Quality Measure STU1 for FHIR STU3 Implementation Guide

This page is part of the Quality Measure STU2 for FHIR R4 Implementation Guide (v1.0.0: STU 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

Hospice_FHIR


<Library xmlns="http://hl7.org/fhir">
  <id value="hospice-fhir"/>
  <meta>
    <versionId value="3"/>
    <lastUpdated value="2019-03-12T04:15:26.111-04:00"/>
    <profile
             value="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/library-cqfm"/>
  </meta>
  <text>
    <status value="generated"/>
    <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;">hospice-fhir</td></tr><tr><th scope="row"><b>Type: </b></th><td style="padding-right: 25px;"><span><br/><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><th scope="row"><b>Version: </b></th><td style="padding-left: 25px; padding-right: 25px;">1.0.000</td></tr><tr><th scope="row"><b>Status: </b></th><td style="padding-left: 25px; padding-right: 25px;">active</td></tr><tr style="vertical-align: top;"><th rowspan="2" 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/matglobalcommonfunctions-fhir</span></span></span></p></td></tr><tr style="vertical-align: top;"><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/fhirhelpers</span></span></span></p></td></tr><tr style="vertical-align: top;"><th rowspan="8" 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>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307</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>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.292</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>Condition</span></p><p style="margin-bottom: 5px;"><b>code filter:</b><br/><span style="padding-left: 25px;"><b>path: </b><span>id</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>Condition</span></p><p style="margin-bottom: 5px;"><b>code filter:</b><br/><span style="padding-left: 25px;"><b>path: </b><span>id</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>Location</span></p><p style="margin-bottom: 5px;"><b>code filter:</b><br/><span style="padding-left: 25px;"><b>path: </b><span>id</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>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307</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>ProcedureRequest</span></p><p style="margin-bottom: 5px;"><b>code filter:</b><br/><span style="padding-left: 25px;"><b>path: </b><span>code</span></span><br/><span style="padding-left: 25px;"><b>valueset: </b><span>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1108.15</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>Procedure</span></p><p style="margin-bottom: 5px;"><b>code filter:</b><br/><span style="padding-left: 25px;"><b>path: </b><span>code</span></span><br/><span style="padding-left: 25px;"><b>valueset: </b><span>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1108.15</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 Hospice_FHIR version '1.0.000'

/*
This example is a work in progress and should not be considered a final specification
or recommendation for guidance. This example will help guide and direct the process
of finding conventions and usage patterns that meet the needs of the various stakeholders
in the measure development community.
*/

using FHIR version '3.0.0'

include MATGlobalCommonFunctions_FHIR version '2.0.000' called Global
include FHIRHelpers version '3.0.0' called FHIRHelpers

codesystem &quot;SNOMED CT:2017-09&quot;: 'http://snomed.info/sct' version 'http://snomed.info/sct/731000124108/version/201709'

valueset &quot;Encounter Inpatient&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307'
valueset &quot;Hospice care ambulatory&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1108.15'

code &quot;Discharge to healthcare facility for hospice care (procedure)&quot;: '428371000124100' from &quot;SNOMED CT:2017-09&quot; display 'Discharge to healthcare facility for hospice care (procedure)'
code &quot;Discharge to home for hospice care (procedure)&quot;: '428361000124107' from &quot;SNOMED CT:2017-09&quot; display 'Discharge to home for hospice care (procedure)'

context Patient

define function &quot;Has Hospice&quot;(MeasurementPeriod Interval&lt;DateTime&gt;):
	exists (
	    [Encounter: &quot;Encounter Inpatient&quot;] DischargeHospice
			where DischargeHospice.status = 'final'
			    and (
			        FHIRHelpers.ToConcept(DischargeHospice.hospitalization.dischargeDisposition).codes[0] ~ &quot;Discharge to home for hospice care (procedure)&quot;
					    or FHIRHelpers.ToConcept(DischargeHospice.hospitalization.dischargeDisposition).codes[0] ~ &quot;Discharge to healthcare facility for hospice care (procedure)&quot;
			    )
				and DischargeHospice.period ends during day of MeasurementPeriod
	)
    or exists (
        [ProcedureRequest: &quot;Hospice care ambulatory&quot;] HospiceOrder
            where HospiceOrder.intent = 'order'
                and HospiceOrder.authoredOn in day of MeasurementPeriod
    )
    or exists (
        [Procedure: &quot;Hospice care ambulatory&quot;] HospicePerformed
            where HospicePerformed.status = 'completed'
                and Global.&quot;Get Choice Interval - dateTime or Period&quot;(HospicePerformed.performed) overlaps MeasurementPeriod
    )
</code></pre>
                    
                    
                </td>
            </tr>
        
    </table>
</div>
  </text>
  <url value="http://hl7.org/fhir/us/cqfmeasures/Library/hospice-fhir"/>
  <identifier>
    <use value="official"/>
    <system value="http://example.org/fhir/cqi/ecqm/Library/Identifier"/>
    <value value="Hospice_FHIR"/>
  </identifier>
  <version value="1.0.0"/>
  <name value="Hospice_FHIR"/>
  <title value="Hospice FHIR"/>
  <status value="active"/>
  <experimental value="true"/>
  <type>
    <coding>
      <system value="http://hl7.org/fhir/library-type"/>
      <code value="logic-library"/>
    </coding>
  </type>
  <date value="2019-09-03T00:00:00-04:00"/>
  <publisher
             value="Health Level 7 International - Clinical Quality Information Work Group"/>
  <description
               value="This library is used as an example in the FHIR Quality Measure Implementation Guide"/>
  <approvalDate value="2019-08-03"/>
  <lastReviewDate value="2019-08-03"/>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="US"/>
      <display value="United States of America"/>
    </coding>
  </jurisdiction>
  <contact>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/cqi/index.cfm"/>
    </telecom>
  </contact>
  <relatedArtifact>
    <type value="depends-on"/>
    <resource>
      <reference value="Library/matglobalcommonfunctions-fhir"/>
    </resource>
  </relatedArtifact>
  <relatedArtifact>
    <type value="depends-on"/>
    <resource>
      <reference value="Library/fhirhelpers"/>
    </resource>
  </relatedArtifact>
  <dataRequirement>
    <type value="Encounter"/>
    <codeFilter>
      <path value="type"/>
      <valueSetReference>
        <reference
                   value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307"/>
      </valueSetReference>
    </codeFilter>
  </dataRequirement>
  <dataRequirement>
    <type value="Encounter"/>
    <codeFilter>
      <path value="type"/>
      <valueSetReference>
        <reference
                   value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.292"/>
      </valueSetReference>
    </codeFilter>
  </dataRequirement>
  <dataRequirement>
    <type value="Condition"/>
    <codeFilter>
      <path value="id"/>
    </codeFilter>
  </dataRequirement>
  <dataRequirement>
    <type value="Condition"/>
    <codeFilter>
      <path value="id"/>
    </codeFilter>
  </dataRequirement>
  <dataRequirement>
    <type value="Location"/>
    <codeFilter>
      <path value="id"/>
    </codeFilter>
  </dataRequirement>
  <dataRequirement>
    <type value="Encounter"/>
    <codeFilter>
      <path value="type"/>
      <valueSetReference>
        <reference
                   value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307"/>
      </valueSetReference>
    </codeFilter>
  </dataRequirement>
  <dataRequirement>
    <type value="ProcedureRequest"/>
    <codeFilter>
      <path value="code"/>
      <valueSetReference>
        <reference
                   value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1108.15"/>
      </valueSetReference>
    </codeFilter>
  </dataRequirement>
  <dataRequirement>
    <type value="Procedure"/>
    <codeFilter>
      <path value="code"/>
      <valueSetReference>
        <reference
                   value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1108.15"/>
      </valueSetReference>
    </codeFilter>
  </dataRequirement>
  <content>
    <contentType value="application/elm+xml"/>
    <data
          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="Hospice_FHIR" version="1.0.000"/>
   <schemaIdentifier id="urn:hl7-org:elm" version="r1"/>
   <usings>
      <def localIdentifier="System" uri="urn:hl7-org:elm-types:r1"/>
      <def localIdentifier="FHIR" uri="http://hl7.org/fhir" version="3.0.0"/>
   </usings>
   <includes>
      <def localIdentifier="Global" path="MATGlobalCommonFunctions_FHIR" version="2.0.000"/>
      <def localIdentifier="FHIRHelpers" path="FHIRHelpers" version="3.0.0"/>
   </includes>
   <codeSystems>
      <def name="SNOMED CT:2017-09" id="http://snomed.info/sct" version="http://snomed.info/sct/731000124108/version/201709" accessLevel="Public"/>
   </codeSystems>
   <valueSets>
      <def name="Encounter Inpatient" id="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307" accessLevel="Public"/>
      <def name="Hospice care ambulatory" id="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1108.15" accessLevel="Public"/>
   </valueSets>
   <codes>
      <def name="Discharge to healthcare facility for hospice care (procedure)" id="428371000124100" display="Discharge to healthcare facility for hospice care (procedure)" accessLevel="Public">
         <codeSystem name="SNOMED CT:2017-09"/>
      </def>
      <def name="Discharge to home for hospice care (procedure)" id="428361000124107" display="Discharge to home for hospice care (procedure)" accessLevel="Public">
         <codeSystem name="SNOMED CT:2017-09"/>
      </def>
   </codes>
   <statements>
      <def name="Patient" context="Patient">
         <expression xsi:type="SingletonFrom">
            <operand dataType="fhir:Patient" xsi:type="Retrieve"/>
         </expression>
      </def>
      <def name="Has Hospice" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression xsi:type="Or">
            <operand xsi:type="Or">
               <operand xsi:type="Exists">
                  <operand xsi:type="Query">
                     <source alias="DischargeHospice">
                        <expression dataType="fhir:Encounter" codeProperty="type" xsi:type="Retrieve">
                           <codes name="Encounter Inpatient" xsi:type="ValueSetRef"/>
                        </expression>
                     </source>
                     <where xsi:type="And">
                        <operand xsi:type="And">
                           <operand xsi:type="Equal">
                              <operand name="ToString" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                                 <operand path="status" scope="DischargeHospice" xsi:type="Property"/>
                              </operand>
                              <operand valueType="t:String" value="final" xsi:type="Literal"/>
                           </operand>
                           <operand xsi:type="Or">
                              <operand xsi:type="Equivalent">
                                 <operand xsi:type="Indexer">
                                    <operand path="codes" xsi:type="Property">
                                       <source name="ToConcept" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                                          <operand path="dischargeDisposition" xsi:type="Property">
                                             <source path="hospitalization" scope="DischargeHospice" xsi:type="Property"/>
                                          </operand>
                                       </source>
                                    </operand>
                                    <operand valueType="t:Integer" value="0" xsi:type="Literal"/>
                                 </operand>
                                 <operand name="Discharge to home for hospice care (procedure)" xsi:type="CodeRef"/>
                              </operand>
                              <operand xsi:type="Equivalent">
                                 <operand xsi:type="Indexer">
                                    <operand path="codes" xsi:type="Property">
                                       <source name="ToConcept" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                                          <operand path="dischargeDisposition" xsi:type="Property">
                                             <source path="hospitalization" scope="DischargeHospice" xsi:type="Property"/>
                                          </operand>
                                       </source>
                                    </operand>
                                    <operand valueType="t:Integer" value="0" xsi:type="Literal"/>
                                 </operand>
                                 <operand name="Discharge to healthcare facility for hospice care (procedure)" xsi:type="CodeRef"/>
                              </operand>
                           </operand>
                        </operand>
                        <operand precision="Day" xsi:type="In">
                           <operand xsi:type="End">
                              <operand name="ToInterval" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                                 <operand path="period" scope="DischargeHospice" xsi:type="Property"/>
                              </operand>
                           </operand>
                           <operand name="MeasurementPeriod" xsi:type="OperandRef"/>
                        </operand>
                     </where>
                  </operand>
               </operand>
               <operand xsi:type="Exists">
                  <operand xsi:type="Query">
                     <source alias="HospiceOrder">
                        <expression dataType="fhir:ProcedureRequest" codeProperty="code" xsi:type="Retrieve">
                           <codes name="Hospice care ambulatory" xsi:type="ValueSetRef"/>
                        </expression>
                     </source>
                     <where xsi:type="And">
                        <operand xsi:type="Equal">
                           <operand name="ToString" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                              <operand path="intent" scope="HospiceOrder" xsi:type="Property"/>
                           </operand>
                           <operand valueType="t:String" value="order" xsi:type="Literal"/>
                        </operand>
                        <operand precision="Day" xsi:type="In">
                           <operand name="ToDateTime" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                              <operand path="authoredOn" scope="HospiceOrder" xsi:type="Property"/>
                           </operand>
                           <operand name="MeasurementPeriod" xsi:type="OperandRef"/>
                        </operand>
                     </where>
                  </operand>
               </operand>
            </operand>
            <operand xsi:type="Exists">
               <operand xsi:type="Query">
                  <source alias="HospicePerformed">
                     <expression dataType="fhir:Procedure" codeProperty="code" xsi:type="Retrieve">
                        <codes name="Hospice care ambulatory" xsi:type="ValueSetRef"/>
                     </expression>
                  </source>
                  <where xsi:type="And">
                     <operand xsi:type="Equal">
                        <operand name="ToString" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                           <operand path="status" scope="HospicePerformed" xsi:type="Property"/>
                        </operand>
                        <operand valueType="t:String" value="completed" xsi:type="Literal"/>
                     </operand>
                     <operand xsi:type="Overlaps">
                        <operand name="Get Choice Interval - dateTime or Period" libraryName="Global" xsi:type="FunctionRef">
                           <operand path="performed" scope="HospicePerformed" xsi:type="Property"/>
                        </operand>
                        <operand name="MeasurementPeriod" xsi:type="OperandRef"/>
                     </operand>
                  </where>
               </operand>
            </operand>
         </expression>
         <operand name="MeasurementPeriod">
            <operandTypeSpecifier xsi:type="IntervalTypeSpecifier">
               <pointType name="t:DateTime" xsi:type="NamedTypeSpecifier"/>
            </operandTypeSpecifier>
         </operand>
      </def>
   </statements>
</library>
"/>
  </content>
  <content>
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