interval from a String value is not supported')
else if condition.abatement is FHIR.Age then
Interval[FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity(condition.abatement as FHIR.Age),
FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity(condition.abatement as FHIR.Age) + 1 year)
else if condition.abatement is FHIR.Range then
Interval[FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity((condition.abatement as FHIR.Range).low),
FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity((condition.abatement as FHIR.Range).high) + 1 year)
else if condition.abatement is FHIR.boolean then
Interval[end of condition.onset.toInterval(), condition.recordedDate)
else
null
|
| Library Name: FHIRHelpers |
define function ToString(value ProcedureStatus): value.value
|
| Library Name: FHIRHelpers |
define function ToString(value AddressUse): value.value
|
| Library Name: FHIRHelpers |
define function ToString(value ObservationStatus): value.value
|