{
"description": "This is an example only.",
"_filename": "example/Measure-PVSComponent.json",
"package_name": "hl7.fhir.us.cqfmeasures",
"date": "2022-02-22T11:37:04-06:00",
"group": [ {
"population": [ {
"id": "FB55A109-7AC0-4385-AD01-ED3814C92697",
"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": "7BFE8E56-FD1F-4E35-A79F-0E2569819358",
"code": {
"coding": [ {
"code": "denominator",
"system": "http://terminology.hl7.org/CodeSystem/measure-population",
"display": "Denominator"
} ]
},
"criteria": {
"language": "text/cql-identifier",
"expression": "Denominator"
}
}, {
"id": "F74BB6AC-40CD-40BB-A9F8-06F4A4A0D2C5",
"code": {
"coding": [ {
"code": "denominator-exclusion",
"system": "http://terminology.hl7.org/CodeSystem/measure-population",
"display": "Denominator Exclusion"
} ]
},
"criteria": {
"language": "text/cql-identifier",
"expression": "Denominator Exclusions"
}
}, {
"id": "89B1D5A5-96B6-4002-B962-9989FED8A0E9",
"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": "HL7 International / Clinical Quality Information",
"jurisdiction": [ {
"coding": [ {
"code": "US",
"system": "urn:iso:std:iso:3166"
} ]
} ],
"name": "PVSComponent",
"type": "[{:coding [{:system \\\"http://terminology.hl7.org/CodeSystem/measure-type\\\", :code \\\"process\\\"}]}]",
"experimental": "true",
"resourceType": "Measure",
"title": "Pneumococcal Vaccination Status for Older Adults",
"supplementalData": [ {
"id": "66567b90-12e8-4a1c-8425-2cb8106f9664",
"usage": [ {
"coding": [ {
"code": "supplemental-data",
"system": "http://terminology.hl7.org/CodeSystem/measure-data-usage"
} ]
} ],
"criteria": {
"language": "text/cql-identifier",
"expression": "SDE Ethnicity"
}
}, {
"id": "d431e0e9-8d05-4ca7-a0b2-6cf72313c6d6",
"usage": [ {
"coding": [ {
"code": "supplemental-data",
"system": "http://terminology.hl7.org/CodeSystem/measure-data-usage"
} ]
} ],
"criteria": {
"language": "text/cql-identifier",
"expression": "SDE Payer"
}
}, {
"id": "b5baeb14-bfba-4ad5-a150-8a5442d113f8",
"usage": [ {
"coding": [ {
"code": "supplemental-data",
"system": "http://terminology.hl7.org/CodeSystem/measure-data-usage"
} ]
} ],
"criteria": {
"language": "text/cql-identifier",
"expression": "SDE Race"
}
}, {
"id": "54129f83-97a7-4149-82c8-92ab0e8060ed",
"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/PVSComponent" ],
"package_version": "5.0.0-ballot",
"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"
}
}, {
"id": "effective-data-requirements",
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-effectiveDataRequirements",
"valueReference": {
"reference": "#effective-data-requirements"
}
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
"valueCode": "cqi"
} ],
"contained": [ {
"date": "2022-02-22T10:37:04-07:00",
"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/2.16.840.1.113883.3.666.5.307"
} ],
"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/2.16.840.1.113883.3.464.1003.101.12.1001"
} ],
"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/2.16.840.1.113883.3.464.1003.101.11.1065"
} ],
"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/2.16.840.1.113883.3.464.1003.101.12.1014"
} ],
"mustSupport": [ "type" ]
}, {
"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": "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/2.16.840.1.113883.3.464.1003.110.12.1034"
} ],
"mustSupport": [ "code", "performed", "status" ]
}, {
"type": "Immunization",
"profile": [ "http://hl7.org/fhir/StructureDefinition/Immunization" ],
"codeFilter": [ {
"path": "vaccineCode",
"valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1027"
} ],
"mustSupport": [ "occurrence", "vaccineCode", "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": "PVSComponent"
}, {
"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": "PVSComponent"
}, {
"url": "name",
"valueString": "Numerator"
}, {
"url": "statement",
"valueString": "define \"Numerator\": exists ( [Immunization: \"Pneumococcal Vaccine\"] PneumococcalVaccine where PneumococcalVaccine.status = 'completed' and PneumococcalVaccine.occurrence as dateTime on or before end of \"Measurement Period\" ) or exists ( [Procedure: \"Pneumococcal Vaccine Administered\"] PneumococcalVaccineGiven where PneumococcalVaccineGiven.status = 'completed' and PneumococcalVaccineGiven.performed as Period on or before end of \"Measurement Period\" )"
}, {
"url": "displaySequence",
"valueInteger": 2
} ]
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "PVSComponent"
}, {
"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\"] union [Encounter: \"Discharge Services - Nursing Facility\"] union [Encounter: \"Nursing Facility Visit\"] union [Encounter: \"Care Services in Long-Term Residential Facility\"] ) 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": "PVSComponent"
}, {
"url": "name",
"valueString": "Initial Population"
}, {
"url": "statement",
"valueString": "define \"Initial Population\": Global.\"CalendarAgeInYearsAt\" ( FHIRHelpers.ToDate ( Patient.birthDate ), start of \"Measurement Period\" ) >= 65 and exists \"Qualifying Encounters\""
}, {
"url": "displaySequence",
"valueInteger": 4
} ]
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "PVSComponent"
}, {
"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": "PVSComponent"
}, {
"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": "PVSComponent"
}, {
"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": "PVSComponent"
}, {
"url": "name",
"valueString": "Denominator Exclusions"
}, {
"url": "statement",
"valueString": "define \"Denominator Exclusions\": Hospice.\"Has Hospice\""
}, {
"url": "displaySequence",
"valueInteger": 11
} ]
}, {
"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": 12
} ]
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "PVSComponent"
}, {
"url": "name",
"valueString": "SDE Race"
}, {
"url": "statement",
"valueString": "define \"SDE Race\": SDE.\"SDE Race\""
}, {
"url": "displaySequence",
"valueInteger": 13
} ]
} ],
"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 Hospice",
"resource": "http://hl7.org/fhir/us/cqfmeasures/Library/Hospice|2.0.000"
}, {
"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 Pneumococcal Vaccine",
"resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1027"
}, {
"type": "depends-on",
"display": "Value set Pneumococcal Vaccine Administered",
"resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1034"
}, {
"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 Discharge Services - Nursing Facility",
"resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.11.1065"
}, {
"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"
}, {
"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 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"
} ],
"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",
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