Quality Measure Implementation Guide (STU5)
5.0.0-ballot2 - ballot
Quality Measure Implementation Guide (STU5)
5.0.0-ballot2 - ballot
This page is part of the Quality Measure STU2 for FHIR R4 Implementation Guide (v5.0.0-ballot2: STU5 (v5.0.0) Ballot 2) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 4.0.0. For a full list of available versions, see the Directory of published versions
| Active as of 2022-02-22 |
<Library xmlns="http://hl7.org/fhir">
<id value="effective-data-requirements-exm146"/>
<meta>
<profile
value="http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-moduledefinitionlibrary"/>
</meta>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<table class="grid dict">
<tr>
<th scope="row"><b>Title: </b></th>
<td style="padding-left: 4px;">Module Definition Library - EXM146</td>
</tr>
<tr>
<th scope="row"><b>Id: </b></th>
<td style="padding-left: 4px;">effective-data-requirements-exm146</td>
</tr>
<tr>
<th scope="row"><b>Version: </b></th>
<td style="padding-left: 4px;">1.0.0</td>
</tr>
<tr>
<th scope="row"><b>Url: </b></th>
<td style="padding-left: 4px;"><a href="Library-effective-data-requirements-exm146.html">Module Definition Library - EXM146</a></td>
</tr>
<tr>
<th scope="row"><b>Type: </b></th>
<td style="padding-left: 4px;">
<p style="margin-bottom: 5px;">
<b>system: </b> <span><a href="http://terminology.hl7.org/5.5.0/CodeSystem-library-type.html">LibraryType</a></span>
</p>
<p style="margin-bottom: 5px;">
<b>code: </b> <span>module-definition</span>
</p>
</td>
</tr>
<tr>
<th scope="row"><b>Date: </b></th>
<td style="padding-left: 4px;">2022-02-22 10:37:03-0700</td>
</tr>
<tr>
<th scope="row"><b>Publisher: </b></th>
<td style="padding-left: 4px;">HL7 International / Clinical Quality Information</td>
</tr>
<tr>
<th scope="row"><b>Description: </b></th>
<td style="padding-left: 4px;"><div><p>This library is used as an example module definition in the FHIR Quality Measure Implementation Guide</p>
</div></td>
</tr>
<tr>
<th scope="row"><b>Jurisdiction: </b></th>
<td style="padding-left: 4px;">US</td>
</tr>
<tr>
<th scope="row"><b>Related Artifacts: </b></th>
<td style="padding-left: 4px;">
<p><b>Dependencies</b></p>
<ul>
<li><a href="http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1">http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1</a></li>
<li><a href="Library-MATGlobalCommonFunctions.html">MAT Global Common Functions FHIR Library</a></li>
<li><a href="Library-Common.html">Common Library</a></li>
<li><a href="http://terminology.hl7.org/5.5.0/CodeSystem-condition-clinical.html">Condition Clinical Status Codes</a></li>
<li><a href="http://terminology.hl7.org/5.5.0/CodeSystem-condition-ver-status.html">ConditionVerificationStatus</a></li>
<li><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.101.12.1061/expansion">Ambulatory/ED Visit</a></li>
<li><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.102.12.1011/expansion">Acute Pharyngitis</a></li>
<li><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.102.12.1012/expansion">Acute Tonsillitis</a></li>
<li><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.196.12.1001/expansion">Antibiotic Medications for Pharyngitis</a></li>
<li><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.198.12.1012/expansion">Group A Streptococcus Test</a></li>
</ul>
</td>
</tr>
<tr>
<th scope="row"><b>Parameters: </b></th>
<td style="padding-left: 4px;">
<table class="grid-dict">
<tr><th><b>Name</b></th><th><b>Type</b></th><th><b>Min</b></th><th><b>Max</b></th><th><b>In/Out</b></th></tr>
<tr><th>Measurement Period</th><th>Period</th><th>0</th><th>1</th><th>in</th></tr>
<tr><th>Numerator</th><th>Encounter</th><th>0</th><th>*</th><th>out</th></tr>
<tr><th>Initial Population</th><th>Encounter</th><th>0</th><th>*</th><th>out</th></tr>
</table>
</td>
</tr>
<tr>
<th scope="row"><b>Data Requirements:</b></th>
<td style="padding-left: 4px;">
<table class="grid-dict">
<tr><th><b>Type</b></th><th><b>Profile</b></th><th><b>MS</b></th><th><b>Code Filter</b></th></tr>
<tr>
<th>Condition</th>
<th>http://hl7.org/fhir/StructureDefinition/Condition</th>
<th>;</th>
<th>
<b>code filter: </b>
<br/>
<span style="padding-left: 4px;">
<b>path: </b><span>code</span>
</span>
<br/>
<span style="padding-left: 4px;">
<b>value set: </b><span>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.102.12.1011</span>
</span>
</th>
</tr>
<tr>
<th>Condition</th>
<th>http://hl7.org/fhir/StructureDefinition/Condition</th>
<th>;</th>
<th>
<b>code filter: </b>
<br/>
<span style="padding-left: 4px;">
<b>path: </b><span>code</span>
</span>
<br/>
<span style="padding-left: 4px;">
<b>value set: </b><span>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.102.12.1012</span>
</span>
</th>
</tr>
<tr>
<th>Observation</th>
<th>http://hl7.org/fhir/StructureDefinition/Observation</th>
<th>;;;</th>
<th>
<b>code filter: </b>
<br/>
<span style="padding-left: 4px;">
<b>path: </b><span>code</span>
</span>
<br/>
<span style="padding-left: 4px;">
<b>value set: </b><span>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1012</span>
</span>
</th>
</tr>
<tr>
<th>Patient</th>
<th>http://hl7.org/fhir/StructureDefinition/Patient</th>
<th/>
<th>
</th>
</tr>
<tr>
<th>Encounter</th>
<th>http://hl7.org/fhir/StructureDefinition/Encounter</th>
<th>;;;</th>
<th>
<b>code filter: </b>
<br/>
<span style="padding-left: 4px;">
<b>path: </b><span>type</span>
</span>
<br/>
<span style="padding-left: 4px;">
<b>value set: </b><span>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1061</span>
</span>
</th>
</tr>
<tr>
<th>MedicationRequest</th>
<th>http://hl7.org/fhir/StructureDefinition/MedicationRequest</th>
<th>;;;;</th>
<th>
<b>code filter: </b>
<br/>
<span style="padding-left: 4px;">
<b>path: </b><span>medication</span>
</span>
<br/>
<span style="padding-left: 4px;">
<b>value set: </b><span>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.196.12.1001</span>
</span>
</th>
</tr>
</table>
</td>
</tr>
</table>
</div>
</text>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
<valueCoding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
<code value="active"/>
</valueCoding>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
<valueCoding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-ver-status"/>
<code value="confirmed"/>
</valueCoding>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="EXM146-FHIR"/>
</extension>
<extension url="name">
<valueString
value="Is Between 2 and 17 Years of Age at Start of Measurement Period"/>
</extension>
<extension url="statement">
<valueString
value="// Region: Initial Population
define "Is Between 2 and 17 Years of Age at Start of Measurement Period":
AgeInYearsAt(start of "Measurement Period") >= 2
and AgeInYearsAt(start of "Measurement Period") <= 17"/>
</extension>
<extension url="displaySequence">
<valueInteger value="0"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="EXM146-FHIR"/>
</extension>
<extension url="name">
<valueString value="Measurement Period Encounters"/>
</extension>
<extension url="statement">
<valueString
value="define "Measurement Period Encounters":
[Encounter: "Ambulatory/ED Visit"] Encounter
where Encounter.period during "Measurement Period"
and Encounter.status = 'finished'
and "Is Between 2 and 17 Years of Age at Start of Measurement Period""/>
</extension>
<extension url="displaySequence">
<valueInteger value="1"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="EXM146-FHIR"/>
</extension>
<extension url="name">
<valueString value="Pharyngitis"/>
</extension>
<extension url="statement">
<valueString
value="define "Pharyngitis":
([Condition: code in "Acute Pharyngitis"]
union [Condition: code in "Acute Tonsillitis"]) Pharyngitis
where Pharyngitis.clinicalStatus ~ Global.active
and Pharyngitis.verificationStatus ~ Global.confirmed"/>
</extension>
<extension url="displaySequence">
<valueInteger value="2"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="EXM146-FHIR"/>
</extension>
<extension url="name">
<valueString value="Antibiotics"/>
</extension>
<extension url="statement">
<valueString
value="define "Antibiotics":
[MedicationRequest: medication in "Antibiotic Medications"] Prescription
where Prescription.status = 'active'
and Prescription.intent = 'order'"/>
</extension>
<extension url="displaySequence">
<valueInteger value="3"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="EXM146-FHIR"/>
</extension>
<extension url="name">
<valueString value="Pharyngitis Encounters With Antibiotics"/>
</extension>
<extension url="statement">
<valueString
value="define "Pharyngitis Encounters With Antibiotics":
"Measurement Period Encounters" Encounters
with "Pharyngitis" Pharyngitis such that
Common."Includes Or Starts During"(Pharyngitis, Encounters)
with "Antibiotics" Antibiotics such that Antibiotics.authoredOn
3 days or less after FHIRHelpers.ToInterval(Encounters.period)"/>
</extension>
<extension url="displaySequence">
<valueInteger value="4"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="EXM146-FHIR"/>
</extension>
<extension url="name">
<valueString value="Strep Test Encounters"/>
</extension>
<extension url="statement">
<valueString
value="// EndRegion: Denominator Exclusions
// Region: Denominator Exceptions
// None
// EndRegion: Denominator Exceptions
// Region: Numerator
define "Strep Test Encounters":
"Pharyngitis Encounters With Antibiotics" Encounters
with [Observation: code in "Group A Streptococcus Test"] Tests
such that Tests.value is not null
and Tests.effective starts during
Interval[start of FHIRHelpers.ToInterval(Encounters.period) - 3 days,
end of FHIRHelpers.ToInterval(Encounters.period) + 3 days]"/>
</extension>
<extension url="displaySequence">
<valueInteger value="5"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="EXM146-FHIR"/>
</extension>
<extension url="name">
<valueString value="Numerator"/>
</extension>
<extension url="statement">
<valueString
value="define "Numerator":
"Strep Test Encounters""/>
</extension>
<extension url="displaySequence">
<valueInteger value="6"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="EXM146-FHIR"/>
</extension>
<extension url="name">
<valueString value="Initial Population"/>
</extension>
<extension url="statement">
<valueString
value="define "Initial Population":
"Pharyngitis Encounters With Antibiotics""/>
</extension>
<extension url="displaySequence">
<valueInteger value="7"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
<valueCode value="cqi"/>
</extension>
<url
value="http://hl7.org/fhir/us/cqfmeasures/Library/effective-data-requirements-exm146"/>
<version value="1.0.0"/>
<name value="EffectiveDataRequirements"/>
<title value="Module Definition Library - EXM146"/>
<status value="active"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/library-type"/>
<code value="module-definition"/>
</coding>
</type>
<date value="2022-02-22T10:37:03-07:00"/>
<publisher value="HL7 International / Clinical Quality Information"/>
<contact>
<telecom>
<system value="url"/>
<value value="http://www.hl7.org/Special/committees/cqi"/>
</telecom>
</contact>
<description
value="This library is used as an example module definition in the FHIR Quality Measure Implementation Guide"/>
<jurisdiction>
<coding>
<system value="urn:iso:std:iso:3166"/>
<code value="US"/>
</coding>
</jurisdiction>
<relatedArtifact>
<type value="depends-on"/>
<display value="Library FHIRHelpers"/>
<resource
value="http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Library Global"/>
<resource
value="http://hl7.org/fhir/us/cqfmeasures/Library/MATGlobalCommonFunctions|5.0.000"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Library Common"/>
<resource
value="http://hl7.org/fhir/us/cqfmeasures/Library/Common|2.0.0"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Code system ConditionClinicalStatusCodes"/>
<resource
value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Code system ConditionVerificationStatusCodes"/>
<resource
value="http://terminology.hl7.org/CodeSystem/condition-ver-status"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Value set Ambulatory/ED Visit"/>
<resource
value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1061"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Value set Acute Pharyngitis"/>
<resource
value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.102.12.1011"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Value set Acute Tonsillitis"/>
<resource
value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.102.12.1012"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Value set Antibiotic Medications"/>
<resource
value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.196.12.1001"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Value set Group A Streptococcus Test"/>
<resource
value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1012"/>
</relatedArtifact>
<parameter>
<name value="Measurement Period"/>
<use value="in"/>
<min value="0"/>
<max value="1"/>
<type value="Period"/>
</parameter>
<parameter>
<name value="Numerator"/>
<use value="out"/>
<min value="0"/>
<max value="*"/>
<type value="Encounter"/>
</parameter>
<parameter>
<name value="Initial Population"/>
<use value="out"/>
<min value="0"/>
<max value="*"/>
<type value="Encounter"/>
</parameter>
<dataRequirement>
<type value="Condition"/>
<profile value="http://hl7.org/fhir/StructureDefinition/Condition"/>
<mustSupport value="code"/>
<codeFilter>
<path value="code"/>
<valueSet
value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.102.12.1011"/>
</codeFilter>
</dataRequirement>
<dataRequirement>
<type value="Condition"/>
<profile value="http://hl7.org/fhir/StructureDefinition/Condition"/>
<mustSupport value="code"/>
<codeFilter>
<path value="code"/>
<valueSet
value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.102.12.1012"/>
</codeFilter>
</dataRequirement>
<dataRequirement>
<type value="Observation"/>
<profile value="http://hl7.org/fhir/StructureDefinition/Observation"/>
<mustSupport value="effective"/>
<mustSupport value="code"/>
<mustSupport value="value"/>
<codeFilter>
<path value="code"/>
<valueSet
value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1012"/>
</codeFilter>
</dataRequirement>
<dataRequirement>
<type value="Patient"/>
<profile value="http://hl7.org/fhir/StructureDefinition/Patient"/>
</dataRequirement>
<dataRequirement>
<type value="Encounter"/>
<profile value="http://hl7.org/fhir/StructureDefinition/Encounter"/>
<mustSupport value="period"/>
<mustSupport value="type"/>
<mustSupport value="status"/>
<codeFilter>
<path value="type"/>
<valueSet
value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1061"/>
</codeFilter>
</dataRequirement>
<dataRequirement>
<type value="MedicationRequest"/>
<profile
value="http://hl7.org/fhir/StructureDefinition/MedicationRequest"/>
<mustSupport value="authoredOn"/>
<mustSupport value="medication"/>
<mustSupport value="intent"/>
<mustSupport value="status"/>
<codeFilter>
<path value="medication"/>
<valueSet
value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.196.12.1001"/>
</codeFilter>
</dataRequirement>
</Library>
IG © 2019+ HL7 International / Clinical Quality Information. Package hl7.fhir.us.cqfmeasures#5.0.0-ballot2 based on FHIR 4.0.1. Generated 2024-04-09
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