Example of Measure to define public health reporting data elements (id = "hiv-indicators")

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

<Measure xmlns="http://hl7.org/fhir">
  <id value="hiv-indicators"/> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
    <valueCode value="cqi"/> 
  </extension> 
  <url value="http://ohie.org/Measure/hiv-indicators"/> 
  <identifier> 
    <system value="urn:ietf:rfc:3986"/> 
    <value value="urn:oid:2.16.840.1.113883.4.642.28.2"/> 
  </identifier> 
  <identifier> 
    <system value="http://ohie.org/Measure/"/> 
    <value value="hiv-indicators"/> 
  </identifier> 
  <version value="0.0.0"/> 
  <name value="HIV"/> 
  <title value="HIV Indicators"/> 
  <status value="draft"/> 
  <experimental value="true"/> 
  <date value="2018-03-08"/> 
  <publisher value="HL7 International / Clinical Quality Information"/> 
  <contact> 
    <telecom> 
      <system value="url"/> 
      <value value="http://www.hl7.org/Special/committees/cqi"/> 
    </telecom> 
  </contact> 
  <description value="This ADX-HIV measure defines a common set of HIV core indicators with data elements
   and associated stratifiers along with instructions regarding how to leverage these
   to generate and exchange conformant XML messages. Interoperable message exchange
   will be valuable to jurisdictions such as Ministries of Health, and WHO, and to
   health initiatives such as the U.S. President’s Emergency Plan for AIDS Relief
   (PEPFAR), the Global Fund, UNAIDS, and others."/> 
  <relatedArtifact> 
    <type value="derived-from"/> 
    <document> 
      <url value="http://wiki.ihe.net/index.php/Aggregate_Data_Exchange_-_HIV"/> 
    </document> 
  </relatedArtifact> 
  <library value="http://ohie.org/Library/hiv-indicators"/> 
  <scoring> 
    <coding> 
      <code value="cohort"/> 
    </coding> 
  </scoring> 
  <!--   Option 1: Mashup   -->
  <group> 
    <code> 
      <coding> 
        <system value="http://ihe.net/qrph/adx/"/> 
        <code value="QRPH_ADX_ART1_N"/> 
      </coding> 
    </code> 
    <description value="Number of adults and children newly enrolled on antiretroviral therapy (ART) in
     the reporting period"/> 
    <population> 
      <code> 
        <text value="cohort"/> 
      </code> 
      <criteria> 
        <language value="text/cql"/> 
        <expression value="Newly enrolled on antiretroviral therapy (ART) during measurement period"/> 
      </criteria> 
    </population> 
    <stratifier> 
      <code> 
        <coding> 
          <system value="http://ihe.net/qrph/adx/"/> 
          <code value="AGE_GROUP:SEX"/> 
        </coding> 
      </code> 
      <criteria> 
        <language value="text/cql"/> 
        <expression value="Age Group/Sex"/> 
      </criteria> 
    </stratifier> 
  </group> 
  <group> 
    <code> 
      <coding> 
        <system value="http://ihe.net/qrph/adx/"/> 
        <code value="QRPH_ADX_ART1_N_PREG_BF"/> 
      </coding> 
    </code> 
    <description value="Number of adults and children newly enrolled on ART in the reporting period_pregnant
     and breastfeeding"/> 
    <population> 
      <code> 
        <text value="cohort"/> 
      </code> 
      <criteria> 
        <language value="text/cql"/> 
        <expression value="Newly enrolled on antiretroviral therapy (ART) during measurement period (pregnant
         and breastfeeding)"/> 
      </criteria> 
    </population> 
    <stratifier> 
      <code> 
        <coding> 
          <system value="http://ihe.net/qrph/adx/"/> 
          <code value="PREG_BF"/> 
        </coding> 
      </code> 
      <criteria> 
        <language value="text/cql"/> 
        <expression value="Pregnant/Breastfeeding"/> 
      </criteria> 
    </stratifier> 
  </group> 
  <!--   Option 2: Extensions   -->
  <!--  stratifier  -->
  <!--  extension url="http://hl7.org/fhir/StructureDefinition/cqf-stratifierComponent">
        <extension url="identifier"/>
          <valueIdentifier><system value="http://ihe.net/qrph/adx"/><value value="AGE_GROUP"/
  ></valueIdentifier>
        </extension>
        <extension url="criteria">
          <valueString value="Age Group"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/cqf-stratifierComponent">
        <extension url="identifier"/>
          <valueIdentifier><system value="http://ihe.net/qrph/adx"/><value value="SEX"/></val
  ueIdentifier>
        </extension>
        <extension url="criteria">
          <valueString value="Sex"/>
        </extension>
      </extension  -->
  <!--  identifier><system value="http://ihe.net/qrph/adx/"/><value value="AGE_GROUP:SEX"/></identif
  ier>
      <criteria value="Age Group/Sex"/  -->
  <!--  /stratifier  -->
  <group> 
    <code> 
      <coding> 
        <system value="http://ihe.net/qrph/adx/"/> 
        <code value="QRPH_ADX_ART3_N"/> 
      </coding> 
    </code> 
    <description value="Number of adults and children currently receiving antiretroviral therapy (ART)"/> 
    <population> 
      <code> 
        <text value="cohort"/> 
      </code> 
      <criteria> 
        <language value="text/cql"/> 
        <expression value="Receiving antiretroviral therapy (ART) during measurement period"/> 
      </criteria> 
    </population> 
  </group> 
  <!--   Option 3: Represent Using Stratifier Components   -->
  <group> 
    <code> 
      <coding> 
        <system value="http://ihe.net/qrph/adx/"/> 
        <code value="QRPH_ADX_ART5_N"/> 
      </coding> 
    </code> 
    <description value="Number of adults and children who are still on treatment at 12 months after initiating
     ART"/> 
    <population> 
      <code> 
        <text value="cohort"/> 
      </code> 
      <criteria> 
        <language value="text/cql"/> 
        <expression value="Receiving antiretroviral therapy (ART) at 12 months after initiating"/> 
      </criteria> 
    </population> 
    <stratifier> 
      <component> 
        <code> 
          <coding> 
            <system value="http://ihe.net/qrph/adx/"/> 
            <code value="AGE_GROUP"/> 
          </coding> 
        </code> 
        <criteria> 
          <language value="text/cql"/> 
          <expression value="Age Group"/> 
        </criteria> 
      </component> 
      <component> 
        <code> 
          <coding> 
            <system value="http://ihe.net/qrph/adx/"/> 
            <code value="SEX"/> 
          </coding> 
        </code> 
        <criteria> 
          <language value="text/cql"/> 
          <expression value="Sex"/> 
        </criteria> 
      </component> 
    </stratifier> 
  </group> 
  <group> 
    <code> 
      <coding> 
        <system value="http://ihe.net/qrph/adx/"/> 
        <code value="QRPH_ADX_ART5_N_PREG_BF"/> 
      </coding> 
    </code> 
    <description value="Number of adults and children who are still on treatment at 12 months after initiating
     ART-pregnant and breastfeeding"/> 
    <population> 
      <code> 
        <text value="cohort"/> 
      </code> 
      <criteria> 
        <language value="text/cql"/> 
        <expression value="Receiving antiretroviral therapy (ART) at 12 months after initiating (pregnant
         and breastfeeding)"/> 
      </criteria> 
    </population> 
    <stratifier> 
      <code> 
        <coding> 
          <system value="http://ihe.net/qrph/adx/"/> 
          <code value="PREG_BF"/> 
        </coding> 
      </code> 
      <criteria> 
        <language value="text/cql"/> 
        <expression value="Pregnant/Breastfeeding"/> 
      </criteria> 
    </stratifier> 
  </group> 
  <group> 
    <code> 
      <coding> 
        <system value="http://ihe.net/qrph/adx/"/> 
        <code value="QRPH_ADX_ART5_D"/> 
      </coding> 
    </code> 
    <description value="Number of adults and children who initiated ART in the 12 months prior to the beginning
     of the reporting period"/> 
    <population> 
      <code> 
        <text value="cohort"/> 
      </code> 
      <criteria> 
        <language value="text/cql"/> 
        <expression value="Initiated antiretroviral therapy (ART) in the 12 months prior to measurement period"/> 
      </criteria> 
    </population> 
    <stratifier> 
      <code> 
        <coding> 
          <system value="http://ihe.net/qrph/adx/"/> 
          <code value="AGE_GROUP:SEX"/> 
        </coding> 
      </code> 
      <criteria> 
        <language value="text/cql"/> 
        <expression value="Age Group/Sex"/> 
      </criteria> 
    </stratifier> 
  </group> 
  <group> 
    <code> 
      <coding> 
        <system value="http://ihe.net/qrph/adx/"/> 
        <code value="QRPH_ADX_MTCT1_D"/> 
      </coding> 
    </code> 
    <description value="Number of pregnant women who attended ANC or had a facility-based delivery in the
     reporting period"/> 
    <population> 
      <code> 
        <text value="cohort"/> 
      </code> 
      <criteria> 
        <language value="text/cql"/> 
        <expression value="Antenatal Care Visit or Live Birth during the Measurement Period"/> 
      </criteria> 
    </population> 
    <stratifier> 
      <code> 
        <coding> 
          <system value="http://ihe.net/qrph/adx/"/> 
          <code value="PMTCT_HIV_STATUS"/> 
        </coding> 
      </code> 
      <criteria> 
        <language value="text/cql"/> 
        <expression value="PMTCT HIV Status"/> 
      </criteria> 
    </stratifier> 
  </group> 
  <group> 
    <code> 
      <coding> 
        <system value="http://ihe.net/qrph/adx/"/> 
        <code value="QRPH_ADX_MTCT2_D"/> 
      </coding> 
    </code> 
    <description value="Number of HIV positive pregnant women who attended ANC or had a facility-based
     delivery within the reporting period"/> 
    <population> 
      <code> 
        <text value="cohort"/> 
      </code> 
      <criteria> 
        <language value="text/cql"/> 
        <expression value="Antenatal Care Visit or Live Birth during Measurement Period (HIV Positive)"/> 
      </criteria> 
    </population> 
  </group> 
  <group> 
    <code> 
      <coding> 
        <system value="http://ihe.net/qrph/adx/"/> 
        <code value="QRPH_ADX_MTCT2_N"/> 
      </coding> 
    </code> 
    <description value="Number of HIV-positive pregnant women who received ART to reduce the risk of mother-to-child-
    transmission during pregnancy"/> 
    <population> 
      <code> 
        <text value="cohort"/> 
      </code> 
      <criteria> 
        <language value="text/cql"/> 
        <expression value="HIV-positive, pregnant, and receiving antiretroviral therapy (ART) to reduce the
         risk of mother-to-child-transmission during pregnancy"/> 
      </criteria> 
    </population> 
    <stratifier> 
      <code> 
        <coding> 
          <system value="http://ihe.net/qrph/adx/"/> 
          <code value="PMTCT_ART_STATUS"/> 
        </coding> 
      </code> 
      <criteria> 
        <language value="text/cql"/> 
        <expression value="PMTCT ART Status"/> 
      </criteria> 
    </stratifier> 
  </group> 
  <group> 
    <code> 
      <coding> 
        <system value="http://ihe.net/qrph/adx/"/> 
        <code value="QRPH_ADX_VLS3_N"/> 
      </coding> 
    </code> 
    <description value="Number of people living with HIV and on ART who have a suppressed viral load results
     (&lt;1000 copies/mL)"/> 
    <population> 
      <code> 
        <text value="cohort"/> 
      </code> 
      <criteria> 
        <language value="text/cql"/> 
        <expression value="Living with HIV and on ART with suppressed viral load results (&lt;1000 copies/mL)"/> 
      </criteria> 
    </population> 
    <stratifier> 
      <code> 
        <coding> 
          <system value="http://ihe.net/qrph/adx/"/> 
          <code value="AGE_GROUP:SEX"/> 
        </coding> 
      </code> 
      <criteria> 
        <language value="text/cql"/> 
        <expression value="Age Group/Sex"/> 
      </criteria> 
    </stratifier> 
  </group> 
  <group> 
    <code> 
      <coding> 
        <system value="http://ihe.net/qrph/adx/"/> 
        <code value="QRPH_ADX_HTS2_N"/> 
      </coding> 
    </code> 
    <description value="Number of individuals who received HIV Testing Services (HTS) and received their
     test results"/> 
    <population> 
      <code> 
        <text value="cohort"/> 
      </code> 
      <criteria> 
        <language value="text/cql"/> 
        <expression value="Received HIV Testing Services (HTS) and Recevied Test Results"/> 
      </criteria> 
    </population> 
    <stratifier> 
      <code> 
        <coding> 
          <system value="http://ihe.net/qrph/adx/"/> 
          <code value="AGE_GROUP:SEX:HIV_TEST_RESULTS"/> 
        </coding> 
      </code> 
      <criteria> 
        <language value="text/cql"/> 
        <expression value="Age Group/Sex/HIV Test Results"/> 
      </criteria> 
    </stratifier> 
  </group> 
  <group> 
    <code> 
      <coding> 
        <system value="http://ihe.net/qrph/adx/"/> 
        <code value="QRPH_ADX_MTCT1_N"/> 
      </coding> 
    </code> 
    <description value="Number of pregnant women with known HIV status at first antenatal care visit"/> 
    <population> 
      <code> 
        <text value="cohort"/> 
      </code> 
      <criteria> 
        <language value="text/cql"/> 
        <expression value="HIV Status Known at First Antenatal Care Visit"/> 
      </criteria> 
    </population> 
    <stratifier> 
      <code> 
        <coding> 
          <system value="http://ihe.net/qrph/adx/"/> 
          <code value="PMTCT_HIV_STATUS"/> 
        </coding> 
      </code> 
      <criteria> 
        <language value="text/cql"/> 
        <expression value="PMTCT HIV Status"/> 
      </criteria> 
    </stratifier> 
  </group> 
  <group> 
    <code> 
      <coding> 
        <system value="http://ihe.net/qrph/adx/"/> 
        <code value="QRPH_ADX_VLS3_D"/> 
      </coding> 
    </code> 
    <description value="Number of people on ART who had a VL measurement in the past 12 months"/> 
    <population> 
      <code> 
        <text value="cohort"/> 
      </code> 
      <criteria> 
        <language value="text/cql"/> 
        <expression value="Receiving antiretroviral therapty (ART) and Viral Load Measurement in the past
         12 months"/> 
      </criteria> 
    </population> 
    <stratifier> 
      <code> 
        <coding> 
          <system value="http://ihe.net/qrph/adx/"/> 
          <code value="AGE_GROUP:SEX"/> 
        </coding> 
      </code> 
      <criteria> 
        <language value="text/cql"/> 
        <expression value="Age Group/Sex"/> 
      </criteria> 
    </stratifier> 
  </group> 
</Measure>