Release 5 Preview #3
Clinical ReasoningThis page is part of the FHIR Specification (v4.5.0: R5 Preview #3). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions 
. Page versions: R5 R4B R4
| Clinical Quality Information Work Group | Maturity Level: N/A | Standards Status: Informative | Compartments: Not linked to any defined compartments |
Raw XML (canonical form + also see XML Format Specification)
Example of Measure to define public health reporting data elements (id = "hiv-indicators")
<?xml version="1.0" encoding="UTF-8"?> <Measure xmlns="http://hl7.org/fhir"> <id value="hiv-indicators"/> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative</b> </p> <p> <b> id</b> : hiv-indicators</p> <p> <b> url</b> : <a> http://ohie.org/Measure/hiv-indicators</a> </p> <p> <b> identifier</b> : id: hiv-indicators</p> <p> <b> version</b> : 0.0.0</p> <p> <b> name</b> : HIV</p> <p> <b> title</b> : HIV Indicators</p> <p> <b> status</b> : draft</p> <p> <b> experimental</b> : true</p> <p> <b> date</b> : 2018-03-08</p> <p> <b> publisher</b> : Open HIE</p> <p> <b> description</b> : This ADX-HIV measure defines a common set of HIV core indicators with data elements and associated stratifiers along with instructions regarding how to leverage these to generate and exchange conformant XML messages. Interoperable message exchange will be valuable to jurisdictions such as Ministries of Health, and WHO, and to health initiatives such as the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR), the Global Fund, UNAIDS, and others.</p> <p> <b> relatedArtifact</b> : </p> <p> <b> library</b> : <a> http://ohie.org/Library/hiv-indicators</a> </p> <p> <b> scoring</b> : <span> cohort</span> </p> <blockquote> <p> <b> group</b> </p> <p> <b> code</b> : <span> QRPH_ADX_ART1_N</span> </p> <p> <b> description</b> : Number of adults and children newly enrolled on antiretroviral therapy (ART) in the reporting period</p> <h3> Populations</h3> <table> <tr> <td> -</td> <td> <b> Code</b> </td> <td> <b> Criteria</b> </td> </tr> <tr> <td> *</td> <td> <span> cohort</span> </td> <td/> </tr> </table> <h3> Stratifiers</h3> <table> <tr> <td> -</td> <td> <b> Code</b> </td> <td> <b> Criteria</b> </td> </tr> <tr> <td> *</td> <td> <span> AGE_GROUP:SEX</span> </td> <td/> </tr> </table> </blockquote> <blockquote> <p> <b> group</b> </p> <p> <b> code</b> : <span> QRPH_ADX_ART1_N_PREG_BF</span> </p> <p> <b> description</b> : Number of adults and children newly enrolled on ART in the reporting period_pregnant and breastfeeding</p> <h3> Populations</h3> <table> <tr> <td> -</td> <td> <b> Code</b> </td> <td> <b> Criteria</b> </td> </tr> <tr> <td> *</td> <td> <span> cohort</span> </td> <td/> </tr> </table> <h3> Stratifiers</h3> <table> <tr> <td> -</td> <td> <b> Code</b> </td> <td> <b> Criteria</b> </td> </tr> <tr> <td> *</td> <td> <span> PREG_BF</span> </td> <td/> </tr> </table> </blockquote> <blockquote> <p> <b> group</b> </p> <p> <b> code</b> : <span> QRPH_ADX_ART3_N</span> </p> <p> <b> description</b> : Number of adults and children currently receiving antiretroviral therapy (ART)</p> <h3> Populations</h3> <table> <tr> <td> -</td> <td> <b> Code</b> </td> <td> <b> Criteria</b> </td> </tr> <tr> <td> *</td> <td> <span> cohort</span> </td> <td/> </tr> </table> </blockquote> <blockquote> <p> <b> group</b> </p> <p> <b> code</b> : <span> QRPH_ADX_ART5_N</span> </p> <p> <b> description</b> : Number of adults and children who are still on treatment at 12 months after initiating ART</p> <h3> Populations</h3> <table> <tr> <td> -</td> <td> <b> Code</b> </td> <td> <b> Criteria</b> </td> </tr> <tr> <td> *</td> <td> <span> cohort</span> </td> <td/> </tr> </table> <blockquote> <p> <b> stratifier</b> </p> <blockquote> <p> <b> component</b> </p> <p> <b> code</b> : <span> AGE_GROUP</span> </p> <p> <b> criteria</b> : </p> </blockquote> <blockquote> <p> <b> component</b> </p> <p> <b> code</b> : <span> SEX</span> </p> <p> <b> criteria</b> : </p> </blockquote> </blockquote> </blockquote> <blockquote> <p> <b> group</b> </p> <p> <b> code</b> : <span> QRPH_ADX_ART5_N_PREG_BF</span> </p> <p> <b> description</b> : Number of adults and children who are still on treatment at 12 months after initiating ART-pregnant and breastfeeding</p> <h3> Populations</h3> <table> <tr> <td> -</td> <td> <b> Code</b> </td> <td> <b> Criteria</b> </td> </tr> <tr> <td> *</td> <td> <span> cohort</span> </td> <td/> </tr> </table> <h3> Stratifiers</h3> <table> <tr> <td> -</td> <td> <b> Code</b> </td> <td> <b> Criteria</b> </td> </tr> <tr> <td> *</td> <td> <span> PREG_BF</span> </td> <td/> </tr> </table> </blockquote> <blockquote> <p> <b> group</b> </p> <p> <b> code</b> : <span> QRPH_ADX_ART5_D</span> </p> <p> <b> description</b> : Number of adults and children who initiated ART in the 12 months prior to the beginning of the reporting period</p> <h3> Populations</h3> <table> <tr> <td> -</td> <td> <b> Code</b> </td> <td> <b> Criteria</b> </td> </tr> <tr> <td> *</td> <td> <span> cohort</span> </td> <td/> </tr> </table> <h3> Stratifiers</h3> <table> <tr> <td> -</td> <td> <b> Code</b> </td> <td> <b> Criteria</b> </td> </tr> <tr> <td> *</td> <td> <span> AGE_GROUP:SEX</span> </td> <td/> </tr> </table> </blockquote> <blockquote> <p> <b> group</b> </p> <p> <b> code</b> : <span> QRPH_ADX_MTCT1_D</span> </p> <p> <b> description</b> : Number of pregnant women who attended ANC or had a facility-based delivery in the reporting period</p> <h3> Populations</h3> <table> <tr> <td> -</td> <td> <b> Code</b> </td> <td> <b> Criteria</b> </td> </tr> <tr> <td> *</td> <td> <span> cohort</span> </td> <td/> </tr> </table> <h3> Stratifiers</h3> <table> <tr> <td> -</td> <td> <b> Code</b> </td> <td> <b> Criteria</b> </td> </tr> <tr> <td> *</td> <td> <span> PMTCT_HIV_STATUS</span> </td> <td/> </tr> </table> </blockquote> <blockquote> <p> <b> group</b> </p> <p> <b> code</b> : <span> QRPH_ADX_MTCT2_D</span> </p> <p> <b> description</b> : Number of HIV positive pregnant women who attended ANC or had a facility-based delivery within the reporting period</p> <h3> Populations</h3> <table> <tr> <td> -</td> <td> <b> Code</b> </td> <td> <b> Criteria</b> </td> </tr> <tr> <td> *</td> <td> <span> cohort</span> </td> <td/> </tr> </table> </blockquote> <blockquote> <p> <b> group</b> </p> <p> <b> code</b> : <span> QRPH_ADX_MTCT2_N</span> </p> <p> <b> description</b> : Number of HIV-positive pregnant women who received ART to reduce the risk of mother-to-child-trans mission during pregnancy</p> <h3> Populations</h3> <table> <tr> <td> -</td> <td> <b> Code</b> </td> <td> <b> Criteria</b> </td> </tr> <tr> <td> *</td> <td> <span> cohort</span> </td> <td/> </tr> </table> <h3> Stratifiers</h3> <table> <tr> <td> -</td> <td> <b> Code</b> </td> <td> <b> Criteria</b> </td> </tr> <tr> <td> *</td> <td> <span> PMTCT_ART_STATUS</span> </td> <td/> </tr> </table> </blockquote> <blockquote> <p> <b> group</b> </p> <p> <b> code</b> : <span> QRPH_ADX_VLS3_N</span> </p> <p> <b> description</b> : Number of people living with HIV and on ART who have a suppressed viral load results (<1000 copies/mL)</p> <h3> Populations</h3> <table> <tr> <td> -</td> <td> <b> Code</b> </td> <td> <b> Criteria</b> </td> </tr> <tr> <td> *</td> <td> <span> cohort</span> </td> <td/> </tr> </table> <h3> Stratifiers</h3> <table> <tr> <td> -</td> <td> <b> Code</b> </td> <td> <b> Criteria</b> </td> </tr> <tr> <td> *</td> <td> <span> AGE_GROUP:SEX</span> </td> <td/> </tr> </table> </blockquote> <blockquote> <p> <b> group</b> </p> <p> <b> code</b> : <span> QRPH_ADX_HTS2_N</span> </p> <p> <b> description</b> : Number of individuals who received HIV Testing Services (HTS) and received their test results</p> <h3> Populations</h3> <table> <tr> <td> -</td> <td> <b> Code</b> </td> <td> <b> Criteria</b> </td> </tr> <tr> <td> *</td> <td> <span> cohort</span> </td> <td/> </tr> </table> <h3> Stratifiers</h3> <table> <tr> <td> -</td> <td> <b> Code</b> </td> <td> <b> Criteria</b> </td> </tr> <tr> <td> *</td> <td> <span> AGE_GROUP:SEX:HIV_TEST_RESULTS</span> </td> <td/> </tr> </table> </blockquote> <blockquote> <p> <b> group</b> </p> <p> <b> code</b> : <span> QRPH_ADX_MTCT1_N</span> </p> <p> <b> description</b> : Number of pregnant women with known HIV status at first antenatal care visit</p> <h3> Populations</h3> <table> <tr> <td> -</td> <td> <b> Code</b> </td> <td> <b> Criteria</b> </td> </tr> <tr> <td> *</td> <td> <span> cohort</span> </td> <td/> </tr> </table> <h3> Stratifiers</h3> <table> <tr> <td> -</td> <td> <b> Code</b> </td> <td> <b> Criteria</b> </td> </tr> <tr> <td> *</td> <td> <span> PMTCT_HIV_STATUS</span> </td> <td/> </tr> </table> </blockquote> <blockquote> <p> <b> group</b> </p> <p> <b> code</b> : <span> QRPH_ADX_VLS3_D</span> </p> <p> <b> description</b> : Number of people on ART who had a VL measurement in the past 12 months</p> <h3> Populations</h3> <table> <tr> <td> -</td> <td> <b> Code</b> </td> <td> <b> Criteria</b> </td> </tr> <tr> <td> *</td> <td> <span> cohort</span> </td> <td/> </tr> </table> <h3> Stratifiers</h3> <table> <tr> <td> -</td> <td> <b> Code</b> </td> <td> <b> Criteria</b> </td> </tr> <tr> <td> *</td> <td> <span> AGE_GROUP:SEX</span> </td> <td/> </tr> </table> </blockquote> </div> </text> <url value="http://ohie.org/Measure/hiv-indicators"/> <identifier> <system value="http://ohie.org/Measure/"/> <value value="hiv-indicators"/> </identifier> <version value="0.0.0"/> <name value="HIV"/> <title value="HIV Indicators"/> <status value="draft"/> <experimental value="true"/> <date value="2018-03-08"/> <publisher value="Open HIE"/> <description value="This ADX-HIV measure defines a common set of HIV core indicators with data elements and associated stratifiers along with instructions regarding how to leverage these to generate and exchange conformant XML messages. Interoperable message exchange will be valuable to jurisdictions such as Ministries of Health, and WHO, and to health initiatives such as the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR), the Global Fund, UNAIDS, and others."/> <relatedArtifact> <type value="derived-from"/> <url value="http://wiki.ihe.net/index.php/Aggregate_Data_Exchange_-_HIV"/> </relatedArtifact> <library value="http://ohie.org/Library/hiv-indicators"/> <scoring> <coding> <code value="cohort"/> </coding> </scoring> <!-- Option 1: Mashup --> <group> <code> <coding> <system value="http://ihe.net/qrph/adx/"/> <code value="QRPH_ADX_ART1_N"/> </coding> </code> <description value="Number of adults and children newly enrolled on antiretroviral therapy (ART) in the reporting period"/> <population> <code> <text value="cohort"/> </code> <criteria> <language value="text/cql"/> <expression value="Newly enrolled on antiretroviral therapy (ART) during measurement period"/> </criteria> </population> <stratifier> <code> <coding> <system value="http://ihe.net/qrph/adx/"/> <code value="AGE_GROUP:SEX"/> </coding> </code> <criteria> <language value="text/cql"/> <expression value="Age Group/Sex"/> </criteria> </stratifier> </group> <group> <code> <coding> <system value="http://ihe.net/qrph/adx/"/> <code value="QRPH_ADX_ART1_N_PREG_BF"/> </coding> </code> <description value="Number of adults and children newly enrolled on ART in the reporting period_pregnant and breastfeeding"/> <population> <code> <text value="cohort"/> </code> <criteria> <language value="text/cql"/> <expression value="Newly enrolled on antiretroviral therapy (ART) during measurement period (pregnant and breastfeeding)"/> </criteria> </population> <stratifier> <code> <coding> <system value="http://ihe.net/qrph/adx/"/> <code value="PREG_BF"/> </coding> </code> <criteria> <language value="text/cql"/> <expression value="Pregnant/Breastfeeding"/> </criteria> </stratifier> </group> <!-- Option 2: Extensions --> <group> <code> <coding> <system value="http://ihe.net/qrph/adx/"/> <code value="QRPH_ADX_ART3_N"/> </coding> </code> <description value="Number of adults and children currently receiving antiretroviral therapy (ART)"/> <population> <code> <text value="cohort"/> </code> <criteria> <language value="text/cql"/> <expression value="Receiving antiretroviral therapy (ART) during measurement period"/> </criteria> </population> <!-- stratifier --> <!-- extension url="http://hl7.org/fhir/StructureDefinition/cqf-stratifierComponent"> <extension url="identifier"/> <valueIdentifier><system value="http://ihe.net/qrph/adx"/><value value="AGE_GROUP"/></valu eIdentifier> </extension> <extension url="criteria"> <valueString value="Age Group"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/cqf-stratifierComponent"> <extension url="identifier"/> <valueIdentifier><system value="http://ihe.net/qrph/adx"/><value value="SEX"/></valueIdent ifier> </extension> <extension url="criteria"> <valueString value="Sex"/> </extension> </extension --> <!-- identifier><system value="http://ihe.net/qrph/adx/"/><value value="AGE_GROUP:SEX"/></identifier> <criteria value="Age Group/Sex"/ --> <!-- /stratifier --> </group> <!-- Option 3: Represent Using Stratifier Components --> <group> <code> <coding> <system value="http://ihe.net/qrph/adx/"/> <code value="QRPH_ADX_ART5_N"/> </coding> </code> <description value="Number of adults and children who are still on treatment at 12 months after initiating ART"/> <population> <code> <text value="cohort"/> </code> <criteria> <language value="text/cql"/> <expression value="Receiving antiretroviral therapy (ART) at 12 months after initiating"/> </criteria> </population> <stratifier> <component> <code> <coding> <system value="http://ihe.net/qrph/adx/"/> <code value="AGE_GROUP"/> </coding> </code> <criteria> <language value="text/cql"/> <expression value="Age Group"/> </criteria> </component> <component> <code> <coding> <system value="http://ihe.net/qrph/adx/"/> <code value="SEX"/> </coding> </code> <criteria> <language value="text/cql"/> <expression value="Sex"/> </criteria> </component> </stratifier> </group> <group> <code> <coding> <system value="http://ihe.net/qrph/adx/"/> <code value="QRPH_ADX_ART5_N_PREG_BF"/> </coding> </code> <description value="Number of adults and children who are still on treatment at 12 months after initiating ART-pregnant and breastfeeding"/> <population> <code> <text value="cohort"/> </code> <criteria> <language value="text/cql"/> <expression value="Receiving antiretroviral therapy (ART) at 12 months after initiating (pregnant and breastfeeding)"/> </criteria> </population> <stratifier> <code> <coding> <system value="http://ihe.net/qrph/adx/"/> <code value="PREG_BF"/> </coding> </code> <criteria> <language value="text/cql"/> <expression value="Pregnant/Breastfeeding"/> </criteria> </stratifier> </group> <group> <code> <coding> <system value="http://ihe.net/qrph/adx/"/> <code value="QRPH_ADX_ART5_D"/> </coding> </code> <description value="Number of adults and children who initiated ART in the 12 months prior to the beginning of the reporting period"/> <population> <code> <text value="cohort"/> </code> <criteria> <language value="text/cql"/> <expression value="Initiated antiretroviral therapy (ART) in the 12 months prior to measurement period"/> </criteria> </population> <stratifier> <code> <coding> <system value="http://ihe.net/qrph/adx/"/> <code value="AGE_GROUP:SEX"/> </coding> </code> <criteria> <language value="text/cql"/> <expression value="Age Group/Sex"/> </criteria> </stratifier> </group> <group> <code> <coding> <system value="http://ihe.net/qrph/adx/"/> <code value="QRPH_ADX_MTCT1_D"/> </coding> </code> <description value="Number of pregnant women who attended ANC or had a facility-based delivery in the reporting period"/> <population> <code> <text value="cohort"/> </code> <criteria> <language value="text/cql"/> <expression value="Antenatal Care Visit or Live Birth during the Measurement Period"/> </criteria> </population> <stratifier> <code> <coding> <system value="http://ihe.net/qrph/adx/"/> <code value="PMTCT_HIV_STATUS"/> </coding> </code> <criteria> <language value="text/cql"/> <expression value="PMTCT HIV Status"/> </criteria> </stratifier> </group> <group> <code> <coding> <system value="http://ihe.net/qrph/adx/"/> <code value="QRPH_ADX_MTCT2_D"/> </coding> </code> <description value="Number of HIV positive pregnant women who attended ANC or had a facility-based delivery within the reporting period"/> <population> <code> <text value="cohort"/> </code> <criteria> <language value="text/cql"/> <expression value="Antenatal Care Visit or Live Birth during Measurement Period (HIV Positive)"/> </criteria> </population> </group> <group> <code> <coding> <system value="http://ihe.net/qrph/adx/"/> <code value="QRPH_ADX_MTCT2_N"/> </coding> </code> <description value="Number of HIV-positive pregnant women who received ART to reduce the risk of mother-to-child-transmi ssion during pregnancy"/> <population> <code> <text value="cohort"/> </code> <criteria> <language value="text/cql"/> <expression value="HIV-positive, pregnant, and receiving antiretroviral therapy (ART) to reduce the risk of mother-to-child-transmission during pregnancy"/> </criteria> </population> <stratifier> <code> <coding> <system value="http://ihe.net/qrph/adx/"/> <code value="PMTCT_ART_STATUS"/> </coding> </code> <criteria> <language value="text/cql"/> <expression value="PMTCT ART Status"/> </criteria> </stratifier> </group> <group> <code> <coding> <system value="http://ihe.net/qrph/adx/"/> <code value="QRPH_ADX_VLS3_N"/> </coding> </code> <description value="Number of people living with HIV and on ART who have a suppressed viral load results (<1000 copies/mL)"/> <population> <code> <text value="cohort"/> </code> <criteria> <language value="text/cql"/> <expression value="Living with HIV and on ART with suppressed viral load results (<1000 copies/mL)"/> </criteria> </population> <stratifier> <code> <coding> <system value="http://ihe.net/qrph/adx/"/> <code value="AGE_GROUP:SEX"/> </coding> </code> <criteria> <language value="text/cql"/> <expression value="Age Group/Sex"/> </criteria> </stratifier> </group> <group> <code> <coding> <system value="http://ihe.net/qrph/adx/"/> <code value="QRPH_ADX_HTS2_N"/> </coding> </code> <description value="Number of individuals who received HIV Testing Services (HTS) and received their test results"/> <population> <code> <text value="cohort"/> </code> <criteria> <language value="text/cql"/> <expression value="Received HIV Testing Services (HTS) and Recevied Test Results"/> </criteria> </population> <stratifier> <code> <coding> <system value="http://ihe.net/qrph/adx/"/> <code value="AGE_GROUP:SEX:HIV_TEST_RESULTS"/> </coding> </code> <criteria> <language value="text/cql"/> <expression value="Age Group/Sex/HIV Test Results"/> </criteria> </stratifier> </group> <group> <code> <coding> <system value="http://ihe.net/qrph/adx/"/> <code value="QRPH_ADX_MTCT1_N"/> </coding> </code> <description value="Number of pregnant women with known HIV status at first antenatal care visit"/> <population> <code> <text value="cohort"/> </code> <criteria> <language value="text/cql"/> <expression value="HIV Status Known at First Antenatal Care Visit"/> </criteria> </population> <stratifier> <code> <coding> <system value="http://ihe.net/qrph/adx/"/> <code value="PMTCT_HIV_STATUS"/> </coding> </code> <criteria> <language value="text/cql"/> <expression value="PMTCT HIV Status"/> </criteria> </stratifier> </group> <group> <code> <coding> <system value="http://ihe.net/qrph/adx/"/> <code value="QRPH_ADX_VLS3_D"/> </coding> </code> <description value="Number of people on ART who had a VL measurement in the past 12 months"/> <population> <code> <text value="cohort"/> </code> <criteria> <language value="text/cql"/> <expression value="Receiving antiretroviral therapty (ART) and Viral Load Measurement in the past 12 months"/> </criteria> </population> <stratifier> <code> <coding> <system value="http://ihe.net/qrph/adx/"/> <code value="AGE_GROUP:SEX"/> </coding> </code> <criteria> <language value="text/cql"/> <expression value="Age Group/Sex"/> </criteria> </stratifier> </group> </Measure>
Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.
FHIR ®© HL7.org 2011+. FHIR R5 Preview #3 hl7.fhir.core#4.5.0 generated on Thu, Aug 20, 2020 17:45+1000.
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