{
"description": "This library is used as an example module definition in the FHIR Quality Measure Implementation Guide",
"_filename": "Library-effective-data-requirements-exm146.json",
"package_name": "hl7.fhir.us.cqfmeasures.r4b",
"date": "2022-02-22T10:37:03-07:00",
"dataRequirement": [ {
"type": "Condition",
"profile": [ "http://hl7.org/fhir/StructureDefinition/Condition" ],
"codeFilter": [ {
"path": "code",
"valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.102.12.1011"
} ],
"mustSupport": [ "code" ]
}, {
"type": "Condition",
"profile": [ "http://hl7.org/fhir/StructureDefinition/Condition" ],
"codeFilter": [ {
"path": "code",
"valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.102.12.1012"
} ],
"mustSupport": [ "code" ]
}, {
"type": "Observation",
"profile": [ "http://hl7.org/fhir/StructureDefinition/Observation" ],
"codeFilter": [ {
"path": "code",
"valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1012"
} ],
"mustSupport": [ "effective", "code", "value" ]
}, {
"type": "Patient",
"profile": [ "http://hl7.org/fhir/StructureDefinition/Patient" ]
}, {
"type": "Encounter",
"profile": [ "http://hl7.org/fhir/StructureDefinition/Encounter" ],
"codeFilter": [ {
"path": "type",
"valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1061"
} ],
"mustSupport": [ "period", "type", "status" ]
}, {
"type": "MedicationRequest",
"profile": [ "http://hl7.org/fhir/StructureDefinition/MedicationRequest" ],
"codeFilter": [ {
"path": "medication",
"valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.196.12.1001"
} ],
"mustSupport": [ "authoredOn", "medication", "intent", "status" ]
} ],
"meta": {
"profile": [ "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-moduledefinitionlibrary" ]
},
"publisher": "HL7 International / Clinical Quality Information",
"jurisdiction": [ {
"coding": [ {
"code": "US",
"system": "urn:iso:std:iso:3166"
} ]
} ],
"name": "EffectiveDataRequirements",
"type": "{:coding [{:system \\\"http://terminology.hl7.org/CodeSystem/library-type\\\", :code \\\"module-definition\\\"}]}",
"experimental": null,
"resourceType": "Library",
"title": "Module Definition Library - EXM146",
"package_version": "5.0.0-ballot2",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
"valueCoding": {
"code": "active",
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical"
}
}, {
"url": "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
"valueCoding": {
"code": "confirmed",
"system": "http://terminology.hl7.org/CodeSystem/condition-ver-status"
}
}, {
"url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "EXM146-FHIR"
}, {
"url": "name",
"valueString": "Is Between 2 and 17 Years of Age at Start of Measurement Period"
}, {
"url": "statement",
"valueString": "// Region: Initial Population\ndefine \"Is Between 2 and 17 Years of Age at Start of Measurement Period\":\n AgeInYearsAt(start of \"Measurement Period\") >= 2\n and AgeInYearsAt(start of \"Measurement Period\") <= 17"
}, {
"url": "displaySequence",
"valueInteger": 0
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "EXM146-FHIR"
}, {
"url": "name",
"valueString": "Measurement Period Encounters"
}, {
"url": "statement",
"valueString": "define \"Measurement Period Encounters\":\n [Encounter: \"Ambulatory/ED Visit\"] Encounter\n where Encounter.period during \"Measurement Period\"\n and Encounter.status = 'finished'\n and \"Is Between 2 and 17 Years of Age at Start of Measurement Period\""
}, {
"url": "displaySequence",
"valueInteger": 1
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "EXM146-FHIR"
}, {
"url": "name",
"valueString": "Pharyngitis"
}, {
"url": "statement",
"valueString": "define \"Pharyngitis\":\n ([Condition: code in \"Acute Pharyngitis\"]\n union [Condition: code in \"Acute Tonsillitis\"]) Pharyngitis\n where Pharyngitis.clinicalStatus ~ Global.active\n and Pharyngitis.verificationStatus ~ Global.confirmed"
}, {
"url": "displaySequence",
"valueInteger": 2
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "EXM146-FHIR"
}, {
"url": "name",
"valueString": "Antibiotics"
}, {
"url": "statement",
"valueString": "define \"Antibiotics\":\n [MedicationRequest: medication in \"Antibiotic Medications\"] Prescription\n where Prescription.status = 'active'\n and Prescription.intent = 'order'"
}, {
"url": "displaySequence",
"valueInteger": 3
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "EXM146-FHIR"
}, {
"url": "name",
"valueString": "Pharyngitis Encounters With Antibiotics"
}, {
"url": "statement",
"valueString": "define \"Pharyngitis Encounters With Antibiotics\":\n \"Measurement Period Encounters\" Encounters\n with \"Pharyngitis\" Pharyngitis such that\n Common.\"Includes Or Starts During\"(Pharyngitis, Encounters)\n with \"Antibiotics\" Antibiotics such that Antibiotics.authoredOn\n 3 days or less after FHIRHelpers.ToInterval(Encounters.period)"
}, {
"url": "displaySequence",
"valueInteger": 4
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "EXM146-FHIR"
}, {
"url": "name",
"valueString": "Strep Test Encounters"
}, {
"url": "statement",
"valueString": "// EndRegion: Denominator Exclusions\n\n// Region: Denominator Exceptions\n\n// None\n\n// EndRegion: Denominator Exceptions\n\n// Region: Numerator\ndefine \"Strep Test Encounters\":\n \"Pharyngitis Encounters With Antibiotics\" Encounters\n with [Observation: code in \"Group A Streptococcus Test\"] Tests\n such that Tests.value is not null\n and Tests.effective starts during\n Interval[start of FHIRHelpers.ToInterval(Encounters.period) - 3 days,\n end of FHIRHelpers.ToInterval(Encounters.period) + 3 days]"
}, {
"url": "displaySequence",
"valueInteger": 5
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "EXM146-FHIR"
}, {
"url": "name",
"valueString": "Numerator"
}, {
"url": "statement",
"valueString": "define \"Numerator\":\n \"Strep Test Encounters\""
}, {
"url": "displaySequence",
"valueInteger": 6
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "EXM146-FHIR"
}, {
"url": "name",
"valueString": "Initial Population"
}, {
"url": "statement",
"valueString": "define \"Initial Population\":\n \"Pharyngitis Encounters With Antibiotics\""
}, {
"url": "displaySequence",
"valueInteger": 7
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
"valueCode": "cqi"
} ],
"status": "active",
"id": "f4b276be-b1d9-46ea-b7c5-67f003ff860c",
"kind": null,
"url": "http://hl7.org/fhir/us/cqfmeasures/Library/effective-data-requirements-exm146",
"version": "1.0.0",
"relatedArtifact": [ {
"type": "depends-on",
"display": "Library FHIRHelpers",
"resource": "http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1"
}, {
"type": "depends-on",
"display": "Library Global",
"resource": "http://hl7.org/fhir/us/cqfmeasures/Library/MATGlobalCommonFunctions|5.0.000"
}, {
"type": "depends-on",
"display": "Library Common",
"resource": "http://hl7.org/fhir/us/cqfmeasures/Library/Common|2.0.0"
}, {
"type": "depends-on",
"display": "Code system ConditionClinicalStatusCodes",
"resource": "http://terminology.hl7.org/CodeSystem/condition-clinical"
}, {
"type": "depends-on",
"display": "Code system ConditionVerificationStatusCodes",
"resource": "http://terminology.hl7.org/CodeSystem/condition-ver-status"
}, {
"type": "depends-on",
"display": "Value set Ambulatory/ED Visit",
"resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1061"
}, {
"type": "depends-on",
"display": "Value set Acute Pharyngitis",
"resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.102.12.1011"
}, {
"type": "depends-on",
"display": "Value set Acute Tonsillitis",
"resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.102.12.1012"
}, {
"type": "depends-on",
"display": "Value set Antibiotic Medications",
"resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.196.12.1001"
}, {
"type": "depends-on",
"display": "Value set Group A Streptococcus Test",
"resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1012"
} ],
"contact": [ {
"telecom": [ {
"value": "http://www.hl7.org/Special/committees/cqi",
"system": "url"
} ]
} ],
"parameter": [ {
"max": "1",
"min": 0,
"use": "in",
"name": "Measurement Period",
"type": "Period"
}, {
"max": "*",
"min": 0,
"use": "out",
"name": "Numerator",
"type": "Encounter"
}, {
"max": "*",
"min": 0,
"use": "out",
"name": "Initial Population",
"type": "Encounter"
} ]
}