Canonical Resource Management Infrastructure Implementation Guide
1.0.0-ballot2 - Ballot
Canonical Resource Management Infrastructure Implementation Guide
1.0.0-ballot2 - Ballot
This page is part of the Canonical Resource Management Infrastructure Implementation Guide (v1.0.0-ballot2: STU1 Ballot 2) based on FHIR (HL7® FHIR® Standard) R4. . For a full list of available versions, see the Directory of published versions
| Draft as of 2023-03-13 |
<Measure xmlns="http://hl7.org/fhir">
<id value="publishable-example"/>
<meta>
<profile
value="http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-publishablemeasure"/>
</meta>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Measure</b><a name="publishable-example"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource Measure "publishable-example" </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-crmi-publishablemeasure.html">CRMI Publishable Measure</a></p></div><p><b>CRMI Software System</b>: <a href="Device-cqf-tooling.html">Device/cqf-tooling</a></p><p><b>CRMI Effective Data Requirements</b>: <code>#effective-data-requirements</code></p><p><b>StructureDefinition Work Group</b>: cds</p><p><b>url</b>: <code>http://hl7.org/fhir/uv/crmi/Measure/publishable-example</code></p><p><b>version</b>: 1.0.0-ballot2</p><p><b>name</b>: ANCIND01Publishable</p><p><b>title</b>: ANC.IND.01 Percentage of pregnant women with first ANC contact in the first trimester (Publishable Example)</p><p><b>status</b>: draft</p><p><b>experimental</b>: true</p><p><b>date</b>: 2023-03-13 22:32:10-0600</p><p><b>publisher</b>: HL7 International / Clinical Decision Support</p><p><b>contact</b>: <a href="http://www.hl7.org/Special/committees/dss">http://www.hl7.org/Special/committees/dss</a></p><p><b>description</b>: Percentage of pregnant women with first ANC contact in the first trimester (before 12 weeks of gestation)</p><p><b>jurisdiction</b>: World <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (m49.htm#001)</span></p><blockquote><p><b>relatedArtifact</b></p><p><b>Is Primary Citation</b>: true</p><p><b>type</b>: citation</p><p><b>citation</b>: WHO, UN Women, UNFPA. Health care for women subjected to intimate partner violence or sexual violence – a clinical handbook. Geneva: World Health Organization; 2014</p><p><b>url</b>: <a href="https://apps.who.int/iris/bitstream/handle/10665/136101/WHO_RHR_14.26_eng.pdf">https://apps.who.int/iris/bitstream/handle/10665/136101/WHO_RHR_14.26_eng.pdf</a></p><blockquote><p><b>document</b></p></blockquote></blockquote><p><b>library</b>: <a href="Library-ANCCohort.html">ANC Cohort</a></p><p><b>scoring</b>: Proportion <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.3.0/CodeSystem-measure-scoring.html">MeasureScoring</a>#proportion)</span></p><p><b>type</b>: Process <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.3.0/CodeSystem-measure-type.html">MeasureType</a>#process)</span></p><p><b>improvementNotation</b>: Increased score indicates improvement <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.3.0/CodeSystem-measure-improvement-notation.html">MeasureImprovementNotation</a>#increase)</span></p><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-1</blockquote><blockquote><p><b>population</b></p><blockquote><p><b>id</b></p>initial-population</blockquote><p><b>code</b>: Initial Population <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.3.0/CodeSystem-measure-population.html">MeasurePopulationType</a>#initial-population)</span></p><h3>Criteria</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style="display: none">*</td><td>text/cql-identifier</td><td>Initial Population</td></tr></table></blockquote><blockquote><p><b>population</b></p><blockquote><p><b>id</b></p>denominator</blockquote><p><b>code</b>: Denominator <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.3.0/CodeSystem-measure-population.html">MeasurePopulationType</a>#denominator)</span></p><h3>Criteria</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style="display: none">*</td><td>text/cql-identifier</td><td>Denominator</td></tr></table></blockquote><blockquote><p><b>population</b></p><blockquote><p><b>id</b></p>numerator</blockquote><p><b>code</b>: Numerator <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.3.0/CodeSystem-measure-population.html">MeasurePopulationType</a>#numerator)</span></p><h3>Criteria</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style="display: none">*</td><td>text/cql-identifier</td><td>Numerator</td></tr></table></blockquote><blockquote><p><b>stratifier</b></p><blockquote><p><b>id</b></p>by-age</blockquote><p><b>code</b>: Age <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> ()</span></p><h3>Criteria</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style="display: none">*</td><td>text/cql-identifier</td><td>Age Stratifier</td></tr></table></blockquote><blockquote><p><b>stratifier</b></p><blockquote><p><b>id</b></p>by-education-level</blockquote><p><b>code</b>: Education Level <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> ()</span></p><h3>Criteria</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style="display: none">*</td><td>text/cql-identifier</td><td>Education Level Stratifier</td></tr></table></blockquote></blockquote></div>
</text>
<contained>
<Library>
<id value="effective-data-requirements"/>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
<valueCoding>
<system
value="http://example.org/CodeSystem/iso-8601-derived-periods"/>
<code value="P10Y--P14Y"/>
<display value="10-14 years"/>
</valueCoding>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
<valueCoding>
<system
value="http://example.org/CodeSystem/iso-8601-derived-periods"/>
<code value="P15Y--P19Y"/>
<display value="15-19 years"/>
</valueCoding>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
<valueCoding>
<system
value="http://example.org/CodeSystem/iso-8601-derived-periods"/>
<code value="P20Y--P9999Y"/>
<display value="20+ years"/>
</valueCoding>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="ANCBaseDataElements"/>
</extension>
<extension url="name">
<valueString value="Antenatal care contact"/>
</extension>
<extension url="statement">
<valueString
value="define "Antenatal care contact":
["Encounter": type in BCx."Antenatal care contact"]"/>
</extension>
<extension url="displaySequence">
<valueInteger value="0"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="ANCIND01"/>
</extension>
<extension url="name">
<valueString value="First antenatal care contact"/>
</extension>
<extension url="statement">
<valueString
value="define "First antenatal care contact":
BaseData."Antenatal care contact" C
where C.reasonCode in Cx."First Antenatal Care Contact Choices""/>
</extension>
<extension url="displaySequence">
<valueInteger value="1"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="ANCContactDataElements"/>
</extension>
<extension url="name">
<valueString value="Gestational age"/>
</extension>
<extension url="statement">
<valueString
value="/*
@dataElement: ANC.B6.DE17 Gestational age
@activity: ANC.B6 Profile
@description: Gestational age in weeks and/or days depending on the source of gestational age
*/
define "Gestational age":
WC.MostRecent(
[Observation: Cx."Gestational age"] O
where O.status in { 'final', 'amended', 'corrected' }
and Coalesce(WC.ModifierExtension(O, 'who-notDone').value, false) is false
and Last(Split(O.encounter.reference, '/')) = Last(Split(encounter, '/'))
).value as FHIR.Quantity"/>
</extension>
<extension url="displaySequence">
<valueInteger value="2"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="ANCIND01"/>
</extension>
<extension url="name">
<valueString value="Numerator"/>
</extension>
<extension url="statement">
<valueString
value="/*
Numerator: Number of pregnant women who had their first ANC contact before 12 weeks (facility level)
Numerator Computation: Count of women whose gestational age <= 12 weeks at the time of first contact
*/
define Numerator:
exists (
"First antenatal care contact" C
where C.period starts during "Measurement Period"
and ContactData."Gestational age" <= 12 weeks
)"/>
</extension>
<extension url="displaySequence">
<valueInteger value="3"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="ANCStratifiers"/>
</extension>
<extension url="name">
<valueString value="By Age"/>
</extension>
<extension url="statement">
<valueString
value="/*
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"/>
</extension>
<extension url="displaySequence">
<valueInteger value="4"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="ANCIND01"/>
</extension>
<extension url="name">
<valueString value="Age Stratifier"/>
</extension>
<extension url="statement">
<valueString
value="/*
Disaggregation: Age (10-14, 15-19, 20+)
*/
define "Age Stratifier":
Stratifiers."By Age""/>
</extension>
<extension url="displaySequence">
<valueInteger value="5"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="ANCIND01"/>
</extension>
<extension url="name">
<valueString value="Denominator"/>
</extension>
<extension url="statement">
<valueString
value="/*
Denominator: Total number of antenatal clients with a first contact
Denominator Computation: Count of all women who had first contact within the last reporting period
*/
define Denominator:
exists (
"First antenatal care contact" C
where C.period starts during "Measurement Period"
)"/>
</extension>
<extension url="displaySequence">
<valueInteger value="6"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="ANCStratifiers"/>
</extension>
<extension url="name">
<valueString value="By Education Level"/>
</extension>
<extension url="statement">
<valueString
value="/*
By Patient Education Level (none, don't know, primary, secondary, higher)
*/
define "By Education Level":
Patient.extension E
where E.url = 'http://fhir.org/guides/who/anc-cds/StructureDefinition/educationlevel'
return E.value as CodeableConcept"/>
</extension>
<extension url="displaySequence">
<valueInteger value="7"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="ANCIND01"/>
</extension>
<extension url="name">
<valueString value="Education Level Stratifier"/>
</extension>
<extension url="statement">
<valueString
value="/*
Disaggregation: Education Level (none, don't know, primary, secondary, higher)
*/
define "Education Level Stratifier":
Stratifiers."By Education Level""/>
</extension>
<extension url="displaySequence">
<valueInteger value="8"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="ANCBaseDataElements"/>
</extension>
<extension url="name">
<valueString value="Antenatal care case"/>
</extension>
<extension url="statement">
<valueString
value="/*
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"]"/>
</extension>
<extension url="displaySequence">
<valueInteger value="9"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="ANCIND01"/>
</extension>
<extension url="name">
<valueString value="Initial Population"/>
</extension>
<extension url="statement">
<valueString
value="/*
Initial population: Antenatal clients
*/
define "Initial Population":
exists (BaseData."Antenatal care case")"/>
</extension>
<extension url="displaySequence">
<valueInteger value="10"/>
</extension>
</extension>
<status value="active"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/library-type"/>
<code value="module-definition"/>
</coding>
</type>
<relatedArtifact>
<type value="depends-on"/>
<display value="Library ANCCohort"/>
<resource value="http://hl7.org/fhir/uv/crmi/Library/ANCCohort"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Library FHIRHelpers"/>
<resource
value="http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Example Code system ISO-8601-Derived Periods"/>
<resource
value="http://example.org/CodeSystem/iso-8601-derived-periods"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Value set Antenatal care contact"/>
<resource
value="http://fhir.org/guides/who/anc-cds/ValueSet/antenatal-care-contact"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Value set First Antenatal Care Contact Choices"/>
<resource
value="http://fhir.org/guides/who/anc-cds/ValueSet/anc-b5-de2"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Value set Gestational age"/>
<resource
value="http://fhir.org/guides/who/anc-cds/ValueSet/anc-b6-de17"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Value set Antenatal care case"/>
<resource
value="http://fhir.org/guides/who/anc-cds/ValueSet/antenatal-care-case"/>
</relatedArtifact>
<parameter>
<name value="Measurement Period"/>
<use value="in"/>
<min value="0"/>
<max value="1"/>
<type value="Period"/>
</parameter>
<parameter>
<name value="encounter"/>
<use value="in"/>
<min value="0"/>
<max value="1"/>
<type value="string"/>
</parameter>
<parameter>
<name value="Numerator"/>
<use value="out"/>
<min value="0"/>
<max value="1"/>
<type value="boolean"/>
</parameter>
<parameter>
<name value="Age Stratifier"/>
<use value="out"/>
<min value="0"/>
<max value="1"/>
<type value="Coding"/>
</parameter>
<parameter>
<name value="Denominator"/>
<use value="out"/>
<min value="0"/>
<max value="1"/>
<type value="boolean"/>
</parameter>
<parameter>
<name value="Education Level Stratifier"/>
<use value="out"/>
<min value="0"/>
<max value="*"/>
<type value="CodeableConcept"/>
</parameter>
<parameter>
<name value="Initial Population"/>
<use value="out"/>
<min value="0"/>
<max value="1"/>
<type value="boolean"/>
</parameter>
<dataRequirement>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-isSelective">
<valueBoolean value="true"/>
</extension>
<type value="Encounter"/>
<profile value="http://hl7.org/fhir/StructureDefinition/Encounter"/>
<mustSupport value="type"/>
<mustSupport value="reasonCode"/>
<mustSupport value="period"/>
<codeFilter>
<path value="type"/>
<valueSet
value="http://fhir.org/guides/who/anc-cds/ValueSet/antenatal-care-contact"/>
</codeFilter>
</dataRequirement>
<dataRequirement>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-isSelective">
<valueBoolean value="true"/>
</extension>
<type value="Observation"/>
<profile value="http://hl7.org/fhir/StructureDefinition/Observation"/>
<mustSupport value="code"/>
<mustSupport value="status"/>
<mustSupport value="encounter"/>
<mustSupport value="encounter.reference"/>
<codeFilter>
<path value="code"/>
<valueSet
value="http://fhir.org/guides/who/anc-cds/ValueSet/anc-b6-de17"/>
</codeFilter>
</dataRequirement>
<dataRequirement>
<type value="Patient"/>
<profile value="http://hl7.org/fhir/StructureDefinition/Patient"/>
<mustSupport value="url"/>
<mustSupport value="value"/>
</dataRequirement>
<dataRequirement>
<type value="EpisodeOfCare"/>
<profile
value="http://hl7.org/fhir/StructureDefinition/EpisodeOfCare"/>
<mustSupport value="type"/>
<codeFilter>
<path value="type"/>
<valueSet
value="http://fhir.org/guides/who/anc-cds/ValueSet/antenatal-care-case"/>
</codeFilter>
</dataRequirement>
</Library>
</contained>
<extension
url="http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem">
<valueReference>🔗
<reference value="Device/cqf-tooling"/>
</valueReference>
</extension>
<extension
url="http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-effectiveDataRequirements" id="effective-data-requirements">
<valueCanonical value="#effective-data-requirements"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
<valueCode value="cds"/>
</extension>
<url value="http://hl7.org/fhir/uv/crmi/Measure/publishable-example"/>
<version value="1.0.0-ballot2"/>
<name value="ANCIND01Publishable"/>
<title
value="ANC.IND.01 Percentage of pregnant women with first ANC contact in the first trimester (Publishable Example)"/>
<status value="draft"/>
<experimental value="true"/>
<date value="2023-03-13T22:32:10-06:00"/>
<publisher value="HL7 International / Clinical Decision Support"/>
<contact>
<telecom>
<system value="url"/>
<value value="http://www.hl7.org/Special/committees/dss"/>
</telecom>
</contact>
<description
value="Percentage of pregnant women with first ANC contact in the first trimester (before 12 weeks of gestation)"/>
<jurisdiction>
<coding>
<system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
<code value="001"/>
<display value="World"/>
</coding>
</jurisdiction>
<relatedArtifact>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-isPrimaryCitation">
<valueBoolean value="true"/>
</extension>
<type value="citation"/>
<citation
value="WHO, UN Women, UNFPA. Health care for women subjected to intimate partner violence or sexual violence – a clinical handbook. Geneva: World Health Organization; 2014"/>
<url
value="https://apps.who.int/iris/bitstream/handle/10665/136101/WHO_RHR_14.26_eng.pdf"/>
<document>
<url
value="https://apps.who.int/iris/bitstream/handle/10665/136101/WHO_RHR_14.26_eng.pdf"/>
</document>
</relatedArtifact>
<library value="http://hl7.org/fhir/uv/crmi/Library/ANCCohort"/>
<scoring>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/measure-scoring"/>
<code value="proportion"/>
</coding>
</scoring>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/measure-type"/>
<code value="process"/>
</coding>
</type>
<improvementNotation>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-improvement-notation"/>
<code value="increase"/>
</coding>
</improvementNotation>
<group id="group-1">
<population id="initial-population">
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="initial-population"/>
</coding>
</code>
<criteria>
<language value="text/cql-identifier"/>
<expression value="Initial Population"/>
</criteria>
</population>
<population id="denominator">
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="denominator"/>
</coding>
</code>
<criteria>
<language value="text/cql-identifier"/>
<expression value="Denominator"/>
</criteria>
</population>
<population id="numerator">
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="numerator"/>
</coding>
</code>
<criteria>
<language value="text/cql-identifier"/>
<expression value="Numerator"/>
</criteria>
</population>
<stratifier id="by-age">
<code>
<text value="Age"/>
</code>
<criteria>
<language value="text/cql-identifier"/>
<expression value="Age Stratifier"/>
</criteria>
</stratifier>
<stratifier id="by-education-level">
<code>
<text value="Education Level"/>
</code>
<criteria>
<language value="text/cql-identifier"/>
<expression value="Education Level Stratifier"/>
</criteria>
</stratifier>
</group>
</Measure>
IG © 2022+ HL7 International / Clinical Decision Support. Package hl7.fhir.uv.crmi#1.0.0-ballot2 based on FHIR 4.0.1. Generated 2023-12-20
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