FHIR IG Statistics: Measure/ANCIND02

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Narrative

Note: links and images are rebased to the (stated) source

define "Antenatal care contact":
  ["Encounter": type in BCx."Antenatal care contact"]

/*
  @dataElement: ANC.B10.DE91 Amount of iron prescribed
  @activity: ANC.B10.5 Nutrition supplementation
  @description: Amount of iron supplements prescribed in milligrams for intake
*/
define "Amount of iron prescribed":
  [MedicationRequest: BCx."Iron supplement"] MR
    where MR.status in { 'draft', 'active', 'on-hold', 'completed' }
      and Coalesce(MR.doNotPerform, false) is false

/*
  @dataElement: ANC.B10.DE95 Amount of daily dose of folic acid prescribed
  @activity: ANC.B10.5 Nutrition supplementation
  @description: Amount of folic acid supplements prescribed in milligrams for daily intake
*/
define "Amount of daily dose of folic acid prescribed":
  [MedicationRequest: BCx."Folic acid supplement"] MR
    where MR.status in { 'draft', 'active', 'on-hold', 'completed' }
      and Coalesce(MR.doNotPerform, false) is false

/*
Numerator: Number of pregnant women who received the recommended number of IFA tablets during all previous contacts
Numerator Computation: COUNT of number of women who were prescribed IFA tablets at each ANC contact they have had
*/
define Numerator:
  not exists (
    BaseData."Antenatal care contact" C
      without PatientData."Amount of iron prescribed" I
        such that (singleton from I.dosageInstruction).timing.repeat.bounds overlaps C.period
      without PatientData."Amount of daily dose of folic acid prescribed" FA
          such that (singleton from FA.dosageInstruction).timing.repeat.bounds overlaps C.period
  )

/*
By Patient Age as of the start of the Measurement Period
Age (10-14, 15-19, 20+)
*/
define "By Age":
  case
    when AgeInYearsAt(start of "Measurement Period") in Interval[10, 14] then "P10Y--P14Y"
    when AgeInYearsAt(start of "Measurement Period") in Interval[15, 19] then "P15Y--P19Y"
    when AgeInYearsAt(start of "Measurement Period") >= 20 then "P20Y--P9999Y"
    else null
  end

/*
Disaggregation: Age (10–14, 15–19, 20+)
*/
define "Age Stratifier":
  Stratifiers."By Age"

/*
  @dataElement: ANC.End.1 Reason for closing ANC record
  @activity: ANC.End End
  @description: Select the reason why you are closing the woman's ANC record
*/
define "Reason for closing ANC record":
  [Observation: Cx."Reason for closing ANC record"] O
    where O.status in { 'final', 'amended', 'corrected' }
      and Coalesce(WC.ModifierExtension(O, 'who-notDone').value, false) is false

/*
Denominator: Total number of antenatal clients with a first contact
Denominator Computation: COUNT of all women whose records were closed (ANC
  close form) in the last reporting period due to any of the reasons below:
    » live birth
    » stillbirth
    » miscarriage
    » abortion
    » woman died
    » lost to follow-up
    » moved away
*/
define Denominator:
  exists (
    PatientData."Reason for closing ANC record" R
      where FC.ToInterval(R.effective) during "Measurement Period"
        and R.value as FHIR.CodeableConcept in Stratifiers."Qualifying Reason for closing ANC record Choices"
  )

/*
By Patient Education Level (none, don't know, primary, secondary, higher)
*/
define "By Education Level":
  Patient.extension E
    where E.url = 'http://smart.who.int/anc/StructureDefinition/educationlevel'
    return E.value as CodeableConcept

/*
Disaggregation: Education level (none, don’t know, primary, secondary, higher)
*/
define "Education Level Stratifier":
  Stratifiers."By Education Level"

/*
define "Pregnant":
  "Pregnancy" is not null
    or "Pregnancy status" in BCx."Pregnancy status - pregnant"

define "Pregnancy status":
  FHIRHelpers.ToConcept(
    Last(
      [Observation: BCx."Pregnancy status"] O
        where O.status = 'final'
        sort by FHIRHelpers.ToDateTime(effective as FHIR.dateTime)
    ).value
  )
*/

define "Antenatal care case":
  ["EpisodeOfCare": type in BCx."Antenatal care case"]

/*
Initial population: Antenatal clients
*/
define "Initial Population":
  exists (BaseData."Antenatal care case")

define function ToString(value string): value.value

define function ToConcept(concept FHIR.CodeableConcept):
    if concept is null then
        null
    else
        System.Concept {
            codes: concept.coding C return ToCode(C),
            display: concept.text.value
        }

define function ToCode(coding FHIR.Coding):
    if coding is null then
        null
    else
        System.Code {
          code: coding.code.value,
          system: coding.system.value,
          version: coding.version.value,
          display: coding.display.value
        }

define function ToString(value MedicationRequestStatus): value.value

define function ToBoolean(value boolean): value.value

define function ToInterval(period FHIR.Period):
    if period is null then
        null
    else
        if period."start" is null then
            Interval(period."start".value, period."end".value]
        else
            Interval[period."start".value, period."end".value]

define function ToString(value ObservationStatus): value.value

/*
@description: Returns the single WHO core modifier extension (if present) on the given resource with the specified id.
@comment: This function uses singleton from to ensure that a run-time exception is thrown if there
is more than one extension on the given resource with the specified url.
*/
define function ModifierExtension(domainResource DomainResource, id String):
  singleton from ModifierExtensions(domainResource, id)

/*
@description: Returns any WHO core modifier extensions defined on the given resource with the specified id.
@comment: NOTE: Extensions are not the preferred approach, but are used as a way to access
content that is defined by extensions but not yet surfaced in the
CQL model info.
*/
define function ModifierExtensions(domainResource DomainResource, id String):
  domainResource.modifierExtension E
	  where E.url = ('http://fhir.org/guides/who/core/StructureDefinition/' + id)
		return E

define function ToString(value uri): value.value

Source

{
  "resourceType": "Measure",
  "id": "ANCIND02",
  "meta": {
    "profile": [
      "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm"
    ]
  },
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "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",
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              }
            ]
          },
          "criteria": {
            "language": "text/cql-identifier",
            "expression": "Denominator"
          }
        },
        {
          "id": "numerator",
          "code": {
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              {
                "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"
          }
        }
      ]
    }
  ]
}