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 |
{
"resourceType" : "Measure",
"id" : "ANCIND13",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm"
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"text" : {
"status" : "extensions",
"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;\">ANCIND13</td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Url: </b></th>\n <td style=\"padding-left: 4px;\"><a href=\"Measure-ANCIND13.html\">ANC.IND.13 Percentage of pregnant women who received oral\u00a0pre-exposure\u00a0prophylaxis (PrEP)</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;\">ANCIND13</td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Title: </b></th>\n <td style=\"padding-left: 4px;\">ANC.IND.13 Percentage of pregnant women who received oral\u00a0pre-exposure\u00a0prophylaxis (PrEP)</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 oral\u00a0pre-exposure\u00a0prophylaxis (PrEP)</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-ANCIND13.html\">ANC.IND.13 Percentage of pregnant women who received oral\u00a0pre-exposure\u00a0prophylaxis (PrEP)</a></td></tr>\n \n </table>\n </td>\n </tr>\n \n\n \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" : "ANCDataElements"
},
{
"url" : "name",
"valueString" : "PrEP for HIV prevention provided"
},
{
"url" : "statement",
"valueString" : "/*\n @dataElement: ANC.B10.DE126 PrEP for HIV prevention provided\n @activity: ANC.B.10.6 Risk reduction & general counselling\n @description: Whether or not the client has been counselled on use of oral pre-exposure prophylaxis (PrEP) as a means to reduce risk of HIV transmission and provided with oral PrEP\n*/\ndefine \"PrEP for HIV prevention provided\":\n [Procedure: Cx.\"PrEP for HIV prevention provided\"] P\n where P.status in { 'preparation', 'in-progress', 'on-hold', 'completed' }"
},
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"url" : "displaySequence",
"valueInteger" : 0
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"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
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{
"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*/\ndefine \"Antenatal care case\":\n [\"EpisodeOfCare\": type in BCx.\"Antenatal care case\"]"
},
{
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"valueInteger" : 1
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "ANCBaseDataElements"
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{
"url" : "name",
"valueString" : "Pregnancy"
},
{
"url" : "statement",
"valueString" : "/*\n@description: Most recent antenatal care case\n*/\ndefine \"Pregnancy\":\n First(\n \"Antenatal care case\" E\n\t\t sort by start of period descending\n\t)"
},
{
"url" : "displaySequence",
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}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
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"url" : "libraryName",
"valueString" : "ANCIND13"
},
{
"url" : "name",
"valueString" : "Numerator"
},
{
"url" : "statement",
"valueString" : "/*\nNumerator: Number of pregnant women attending ANC who received counselling and testing for HIV during pregnancy\u00a0\nNumerator Computation: COUNT of all women who received oral\u00a0PrEP\u00a0\n*/\ndefine Numerator:\n exists (\n PatientData.\"PrEP for HIV prevention provided\" O\n where FC.ToInterval(O.performed) during BaseData.\"Pregnancy\".period\n )"
},
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"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"
},
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"valueInteger" : 4
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "ANCIND13"
},
{
"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"
},
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"url" : "displaySequence",
"valueInteger" : 6
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
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{
"extension" : [
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"url" : "libraryName",
"valueString" : "ANCIND13"
},
{
"url" : "name",
"valueString" : "Denominator"
},
{
"url" : "statement",
"valueString" : "/*\nDenominator: Total number of antenatal clients with a\u00a0first contact\u00a0\nDenominator Computation: COUNT of all women whose records were closed (ANC 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" : "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://fhir.org/guides/who/anc-cds/StructureDefinition/educationlevel'\n return E.value as CodeableConcept"
},
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"url" : "displaySequence",
"valueInteger" : 8
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
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"extension" : [
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"url" : "libraryName",
"valueString" : "ANCIND13"
},
{
"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" : "ANCIND13"
},
{
"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" : 10
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
}
],
"status" : "active",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/library-type",
"code" : "module-definition"
}
]
},
"relatedArtifact" : [
{
"type" : "depends-on",
"display" : "Library PatientData",
"resource" : "http://fhir.org/guides/who/anc-cds/Library/ANCDataElements"
},
{
"type" : "depends-on",
"display" : "Library Cx",
"resource" : "http://fhir.org/guides/who/anc-cds/Library/ANCConcepts"
},
{
"type" : "depends-on",
"display" : "Library FHIRHelpers",
"resource" : "http://fhir.org/guides/who/anc-cds/Library/FHIRHelpers|4.0.1"
},
{
"type" : "depends-on",
"display" : "Library FC",
"resource" : "http://fhir.org/guides/who/anc-cds/Library/FHIRCommon"
},
{
"type" : "depends-on",
"display" : "Library BaseData",
"resource" : "http://fhir.org/guides/who/anc-cds/Library/ANCBaseDataElements"
},
{
"type" : "depends-on",
"display" : "Library BCx",
"resource" : "http://fhir.org/guides/who/anc-cds/Library/ANCBaseConcepts"
},
{
"type" : "depends-on",
"display" : "Library Stratifiers",
"resource" : "http://fhir.org/guides/who/anc-cds/Library/ANCStratifiers"
},
{
"type" : "depends-on",
"display" : "Library WC",
"resource" : "http://fhir.org/guides/who/anc-cds/Library/WHOCommon"
},
{
"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 PrEP for HIV prevention provided",
"resource" : "http://fhir.org/guides/who/anc-cds/ValueSet/anc-b10-de126"
},
{
"type" : "depends-on",
"display" : "Value set Antenatal care case",
"resource" : "http://fhir.org/guides/who/anc-cds/ValueSet/antenatal-care-case"
},
{
"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"
}
],
"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",
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}
],
"dataRequirement" : [
{
"type" : "Procedure",
"profile" : [
🔗 "http://hl7.org/fhir/StructureDefinition/Procedure"
],
"mustSupport" : [
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"status",
"performed"
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"codeFilter" : [
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"path" : "code",
"valueSet" : "http://fhir.org/guides/who/anc-cds/ValueSet/anc-b10-de126"
}
]
},
{
"type" : "EpisodeOfCare",
"profile" : [
🔗 "http://hl7.org/fhir/StructureDefinition/EpisodeOfCare"
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"mustSupport" : [
"type"
],
"codeFilter" : [
{
"path" : "type",
"valueSet" : "http://fhir.org/guides/who/anc-cds/ValueSet/antenatal-care-case"
}
]
},
{
"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://fhir.org/guides/who/anc-cds/ValueSet/anc-end-1"
}
]
}
]
}
],
"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/ANCIND13",
"version" : "0.3.0",
"name" : "ANCIND13",
"title" : "ANC.IND.13 Percentage of pregnant women who received oral\u00a0pre-exposure\u00a0prophylaxis (PrEP)",
"status" : "draft",
"experimental" : false,
"date" : "2023-03-13T22:32:10-06:00",
"publisher" : "World Health Organization (WHO)",
"contact" : [
{
"telecom" : [
{
"system" : "url",
"value" : "https://www.who.int"
}
]
}
],
"description" : "Percentage of pregnant women who received oral\u00a0pre-exposure\u00a0prophylaxis (PrEP)",
"jurisdiction" : [
{
"coding" : [
{
"system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
"code" : "001"
}
]
}
],
"library" : [
🔗 "http://fhir.org/guides/who/anc-cds/Library/ANCIND13"
],
"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"
}
}
]
}
]
}