{
"description": "This is an example only.",
"_filename": "example/Measure-BCSComponent.json",
"package_name": "hl7.fhir.us.cqfmeasures",
"date": "2022-02-22T11:37:03-06:00",
"group": [ {
"population": [ {
"id": "2851A1BA-FBF8-4945-812E-6273F881CE13",
"code": {
"coding": [ {
"code": "initial-population",
"system": "http://terminology.hl7.org/CodeSystem/measure-population",
"display": "Initial Population"
} ]
},
"criteria": {
"language": "text/cql-identifier",
"expression": "Initial Population"
}
}, {
"id": "349C20C9-EA7E-4311-9E2D-CF81F1EBCEEF",
"code": {
"coding": [ {
"code": "denominator",
"system": "http://terminology.hl7.org/CodeSystem/measure-population",
"display": "Denominator"
} ]
},
"criteria": {
"language": "text/cql-identifier",
"expression": "Denominator"
}
}, {
"id": "369D1C75-B5D3-43EC-AEFC-2FF7F462306C",
"code": {
"coding": [ {
"code": "denominator-exclusion",
"system": "http://terminology.hl7.org/CodeSystem/measure-population",
"display": "Denominator Exclusion"
} ]
},
"criteria": {
"language": "text/cql-identifier",
"expression": "Denominator Exclusion"
}
}, {
"id": "6F1617E3-99D7-47E4-8392-85107BAA5311",
"code": {
"coding": [ {
"code": "numerator",
"system": "http://terminology.hl7.org/CodeSystem/measure-population",
"display": "Numerator"
} ]
},
"criteria": {
"language": "text/cql-identifier",
"expression": "Numerator"
}
} ]
} ],
"meta": {
"profile": [ "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/proportion-measure-cqfm", "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm" ]
},
"publisher": "Clinical Quality Information WG",
"jurisdiction": [ {
"coding": [ {
"code": "US",
"system": "urn:iso:std:iso:3166"
} ]
} ],
"name": "BCSComponent",
"type": "[{:coding [{:system \\\"http://terminology.hl7.org/CodeSystem/measure-type\\\", :code \\\"process\\\"}]}]",
"experimental": "true",
"resourceType": "Measure",
"title": "Breast Cancer Screening",
"supplementalData": [ {
"id": "3dbb0697-08d7-48db-bc89-bc7f5230c36f",
"usage": [ {
"coding": [ {
"code": "supplemental-data",
"system": "http://terminology.hl7.org/CodeSystem/measure-data-usage"
} ]
} ],
"criteria": {
"language": "text/cql-identifier",
"expression": "SDE Ethnicity"
}
}, {
"id": "2865e9d5-f4e8-4c99-812b-5eff79b4b775",
"usage": [ {
"coding": [ {
"code": "supplemental-data",
"system": "http://terminology.hl7.org/CodeSystem/measure-data-usage"
} ]
} ],
"criteria": {
"language": "text/cql-identifier",
"expression": "SDE Payer"
}
}, {
"id": "513368dc-dfea-4377-a05d-d358e7e04fbb",
"usage": [ {
"coding": [ {
"code": "supplemental-data",
"system": "http://terminology.hl7.org/CodeSystem/measure-data-usage"
} ]
} ],
"criteria": {
"language": "text/cql-identifier",
"expression": "SDE Race"
}
}, {
"id": "25a16429-e866-438f-990a-3e3a5f2f8443",
"usage": [ {
"coding": [ {
"code": "supplemental-data",
"system": "http://terminology.hl7.org/CodeSystem/measure-data-usage"
} ]
} ],
"criteria": {
"language": "text/cql-identifier",
"expression": "SDE Sex"
}
} ],
"library": [ "http://hl7.org/fhir/us/cqfmeasures/Library/BCSComponent" ],
"package_version": "4.0.0",
"extension": [ {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis",
"valueCode": "boolean"
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-softwaresystem",
"valueReference": {
"reference": "Device/software-system-example"
}
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-effectiveDataRequirements",
"valueReference": {
"reference": "#effective-data-requirements"
}
} ],
"contained": [ {
"date": "2022-02-22T10:37:03-07:00",
"dataRequirement": [ {
"type": "Coverage",
"profile": [ "http://hl7.org/fhir/StructureDefinition/Coverage" ],
"codeFilter": [ {
"path": "type",
"valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591"
} ],
"mustSupport": [ "period", "type" ]
}, {
"type": "Patient",
"profile": [ "http://hl7.org/fhir/StructureDefinition/Patient" ],
"mustSupport": [ "extension", "value", "url" ]
}, {
"type": "Encounter",
"profile": [ "http://hl7.org/fhir/StructureDefinition/Encounter" ],
"codeFilter": [ {
"path": "type",
"valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1014"
} ],
"mustSupport": [ "type" ]
}, {
"type": "Encounter",
"profile": [ "http://hl7.org/fhir/StructureDefinition/Encounter" ],
"codeFilter": [ {
"path": "type",
"valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1012"
} ],
"mustSupport": [ "type" ]
}, {
"type": "Encounter",
"profile": [ "http://hl7.org/fhir/StructureDefinition/Encounter" ],
"codeFilter": [ {
"path": "type",
"valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001"
} ],
"mustSupport": [ "type" ]
}, {
"type": "Encounter",
"profile": [ "http://hl7.org/fhir/StructureDefinition/Encounter" ],
"codeFilter": [ {
"path": "type",
"valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1240"
} ],
"mustSupport": [ "type" ]
}, {
"type": "Encounter",
"profile": [ "http://hl7.org/fhir/StructureDefinition/Encounter" ],
"codeFilter": [ {
"path": "type",
"valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1025"
} ],
"mustSupport": [ "type" ]
}, {
"type": "Encounter",
"profile": [ "http://hl7.org/fhir/StructureDefinition/Encounter" ],
"codeFilter": [ {
"path": "type",
"valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1023"
} ],
"mustSupport": [ "type" ]
}, {
"type": "Encounter",
"profile": [ "http://hl7.org/fhir/StructureDefinition/Encounter" ],
"codeFilter": [ {
"path": "type",
"valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1016"
} ],
"mustSupport": [ "type" ]
}, {
"type": "Encounter",
"profile": [ "http://hl7.org/fhir/StructureDefinition/Encounter" ],
"codeFilter": [ {
"path": "type",
"valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1083"
} ],
"mustSupport": [ "period", "diagnosis", "type" ]
}, {
"type": "Encounter",
"profile": [ "http://hl7.org/fhir/StructureDefinition/Encounter" ],
"codeFilter": [ {
"path": "type",
"valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307"
} ],
"mustSupport": [ "period", "hospitalization", "hospitalization.dischargeDisposition", "type", "status" ]
}, {
"type": "Encounter",
"profile": [ "http://hl7.org/fhir/StructureDefinition/Encounter" ],
"codeFilter": [ {
"path": "type",
"valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1088"
} ],
"mustSupport": [ "period", "type" ]
}, {
"type": "Encounter",
"profile": [ "http://hl7.org/fhir/StructureDefinition/Encounter" ],
"codeFilter": [ {
"path": "type",
"valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1087"
} ],
"mustSupport": [ "type" ]
}, {
"type": "Encounter",
"profile": [ "http://hl7.org/fhir/StructureDefinition/Encounter" ],
"codeFilter": [ {
"path": "type",
"valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1086"
} ],
"mustSupport": [ "type" ]
}, {
"type": "Encounter",
"profile": [ "http://hl7.org/fhir/StructureDefinition/Encounter" ],
"codeFilter": [ {
"path": "type",
"valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1085"
} ],
"mustSupport": [ "type" ]
}, {
"type": "Encounter",
"profile": [ "http://hl7.org/fhir/StructureDefinition/Encounter" ],
"codeFilter": [ {
"path": "type",
"valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1084"
} ],
"mustSupport": [ "type" ]
}, {
"type": "Procedure",
"profile": [ "http://hl7.org/fhir/StructureDefinition/Procedure" ],
"codeFilter": [ {
"path": "code",
"valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1133"
} ],
"mustSupport": [ "code", "performed", "status" ]
}, {
"type": "Procedure",
"profile": [ "http://hl7.org/fhir/StructureDefinition/Procedure" ],
"codeFilter": [ {
"path": "code",
"valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1108.15"
} ],
"mustSupport": [ "code", "performed", "status" ]
}, {
"type": "Procedure",
"profile": [ "http://hl7.org/fhir/StructureDefinition/Procedure" ],
"codeFilter": [ {
"path": "code",
"valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1005"
} ],
"mustSupport": [ "code", "performed", "status" ]
}, {
"type": "Procedure",
"profile": [ "http://hl7.org/fhir/StructureDefinition/Procedure" ],
"codeFilter": [ {
"path": "code",
"valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1134"
} ],
"mustSupport": [ "code", "performed", "status" ]
}, {
"type": "Condition",
"profile": [ "http://hl7.org/fhir/StructureDefinition/Condition" ],
"codeFilter": [ {
"path": "code",
"valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1070"
} ],
"mustSupport": [ "code" ]
}, {
"type": "Condition",
"profile": [ "http://hl7.org/fhir/StructureDefinition/Condition" ],
"codeFilter": [ {
"path": "code",
"valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1069"
} ],
"mustSupport": [ "code" ]
}, {
"type": "Condition",
"profile": [ "http://hl7.org/fhir/StructureDefinition/Condition" ],
"codeFilter": [ {
"path": "code",
"valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1071"
} ],
"mustSupport": [ "bodySite", "code" ]
}, {
"type": "Condition",
"profile": [ "http://hl7.org/fhir/StructureDefinition/Condition" ],
"codeFilter": [ {
"path": "code",
"valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.113.12.1074"
} ],
"mustSupport": [ "code" ]
}, {
"type": "Condition",
"profile": [ "http://hl7.org/fhir/StructureDefinition/Condition" ],
"codeFilter": [ {
"path": "code",
"valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1082"
} ],
"mustSupport": [ "code", "id" ]
}, {
"type": "Condition",
"profile": [ "http://hl7.org/fhir/StructureDefinition/Condition" ],
"codeFilter": [ {
"path": "code",
"valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1068"
} ],
"mustSupport": [ "code", "onset" ]
}, {
"type": "ServiceRequest",
"profile": [ "http://hl7.org/fhir/StructureDefinition/ServiceRequest" ],
"codeFilter": [ {
"path": "code",
"valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1108.15"
} ],
"mustSupport": [ "code", "authoredOn", "intent" ]
}, {
"type": "DeviceRequest",
"profile": [ "http://hl7.org/fhir/StructureDefinition/DeviceRequest" ],
"codeFilter": [ {
"path": "code",
"valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.118.12.1300"
} ],
"mustSupport": [ "code", "authoredOn" ]
}, {
"type": "Observation",
"profile": [ "http://hl7.org/fhir/StructureDefinition/Observation" ],
"codeFilter": [ {
"path": "code",
"valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.113.12.1075"
} ],
"mustSupport": [ "effective", "code" ]
}, {
"type": "MedicationDispense",
"profile": [ "http://hl7.org/fhir/StructureDefinition/MedicationDispense" ],
"codeFilter": [ {
"path": "medication",
"valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.196.12.1510"
} ],
"mustSupport": [ "whenHandedOver", "medication" ]
}, {
"type": "DiagnosticReport",
"profile": [ "http://hl7.org/fhir/StructureDefinition/DiagnosticReport" ],
"codeFilter": [ {
"path": "code",
"valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1018"
} ],
"mustSupport": [ "effective", "code", "status" ]
} ],
"name": "EffectiveDataRequirements",
"type": {
"coding": [ {
"code": "module-definition",
"system": "http://terminology.hl7.org/CodeSystem/library-type"
} ]
},
"resourceType": "Library",
"extension": [ {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode",
"valueCoding": {
"code": "428361000124107",
"system": "http://snomed.info/sct",
"display": "Discharge to home for hospice care (procedure)",
"version": "http://snomed.info/sct/731000124108/version/201709"
}
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode",
"valueCoding": {
"code": "428371000124100",
"system": "http://snomed.info/sct",
"display": "Discharge to healthcare facility for hospice care (procedure)",
"version": "http://snomed.info/sct/731000124108/version/201709"
}
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "SupplementalDataElements"
}, {
"url": "name",
"valueString": "SDE Sex"
}, {
"url": "statement",
"valueString": "define \"SDE Sex\": case when Patient.gender = 'male' then Code { code: 'M', system: 'http://hl7.org/fhir/v3/AdministrativeGender', display: 'Male' } when Patient.gender = 'female' then Code { code: 'F', system: 'http://hl7.org/fhir/v3/AdministrativeGender', display: 'Female' } else null end"
}, {
"url": "displaySequence",
"valueInteger": 0
} ]
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "BCSComponent"
}, {
"url": "name",
"valueString": "SDE Sex"
}, {
"url": "statement",
"valueString": "define \"SDE Sex\": SDE.\"SDE Sex\""
}, {
"url": "displaySequence",
"valueInteger": 1
} ]
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "BCSComponent"
}, {
"url": "name",
"valueString": "Numerator"
}, {
"url": "statement",
"valueString": "define \"Numerator\": exists ( [DiagnosticReport: \"Mammography\"] Mammogram where ( Global.\"Normalize Interval\" ( Mammogram.effective ) ends 27 months or less on or before end of \"Measurement Period\" ) and Mammogram.status in { 'final', 'amended', 'corrected', 'appended' } )"
}, {
"url": "displaySequence",
"valueInteger": 2
} ]
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "AdultOutpatientEncounters"
}, {
"url": "name",
"valueString": "Qualifying Encounters"
}, {
"url": "statement",
"valueString": "define \"Qualifying Encounters\": ( [Encounter: \"Office Visit\"] union [Encounter: \"Annual Wellness Visit\"] union [Encounter: \"Preventive Care Services - Established Office Visit, 18 and Up\"] union [Encounter: \"Preventive Care Services-Initial Office Visit, 18 and Up\"] union [Encounter: \"Home Healthcare Services\"] ) ValidEncounter where ValidEncounter.period during \"Measurement Period\" and ValidEncounter.status = 'finished'"
}, {
"url": "displaySequence",
"valueInteger": 3
} ]
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "BCSComponent"
}, {
"url": "name",
"valueString": "Initial Population"
}, {
"url": "statement",
"valueString": "define \"Initial Population\": Patient.gender = 'female' and Global.\"CalendarAgeInYearsAt\" ( FHIRHelpers.ToDate ( Patient.birthDate ), start of \"Measurement Period\" ) in Interval[51, 74 ) and exists AdultOutpatientEncounters.\"Qualifying Encounters\""
}, {
"url": "displaySequence",
"valueInteger": 4
} ]
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "BCSComponent"
}, {
"url": "name",
"valueString": "Denominator"
}, {
"url": "statement",
"valueString": "define \"Denominator\": \"Initial Population\""
}, {
"url": "displaySequence",
"valueInteger": 5
} ]
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "SupplementalDataElements"
}, {
"url": "name",
"valueString": "SDE Payer"
}, {
"url": "statement",
"valueString": "define \"SDE Payer\": [Coverage: type in \"Payer\"] Payer return { code: Payer.type, period: Payer.period }"
}, {
"url": "displaySequence",
"valueInteger": 6
} ]
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "BCSComponent"
}, {
"url": "name",
"valueString": "SDE Payer"
}, {
"url": "statement",
"valueString": "define \"SDE Payer\": SDE.\"SDE Payer\""
}, {
"url": "displaySequence",
"valueInteger": 7
} ]
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "SupplementalDataElements"
}, {
"url": "name",
"valueString": "SDE Ethnicity"
}, {
"url": "statement",
"valueString": "define \"SDE Ethnicity\": (flatten ( Patient.extension Extension where Extension.url = 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity' return Extension.extension )) E where E.url = 'ombCategory' or E.url = 'detailed' return E.value as Coding"
}, {
"url": "displaySequence",
"valueInteger": 8
} ]
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "BCSComponent"
}, {
"url": "name",
"valueString": "SDE Ethnicity"
}, {
"url": "statement",
"valueString": "define \"SDE Ethnicity\": SDE.\"SDE Ethnicity\""
}, {
"url": "displaySequence",
"valueInteger": 9
} ]
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "Hospice"
}, {
"url": "name",
"valueString": "Has Hospice"
}, {
"url": "statement",
"valueString": "define \"Has Hospice\": exists ( [Encounter: \"Encounter Inpatient\"] DischargeHospice where DischargeHospice.status = 'finished' and ( DischargeHospice.hospitalization.dischargeDisposition ~ \"Discharge to home for hospice care (procedure)\" or DischargeHospice.hospitalization.dischargeDisposition ~ \"Discharge to healthcare facility for hospice care (procedure)\" ) and DischargeHospice.period ends during \"Measurement Period\" ) or exists ( [ServiceRequest: \"Hospice care ambulatory\"] HospiceOrder where HospiceOrder.intent = 'order' and HospiceOrder.authoredOn in \"Measurement Period\" ) or exists ( [Procedure: \"Hospice care ambulatory\"] HospicePerformed where HospicePerformed.status = 'completed' and Global.\"Normalize Interval\"(HospicePerformed.performed) overlaps \"Measurement Period\" )"
}, {
"url": "displaySequence",
"valueInteger": 10
} ]
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "BCSComponent"
}, {
"url": "name",
"valueString": "Right Mastectomy Diagnosis"
}, {
"url": "statement",
"valueString": "define \"Right Mastectomy Diagnosis\": ( ( [Condition: \"Status Post Right Mastectomy\"] ) union ( [Condition: \"Unilateral Mastectomy, Unspecified Laterality\"] UnilateralMastectomyDiagnosis where UnilateralMastectomyDiagnosis.bodySite in \"Right\" ) ) RightMastectomy where Global.\"Normalize Interval\" ( RightMastectomy.onset ) starts on or before end of \"Measurement Period\""
}, {
"url": "displaySequence",
"valueInteger": 11
} ]
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "BCSComponent"
}, {
"url": "name",
"valueString": "Right Mastectomy Procedure"
}, {
"url": "statement",
"valueString": "define \"Right Mastectomy Procedure\": [Procedure: \"Unilateral Mastectomy Right\"] UnilateralMastectomyRightPerformed where Global.\"Normalize Interval\" ( UnilateralMastectomyRightPerformed.performed ) ends on or before end of \"Measurement Period\" and UnilateralMastectomyRightPerformed.status = 'completed'"
}, {
"url": "displaySequence",
"valueInteger": 12
} ]
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "BCSComponent"
}, {
"url": "name",
"valueString": "Left Mastectomy"
}, {
"url": "statement",
"valueString": "define \"Left Mastectomy\": ( ( [Condition: \"Status Post Left Mastectomy\"] ) union ( [Condition: \"Unilateral Mastectomy, Unspecified Laterality\"] UnilateralMastectomyDiagnosis where UnilateralMastectomyDiagnosis.bodySite in \"Left\" ) ) LeftMastectomy where Global.\"Normalize Interval\" ( LeftMastectomy.onset ) starts on or before end of \"Measurement Period\""
}, {
"url": "displaySequence",
"valueInteger": 13
} ]
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "BCSComponent"
}, {
"url": "name",
"valueString": "Left Mastectomy Procedure"
}, {
"url": "statement",
"valueString": "define \"Left Mastectomy Procedure\": [Procedure: \"Unilateral Mastectomy Left\"] UnilateralMastectomyLeftPerformed where Global.\"Normalize Interval\" ( UnilateralMastectomyLeftPerformed.performed ) ends on or before end of \"Measurement Period\" and UnilateralMastectomyLeftPerformed.status = 'completed'"
}, {
"url": "displaySequence",
"valueInteger": 14
} ]
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "BCSComponent"
}, {
"url": "name",
"valueString": "Bilateral Mastectomy Diagnosis"
}, {
"url": "statement",
"valueString": "define \"Bilateral Mastectomy Diagnosis\": [Condition: \"History of bilateral mastectomy\"] BilateralMastectomyHistory where Global.\"Normalize Interval\" ( BilateralMastectomyHistory.onset ) starts on or before end of \"Measurement Period\""
}, {
"url": "displaySequence",
"valueInteger": 15
} ]
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "BCSComponent"
}, {
"url": "name",
"valueString": "Bilateral Mastectomy Procedure"
}, {
"url": "statement",
"valueString": "define \"Bilateral Mastectomy Procedure\": [Procedure: \"Bilateral Mastectomy\"] BilateralMastectomyPerformed where Global.\"Normalize Interval\" ( BilateralMastectomyPerformed.performed ) ends on or before end of \"Measurement Period\" and BilateralMastectomyPerformed.status = 'completed'"
}, {
"url": "displaySequence",
"valueInteger": 16
} ]
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "AdvancedIllnessandFrailtyExclusion"
}, {
"url": "name",
"valueString": "Has Criteria Indicating Frailty"
}, {
"url": "statement",
"valueString": "define \"Has Criteria Indicating Frailty\": //Ask Bryn about devices exists ( [DeviceRequest: \"Frailty Device\"] FrailtyDeviceOrder where FrailtyDeviceOrder.authoredOn during \"Measurement Period\" ) // DeviceUseStatement has a known issue with the publication tooling // so it is removed to allow this IG to publish until that is fixed //or exists ( [DeviceUseStatement: \"Frailty Device\"] FrailtyDeviceUse // where Global.\"Normalize Interval\"(FrailtyDeviceUse.timing) overlaps \"Measurement Period\" //) or exists ( [Condition: \"Frailty Diagnosis\"] FrailtyDiagnosis where Global.\"Prevalence Period\"(FrailtyDiagnosis) overlaps \"Measurement Period\" ) or exists ( [Encounter: \"Frailty Encounter\"] FrailtyEncounter where FrailtyEncounter.period overlaps \"Measurement Period\" ) or exists ( [Observation: \"Frailty Symptom\"] FrailtySymptomObservation where Global.\"Normalize Interval\"(FrailtySymptomObservation.effective) overlaps \"Measurement Period\" )"
}, {
"url": "displaySequence",
"valueInteger": 17
} ]
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "AdvancedIllnessandFrailtyExclusion"
}, {
"url": "name",
"valueString": "Outpatient Encounters with Advanced Illness"
}, {
"url": "statement",
"valueString": "define \"Outpatient Encounters with Advanced Illness\": ( [Encounter: \"Outpatient\"] union [Encounter: \"Observation\"] union [Encounter: \"ED\"] union [Encounter: \"Nonacute Inpatient\"] ) OutpatientEncounter with [Condition: \"Advanced Illness\"] AdvancedIllnessDiagnosis such that exists ( OutpatientEncounter.diagnosis.condition EncounterDiagnosis where EndsWith(EncounterDiagnosis.reference, AdvancedIllnessDiagnosis.id) ) and OutpatientEncounter.period starts 2 years or less on or before end of \"Measurement Period\""
}, {
"url": "displaySequence",
"valueInteger": 18
} ]
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "AdvancedIllnessandFrailtyExclusion"
}, {
"url": "name",
"valueString": "Inpatient Encounter with Advanced Illness"
}, {
"url": "statement",
"valueString": "define \"Inpatient Encounter with Advanced Illness\": [Encounter: \"Acute Inpatient\"] InpatientEncounter with [Condition: \"Advanced Illness\"] AdvancedIllnessDiagnosis such that exists ( InpatientEncounter.diagnosis.condition EncounterDiagnosis where EndsWith(EncounterDiagnosis.reference, AdvancedIllnessDiagnosis.id) ) and InpatientEncounter.period starts 2 years or less on or before end of \"Measurement Period\""
}, {
"url": "displaySequence",
"valueInteger": 19
} ]
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "AdvancedIllnessandFrailtyExclusion"
}, {
"url": "name",
"valueString": "Dementia Medications In Year Before or During Measurement Period"
}, {
"url": "statement",
"valueString": "define \"Dementia Medications In Year Before or During Measurement Period\": [\"MedicationDispense\": \"Dementia Medications\"] DementiaMed where DementiaMed.whenHandedOver during Interval[ ( start of \"Measurement Period\" - 1 year ), end of \"Measurement Period\" ]"
}, {
"url": "displaySequence",
"valueInteger": 20
} ]
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "AdvancedIllnessandFrailtyExclusion"
}, {
"url": "name",
"valueString": "Advanced Illness and Frailty Exclusion Not Including Over Age 80"
}, {
"url": "statement",
"valueString": "define \"Advanced Illness and Frailty Exclusion Not Including Over Age 80\": //If the measure does NOT include populations age 80 and older, then use this logic: Global.\"CalendarAgeInYearsAt\"(FHIRHelpers.ToDate(Patient.birthDate), start of \"Measurement Period\")>= 65 and \"Has Criteria Indicating Frailty\" and ( Count(\"Outpatient Encounters with Advanced Illness\")>= 2 or exists ( \"Inpatient Encounter with Advanced Illness\" ) or exists \"Dementia Medications In Year Before or During Measurement Period\" )"
}, {
"url": "displaySequence",
"valueInteger": 21
} ]
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "AdvancedIllnessandFrailtyExclusion"
}, {
"url": "name",
"valueString": "Long Term Care Periods During Measurement Period"
}, {
"url": "statement",
"valueString": "// start here define \"Long Term Care Periods During Measurement Period\": ( [Encounter: \"Care Services in Long-Term Residential Facility\"] union [Encounter: \"Nursing Facility Visit\"] ) LongTermFacilityEncounter where LongTermFacilityEncounter.period overlaps \"Measurement Period\" return LongTermFacilityEncounter.period intersect \"Measurement Period\""
}, {
"url": "displaySequence",
"valueInteger": 22
} ]
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "AdvancedIllnessandFrailtyExclusion"
}, {
"url": "name",
"valueString": "Long Term Care Periods Longer Than 90 Consecutive Days"
}, {
"url": "statement",
"valueString": "define \"Long Term Care Periods Longer Than 90 Consecutive Days\": exists ( \"Long Term Care Periods During Measurement Period\" LongTermCareDuringMP where duration in days of LongTermCareDuringMP > 90 )"
}, {
"url": "displaySequence",
"valueInteger": 23
} ]
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "BCSComponent"
}, {
"url": "name",
"valueString": "Denominator Exclusion"
}, {
"url": "statement",
"valueString": "define \"Denominator Exclusion\": Hospice.\"Has Hospice\" or ( ( exists \"Right Mastectomy Diagnosis\" or exists \"Right Mastectomy Procedure\" ) and ( exists \"Left Mastectomy\" or exists \"Left Mastectomy Procedure\" ) ) or exists \"Bilateral Mastectomy Diagnosis\" or exists \"Bilateral Mastectomy Procedure\" or Frailty.\"Advanced Illness and Frailty Exclusion Not Including Over Age 80\" or ( Global.\"CalendarAgeInYearsAt\" ( FHIRHelpers.ToDate ( Patient.birthDate ), start of \"Measurement Period\" ) >= 65 and Frailty.\"Long Term Care Periods Longer Than 90 Consecutive Days\" )"
}, {
"url": "displaySequence",
"valueInteger": 24
} ]
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "SupplementalDataElements"
}, {
"url": "name",
"valueString": "SDE Race"
}, {
"url": "statement",
"valueString": "define \"SDE Race\": (flatten ( Patient.extension Extension where Extension.url = 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-race' return Extension.extension )) E where E.url = 'ombCategory' or E.url = 'detailed' return E.value as Coding"
}, {
"url": "displaySequence",
"valueInteger": 25
} ]
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "BCSComponent"
}, {
"url": "name",
"valueString": "SDE Race"
}, {
"url": "statement",
"valueString": "define \"SDE Race\": SDE.\"SDE Race\""
}, {
"url": "displaySequence",
"valueInteger": 26
} ]
} ],
"status": "active",
"id": "effective-data-requirements",
"relatedArtifact": [ {
"type": "depends-on",
"display": "Library SDE",
"resource": "http://hl7.org/fhir/us/cqfmeasures/Library/SupplementalDataElements|2.0.000"
}, {
"type": "depends-on",
"display": "Library FHIRHelpers",
"resource": "http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1"
}, {
"type": "depends-on",
"display": "Library Global",
"resource": "http://hl7.org/fhir/us/cqfmeasures/Library/MATGlobalCommonFunctions|5.0.000"
}, {
"type": "depends-on",
"display": "Library AdultOutpatientEncounters",
"resource": "http://hl7.org/fhir/us/cqfmeasures/Library/AdultOutpatientEncounters|2.0.000"
}, {
"type": "depends-on",
"display": "Library Hospice",
"resource": "http://hl7.org/fhir/us/cqfmeasures/Library/Hospice|2.0.000"
}, {
"type": "depends-on",
"display": "Library Frailty",
"resource": "http://hl7.org/fhir/us/cqfmeasures/Library/AdvancedIllnessandFrailtyExclusion|5.12.000"
}, {
"type": "depends-on",
"display": "Code system SNOMEDCT:2017-09",
"resource": "http://snomed.info/sct|http://snomed.info/sct/731000124108/version/201709"
}, {
"type": "depends-on",
"display": "Value set Mammography",
"resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1018"
}, {
"type": "depends-on",
"display": "Value set Office Visit",
"resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001"
}, {
"type": "depends-on",
"display": "Value set Annual Wellness Visit",
"resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1240"
}, {
"type": "depends-on",
"display": "Value set Preventive Care Services - Established Office Visit, 18 and Up",
"resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1025"
}, {
"type": "depends-on",
"display": "Value set Preventive Care Services-Initial Office Visit, 18 and Up",
"resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1023"
}, {
"type": "depends-on",
"display": "Value set Home Healthcare Services",
"resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1016"
}, {
"type": "depends-on",
"display": "Value set Payer",
"resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591"
}, {
"type": "depends-on",
"display": "Value set Encounter Inpatient",
"resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307"
}, {
"type": "depends-on",
"display": "Value set Hospice care ambulatory",
"resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1108.15"
}, {
"type": "depends-on",
"display": "Value set Status Post Right Mastectomy",
"resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1070"
}, {
"type": "depends-on",
"display": "Value set Unilateral Mastectomy, Unspecified Laterality",
"resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1071"
}, {
"type": "depends-on",
"display": "Value set Right",
"resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.122.12.1035"
}, {
"type": "depends-on",
"display": "Value set Unilateral Mastectomy Right",
"resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1134"
}, {
"type": "depends-on",
"display": "Value set Status Post Left Mastectomy",
"resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1069"
}, {
"type": "depends-on",
"display": "Value set Left",
"resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.122.12.1036"
}, {
"type": "depends-on",
"display": "Value set Unilateral Mastectomy Left",
"resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1133"
}, {
"type": "depends-on",
"display": "Value set History of bilateral mastectomy",
"resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1068"
}, {
"type": "depends-on",
"display": "Value set Bilateral Mastectomy",
"resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1005"
}, {
"type": "depends-on",
"display": "Value set Frailty Device",
"resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.118.12.1300"
}, {
"type": "depends-on",
"display": "Value set Frailty Diagnosis",
"resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.113.12.1074"
}, {
"type": "depends-on",
"display": "Value set Frailty Encounter",
"resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1088"
}, {
"type": "depends-on",
"display": "Value set Frailty Symptom",
"resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.113.12.1075"
}, {
"type": "depends-on",
"display": "Value set Outpatient",
"resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1087"
}, {
"type": "depends-on",
"display": "Value set Observation",
"resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1086"
}, {
"type": "depends-on",
"display": "Value set ED",
"resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1085"
}, {
"type": "depends-on",
"display": "Value set Nonacute Inpatient",
"resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1084"
}, {
"type": "depends-on",
"display": "Value set Advanced Illness",
"resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1082"
}, {
"type": "depends-on",
"display": "Value set Acute Inpatient",
"resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1083"
}, {
"type": "depends-on",
"display": "Value set Dementia Medications",
"resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.196.12.1510"
}, {
"type": "depends-on",
"display": "Value set Care Services in Long-Term Residential Facility",
"resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1014"
}, {
"type": "depends-on",
"display": "Value set Nursing Facility Visit",
"resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1012"
} ],
"parameter": [ {
"max": "1",
"min": 0,
"use": "in",
"name": "Measurement Period",
"type": "Period"
}, {
"max": "1",
"min": 0,
"use": "out",
"name": "SDE Sex",
"type": "Coding"
}, {
"max": "1",
"min": 0,
"use": "out",
"name": "Numerator",
"type": "boolean"
}, {
"max": "1",
"min": 0,
"use": "out",
"name": "Denominator",
"type": "boolean"
}, {
"max": "*",
"min": 0,
"use": "out",
"name": "SDE Payer",
"type": "Resource"
}, {
"max": "1",
"min": 0,
"use": "out",
"name": "Initial Population",
"type": "boolean"
}, {
"max": "*",
"min": 0,
"use": "out",
"name": "SDE Ethnicity",
"type": "Coding"
}, {
"max": "1",
"min": 0,
"use": "out",
"name": "Denominator Exclusion",
"type": "boolean"
}, {
"max": "*",
"min": 0,
"use": "out",
"name": "SDE Race",
"type": "Coding"
} ]
} ],
"status": "draft",
"language": "en",
"id": "0f386450-b57a-40ad-bcc1-d7bd2d29cd92",
"kind": null,
"url": "http://hl7.org/fhir/us/cqfmeasures/Measure/BCSComponent",
"scoring": {
"coding": [ {
"code": "proportion",
"system": "http://terminology.hl7.org/CodeSystem/measure-scoring",
"display": "Proportion"
} ]
},
"version": "0.0.001",
"contact": [ {
"telecom": [ {
"value": "http://www.hl7.org/Special/committees/cqi",
"system": "url"
} ]
} ],
"improvementNotation": {
"coding": [ {
"code": "increase",
"system": "http://terminology.hl7.org/CodeSystem/measure-improvement-notation"
} ]
},
"effectivePeriod": {
"end": "2022-12-31",
"start": "2022-01-01"
}
}