@prefix fhir: . @prefix owl: . @prefix rdf: . @prefix rdfs: . @prefix xsd: . # - resource ------------------------------------------------------------------- a fhir:Measure ; fhir:nodeRole fhir:treeRoot ; fhir:id [ fhir:v "CXCAIND02"] ; # fhir:text [ fhir:status [ fhir:v "extensions" ] ; fhir:div [ fhir:v "
\n \n \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n \n \n\n\n\n\n \n \n \n \n \n \n \n \n \n\n\n \n \n \n \n \n \n \n \n \n \n \n \n \n \n\n \n \n \n \n \n \n \n \n \n\n\n \n \n \n \n \n \n \n \n \n \n \n\n \n \n \n \n \n \n \n\n\n \n \n \n \n \n \n \n \n \n \n \n \n \n\n \n \n \n \n \n \n \n \n\n\n \n \n \n \n \n \n \n \n \n \n \n \n\n \n \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n \n \n\n\n \n \n \n \n \n\n\n \n \n\n\n\n \n \n \n \n\n\n \n\n \n \n \n\n\n \n\n \n \n \n\n\n \n\n \n \n \n\n\n \n\n \n \n \n\n\n \n\n \n \n \n\n\n \n\n \n \n \n\n\n \n\n \n \n \n \n \n\n\n\n\n \n \n\n \n\n \n\n\n\n\n \n\n\n \n\n \n\n \n\n\n\n\n \n\n\n \n\n \n\n \n\n\n\n\n \n\n\n \n\n \n\n \n\n\n\n\n \n\n\n\n \n\n\n \n\n \n
Knowledge Artifact Metadata
Name (machine-readable)CXCAIND02
Title (human-readable)CXCA.IND.02 — Cervical Cancer Screening Cascade Completion (NotDone-aware)
StatusDraft
Experimentalfalse
Description

Proportion of HPV-positive women in the measurement period whose follow-up cascade reached resolution — either through completed cytology or through explicit documented non-occurrence using the CXCAServiceNotRequested profile. Patients with neither (absent records) are excluded from the numerator, surfacing visibility gaps rather than conflating them with documented LTFU. See input/cql/CXCAIND02CascadeCompletionLogic.cql for the methodology rationale and the Mongolia April 2026 Khan-Uul pilot numbers that motivate this measure (371 HPV+ women, 184 cytology, 187 LTFU).

\n
Measure StewardDan Heslinga (independent contributor)
Steward Contact DetailsDan Heslinga (independent contributor): https://github.com/dhes
Measure Metadata
Version Number0.0.1
Measure ScoringProportion
Measure Population Criteria
Initial Population\n \n \n Description: No description provided\n \n \n \n \n Logic Definition: Initial Population \n \n \n
Denominator\n \n \n Description: No description provided\n \n \n \n \n Logic Definition: Denominator \n \n \n
Numerator\n \n \n Description: No description provided\n \n \n \n \n Logic Definition: Numerator \n \n \n
Numerator Exclusion\n \n \n Description: No description provided\n \n \n \n \n Logic Definition: Numerator Exclusion \n \n \n
Measure Logic
Primary LibraryCXCAIND02CascadeCompletionLogic
Dependency\n \n Description: FHIR model information\n \n
\n \n \n \n \n \n \n Resource: http://fhir.org/guides/cqf/common/Library/FHIR-ModelInfo|4.0.1\n
\n Canonical URL: http://fhir.org/guides/cqf/common/Library/FHIR-ModelInfo|4.0.1\n \n
Parameter\n Name: PatientHasHPVPositiveInPeriod\n
\n Use: In\n
\n Min Cardinality: 0\n
\n Max Cardinality: 1\n
\n Type: boolean\n
Parameter\n Name: PatientHasCytologyCompletedInPeriod\n
\n Use: In\n
\n Min Cardinality: 0\n
\n Max Cardinality: 1\n
\n Type: boolean\n
Parameter\n Name: PatientHasCytologyNotDoneRecordedInPeriod\n
\n Use: In\n
\n Min Cardinality: 0\n
\n Max Cardinality: 1\n
\n Type: boolean\n
Parameter\n Name: Numerator\n
\n Use: Out\n
\n Min Cardinality: 0\n
\n Max Cardinality: 1\n
\n Type: boolean\n
Parameter\n Name: Denominator\n
\n Use: Out\n
\n Min Cardinality: 0\n
\n Max Cardinality: 1\n
\n Type: boolean\n
Parameter\n Name: Initial Population\n
\n Use: Out\n
\n Min Cardinality: 0\n
\n Max Cardinality: 1\n
\n Type: boolean\n
Parameter\n Name: Numerator Exclusion\n
\n Use: Out\n
\n Min Cardinality: 0\n
\n Max Cardinality: 1\n
\n Type: boolean\n
Measure Logic Definitions
\n \n \n \n \n Logic Definition\n Library Name: CXCAIND02CascadeCompletionLogic
\n 
/*\n * @numerator: HPV+ patients who reached cascade *resolution* — either by\n *   completing cytology OR by having a documented non-occurrence record.\n */\ndefine \"Numerator\":\n  \"PatientHasHPVPositiveInPeriod\"\n    and (\"PatientHasCytologyCompletedInPeriod\"\n      or \"PatientHasCytologyNotDoneRecordedInPeriod\")
\n
\n \n \n \n \n Logic Definition\n Library Name: CXCAIND02CascadeCompletionLogic
\n 
/*\n * @denominator: Patients with an HPV+ result during the measurement period.\n *   These are the patients whose cascade we want to track.\n */\ndefine \"Denominator\":\n  \"PatientHasHPVPositiveInPeriod\"
\n
\n \n \n \n \n Logic Definition\n Library Name: CXCAIND02CascadeCompletionLogic
\n 
/*\n * @initialPopulation: as defined by Member State (placeholder — true)\n *   Real implementation: women in target age range alive at start of period\n *   in the jurisdiction.\n */\ndefine \"Initial Population\":\n  true
\n
\n \n \n \n \n Logic Definition\n Library Name: CXCAIND02CascadeCompletionLogic
\n 
/*\n * @numeratorExclusion: HPV+ patients whose resolution was via documented\n *   non-occurrence (LTFU) rather than actual cytology completion.\n *\n *   FHIR Measure semantics: numerator-exclusion is subtracted from the\n *   numerator when computing the proportion. This lets a single Measure\n *   resource expose three computable views:\n *     - Cascade resolution rate: Numerator / Denominator\n *     - True follow-up rate:     (Numerator − NumeratorExclusion) / Denominator\n *     - Documented LTFU rate:    NumeratorExclusion / Denominator\n *   Together with (Denominator − Numerator) = the absent / unknown count,\n *   this gives programme managers a four-way partition of the HPV+ cohort.\n */\ndefine \"Numerator Exclusion\":\n  \"PatientHasHPVPositiveInPeriod\"\n    and \"PatientHasCytologyNotDoneRecordedInPeriod\"\n    and not \"PatientHasCytologyCompletedInPeriod\"
\n
Generated using version 0.4.6 of the sample-content-ig Liquid templates
\n
"^^rdf:XMLLiteral ] ] ; # fhir:contained ( [ a fhir:Library ; fhir:id [ fhir:v "effective-data-requirements" ] ; fhir:extension ( [ fhir:extension ( [ fhir:url [ fhir:v "libraryName"^^xsd:anyURI ; fhir:l fhir:libraryName ] ; fhir:value [ a fhir:String ; fhir:v "CXCAIND02CascadeCompletionLogic" ] ] [ fhir:url [ fhir:v "name"^^xsd:anyURI ; fhir:l fhir:name ] ; fhir:value [ a fhir:String ; fhir:v "Numerator" ] ] [ fhir:url [ fhir:v "statement"^^xsd:anyURI ; fhir:l fhir:statement ] ; fhir:value [ a fhir:String ; fhir:v "/*\n * @numerator: HPV+ patients who reached cascade *resolution* — either by\n * completing cytology OR by having a documented non-occurrence record.\n */\ndefine \"Numerator\":\n \"PatientHasHPVPositiveInPeriod\"\n and (\"PatientHasCytologyCompletedInPeriod\"\n or \"PatientHasCytologyNotDoneRecordedInPeriod\")" ] ] [ fhir:url [ fhir:v "displaySequence"^^xsd:anyURI ; fhir:l fhir:displaySequence ] ; fhir:value [ a fhir:Integer ; fhir:v 0 ] ] ) ; fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"^^xsd:anyURI ; fhir:l ] ] [ fhir:extension ( [ fhir:url [ fhir:v "libraryName"^^xsd:anyURI ; fhir:l fhir:libraryName ] ; fhir:value [ a fhir:String ; fhir:v "CXCAIND02CascadeCompletionLogic" ] ] [ fhir:url [ fhir:v "name"^^xsd:anyURI ; fhir:l fhir:name ] ; fhir:value [ a fhir:String ; fhir:v "Denominator" ] ] [ fhir:url [ fhir:v "statement"^^xsd:anyURI ; fhir:l fhir:statement ] ; fhir:value [ a fhir:String ; fhir:v "/*\n * @denominator: Patients with an HPV+ result during the measurement period.\n * These are the patients whose cascade we want to track.\n */\ndefine \"Denominator\":\n \"PatientHasHPVPositiveInPeriod\"" ] ] [ fhir:url [ fhir:v "displaySequence"^^xsd:anyURI ; fhir:l fhir:displaySequence ] ; fhir:value [ a fhir:Integer ; fhir:v 1 ] ] ) ; fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"^^xsd:anyURI ; fhir:l ] ] [ fhir:extension ( [ fhir:url [ fhir:v "libraryName"^^xsd:anyURI ; fhir:l fhir:libraryName ] ; fhir:value [ a fhir:String ; fhir:v "CXCAIND02CascadeCompletionLogic" ] ] [ fhir:url [ fhir:v "name"^^xsd:anyURI ; fhir:l fhir:name ] ; fhir:value [ a fhir:String ; fhir:v "Initial Population" ] ] [ fhir:url [ fhir:v "statement"^^xsd:anyURI ; fhir:l fhir:statement ] ; fhir:value [ a fhir:String ; fhir:v "/*\n * @initialPopulation: as defined by Member State (placeholder — true)\n * Real implementation: women in target age range alive at start of period\n * in the jurisdiction.\n */\ndefine \"Initial Population\":\n true" ] ] [ fhir:url [ fhir:v "displaySequence"^^xsd:anyURI ; fhir:l fhir:displaySequence ] ; fhir:value [ a fhir:Integer ; fhir:v 2 ] ] ) ; fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"^^xsd:anyURI ; fhir:l ] ] [ fhir:extension ( [ fhir:url [ fhir:v "libraryName"^^xsd:anyURI ; fhir:l fhir:libraryName ] ; fhir:value [ a fhir:String ; fhir:v "CXCAIND02CascadeCompletionLogic" ] ] [ fhir:url [ fhir:v "name"^^xsd:anyURI ; fhir:l fhir:name ] ; fhir:value [ a fhir:String ; fhir:v "Numerator Exclusion" ] ] [ fhir:url [ fhir:v "statement"^^xsd:anyURI ; fhir:l fhir:statement ] ; fhir:value [ a fhir:String ; fhir:v "/*\n * @numeratorExclusion: HPV+ patients whose resolution was via documented\n * non-occurrence (LTFU) rather than actual cytology completion.\n *\n * FHIR Measure semantics: numerator-exclusion is subtracted from the\n * numerator when computing the proportion. This lets a single Measure\n * resource expose three computable views:\n * - Cascade resolution rate: Numerator / Denominator\n * - True follow-up rate: (Numerator − NumeratorExclusion) / Denominator\n * - Documented LTFU rate: NumeratorExclusion / Denominator\n * Together with (Denominator − Numerator) = the absent / unknown count,\n * this gives programme managers a four-way partition of the HPV+ cohort.\n */\ndefine \"Numerator Exclusion\":\n \"PatientHasHPVPositiveInPeriod\"\n and \"PatientHasCytologyNotDoneRecordedInPeriod\"\n and not \"PatientHasCytologyCompletedInPeriod\"" ] ] [ fhir:url [ fhir:v "displaySequence"^^xsd:anyURI ; fhir:l fhir:displaySequence ] ; fhir:value [ a fhir:Integer ; fhir:v 3 ] ] ) ; fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"^^xsd:anyURI ; fhir:l ] ] ) ; fhir:name [ fhir:v "EffectiveDataRequirements" ] ; fhir:status [ fhir:v "active" ] ; fhir:type [ fhir:coding ( [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/library-type"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "module-definition" ] ] ) ] ; fhir:relatedArtifact ( [ fhir:type [ fhir:v "depends-on" ] ; fhir:display [ fhir:v "FHIR model information" ] ; fhir:resource [ fhir:v "http://fhir.org/guides/cqf/common/Library/FHIR-ModelInfo|4.0.1"^^xsd:anyURI ; fhir:l ] ] ) ; fhir:parameter ( [ fhir:name [ fhir:v "PatientHasHPVPositiveInPeriod" ] ; fhir:use [ fhir:v "in" ] ; fhir:min [ fhir:v 0 ] ; fhir:max [ fhir:v "1" ] ; fhir:type [ fhir:v "boolean" ] ] [ fhir:name [ fhir:v "PatientHasCytologyCompletedInPeriod" ] ; fhir:use [ fhir:v "in" ] ; fhir:min [ fhir:v 0 ] ; fhir:max [ fhir:v "1" ] ; fhir:type [ fhir:v "boolean" ] ] [ fhir:name [ fhir:v "PatientHasCytologyNotDoneRecordedInPeriod" ] ; fhir:use [ fhir:v "in" ] ; fhir:min [ fhir:v 0 ] ; fhir:max [ fhir:v "1" ] ; fhir:type [ fhir:v "boolean" ] ] [ fhir:name [ fhir:v "Numerator" ] ; fhir:use [ fhir:v "out" ] ; fhir:min [ fhir:v 0 ] ; fhir:max [ fhir:v "1" ] ; fhir:type [ fhir:v "boolean" ] ] [ fhir:name [ fhir:v "Denominator" ] ; fhir:use [ fhir:v "out" ] ; fhir:min [ fhir:v 0 ] ; fhir:max [ fhir:v "1" ] ; fhir:type [ fhir:v "boolean" ] ] [ fhir:name [ fhir:v "Initial Population" ] ; fhir:use [ fhir:v "out" ] ; fhir:min [ fhir:v 0 ] ; fhir:max [ fhir:v "1" ] ; fhir:type [ fhir:v "boolean" ] ] [ fhir:name [ fhir:v "Numerator Exclusion" ] ; fhir:use [ fhir:v "out" ] ; fhir:min [ fhir:v 0 ] ; fhir:max [ fhir:v "1" ] ; fhir:type [ fhir:v "boolean" ] ] ) ] ) ; # fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-effectiveDataRequirements"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:Canonical ; fhir:v "#effective-data-requirements"^^xsd:anyURI ; fhir:l <#effective-data-requirements> ] ] ) ; # fhir:url [ fhir:v "http://smart.who.int/cxca/Measure/CXCAIND02"^^xsd:anyURI ; fhir:l ] ; # fhir:version [ fhir:v "0.0.1"] ; # fhir:name [ fhir:v "CXCAIND02"] ; # fhir:title [ fhir:v "CXCA.IND.02 — Cervical Cancer Screening Cascade Completion (NotDone-aware)"] ; # fhir:status [ fhir:v "draft"] ; # fhir:experimental [ fhir:v false] ; # fhir:date [ fhir:v "2026-05-14T00:50:23+00:00"^^xsd:dateTime] ; # fhir:publisher [ fhir:v "Dan Heslinga (independent contributor)"] ; # fhir:contact ( [ fhir:name [ fhir:v "Dan Heslinga (independent contributor)" ] ; fhir:telecom ( [ fhir:system [ fhir:v "url" ] ; fhir:value [ fhir:v "https://github.com/dhes" ] ] ) ] ) ; # fhir:description [ fhir:v "Proportion of HPV-positive women in the measurement period whose follow-up cascade reached resolution — either through completed cytology or through explicit documented non-occurrence using the CXCAServiceNotRequested profile. Patients with neither (absent records) are excluded from the numerator, surfacing visibility gaps rather than conflating them with documented LTFU. See input/cql/CXCAIND02CascadeCompletionLogic.cql for the methodology rationale and the Mongolia April 2026 Khan-Uul pilot numbers that motivate this measure (371 HPV+ women, 184 cytology, 187 LTFU)."] ; # fhir:library ( [ fhir:v "http://smart.who.int/cxca/Library/CXCAIND02CascadeCompletionLogic"^^xsd:anyURI ; fhir:l ] ) ; # fhir:scoring [ fhir:coding ( [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-scoring"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "proportion" ] ] ) ] ; # fhir:group ( [ fhir:population ( [ fhir:code [ fhir:coding ( [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-population"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "initial-population" ] ] ) ] ; fhir:criteria [ fhir:language [ fhir:v "text/cql-identifier" ] ; fhir:expression [ fhir:v "Initial Population" ] ] ] [ fhir:code [ fhir:coding ( [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-population"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "denominator" ] ] ) ] ; fhir:criteria [ fhir:language [ fhir:v "text/cql-identifier" ] ; fhir:expression [ fhir:v "Denominator" ] ] ] [ fhir:code [ fhir:coding ( [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-population"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "numerator" ] ] ) ] ; fhir:criteria [ fhir:language [ fhir:v "text/cql-identifier" ] ; fhir:expression [ fhir:v "Numerator" ] ] ] [ fhir:code [ fhir:coding ( [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-population"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "numerator-exclusion" ] ] ) ] ; fhir:criteria [ fhir:language [ fhir:v "text/cql-identifier" ] ; fhir:expression [ fhir:v "Numerator Exclusion" ] ] ] ) ] ) . # # -------------------------------------------------------------------------------------