{
"description": "This is only an example.",
"_filename": "example/Measure-CCSComponent.json",
"package_name": "hl7.fhir.us.cqfmeasures",
"date": "2021-04-03T13:00:06-06:00",
"group": [ {
"population": [ {
"id": "93644713-B761-4A71-A6DB-38675B4D4AA0",
"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": "CCC5263F-B14C-4EFC-B726-3C323A137132",
"code": {
"coding": [ {
"code": "denominator",
"system": "http://terminology.hl7.org/CodeSystem/measure-population",
"display": "Denominator"
} ]
},
"criteria": {
"language": "text/cql.identifier",
"expression": "Denominator"
}
}, {
"id": "C8F51A00-EDC7-4F91-8415-25395BF16D16",
"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": "9E219037-5E8B-40F6-A304-4460BD8D3FFA",
"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": "CCSComponent",
"type": "[{:coding [{:system \\\"http://terminology.hl7.org/CodeSystem/measure-type\\\", :code \\\"process\\\"}]}]",
"experimental": "true",
"resourceType": "Measure",
"title": "Colorectal Cancer Screening",
"supplementalData": [ {
"id": "4d3fff25-29d7-4e61-9fdd-a02a85c1472f",
"usage": [ {
"coding": [ {
"code": "supplemental-data",
"system": "http://terminology.hl7.org/CodeSystem/measure-data-usage"
} ]
} ],
"criteria": {
"language": "text/cql.identifier",
"expression": "SDE Ethnicity"
}
}, {
"id": "4732f9d3-e4c9-4a24-ab3c-9247a55d73ef",
"usage": [ {
"coding": [ {
"code": "supplemental-data",
"system": "http://terminology.hl7.org/CodeSystem/measure-data-usage"
} ]
} ],
"criteria": {
"language": "text/cql.identifier",
"expression": "SDE Payer"
}
}, {
"id": "523c2619-71c6-4e60-83f8-3d8eeef75398",
"usage": [ {
"coding": [ {
"code": "supplemental-data",
"system": "http://terminology.hl7.org/CodeSystem/measure-data-usage"
} ]
} ],
"criteria": {
"language": "text/cql.identifier",
"expression": "SDE Race"
}
}, {
"id": "336d1356-61a7-4220-9635-ffc50b90af2f",
"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/CCSComponent" ],
"package_version": "2.1.0",
"extension": [ {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis",
"valueCode": "boolean"
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter",
"valueParameterDefinition": {
"max": "1",
"min": 0,
"use": "in",
"name": "Measurement Period",
"type": "Period"
}
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter",
"valueParameterDefinition": {
"max": "1",
"min": 0,
"use": "out",
"name": "SDE Sex",
"type": "Coding"
}
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter",
"valueParameterDefinition": {
"max": "1",
"min": 0,
"use": "out",
"name": "Numerator",
"type": "boolean"
}
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter",
"valueParameterDefinition": {
"max": "*",
"min": 0,
"use": "out",
"name": "Colonoscopy Performed",
"type": "Procedure"
}
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter",
"valueParameterDefinition": {
"max": "*",
"min": 0,
"use": "out",
"name": "Fecal Occult Blood Test Performed",
"type": "Observation"
}
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter",
"valueParameterDefinition": {
"max": "*",
"min": 0,
"use": "out",
"name": "Flexible Sigmoidoscopy Performed",
"type": "Procedure"
}
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter",
"valueParameterDefinition": {
"max": "*",
"min": 0,
"use": "out",
"name": "Fecal Immunochemical Test DNA",
"type": "Observation"
}
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter",
"valueParameterDefinition": {
"max": "*",
"min": 0,
"use": "out",
"name": "CT Colonography Performed",
"type": "Procedure"
}
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter",
"valueParameterDefinition": {
"max": "1",
"min": 0,
"use": "out",
"name": "Denominator",
"type": "boolean"
}
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter",
"valueParameterDefinition": {
"max": "1",
"min": 0,
"use": "out",
"name": "Initial Population",
"type": "boolean"
}
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter",
"valueParameterDefinition": {
"max": "1",
"min": 0,
"use": "out",
"name": "Patient",
"type": "Patient"
}
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter",
"valueParameterDefinition": {
"max": "*",
"min": 0,
"use": "out",
"name": "Qualifying Encounters",
"type": "Encounter"
}
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter",
"valueParameterDefinition": {
"max": "*",
"min": 0,
"use": "out",
"name": "SDE Payer",
"type": "Any"
}
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter",
"valueParameterDefinition": {
"max": "*",
"min": 0,
"use": "out",
"name": "SDE Ethnicity",
"type": "Coding"
}
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter",
"valueParameterDefinition": {
"max": "1",
"min": 0,
"use": "out",
"name": "Denominator Exclusion",
"type": "boolean"
}
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter",
"valueParameterDefinition": {
"max": "1",
"min": 0,
"use": "out",
"name": "Has Hospice",
"type": "boolean"
}
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter",
"valueParameterDefinition": {
"max": "*",
"min": 0,
"use": "out",
"name": "Malignant Neoplasm",
"type": "Condition"
}
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter",
"valueParameterDefinition": {
"max": "*",
"min": 0,
"use": "out",
"name": "Total Colectomy Performed",
"type": "Procedure"
}
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter",
"valueParameterDefinition": {
"max": "1",
"min": 0,
"use": "out",
"name": "Advanced Illness and Frailty Exclusion Not Including Over Age 80",
"type": "boolean"
}
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter",
"valueParameterDefinition": {
"max": "1",
"min": 0,
"use": "out",
"name": "Has Criteria Indicating Frailty",
"type": "boolean"
}
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter",
"valueParameterDefinition": {
"max": "*",
"min": 0,
"use": "out",
"name": "Outpatient Encounters with Advanced Illness",
"type": "Encounter"
}
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter",
"valueParameterDefinition": {
"max": "*",
"min": 0,
"use": "out",
"name": "Inpatient Encounter with Advanced Illness",
"type": "Encounter"
}
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter",
"valueParameterDefinition": {
"max": "*",
"min": 0,
"use": "out",
"name": "Dementia Medications In Year Before or During Measurement Period",
"type": "MedicationDispense"
}
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter",
"valueParameterDefinition": {
"max": "1",
"min": 0,
"use": "out",
"name": "Long Term Care Periods Longer Than 90 Consecutive Days",
"type": "boolean"
}
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter",
"valueParameterDefinition": {
"max": "*",
"min": 0,
"use": "out",
"name": "Long Term Care Periods During Measurement Period",
"type": "Period"
}
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter",
"valueParameterDefinition": {
"max": "*",
"min": 0,
"use": "out",
"name": "SDE Race",
"type": "Coding"
}
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement",
"valueDataRequirement": {
"type": "Procedure",
"profile": [ "http://hl7.org/fhir/StructureDefinition/Procedure" ],
"codeFilter": [ {
"path": "code",
"valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1020"
} ]
}
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement",
"valueDataRequirement": {
"type": "Observation",
"profile": [ "http://hl7.org/fhir/StructureDefinition/Observation" ],
"codeFilter": [ {
"path": "code",
"valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1011"
} ]
}
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement",
"valueDataRequirement": {
"type": "Procedure",
"profile": [ "http://hl7.org/fhir/StructureDefinition/Procedure" ],
"codeFilter": [ {
"path": "code",
"valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1010"
} ]
}
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement",
"valueDataRequirement": {
"type": "Observation",
"profile": [ "http://hl7.org/fhir/StructureDefinition/Observation" ],
"codeFilter": [ {
"path": "code",
"valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1039"
} ]
}
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement",
"valueDataRequirement": {
"type": "Procedure",
"profile": [ "http://hl7.org/fhir/StructureDefinition/Procedure" ],
"codeFilter": [ {
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}
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement",
"valueDataRequirement": {
"type": "Patient",
"profile": [ "http://hl7.org/fhir/StructureDefinition/Patient" ]
}
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement",
"valueDataRequirement": {
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"profile": [ "http://hl7.org/fhir/StructureDefinition/Encounter" ],
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"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement",
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"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement",
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}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement",
"valueDataRequirement": {
"type": "Coverage",
"profile": [ "http://hl7.org/fhir/StructureDefinition/Coverage" ],
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"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement",
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"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement",
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"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement",
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"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement",
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"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement",
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"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement",
"valueDataRequirement": {
"type": "Encounter",
"profile": [ "http://hl7.org/fhir/StructureDefinition/Encounter" ],
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"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement",
"valueDataRequirement": {
"type": "Encounter",
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}
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement",
"valueDataRequirement": {
"type": "Condition",
"profile": [ "http://hl7.org/fhir/StructureDefinition/Condition" ],
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}
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement",
"valueDataRequirement": {
"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"
} ]
}
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement",
"valueDataRequirement": {
"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"
} ]
}
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement",
"valueDataRequirement": {
"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"
} ]
}
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement",
"valueDataRequirement": {
"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"
} ]
}
}, {
"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": "CCSComponent"
}, {
"url": "name",
"valueString": "SDE Sex"
}, {
"url": "statement",
"valueString": "define \"SDE Sex\":\n SDE.\"SDE Sex\""
}, {
"url": "displaySequence",
"valueInteger": 0
} ]
}, {
"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\":\n case\n when Patient.gender = 'male' then Code { code: 'M', system: 'http://hl7.org/fhir/v3/AdministrativeGender', display: 'Male' }\n when Patient.gender = 'female' then Code { code: 'F', system: 'http://hl7.org/fhir/v3/AdministrativeGender', display: 'Female' }\n else null\n end"
}, {
"url": "displaySequence",
"valueInteger": 1
} ]
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "CCSComponent"
}, {
"url": "name",
"valueString": "Numerator"
}, {
"url": "statement",
"valueString": "define \"Numerator\":\n exists \"Colonoscopy Performed\"\n or exists \"Fecal Occult Blood Test Performed\"\n or exists \"Flexible Sigmoidoscopy Performed\"\n or exists \"Fecal Immunochemical Test DNA\"\n or exists \"CT Colonography Performed\""
}, {
"url": "displaySequence",
"valueInteger": 2
} ]
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "CCSComponent"
}, {
"url": "name",
"valueString": "Colonoscopy Performed"
}, {
"url": "statement",
"valueString": "define \"Colonoscopy Performed\":\n [Procedure: \"Colonoscopy\"] Colonoscopy\n where Colonoscopy.status = 'completed'\n and Global.\"Normalize Interval\" ( Colonoscopy.performed ) ends 10 years or less on or before\n end of \"Measurement Period\""
}, {
"url": "displaySequence",
"valueInteger": 3
} ]
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "CCSComponent"
}, {
"url": "name",
"valueString": "Fecal Occult Blood Test Performed"
}, {
"url": "statement",
"valueString": "define \"Fecal Occult Blood Test Performed\":\n [Observation: \"Fecal Occult Blood Test (FOBT)\"] FecalOccultResult\n where FecalOccultResult.status in { 'final', 'amended', 'corrected', 'preliminary' }\n and FecalOccultResult.value is not null\n and Global.\"Normalize Interval\" ( FecalOccultResult.effective ) during day of \"Measurement Period\""
}, {
"url": "displaySequence",
"valueInteger": 4
} ]
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "CCSComponent"
}, {
"url": "name",
"valueString": "Flexible Sigmoidoscopy Performed"
}, {
"url": "statement",
"valueString": "define \"Flexible Sigmoidoscopy Performed\":\n [Procedure: \"Flexible Sigmoidoscopy\"] FlexibleSigmoidoscopy\n where FlexibleSigmoidoscopy.status = 'completed'\n and Global.\"Normalize Interval\" ( FlexibleSigmoidoscopy.performed ) ends 5 years or less on or before\n end of \"Measurement Period\""
}, {
"url": "displaySequence",
"valueInteger": 5
} ]
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "CCSComponent"
}, {
"url": "name",
"valueString": "Fecal Immunochemical Test DNA"
}, {
"url": "statement",
"valueString": "define \"Fecal Immunochemical Test DNA\":\n [Observation: \"FIT DNA\"] FitDNA\n where FitDNA.status in { 'final', 'amended', 'corrected', 'preliminary' }\n and FitDNA.value is not null\n and Global.\"Normalize Interval\" ( FitDNA.effective ) occurs 3 years or less on or before day of\n end of \"Measurement Period\""
}, {
"url": "displaySequence",
"valueInteger": 6
} ]
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "CCSComponent"
}, {
"url": "name",
"valueString": "CT Colonography Performed"
}, {
"url": "statement",
"valueString": "define \"CT Colonography Performed\":\n [Procedure: \"CT Colonography\"] Colonography\n where Colonography.status = 'completed'\n and Global.\"Normalize Interval\" ( Colonography.performed ) ends 5 years or less on or before\n end of \"Measurement Period\""
}, {
"url": "displaySequence",
"valueInteger": 7
} ]
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "CCSComponent"
}, {
"url": "name",
"valueString": "Denominator"
}, {
"url": "statement",
"valueString": "define \"Denominator\":\n \"Initial Population\""
}, {
"url": "displaySequence",
"valueInteger": 8
} ]
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "CCSComponent"
}, {
"url": "name",
"valueString": "Initial Population"
}, {
"url": "statement",
"valueString": "define \"Initial Population\":\n Global.\"CalendarAgeInYearsAt\" ( FHIRHelpers.ToDate ( Patient.birthDate ), start of \"Measurement Period\" ) in Interval[50, 75]\n and exists AdultOutpatientEncounters.\"Qualifying Encounters\""
}, {
"url": "displaySequence",
"valueInteger": 9
} ]
}, {
"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\":\n\t(\n [Encounter: \"Office Visit\"]\n \t\tunion [Encounter: \"Annual Wellness Visit\"]\n \t\tunion [Encounter: \"Preventive Care Services - Established Office Visit, 18 and Up\"]\n \t\tunion [Encounter: \"Preventive Care Services-Initial Office Visit, 18 and Up\"]\n \t\tunion [Encounter: \"Home Healthcare Services\"]\n ) ValidEncounter\n\t\twhere ValidEncounter.period during \"Measurement Period\"\n \t\tand ValidEncounter.status = 'finished'"
}, {
"url": "displaySequence",
"valueInteger": 10
} ]
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "CCSComponent"
}, {
"url": "name",
"valueString": "SDE Payer"
}, {
"url": "statement",
"valueString": "define \"SDE Payer\":\n SDE.\"SDE Payer\""
}, {
"url": "displaySequence",
"valueInteger": 11
} ]
}, {
"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\":\n [Coverage: type in \"Payer\"] Payer\n return {\n code: Payer.type,\n period: Payer.period\n }"
}, {
"url": "displaySequence",
"valueInteger": 12
} ]
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "CCSComponent"
}, {
"url": "name",
"valueString": "Initial Population"
}, {
"url": "statement",
"valueString": "define \"Initial Population\":\n Global.\"CalendarAgeInYearsAt\" ( FHIRHelpers.ToDate ( Patient.birthDate ), start of \"Measurement Period\" ) in Interval[50, 75]\n and exists AdultOutpatientEncounters.\"Qualifying Encounters\""
}, {
"url": "displaySequence",
"valueInteger": 13
} ]
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "CCSComponent"
}, {
"url": "name",
"valueString": "SDE Ethnicity"
}, {
"url": "statement",
"valueString": "define \"SDE Ethnicity\":\n SDE.\"SDE Ethnicity\""
}, {
"url": "displaySequence",
"valueInteger": 14
} ]
}, {
"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\":\n (flatten (\n Patient.extension Extension\n where Extension.url = 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity'\n return Extension.extension\n )) E\n where E.url = 'ombCategory'\n or E.url = 'detailed'\n return E.value as Coding"
}, {
"url": "displaySequence",
"valueInteger": 15
} ]
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "CCSComponent"
}, {
"url": "name",
"valueString": "Denominator Exclusion"
}, {
"url": "statement",
"valueString": "define \"Denominator Exclusion\":\n Hospice.\"Has Hospice\"\n or exists \"Malignant Neoplasm\"\n or exists \"Total Colectomy Performed\"\n or Frailty.\"Advanced Illness and Frailty Exclusion Not Including Over Age 80\"\n and Frailty.\"Long Term Care Periods Longer Than 90 Consecutive Days\""
}, {
"url": "displaySequence",
"valueInteger": 16
} ]
}, {
"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\":\n\texists (\n [Encounter: \"Encounter Inpatient\"] DischargeHospice\n\t\t\twhere DischargeHospice.status = 'finished'\n\t\t and (\n\t DischargeHospice.hospitalization.dischargeDisposition ~ \"Discharge to home for hospice care (procedure)\"\n\t\t\t\t or DischargeHospice.hospitalization.dischargeDisposition ~ \"Discharge to healthcare facility for hospice care (procedure)\"\n\t \t)\n\t\t\t\tand DischargeHospice.period ends during \"Measurement Period\"\n\t)\n or exists (\n [ServiceRequest: \"Hospice care ambulatory\"] HospiceOrder\n where HospiceOrder.intent = 'order'\n and HospiceOrder.authoredOn in \"Measurement Period\"\n )\n or exists (\n [Procedure: \"Hospice care ambulatory\"] HospicePerformed\n where HospicePerformed.status = 'completed'\n and Global.\"Normalize Interval\"(HospicePerformed.performed) overlaps \"Measurement Period\"\n )"
}, {
"url": "displaySequence",
"valueInteger": 17
} ]
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "CCSComponent"
}, {
"url": "name",
"valueString": "Malignant Neoplasm"
}, {
"url": "statement",
"valueString": "define \"Malignant Neoplasm\":\n [Condition: \"Malignant Neoplasm of Colon\"] ColorectalCancer\n where Global.\"Prevalence Period\" ( ColorectalCancer ) starts on or before\n end of \"Measurement Period\""
}, {
"url": "displaySequence",
"valueInteger": 18
} ]
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "CCSComponent"
}, {
"url": "name",
"valueString": "Total Colectomy Performed"
}, {
"url": "statement",
"valueString": "define \"Total Colectomy Performed\":\n [Procedure: \"Total Colectomy\"] Colectomy\n where Colectomy.status = 'completed'\n and Global.\"Normalize Interval\" ( Colectomy.performed ) starts on or before\n 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": "Advanced Illness and Frailty Exclusion Not Including Over Age 80"
}, {
"url": "statement",
"valueString": "define \"Advanced Illness and Frailty Exclusion Not Including Over Age 80\":\n //If the measure does NOT include populations age 80 and older, then use this logic:\n \tGlobal.\"CalendarAgeInYearsAt\"(FHIRHelpers.ToDate(Patient.birthDate), start of \"Measurement Period\")>= 65\n and \"Has Criteria Indicating Frailty\"\n and ( Count(\"Outpatient Encounters with Advanced Illness\")>= 2\n or exists ( \"Inpatient Encounter with Advanced Illness\" )\n or exists \"Dementia Medications In Year Before or During Measurement Period\"\n )"
}, {
"url": "displaySequence",
"valueInteger": 20
} ]
}, {
"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\":\n //Ask Bryn about devices\n \texists ( [DeviceRequest: \"Frailty Device\"] FrailtyDeviceOrder\n \t\t\twhere FrailtyDeviceOrder.authoredOn during \"Measurement Period\"\n \t)\n \t\tor exists ( [DeviceUseStatement: \"Frailty Device\"] FrailtyDeviceUse\n \t\t\t\twhere Global.\"Normalize Interval\"(FrailtyDeviceUse.timing) overlaps \"Measurement Period\"\n \t\t)\n \t\tor exists ( [Condition: \"Frailty Diagnosis\"] FrailtyDiagnosis\n \t\t\t\twhere Global.\"Prevalence Period\"(FrailtyDiagnosis) overlaps \"Measurement Period\"\n \t\t)\n \t\tor exists ( [Encounter: \"Frailty Encounter\"] FrailtyEncounter\n \t\t\t\twhere FrailtyEncounter.period overlaps \"Measurement Period\"\n \t\t)\n \t\tor exists ( [Observation: \"Frailty Symptom\"] FrailtySymptomObservation\n \t\t\t\twhere Global.\"Normalize Interval\"(FrailtySymptomObservation.effective) overlaps \"Measurement Period\"\n \t\t)"
}, {
"url": "displaySequence",
"valueInteger": 21
} ]
}, {
"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\":\n ( [Encounter: \"Outpatient\"]\n \t\tunion [Encounter: \"Observation\"]\n \t\tunion [Encounter: \"ED\"]\n \t\tunion [Encounter: \"Nonacute Inpatient\"] ) OutpatientEncounter\n \t\t with [Condition: \"Advanced Illness\"] AdvancedIllnessDiagnosis\n such that exists (\n OutpatientEncounter.diagnosis.condition EncounterDiagnosis\n where EndsWith(EncounterDiagnosis.reference, AdvancedIllnessDiagnosis.id)\n )\n and OutpatientEncounter.period starts 2 years or less on or before\n \t\t\tend of \"Measurement Period\""
}, {
"url": "displaySequence",
"valueInteger": 22
} ]
}, {
"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\":\n [Encounter: \"Acute Inpatient\"] InpatientEncounter\n \t\twith [Condition: \"Advanced Illness\"] AdvancedIllnessDiagnosis\n such that exists (\n InpatientEncounter.diagnosis.condition EncounterDiagnosis\n where EndsWith(EncounterDiagnosis.reference, AdvancedIllnessDiagnosis.id)\n )\n \t\t\tand InpatientEncounter.period starts 2 years or less on or before\n \t\t\tend of \"Measurement Period\""
}, {
"url": "displaySequence",
"valueInteger": 23
} ]
}, {
"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\":\n [\"MedicationDispense\": \"Dementia Medications\"] DementiaMed\n \t\twhere DementiaMed.whenHandedOver during Interval[\n ( start of \"Measurement Period\" - 1 year ), end of \"Measurement Period\"\n ]"
}, {
"url": "displaySequence",
"valueInteger": 24
} ]
}, {
"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\":\n exists ( \"Long Term Care Periods During Measurement Period\" LongTermCareDuringMP\n where duration in days of LongTermCareDuringMP > 90\n )"
}, {
"url": "displaySequence",
"valueInteger": 25
} ]
}, {
"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 heredefine \"Long Term Care Periods During Measurement Period\":\n ( [Encounter: \"Care Services in Long-Term Residential Facility\"]\n \t\tunion [Encounter: \"Nursing Facility Visit\"] ) LongTermFacilityEncounter\n \t\twhere LongTermFacilityEncounter.period overlaps \"Measurement Period\"\n \t\treturn LongTermFacilityEncounter.period\n \t\t\tintersect \"Measurement Period\""
}, {
"url": "displaySequence",
"valueInteger": 26
} ]
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "CCSComponent"
}, {
"url": "name",
"valueString": "SDE Race"
}, {
"url": "statement",
"valueString": "define \"SDE Race\":\n SDE.\"SDE Race\""
}, {
"url": "displaySequence",
"valueInteger": 27
} ]
}, {
"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\":\n (flatten (\n Patient.extension Extension\n where Extension.url = 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-race'\n return Extension.extension\n )) E\n where E.url = 'ombCategory'\n or E.url = 'detailed'\n return E.value as Coding"
}, {
"url": "displaySequence",
"valueInteger": 28
} ]
} ],
"status": "draft",
"language": "en",
"id": "28eff95b-b20c-4207-a90f-a067a1b7a730",
"kind": null,
"url": "http://hl7.org/fhir/us/cqfmeasures/Measure/CCSComponent",
"scoring": {
"coding": [ {
"code": "proportion",
"system": "http://terminology.hl7.org/CodeSystem/measure-scoring",
"display": "Proportion"
} ]
},
"version": "0.0.001",
"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 FHIRHelpers",
"resource": "http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1"
}, {
"type": "depends-on",
"display": "Library Hospice",
"resource": "http://hl7.org/fhir/us/cqfmeasures/Library/Hospice|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 Frailty",
"resource": "http://hl7.org/fhir/us/cqfmeasures/Library/AdvancedIllnessandFrailtyExclusion|5.12.000"
}, {
"type": "depends-on",
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