WHO Antenatal Care Guideline Implementation Guide
0.3.0 - CI Build
WHO Antenatal Care Guideline Implementation Guide
0.3.0 - CI Build
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
| Draft as of 2023-03-13 |
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"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <table class=\"grid dict\">\n \n <tr>\n <th scope=\"row\"><b>Id: </b></th>\n <td style=\"padding-left: 4px;\">ANCIND02</td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Url: </b></th>\n <td style=\"padding-left: 4px;\"><a href=\"Measure-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 <tr>\n <th scope=\"row\"><b>Version: </b></th>\n <td style=\"padding-left: 4px;\">0.3.0</td>\n </tr>\n \n \n \n <tr>\n <th scope=\"row\"><b>Name: </b></th>\n <td style=\"padding-left: 4px;\">ANCIND02</td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Title: </b></th>\n <td style=\"padding-left: 4px;\">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 <th scope=\"row\"><b>Status: </b></th>\n <td style=\"padding-left: 4px;\">draft</td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Experimental: </b></th>\n <td style=\"padding-left: 4px;\">false</td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Scoring: </b></th>\n <td style=\"padding-left: 4px;\">\n \n \n \n <p style=\"margin-bottom: 5px;\">\n <b>system: </b> <span><a href=\"http://hl7.org/fhir/R4/codesystem-measure-scoring.html\">http://terminology.hl7.org/CodeSystem/measure-scoring</a></span>\n </p>\n \n \n <p style=\"margin-bottom: 5px;\">\n <b>code: </b> <span>proportion</span>\n </p>\n \n \n \n \n \n </td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Improvement Notation: </b></th>\n <td style=\"padding-left: 4px;\">\n \n \n \n <p style=\"margin-bottom: 5px;\">\n <b>system: </b> <span><a href=\"http://hl7.org/fhir/R4/codesystem-measure-improvement-notation.html\">http://terminology.hl7.org/CodeSystem/measure-improvement-notation</a></span>\n </p>\n \n \n <p style=\"margin-bottom: 5px;\">\n <b>code: </b> <span>increase</span>\n </p>\n \n \n \n \n \n </td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Type: </b></th>\n <td style=\"padding-left: 4px;\">\n \n \n \n <p style=\"margin-bottom: 5px;\">\n <b>system: </b> <span><a href=\"http://hl7.org/fhir/R4/codesystem-measure-type.html\">http://terminology.hl7.org/CodeSystem/measure-type</a></span>\n </p>\n \n \n <p style=\"margin-bottom: 5px;\">\n <b>code: </b> <span>process</span>\n </p>\n \n \n \n \n \n </td>\n </tr>\n \n \n \n <tr>\n <th scope=\"row\"><b>Date: </b></th>\n <td style=\"padding-left: 4px;\">2023-03-13 22:32:10-0600</td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Publisher: </b></th>\n <td style=\"padding-left: 4px;\">World Health Organization (WHO)</td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Description: </b></th>\n <td style=\"padding-left: 4px;\">Percentage of pregnant women who received iron and folic acid (IFA) supplements for 90+ days</td>\n </tr>\n \n \n \n \n \n \n \n \n \n <tr>\n <th scope=\"row\"><b>Jurisdiction: </b></th>\n <td style=\"padding-left: 25px;\">001</td>\n </tr>\n \n \n \n \n \n \n \n \n \n \n \n \n \n\n \n <tr>\n <th scope=\"row\"><b>Libraries: </b></th>\n <td style=\"padding-left: 4px;\">\n <table class=\"grid-dict\">\n \n <tr><td><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></tr>\n \n </table>\n </td>\n </tr>\n \n\n \n </table>\n</div>"
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"code" : "P10Y--P14Y",
"display" : "10-14 years"
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"url" : "statement",
"valueString" : "define \"Antenatal care contact\":\n [\"Encounter\": type in BCx.\"Antenatal care contact\"]"
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"url" : "libraryName",
"valueString" : "ANCDataElements"
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"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"
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"url" : "name",
"valueString" : "Amount of daily dose of folic acid prescribed"
},
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"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"
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"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 )"
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"url" : "name",
"valueString" : "By Age"
},
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"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"
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"url" : "libraryName",
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"url" : "name",
"valueString" : "Age Stratifier"
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"url" : "statement",
"valueString" : "/*\nDisaggregation: Age (10–14, 15–19, 20+)\n*/\ndefine \"Age Stratifier\":\n Stratifiers.\"By Age\""
},
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"url" : "displaySequence",
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}
],
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},
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"url" : "libraryName",
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},
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"url" : "name",
"valueString" : "Reason for closing ANC record"
},
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"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"
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"url" : "libraryName",
"valueString" : "ANCIND02"
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"url" : "name",
"valueString" : "Denominator"
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"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 )"
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"url" : "name",
"valueString" : "By Education Level"
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"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://fhir.org/guides/who/anc-cds/StructureDefinition/educationlevel'\n return E.value as CodeableConcept"
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"url" : "name",
"valueString" : "Education Level Stratifier"
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"url" : "statement",
"valueString" : "/*\nDisaggregation: Education level (none, don’t know, primary, secondary, higher)\n*/\ndefine \"Education Level Stratifier\":\n Stratifiers.\"By Education Level\""
},
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"url" : "displaySequence",
"valueInteger" : 9
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"url" : "libraryName",
"valueString" : "ANCBaseDataElements"
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{
"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*/\ndefine \"Antenatal care case\":\n [\"EpisodeOfCare\": type in BCx.\"Antenatal care case\"]"
},
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},
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"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\")"
},
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"url" : "displaySequence",
"valueInteger" : 11
}
],
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],
"status" : "active",
"type" : {
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"code" : "module-definition"
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]
},
"relatedArtifact" : [
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"type" : "depends-on",
"display" : "Library BaseData",
"resource" : "http://fhir.org/guides/who/anc-cds/Library/ANCBaseDataElements"
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"type" : "depends-on",
"display" : "Library BCx",
"resource" : "http://fhir.org/guides/who/anc-cds/Library/ANCBaseConcepts"
},
{
"type" : "depends-on",
"display" : "Library PatientData",
"resource" : "http://fhir.org/guides/who/anc-cds/Library/ANCDataElements"
},
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"display" : "Library FHIRHelpers",
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"display" : "Library Stratifiers",
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"type" : "depends-on",
"display" : "Library Cx",
"resource" : "http://fhir.org/guides/who/anc-cds/Library/ANCConcepts"
},
{
"type" : "depends-on",
"display" : "Library WC",
"resource" : "http://fhir.org/guides/who/anc-cds/Library/WHOCommon"
},
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"type" : "depends-on",
"display" : "Library FC",
"resource" : "http://fhir.org/guides/who/anc-cds/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://fhir.org/guides/who/anc-cds/ValueSet/antenatal-care-contact"
},
{
"type" : "depends-on",
"display" : "Value set Iron supplement",
"resource" : "http://fhir.org/guides/who/anc-cds/ValueSet/iron-supplement"
},
{
"type" : "depends-on",
"display" : "Value set Folic acid supplement",
"resource" : "http://fhir.org/guides/who/anc-cds/ValueSet/folic-acid-supplement"
},
{
"type" : "depends-on",
"display" : "Value set Reason for closing ANC record",
"resource" : "http://fhir.org/guides/who/anc-cds/ValueSet/anc-end-1"
},
{
"type" : "depends-on",
"display" : "Value set Qualifying Reason for closing ANC record Choices",
"resource" : "http://fhir.org/guides/who/anc-cds/ValueSet/qualifying-reason-for-closing-anc-record-choices"
},
{
"type" : "depends-on",
"display" : "Value set Antenatal care case",
"resource" : "http://fhir.org/guides/who/anc-cds/ValueSet/antenatal-care-case"
}
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"min" : 0,
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"type" : "boolean"
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"min" : 0,
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"min" : 0,
"max" : "1",
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}
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{
"type" : "Encounter",
"profile" : [
🔗 "http://hl7.org/fhir/StructureDefinition/Encounter"
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],
"codeFilter" : [
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"path" : "type",
"valueSet" : "http://fhir.org/guides/who/anc-cds/ValueSet/antenatal-care-contact"
}
]
},
{
"type" : "MedicationRequest",
"profile" : [
🔗 "http://hl7.org/fhir/StructureDefinition/MedicationRequest"
],
"mustSupport" : [
"medication"
],
"codeFilter" : [
{
"path" : "medication",
"valueSet" : "http://fhir.org/guides/who/anc-cds/ValueSet/iron-supplement"
}
]
},
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"type" : "MedicationRequest",
"profile" : [
🔗 "http://hl7.org/fhir/StructureDefinition/MedicationRequest"
],
"mustSupport" : [
"medication"
],
"codeFilter" : [
{
"path" : "medication",
"valueSet" : "http://fhir.org/guides/who/anc-cds/ValueSet/folic-acid-supplement"
}
]
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🔗 "http://hl7.org/fhir/StructureDefinition/Patient"
],
"mustSupport" : [
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"value"
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},
{
"type" : "Observation",
"profile" : [
🔗 "http://hl7.org/fhir/StructureDefinition/Observation"
],
"mustSupport" : [
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"status",
"effective",
"value"
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"codeFilter" : [
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"path" : "code",
"valueSet" : "http://fhir.org/guides/who/anc-cds/ValueSet/anc-end-1"
}
]
},
{
"type" : "EpisodeOfCare",
"profile" : [
🔗 "http://hl7.org/fhir/StructureDefinition/EpisodeOfCare"
],
"mustSupport" : [
"type"
],
"codeFilter" : [
{
"path" : "type",
"valueSet" : "http://fhir.org/guides/who/anc-cds/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://fhir.org/guides/who/anc-cds/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" : "2023-03-13T22:32:10-06:00",
"publisher" : "World Health Organization (WHO)",
"contact" : [
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"telecom" : [
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"value" : "https://www.who.int"
}
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}
],
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"jurisdiction" : [
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"coding" : [
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"system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
"code" : "001"
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"scoring" : {
"coding" : [
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"system" : "http://terminology.hl7.org/CodeSystem/measure-scoring",
"code" : "proportion"
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]
},
"type" : [
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"coding" : [
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"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" : [
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"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "initial-population"
}
]
},
"criteria" : {
"language" : "text/cql-identifier",
"expression" : "Initial Population"
}
},
{
"id" : "denominator",
"code" : {
"coding" : [
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"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "denominator"
}
]
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"criteria" : {
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"expression" : "Denominator"
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},
{
"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"
}
}
]
}
]
}