{
  "description": "This library is used as an example module definition in the FHIR Quality Measure Implementation Guide",
  "_filename": "Library-effective-data-requirements-exm55.json",
  "package_name": "hl7.fhir.us.cqfmeasures.r4b",
  "date": "2022-02-22T10:37:03-07:00",
  "dataRequirement": [ {
    "type": "Encounter",
    "profile": [ "http://hl7.org/fhir/StructureDefinition/Encounter" ],
    "codeFilter": [ {
      "path": "type",
      "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.292"
    } ],
    "mustSupport": [ "period", "hospitalization", "hospitalization.admitSource", "type", "status" ]
  }, {
    "type": "Encounter",
    "profile": [ "http://hl7.org/fhir/StructureDefinition/Encounter" ],
    "mustSupport": [ "period" ]
  }, {
    "type": "Condition",
    "profile": [ "http://hl7.org/fhir/StructureDefinition/Condition" ],
    "codeFilter": [ {
      "path": "id"
    } ],
    "mustSupport": [ "id" ]
  } ],
  "meta": {
    "profile": [ "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-moduledefinitionlibrary" ]
  },
  "publisher": "HL7 International / Clinical Quality Information",
  "jurisdiction": [ {
    "coding": [ {
      "code": "US",
      "system": "urn:iso:std:iso:3166"
    } ]
  } ],
  "name": "ModuleDefinitionLibraryEXM55",
  "type": "{:coding [{:system \\\"http://terminology.hl7.org/CodeSystem/library-type\\\", :code \\\"module-definition\\\"}]}",
  "experimental": "true",
  "resourceType": "Library",
  "title": "Module Definition Library - EXM55",
  "package_version": "5.0.0-ballot2",
  "extension": [ {
    "url": "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
    "valueCoding": {
      "code": "billing",
      "system": "http://terminology.hl7.org/CodeSystem/diagnosis-role",
      "display": "Billing"
    }
  }, {
    "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition",
    "extension": [ {
      "url": "libraryName",
      "valueString": "EXM55-FHIR"
    }, {
      "url": "name",
      "valueString": "Inpatient Encounter"
    }, {
      "url": "statement",
      "valueString" : "define \"Inpatient Encounter\":\n  [\"Encounter\"] Encounter\n    where LengthInDays(Encounter.period) <= 120\n      and Encounter.period ends during \"Measurement Period\""
    }, {
      "url": "displaySequence",
      "valueInteger": 0
    } ]
  }, {
    "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition",
    "extension": [ {
      "url": "libraryName",
      "valueString": "EXM55-FHIR"
    }, {
      "url": "name",
      "valueString": "Stratification 3"
    }, {
      "url": "statement",
      "valueString" : "define \"Stratification 3\":\n  \"Inpatient Encounter\" Encounter\n    where PrincipalDiagnosis(Encounter) is null"
    }, {
      "url": "displaySequence",
      "valueInteger": 1
    } ]
  }, {
    "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition",
    "extension": [ {
      "url": "libraryName",
      "valueString": "EXM55-FHIR"
    }, {
      "url": "name",
      "valueString": "Stratification 2"
    }, {
      "url": "statement",
      "valueString" : "define \"Stratification 2\":\n  \"Inpatient Encounter\" Encounter\n    where PrincipalDiagnosis(Encounter).code in \"Psychiatric/Mental Health Patient\""
    }, {
      "url": "displaySequence",
      "valueInteger": 2
    } ]
  }, {
    "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition",
    "extension": [ {
      "url": "libraryName",
      "valueString": "EXM55-FHIR"
    }, {
      "url": "name",
      "valueString": "Measure Population Exclusion"
    }, {
      "url": "statement",
      "valueString" : "define \"Measure Population Exclusion\" :\n  \"Inpatient Encounter\" Encounter\n    with [\"Encounter\": \"Emergency Department Visit\"] ED\n      such that ED.period ends 1 hour or less before start of Encounter.period\n        and ED.status = 'finished'\n        and ED.hospitalization.admitSource in \"Hospital Settings\""
    }, {
      "url": "displaySequence",
      "valueInteger": 3
    } ]
  }, {
    "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition",
    "extension": [ {
      "url": "libraryName",
      "valueString": "EXM55-FHIR"
    }, {
      "url": "name",
      "valueString": "Stratification 1"
    }, {
      "url": "statement",
      "valueString" : "define \"Stratification 1\":\n  \"Inpatient Encounter\" Encounter\n    where not (PrincipalDiagnosis(Encounter).code in \"Psychiatric/Mental Health Patient\")"
    }, {
      "url": "displaySequence",
      "valueInteger": 4
    } ]
  }, {
    "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition",
    "extension": [ {
      "url": "libraryName",
      "valueString": "EXM55-FHIR"
    }, {
      "url": "name",
      "valueString": "Initial Population"
    }, {
      "url": "statement",
      "valueString" : "define \"Initial Population\" :\n  \"Inpatient Encounter\" Encounter\n    with [\"Encounter\": \"Emergency Department Visit\"] ED\n     such that ED.status = 'finished'\n       and ED.period ends 1 hour or less before start of Encounter.period"
    }, {
      "url": "displaySequence",
      "valueInteger": 5
    } ]
  }, {
    "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition",
    "extension": [ {
      "url": "libraryName",
      "valueString": "EXM55-FHIR"
    }, {
      "url": "name",
      "valueString": "Measure Population"
    }, {
      "url": "statement",
      "valueString" : "define \"Measure Population\":\n  \"Initial Population\""
    }, {
      "url": "displaySequence",
      "valueInteger": 6
    } ]
  }, {
    "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
    "valueCode": "cqi"
  } ],
  "status": "active",
  "id": "1cb79004-1fbe-4654-9105-6a79261c1bb6",
  "kind": null,
  "url": "http://hl7.org/fhir/us/cqfmeasures/Library/effective-data-requirements-exm55",
  "version": "1.0.0",
  "relatedArtifact": [ {
    "type": "depends-on",
    "display": "Library FHIRHelpers",
    "resource": "http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1"
  }, {
    "type": "depends-on",
    "display": "Code system Diagnosis Role",
    "resource": "http://terminology.hl7.org/CodeSystem/diagnosis-role"
  }, {
    "type": "depends-on",
    "display": "Value set Psychiatric/Mental Health Patient",
    "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.299"
  }, {
    "type": "depends-on",
    "display": "Value set Emergency Department Visit",
    "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.292"
  }, {
    "type": "depends-on",
    "display": "Value set Hospital Settings",
    "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1111.126"
  } ],
  "contact": [ {
    "telecom": [ {
      "value": "http://www.hl7.org/Special/committees/cqi",
      "system": "url"
    } ]
  } ],
  "parameter": [ {
    "max": "1",
    "min": 0,
    "use": "in",
    "name": "Measurement Period",
    "type": "Period"
  }, {
    "max": "*",
    "min": 0,
    "use": "out",
    "name": "Stratification 3",
    "type": "Encounter"
  }, {
    "max": "*",
    "min": 0,
    "use": "out",
    "name": "Stratification 2",
    "type": "Encounter"
  }, {
    "max": "*",
    "min": 0,
    "use": "out",
    "name": "Measure Population Exclusion",
    "type": "Encounter"
  }, {
    "max": "*",
    "min": 0,
    "use": "out",
    "name": "Stratification 1",
    "type": "Encounter"
  }, {
    "max": "*",
    "min": 0,
    "use": "out",
    "name": "Initial Population",
    "type": "Encounter"
  }, {
    "max": "*",
    "min": 0,
    "use": "out",
    "name": "Measure Population",
    "type": "Encounter"
  } ]
}