{
"description": "This is an example only.",
"_filename": "example/Measure-BCSComponent.json",
"package_name": "hl7.fhir.us.cqfmeasures",
"date": "2021-04-03T13:00:06-06:00",
"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": "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": "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": "Right Mastectomy Diagnosis",
"type": "Condition"
}
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter",
"valueParameterDefinition": {
"max": "*",
"min": 0,
"use": "out",
"name": "Right Mastectomy Procedure",
"type": "Procedure"
}
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter",
"valueParameterDefinition": {
"max": "*",
"min": 0,
"use": "out",
"name": "Left Mastectomy",
"type": "Condition"
}
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter",
"valueParameterDefinition": {
"max": "*",
"min": 0,
"use": "out",
"name": "Left Mastectomy Procedure",
"type": "Procedure"
}
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter",
"valueParameterDefinition": {
"max": "*",
"min": 0,
"use": "out",
"name": "Bilateral Mastectomy Diagnosis",
"type": "Condition"
}
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter",
"valueParameterDefinition": {
"max": "*",
"min": 0,
"use": "out",
"name": "Bilateral Mastectomy Procedure",
"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": "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"
} ]
}
}, {
"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": {
"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"
} ]
}
}, {
"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/2.16.840.1.113883.3.526.3.1240"
} ]
}
}, {
"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/2.16.840.1.113883.3.464.1003.101.12.1025"
} ]
}
}, {
"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/2.16.840.1.113883.3.464.1003.101.12.1023"
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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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"path": "type",
"valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1016"
} ]
}
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement",
"valueDataRequirement": {
"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"
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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": {
"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"
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}
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement",
"valueDataRequirement": {
"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"
} ]
}
}, {
"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/2.16.840.1.113762.1.4.1108.15"
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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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"path": "code",
"valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1070"
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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": "Procedure",
"profile": [ "http://hl7.org/fhir/StructureDefinition/Procedure" ],
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}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement",
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}
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"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement",
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"profile": [ "http://hl7.org/fhir/StructureDefinition/Condition" ],
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"path": "code",
"valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1071"
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}
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"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement",
"valueDataRequirement": {
"type": "Procedure",
"profile": [ "http://hl7.org/fhir/StructureDefinition/Procedure" ],
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"path": "code",
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"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement",
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"valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1068"
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}
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"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement",
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"type": "Procedure",
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"valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1005"
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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": {
"type": "DeviceRequest",
"profile": [ "http://hl7.org/fhir/StructureDefinition/DeviceRequest" ],
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"valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.118.12.1300"
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}
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement",
"valueDataRequirement": {
"type": "DeviceUseStatement",
"profile": [ "http://hl7.org/fhir/StructureDefinition/DeviceUseStatement" ],
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}
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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": "Observation",
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"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement",
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"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",
"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"
} ]
}
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement",
"valueDataRequirement": {
"type": "Encounter",
"profile": [ "http://hl7.org/fhir/StructureDefinition/Encounter" ],
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"valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1085"
} ]
}
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement",
"valueDataRequirement": {
"type": "Encounter",
"profile": [ "http://hl7.org/fhir/StructureDefinition/Encounter" ],
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"valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1084"
} ]
}
}, {
"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": "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"
} ]
}
}, {
"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": "BCSComponent"
}, {
"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": "BCSComponent"
}, {
"url": "name",
"valueString": "Numerator"
}, {
"url": "statement",
"valueString": "define \"Numerator\":\n exists ( [DiagnosticReport: \"Mammography\"] Mammogram\n where ( Global.\"Normalize Interval\" ( Mammogram.effective ) ends 27 months or less on or before\n end of \"Measurement Period\"\n )\n and Mammogram.status in { 'final', 'amended', 'corrected', 'appended' }\n )"
}, {
"url": "displaySequence",
"valueInteger": 2
} ]
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "BCSComponent"
}, {
"url": "name",
"valueString": "Denominator"
}, {
"url": "statement",
"valueString": "define \"Denominator\":\n \"Initial Population\""
}, {
"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\":\n Patient.gender = 'female'\n and Global.\"CalendarAgeInYearsAt\" ( FHIRHelpers.ToDate ( Patient.birthDate ), start of \"Measurement Period\" ) in Interval[51, 74 )\n and exists AdultOutpatientEncounters.\"Qualifying Encounters\""
}, {
"url": "displaySequence",
"valueInteger": 4
} ]
}, {
"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": 5
} ]
}, {
"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\":\n SDE.\"SDE Payer\""
}, {
"url": "displaySequence",
"valueInteger": 6
} ]
}, {
"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": 7
} ]
}, {
"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\":\n Patient.gender = 'female'\n and Global.\"CalendarAgeInYearsAt\" ( FHIRHelpers.ToDate ( Patient.birthDate ), start of \"Measurement Period\" ) in Interval[51, 74 )\n and exists AdultOutpatientEncounters.\"Qualifying Encounters\""
}, {
"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\":\n SDE.\"SDE Ethnicity\""
}, {
"url": "displaySequence",
"valueInteger": 9
} ]
}, {
"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": 10
} ]
}, {
"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\":\n Hospice.\"Has Hospice\"\n or ( ( exists \"Right Mastectomy Diagnosis\"\n or exists \"Right Mastectomy Procedure\"\n )\n and ( exists \"Left Mastectomy\"\n or exists \"Left Mastectomy Procedure\"\n )\n )\n or exists \"Bilateral Mastectomy Diagnosis\"\n or exists \"Bilateral Mastectomy Procedure\"\n or Frailty.\"Advanced Illness and Frailty Exclusion Not Including Over Age 80\"\n or ( Global.\"CalendarAgeInYearsAt\" ( FHIRHelpers.ToDate ( Patient.birthDate ), start of \"Measurement Period\" ) >= 65\n and Frailty.\"Long Term Care Periods Longer Than 90 Consecutive Days\"\n )"
}, {
"url": "displaySequence",
"valueInteger": 11
} ]
}, {
"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": 12
} ]
}, {
"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\":\n ( ( [Condition: \"Status Post Right Mastectomy\"] )\n union ( [Condition: \"Unilateral Mastectomy, Unspecified Laterality\"] UnilateralMastectomyDiagnosis\n where UnilateralMastectomyDiagnosis.bodySite in \"Right\"\n ) ) RightMastectomy\n where Global.\"Normalize Interval\" ( RightMastectomy.onset ) starts on or before\n 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": "Right Mastectomy Procedure"
}, {
"url": "statement",
"valueString": "define \"Right Mastectomy Procedure\":\n [Procedure: \"Unilateral Mastectomy Right\"] UnilateralMastectomyRightPerformed\n where Global.\"Normalize Interval\" ( UnilateralMastectomyRightPerformed.performed ) ends on or before\n end of \"Measurement Period\"\n and UnilateralMastectomyRightPerformed.status = 'completed'"
}, {
"url": "displaySequence",
"valueInteger": 14
} ]
}, {
"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\":\n ( ( [Condition: \"Status Post Left Mastectomy\"] )\n union ( [Condition: \"Unilateral Mastectomy, Unspecified Laterality\"] UnilateralMastectomyDiagnosis\n where UnilateralMastectomyDiagnosis.bodySite in \"Left\"\n ) ) LeftMastectomy\n where Global.\"Normalize Interval\" ( LeftMastectomy.onset ) starts on or before\n 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": "Left Mastectomy Procedure"
}, {
"url": "statement",
"valueString": "define \"Left Mastectomy Procedure\":\n [Procedure: \"Unilateral Mastectomy Left\"] UnilateralMastectomyLeftPerformed\n where Global.\"Normalize Interval\" ( UnilateralMastectomyLeftPerformed.performed ) ends on or before\n end of \"Measurement Period\"\n and UnilateralMastectomyLeftPerformed.status = 'completed'"
}, {
"url": "displaySequence",
"valueInteger": 16
} ]
}, {
"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\":\n [Condition: \"History of bilateral mastectomy\"] BilateralMastectomyHistory\n where Global.\"Normalize Interval\" ( BilateralMastectomyHistory.onset ) starts on or before\n end of \"Measurement Period\""
}, {
"url": "displaySequence",
"valueInteger": 17
} ]
}, {
"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\":\n [Procedure: \"Bilateral Mastectomy\"] BilateralMastectomyPerformed\n where Global.\"Normalize Interval\" ( BilateralMastectomyPerformed.performed ) ends on or before\n end of \"Measurement Period\"\n and BilateralMastectomyPerformed.status = 'completed'"
}, {
"url": "displaySequence",
"valueInteger": 18
} ]
}, {
"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": 19
} ]
}, {
"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": 20
} ]
}, {
"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": 21
} ]
}, {
"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": 22
} ]
}, {
"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": 23
} ]
}, {
"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": 24
} ]
}, {
"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": 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\":\n SDE.\"SDE Race\""
}, {
"url": "displaySequence",
"valueInteger": 26
} ]
}, {
"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": 27
} ]
} ],
"status": "draft",
"language": "en",
"id": "4b471bfb-801b-46a2-b9a1-e6b1603de4ac",
"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",
"relatedArtifact": [ {
"type": "depends-on",
"display": "Library SDE",
"resource": "http://hl7.org/fhir/us/cqfmeasures/Library/SupplementalDataElements|2.0.000"
}, {
"type": "depends-on",
"display": "Library Global",
"resource": "http://hl7.org/fhir/us/cqfmeasures/Library/MATGlobalCommonFunctions|5.0.000"
}, {
"type": "depends-on",
"display": "Library FHIRHelpers",
"resource": "http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1"
}, {
"type": "depends-on",
"display": "Library 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"
}, {
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