Kenya Core Implementation Guide
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Kenya Core Implementation Guide, published by Digital Health Agency (DHA), Kenya. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/IntelliSOFT-Consulting/Kenya-core-FHIR-IG/ and changes regularly. See the Directory of published versions

: Example Measure - Fourth Antenatal Care Visit Coverage - JSON Representation

Active as of 2026-01-15

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{
  "resourceType" : "Measure",
  "id" : "example-measure-anc4-coverage",
  "meta" : {
    "profile" : [
      🔗 "https://fhir.dha.go.ke/ig/core/StructureDefinition/kenya-core-measure|1.0.0"
    ]
  },
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n  <table class=\"narrative-table\">\n    <tbody>\n<tr>\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\">Knowledge Artifact Metadata</th>\n\n</tr>\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Name (machine-readable)</th>\n\n<td class=\"content-container\">ANC4CoverageMeasure</td>\n</tr>\n\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Title (human-readable)</th>\n\n<td class=\"content-container\">Fourth Antenatal Care Visit Coverage</td>\n</tr>\n\n\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Status</th>\n\n<td class=\"content-container\">Active</td>\n</tr>\n\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Experimental</th>\n\n<td class=\"content-container\">false</td>\n</tr>\n\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Description</th>\n\n<td class=\"content-container\"><div><p>Measures the proportion of pregnant clients who completed a fourth antenatal care (ANC4) visit during the reporting period.</p>\n</div></td>\n</tr>\n\n\n\n\n\n\n\n\n\n\n\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Measure Steward</th>\n\n<td class=\"content-container\">Digital Health Agency (DHA), Kenya</td>\n</tr>\n\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Steward Contact Details</th>\n\n<td class=\"content-container\">Digital Health Agency (DHA), Kenya: <a href=\"https://dha.go.ke\">https://dha.go.ke</a>,<a href=\"mailto:fhir@dha.go.ke\">fhir@dha.go.ke</a></td>\n</tr>\n\n\n\n\n\n\n\n\n\n\n\n<tr>\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\">Measure Metadata</th>\n\n</tr>\n\n\n\n\n\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Version Number</th>\n\n<td class=\"content-container\">1.0.0</td>\n</tr>\n\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Measure Scoring</th>\n\n<td class=\"content-container\"><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-scoring proportion}\">Proportion</span></td>\n</tr>\n\n\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Measure Type</th>\n\n<td class=\"content-container\"><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-type process}\">Process</span></td>\n</tr>\n\n\n\n\n\n\n\n\n\n\n\n\n\n  \n    <tr>\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\">Measure Population Criteria</th>\n\n</tr>\n  \n  \n  \n  \n    <tr>\n      \n        \n<th scope=\"row\" class=\"row-header\">Numerator</th>\n\n      \n      <td class=\"content-container\">\n        \n        \n          <em>Description</em>: No description provided\n        \n        \n          \n        \n      </td>\n    </tr>\n  \n\n  \n    <tr>\n      \n        \n<th scope=\"row\" class=\"row-header\">Denominator</th>\n\n      \n      <td class=\"content-container\">\n        \n        \n          <em>Description</em>: No description provided\n        \n        \n          \n        \n      </td>\n    </tr>\n  \n\n  \n  \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n<tr>\n  <th colspan=\"2\" scope=\"row\" class=\"row-header\">Generated using version 0.4.6 of the sample-content-ig Liquid templates</th>\n</tr>\n    </tbody>\n  </table>\n</div>"
  },
  "url" : "https://fhir.dha.go.ke/ig/core/Measure/example-measure-anc4-coverage",
  "identifier" : [
    {
      "use" : "official",
      "type" : {
        "text" : "Measure Identifier"
      },
      "system" : "https://fhir.sha.go.ke/fhir/identifier/measure",
      "value" : "MSR-ANC4-COVERAGE"
    }
  ],
  "version" : "1.0.0",
  "name" : "ANC4CoverageMeasure",
  "title" : "Fourth Antenatal Care Visit Coverage",
  "status" : "active",
  "experimental" : false,
  "date" : "2026-01-15",
  "publisher" : "Digital Health Agency (DHA), Kenya",
  "contact" : [
    {
      "name" : "Digital Health Agency (DHA), Kenya",
      "telecom" : [
        {
          "system" : "url",
          "value" : "https://dha.go.ke"
        },
        {
          "system" : "email",
          "value" : "fhir@dha.go.ke"
        }
      ]
    }
  ],
  "description" : "Measures the proportion of pregnant clients who completed a fourth antenatal care (ANC4) visit during the reporting period.",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "urn:iso:std:iso:3166",
          "code" : "KE",
          "display" : "Kenya"
        }
      ]
    }
  ],
  "scoring" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/measure-scoring",
        "code" : "proportion",
        "display" : "Proportion"
      }
    ]
  },
  "type" : [
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/measure-type",
          "code" : "process",
          "display" : "Process"
        }
      ]
    }
  ],
  "group" : [
    {
      "population" : [
        {
          "code" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                "code" : "numerator",
                "display" : "Numerator"
              }
            ]
          },
          "criteria" : {
            "language" : "text/cql",
            "expression" : "ANC4 Visit Completed"
          }
        },
        {
          "code" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                "code" : "denominator",
                "display" : "Denominator"
              }
            ]
          },
          "criteria" : {
            "language" : "text/cql",
            "expression" : "Pregnant Clients In Reporting Period"
          }
        }
      ]
    }
  ]
}