Canonical Resource Management Infrastructure Implementation Guide
1.1.0-cibuild - cibuild
Canonical Resource Management Infrastructure Implementation Guide
1.1.0-cibuild - cibuild
Canonical Resource Management Infrastructure Implementation Guide, published by HL7 International / Clinical Decision Support. This guide is not an authorized publication; it is the continuous build for version 1.1.0-cibuild built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/crmi-ig/ and changes regularly. See the Directory of published versions
| Draft as of 2023-03-13 |
<Measure xmlns="http://hl7.org/fhir">
<id value="publishable-example"/>
<meta>
<profile
value="http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-publishablemeasure"/>
</meta>
<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">ANCIND01Publishable</td>
</tr>
<tr>
<th scope="row" class="row-header">Title (human-readable)</th>
<td class="content-container">ANC.IND.01 Percentage of pregnant women with first ANC contact in the first trimester (Publishable Example)</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">true</td>
</tr>
<tr>
<th scope="row" class="row-header">Description</th>
<td class="content-container"><div><p>Percentage of pregnant women with first ANC contact in the first trimester (before 12 weeks of gestation)</p>
</div></td>
</tr>
<tr>
<th scope="row" class="row-header">Measure Steward</th>
<td class="content-container">HL7 International / Clinical Decision Support</td>
</tr>
<tr>
<th scope="row" class="row-header">Steward Contact Details</th>
<td class="content-container"><a href="http://www.hl7.org/Special/committees/dss">http://www.hl7.org/Special/committees/dss</a></td>
</tr>
<tr>
<th scope="row" class="row-header">Citation</th>
<td class="content-container">
<em>Citation</em>: <div><p>WHO, UN Women, UNFPA. Health care for women subjected to intimate partner violence or sexual violence – a clinical handbook. Geneva: World Health Organization; 2014</p>
</div>
<em>Content URL</em>: <a href="https://apps.who.int/iris/bitstream/handle/10665/136101/WHO_RHR_14.26_eng.pdf">https://apps.who.int/iris/bitstream/handle/10665/136101/WHO_RHR_14.26_eng.pdf</a>
<br/>
<em>Document</em>: null @ https://apps.who.int/iris/bitstream/handle/10665/136101/WHO_RHR_14.26_eng.pdf
</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">1.1.0-cibuild</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 scope="row" class="row-header">Measure Type</th>
<td class="content-container"><span title="Codes:{http://terminology.hl7.org/CodeSystem/measure-type process}">Process</span></td>
</tr>
<tr>
<th scope="row" class="row-header">Improvement Notation</th>
<td class="content-container"><span title="Codes:{http://terminology.hl7.org/CodeSystem/measure-improvement-notation increase}">Increased score indicates improvement</span></td>
</tr>
<tr>
<th colspan="2" scope="row" class="row-header">Measure Population Criteria (ID: group-1)</th>
</tr>
<tr>
<th scope="row" class="row-header">Initial Population</th>
<td class="content-container">
<em>ID</em>: initial-population
<br/>
<em>Description</em>: No description provided
<em>Logic Definition</em>: <a href="#anccohort-initial-population">Initial Population</a>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Denominator</th>
<td class="content-container">
<em>ID</em>: denominator
<br/>
<em>Description</em>: No description provided
<em>Logic Definition</em>: <a href="#anccohort-denominator">Denominator</a>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Numerator</th>
<td class="content-container">
<em>ID</em>: numerator
<br/>
<em>Description</em>: No description provided
<em>Logic Definition</em>: <a href="#anccohort-numerator">Numerator</a>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Stratifier</th>
<td class="content-container">
<em>ID</em>: by-age
<br/>
<em>Code</em>: <span title="Codes:">Age</span>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Stratifier</th>
<td class="content-container">
<em>ID</em>: by-education-level
<br/>
<em>Code</em>: <span title="Codes:">Education Level</span>
</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-ANCCohort.html">ANC Cohort</a></td>
</tr>
<tr>
<th scope="row" class="row-header">Dependency</th>
<td class="content-container">
<em>Description</em>: Library ANCCohort
<br/>
<em>Resource</em>: <a href="Library-ANCCohort.html">ANC Cohort</a>
<br/>
<em>Canonical URL</em>: <tt>http://hl7.org/fhir/uv/crmi/Library/ANCCohort</tt>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Dependency</th>
<td class="content-container">
<em>Description</em>: Library FHIRHelpers
<br/>
<em>Resource</em>: <code>http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1</code>
<br/>
<em>Canonical URL</em>: <tt>http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1</tt>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Dependency</th>
<td class="content-container">
<em>Description</em>: Example Code system ISO-8601-Derived Periods
<br/>
<em>Resource</em>: <code>http://example.org/CodeSystem/iso-8601-derived-periods</code>
<br/>
<em>Canonical URL</em>: <tt>http://example.org/CodeSystem/iso-8601-derived-periods</tt>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Dependency</th>
<td class="content-container">
<em>Description</em>: Value set Antenatal care contact
<br/>
<em>Resource</em>: <code>http://fhir.org/guides/who/anc-cds/ValueSet/antenatal-care-contact</code>
<br/>
<em>Canonical URL</em>: <tt>http://fhir.org/guides/who/anc-cds/ValueSet/antenatal-care-contact</tt>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Dependency</th>
<td class="content-container">
<em>Description</em>: Value set First Antenatal Care Contact Choices
<br/>
<em>Resource</em>: <code>http://fhir.org/guides/who/anc-cds/ValueSet/anc-b5-de2</code>
<br/>
<em>Canonical URL</em>: <tt>http://fhir.org/guides/who/anc-cds/ValueSet/anc-b5-de2</tt>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Dependency</th>
<td class="content-container">
<em>Description</em>: Value set Gestational age
<br/>
<em>Resource</em>: <code>http://fhir.org/guides/who/anc-cds/ValueSet/anc-b6-de17</code>
<br/>
<em>Canonical URL</em>: <tt>http://fhir.org/guides/who/anc-cds/ValueSet/anc-b6-de17</tt>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Dependency</th>
<td class="content-container">
<em>Description</em>: Value set Antenatal care case
<br/>
<em>Resource</em>: <code>http://fhir.org/guides/who/anc-cds/ValueSet/antenatal-care-case</code>
<br/>
<em>Canonical URL</em>: <tt>http://fhir.org/guides/who/anc-cds/ValueSet/antenatal-care-case</tt>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Direct Reference Code</th>
<td class="content-container">
<em>Display</em>: 10-14 years
<br/>
<em>Code</em>: P10Y--P14Y
<br/>
<em>System</em>: <tt>http://example.org/CodeSystem/iso-8601-derived-periods</tt>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Direct Reference Code</th>
<td class="content-container">
<em>Display</em>: 15-19 years
<br/>
<em>Code</em>: P15Y--P19Y
<br/>
<em>System</em>: <tt>http://example.org/CodeSystem/iso-8601-derived-periods</tt>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Direct Reference Code</th>
<td class="content-container">
<em>Display</em>: 20+ years
<br/>
<em>Code</em>: P20Y--P9999Y
<br/>
<em>System</em>: <tt>http://example.org/CodeSystem/iso-8601-derived-periods</tt>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Parameter</th>
<td class="content-container">
<em>Name</em>: Measurement Period
<br/>
<em>Use</em>: In
<br/>
<em>Min Cardinality</em>: 0
<br/>
<em>Max Cardinality</em>: 1
<br/>
<em>Type</em>: Period
</td>
</tr>
<tr>
<th scope="row" class="row-header">Parameter</th>
<td class="content-container">
<em>Name</em>: encounter
<br/>
<em>Use</em>: In
<br/>
<em>Min Cardinality</em>: 0
<br/>
<em>Max Cardinality</em>: 1
<br/>
<em>Type</em>: string
</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>: Age Stratifier
<br/>
<em>Use</em>: Out
<br/>
<em>Min Cardinality</em>: 0
<br/>
<em>Max Cardinality</em>: 1
<br/>
<em>Type</em>: Coding
</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>: Education Level Stratifier
<br/>
<em>Use</em>: Out
<br/>
<em>Min Cardinality</em>: 0
<br/>
<em>Max Cardinality</em>: *
<br/>
<em>Type</em>: CodeableConcept
</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="section-header"><a name="effective-data-requirements"> </a>Measure Logic Data Requirements</th>
</tr>
<tr>
<th scope="row" class="row-header">Data Requirement</th>
<td class="content-container">
<em>Type</em>: Encounter
<br/>
<em>Profile(s)</em>:
<a href="http://hl7.org/fhir/R4/encounter.html">Encounter</a>
<br/>
<em>Must Support Elements</em>: type, reasonCode, period
<br/>
<em>Code Filter(s)</em>:
<br/>
<span class="tab-one"><em>Path</em>: type</span>
<br/>
<span class="tab-one"><em>ValueSet</em>:</span> <code>http://fhir.org/guides/who/anc-cds/ValueSet/antenatal-care-contact</code>
<br/>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Data Requirement</th>
<td class="content-container">
<em>Type</em>: Observation
<br/>
<em>Profile(s)</em>:
<a href="http://hl7.org/fhir/R4/observation.html">Observation</a>
<br/>
<em>Must Support Elements</em>: code, status, encounter, encounter.reference
<br/>
<em>Code Filter(s)</em>:
<br/>
<span class="tab-one"><em>Path</em>: code</span>
<br/>
<span class="tab-one"><em>ValueSet</em>:</span> <code>http://fhir.org/guides/who/anc-cds/ValueSet/anc-b6-de17</code>
<br/>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Data Requirement</th>
<td class="content-container">
<em>Type</em>: Patient
<br/>
<em>Profile(s)</em>:
<a href="http://hl7.org/fhir/R4/patient.html">Patient</a>
<br/>
<em>Must Support Elements</em>: url, value
<br/>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Data Requirement</th>
<td class="content-container">
<em>Type</em>: EpisodeOfCare
<br/>
<em>Profile(s)</em>:
<a href="http://hl7.org/fhir/R4/episodeofcare.html">EpisodeOfCare</a>
<br/>
<em>Must Support Elements</em>: type
<br/>
<em>Code Filter(s)</em>:
<br/>
<span class="tab-one"><em>Path</em>: type</span>
<br/>
<span class="tab-one"><em>ValueSet</em>:</span> <code>http://fhir.org/guides/who/anc-cds/ValueSet/antenatal-care-case</code>
<br/>
</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="ancbasedataelements-antenatal-care-contact"> </a>
Logic Definition
</th>
<td class="content-container"><em>Library Name:</em> ANCBaseDataElements</td>
</tr>
<tr>
<td>
<pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define "Antenatal care contact":
["Encounter": type in BCx."Antenatal care contact"]</code></pre>
</td>
</tr>
<tr>
<th scope="row" rowspan="2" class="row-header">
<a name="ancind01-first-antenatal-care-contact"> </a>
Logic Definition
</th>
<td class="content-container"><em>Library Name:</em> ANCIND01</td>
</tr>
<tr>
<td>
<pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define "First antenatal care contact":
BaseData."Antenatal care contact" C
where C.reasonCode in Cx."First Antenatal Care Contact Choices"</code></pre>
</td>
</tr>
<tr>
<th scope="row" rowspan="2" class="row-header">
<a name="anccontactdataelements-gestational-age"> </a>
Logic Definition
</th>
<td class="content-container"><em>Library Name:</em> ANCContactDataElements</td>
</tr>
<tr>
<td>
<pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">/*
@dataElement: ANC.B6.DE17 Gestational age
@activity: ANC.B6 Profile
@description: Gestational age in weeks and/or days depending on the source of gestational age
*/
define "Gestational age":
WC.MostRecent(
[Observation: Cx."Gestational age"] O
where O.status in { 'final', 'amended', 'corrected' }
and Coalesce(WC.ModifierExtension(O, 'who-notDone').value, false) is false
and Last(Split(O.encounter.reference, '/')) = Last(Split(encounter, '/'))
).value as FHIR.Quantity</code></pre>
</td>
</tr>
<tr>
<th scope="row" rowspan="2" class="row-header">
<a name="ancind01-numerator"> </a>
Logic Definition
</th>
<td class="content-container"><em>Library Name:</em> ANCIND01</td>
</tr>
<tr>
<td>
<pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">/*
Numerator: Number of pregnant women who had their first ANC contact before 12 weeks (facility level)
Numerator Computation: Count of women whose gestational age <= 12 weeks at the time of first contact
*/
define Numerator:
exists (
"First antenatal care contact" C
where C.period starts during "Measurement Period"
and ContactData."Gestational age" <= 12 weeks
)</code></pre>
</td>
</tr>
<tr>
<th scope="row" rowspan="2" class="row-header">
<a name="ancstratifiers-by-age"> </a>
Logic Definition
</th>
<td class="content-container"><em>Library Name:</em> ANCStratifiers</td>
</tr>
<tr>
<td>
<pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">/*
By Patient Age as of the start of the Measurement Period
Age (10-14, 15-19, 20+)
*/
define "By Age":
case
when AgeInYearsAt(start of "Measurement Period") in Interval[10, 14] then "P10Y--P14Y"
when AgeInYearsAt(start of "Measurement Period") in Interval[15, 19] then "P15Y--P19Y"
when AgeInYearsAt(start of "Measurement Period") >= 20 then "P20Y--P9999Y"
else null
end</code></pre>
</td>
</tr>
<tr>
<th scope="row" rowspan="2" class="row-header">
<a name="ancind01-age-stratifier"> </a>
Logic Definition
</th>
<td class="content-container"><em>Library Name:</em> ANCIND01</td>
</tr>
<tr>
<td>
<pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">/*
Disaggregation: Age (10-14, 15-19, 20+)
*/
define "Age Stratifier":
Stratifiers."By Age"</code></pre>
</td>
</tr>
<tr>
<th scope="row" rowspan="2" class="row-header">
<a name="ancind01-denominator"> </a>
Logic Definition
</th>
<td class="content-container"><em>Library Name:</em> ANCIND01</td>
</tr>
<tr>
<td>
<pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">/*
Denominator: Total number of antenatal clients with a first contact
Denominator Computation: Count of all women who had first contact within the last reporting period
*/
define Denominator:
exists (
"First antenatal care contact" C
where C.period starts during "Measurement Period"
)</code></pre>
</td>
</tr>
<tr>
<th scope="row" rowspan="2" class="row-header">
<a name="ancstratifiers-by-education-level"> </a>
Logic Definition
</th>
<td class="content-container"><em>Library Name:</em> ANCStratifiers</td>
</tr>
<tr>
<td>
<pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">/*
By Patient Education Level (none, don't know, primary, secondary, higher)
*/
define "By Education Level":
Patient.extension E
where E.url = 'http://fhir.org/guides/who/anc-cds/StructureDefinition/educationlevel'
return E.value as CodeableConcept</code></pre>
</td>
</tr>
<tr>
<th scope="row" rowspan="2" class="row-header">
<a name="ancind01-education-level-stratifier"> </a>
Logic Definition
</th>
<td class="content-container"><em>Library Name:</em> ANCIND01</td>
</tr>
<tr>
<td>
<pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">/*
Disaggregation: Education Level (none, don't know, primary, secondary, higher)
*/
define "Education Level Stratifier":
Stratifiers."By Education Level"</code></pre>
</td>
</tr>
<tr>
<th scope="row" rowspan="2" class="row-header">
<a name="ancbasedataelements-antenatal-care-case"> </a>
Logic Definition
</th>
<td class="content-container"><em>Library Name:</em> ANCBaseDataElements</td>
</tr>
<tr>
<td>
<pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">/*
define "Pregnant":
"Pregnancy" is not null
or "Pregnancy status" in BCx."Pregnancy status - pregnant"
define "Pregnancy status":
FHIRHelpers.ToConcept(
Last(
[Observation: BCx."Pregnancy status"] O
where O.status = 'final'
sort by FHIRHelpers.ToDateTime(effective as FHIR.dateTime)
).value
)
*/
define "Antenatal care case":
["EpisodeOfCare": type in BCx."Antenatal care case"]</code></pre>
</td>
</tr>
<tr>
<th scope="row" rowspan="2" class="row-header">
<a name="ancind01-initial-population"> </a>
Logic Definition
</th>
<td class="content-container"><em>Library Name:</em> ANCIND01</td>
</tr>
<tr>
<td>
<pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">/*
Initial population: Antenatal clients
*/
define "Initial Population":
exists (BaseData."Antenatal care case")</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-directReferenceCode">
<valueCoding>
<system
value="http://example.org/CodeSystem/iso-8601-derived-periods"/>
<code value="P10Y--P14Y"/>
<display value="10-14 years"/>
</valueCoding>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
<valueCoding>
<system
value="http://example.org/CodeSystem/iso-8601-derived-periods"/>
<code value="P15Y--P19Y"/>
<display value="15-19 years"/>
</valueCoding>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
<valueCoding>
<system
value="http://example.org/CodeSystem/iso-8601-derived-periods"/>
<code value="P20Y--P9999Y"/>
<display value="20+ years"/>
</valueCoding>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="ANCBaseDataElements"/>
</extension>
<extension url="name">
<valueString value="Antenatal care contact"/>
</extension>
<extension url="statement">
<valueString
value="define "Antenatal care contact":
["Encounter": type in BCx."Antenatal care contact"]"/>
</extension>
<extension url="displaySequence">
<valueInteger value="0"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="ANCIND01"/>
</extension>
<extension url="name">
<valueString value="First antenatal care contact"/>
</extension>
<extension url="statement">
<valueString
value="define "First antenatal care contact":
BaseData."Antenatal care contact" C
where C.reasonCode in Cx."First Antenatal Care Contact Choices""/>
</extension>
<extension url="displaySequence">
<valueInteger value="1"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="ANCContactDataElements"/>
</extension>
<extension url="name">
<valueString value="Gestational age"/>
</extension>
<extension url="statement">
<valueString
value="/*
@dataElement: ANC.B6.DE17 Gestational age
@activity: ANC.B6 Profile
@description: Gestational age in weeks and/or days depending on the source of gestational age
*/
define "Gestational age":
WC.MostRecent(
[Observation: Cx."Gestational age"] O
where O.status in { 'final', 'amended', 'corrected' }
and Coalesce(WC.ModifierExtension(O, 'who-notDone').value, false) is false
and Last(Split(O.encounter.reference, '/')) = Last(Split(encounter, '/'))
).value as FHIR.Quantity"/>
</extension>
<extension url="displaySequence">
<valueInteger value="2"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="ANCIND01"/>
</extension>
<extension url="name">
<valueString value="Numerator"/>
</extension>
<extension url="statement">
<valueString
value="/*
Numerator: Number of pregnant women who had their first ANC contact before 12 weeks (facility level)
Numerator Computation: Count of women whose gestational age <= 12 weeks at the time of first contact
*/
define Numerator:
exists (
"First antenatal care contact" C
where C.period starts during "Measurement Period"
and ContactData."Gestational age" <= 12 weeks
)"/>
</extension>
<extension url="displaySequence">
<valueInteger value="3"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="ANCStratifiers"/>
</extension>
<extension url="name">
<valueString value="By Age"/>
</extension>
<extension url="statement">
<valueString
value="/*
By Patient Age as of the start of the Measurement Period
Age (10-14, 15-19, 20+)
*/
define "By Age":
case
when AgeInYearsAt(start of "Measurement Period") in Interval[10, 14] then "P10Y--P14Y"
when AgeInYearsAt(start of "Measurement Period") in Interval[15, 19] then "P15Y--P19Y"
when AgeInYearsAt(start of "Measurement Period") >= 20 then "P20Y--P9999Y"
else null
end"/>
</extension>
<extension url="displaySequence">
<valueInteger value="4"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="ANCIND01"/>
</extension>
<extension url="name">
<valueString value="Age Stratifier"/>
</extension>
<extension url="statement">
<valueString
value="/*
Disaggregation: Age (10-14, 15-19, 20+)
*/
define "Age Stratifier":
Stratifiers."By Age""/>
</extension>
<extension url="displaySequence">
<valueInteger value="5"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="ANCIND01"/>
</extension>
<extension url="name">
<valueString value="Denominator"/>
</extension>
<extension url="statement">
<valueString
value="/*
Denominator: Total number of antenatal clients with a first contact
Denominator Computation: Count of all women who had first contact within the last reporting period
*/
define Denominator:
exists (
"First antenatal care contact" C
where C.period starts during "Measurement Period"
)"/>
</extension>
<extension url="displaySequence">
<valueInteger value="6"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="ANCStratifiers"/>
</extension>
<extension url="name">
<valueString value="By Education Level"/>
</extension>
<extension url="statement">
<valueString
value="/*
By Patient Education Level (none, don't know, primary, secondary, higher)
*/
define "By Education Level":
Patient.extension E
where E.url = 'http://fhir.org/guides/who/anc-cds/StructureDefinition/educationlevel'
return E.value as CodeableConcept"/>
</extension>
<extension url="displaySequence">
<valueInteger value="7"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="ANCIND01"/>
</extension>
<extension url="name">
<valueString value="Education Level Stratifier"/>
</extension>
<extension url="statement">
<valueString
value="/*
Disaggregation: Education Level (none, don't know, primary, secondary, higher)
*/
define "Education Level Stratifier":
Stratifiers."By Education Level""/>
</extension>
<extension url="displaySequence">
<valueInteger value="8"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="ANCBaseDataElements"/>
</extension>
<extension url="name">
<valueString value="Antenatal care case"/>
</extension>
<extension url="statement">
<valueString
value="/*
define "Pregnant":
"Pregnancy" is not null
or "Pregnancy status" in BCx."Pregnancy status - pregnant"
define "Pregnancy status":
FHIRHelpers.ToConcept(
Last(
[Observation: BCx."Pregnancy status"] O
where O.status = 'final'
sort by FHIRHelpers.ToDateTime(effective as FHIR.dateTime)
).value
)
*/
define "Antenatal care case":
["EpisodeOfCare": type in BCx."Antenatal care case"]"/>
</extension>
<extension url="displaySequence">
<valueInteger value="9"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="ANCIND01"/>
</extension>
<extension url="name">
<valueString value="Initial Population"/>
</extension>
<extension url="statement">
<valueString
value="/*
Initial population: Antenatal clients
*/
define "Initial Population":
exists (BaseData."Antenatal care case")"/>
</extension>
<extension url="displaySequence">
<valueInteger value="10"/>
</extension>
</extension>
<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 ANCCohort"/>
<resource value="http://hl7.org/fhir/uv/crmi/Library/ANCCohort"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Library FHIRHelpers"/>
<resource
value="http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Example Code system ISO-8601-Derived Periods"/>
<resource
value="http://example.org/CodeSystem/iso-8601-derived-periods"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Value set Antenatal care contact"/>
<resource
value="http://fhir.org/guides/who/anc-cds/ValueSet/antenatal-care-contact"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Value set First Antenatal Care Contact Choices"/>
<resource
value="http://fhir.org/guides/who/anc-cds/ValueSet/anc-b5-de2"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Value set Gestational age"/>
<resource
value="http://fhir.org/guides/who/anc-cds/ValueSet/anc-b6-de17"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Value set Antenatal care case"/>
<resource
value="http://fhir.org/guides/who/anc-cds/ValueSet/antenatal-care-case"/>
</relatedArtifact>
<parameter>
<name value="Measurement Period"/>
<use value="in"/>
<min value="0"/>
<max value="1"/>
<type value="Period"/>
</parameter>
<parameter>
<name value="encounter"/>
<use value="in"/>
<min value="0"/>
<max value="1"/>
<type value="string"/>
</parameter>
<parameter>
<name value="Numerator"/>
<use value="out"/>
<min value="0"/>
<max value="1"/>
<type value="boolean"/>
</parameter>
<parameter>
<name value="Age Stratifier"/>
<use value="out"/>
<min value="0"/>
<max value="1"/>
<type value="Coding"/>
</parameter>
<parameter>
<name value="Denominator"/>
<use value="out"/>
<min value="0"/>
<max value="1"/>
<type value="boolean"/>
</parameter>
<parameter>
<name value="Education Level Stratifier"/>
<use value="out"/>
<min value="0"/>
<max value="*"/>
<type value="CodeableConcept"/>
</parameter>
<parameter>
<name value="Initial Population"/>
<use value="out"/>
<min value="0"/>
<max value="1"/>
<type value="boolean"/>
</parameter>
<dataRequirement>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-isSelective">
<valueBoolean value="true"/>
</extension>
<type value="Encounter"/>
<profile value="http://hl7.org/fhir/StructureDefinition/Encounter"/>
<mustSupport value="type"/>
<mustSupport value="reasonCode"/>
<mustSupport value="period"/>
<codeFilter>
<path value="type"/>
<valueSet
value="http://fhir.org/guides/who/anc-cds/ValueSet/antenatal-care-contact"/>
</codeFilter>
</dataRequirement>
<dataRequirement>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-isSelective">
<valueBoolean value="true"/>
</extension>
<type value="Observation"/>
<profile value="http://hl7.org/fhir/StructureDefinition/Observation"/>
<mustSupport value="code"/>
<mustSupport value="status"/>
<mustSupport value="encounter"/>
<mustSupport value="encounter.reference"/>
<codeFilter>
<path value="code"/>
<valueSet
value="http://fhir.org/guides/who/anc-cds/ValueSet/anc-b6-de17"/>
</codeFilter>
</dataRequirement>
<dataRequirement>
<type value="Patient"/>
<profile value="http://hl7.org/fhir/StructureDefinition/Patient"/>
<mustSupport value="url"/>
<mustSupport value="value"/>
</dataRequirement>
<dataRequirement>
<type value="EpisodeOfCare"/>
<profile
value="http://hl7.org/fhir/StructureDefinition/EpisodeOfCare"/>
<mustSupport value="type"/>
<codeFilter>
<path value="type"/>
<valueSet
value="http://fhir.org/guides/who/anc-cds/ValueSet/antenatal-care-case"/>
</codeFilter>
</dataRequirement>
</Library>
</contained>
<extension
url="http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem">
<valueReference>🔗
<reference value="Device/cqf-tooling"/>
</valueReference>
</extension>
<extension
url="http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-effectiveDataRequirements" id="effective-data-requirements">
<valueCanonical value="#effective-data-requirements"/>
</extension>
<url value="http://hl7.org/fhir/uv/crmi/Measure/publishable-example"/>
<identifier>
<system value="urn:ietf:rfc:3986"/>
<value value="urn:oid:2.16.840.1.113883.4.642.40.38.29.1"/>
</identifier>
<version value="1.1.0-cibuild"/>
<name value="ANCIND01Publishable"/>
<title
value="ANC.IND.01 Percentage of pregnant women with first ANC contact in the first trimester (Publishable Example)"/>
<status value="draft"/>
<experimental value="true"/>
<date value="2023-03-13T22:32:10-06:00"/>
<publisher value="HL7 International / Clinical Decision Support"/>
<contact>
<telecom>
<system value="url"/>
<value value="http://www.hl7.org/Special/committees/dss"/>
</telecom>
</contact>
<description
value="Percentage of pregnant women with first ANC contact in the first trimester (before 12 weeks of gestation)"/>
<jurisdiction>
<coding>
<system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
<code value="001"/>
<display value="World"/>
</coding>
</jurisdiction>
<relatedArtifact>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-isPrimaryCitation">
<valueBoolean value="true"/>
</extension>
<type value="citation"/>
<citation
value="WHO, UN Women, UNFPA. Health care for women subjected to intimate partner violence or sexual violence – a clinical handbook. Geneva: World Health Organization; 2014"/>
<url
value="https://apps.who.int/iris/bitstream/handle/10665/136101/WHO_RHR_14.26_eng.pdf"/>
<document>
<url
value="https://apps.who.int/iris/bitstream/handle/10665/136101/WHO_RHR_14.26_eng.pdf"/>
</document>
</relatedArtifact>
<library value="http://hl7.org/fhir/uv/crmi/Library/ANCCohort"/>
<scoring>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/measure-scoring"/>
<code value="proportion"/>
</coding>
</scoring>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/measure-type"/>
<code value="process"/>
</coding>
</type>
<improvementNotation>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-improvement-notation"/>
<code value="increase"/>
</coding>
</improvementNotation>
<group id="group-1">
<population id="initial-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 id="denominator">
<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 id="numerator">
<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>
<stratifier id="by-age">
<code>
<text value="Age"/>
</code>
<criteria>
<language value="text/cql-identifier"/>
<expression value="Age Stratifier"/>
</criteria>
</stratifier>
<stratifier id="by-education-level">
<code>
<text value="Education Level"/>
</code>
<criteria>
<language value="text/cql-identifier"/>
<expression value="Education Level Stratifier"/>
</criteria>
</stratifier>
</group>
</Measure>
IG © 2022+ HL7 International / Clinical Decision Support. Package hl7.fhir.uv.crmi#1.1.0-cibuild based on FHIR 4.0.1. Generated 2025-02-17
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