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google / android-fhir

The Android FHIR SDK is a set of Kotlin libraries for building offline-capable, mobile-first healthcare applications using the HL7® FHIR® standard on Android.
https://google.github.io/android-fhir/
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MeasureReporting for Population & Individual subjects computes 0 for denominator and numerator for measure report generation - Bug #1107

Closed f-odhiambo closed 2 years ago

f-odhiambo commented 2 years ago

Describe the bug Measure reporting giving 0 for denominator and numerator for measure report generation

Component Workflow

To Reproduce Steps to reproduce the behavior:

  1. Checked out new branch update-evaluate-measure
  2. Run the test cases FhirOperatorTest
    • evaluateIndividualSubjectMeasure
    • evaluatePopulationMeasure

Expected behavior A clear and concise description of what you expected to happen.

Screenshots N/A

Smartphone (please complete the following information): N/A

Additional context

Library ANC.IND.1
WHO Antenatal Care (ANC) Indicator 1
Percentage of pregnant women with first ANC contact in the first trimester (before 12 weeks of gestation)

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
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
Disaggregation:
Age (10-14, 15-19, 20+)
Education Level (none, don't know, primary, secondary, higher)
Reference:
WHO ANC monitoring framework (1) 

WHO–UNICEF guidance for RMNCAH programme managers on the analysis and use of health-care facility data (2) 

Attribution:
Typically facility and organization are 1..1, but there are cases where there are
multiple organizations reporting from the same facility. In these cases, reporter -> location is insufficient

Would you like to work on the issue? N/A

f-odhiambo commented 2 years ago

Individual Measure Report 

{
  "date": "2022-02-03T10:27:18+03:00",
  "evaluatedResource": [
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-populationReference",
          "valueString": "denominator"
        }
      ],
      "reference": "Encounter/anc-encounter-charity-otala-1"
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-populationReference",
          "valueString": "initial-population"
        }
      ],
      "reference": "EpisodeOfCare/charity-otala-1-pregnancy-episode"
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-populationReference",
          "valueString": "initial-population"
        },
        {
          "url": "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-populationReference",
          "valueString": "denominator"
        }
      ],
      "reference": "Patient/charity-otala-1"
    }
  ],
  "extension": [
    {
      "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.population.description",
      "valueString": "Percentage of pregnant women with first ANC contact in the first trimester (before 12 weeks of gestation)"
    }
  ],
  "group": [
    {
      "id": "group-1",
      "population": [
        {
          "id": "initial-population",
          "code": {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                "code": "initial-population"
              }
            ]
          },
          "count": 1
        },
        {
          "id": "denominator",
          "code": {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                "code": "denominator"
              }
            ]
          },
          "count": 0
        },
        {
          "id": "numerator",
          "code": {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                "code": "numerator"
              }
            ]
          },
          "count": 0
        }
      ],
      "stratifier": [
        {
          "id": "by-age",
          "stratum": [
            {
              "value": {
                "text": "P20Y--P9999Y"
              },
              "population": [
                {
                  "id": "initial-population",
                  "code": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                        "code": "initial-population"
                      }
                    ]
                  },
                  "count": 1
                },
                {
                  "id": "denominator",
                  "code": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                        "code": "denominator"
                      }
                    ]
                  },
                  "count": 0
                },
                {
                  "id": "numerator",
                  "code": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                        "code": "numerator"
                      }
                    ]
                  },
                  "count": 0
                }
              ]
            }
          ]
        },
        {
          "id": "by-education-level",
          "stratum": [
            {
              "value": {
                "coding": [
                  {
                    "system": "http://fhir.org/guides/who/anc-cds/CodeSystem/anc-custom-codes",
                    "code": "ANC.B6.DE4",
                    "display": "Primary school"
                  }
                ]
              },
              "population": [
                {
                  "id": "initial-population",
                  "code": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                        "code": "initial-population"
                      }
                    ]
                  },
                  "count": 1
                },
                {
                  "id": "denominator",
                  "code": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                        "code": "denominator"
                      }
                    ]
                  },
                  "count": 0
                },
                {
                  "id": "numerator",
                  "code": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                        "code": "numerator"
                      }
                    ]
                  },
                  "count": 0
                }
              ]
            }
          ]
        }
      ]
    }
  ],
  "improvementNotation": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/measure-improvement-notation",
        "code": "increase"
      }
    ]
  },
  "measure": "http://fhir.org/guides/who/anc-cds/Measure/ANCIND01",
  "period": {
    "start": "2020-01-01T00:00:00+03:00",
    "end": "2020-01-31T00:00:00+03:00"
  },
  "resourceType": "MeasureReport",
  "status": "complete",
  "subject": {
    "reference": "Patient/charity-otala-1"
  },
  "type": "individual"
}
f-odhiambo commented 2 years ago

Population MeasureReport

{
  "resourceType": "MeasureReport",
  "extension": [
    {
      "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.population.description",
      "valueString": "Percentage of pregnant women with first ANC contact in the first trimester (before 12 weeks of gestation)"
    }
  ],
  "status": "complete",
  "type": "summary",
  "measure": "http://fhir.org/guides/who/anc-cds/Measure/ANCIND01",
  "date": "2022-02-02T17:27:15+03:00",
  "period": {
    "start": "2020-01-01T00:00:00+03:00",
    "end": "2020-01-31T00:00:00+03:00"
  },
  "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"
              }
            ]
          },
          "count": 1
        },
        {
          "id": "denominator",
          "code": {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                "code": "denominator"
              }
            ]
          },
          "count": 0
        },
        {
          "id": "numerator",
          "code": {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                "code": "numerator"
              }
            ]
          },
          "count": 0
        }
      ],
      "stratifier": [
        {
          "id": "by-age",
          "stratum": [
            {
              "value": {
                "text": "P20Y--P9999Y"
              },
              "population": [
                {
                  "id": "initial-population",
                  "code": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                        "code": "initial-population"
                      }
                    ]
                  },
                  "count": 1
                },
                {
                  "id": "denominator",
                  "code": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                        "code": "denominator"
                      }
                    ]
                  },
                  "count": 0
                },
                {
                  "id": "numerator",
                  "code": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                        "code": "numerator"
                      }
                    ]
                  },
                  "count": 0
                }
              ]
            }
          ]
        },
        {
          "id": "by-education-level",
          "stratum": [
            {
              "value": {
                "coding": [
                  {
                    "system": "http://fhir.org/guides/who/anc-cds/CodeSystem/anc-custom-codes",
                    "code": "ANC.B6.DE4",
                    "display": "Primary school"
                  }
                ]
              },
              "population": [
                {
                  "id": "initial-population",
                  "code": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                        "code": "initial-population"
                      }
                    ]
                  },
                  "count": 1
                },
                {
                  "id": "denominator",
                  "code": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                        "code": "denominator"
                      }
                    ]
                  },
                  "count": 0
                },
                {
                  "id": "numerator",
                  "code": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                        "code": "numerator"
                      }
                    ]
                  },
                  "count": 0
                }
              ]
            }
          ]
        }
      ]
    }
  ]
}
Tarun-Bhardwaj commented 2 years ago

@f-odhiambo , is there someone working on this issue or has it been put on hold?

f-odhiambo commented 2 years ago

I am working on this @Tarun-Bhardwaj

f-odhiambo commented 2 years ago

Updated Mar 28th, 2022 The @evaluate_measure API is not picking referenced Observation resource from where the Indicator can be computed. In the case of the 1st ANC Indicator: Percentage of pregnant women with first ANC contact in the first trimester (before 12 weeks of gestation), The observation resource is not referenced in the list of evaluated resources. The detail we need to fetch in Observation resource is Gestational age should be <=12 weeks

Observation resource sample 

{
  "resourceType": "Observation",
  "id": "anc-b6-de17-example",
  "meta": {
    "profile": [ "http://fhir.org/guides/who/anc-cds/StructureDefinition/anc-b6-de17" ]
  },
  "status": "final",
  "code": {
    "coding": [ {
      "system": "http://fhir.org/guides/who/anc-cds/CodeSystem/anc-custom-codes",
      "code": "ANC.B6.DE17",
      "display": "Gestational age"
    }, {
      "system": "http://hl7.org/fhir/sid/icd-11",
      "code": "XT3X",
      "display": "Agreed that Back end to map answer to these codes??Duration of pregnancy less than 5 completed weeks"
    }, {
      "system": "http://snomed.info/sct",
      "code": "57036006",
      "display": "Fetal gestational age (observable entity)"
    }, {
      "system": "http://loinc.org",
      "code": "18185-9"
    } ]
  },
  "subject": {
    "reference": "Patient/anc-patient-example"
  },
  "encounter": {
    "reference": "Encounter/First-antenatal-care-contact-example"
  },
  "performer": [ {
    "reference": "PractitionerRole/anc-practitionerrole-example"
  } ],
  "valueQuantity": {
    "value": 9.0,
    "unit": "weeks"
  }
}

The generated measure report not references in the above observation with "id": "anc-b6-de17-example" in the evaluatedResource section of the MeasureReport


{
  "resourceType": "MeasureReport",
  "extension": [
    {
      "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.population.description",
      "valueString": "Percentage of pregnant women with first ANC contact in the first trimester (before 12 weeks of gestation)"
    }
  ],
  "status": "complete",
  "type": "individual",
  "measure": "http://fhir.org/guides/who/anc-cds/Measure/ANCIND01",
  "subject": {
    "reference": "Patient/anc-patient-example"
  },
  "date": "2022-03-28T11:51:45+03:00",
  "period": {
    "start": "2020-01-01T00:00:00+03:00",
    "end": "2020-12-31T00:00:00+03:00"
  },
  "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"
              }
            ]
          },
          "count": 1
        },
        {
          "id": "denominator",
          "code": {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                "code": "denominator"
              }
            ]
          },
          "count": 1
        },
        {
          "id": "numerator",
          "code": {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                "code": "numerator"
              }
            ]
          },
          "count": 0
        }
      ],
      "measureScore": {
        "value": 0
      },
      "stratifier": [
        {
          "id": "by-age"
        },
        {
          "id": "by-education-level",
          "stratum": [
            {
              "value": {
                "coding": [
                  {
                    "system": "http://fhir.org/guides/who/anc-cds/CodeSystem/anc-custom-codes",
                    "code": "ANC.B6.DE4",
                    "display": "Primary school"
                  }
                ]
              },
              "population": [
                {
                  "id": "initial-population",
                  "code": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                        "code": "initial-population"
                      }
                    ]
                  },
                  "count": 1
                },
                {
                  "id": "denominator",
                  "code": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                        "code": "denominator"
                      }
                    ]
                  },
                  "count": 1
                },
                {
                  "id": "numerator",
                  "code": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                        "code": "numerator"
                      }
                    ]
                  },
                  "count": 0
                }
              ],
              "measureScore": {
                "value": 0
              }
            }
          ]
        }
      ]
    }
  ],
  "evaluatedResource": [
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-populationReference",
          "valueString": "denominator"
        }
      ],
      "reference": "Encounter/First-antenatal-care-contact-example"
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-populationReference",
          "valueString": "initial-population"
        }
      ],
      "reference": "EpisodeOfCare/antenatal-care-case-example"
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-populationReference",
          "valueString": "initial-population"
        },
        {
          "url": "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-populationReference",
          "valueString": "denominator"
        }
      ],
      "reference": "Patient/anc-patient-example"
    }
  ]
}
f-odhiambo commented 2 years ago

Here is a link to the test resources https://drive.google.com/drive/folders/1ZS9z-jKqzAG4qLQ5L3vBmSNiXnNUq3d4?usp=sharing

You can add these to the FhirOperatorTest class 

        loadBundle("/ANCIND01-bundle.json")

        loadFile("/validated-test/anc-patient-example.json")
        loadFile("/validated-test/Antenatal-care-case.json")
        loadFile("/validated-test/First-antenatal-care-contact.json")
        loadFile("/validated-test/observation-anc-b6-de17-example.json")
        loadFile("/validated-test/Practitioner.xml")
        loadFile("/validated-test/PractitionerRole.xml")

CC @jingtang10 @ktarasenko

f-odhiambo commented 2 years ago

@ktarasenko here is the link to the test data : https://drive.google.com/drive/folders/1eTyUXZbmYgqZ7k35-5pI4pGBiWONaHGv?usp=sharing

To test on Android Studion

  1. Add the folder here https://github.com/google/android-fhir/tree/master/workflow/testdata
  2. Go to the class FhirOperatorTest
  3. Add the files from the assets folder inside FhirOperatorTest class 
    
  loadBundle("/ANCIND01-bundle.json")
    loadBundle("/RuleFilters-1.0.0-bundle.json")
    loadBundle("/tests-Reportable-bundle.json")
    loadBundle("/tests-NotReportable-bundle.json")

// loadFile("/first-contact/01-registration/patient-charity-otala-1.json") // loadFile("/first-contact/02-enrollment/careplan-charity-otala-1-pregnancy-plan.xml") // loadFile("/first-contact/02-enrollment/episodeofcare-charity-otala-1-pregnancy-episode.xml") // loadFile("/first-contact/03-contact/encounter-anc-encounter-charity-otala-1.xml")

    loadFile("/PlanDefinition.fhir.json")
    loadFile("/PlanDefinitionTest.fhir.json")
    loadFile("/ActivityDefinition.fhir.json")

    loadFile("/anc-patient-example/anc-patient-example.json")
    loadFile("/anc-patient-example/Antenatal-care-case.json")
    loadFile("/anc-patient-example/First-antenatal-care-contact.json")
    loadFile("/anc-patient-example/observation-anc-b6-de17-example.json")
5. Debug the FhirOperatorTest 

To test this on Visual Studio Code by following the steps below 
1. Download Visual Studio Code:  https://code.visualstudio.com/download
6. Add the CQL Plugin: https://marketplace.visualstudio.com/items?itemName=cqframework.cql 
7. Download the following repo: https://github.com/WorldHealthOrganization/smart-anc  and open it in Visual Studio Code: 
8. Add the above test data to the folder  input/tests/library/ANCIND01
9. Go to input/cql/ANCIND01.cql
10. Right-click inside file and 'Run CQL' command  
11. Expected output

Running tests. Data path: /Users/fodhiambo/Sites/smart-anc/input/tests/library/ANCIND01 Terminology path: /Users/fodhiambo/Sites/smart-anc/input/vocabulary/valueset Patient=Patient(id=anc-patient-example) Initial Population=true First antenatal care contact=[Encounter(id=First-antenatal-care-contact-example)] Gestational age=Quantity Numerator=true Denominator=true Age Stratifier=Code { code: P20Y--P9999Y, system: http://ohie.org/CodeSystem/iso-8601-derived-periods, version: null, display: 20+ years } Education Level Stratifier=[CodeableConcept] Most Recent Encounter Location Reference=null Location Code=null

Patient=Patient(id=charity-otala-1) Initial Population=true First antenatal care contact=[Encounter(id=anc-encounter-charity-otala-1)] Gestational age=Quantity Numerator=true Denominator=true Age Stratifier=Code { code: P20Y--P9999Y, system: http://ohie.org/CodeSystem/iso-8601-derived-periods, version: null, display: 20+ years } Education Level Stratifier=[CodeableConcept] Most Recent Encounter Location Reference=null Location Code=null


**Current  output with Numerator count : 0**

{ "resourceType": "MeasureReport", "extension": [ { "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.population.description", "valueString": "Percentage of pregnant women with first ANC contact in the first trimester (before 12 weeks of gestation)" } ], "status": "complete", "type": "individual", "measure": "http://fhir.org/guides/who/anc-cds/Measure/ANCIND01", "subject": { "reference": "Patient/anc-patient-example" }, "date": "2022-03-30T15:36:45+03:00", "period": { "start": "2020-01-01T00:00:00+03:00", "end": "2020-12-31T00:00:00+03:00" }, "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" } ] }, "count": 1 }, { "id": "denominator", "code": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/measure-population", "code": "denominator" } ] }, "count": 1 }, { "id": "numerator", "code": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/measure-population", "code": "numerator" } ] }, "count": 0 } ], "measureScore": { "value": 0 }, "stratifier": [ { "id": "by-age", "stratum": [ { "value": { "text": "P20Y--P9999Y" }, "population": [ { "id": "initial-population", "code": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/measure-population", "code": "initial-population" } ] }, "count": 1 }, { "id": "denominator", "code": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/measure-population", "code": "denominator" } ] }, "count": 1 }, { "id": "numerator", "code": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/measure-population", "code": "numerator" } ] }, "count": 0 } ], "measureScore": { "value": 0 } } ] }, { "id": "by-education-level", "stratum": [ { "value": { "coding": [ { "system": "http://fhir.org/guides/who/anc-cds/CodeSystem/anc-custom-codes", "code": "ANC.B6.DE4", "display": "Primary school" } ] }, "population": [ { "id": "initial-population", "code": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/measure-population", "code": "initial-population" } ] }, "count": 1 }, { "id": "denominator", "code": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/measure-population", "code": "denominator" } ] }, "count": 1 }, { "id": "numerator", "code": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/measure-population", "code": "numerator" } ] }, "count": 0 } ], "measureScore": { "value": 0 } } ] } ] } ], "evaluatedResource": [ { "extension": [ { "url": "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-populationReference", "valueString": "denominator" } ], "reference": "Encounter/First-antenatal-care-contact-example" }, { "extension": [ { "url": "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-populationReference", "valueString": "initial-population" } ], "reference": "EpisodeOfCare/antenatal-care-case-example" }, { "extension": [ { "url": "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-populationReference", "valueString": "initial-population" }, { "url": "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-populationReference", "valueString": "denominator" } ], "reference": "Patient/anc-patient-example" } ] }


**Expected output with Numerator count : 1**

{ "resourceType": "MeasureReport", "extension": [ { "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.population.description", "valueString": "Percentage of pregnant women with first ANC contact in the first trimester (before 12 weeks of gestation)" } ], "status": "complete", "type": "individual", "measure": "http://fhir.org/guides/who/anc-cds/Measure/ANCIND01", "subject": { "reference": "Patient/anc-patient-example" }, "date": "2022-03-30T15:36:45+03:00", "period": { "start": "2020-01-01T00:00:00+03:00", "end": "2020-12-31T00:00:00+03:00" }, "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" } ] }, "count": 1 }, { "id": "denominator", "code": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/measure-population", "code": "denominator" } ] }, "count": 1 }, { "id": "numerator", "code": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/measure-population", "code": "numerator" } ] }, "count": 1 } ], "measureScore": { "value": 1 }, "stratifier": [ { "id": "by-age", "stratum": [ { "value": { "text": "P20Y--P9999Y" }, "population": [ { "id": "initial-population", "code": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/measure-population", "code": "initial-population" } ] }, "count": 1 }, { "id": "denominator", "code": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/measure-population", "code": "denominator" } ] }, "count": 1 }, { "id": "numerator", "code": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/measure-population", "code": "numerator" } ] }, "count": 1 } ], "measureScore": { "value": 1 } } ] }, { "id": "by-education-level", "stratum": [ { "value": { "coding": [ { "system": "http://fhir.org/guides/who/anc-cds/CodeSystem/anc-custom-codes", "code": "ANC.B6.DE4", "display": "Primary school" } ] }, "population": [ { "id": "initial-population", "code": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/measure-population", "code": "initial-population" } ] }, "count": 1 }, { "id": "denominator", "code": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/measure-population", "code": "denominator" } ] }, "count": 1 }, { "id": "numerator", "code": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/measure-population", "code": "numerator" } ] }, "count": 1 } ], "measureScore": { "value": 1 } } ] } ] } ], "evaluatedResource": [ { "extension": [ { "url": "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-populationReference", "valueString": "denominator" } ], "reference": "Encounter/First-antenatal-care-contact-example" }, { "extension": [ { "url": "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-populationReference", "valueString": "initial-population" } ], "reference": "EpisodeOfCare/antenatal-care-case-example" }, { "extension": [ { "url": "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-populationReference", "valueString": "initial-population" }, { "url": "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-populationReference", "valueString": "denominator" } ], "reference": "Patient/anc-patient-example" }, { "extension": [ { "url": "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-populationReference", "valueString": "numerator" } ], "reference": "Observation/anc-b6-de17-example" }, ] }



CC @jingtang10
ktarasenko commented 2 years ago

Thanks @f-odhiambo for the detailed instruction, but I still can't make the test work. I might miss something obvious and I need a walktrough. What's the best way to chat with you directly?

f-odhiambo commented 2 years ago

Kindly share with me your availability and you can do a google chat directly and schedule a call here is my email f****@ona.io.

ktarasenko commented 2 years ago

messaged you in the chat