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

<Measure xmlns="http://hl7.org/fhir">
  <id value="example-measure-anc4-coverage"/>
  <meta>
    <profile value="https://fhir.dha.go.ke/ig/core/StructureDefinition/kenya-core-measure|1.0.0"/>
  </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">ANC4CoverageMeasure</td>
</tr>


<tr>

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

<td class="content-container">Fourth Antenatal Care Visit Coverage</td>
</tr>



<tr>

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

<td class="content-container">Active</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>Measures the proportion of pregnant clients who completed a fourth antenatal care (ANC4) visit during the reporting period.</p>
</div></td>
</tr>












<tr>

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

<td class="content-container">Digital Health Agency (DHA), Kenya</td>
</tr>


<tr>

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

<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>
</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">1.0.0</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 colspan="2" scope="row" class="row-header">Measure Population Criteria</th>

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

      
      <td class="content-container">
        
        
          <em>Description</em>: No description provided
        
        
          
        
      </td>
    </tr>
  

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

      
      <td class="content-container">
        
        
          <em>Description</em>: No description provided
        
        
          
        
      </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>
  <url value="https://fhir.dha.go.ke/ig/core/Measure/example-measure-anc4-coverage"/>
  <identifier>
    <use value="official"/>
    <type>
      <text value="Measure Identifier"/>
    </type>
    <system value="https://fhir.sha.go.ke/fhir/identifier/measure"/>
    <value value="MSR-ANC4-COVERAGE"/>
  </identifier>
  <version value="1.0.0"/>
  <name value="ANC4CoverageMeasure"/>
  <title value="Fourth Antenatal Care Visit Coverage"/>
  <status value="active"/>
  <experimental value="false"/>
  <date value="2026-01-15"/>
  <publisher value="Digital Health Agency (DHA), Kenya"/>
  <contact>
    <name value="Digital Health Agency (DHA), Kenya"/>
    <telecom>
      <system value="url"/>
      <value value="https://dha.go.ke"/>
    </telecom>
    <telecom>
      <system value="email"/>
      <value value="fhir@dha.go.ke"/>
    </telecom>
  </contact>
  <description value="Measures the proportion of pregnant clients who completed a fourth antenatal care (ANC4) visit during the reporting period."/>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="KE"/>
      <display value="Kenya"/>
    </coding>
  </jurisdiction>
  <scoring>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/measure-scoring"/>
      <code value="proportion"/>
      <display value="Proportion"/>
    </coding>
  </scoring>
  <type>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/measure-type"/>
      <code value="process"/>
      <display value="Process"/>
    </coding>
  </type>
  <group>
    <population>
      <code>
        <coding>
          <system value="http://terminology.hl7.org/CodeSystem/measure-population"/>
          <code value="numerator"/>
          <display value="Numerator"/>
        </coding>
      </code>
      <criteria>
        <language value="text/cql"/>
        <expression value="ANC4 Visit Completed"/>
      </criteria>
    </population>
    <population>
      <code>
        <coding>
          <system value="http://terminology.hl7.org/CodeSystem/measure-population"/>
          <code value="denominator"/>
          <display value="Denominator"/>
        </coding>
      </code>
      <criteria>
        <language value="text/cql"/>
        <expression value="Pregnant Clients In Reporting Period"/>
      </criteria>
    </population>
  </group>
</Measure>