Quality Measure Implementation Guide

This page is part of the Quality Measure STU2 for FHIR R4 Implementation Guide (v0.1.0: STU 1 Ballot 1) based on FHIR R3. The current version which supercedes this version is 3.0.0. For a full list of available versions, see the Directory of published versions

AdultOutpatientEncounters_FHIR

@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:Library;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "library-adult-outpatient-encounters-FHIR"];
  fhir:Resource.meta [
     fhir:Meta.versionId [ fhir:value "3" ];
     fhir:Meta.lastUpdated [ fhir:value "2019-03-12T02:14:29.762-06:00"^^xsd:dateTime ];
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/library-cqfm";
       fhir:index 0     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"grid dict\"><tr><th scope=\"row\"><b>Id: </b></th><td style=\"padding-left: 25px; padding-right: 25px;\">Library/library-adult-outpatient-encounters-FHIR</td></tr><tr><th scope=\"row\"><b>Type: </b></th><td style=\"padding-right: 25px;\"><span><span><span style=\"padding-left: 25px;\"><b>system: </b><span>http://hl7.org/fhir/library-type</span><br/></span><span style=\"padding-left: 25px;\"><b>code: </b><span>logic-library</span></span></span></span></td></tr><tr style=\"vertical-align: top;\"><th rowspan=\"1\" scope=\"row\"><b>Identifier: </b></th><td style=\"padding-left: 25px; padding-right: 25px;\"><b>system: </b><span>http://example.org/fhir/cqi/ecqm/Library/Identifier</span><br/><b>value: </b><span>AdultOutpatientEncounters_FHIR</span></td></tr><tr><th scope=\"row\"><b>Version: </b></th><td style=\"padding-left: 25px; padding-right: 25px;\">1.1.000</td></tr><tr><th scope=\"row\"><b>Title: </b></th><td style=\"padding-left: 25px; padding-right: 25px;\">Adult Outpatient Encounters Common Library</td></tr><tr><th scope=\"row\"><b>Status: </b></th><td style=\"padding-left: 25px; padding-right: 25px;\">active</td></tr><tr><th scope=\"row\"><b>Description: </b></th><td style=\"padding-left: 25px; padding-right: 25px;\">This library is used as an example in the FHIR Quality Measure Implementation Guide</td></tr><tr style=\"vertical-align: top;\"><th rowspan=\"1\" scope=\"row\"><b>Related: </b></th><td style=\"padding-left: 25px; padding-right: 25px;\"><p style=\"margin-bottom: 5px;\"><b>type: </b><span>depends-on</span></p><p style=\"margin-bottom: 5px;\"><b>Resource: </b><br/><span><span style=\"padding-left: 25px;\"><b>reference: </b><span>Library/library-fhir-helpers</span></span></span></p></td></tr><tr style=\"vertical-align: top;\"><th rowspan=\"5\" scope=\"row\"><b>Data Requirements: </b></th><td style=\"padding-left: 25px; padding-right: 25px;\"><div xmlns=\"http://www.w3.org/1999/xhtml\"><p style=\"margin-bottom: 5px;\"><b>type: </b><span>Encounter</span></p><p style=\"margin-bottom: 5px;\"><b>code filter:</b><br/><span style=\"padding-left: 25px;\"><b>path: </b><span>type</span></span><br/><span style=\"padding-left: 25px;\"><b>valueset: </b><span>https://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001</span></span></p></div></td></tr><tr style=\"vertical-align: top;\"><td style=\"padding-left: 25px; padding-right: 25px;\"><div xmlns=\"http://www.w3.org/1999/xhtml\"><p style=\"margin-bottom: 5px;\"><b>type: </b><span>Encounter</span></p><p style=\"margin-bottom: 5px;\"><b>code filter:</b><br/><span style=\"padding-left: 25px;\"><b>path: </b><span>type</span></span><br/><span style=\"padding-left: 25px;\"><b>valueset: </b><span>https://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1240</span></span></p></div></td></tr><tr style=\"vertical-align: top;\"><td style=\"padding-left: 25px; padding-right: 25px;\"><div xmlns=\"http://www.w3.org/1999/xhtml\"><p style=\"margin-bottom: 5px;\"><b>type: </b><span>Encounter</span></p><p style=\"margin-bottom: 5px;\"><b>code filter:</b><br/><span style=\"padding-left: 25px;\"><b>path: </b><span>type</span></span><br/><span style=\"padding-left: 25px;\"><b>valueset: </b><span>https://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1025</span></span></p></div></td></tr><tr style=\"vertical-align: top;\"><td style=\"padding-left: 25px; padding-right: 25px;\"><div xmlns=\"http://www.w3.org/1999/xhtml\"><p style=\"margin-bottom: 5px;\"><b>type: </b><span>Encounter</span></p><p style=\"margin-bottom: 5px;\"><b>code filter:</b><br/><span style=\"padding-left: 25px;\"><b>path: </b><span>type</span></span><br/><span style=\"padding-left: 25px;\"><b>valueset: </b><span>https://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1023</span></span></p></div></td></tr><tr style=\"vertical-align: top;\"><td style=\"padding-left: 25px; padding-right: 25px;\"><div xmlns=\"http://www.w3.org/1999/xhtml\"><p style=\"margin-bottom: 5px;\"><b>type: </b><span>Encounter</span></p><p style=\"margin-bottom: 5px;\"><b>code filter:</b><br/><span style=\"padding-left: 25px;\"><b>path: </b><span>type</span></span><br/><span style=\"padding-left: 25px;\"><b>valueset: </b><span>https://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1016</span></span></p></div></td></tr>    <!-- Filter down to human readable content --><tr style=\"vertical-align: top;\"><th scope=\"row\"><b>Content: </b></th><td style=\"padding-left: 25px; padding-right: 25px;\"><b>type: </b><span>text/cql</span></td></tr><tr><td colspan=\"2\" style=\"padding-left: 25px; padding-right: 25px;\"><pre><code class=\"language-cql\">library AdultOutpatientEncounters_FHIR version '1.1.000'\r\n\r\n/*\r\nThis example is a work in progress and should not be considered a final specification\r\nor recommendation for guidance. This example will help guide and direct the process\r\nof finding conventions and usage patterns that meet the needs of the various stakeholders\r\nin the measure development community.\r\n*/\r\n\r\nusing FHIR version '3.0.0'\r\n\r\ninclude FHIRHelpers version '3.0.0' called FHIRHelpers\r\n\r\nvalueset \"Office Visit\": 'https://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001'\r\nvalueset \"Annual Wellness Visit\": 'https://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1240'\r\nvalueset \"Preventive Care Services - Established Office Visit, 18 and Up\": 'https://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1025'\r\nvalueset \"Preventive Care Services-Initial Office Visit, 18 and Up\": 'https://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1023'\r\nvalueset \"Home Healthcare Services\": 'https://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1016'\r\n\r\ncontext Patient\r\n\r\ndefine function \"Qualifying Encounters\"(MeasurementPeriod Interval&lt;DateTime&gt;):\r\n  ( [Encounter: \"Office Visit\"]\r\n    union [Encounter: \"Annual Wellness Visit\"]\r\n    union [Encounter: \"Preventive Care Services - Established Office Visit, 18 and Up\"]\r\n    union [Encounter: \"Preventive Care Services-Initial Office Visit, 18 and Up\"]\r\n    union [Encounter: \"Home Healthcare Services\"] ) ValidEncounter\r\n    where ValidEncounter.period during day of MeasurementPeriod\r\n      and ValidEncounter.status = 'finished'</code></pre>\r\n                    \r\n                    \r\n                </td>\r\n            </tr>\r\n        \r\n        \r\n            \r\n            \r\n        \r\n    </table>\r\n</div>"
  ];
  fhir:Library.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/Library/library-adult-outpatient-encounters-FHIR"];
  fhir:Library.identifier [
     fhir:index 0;
     fhir:Identifier.use [ fhir:value "official" ];
     fhir:Identifier.system [ fhir:value "http://example.org/fhir/cqi/ecqm/Library/Identifier" ];
     fhir:Identifier.value [ fhir:value "AdultOutpatientEncounters_FHIR" ]
  ];
  fhir:Library.version [ fhir:value "1.1.000"];
  fhir:Library.name [ fhir:value "AdultOutpatientEncounters_FHIR"];
  fhir:Library.title [ fhir:value "Adult Outpatient Encounters Common Library"];
  fhir:Library.status [ fhir:value "active"];
  fhir:Library.experimental [ fhir:value "true"^^xsd:boolean];
  fhir:Library.type [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://hl7.org/fhir/library-type" ];
       fhir:Coding.code [ fhir:value "logic-library" ]     ]
  ];
  fhir:Library.date [ fhir:value "2019-09-03"^^xsd:date];
  fhir:Library.publisher [ fhir:value "Health Level 7 International - Clinical Quality Information Work Group"];
  fhir:Library.description [ fhir:value "This library is used as an example in the FHIR Quality Measure Implementation Guide"];
  fhir:Library.approvalDate [ fhir:value "2019-08-03"^^xsd:date];
  fhir:Library.lastReviewDate [ fhir:value "2019-08-03"^^xsd:date];
  fhir:Library.contact [
     fhir:index 0;
     fhir:ContactDetail.telecom [
       fhir:index 0;
       fhir:ContactPoint.system [ fhir:value "url" ];
       fhir:ContactPoint.value [ fhir:value "http://www.hl7.org/Special/committees/cqi/index.cfm" ]     ]
  ];
  fhir:Library.relatedArtifact [
     fhir:index 0;
     fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
     fhir:RelatedArtifact.resource [
       fhir:Reference.reference [ fhir:value "Library/library-fhir-model-definition" ]     ]
  ], [
     fhir:index 1;
     fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
     fhir:RelatedArtifact.resource [
       fhir:Reference.reference [ fhir:value "Library/library-fhir-helpers" ]     ]
  ];
  fhir:Library.dataRequirement [
     fhir:index 0;
     fhir:DataRequirement.type [ fhir:value "Encounter" ];
     fhir:DataRequirement.codeFilter [
       fhir:index 0;
       fhir:DataRequirement.codeFilter.path [ fhir:value "type" ];
       fhir:DataRequirement.codeFilter.valueSetString [ fhir:value "https://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001" ]     ]
  ], [
     fhir:index 1;
     fhir:DataRequirement.type [ fhir:value "Encounter" ];
     fhir:DataRequirement.codeFilter [
       fhir:index 0;
       fhir:DataRequirement.codeFilter.path [ fhir:value "type" ];
       fhir:DataRequirement.codeFilter.valueSetString [ fhir:value "https://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1240" ]     ]
  ], [
     fhir:index 2;
     fhir:DataRequirement.type [ fhir:value "Encounter" ];
     fhir:DataRequirement.codeFilter [
       fhir:index 0;
       fhir:DataRequirement.codeFilter.path [ fhir:value "type" ];
       fhir:DataRequirement.codeFilter.valueSetString [ fhir:value "https://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1025" ]     ]
  ], [
     fhir:index 3;
     fhir:DataRequirement.type [ fhir:value "Encounter" ];
     fhir:DataRequirement.codeFilter [
       fhir:index 0;
       fhir:DataRequirement.codeFilter.path [ fhir:value "type" ];
       fhir:DataRequirement.codeFilter.valueSetString [ fhir:value "https://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1023" ]     ]
  ], [
     fhir:index 4;
     fhir:DataRequirement.type [ fhir:value "Encounter" ];
     fhir:DataRequirement.codeFilter [
       fhir:index 0;
       fhir:DataRequirement.codeFilter.path [ fhir:value "type" ];
       fhir:DataRequirement.codeFilter.valueSetString [ fhir:value "https://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1016" ]     ]
  ];
  fhir:Library.content [
     fhir:index 0;
     fhir:Attachment.contentType [ fhir:value "text/cql" ];
     fhir:Attachment.data [ fhir:value "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"^^xsd:base64Binary ]
  ], [
     fhir:index 1;
     fhir:Attachment.contentType [ fhir:value "application/elm+xml" ];
     fhir:Attachment.data [ fhir:value "<?xml version="1.0" encoding="UTF-8"?>
<library xmlns="urn:hl7-org:elm:r1" xmlns:t="urn:hl7-org:elm-types:r1" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:xsd="http://www.w3.org/2001/XMLSchema" xmlns:fhir="http://hl7.org/fhir" xmlns:qdm43="urn:healthit-gov:qdm:v4_3" xmlns:qdm53="urn:healthit-gov:qdm:v5_3" xmlns:a="urn:hl7-org:cql-annotations:r1">
   <identifier id="AdultOutpatientEncounters_FHIR" version="1.1.000"/>
   <schemaIdentifier id="urn:hl7-org:elm" version="r1"/>
   <usings>
      <def localIdentifier="System" uri="urn:hl7-org:elm-types:r1"/>
      <def localId="1" localIdentifier="FHIR" uri="http://hl7.org/fhir" version="3.0.0"/>
   </usings>
   <includes>
      <def localId="2" localIdentifier="FHIRHelpers" path="FHIRHelpers" version="3.0.0"/>
   </includes>
   <valueSets>
      <def localId="3" name="Office Visit" id="https://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001" accessLevel="Public"/>
      <def localId="4" name="Annual Wellness Visit" id="https://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1240" accessLevel="Public"/>
      <def localId="5" name="Preventive Care Services - Established Office Visit, 18 and Up" id="https://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1025" accessLevel="Public"/>
      <def localId="6" name="Preventive Care Services-Initial Office Visit, 18 and Up" id="https://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1023" accessLevel="Public"/>
      <def localId="7" name="Home Healthcare Services" id="https://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1016" accessLevel="Public"/>
   </valueSets>
   <statements>
      <def name="Patient" context="Patient">
         <expression xsi:type="SingletonFrom">
            <operand dataType="fhir:Patient" xsi:type="Retrieve"/>
         </expression>
      </def>
      <def localId="30" name="Qualifying Encounters" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <annotation xsi:type="a:Annotation">
            <a:s r="30">
               <a:s>define function &quot;Qualifying Encounters&quot;(MeasurementPeriod </a:s>
               <a:s r="9">
                  <a:s>Interval&lt;</a:s>
                  <a:s r="8">
                     <a:s>DateTime</a:s>
                  </a:s>
                  <a:s>></a:s>
               </a:s>
               <a:s>):&#xd;
  </a:s>
               <a:s r="29">
                  <a:s r="29">
                     <a:s>
                        <a:s r="19">
                           <a:s r="18">
                              <a:s>( </a:s>
                              <a:s r="18">
                                 <a:s r="16">
                                    <a:s r="14">
                                       <a:s r="12">
                                          <a:s r="10">
                                             <a:s>[Encounter: </a:s>
                                             <a:s>
                                                <a:s>&quot;Office Visit&quot;</a:s>
                                             </a:s>
                                             <a:s>]</a:s>
                                          </a:s>
                                          <a:s>&#xd;
    union </a:s>
                                          <a:s r="11">
                                             <a:s>[Encounter: </a:s>
                                             <a:s>
                                                <a:s>&quot;Annual Wellness Visit&quot;</a:s>
                                             </a:s>
                                             <a:s>]</a:s>
                                          </a:s>
                                       </a:s>
                                       <a:s>&#xd;
    union </a:s>
                                       <a:s r="13">
                                          <a:s>[Encounter: </a:s>
                                          <a:s>
                                             <a:s>&quot;Preventive Care Services - Established Office Visit, 18 and Up&quot;</a:s>
                                          </a:s>
                                          <a:s>]</a:s>
                                       </a:s>
                                    </a:s>
                                    <a:s>&#xd;
    union </a:s>
                                    <a:s r="15">
                                       <a:s>[Encounter: </a:s>
                                       <a:s>
                                          <a:s>&quot;Preventive Care Services-Initial Office Visit, 18 and Up&quot;</a:s>
                                       </a:s>
                                       <a:s>]</a:s>
                                    </a:s>
                                 </a:s>
                                 <a:s>&#xd;
    union </a:s>
                                 <a:s r="17">
                                    <a:s>[Encounter: </a:s>
                                    <a:s>
                                       <a:s>&quot;Home Healthcare Services&quot;</a:s>
                                    </a:s>
                                    <a:s>]</a:s>
                                 </a:s>
                              </a:s>
                              <a:s> )</a:s>
                           </a:s>
                           <a:s> ValidEncounter</a:s>
                        </a:s>
                     </a:s>
                     <a:s>&#xd;
    </a:s>
                     <a:s r="28">
                        <a:s>where </a:s>
                        <a:s r="28">
                           <a:s r="23">
                              <a:s r="21">
                                 <a:s r="20">
                                    <a:s>ValidEncounter</a:s>
                                 </a:s>
                                 <a:s>.</a:s>
                                 <a:s r="21">
                                    <a:s>period</a:s>
                                 </a:s>
                              </a:s>
                              <a:s r="23"> during day of </a:s>
                              <a:s r="22">
                                 <a:s>MeasurementPeriod</a:s>
                              </a:s>
                           </a:s>
                           <a:s>&#xd;
      and </a:s>
                           <a:s r="27">
                              <a:s r="25">
                                 <a:s r="24">
                                    <a:s>ValidEncounter</a:s>
                                 </a:s>
                                 <a:s>.</a:s>
                                 <a:s r="25">
                                    <a:s>status</a:s>
                                 </a:s>
                              </a:s>
                              <a:s> = </a:s>
                              <a:s r="26">
                                 <a:s>'finished'</a:s>
                              </a:s>
                           </a:s>
                        </a:s>
                     </a:s>
                  </a:s>
               </a:s>
            </a:s>
         </annotation>
         <expression localId="29" xsi:type="Query">
            <source localId="19" alias="ValidEncounter">
               <expression localId="18" xsi:type="Union">
                  <operand localId="16" xsi:type="Union">
                     <operand localId="12" xsi:type="Union">
                        <operand localId="10" dataType="fhir:Encounter" codeProperty="type" xsi:type="Retrieve">
                           <codes name="Office Visit" xsi:type="ValueSetRef"/>
                        </operand>
                        <operand localId="11" dataType="fhir:Encounter" codeProperty="type" xsi:type="Retrieve">
                           <codes name="Annual Wellness Visit" xsi:type="ValueSetRef"/>
                        </operand>
                     </operand>
                     <operand xsi:type="Union">
                        <operand localId="13" dataType="fhir:Encounter" codeProperty="type" xsi:type="Retrieve">
                           <codes name="Preventive Care Services - Established Office Visit, 18 and Up" xsi:type="ValueSetRef"/>
                        </operand>
                        <operand localId="15" dataType="fhir:Encounter" codeProperty="type" xsi:type="Retrieve">
                           <codes name="Preventive Care Services-Initial Office Visit, 18 and Up" xsi:type="ValueSetRef"/>
                        </operand>
                     </operand>
                  </operand>
                  <operand localId="17" dataType="fhir:Encounter" codeProperty="type" xsi:type="Retrieve">
                     <codes name="Home Healthcare Services" xsi:type="ValueSetRef"/>
                  </operand>
               </expression>
            </source>
            <where localId="28" xsi:type="And">
               <operand localId="23" precision="Day" xsi:type="In">
                  <operand localId="21" path="period" scope="ValidEncounter" xsi:type="Property"/>
                  <operand localId="22" name="MeasurementPeriod" xsi:type="OperandRef"/>
               </operand>
               <operand localId="27" xsi:type="Equal">
                  <operand name="ToString" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                     <operand localId="25" path="status" scope="ValidEncounter" xsi:type="Property"/>
                  </operand>
                  <operand localId="26" valueType="t:String" value="finished" xsi:type="Literal"/>
               </operand>
            </where>
         </expression>
         <operand name="MeasurementPeriod">
            <operandTypeSpecifier localId="9" xsi:type="IntervalTypeSpecifier">
               <pointType localId="8" name="t:DateTime" xsi:type="NamedTypeSpecifier"/>
            </operandTypeSpecifier>
         </operand>
      </def>
   </statements>
</library>
"^^xsd:base64Binary ]
  ].

# - ontology header ------------------------------------------------------------

 a owl:Ontology;
  owl:imports fhir:fhir.ttl.