{
"description": "Percentage of pregnant women with first ANC contact in the first trimester (before 12 weeks of gestation)",
"_filename": "example/Measure-shareable-example.json",
"package_name": "hl7.fhir.uv.crmi",
"date": "2023-03-13T22:32:10-06:00",
"group": [ {
"id": "group-1",
"population": [ {
"id": "initial-population",
"code": {
"coding": [ {
"code": "initial-population",
"system": "http://terminology.hl7.org/CodeSystem/measure-population"
} ]
},
"criteria": {
"language": "text/cql-identifier",
"expression": "Initial Population"
}
}, {
"id": "denominator",
"code": {
"coding": [ {
"code": "denominator",
"system": "http://terminology.hl7.org/CodeSystem/measure-population"
} ]
},
"criteria": {
"language": "text/cql-identifier",
"expression": "Denominator"
}
}, {
"id": "numerator",
"code": {
"coding": [ {
"code": "numerator",
"system": "http://terminology.hl7.org/CodeSystem/measure-population"
} ]
},
"criteria": {
"language": "text/cql-identifier",
"expression": "Numerator"
}
} ],
"stratifier": [ {
"id": "by-age",
"code": {
"text": "Age"
},
"criteria": {
"language": "text/cql-identifier",
"expression": "Age Stratifier"
}
}, {
"id": "by-education-level",
"code": {
"text": "Education Level"
},
"criteria": {
"language": "text/cql-identifier",
"expression": "Education Level Stratifier"
}
} ]
} ],
"meta": {
"profile": [ "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareablemeasure" ]
},
"publisher": "HL7 International / Clinical Decision Support",
"jurisdiction": [ {
"coding": [ {
"code": "001",
"system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
"display": "World"
} ]
} ],
"name": "ANCIND01Shareabale",
"type": "[{:coding [{:system \\\"http://terminology.hl7.org/CodeSystem/measure-type\\\", :code \\\"process\\\"}]}]",
"experimental": "true",
"resourceType": "Measure",
"title": "ANC.IND.01 Percentage of pregnant women with first ANC contact in the first trimester (Shareable Example)",
"library": [ "http://hl7.org/fhir/uv/crmi/Library/ANCCohort" ],
"package_version": "1.0.0",
"extension": [ {
"url": "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem",
"valueReference": {
"reference": "Device/cqf-tooling"
}
}, {
"id": "effective-data-requirements",
"url": "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-effectiveDataRequirements",
"valueCanonical": "#effective-data-requirements"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/cqf-definitionTerm",
"extension": [ {
"url": "term",
"valueString": "First Trimester"
}, {
"url": "definition",
"valueMarkdown": "The first trimester is considered before 12 weeks of gestation"
} ]
} ],
"contained": [ {
"id": "effective-data-requirements",
"type": {
"coding": [ {
"code": "module-definition",
"system": "http://terminology.hl7.org/CodeSystem/library-type"
} ]
},
"status": "active",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
"valueCoding": {
"code": "P10Y--P14Y",
"system": "http://example.org/CodeSystem/iso-8601-derived-periods",
"display": "10-14 years"
}
}, {
"url": "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
"valueCoding": {
"code": "P15Y--P19Y",
"system": "http://example.org/CodeSystem/iso-8601-derived-periods",
"display": "15-19 years"
}
}, {
"url": "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
"valueCoding": {
"code": "P20Y--P9999Y",
"system": "http://example.org/CodeSystem/iso-8601-derived-periods",
"display": "20+ years"
}
}, {
"url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition",
"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/StructureDefinition/cqf-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "ANCIND01"
}, {
"url": "name",
"valueString": "First antenatal care contact"
}, {
"url": "statement",
"valueString": "define \"First antenatal care contact\":\n BaseData.\"Antenatal care contact\" C\n where C.reasonCode in Cx.\"First Antenatal Care Contact Choices\""
}, {
"url": "displaySequence",
"valueInteger": 1
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "ANCContactDataElements"
}, {
"url": "name",
"valueString": "Gestational age"
}, {
"url": "statement",
"valueString": "/*\n @dataElement: ANC.B6.DE17 Gestational age\n @activity: ANC.B6 Profile\n @description: Gestational age in weeks and/or days depending on the source of gestational age\n*/\ndefine \"Gestational age\":\n WC.MostRecent(\n [Observation: Cx.\"Gestational age\"] O\n where O.status in { 'final', 'amended', 'corrected' }\n and Coalesce(WC.ModifierExtension(O, 'who-notDone').value, false) is false\n and Last(Split(O.encounter.reference, '/')) = Last(Split(encounter, '/'))\n ).value as FHIR.Quantity"
}, {
"url": "displaySequence",
"valueInteger": 2
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "ANCIND01"
}, {
"url": "name",
"valueString": "Numerator"
}, {
"url": "statement",
"valueString": "/*\nNumerator: Number of pregnant women who had their first ANC contact before 12 weeks (facility level)\nNumerator Computation: Count of women whose gestational age <= 12 weeks at the time of first contact\n*/\ndefine Numerator:\n exists (\n \"First antenatal care contact\" C\n where C.period starts during \"Measurement Period\"\n and ContactData.\"Gestational age\" <= 12 weeks\n )"
}, {
"url": "displaySequence",
"valueInteger": 3
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/cqf-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/StructureDefinition/cqf-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "ANCIND01"
}, {
"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/StructureDefinition/cqf-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "ANCIND01"
}, {
"url": "name",
"valueString": "Denominator"
}, {
"url": "statement",
"valueString": "/*\nDenominator: Total number of antenatal clients with a first contact\nDenominator Computation: Count of all women who had first contact within the last reporting period\n*/\ndefine Denominator:\n exists (\n \"First antenatal care contact\" C\n where C.period starts during \"Measurement Period\"\n )"
}, {
"url": "displaySequence",
"valueInteger": 6
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/cqf-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"
}, {
"url": "displaySequence",
"valueInteger": 7
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "ANCIND01"
}, {
"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": 8
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/cqf-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*/\ndefine \"Antenatal care case\":\n [\"EpisodeOfCare\": type in BCx.\"Antenatal care case\"]"
}, {
"url": "displaySequence",
"valueInteger": 9
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "ANCIND01"
}, {
"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
} ]
} ],
"parameter": [ {
"max": "1",
"min": 0,
"use": "in",
"name": "Measurement Period",
"type": "Period"
}, {
"max": "1",
"min": 0,
"use": "in",
"name": "encounter",
"type": "string"
}, {
"max": "1",
"min": 0,
"use": "out",
"name": "Numerator",
"type": "boolean"
}, {
"max": "1",
"min": 0,
"use": "out",
"name": "Age Stratifier",
"type": "Coding"
}, {
"max": "1",
"min": 0,
"use": "out",
"name": "Denominator",
"type": "boolean"
}, {
"max": "*",
"min": 0,
"use": "out",
"name": "Education Level Stratifier",
"type": "CodeableConcept"
}, {
"max": "1",
"min": 0,
"use": "out",
"name": "Initial Population",
"type": "boolean"
} ],
"resourceType": "Library",
"dataRequirement": [ {
"type": "Encounter",
"profile": [ "http://hl7.org/fhir/StructureDefinition/Encounter" ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/cqf-isSelective",
"valueBoolean": true
} ],
"codeFilter": [ {
"path": "type",
"valueSet": "http://fhir.org/guides/who/anc-cds/ValueSet/antenatal-care-contact"
} ],
"mustSupport": [ "type", "reasonCode", "period" ]
}, {
"type": "Observation",
"profile": [ "http://hl7.org/fhir/StructureDefinition/Observation" ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/cqf-isSelective",
"valueBoolean": true
} ],
"codeFilter": [ {
"path": "code",
"valueSet": "http://fhir.org/guides/who/anc-cds/ValueSet/anc-b6-de17"
} ],
"mustSupport": [ "code", "status", "encounter", "encounter.reference" ]
}, {
"type": "Patient",
"profile": [ "http://hl7.org/fhir/StructureDefinition/Patient" ],
"mustSupport": [ "url", "value" ]
}, {
"type": "EpisodeOfCare",
"profile": [ "http://hl7.org/fhir/StructureDefinition/EpisodeOfCare" ],
"codeFilter": [ {
"path": "type",
"valueSet": "http://fhir.org/guides/who/anc-cds/ValueSet/antenatal-care-case"
} ],
"mustSupport": [ "type" ]
} ],
"relatedArtifact": [ {
"type": "depends-on",
"display": "Library ANCCohort",
"resource": "http://hl7.org/fhir/uv/crmi/Library/ANCCohort"
}, {
"type": "depends-on",
"display": "Library FHIRHelpers",
"resource": "http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1"
}, {
"type": "depends-on",
"display": "Example Code system ISO-8601-Derived Periods",
"resource": "http://example.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 First Antenatal Care Contact Choices",
"resource": "http://fhir.org/guides/who/anc-cds/ValueSet/anc-b5-de2"
}, {
"type": "depends-on",
"display": "Value set Gestational age",
"resource": "http://fhir.org/guides/who/anc-cds/ValueSet/anc-b6-de17"
}, {
"type": "depends-on",
"display": "Value set Antenatal care case",
"resource": "http://fhir.org/guides/who/anc-cds/ValueSet/antenatal-care-case"
} ]
} ],
"status": "draft",
"id": "03e3f646-e558-455b-82b1-47840f123595",
"kind": null,
"url": "http://hl7.org/fhir/uv/crmi/Measure/shareable-example",
"identifier": [ {
"value": "urn:oid:2.16.840.1.113883.4.642.40.38.29.2",
"system": "urn:ietf:rfc:3986"
} ],
"scoring": {
"coding": [ {
"code": "proportion",
"system": "http://terminology.hl7.org/CodeSystem/measure-scoring"
} ]
},
"version": "1.0.0",
"contact": [ {
"telecom": [ {
"value": "http://www.hl7.org/Special/committees/dss",
"system": "url"
} ]
} ],
"improvementNotation": {
"coding": [ {
"code": "increase",
"system": "http://terminology.hl7.org/CodeSystem/measure-improvement-notation"
} ]
}
}