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FHIR IG Statistics: Measure/ANCIND08

Packagesmart.who.int.anc
Resource TypeMeasure
IdANCIND08
FHIR VersionR4
Sourcehttp://smart.who.int/anc/https://build.fhir.org/ig/WorldHealthOrganization/smart-anc/Measure-ANCIND08.html
URLhttp://smart.who.int/anc/Measure/ANCIND08
Version0.3.0
Statusdraft
Date2025-06-24T13:58:48-06:00
NameANCIND08
TitleANC.IND.08 Percentage of pregnant women with at least one blood pressure measure in the third trimester during ANC
Realmuv
Authoritywho
DescriptionPercentage of pregnant women with at least one blood pressure measure in the third trimester during ANC

Resources that use this resource

No resources found

Resources that this resource uses

No resources found

Narrative

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

Knowledge Artifact Metadata
Name (machine-readable) ANCIND08
Title (human-readable) ANC.IND.08 Percentage of pregnant women with at least one blood pressure measure in the third trimester during ANC
Status Draft
Experimental false
Description

Percentage of pregnant women with at least one blood pressure measure in the third trimester during ANC
Measure Steward World Health Organization (WHO)
Steward Contact Details https://www.who.int
Measure Metadata
Version Number 0.3.0
Measure Scoring Proportion
Measure Type Process
Improvement Notation Increased score indicates improvement
Measure Population Criteria (ID: group-1)
Initial Population ID: initial-population
Description: No description provided Logic Definition: Initial Population
Denominator ID: denominator
Description: No description provided Logic Definition: Denominator
Numerator ID: numerator
Description: No description provided Logic Definition: Numerator
Stratifier ID: by-age
Stratifier ID: by-education-level
Measure Logic
Primary Library ANC.IND.08 percentage of pregnant women with at least one blood pressure measure in the third trimester during ANC
Dependency Description: Library PatientData
Resource: ANC Data Elements
Canonical URL: http://smart.who.int/anc/Library/ANCDataElements
Dependency Description: Library Cx
Resource: ANC Concepts
Canonical URL: http://smart.who.int/anc/Library/ANCConcepts
Dependency Description: Library FHIRHelpers
Resource: http://smart.who.int/anc/Library/FHIRHelpers|4.0.1
Canonical URL: http://smart.who.int/anc/Library/FHIRHelpers|4.0.1
Dependency Description: Library WC
Resource: WHO Common
Canonical URL: http://smart.who.int/anc/Library/WHOCommon
Dependency Description: Library BaseData
Resource: ANC Base Data Elements
Canonical URL: http://smart.who.int/anc/Library/ANCBaseDataElements
Dependency Description: Library BCx
Resource: ANC Base Concepts
Canonical URL: http://smart.who.int/anc/Library/ANCBaseConcepts
Dependency Description: Library FC
Resource: FHIRCommon
Canonical URL: http://smart.who.int/anc/Library/FHIRCommon
Dependency Description: Library Stratifiers
Resource: ANC Stratifiers
Canonical URL: http://smart.who.int/anc/Library/ANCStratifiers
Dependency Description: Value set Systolic blood pressure
Resource: Systolic blood pressure
Canonical URL: http://smart.who.int/anc/ValueSet/anc-b8-de17
Dependency Description: Value set Antenatal care case
Resource: Antenatal care case
Canonical URL: http://smart.who.int/anc/ValueSet/antenatal-care-case
Dependency Description: Value set Diastolic blood pressure
Resource: Diastolic blood pressure
Canonical URL: http://smart.who.int/anc/ValueSet/anc-b8-de19
Dependency Description: Value set Reason for closing ANC record
Resource: Reason for closing ANC record
Canonical URL: http://smart.who.int/anc/ValueSet/anc-end-1
Dependency Description: Value set Qualifying Reason for closing ANC record Choices
Resource: Qualifying Reason for closing ANC record Choices
Canonical URL: http://smart.who.int/anc/ValueSet/qualifying-reason-for-closing-anc-record-choices
Parameter Name: Measurement Period
Use: In
Min Cardinality: 0
Max Cardinality: 1
Type: Period
Parameter Name: Numerator
Use: Out
Min Cardinality: 0
Max Cardinality: 1
Type: boolean
Parameter Name: Denominator
Use: Out
Min Cardinality: 0
Max Cardinality: 1
Type: boolean
Parameter Name: Education Level Stratifier
Use: Out
Min Cardinality: 0
Max Cardinality: *
Type: CodeableConcept
Parameter Name: Initial Population
Use: Out
Min Cardinality: 0
Max Cardinality: 1
Type: boolean
Measure Logic Data Requirements
Data Requirement Type: Observation
Profile(s): Observation
Must Support Elements: code, status, issued
Code Filter(s):
Path: code
ValueSet: Systolic blood pressure
Data Requirement Type: Observation
Profile(s): Observation
Must Support Elements: code, status, issued
Code Filter(s):
Path: code
ValueSet: Diastolic blood pressure
Data Requirement Type: Observation
Profile(s): Observation
Must Support Elements: code, status, effective, value
Code Filter(s):
Path: code
ValueSet: Reason for closing ANC record
Data Requirement Type: EpisodeOfCare
Profile(s): EpisodeOfCare
Must Support Elements: type
Code Filter(s):
Path: type
ValueSet: Antenatal care case
Data Requirement Type: Patient
Profile(s): Patient
Must Support Elements: url, value
Measure Logic Definitions
Logic Definition Library Name: ANCDataElements 
/*
  @dataElement: ANC.B8.DE17 Systolic blood pressure
  @activity: ANC.B8. Conduct physical exam
  @description: Systolic blood pressure (SBP) in mmHg
*/
define "Systolic blood pressure":
  [Observation: Cx."Systolic blood pressure"] O
    where O.status in { 'final', 'amended', 'corrected' }
      and Coalesce(WC.ModifierExtension(O, 'who-notDone').value, false) is false
Logic Definition Library Name: ANCBaseDataElements 
/*
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"]
Logic Definition Library Name: ANCBaseDataElements 
/*
@description: Most recent antenatal care case
*/
define "Pregnancy":
  First(
    "Antenatal care case" E
		  sort by start of period descending
	)
Logic Definition Library Name: ANCBaseDataElements 
/*
@description: Third trimester (assuming GA 25+ weeks)
*/
define "Third trimester":
  Interval[start of "Pregnancy".period + 25 weeks, end of "Pregnancy".period]
Logic Definition Library Name: ANCDataElements 
/*
  @dataElement: ANC.B8.DE19 Diastolic blood pressure
  @activity: ANC.B8. Conduct physical exam
  @description: Diastolic blood pressure (DBP) in mmHg
*/
define "Diastolic blood pressure":
  [Observation: Cx."Diastolic blood pressure"] O
    where O.status in { 'final', 'amended', 'corrected' }
      and Coalesce(WC.ModifierExtension(O, 'who-notDone').value, false) is false
Logic Definition Library Name: ANCIND08 
/*
Numerator: Number of pregnant women with blood pressure measurement in third trimester
Numerator Computation: COUNT of all women who had their blood pressure measured at least once during their third trimester
*/
define Numerator:
  exists (
    PatientData."Systolic blood pressure" O
      where O.issued during BaseData."Third trimester"
  )
    or exists (
      PatientData."Diastolic blood pressure" O
        where O.issued during BaseData."Third trimester"
    )
Logic Definition Library Name: ANCDataElements 
/*
  @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
Logic Definition Library Name: ANCIND08 
/*
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"
  )
Logic Definition Library Name: ANCStratifiers 
/*
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
Logic Definition Library Name: ANCIND08 
/*
Disaggregation: Education Level (none, don't know, primary, secondary, higher)
*/
define "Education Level Stratifier":
  Stratifiers."By Education Level"
Logic Definition Library Name: ANCIND08 
/*
Initial population: Antenatal clients
*/
define "Initial Population":
  exists (BaseData."Antenatal care case")
Logic Definition Library Name: FHIRHelpers 
define function ToString(value ObservationStatus): value.value
Logic Definition Library Name: FHIRHelpers 
define function ToBoolean(value boolean): value.value
Logic Definition Library Name: WHOCommon 
/*
@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)
Logic Definition Library Name: WHOCommon 
/*
@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
Logic Definition Library Name: FHIRHelpers 
define function ToString(value uri): value.value
Logic Definition Library Name: FHIRHelpers 
define function ToDateTime(value instant): value.value
Logic Definition Library Name: FHIRHelpers 
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]
Logic Definition Library Name: FHIRHelpers 
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
        }
Logic Definition Library Name: FHIRHelpers 
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
        }
Generated using version 0.4.6 of the sample-content-ig Liquid templates

Source

{
  "resourceType": "Measure",
  "id": "ANCIND08",
  "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": [
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "ANCDataElements"
            },
            {
              "url": "name",
              "valueString": "Systolic blood pressure"
            },
            {
              "url": "statement",
              "valueString": "/*\n  @dataElement: ANC.B8.DE17 Systolic blood pressure\n  @activity: ANC.B8. Conduct physical exam\n  @description: Systolic blood pressure (SBP) in mmHg\n*/\ndefine \"Systolic blood pressure\":\n  [Observation: Cx.\"Systolic blood pressure\"] O\n    where O.status in { 'final', 'amended', 'corrected' }\n      and Coalesce(WC.ModifierExtension(O, 'who-notDone').value, false) is false"
            },
            {
              "url": "displaySequence",
              "valueInteger": 0
            }
          ],
          "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": 1
            }
          ],
          "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "ANCBaseDataElements"
            },
            {
              "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",
              "valueInteger": 2
            }
          ],
          "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "ANCBaseDataElements"
            },
            {
              "url": "name",
              "valueString": "Third trimester"
            },
            {
              "url": "statement",
              "valueString": "/*\n@description: Third trimester (assuming GA 25+ weeks)\n*/\ndefine \"Third trimester\":\n  Interval[start of \"Pregnancy\".period + 25 weeks, end of \"Pregnancy\".period]"
            },
            {
              "url": "displaySequence",
              "valueInteger": 3
            }
          ],
          "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "ANCDataElements"
            },
            {
              "url": "name",
              "valueString": "Diastolic blood pressure"
            },
            {
              "url": "statement",
              "valueString": "/*\n  @dataElement: ANC.B8.DE19 Diastolic blood pressure\n  @activity: ANC.B8. Conduct physical exam\n  @description: Diastolic blood pressure (DBP) in mmHg\n*/\ndefine \"Diastolic blood pressure\":\n  [Observation: Cx.\"Diastolic blood pressure\"] O\n    where O.status in { 'final', 'amended', 'corrected' }\n      and Coalesce(WC.ModifierExtension(O, 'who-notDone').value, false) is false"
            },
            {
              "url": "displaySequence",
              "valueInteger": 4
            }
          ],
          "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "ANCIND08"
            },
            {
              "url": "name",
              "valueString": "Numerator"
            },
            {
              "url": "statement",
              "valueString": "/*\nNumerator: Number of pregnant women with blood pressure measurement in third trimester\nNumerator Computation: COUNT of all women who had their blood pressure measured at least once during their third trimester\n*/\ndefine Numerator:\n  exists (\n    PatientData.\"Systolic blood pressure\" O\n      where O.issued during BaseData.\"Third trimester\"\n  )\n    or exists (\n      PatientData.\"Diastolic blood pressure\" O\n        where O.issued during BaseData.\"Third trimester\"\n    )"
            },
            {
              "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": "ANCIND08"
            },
            {
              "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 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": "ANCIND08"
            },
            {
              "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": "ANCIND08"
            },
            {
              "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"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "FHIRHelpers"
            },
            {
              "url": "name",
              "valueString": "ToString"
            },
            {
              "url": "statement",
              "valueString": "define function ToString(value ObservationStatus): value.value"
            },
            {
              "url": "displaySequence",
              "valueInteger": 11
            }
          ],
          "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": 12
            }
          ],
          "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": 13
            }
          ],
          "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": 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 uri): value.value"
            },
            {
              "url": "displaySequence",
              "valueInteger": 15
            }
          ],
          "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "FHIRHelpers"
            },
            {
              "url": "name",
              "valueString": "ToDateTime"
            },
            {
              "url": "statement",
              "valueString": "define function ToDateTime(value instant): 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": "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": 18
            }
          ],
          "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": 19
            }
          ],
          "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 PatientData",
          "resource": "http://smart.who.int/anc/Library/ANCDataElements"
        },
        {
          "type": "depends-on",
          "display": "Library Cx",
          "resource": "http://smart.who.int/anc/Library/ANCConcepts"
        },
        {
          "type": "depends-on",
          "display": "Library FHIRHelpers",
          "resource": "http://smart.who.int/anc/Library/FHIRHelpers|4.0.1"
        },
        {
          "type": "depends-on",
          "display": "Library WC",
          "resource": "http://smart.who.int/anc/Library/WHOCommon"
        },
        {
          "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 FC",
          "resource": "http://smart.who.int/anc/Library/FHIRCommon"
        },
        {
          "type": "depends-on",
          "display": "Library Stratifiers",
          "resource": "http://smart.who.int/anc/Library/ANCStratifiers"
        },
        {
          "type": "depends-on",
          "display": "Value set Systolic blood pressure",
          "resource": "http://smart.who.int/anc/ValueSet/anc-b8-de17"
        },
        {
          "type": "depends-on",
          "display": "Value set Antenatal care case",
          "resource": "http://smart.who.int/anc/ValueSet/antenatal-care-case"
        },
        {
          "type": "depends-on",
          "display": "Value set Diastolic blood pressure",
          "resource": "http://smart.who.int/anc/ValueSet/anc-b8-de19"
        },
        {
          "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"
        }
      ],
      "parameter": [
        {
          "name": "Measurement Period",
          "use": "in",
          "min": 0,
          "max": "1",
          "type": "Period"
        },
        {
          "name": "Numerator",
          "use": "out",
          "min": 0,
          "max": "1",
          "type": "boolean"
        },
        {
          "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": "Observation",
          "profile": [
            "http://hl7.org/fhir/StructureDefinition/Observation"
          ],
          "mustSupport": [
            "code",
            "status",
            "issued"
          ],
          "codeFilter": [
            {
              "path": "code",
              "valueSet": "http://smart.who.int/anc/ValueSet/anc-b8-de17"
            }
          ]
        },
        {
          "type": "Observation",
          "profile": [
            "http://hl7.org/fhir/StructureDefinition/Observation"
          ],
          "mustSupport": [
            "code",
            "status",
            "issued"
          ],
          "codeFilter": [
            {
              "path": "code",
              "valueSet": "http://smart.who.int/anc/ValueSet/anc-b8-de19"
            }
          ]
        },
        {
          "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"
            }
          ]
        },
        {
          "type": "Patient",
          "profile": [
            "http://hl7.org/fhir/StructureDefinition/Patient"
          ],
          "mustSupport": [
            "url",
            "value"
          ]
        }
      ]
    }
  ],
  "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/ANCIND08",
  "version": "0.3.0",
  "name": "ANCIND08",
  "title": "ANC.IND.08 Percentage of pregnant women with at least one blood pressure measure in the third trimester during ANC",
  "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 with at least one blood pressure measure in the third trimester during ANC",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code": "001"
        }
      ]
    }
  ],
  "library": [
    "http://smart.who.int/anc/Library/ANCIND08"
  ],
  "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"
          }
        }
      ]
    }
  ]
}