WHO Antenatal Care Guideline Implementation Guide
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WHO Antenatal Care Guideline Implementation Guide, published by World Health Organization (WHO). This guide is not an authorized publication; it is the continuous build for version 0.3.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/WorldHealthOrganization/smart-anc/ and changes regularly. See the Directory of published versions

: ANC.IND.02 Percentage of pregnant women who received iron and folic acid (IFA) supplements for 90+ days - JSON Representation

Draft as of 2025-06-24

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{
  "resourceType" : "Measure",
  "id" : "ANCIND02",
  "meta" : {
    "profile" : [
      🔗 "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm"
    ]
  },
  "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\">ANCIND02</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\">ANC.IND.02 Percentage of pregnant women who received iron and folic acid (IFA) supplements for 90+ days</td>\n</tr>\n\n\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Status</th>\n\n<td class=\"content-container\">Draft</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>Percentage of pregnant women who received iron and folic acid (IFA) supplements for 90+ days</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\">World Health Organization (WHO)</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\"><a href=\"https://www.who.int\">https://www.who.int</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\">0.3.0</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<tr>\n\n<th scope=\"row\" class=\"row-header\">Improvement Notation</th>\n\n<td class=\"content-container\"><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-improvement-notation increase}\">Increased score indicates improvement</span></td>\n</tr>\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 (ID: group-1)</th>\n\n</tr>\n  \n  \n  \n  \n    <tr>\n      \n        \n          \n            \n<th scope=\"row\" class=\"row-header\">Initial Population</th>\n\n          \n          \n          \n          \n          \n          \n          \n          \n          \n        \n      \n      <td class=\"content-container\">\n        \n        <em>ID</em>: initial-population\n        <br/>\n        \n        \n          <em>Description</em>: No description provided\n        \n        \n          \n            \n            <em>Logic Definition</em>: <a href=\"#ancind02-initial-population\">Initial Population</a> \n          \n        \n      </td>\n    </tr>\n  \n\n  \n    <tr>\n      \n        \n          \n          \n          \n          \n            \n<th scope=\"row\" class=\"row-header\">Denominator</th>\n\n          \n          \n          \n          \n          \n          \n        \n      \n      <td class=\"content-container\">\n        \n        <em>ID</em>: denominator\n        <br/>\n        \n        \n          <em>Description</em>: No description provided\n        \n        \n          \n            \n            <em>Logic Definition</em>: <a href=\"#ancind02-denominator\">Denominator</a> \n          \n        \n      </td>\n    </tr>\n  \n\n  \n    <tr>\n      \n        \n          \n          \n            \n<th scope=\"row\" class=\"row-header\">Numerator</th>\n\n          \n          \n          \n          \n          \n          \n          \n          \n        \n      \n      <td class=\"content-container\">\n        \n        <em>ID</em>: numerator\n        <br/>\n        \n        \n          <em>Description</em>: No description provided\n        \n        \n          \n            \n            <em>Logic Definition</em>: <a href=\"#ancind02-numerator\">Numerator</a> \n          \n        \n      </td>\n    </tr>\n  \n\n  \n<tr>\n  \n<th scope=\"row\" class=\"row-header\">Stratifier</th>\n\n  <td class=\"content-container\">\n    \n      <em>ID</em>: by-age\n      \n    \n    \n    \n  </td>\n</tr>\n\n<tr>\n  \n<th scope=\"row\" class=\"row-header\">Stratifier</th>\n\n  <td class=\"content-container\">\n    \n      <em>ID</em>: by-education-level\n      \n    \n    \n    \n  </td>\n</tr>\n\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 Logic</th>\n\n</tr>\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Primary Library</th>\n\n<td class=\"content-container\"><a href=\"Library-ANCIND02.html\">ANC.IND.02 Percentage of pregnant women who received iron and folic acid (IFA) supplements for 90+ days</a></td>\n</tr>\n\n\n\n\n  \n  \n\n<tr>\n  \n  \n  \n  \n  \n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n  \n  <td class=\"content-container\">\n    \n    <em>Description</em>: Library BaseData\n    \n    <br/>\n    \n    \n    \n    \n    \n    \n    <em>Resource</em>: <a href=\"Library-ANCBaseDataElements.html\">ANC Base Data Elements</a>\n    <br/>\n    <em>Canonical URL</em>: <tt>http://smart.who.int/anc/Library/ANCBaseDataElements</tt>\n    \n  </td>\n</tr>\n\n<tr>\n  \n  \n  \n  \n  \n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n  \n  <td class=\"content-container\">\n    \n    <em>Description</em>: Library BCx\n    \n    <br/>\n    \n    \n    \n    \n    \n    \n    <em>Resource</em>: <a href=\"Library-ANCBaseConcepts.html\">ANC Base Concepts</a>\n    <br/>\n    <em>Canonical URL</em>: <tt>http://smart.who.int/anc/Library/ANCBaseConcepts</tt>\n    \n  </td>\n</tr>\n\n<tr>\n  \n  \n  \n  \n  \n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n  \n  <td class=\"content-container\">\n    \n    <em>Description</em>: Library PatientData\n    \n    <br/>\n    \n    \n    \n    \n    \n    \n    <em>Resource</em>: <a href=\"Library-ANCDataElements.html\">ANC Data Elements</a>\n    <br/>\n    <em>Canonical URL</em>: <tt>http://smart.who.int/anc/Library/ANCDataElements</tt>\n    \n  </td>\n</tr>\n\n<tr>\n  \n  \n  \n  \n  \n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n  \n  <td class=\"content-container\">\n    \n    <em>Description</em>: Library FHIRHelpers\n    \n    <br/>\n    \n    \n    \n    \n    \n    \n    <em>Resource</em>: <code>http://smart.who.int/anc/Library/FHIRHelpers|4.0.1</code>\n    <br/>\n    <em>Canonical URL</em>: <tt>http://smart.who.int/anc/Library/FHIRHelpers|4.0.1</tt>\n    \n  </td>\n</tr>\n\n<tr>\n  \n  \n  \n  \n  \n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n  \n  <td class=\"content-container\">\n    \n    <em>Description</em>: Library Stratifiers\n    \n    <br/>\n    \n    \n    \n    \n    \n    \n    <em>Resource</em>: <a href=\"Library-ANCStratifiers.html\">ANC Stratifiers</a>\n    <br/>\n    <em>Canonical URL</em>: <tt>http://smart.who.int/anc/Library/ANCStratifiers</tt>\n    \n  </td>\n</tr>\n\n<tr>\n  \n  \n  \n  \n  \n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n  \n  <td class=\"content-container\">\n    \n    <em>Description</em>: Library Cx\n    \n    <br/>\n    \n    \n    \n    \n    \n    \n    <em>Resource</em>: <a href=\"Library-ANCConcepts.html\">ANC Concepts</a>\n    <br/>\n    <em>Canonical URL</em>: <tt>http://smart.who.int/anc/Library/ANCConcepts</tt>\n    \n  </td>\n</tr>\n\n<tr>\n  \n  \n  \n  \n  \n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n  \n  <td class=\"content-container\">\n    \n    <em>Description</em>: Library WC\n    \n    <br/>\n    \n    \n    \n    \n    \n    \n    <em>Resource</em>: <a href=\"Library-WHOCommon.html\">WHO Common</a>\n    <br/>\n    <em>Canonical URL</em>: <tt>http://smart.who.int/anc/Library/WHOCommon</tt>\n    \n  </td>\n</tr>\n\n<tr>\n  \n  \n  \n  \n  \n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n  \n  <td class=\"content-container\">\n    \n    <em>Description</em>: Library FC\n    \n    <br/>\n    \n    \n    \n    \n    \n    \n    <em>Resource</em>: <a href=\"Library-FHIRCommon.html\">FHIRCommon</a>\n    <br/>\n    <em>Canonical URL</em>: <tt>http://smart.who.int/anc/Library/FHIRCommon</tt>\n    \n  </td>\n</tr>\n\n<tr>\n  \n  \n  \n  \n  \n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n  \n  <td class=\"content-container\">\n    \n    <em>Description</em>: Code system ISO-8601-Derived Periods\n    \n    <br/>\n    \n    \n    \n    \n    \n    \n    <em>Resource</em>: <code>http://ohie.org/CodeSystem/iso-8601-derived-periods</code>\n    <br/>\n    <em>Canonical URL</em>: <tt>http://ohie.org/CodeSystem/iso-8601-derived-periods</tt>\n    \n  </td>\n</tr>\n\n<tr>\n  \n  \n  \n  \n  \n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n  \n  <td class=\"content-container\">\n    \n    <em>Description</em>: Value set Antenatal care contact\n    \n    <br/>\n    \n    \n    \n    \n    \n    \n    <em>Resource</em>: <a href=\"ValueSet-antenatal-care-contact.html\">Antenatal care contact</a>\n    <br/>\n    <em>Canonical URL</em>: <tt>http://smart.who.int/anc/ValueSet/antenatal-care-contact</tt>\n    \n  </td>\n</tr>\n\n<tr>\n  \n  \n  \n  \n  \n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n  \n  <td class=\"content-container\">\n    \n    <em>Description</em>: Value set Iron supplement\n    \n    <br/>\n    \n    \n    \n    \n    \n    \n    <em>Resource</em>: <a href=\"ValueSet-iron-supplement.html\">Iron Supplement</a>\n    <br/>\n    <em>Canonical URL</em>: <tt>http://smart.who.int/anc/ValueSet/iron-supplement</tt>\n    \n  </td>\n</tr>\n\n<tr>\n  \n  \n  \n  \n  \n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n  \n  <td class=\"content-container\">\n    \n    <em>Description</em>: Value set Folic acid supplement\n    \n    <br/>\n    \n    \n    \n    \n    \n    \n    <em>Resource</em>: <a href=\"ValueSet-folic-acid-supplement.html\">Folic Aicd Supplement</a>\n    <br/>\n    <em>Canonical URL</em>: <tt>http://smart.who.int/anc/ValueSet/folic-acid-supplement</tt>\n    \n  </td>\n</tr>\n\n<tr>\n  \n  \n  \n  \n  \n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n  \n  <td class=\"content-container\">\n    \n    <em>Description</em>: Value set Reason for closing ANC record\n    \n    <br/>\n    \n    \n    \n    \n    \n    \n    <em>Resource</em>: <a href=\"ValueSet-anc-end-1.html\">Reason for closing ANC record</a>\n    <br/>\n    <em>Canonical URL</em>: <tt>http://smart.who.int/anc/ValueSet/anc-end-1</tt>\n    \n  </td>\n</tr>\n\n<tr>\n  \n  \n  \n  \n  \n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n  \n  <td class=\"content-container\">\n    \n    <em>Description</em>: Value set Qualifying Reason for closing ANC record Choices\n    \n    <br/>\n    \n    \n    \n    \n    \n    \n    <em>Resource</em>: <a href=\"ValueSet-qualifying-reason-for-closing-anc-record-choices.html\">Qualifying Reason for closing ANC record Choices</a>\n    <br/>\n    <em>Canonical URL</em>: <tt>http://smart.who.int/anc/ValueSet/qualifying-reason-for-closing-anc-record-choices</tt>\n    \n  </td>\n</tr>\n\n<tr>\n  \n  \n  \n  \n  \n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n  \n  <td class=\"content-container\">\n    \n    <em>Description</em>: Value set Antenatal care case\n    \n    <br/>\n    \n    \n    \n    \n    \n    \n    <em>Resource</em>: <a href=\"ValueSet-antenatal-care-case.html\">Antenatal care case</a>\n    <br/>\n    <em>Canonical URL</em>: <tt>http://smart.who.int/anc/ValueSet/antenatal-care-case</tt>\n    \n  </td>\n</tr>\n\n\n  \n  <tr>\n    <th scope=\"row\" class=\"row-header\">Direct Reference Code</th>\n    <td class=\"content-container\">\n      \n        <em>Display</em>: 10-14 years\n        <br/>\n      \n      <em>Code</em>: P10Y--P14Y\n      <br/>\n      <em>System</em>: <tt>http://ohie.org/CodeSystem/iso-8601-derived-periods</tt>\n    </td>\n  </tr>\n\n  <tr>\n    <th scope=\"row\" class=\"row-header\">Direct Reference Code</th>\n    <td class=\"content-container\">\n      \n        <em>Display</em>: 15-19 years\n        <br/>\n      \n      <em>Code</em>: P15Y--P19Y\n      <br/>\n      <em>System</em>: <tt>http://ohie.org/CodeSystem/iso-8601-derived-periods</tt>\n    </td>\n  </tr>\n\n  <tr>\n    <th scope=\"row\" class=\"row-header\">Direct Reference Code</th>\n    <td class=\"content-container\">\n      \n        <em>Display</em>: 20+ years\n        <br/>\n      \n      <em>Code</em>: P20Y--P9999Y\n      <br/>\n      <em>System</em>: <tt>http://ohie.org/CodeSystem/iso-8601-derived-periods</tt>\n    </td>\n  </tr>\n\n  \n  <tr>\n  \n<th scope=\"row\" class=\"row-header\">Parameter</th>\n\n  <td class=\"content-container\">\n    <em>Name</em>: Measurement Period\n    <br/>\n    <em>Use</em>: In\n    <br/>\n    <em>Min Cardinality</em>: 0\n    <br/>\n    <em>Max Cardinality</em>: 1\n    <br/>\n    <em>Type</em>: Period\n  </td>\n</tr>\n  \n  <tr>\n  \n<th scope=\"row\" class=\"row-header\">Parameter</th>\n\n  <td class=\"content-container\">\n    <em>Name</em>: Numerator\n    <br/>\n    <em>Use</em>: Out\n    <br/>\n    <em>Min Cardinality</em>: 0\n    <br/>\n    <em>Max Cardinality</em>: 1\n    <br/>\n    <em>Type</em>: boolean\n  </td>\n</tr>\n  \n  <tr>\n  \n<th scope=\"row\" class=\"row-header\">Parameter</th>\n\n  <td class=\"content-container\">\n    <em>Name</em>: Age Stratifier\n    <br/>\n    <em>Use</em>: Out\n    <br/>\n    <em>Min Cardinality</em>: 0\n    <br/>\n    <em>Max Cardinality</em>: 1\n    <br/>\n    <em>Type</em>: Coding\n  </td>\n</tr>\n  \n  <tr>\n  \n<th scope=\"row\" class=\"row-header\">Parameter</th>\n\n  <td class=\"content-container\">\n    <em>Name</em>: Denominator\n    <br/>\n    <em>Use</em>: Out\n    <br/>\n    <em>Min Cardinality</em>: 0\n    <br/>\n    <em>Max Cardinality</em>: 1\n    <br/>\n    <em>Type</em>: boolean\n  </td>\n</tr>\n  \n  <tr>\n  \n<th scope=\"row\" class=\"row-header\">Parameter</th>\n\n  <td class=\"content-container\">\n    <em>Name</em>: Education Level Stratifier\n    <br/>\n    <em>Use</em>: Out\n    <br/>\n    <em>Min Cardinality</em>: 0\n    <br/>\n    <em>Max Cardinality</em>: *\n    <br/>\n    <em>Type</em>: CodeableConcept\n  </td>\n</tr>\n  \n  <tr>\n  \n<th scope=\"row\" class=\"row-header\">Parameter</th>\n\n  <td class=\"content-container\">\n    <em>Name</em>: Initial Population\n    <br/>\n    <em>Use</em>: Out\n    <br/>\n    <em>Min Cardinality</em>: 0\n    <br/>\n    <em>Max Cardinality</em>: 1\n    <br/>\n    <em>Type</em>: boolean\n  </td>\n</tr>\n  \n  \n  <tr>\n    <th colspan=\"2\" scope=\"row\" class=\"section-header\"><a name=\"effective-data-requirements\"> </a>Measure Logic Data Requirements</th>\n  </tr>\n  \n  \n<tr>\n  <th scope=\"row\" class=\"row-header\">Data Requirement</th>\n  <td class=\"content-container\">\n    <em>Type</em>: Encounter\n    <br/>\n  \n    <em>Profile(s)</em>: \n  \n    <a href=\"http://hl7.org/fhir/R4/encounter.html\">Encounter</a>\n    <br/>        \n  \n   \n   \n    <em>Must Support Elements</em>: type, period\n    <br/>\n   \n  \n    <em>Code Filter(s)</em>: \n    <br/>\n  \n  \n    <span class=\"tab-one\"><em>Path</em>: type</span>\n    <br/>\n  \n  \n  \n    <span class=\"tab-one\"><em>ValueSet</em>:</span> <a href=\"ValueSet-antenatal-care-contact.html\">Antenatal care contact</a>\n    <br/> \n  \n  \n  \n   \n  </td>\n</tr>\n\n<tr>\n  <th scope=\"row\" class=\"row-header\">Data Requirement</th>\n  <td class=\"content-container\">\n    <em>Type</em>: MedicationRequest\n    <br/>\n  \n    <em>Profile(s)</em>: \n  \n    <a href=\"http://hl7.org/fhir/R4/medicationrequest.html\">MedicationRequest</a>\n    <br/>        \n  \n   \n   \n    <em>Must Support Elements</em>: medication, status, doNotPerform, dosageInstruction, dosageInstruction.timing, dosageInstruction.timing.repeat, dosageInstruction.timing.repeat.bounds\n    <br/>\n   \n  \n    <em>Code Filter(s)</em>: \n    <br/>\n  \n  \n    <span class=\"tab-one\"><em>Path</em>: medication</span>\n    <br/>\n  \n  \n  \n    <span class=\"tab-one\"><em>ValueSet</em>:</span> <a href=\"ValueSet-iron-supplement.html\">Iron Supplement</a>\n    <br/> \n  \n  \n  \n   \n  </td>\n</tr>\n\n<tr>\n  <th scope=\"row\" class=\"row-header\">Data Requirement</th>\n  <td class=\"content-container\">\n    <em>Type</em>: MedicationRequest\n    <br/>\n  \n    <em>Profile(s)</em>: \n  \n    <a href=\"http://hl7.org/fhir/R4/medicationrequest.html\">MedicationRequest</a>\n    <br/>        \n  \n   \n   \n    <em>Must Support Elements</em>: medication, status, doNotPerform, dosageInstruction, dosageInstruction.timing, dosageInstruction.timing.repeat, dosageInstruction.timing.repeat.bounds\n    <br/>\n   \n  \n    <em>Code Filter(s)</em>: \n    <br/>\n  \n  \n    <span class=\"tab-one\"><em>Path</em>: medication</span>\n    <br/>\n  \n  \n  \n    <span class=\"tab-one\"><em>ValueSet</em>:</span> <a href=\"ValueSet-folic-acid-supplement.html\">Folic Aicd Supplement</a>\n    <br/> \n  \n  \n  \n   \n  </td>\n</tr>\n\n<tr>\n  <th scope=\"row\" class=\"row-header\">Data Requirement</th>\n  <td class=\"content-container\">\n    <em>Type</em>: MedicationRequest\n    <br/>\n  \n    <em>Profile(s)</em>: \n  \n    <a href=\"http://hl7.org/fhir/R4/medicationrequest.html\">MedicationRequest</a>\n    <br/>        \n  \n   \n   \n    <em>Must Support Elements</em>: medication.reference, status, doNotPerform, dosageInstruction, dosageInstruction.timing, dosageInstruction.timing.repeat, dosageInstruction.timing.repeat.bounds\n    <br/>\n   \n   \n  </td>\n</tr>\n\n<tr>\n  <th scope=\"row\" class=\"row-header\">Data Requirement</th>\n  <td class=\"content-container\">\n    <em>Type</em>: Medication\n    <br/>\n  \n    <em>Profile(s)</em>: \n  \n    <a href=\"http://hl7.org/fhir/R4/medication.html\">Medication</a>\n    <br/>        \n  \n   \n   \n    <em>Must Support Elements</em>: id, code\n    <br/>\n   \n   \n  </td>\n</tr>\n\n<tr>\n  <th scope=\"row\" class=\"row-header\">Data Requirement</th>\n  <td class=\"content-container\">\n    <em>Type</em>: Patient\n    <br/>\n  \n    <em>Profile(s)</em>: \n  \n    <a href=\"http://hl7.org/fhir/R4/patient.html\">Patient</a>\n    <br/>        \n  \n   \n   \n    <em>Must Support Elements</em>: url, value\n    <br/>\n   \n   \n  </td>\n</tr>\n\n<tr>\n  <th scope=\"row\" class=\"row-header\">Data Requirement</th>\n  <td class=\"content-container\">\n    <em>Type</em>: Observation\n    <br/>\n  \n    <em>Profile(s)</em>: \n  \n    <a href=\"http://hl7.org/fhir/R4/observation.html\">Observation</a>\n    <br/>        \n  \n   \n   \n    <em>Must Support Elements</em>: code, status, effective, value\n    <br/>\n   \n  \n    <em>Code Filter(s)</em>: \n    <br/>\n  \n  \n    <span class=\"tab-one\"><em>Path</em>: code</span>\n    <br/>\n  \n  \n  \n    <span class=\"tab-one\"><em>ValueSet</em>:</span> <a href=\"ValueSet-anc-end-1.html\">Reason for closing ANC record</a>\n    <br/> \n  \n  \n  \n   \n  </td>\n</tr>\n\n<tr>\n  <th scope=\"row\" class=\"row-header\">Data Requirement</th>\n  <td class=\"content-container\">\n    <em>Type</em>: EpisodeOfCare\n    <br/>\n  \n    <em>Profile(s)</em>: \n  \n    <a href=\"http://hl7.org/fhir/R4/episodeofcare.html\">EpisodeOfCare</a>\n    <br/>        \n  \n   \n   \n    <em>Must Support Elements</em>: type\n    <br/>\n   \n  \n    <em>Code Filter(s)</em>: \n    <br/>\n  \n  \n    <span class=\"tab-one\"><em>Path</em>: type</span>\n    <br/>\n  \n  \n  \n    <span class=\"tab-one\"><em>ValueSet</em>:</span> <a href=\"ValueSet-antenatal-care-case.html\">Antenatal care case</a>\n    <br/> \n  \n  \n  \n   \n  </td>\n</tr>\n\n  \n  <tr>\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\">Measure Logic Definitions</th>\n\n</tr>\n  \n          \n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    \n      \n      <a name=\"ancbasedataelements-antenatal-care-contact\"> </a>\n    \n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> ANCBaseDataElements</td>\n\n</tr>\n<tr>\n\n  <td>\n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define &quot;Antenatal care contact&quot;:\n  [&quot;Encounter&quot;: type in BCx.&quot;Antenatal care contact&quot;]</code></pre>\n  </td>\n\n</tr>\n        \n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    \n      \n      <a name=\"ancdataelements-amount-of-iron-prescribed\"> </a>\n    \n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> ANCDataElements</td>\n\n</tr>\n<tr>\n\n  <td>\n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">/*\n  @dataElement: ANC.B10.DE91 Amount of iron prescribed\n  @activity: ANC.B10.5 Nutrition supplementation\n  @description: Amount of iron supplements prescribed in milligrams for intake\n*/\ndefine &quot;Amount of iron prescribed&quot;:\n  [MedicationRequest: BCx.&quot;Iron supplement&quot;] MR\n    where MR.status in { 'draft', 'active', 'on-hold', 'completed' }\n      and Coalesce(MR.doNotPerform, false) is false</code></pre>\n  </td>\n\n</tr>\n        \n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    \n      \n      <a name=\"ancdataelements-amount-of-daily-dose-of-folic-acid-prescribed\"> </a>\n    \n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> ANCDataElements</td>\n\n</tr>\n<tr>\n\n  <td>\n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">/*\n  @dataElement: ANC.B10.DE95 Amount of daily dose of folic acid prescribed\n  @activity: ANC.B10.5 Nutrition supplementation\n  @description: Amount of folic acid supplements prescribed in milligrams for daily intake\n*/\ndefine &quot;Amount of daily dose of folic acid prescribed&quot;:\n  [MedicationRequest: BCx.&quot;Folic acid supplement&quot;] MR\n    where MR.status in { 'draft', 'active', 'on-hold', 'completed' }\n      and Coalesce(MR.doNotPerform, false) is false</code></pre>\n  </td>\n\n</tr>\n        \n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    \n      \n      <a name=\"ancind02-numerator\"> </a>\n    \n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> ANCIND02</td>\n\n</tr>\n<tr>\n\n  <td>\n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">/*\nNumerator: Number of pregnant women who received the recommended number of IFA tablets during all previous contacts\nNumerator Computation: COUNT of number of women who were prescribed IFA tablets at each ANC contact they have had\n*/\ndefine Numerator:\n  not exists (\n    BaseData.&quot;Antenatal care contact&quot; C\n      without PatientData.&quot;Amount of iron prescribed&quot; I\n        such that (singleton from I.dosageInstruction).timing.repeat.bounds overlaps C.period\n      without PatientData.&quot;Amount of daily dose of folic acid prescribed&quot; FA\n          such that (singleton from FA.dosageInstruction).timing.repeat.bounds overlaps C.period\n  )</code></pre>\n  </td>\n\n</tr>\n        \n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    \n      \n      <a name=\"ancstratifiers-by-age\"> </a>\n    \n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> ANCStratifiers</td>\n\n</tr>\n<tr>\n\n  <td>\n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">/*\nBy Patient Age as of the start of the Measurement Period\nAge (10-14, 15-19, 20+)\n*/\ndefine &quot;By Age&quot;:\n  case\n    when AgeInYearsAt(start of &quot;Measurement Period&quot;) in Interval[10, 14] then &quot;P10Y--P14Y&quot;\n    when AgeInYearsAt(start of &quot;Measurement Period&quot;) in Interval[15, 19] then &quot;P15Y--P19Y&quot;\n    when AgeInYearsAt(start of &quot;Measurement Period&quot;) &gt;= 20 then &quot;P20Y--P9999Y&quot;\n    else null\n  end</code></pre>\n  </td>\n\n</tr>\n        \n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    \n      \n      <a name=\"ancind02-age-stratifier\"> </a>\n    \n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> ANCIND02</td>\n\n</tr>\n<tr>\n\n  <td>\n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">/*\nDisaggregation: Age (10–14, 15–19, 20+)\n*/\ndefine &quot;Age Stratifier&quot;:\n  Stratifiers.&quot;By Age&quot;</code></pre>\n  </td>\n\n</tr>\n        \n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    \n      \n      <a name=\"ancdataelements-reason-for-closing-anc-record\"> </a>\n    \n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> ANCDataElements</td>\n\n</tr>\n<tr>\n\n  <td>\n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">/*\n  @dataElement: ANC.End.1 Reason for closing ANC record\n  @activity: ANC.End End\n  @description: Select the reason why you are closing the woman's ANC record\n*/\ndefine &quot;Reason for closing ANC record&quot;:\n  [Observation: Cx.&quot;Reason for closing ANC record&quot;] O\n    where O.status in { 'final', 'amended', 'corrected' }\n      and Coalesce(WC.ModifierExtension(O, 'who-notDone').value, false) is false</code></pre>\n  </td>\n\n</tr>\n        \n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    \n      \n      <a name=\"ancind02-denominator\"> </a>\n    \n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> ANCIND02</td>\n\n</tr>\n<tr>\n\n  <td>\n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">/*\nDenominator: Total number of antenatal clients with a first contact\nDenominator Computation: COUNT of all women whose records were closed (ANC\n  close form) in the last reporting period due to any of the reasons below:\n    » live birth\n    » stillbirth\n    » miscarriage\n    » abortion\n    » woman died\n    » lost to follow-up\n    » moved away\n*/\ndefine Denominator:\n  exists (\n    PatientData.&quot;Reason for closing ANC record&quot; R\n      where FC.ToInterval(R.effective) during &quot;Measurement Period&quot;\n        and R.value as FHIR.CodeableConcept in Stratifiers.&quot;Qualifying Reason for closing ANC record Choices&quot;\n  )</code></pre>\n  </td>\n\n</tr>\n        \n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    \n      \n      <a name=\"ancstratifiers-by-education-level\"> </a>\n    \n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> ANCStratifiers</td>\n\n</tr>\n<tr>\n\n  <td>\n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">/*\nBy Patient Education Level (none, don't know, primary, secondary, higher)\n*/\ndefine &quot;By Education Level&quot;:\n  Patient.extension E\n    where E.url = 'http://smart.who.int/anc/StructureDefinition/educationlevel'\n    return E.value as CodeableConcept</code></pre>\n  </td>\n\n</tr>\n        \n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    \n      \n      <a name=\"ancind02-education-level-stratifier\"> </a>\n    \n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> ANCIND02</td>\n\n</tr>\n<tr>\n\n  <td>\n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">/*\nDisaggregation: Education level (none, don’t know, primary, secondary, higher)\n*/\ndefine &quot;Education Level Stratifier&quot;:\n  Stratifiers.&quot;By Education Level&quot;</code></pre>\n  </td>\n\n</tr>\n        \n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    \n      \n      <a name=\"ancbasedataelements-antenatal-care-case\"> </a>\n    \n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> ANCBaseDataElements</td>\n\n</tr>\n<tr>\n\n  <td>\n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">/*\ndefine &quot;Pregnant&quot;:\n  &quot;Pregnancy&quot; is not null\n    or &quot;Pregnancy status&quot; in BCx.&quot;Pregnancy status - pregnant&quot;\n\ndefine &quot;Pregnancy status&quot;:\n  FHIRHelpers.ToConcept(\n    Last(\n      [Observation: BCx.&quot;Pregnancy status&quot;] O\n        where O.status = 'final'\n        sort by FHIRHelpers.ToDateTime(effective as FHIR.dateTime)\n    ).value\n  )\n*/\n\ndefine &quot;Antenatal care case&quot;:\n  [&quot;EpisodeOfCare&quot;: type in BCx.&quot;Antenatal care case&quot;]</code></pre>\n  </td>\n\n</tr>\n        \n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    \n      \n      <a name=\"ancind02-initial-population\"> </a>\n    \n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> ANCIND02</td>\n\n</tr>\n<tr>\n\n  <td>\n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">/*\nInitial population: Antenatal clients\n*/\ndefine &quot;Initial Population&quot;:\n  exists (BaseData.&quot;Antenatal care case&quot;)</code></pre>\n  </td>\n\n</tr>\n        \n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    \n      \n      <a name=\"fhirhelpers-tostring\"> </a>\n    \n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> FHIRHelpers</td>\n\n</tr>\n<tr>\n\n  <td>\n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define function ToString(value string): value.value</code></pre>\n  </td>\n\n</tr>\n        \n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    \n      \n      <a name=\"fhirhelpers-toconcept\"> </a>\n    \n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> FHIRHelpers</td>\n\n</tr>\n<tr>\n\n  <td>\n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define function ToConcept(concept FHIR.CodeableConcept):\n    if concept is null then\n        null\n    else\n        System.Concept {\n            codes: concept.coding C return ToCode(C),\n            display: concept.text.value\n        }</code></pre>\n  </td>\n\n</tr>\n        \n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    \n      \n      <a name=\"fhirhelpers-tocode\"> </a>\n    \n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> FHIRHelpers</td>\n\n</tr>\n<tr>\n\n  <td>\n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define function ToCode(coding FHIR.Coding):\n    if coding is null then\n        null\n    else\n        System.Code {\n          code: coding.code.value,\n          system: coding.system.value,\n          version: coding.version.value,\n          display: coding.display.value\n        }</code></pre>\n  </td>\n\n</tr>\n        \n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    \n      \n      <a name=\"fhirhelpers-tostring\"> </a>\n    \n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> FHIRHelpers</td>\n\n</tr>\n<tr>\n\n  <td>\n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define function ToString(value MedicationRequestStatus): value.value</code></pre>\n  </td>\n\n</tr>\n        \n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    \n      \n      <a name=\"fhirhelpers-toboolean\"> </a>\n    \n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> FHIRHelpers</td>\n\n</tr>\n<tr>\n\n  <td>\n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define function ToBoolean(value boolean): value.value</code></pre>\n  </td>\n\n</tr>\n        \n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    \n      \n      <a name=\"fhirhelpers-tointerval\"> </a>\n    \n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> FHIRHelpers</td>\n\n</tr>\n<tr>\n\n  <td>\n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define function ToInterval(period FHIR.Period):\n    if period is null then\n        null\n    else\n        if period.&quot;start&quot; is null then\n            Interval(period.&quot;start&quot;.value, period.&quot;end&quot;.value]\n        else\n            Interval[period.&quot;start&quot;.value, period.&quot;end&quot;.value]</code></pre>\n  </td>\n\n</tr>\n        \n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    \n      \n      <a name=\"fhirhelpers-tostring\"> </a>\n    \n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> FHIRHelpers</td>\n\n</tr>\n<tr>\n\n  <td>\n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define function ToString(value ObservationStatus): value.value</code></pre>\n  </td>\n\n</tr>\n        \n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    \n      \n      <a name=\"whocommon-modifierextension\"> </a>\n    \n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> WHOCommon</td>\n\n</tr>\n<tr>\n\n  <td>\n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">/*\n@description: Returns the single WHO core modifier extension (if present) on the given resource with the specified id.\n@comment: This function uses singleton from to ensure that a run-time exception is thrown if there\nis more than one extension on the given resource with the specified url.\n*/\ndefine function ModifierExtension(domainResource DomainResource, id String):\n  singleton from ModifierExtensions(domainResource, id)</code></pre>\n  </td>\n\n</tr>\n        \n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    \n      \n      <a name=\"whocommon-modifierextensions\"> </a>\n    \n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> WHOCommon</td>\n\n</tr>\n<tr>\n\n  <td>\n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">/*\n@description: Returns any WHO core modifier extensions defined on the given resource with the specified id.\n@comment: NOTE: Extensions are not the preferred approach, but are used as a way to access\ncontent that is defined by extensions but not yet surfaced in the\nCQL model info.\n*/\ndefine function ModifierExtensions(domainResource DomainResource, id String):\n  domainResource.modifierExtension E\n\t  where E.url = ('http://fhir.org/guides/who/core/StructureDefinition/' + id)\n\t\treturn E</code></pre>\n  </td>\n\n</tr>\n        \n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    \n      \n      <a name=\"fhirhelpers-tostring\"> </a>\n    \n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> FHIRHelpers</td>\n\n</tr>\n<tr>\n\n  <td>\n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define function ToString(value uri): value.value</code></pre>\n  </td>\n\n</tr>\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>"
  },
  "contained" : [
    {
      "resourceType" : "Library",
      "id" : "effective-data-requirements",
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode",
          "valueCoding" : {
            "system" : "http://ohie.org/CodeSystem/iso-8601-derived-periods",
            "code" : "P10Y--P14Y",
            "display" : "10-14 years"
          }
        },
        {
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode",
          "valueCoding" : {
            "system" : "http://ohie.org/CodeSystem/iso-8601-derived-periods",
            "code" : "P15Y--P19Y",
            "display" : "15-19 years"
          }
        },
        {
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode",
          "valueCoding" : {
            "system" : "http://ohie.org/CodeSystem/iso-8601-derived-periods",
            "code" : "P20Y--P9999Y",
            "display" : "20+ years"
          }
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "ANCBaseDataElements"
            },
            {
              "url" : "name",
              "valueString" : "Antenatal care contact"
            },
            {
              "url" : "statement",
              "valueString" : "define \"Antenatal care contact\":\n  [\"Encounter\": type in BCx.\"Antenatal care contact\"]"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 0
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "ANCDataElements"
            },
            {
              "url" : "name",
              "valueString" : "Amount of iron prescribed"
            },
            {
              "url" : "statement",
              "valueString" : "/*\n  @dataElement: ANC.B10.DE91 Amount of iron prescribed\n  @activity: ANC.B10.5 Nutrition supplementation\n  @description: Amount of iron supplements prescribed in milligrams for intake\n*/\ndefine \"Amount of iron prescribed\":\n  [MedicationRequest: BCx.\"Iron supplement\"] MR\n    where MR.status in { 'draft', 'active', 'on-hold', 'completed' }\n      and Coalesce(MR.doNotPerform, false) is false"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 1
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "ANCDataElements"
            },
            {
              "url" : "name",
              "valueString" : "Amount of daily dose of folic acid prescribed"
            },
            {
              "url" : "statement",
              "valueString" : "/*\n  @dataElement: ANC.B10.DE95 Amount of daily dose of folic acid prescribed\n  @activity: ANC.B10.5 Nutrition supplementation\n  @description: Amount of folic acid supplements prescribed in milligrams for daily intake\n*/\ndefine \"Amount of daily dose of folic acid prescribed\":\n  [MedicationRequest: BCx.\"Folic acid supplement\"] MR\n    where MR.status in { 'draft', 'active', 'on-hold', 'completed' }\n      and Coalesce(MR.doNotPerform, false) is false"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 2
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "ANCIND02"
            },
            {
              "url" : "name",
              "valueString" : "Numerator"
            },
            {
              "url" : "statement",
              "valueString" : "/*\nNumerator: Number of pregnant women who received the recommended number of IFA tablets during all previous contacts\nNumerator Computation: COUNT of number of women who were prescribed IFA tablets at each ANC contact they have had\n*/\ndefine Numerator:\n  not exists (\n    BaseData.\"Antenatal care contact\" C\n      without PatientData.\"Amount of iron prescribed\" I\n        such that (singleton from I.dosageInstruction).timing.repeat.bounds overlaps C.period\n      without PatientData.\"Amount of daily dose of folic acid prescribed\" FA\n          such that (singleton from FA.dosageInstruction).timing.repeat.bounds overlaps C.period\n  )"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 3
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "ANCStratifiers"
            },
            {
              "url" : "name",
              "valueString" : "By Age"
            },
            {
              "url" : "statement",
              "valueString" : "/*\nBy Patient Age as of the start of the Measurement Period\nAge (10-14, 15-19, 20+)\n*/\ndefine \"By Age\":\n  case\n    when AgeInYearsAt(start of \"Measurement Period\") in Interval[10, 14] then \"P10Y--P14Y\"\n    when AgeInYearsAt(start of \"Measurement Period\") in Interval[15, 19] then \"P15Y--P19Y\"\n    when AgeInYearsAt(start of \"Measurement Period\") >= 20 then \"P20Y--P9999Y\"\n    else null\n  end"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 4
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "ANCIND02"
            },
            {
              "url" : "name",
              "valueString" : "Age Stratifier"
            },
            {
              "url" : "statement",
              "valueString" : "/*\nDisaggregation: Age (10–14, 15–19, 20+)\n*/\ndefine \"Age Stratifier\":\n  Stratifiers.\"By Age\""
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 5
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "ANCDataElements"
            },
            {
              "url" : "name",
              "valueString" : "Reason for closing ANC record"
            },
            {
              "url" : "statement",
              "valueString" : "/*\n  @dataElement: ANC.End.1 Reason for closing ANC record\n  @activity: ANC.End End\n  @description: Select the reason why you are closing the woman's ANC record\n*/\ndefine \"Reason for closing ANC record\":\n  [Observation: Cx.\"Reason for closing ANC record\"] O\n    where O.status in { 'final', 'amended', 'corrected' }\n      and Coalesce(WC.ModifierExtension(O, 'who-notDone').value, false) is false"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 6
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "ANCIND02"
            },
            {
              "url" : "name",
              "valueString" : "Denominator"
            },
            {
              "url" : "statement",
              "valueString" : "/*\nDenominator: Total number of antenatal clients with a first contact\nDenominator Computation: COUNT of all women whose records were closed (ANC\n  close form) in the last reporting period due to any of the reasons below:\n    » live birth\n    » stillbirth\n    » miscarriage\n    » abortion\n    » woman died\n    » lost to follow-up\n    » moved away\n*/\ndefine Denominator:\n  exists (\n    PatientData.\"Reason for closing ANC record\" R\n      where FC.ToInterval(R.effective) during \"Measurement Period\"\n        and R.value as FHIR.CodeableConcept in Stratifiers.\"Qualifying Reason for closing ANC record Choices\"\n  )"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 7
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "ANCStratifiers"
            },
            {
              "url" : "name",
              "valueString" : "By Education Level"
            },
            {
              "url" : "statement",
              "valueString" : "/*\nBy Patient Education Level (none, don't know, primary, secondary, higher)\n*/\ndefine \"By Education Level\":\n  Patient.extension E\n    where E.url = 'http://smart.who.int/anc/StructureDefinition/educationlevel'\n    return E.value as CodeableConcept"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 8
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "ANCIND02"
            },
            {
              "url" : "name",
              "valueString" : "Education Level Stratifier"
            },
            {
              "url" : "statement",
              "valueString" : "/*\nDisaggregation: Education level (none, don’t know, primary, secondary, higher)\n*/\ndefine \"Education Level Stratifier\":\n  Stratifiers.\"By Education Level\""
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 9
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "ANCBaseDataElements"
            },
            {
              "url" : "name",
              "valueString" : "Antenatal care case"
            },
            {
              "url" : "statement",
              "valueString" : "/*\ndefine \"Pregnant\":\n  \"Pregnancy\" is not null\n    or \"Pregnancy status\" in BCx.\"Pregnancy status - pregnant\"\n\ndefine \"Pregnancy status\":\n  FHIRHelpers.ToConcept(\n    Last(\n      [Observation: BCx.\"Pregnancy status\"] O\n        where O.status = 'final'\n        sort by FHIRHelpers.ToDateTime(effective as FHIR.dateTime)\n    ).value\n  )\n*/\n\ndefine \"Antenatal care case\":\n  [\"EpisodeOfCare\": type in BCx.\"Antenatal care case\"]"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 10
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "ANCIND02"
            },
            {
              "url" : "name",
              "valueString" : "Initial Population"
            },
            {
              "url" : "statement",
              "valueString" : "/*\nInitial population: Antenatal clients\n*/\ndefine \"Initial Population\":\n  exists (BaseData.\"Antenatal care case\")"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 11
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "FHIRHelpers"
            },
            {
              "url" : "name",
              "valueString" : "ToString"
            },
            {
              "url" : "statement",
              "valueString" : "define function ToString(value string): value.value"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 12
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "FHIRHelpers"
            },
            {
              "url" : "name",
              "valueString" : "ToConcept"
            },
            {
              "url" : "statement",
              "valueString" : "define function ToConcept(concept FHIR.CodeableConcept):\n    if concept is null then\n        null\n    else\n        System.Concept {\n            codes: concept.coding C return ToCode(C),\n            display: concept.text.value\n        }"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 13
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "FHIRHelpers"
            },
            {
              "url" : "name",
              "valueString" : "ToCode"
            },
            {
              "url" : "statement",
              "valueString" : "define function ToCode(coding FHIR.Coding):\n    if coding is null then\n        null\n    else\n        System.Code {\n          code: coding.code.value,\n          system: coding.system.value,\n          version: coding.version.value,\n          display: coding.display.value\n        }"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 14
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "FHIRHelpers"
            },
            {
              "url" : "name",
              "valueString" : "ToString"
            },
            {
              "url" : "statement",
              "valueString" : "define function ToString(value MedicationRequestStatus): value.value"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 15
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "FHIRHelpers"
            },
            {
              "url" : "name",
              "valueString" : "ToBoolean"
            },
            {
              "url" : "statement",
              "valueString" : "define function ToBoolean(value boolean): value.value"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 16
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "FHIRHelpers"
            },
            {
              "url" : "name",
              "valueString" : "ToInterval"
            },
            {
              "url" : "statement",
              "valueString" : "define function ToInterval(period FHIR.Period):\n    if period is null then\n        null\n    else\n        if period.\"start\" is null then\n            Interval(period.\"start\".value, period.\"end\".value]\n        else\n            Interval[period.\"start\".value, period.\"end\".value]"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 17
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "FHIRHelpers"
            },
            {
              "url" : "name",
              "valueString" : "ToString"
            },
            {
              "url" : "statement",
              "valueString" : "define function ToString(value ObservationStatus): value.value"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 18
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "WHOCommon"
            },
            {
              "url" : "name",
              "valueString" : "ModifierExtension"
            },
            {
              "url" : "statement",
              "valueString" : "/*\n@description: Returns the single WHO core modifier extension (if present) on the given resource with the specified id.\n@comment: This function uses singleton from to ensure that a run-time exception is thrown if there\nis more than one extension on the given resource with the specified url.\n*/\ndefine function ModifierExtension(domainResource DomainResource, id String):\n  singleton from ModifierExtensions(domainResource, id)"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 19
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "WHOCommon"
            },
            {
              "url" : "name",
              "valueString" : "ModifierExtensions"
            },
            {
              "url" : "statement",
              "valueString" : "/*\n@description: Returns any WHO core modifier extensions defined on the given resource with the specified id.\n@comment: NOTE: Extensions are not the preferred approach, but are used as a way to access\ncontent that is defined by extensions but not yet surfaced in the\nCQL model info.\n*/\ndefine function ModifierExtensions(domainResource DomainResource, id String):\n  domainResource.modifierExtension E\n\t  where E.url = ('http://fhir.org/guides/who/core/StructureDefinition/' + id)\n\t\treturn E"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 20
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "FHIRHelpers"
            },
            {
              "url" : "name",
              "valueString" : "ToString"
            },
            {
              "url" : "statement",
              "valueString" : "define function ToString(value uri): value.value"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 21
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        }
      ],
      "name" : "EffectiveDataRequirements",
      "status" : "active",
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/library-type",
            "code" : "module-definition"
          }
        ]
      },
      "relatedArtifact" : [
        {
          "type" : "depends-on",
          "display" : "Library BaseData",
          "resource" : "http://smart.who.int/anc/Library/ANCBaseDataElements"
        },
        {
          "type" : "depends-on",
          "display" : "Library BCx",
          "resource" : "http://smart.who.int/anc/Library/ANCBaseConcepts"
        },
        {
          "type" : "depends-on",
          "display" : "Library PatientData",
          "resource" : "http://smart.who.int/anc/Library/ANCDataElements"
        },
        {
          "type" : "depends-on",
          "display" : "Library FHIRHelpers",
          "resource" : "http://smart.who.int/anc/Library/FHIRHelpers|4.0.1"
        },
        {
          "type" : "depends-on",
          "display" : "Library Stratifiers",
          "resource" : "http://smart.who.int/anc/Library/ANCStratifiers"
        },
        {
          "type" : "depends-on",
          "display" : "Library Cx",
          "resource" : "http://smart.who.int/anc/Library/ANCConcepts"
        },
        {
          "type" : "depends-on",
          "display" : "Library WC",
          "resource" : "http://smart.who.int/anc/Library/WHOCommon"
        },
        {
          "type" : "depends-on",
          "display" : "Library FC",
          "resource" : "http://smart.who.int/anc/Library/FHIRCommon"
        },
        {
          "type" : "depends-on",
          "display" : "Code system ISO-8601-Derived Periods",
          "resource" : "http://ohie.org/CodeSystem/iso-8601-derived-periods"
        },
        {
          "type" : "depends-on",
          "display" : "Value set Antenatal care contact",
          "resource" : "http://smart.who.int/anc/ValueSet/antenatal-care-contact"
        },
        {
          "type" : "depends-on",
          "display" : "Value set Iron supplement",
          "resource" : "http://smart.who.int/anc/ValueSet/iron-supplement"
        },
        {
          "type" : "depends-on",
          "display" : "Value set Folic acid supplement",
          "resource" : "http://smart.who.int/anc/ValueSet/folic-acid-supplement"
        },
        {
          "type" : "depends-on",
          "display" : "Value set Reason for closing ANC record",
          "resource" : "http://smart.who.int/anc/ValueSet/anc-end-1"
        },
        {
          "type" : "depends-on",
          "display" : "Value set Qualifying Reason for closing ANC record Choices",
          "resource" : "http://smart.who.int/anc/ValueSet/qualifying-reason-for-closing-anc-record-choices"
        },
        {
          "type" : "depends-on",
          "display" : "Value set Antenatal care case",
          "resource" : "http://smart.who.int/anc/ValueSet/antenatal-care-case"
        }
      ],
      "parameter" : [
        {
          "name" : "Measurement Period",
          "use" : "in",
          "min" : 0,
          "max" : "1",
          "type" : "Period"
        },
        {
          "name" : "Numerator",
          "use" : "out",
          "min" : 0,
          "max" : "1",
          "type" : "boolean"
        },
        {
          "name" : "Age Stratifier",
          "use" : "out",
          "min" : 0,
          "max" : "1",
          "type" : "Coding"
        },
        {
          "name" : "Denominator",
          "use" : "out",
          "min" : 0,
          "max" : "1",
          "type" : "boolean"
        },
        {
          "name" : "Education Level Stratifier",
          "use" : "out",
          "min" : 0,
          "max" : "*",
          "type" : "CodeableConcept"
        },
        {
          "name" : "Initial Population",
          "use" : "out",
          "min" : 0,
          "max" : "1",
          "type" : "boolean"
        }
      ],
      "dataRequirement" : [
        {
          "type" : "Encounter",
          "profile" : [
            🔗 "http://hl7.org/fhir/StructureDefinition/Encounter"
          ],
          "mustSupport" : [
            "type",
            "period"
          ],
          "codeFilter" : [
            {
              "path" : "type",
              "valueSet" : "http://smart.who.int/anc/ValueSet/antenatal-care-contact"
            }
          ]
        },
        {
          "type" : "MedicationRequest",
          "profile" : [
            🔗 "http://hl7.org/fhir/StructureDefinition/MedicationRequest"
          ],
          "mustSupport" : [
            "medication",
            "status",
            "doNotPerform",
            "dosageInstruction",
            "dosageInstruction.timing",
            "dosageInstruction.timing.repeat",
            "dosageInstruction.timing.repeat.bounds"
          ],
          "codeFilter" : [
            {
              "path" : "medication",
              "valueSet" : "http://smart.who.int/anc/ValueSet/iron-supplement"
            }
          ]
        },
        {
          "type" : "MedicationRequest",
          "profile" : [
            🔗 "http://hl7.org/fhir/StructureDefinition/MedicationRequest"
          ],
          "mustSupport" : [
            "medication",
            "status",
            "doNotPerform",
            "dosageInstruction",
            "dosageInstruction.timing",
            "dosageInstruction.timing.repeat",
            "dosageInstruction.timing.repeat.bounds"
          ],
          "codeFilter" : [
            {
              "path" : "medication",
              "valueSet" : "http://smart.who.int/anc/ValueSet/folic-acid-supplement"
            }
          ]
        },
        {
          "type" : "MedicationRequest",
          "profile" : [
            🔗 "http://hl7.org/fhir/StructureDefinition/MedicationRequest"
          ],
          "mustSupport" : [
            "medication.reference",
            "status",
            "doNotPerform",
            "dosageInstruction",
            "dosageInstruction.timing",
            "dosageInstruction.timing.repeat",
            "dosageInstruction.timing.repeat.bounds"
          ]
        },
        {
          "type" : "Medication",
          "profile" : [
            🔗 "http://hl7.org/fhir/StructureDefinition/Medication"
          ],
          "mustSupport" : [
            "id",
            "code"
          ]
        },
        {
          "type" : "Patient",
          "profile" : [
            🔗 "http://hl7.org/fhir/StructureDefinition/Patient"
          ],
          "mustSupport" : [
            "url",
            "value"
          ]
        },
        {
          "type" : "Observation",
          "profile" : [
            🔗 "http://hl7.org/fhir/StructureDefinition/Observation"
          ],
          "mustSupport" : [
            "code",
            "status",
            "effective",
            "value"
          ],
          "codeFilter" : [
            {
              "path" : "code",
              "valueSet" : "http://smart.who.int/anc/ValueSet/anc-end-1"
            }
          ]
        },
        {
          "type" : "EpisodeOfCare",
          "profile" : [
            🔗 "http://hl7.org/fhir/StructureDefinition/EpisodeOfCare"
          ],
          "mustSupport" : [
            "type"
          ],
          "codeFilter" : [
            {
              "path" : "type",
              "valueSet" : "http://smart.who.int/anc/ValueSet/antenatal-care-case"
            }
          ]
        }
      ]
    }
  ],
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-softwaresystem",
      "valueReference" : {
        🔗 "reference" : "Device/cqf-tooling"
      }
    },
    {
      "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-softwaresystem",
      "valueReference" : {
        🔗 "reference" : "Device/cqf-tooling"
      }
    },
    {
      "id" : "effective-data-requirements",
      "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-effectiveDataRequirements",
      "valueReference" : {
        "reference" : "#effective-data-requirements"
      }
    }
  ],
  "url" : "http://smart.who.int/anc/Measure/ANCIND02",
  "version" : "0.3.0",
  "name" : "ANCIND02",
  "title" : "ANC.IND.02 Percentage of pregnant women who received iron and folic acid (IFA) supplements for 90+ days",
  "status" : "draft",
  "experimental" : false,
  "date" : "2025-06-24T13:58:48-06:00",
  "publisher" : "World Health Organization (WHO)",
  "contact" : [
    {
      "telecom" : [
        {
          "system" : "url",
          "value" : "https://www.who.int"
        }
      ]
    }
  ],
  "description" : "Percentage of pregnant women who received iron and folic acid (IFA) supplements for 90+ days",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code" : "001"
        }
      ]
    }
  ],
  "library" : [
    🔗 "http://smart.who.int/anc/Library/ANCIND02"
  ],
  "scoring" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/measure-scoring",
        "code" : "proportion"
      }
    ]
  },
  "type" : [
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/measure-type",
          "code" : "process"
        }
      ]
    }
  ],
  "improvementNotation" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/measure-improvement-notation",
        "code" : "increase"
      }
    ]
  },
  "group" : [
    {
      "id" : "group-1",
      "population" : [
        {
          "id" : "initial-population",
          "code" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                "code" : "initial-population"
              }
            ]
          },
          "criteria" : {
            "language" : "text/cql-identifier",
            "expression" : "Initial Population"
          }
        },
        {
          "id" : "denominator",
          "code" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                "code" : "denominator"
              }
            ]
          },
          "criteria" : {
            "language" : "text/cql-identifier",
            "expression" : "Denominator"
          }
        },
        {
          "id" : "numerator",
          "code" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                "code" : "numerator"
              }
            ]
          },
          "criteria" : {
            "language" : "text/cql-identifier",
            "expression" : "Numerator"
          }
        }
      ],
      "stratifier" : [
        {
          "id" : "by-age",
          "criteria" : {
            "language" : "text/cql-identifier",
            "expression" : "Age Stratifier"
          }
        },
        {
          "id" : "by-education-level",
          "criteria" : {
            "language" : "text/cql-identifier",
            "expression" : "Education Level Stratifier"
          }
        }
      ]
    }
  ]
}