{
"description": "This is an example only.",
"_filename": "example/Measure-BCSComponent.json",
"package_name": "hl7.fhir.uv.cqm",
"date": "2025-08-13T17:14:51-06:00",
"group": [ {
"extension": [ {
"url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.linkId",
"valueString": "primary"
} ],
"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"
},
"extension": [ {
"url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId",
"valueString": "primary-bcscomponent-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"
},
"extension": [ {
"url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId",
"valueString": "primary-bcscomponent-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"
},
"extension": [ {
"url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId",
"valueString": "primary-bcscomponent-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"
},
"extension": [ {
"url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId",
"valueString": "primary-bcscomponent-numerator"
} ]
} ]
} ],
"meta": {
"profile": [ "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareablemeasure", "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-computablemeasure", "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-publishablemeasure", "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-proportionmeasure", "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-cqlmeasure" ]
},
"publisher": "HL7 International / Clinical Quality Information",
"jurisdiction": [ {
"coding": [ {
"code": "001",
"system": "http://unstats.un.org/unsd/methods/m49/m49.htm"
} ]
} ],
"name": "BCSComponent",
"useContext": [ {
"code": {
"code": "venue",
"system": "http://terminology.hl7.org/CodeSystem/usage-context-type",
"display": "Clinical Venue"
},
"valueCodeableConcept": {
"coding": [ {
"code": "ec",
"system": "http://hl7.org/fhir/uv/cqm/CodeSystem/intended-venue-codes",
"display": "EC"
} ]
}
} ],
"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"
},
"extension": [ {
"url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.supplementalData.linkId",
"valueString": "bcscomponent-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"
},
"extension": [ {
"url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.supplementalData.linkId",
"valueString": "bcscomponent-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"
},
"extension": [ {
"url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.supplementalData.linkId",
"valueString": "bcscomponent-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"
},
"extension": [ {
"url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.supplementalData.linkId",
"valueString": "bcscomponent-sde-sex"
} ]
} ],
"library": [ "http://hl7.org/fhir/uv/cqm/Library/BCSComponent" ],
"package_version": "2.0.0-ballot",
"extension": [ {
"url": "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-populationBasis",
"valueCode": "boolean"
}, {
"url": "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem",
"valueReference": {
"reference": "Device/software-system-example"
}
}, {
"url": "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-effectiveDataRequirements",
"valueCanonical": "#effective-data-requirements"
} ],
"contained": [ {
"dataRequirement": [ {
"type": "Patient",
"profile": [ "http://hl7.org/fhir/StructureDefinition/Patient" ],
"mustSupport": [ "url", "extension", "value" ]
}, {
"type": "DiagnosticReport",
"profile": [ "http://hl7.org/fhir/StructureDefinition/DiagnosticReport" ],
"codeFilter": [ {
"path": "code",
"valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1018"
} ],
"mustSupport": [ "code", "effective", "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", "period", "status", "diagnosis" ]
}, {
"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", "period", "status", "diagnosis" ]
}, {
"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", "period", "status", "diagnosis" ]
}, {
"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", "period", "status", "diagnosis" ]
}, {
"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", "period", "status", "diagnosis" ]
}, {
"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": [ "type", "status", "hospitalization", "hospitalization.dischargeDisposition", "period", "diagnosis" ]
}, {
"type": "Encounter",
"profile": [ "http://hl7.org/fhir/StructureDefinition/Encounter" ],
"codeFilter": [ {
"path": "type",
"valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1088"
} ],
"mustSupport": [ "type", "period", "status", "diagnosis" ]
}, {
"type": "Encounter",
"profile": [ "http://hl7.org/fhir/StructureDefinition/Encounter" ],
"codeFilter": [ {
"path": "type",
"valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1087"
} ],
"mustSupport": [ "type", "period", "status", "diagnosis" ]
}, {
"type": "Encounter",
"profile": [ "http://hl7.org/fhir/StructureDefinition/Encounter" ],
"codeFilter": [ {
"path": "type",
"valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1086"
} ],
"mustSupport": [ "type", "period", "status", "diagnosis" ]
}, {
"type": "Encounter",
"profile": [ "http://hl7.org/fhir/StructureDefinition/Encounter" ],
"codeFilter": [ {
"path": "type",
"valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1085"
} ],
"mustSupport": [ "type", "period", "status", "diagnosis" ]
}, {
"type": "Encounter",
"profile": [ "http://hl7.org/fhir/StructureDefinition/Encounter" ],
"codeFilter": [ {
"path": "type",
"valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1084"
} ],
"mustSupport": [ "type", "period", "status", "diagnosis" ]
}, {
"type": "Encounter",
"profile": [ "http://hl7.org/fhir/StructureDefinition/Encounter" ],
"codeFilter": [ {
"path": "type",
"valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1083"
} ],
"mustSupport": [ "type", "diagnosis", "period", "status" ]
}, {
"type": "Encounter",
"profile": [ "http://hl7.org/fhir/StructureDefinition/Encounter" ],
"codeFilter": [ {
"path": "type",
"valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1014"
} ],
"mustSupport": [ "type", "period", "status", "diagnosis" ]
}, {
"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", "period", "status", "diagnosis" ]
}, {
"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": [ "type", "period" ]
}, {
"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", "intent", "authoredOn" ]
}, {
"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", "status", "performed" ]
}, {
"type": "Procedure",
"profile": [ "http://hl7.org/fhir/StructureDefinition/Procedure" ],
"codeFilter": [ {
"path": "code",
"valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1134"
} ],
"mustSupport": [ "code", "performed", "status" ]
}, {
"type": "Procedure",
"profile": [ "http://hl7.org/fhir/StructureDefinition/Procedure" ],
"codeFilter": [ {
"path": "code",
"valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1133"
} ],
"mustSupport": [ "code", "performed", "status" ]
}, {
"type": "Procedure",
"profile": [ "http://hl7.org/fhir/StructureDefinition/Procedure" ],
"codeFilter": [ {
"path": "code",
"valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1005"
} ],
"mustSupport": [ "code", "performed", "status" ]
}, {
"type": "Condition",
"profile": [ "http://hl7.org/fhir/StructureDefinition/Condition" ],
"codeFilter": [ {
"path": "code",
"valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1070"
} ],
"mustSupport": [ "code", "onset" ]
}, {
"type": "Condition",
"profile": [ "http://hl7.org/fhir/StructureDefinition/Condition" ],
"codeFilter": [ {
"path": "code",
"valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1069"
} ],
"mustSupport": [ "code", "onset" ]
}, {
"type": "Condition",
"profile": [ "http://hl7.org/fhir/StructureDefinition/Condition" ],
"codeFilter": [ {
"path": "code",
"valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1071"
} ],
"mustSupport": [ "code", "bodySite", "onset" ]
}, {
"type": "Condition",
"profile": [ "http://hl7.org/fhir/StructureDefinition/Condition" ],
"codeFilter": [ {
"path": "code",
"valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1068"
} ],
"mustSupport": [ "code", "onset" ]
}, {
"type": "Condition",
"profile": [ "http://hl7.org/fhir/StructureDefinition/Condition" ],
"codeFilter": [ {
"path": "code",
"valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.113.12.1074"
} ],
"mustSupport": [ "code", "onset" ]
}, {
"type": "Condition",
"profile": [ "http://hl7.org/fhir/StructureDefinition/Condition" ],
"codeFilter": [ {
"path": "code",
"valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1082"
} ],
"mustSupport": [ "code", "id", "onset" ]
}, {
"type": "DeviceRequest",
"profile": [ "http://hl7.org/fhir/StructureDefinition/DeviceRequest" ],
"codeFilter": [ {
"path": "code",
"valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.118.12.1300"
} ],
"mustSupport": [ "code", "authoredOn" ]
}, {
"type": "Observation",
"profile": [ "http://hl7.org/fhir/StructureDefinition/Observation" ],
"codeFilter": [ {
"path": "code",
"valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.113.12.1075"
} ],
"mustSupport": [ "code", "effective" ]
}, {
"type": "MedicationDispense",
"profile": [ "http://hl7.org/fhir/StructureDefinition/MedicationDispense" ],
"codeFilter": [ {
"path": "medication",
"valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.196.12.1510"
} ],
"mustSupport": [ "medication", "whenHandedOver" ]
}, {
"type": "MedicationDispense",
"profile": [ "http://hl7.org/fhir/StructureDefinition/MedicationDispense" ],
"mustSupport": [ "medication.reference", "whenHandedOver" ]
}, {
"type": "Medication",
"profile": [ "http://hl7.org/fhir/StructureDefinition/Medication" ],
"mustSupport": [ "id", "code" ]
} ],
"name": "EffectiveDataRequirements",
"type": {
"coding": [ {
"code": "module-definition",
"system": "http://terminology.hl7.org/CodeSystem/library-type"
} ]
},
"resourceType": "Library",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/cqf-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/StructureDefinition/cqf-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/StructureDefinition/cqf-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": 0
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "BCSComponent"
}, {
"url": "name",
"valueString": "SDE Sex"
}, {
"url": "statement",
"valueString": "define \"SDE Sex\":\n SDE.\"SDE Sex\""
}, {
"url": "displaySequence",
"valueInteger": 1
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/cqf-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/StructureDefinition/cqf-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "AdultOutpatientEncounters"
}, {
"url": "name",
"valueString": "Qualifying Encounters"
}, {
"url": "statement",
"valueString": "define \"Qualifying Encounters\":\n ([Encounter: \"Office Visit\"]\n union [Encounter: \"Annual Wellness Visit\"]\n union [Encounter: \"Preventive Care Services - Established Office Visit, 18 and Up\"]\n union [Encounter: \"Preventive Care Services-Initial Office Visit, 18 and Up\"]\n union [Encounter: \"Home Healthcare Services\"]\n ) ValidEncounter\n where ValidEncounter.period during \"Measurement Period\"\n and ValidEncounter.status = 'finished'"
}, {
"url": "displaySequence",
"valueInteger": 3
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/cqf-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/StructureDefinition/cqf-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "BCSComponent"
}, {
"url": "name",
"valueString": "Denominator"
}, {
"url": "statement",
"valueString": "define \"Denominator\":\n \"Initial Population\""
}, {
"url": "displaySequence",
"valueInteger": 5
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/cqf-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": 6
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "BCSComponent"
}, {
"url": "name",
"valueString": "SDE Payer"
}, {
"url": "statement",
"valueString": "define \"SDE Payer\":\n SDE.\"SDE Payer\""
}, {
"url": "displaySequence",
"valueInteger": 7
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/cqf-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": 8
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/cqf-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/StructureDefinition/cqf-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": 10
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/cqf-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": 11
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/cqf-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": 12
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/cqf-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": 13
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/cqf-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": 14
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/cqf-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": 15
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/cqf-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": 16
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/cqf-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 // DeviceUseStatement has a known issue with the publication tooling\n // so it is removed to allow this IG to publish until that is fixed\n \t\t//or 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": 17
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/cqf-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": 18
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/cqf-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": 19
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/cqf-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": 20
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/cqf-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": 21
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "AdvancedIllnessandFrailtyExclusion"
}, {
"url": "name",
"valueString": "Long Term Care Periods During Measurement Period"
}, {
"url": "statement",
"valueString": "// start here\n\ndefine \"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": 22
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/cqf-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": 23
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/cqf-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": 24
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/cqf-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": 25
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/cqf-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/StructureDefinition/cqf-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "FHIRHelpers"
}, {
"url": "name",
"valueString": "ToString"
}, {
"url": "statement",
"valueString": "define function ToString(value AdministrativeGender): value.value"
}, {
"url": "displaySequence",
"valueInteger": 27
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "MATGlobalCommonFunctions"
}, {
"url": "name",
"valueString": "Normalize Interval"
}, {
"url": "statement",
"valueString": "/*\n*\n* CQFMeasures Common Logic\n*\n*/\n\ndefine function \"Normalize Interval\"(choice Choice, FHIR.Period, FHIR.Timing, FHIR.instant, FHIR.string, FHIR.Age, FHIR.Range>):\n case\n\t when choice is FHIR.dateTime then\n \tInterval[FHIRHelpers.ToDateTime(choice as FHIR.dateTime), FHIRHelpers.ToDateTime(choice as FHIR.dateTime)]\n\t\twhen choice is FHIR.Period then\n \t\tFHIRHelpers.ToInterval(choice as FHIR.Period)\n\t\twhen choice is FHIR.instant then\n\t\t\tInterval[FHIRHelpers.ToDateTime(choice as FHIR.instant), FHIRHelpers.ToDateTime(choice as FHIR.instant)]\n\t\twhen choice is FHIR.Age then\n\t\t Interval[FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity(choice as FHIR.Age),\n\t\t\t FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity(choice as FHIR.Age) + 1 year)\n\t\twhen choice is FHIR.Range then\n\t\t Interval[FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity((choice as FHIR.Range).low),\n\t\t\t FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity((choice as FHIR.Range).high) + 1 year)\n\t\twhen choice is FHIR.Timing then\n\t\t Message(null as Interval, true, '1', 'Error', 'Cannot compute a single interval from a Timing type')\n when choice is FHIR.string then\n Message(null as Interval, true, '1', 'Error', 'Cannot compute an interval from a String value')\n\t\telse\n\t\t\tnull as Interval\n\tend"
}, {
"url": "displaySequence",
"valueInteger": 28
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "FHIRHelpers"
}, {
"url": "name",
"valueString": "ToDateTime"
}, {
"url": "statement",
"valueString": "define function ToDateTime(value dateTime): value.value"
}, {
"url": "displaySequence",
"valueInteger": 29
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "FHIRHelpers"
}, {
"url": "name",
"valueString": "ToInterval"
}, {
"url": "statement",
"valueString": "/*\n@description: Converts the given [Period](https://hl7.org/fhir/datatypes.html#Period)\nvalue to a CQL DateTime Interval\n@comment: If the start value of the given period is unspecified, the starting\nboundary of the resulting interval will be open (meaning the start of the interval\nis unknown, as opposed to interpreted as the beginning of time).\n*/\ndefine function ToInterval(period FHIR.Period):\n if period is null then\n null\n else\n if period.\"start\" is null then\n Interval(period.\"start\".value, period.\"end\".value]\n else\n Interval[period.\"start\".value, period.\"end\".value]"
}, {
"url": "displaySequence",
"valueInteger": 30
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "FHIRHelpers"
}, {
"url": "name",
"valueString": "ToDateTime"
}, {
"url": "statement",
"valueString": "define function ToDateTime(value instant): value.value"
}, {
"url": "displaySequence",
"valueInteger": 31
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "FHIRHelpers"
}, {
"url": "name",
"valueString": "ToDate"
}, {
"url": "statement",
"valueString": "define function ToDate(value date): value.value"
}, {
"url": "displaySequence",
"valueInteger": 32
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "FHIRHelpers"
}, {
"url": "name",
"valueString": "ToQuantity"
}, {
"url": "statement",
"valueString": "/*\n@description: Converts the given FHIR [Quantity](https://hl7.org/fhir/datatypes.html#Quantity) \nvalue to a CQL Quantity\n@comment: If the given quantity has a comparator specified, a runtime error is raised. If the given quantity\nhas a system other than UCUM (i.e. `http://unitsofmeasure.org`) or CQL calendar units (i.e. `http://hl7.org/fhirpath/CodeSystem/calendar-units`)\nan error is raised. For UCUM to calendar units, the `ToCalendarUnit` function is used.\n@seealso: ToCalendarUnit\n*/\ndefine function ToQuantity(quantity FHIR.Quantity):\n case\n when quantity is null then null\n when quantity.value is null then null\n when quantity.comparator is not null then\n Message(null, true, 'FHIRHelpers.ToQuantity.ComparatorQuantityNotSupported', 'Error', 'FHIR Quantity value has a comparator and cannot be converted to a System.Quantity value.')\n when quantity.system is null or quantity.system.value = 'http://unitsofmeasure.org'\n or quantity.system.value = 'http://hl7.org/fhirpath/CodeSystem/calendar-units' then\n System.Quantity { value: quantity.value.value, unit: ToCalendarUnit(Coalesce(quantity.code.value, quantity.unit.value, '1')) }\n else\n Message(null, true, 'FHIRHelpers.ToQuantity.InvalidFHIRQuantity', 'Error', 'Invalid FHIR Quantity code: ' & quantity.unit.value & ' (' & quantity.system.value & '|' & quantity.code.value & ')')\n end"
}, {
"url": "displaySequence",
"valueInteger": 33
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "FHIRHelpers"
}, {
"url": "name",
"valueString": "ToCalendarUnit"
}, {
"url": "statement",
"valueString": "/*\n@description: Converts a UCUM definite duration unit to a CQL calendar duration\nunit using conversions specified in the [quantities](https://cql.hl7.org/02-authorsguide.html#quantities) \ntopic of the CQL specification.\n@comment: Note that for durations above days (or weeks), the conversion is understood to be approximate\n*/\ndefine function ToCalendarUnit(unit System.String):\n case unit\n when 'ms' then 'millisecond'\n when 's' then 'second'\n when 'min' then 'minute'\n when 'h' then 'hour'\n when 'd' then 'day'\n when 'wk' then 'week'\n when 'mo' then 'month'\n when 'a' then 'year'\n else unit\n end"
}, {
"url": "displaySequence",
"valueInteger": 34
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "FHIRHelpers"
}, {
"url": "name",
"valueString": "ToString"
}, {
"url": "statement",
"valueString": "define function ToString(value DiagnosticReportStatus): value.value"
}, {
"url": "displaySequence",
"valueInteger": 35
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "MATGlobalCommonFunctions"
}, {
"url": "name",
"valueString": "CalendarAgeInYearsAt"
}, {
"url": "statement",
"valueString": "define function \"CalendarAgeInYearsAt\"(BirthDateTime DateTime, AsOf DateTime):\n\tyears between ToDate(BirthDateTime)and ToDate(AsOf)"
}, {
"url": "displaySequence",
"valueInteger": 36
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "MATGlobalCommonFunctions"
}, {
"url": "name",
"valueString": "ToDate"
}, {
"url": "statement",
"valueString": "define function \"ToDate\"(Value DateTime):\n\tDateTime(year from Value, month from Value, day from Value, 0, 0, 0, 0, timezoneoffset from Value)"
}, {
"url": "displaySequence",
"valueInteger": 37
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "FHIRHelpers"
}, {
"url": "name",
"valueString": "ToString"
}, {
"url": "statement",
"valueString": "define function ToString(value EncounterStatus): value.value"
}, {
"url": "displaySequence",
"valueInteger": 38
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "FHIRHelpers"
}, {
"url": "name",
"valueString": "ToString"
}, {
"url": "statement",
"valueString": "define function ToString(value uri): value.value"
}, {
"url": "displaySequence",
"valueInteger": 39
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "FHIRHelpers"
}, {
"url": "name",
"valueString": "ToConcept"
}, {
"url": "statement",
"valueString": "/*\n@description: Converts the given FHIR [CodeableConcept](https://hl7.org/fhir/datatypes.html#CodeableConcept) value to a CQL Concept.\n*/\ndefine function ToConcept(concept FHIR.CodeableConcept):\n if concept is null then\n null\n else\n System.Concept {\n codes: concept.coding C return ToCode(C),\n display: concept.text.value\n }"
}, {
"url": "displaySequence",
"valueInteger": 40
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "FHIRHelpers"
}, {
"url": "name",
"valueString": "ToCode"
}, {
"url": "statement",
"valueString": "/*\n@description: Converts the given FHIR [Coding](https://hl7.org/fhir/datatypes.html#Coding) value to a CQL Code.\n*/\ndefine function ToCode(coding FHIR.Coding):\n if coding is null then\n null\n else\n System.Code {\n code: coding.code.value,\n system: coding.system.value,\n version: coding.version.value,\n display: coding.display.value\n }"
}, {
"url": "displaySequence",
"valueInteger": 41
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "FHIRHelpers"
}, {
"url": "name",
"valueString": "ToString"
}, {
"url": "statement",
"valueString": "define function ToString(value ServiceRequestIntent): value.value"
}, {
"url": "displaySequence",
"valueInteger": 42
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "FHIRHelpers"
}, {
"url": "name",
"valueString": "ToString"
}, {
"url": "statement",
"valueString": "define function ToString(value ProcedureStatus): value.value"
}, {
"url": "displaySequence",
"valueInteger": 43
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "MATGlobalCommonFunctions"
}, {
"url": "name",
"valueString": "Prevalence Period"
}, {
"url": "statement",
"valueString": "define function \"Prevalence Period\"(condition Condition):\n Interval[start of \"Normalize Interval\"(condition.onset), end of \"Normalize Abatement\"(condition))"
}, {
"url": "displaySequence",
"valueInteger": 44
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "MATGlobalCommonFunctions"
}, {
"url": "name",
"valueString": "Normalize Abatement"
}, {
"url": "statement",
"valueString": "define function \"Normalize Abatement\"(condition Condition):\n\tif condition.abatement is FHIR.dateTime then\n\t Interval[FHIRHelpers.ToDateTime(condition.abatement as FHIR.dateTime), FHIRHelpers.ToDateTime(condition.abatement as FHIR.dateTime)]\n\telse if condition.abatement is FHIR.Period then\n\t FHIRHelpers.ToInterval(condition.abatement as FHIR.Period)\n\telse if condition.abatement is FHIR.string then\n Message(null as Interval, true, '1', 'Error', 'Cannot compute an interval from a String value')\n\telse if condition.abatement is FHIR.Age then\n\t\tInterval[FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity(condition.abatement as FHIR.Age),\n\t\t\tFHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity(condition.abatement as FHIR.Age) + 1 year)\n\telse if condition.abatement is FHIR.Range then\n\t Interval[FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity((condition.abatement as FHIR.Range).low),\n\t\t FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity((condition.abatement as FHIR.Range).high) + 1 year)\n\telse if condition.abatement is FHIR.boolean then\n\t Interval[end of \"Normalize Interval\"(condition.onset), condition.recordedDate)\n\telse null"
}, {
"url": "displaySequence",
"valueInteger": 45
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "FHIRHelpers"
}, {
"url": "name",
"valueString": "ToString"
}, {
"url": "statement",
"valueString": "define function ToString(value string): value.value"
}, {
"url": "displaySequence",
"valueInteger": 46
} ]
} ],
"status": "active",
"id": "effective-data-requirements",
"relatedArtifact": [ {
"type": "depends-on",
"display": "FHIR model information",
"resource": "http://hl7.org/fhir/uv/cql/Library/FHIR-ModelInfo|4.0.1"
}, {
"type": "depends-on",
"display": "Library SDE",
"resource": "http://hl7.org/fhir/uv/cqm/Library/SupplementalDataElements|2.0.000"
}, {
"type": "depends-on",
"display": "Library FHIRHelpers",
"resource": "http://hl7.org/fhir/uv/cql/Library/FHIRHelpers|4.0.1"
}, {
"type": "depends-on",
"display": "Library Global",
"resource": "http://hl7.org/fhir/uv/cqm/Library/MATGlobalCommonFunctions|5.0.000"
}, {
"type": "depends-on",
"display": "Library AdultOutpatientEncounters",
"resource": "http://hl7.org/fhir/uv/cqm/Library/AdultOutpatientEncounters|2.0.000"
}, {
"type": "depends-on",
"display": "Library Hospice",
"resource": "http://hl7.org/fhir/uv/cqm/Library/Hospice|2.0.000"
}, {
"type": "depends-on",
"display": "Library Frailty",
"resource": "http://hl7.org/fhir/uv/cqm/Library/AdvancedIllnessandFrailtyExclusion|5.12.000"
}, {
"type": "depends-on",
"display": "Code system SNOMEDCT:2017-09",
"resource": "http://snomed.info/sct|http://snomed.info/sct/731000124108/version/201709"
}, {
"type": "depends-on",
"display": "Value set Mammography",
"resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1018"
}, {
"type": "depends-on",
"display": "Value set Office Visit",
"resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001"
}, {
"type": "depends-on",
"display": "Value set Annual Wellness Visit",
"resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1240"
}, {
"type": "depends-on",
"display": "Value set Preventive Care Services - Established Office Visit, 18 and Up",
"resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1025"
}, {
"type": "depends-on",
"display": "Value set Preventive Care Services-Initial Office Visit, 18 and Up",
"resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1023"
}, {
"type": "depends-on",
"display": "Value set Home Healthcare Services",
"resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1016"
}, {
"type": "depends-on",
"display": "Value set Payer",
"resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591"
}, {
"type": "depends-on",
"display": "Value set Encounter Inpatient",
"resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307"
}, {
"type": "depends-on",
"display": "Value set Hospice care ambulatory",
"resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1108.15"
}, {
"type": "depends-on",
"display": "Value set Status Post Right Mastectomy",
"resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1070"
}, {
"type": "depends-on",
"display": "Value set Unilateral Mastectomy, Unspecified Laterality",
"resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1071"
}, {
"type": "depends-on",
"display": "Value set Right",
"resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.122.12.1035"
}, {
"type": "depends-on",
"display": "Value set Unilateral Mastectomy Right",
"resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1134"
}, {
"type": "depends-on",
"display": "Value set Status Post Left Mastectomy",
"resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1069"
}, {
"type": "depends-on",
"display": "Value set Left",
"resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.122.12.1036"
}, {
"type": "depends-on",
"display": "Value set Unilateral Mastectomy Left",
"resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1133"
}, {
"type": "depends-on",
"display": "Value set History of bilateral mastectomy",
"resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1068"
}, {
"type": "depends-on",
"display": "Value set Bilateral Mastectomy",
"resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1005"
}, {
"type": "depends-on",
"display": "Value set Frailty Device",
"resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.118.12.1300"
}, {
"type": "depends-on",
"display": "Value set Frailty Diagnosis",
"resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.113.12.1074"
}, {
"type": "depends-on",
"display": "Value set Frailty Encounter",
"resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1088"
}, {
"type": "depends-on",
"display": "Value set Frailty Symptom",
"resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.113.12.1075"
}, {
"type": "depends-on",
"display": "Value set Outpatient",
"resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1087"
}, {
"type": "depends-on",
"display": "Value set Observation",
"resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1086"
}, {
"type": "depends-on",
"display": "Value set ED",
"resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1085"
}, {
"type": "depends-on",
"display": "Value set Nonacute Inpatient",
"resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1084"
}, {
"type": "depends-on",
"display": "Value set Advanced Illness",
"resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1082"
}, {
"type": "depends-on",
"display": "Value set Acute Inpatient",
"resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1083"
}, {
"type": "depends-on",
"display": "Value set Dementia Medications",
"resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.196.12.1510"
}, {
"type": "depends-on",
"display": "Value set Care Services in Long-Term Residential Facility",
"resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1014"
}, {
"type": "depends-on",
"display": "Value set Nursing Facility Visit",
"resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1012"
} ],
"parameter": [ {
"max": "1",
"min": 0,
"use": "in",
"name": "Measurement Period",
"type": "Period"
}, {
"max": "1",
"min": 0,
"use": "out",
"name": "SDE Sex",
"type": "Coding"
}, {
"max": "1",
"min": 0,
"use": "out",
"name": "Numerator",
"type": "boolean"
}, {
"max": "1",
"min": 0,
"use": "out",
"name": "Denominator",
"type": "boolean"
}, {
"max": "*",
"min": 0,
"use": "out",
"name": "SDE Payer",
"type": "Resource"
}, {
"max": "1",
"min": 0,
"use": "out",
"name": "Initial Population",
"type": "boolean"
}, {
"max": "*",
"min": 0,
"use": "out",
"name": "SDE Ethnicity",
"type": "Coding"
}, {
"max": "1",
"min": 0,
"use": "out",
"name": "Denominator Exclusion",
"type": "boolean"
}, {
"max": "*",
"min": 0,
"use": "out",
"name": "SDE Race",
"type": "Coding"
} ]
} ],
"status": "active",
"language": "en",
"id": "e1b06215-7c5e-429f-a815-dd402da975a2",
"kind": null,
"url": "http://hl7.org/fhir/uv/cqm/Measure/BCSComponent",
"identifier": [ {
"use": "official",
"type": {
"coding": [ {
"code": "version-independent",
"system": "http://terminology.hl7.org/CodeSystem/artifact-identifier-type",
"display": "Version Independent"
} ]
},
"value": "http://example.org/fhir/us/cqm/Measure/BCSComponent",
"system": "urn:ietf:rfc:3986"
}, {
"use": "official",
"type": {
"coding": [ {
"code": "version-specific",
"system": "http://terminology.hl7.org/CodeSystem/artifact-identifier-type",
"display": "Version Specific"
} ]
},
"value": "http://example.org/fhir/us/cqm/Measure/125v10",
"system": "urn:ietf:rfc:3986"
}, {
"use": "usual",
"type": {
"coding": [ {
"code": "short-name",
"system": "http://terminology.hl7.org/CodeSystem/artifact-identifier-type",
"display": "Short Name"
} ]
},
"value": "Breast Cancer Screening"
}, {
"value": "urn:oid:2.16.840.1.113883.4.642.40.61.29.1",
"system": "urn:ietf:rfc:3986"
} ],
"scoring": {
"coding": [ {
"code": "proportion",
"system": "http://terminology.hl7.org/CodeSystem/measure-scoring",
"display": "Proportion"
} ]
},
"version": "0.0.001",
"contact": [ {
"telecom": [ {
"value": "http://www.hl7.org/Special/committees/cqi",
"system": "url"
} ]
} ],
"improvementNotation": {
"coding": [ {
"code": "increase",
"system": "http://terminology.hl7.org/CodeSystem/measure-improvement-notation"
} ]
},
"effectivePeriod": {
"end": "2022-12-31",
"start": "2022-01-01"
}
}