Measure

POST {{host}}/fhir/Measure

Request Body

{"resourceType"=>"Measure", "id"=>"{{fhir_measure_id}}", "identifier"=>[{"use"=>"official", "value"=>"{{fhir_measure_id}}"}], "version"=>"4.0.1", "title"=>"Exclusive Breastfeeding Measure", "status"=>"active", "date"=>"2015-03-08", "description"=>"Exclusive breastfeeding measure of outcomes for exclusive breastmilk feeding of newborns.", "purpose"=>"Measure of newborns who were fed breast milk only since birth", "topic"=>[{"text"=>"Exclusive Breastfeeding"}], "relatedArtifact"=>[{"type"=>"documentation", "citation"=>"American Academy of Pediatrics. (2005). Section on Breastfeeding. Policy Statement:Breastfeeding and the Use of Human Milk. Pediatrics.115:496-506."}], "disclaimer"=>"These performance measures are not clinical guidelines and do not establish a standard of medical care, and have not been tested for all potential applications. The measures and specifications are provided without warranty.", "scoring"=>{"coding"=>[{"code"=>"proportion"}]}, "type"=>[{"coding"=>[{"code"=>"process"}]}], "rationale"=>"Exclusive breast milk feeding for the first 6 months of neonatal life has long been the expressed goal of World Health Organization (WHO), Department of Health and Human Services (DHHS), American Academy of Pediatrics (AAP) and American College of Obstetricians and Gynecologists (ACOG). ACOG has recently reiterated its position (ACOG, 2007). A recent Cochrane review substantiates the benefits (Kramer et al., 2002). Much evidence has now focused on the prenatal and intrapartum period as critical for the success of exclusive (or any) BF (Centers for Disease Control and Prevention [CDC], 2007; Petrova et al., 2007; Shealy et al., 2005; Taveras et al., 2004). Exclusive breast milk feeding rate during birth hospital stay has been calculated by the California Department of Public Health for the last several years using newborn genetic disease testing data. Healthy People 2010 and the CDC have also been active in promoting this goal.", "clinicalRecommendationStatement"=>"Exclusive breast milk feeding for the first 6 months of neonatal life can result in numerous long-term health benefits for both mother and newborn and is recommended by a number of national and international organizations. Evidence suggests that the prenatal and intrapartum period is critical for the success of exclusive (or any) breast feeding. Therefore, it is recommended that newborns are fed breast milk only from birth to discharge.", "improvementNotation"=>{"coding"=>[{"system"=>"http://terminology.hl7.org/CodeSystem/measure-improvement-notation", "code"=>"increase"}]}}

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