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

VTEICU_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 "vteicu-fhir"];
  fhir:Resource.meta [
     fhir:Meta.versionId [ fhir:value "3" ];
     fhir:Meta.lastUpdated [ fhir:value "2019-03-12T04:16:21.565-04:00"^^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;\">vteicu-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;\">2.4.000</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/fhirhelpers</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/matglobalcommonfunctions-fhir</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>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>    <!-- 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 VTEICU_FHIR version '2.4.000'\n\n/*\nThis example is a work in progress and should not be considered a final specification\nor recommendation for guidance. This example will help guide and direct the process\nof finding conventions and usage patterns that meet the needs of the various stakeholders\nin the measure development community.\n*/\n\nusing FHIR version '3.0.0'\n\ninclude FHIRHelpers version '3.0.0' called FHIRHelpers\ninclude MATGlobalCommonFunctions_FHIR version '2.0.000' called Common\n\n// TODO: Determine how to reference a particular version of LOINC\ncodesystem &quot;LOINC:2.46&quot;: 'http://loinc.org' version 'urn:hl7:version:2.46'\ncodesystem &quot;SNOMED CT:2016-03&quot;: 'http://snomed.info/sct' version 'http://snomed.info/sct/731000124108/version/201603'\n\nvalueset &quot;Intensive Care Unit&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1110.23'\n\ncode &quot;Birthdate&quot;: '21112-8' from &quot;LOINC:2.46&quot; display 'Birth date'\ncode &quot;Dead&quot;: '419099009' from &quot;SNOMED CT:2016-03&quot; display 'Dead'\n\nparameter &quot;Measurement Period&quot; Interval&lt;DateTime&gt;\n\ncontext Patient\n\ndefine function &quot;ToDate&quot;(Value DateTime):\n	DateTime(year from Value, month from Value, day from Value, 0, 0, 0, 0, timezone from Value)\n\ndefine function &quot;CalendarDayOfOrDayAfter&quot;(StartValue DateTime):\n	Interval[StartValue, ToDate(StartValue + 2 days))\n\ndefine function &quot;Start of First ICU&quot;(Encounter &quot;Encounter&quot;):\n	start of &quot;First Intensive Care Unit&quot;(Encounter).period\n\ndefine function &quot;First Intensive Care Unit&quot;(Encounter &quot;Encounter&quot;):\n	First(Encounter.location L\n			where Common.GetLocation(L.location).type in &quot;Intensive Care Unit&quot;\n				and L.period during Encounter.period\n			sort by start of period\n	)\n\n</code></pre>\n                    \n                    \n                </td>\n            </tr>\n        \n    </table>\n</div>"
  ];
  fhir:Library.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/Library/vteicu-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 "VTEICU_FHIR" ]
  ];
  fhir:Library.version [ fhir:value "1.0.0"];
  fhir:Library.name [ fhir:value "VTEICU_FHIR"];
  fhir:Library.title [ fhir:value "VTE ICU FHIR"];
  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 "2019-09-03T00:00:00-04:00"^^xsd:dateTime];
  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.jurisdiction [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "urn:iso:std:iso:3166" ];
       fhir:Coding.code [ fhir:value "US" ];
       fhir:Coding.display [ fhir:value "United States of America" ]     ]
  ];
  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/fhirhelpers" ]     ]
  ], [
     fhir:index 1;
     fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
     fhir:RelatedArtifact.resource [
       fhir:Reference.reference [ fhir:value "Library/matglobalcommonfunctions-fhir" ]     ]
  ];
  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.valueSetReference [
         fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307>;
         fhir:Reference.reference [ fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307" ]       ]     ]
  ], [
     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.valueSetReference [
         fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.292>;
         fhir:Reference.reference [ fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.292" ]       ]     ]
  ], [
     fhir:index 2;
     fhir:DataRequirement.type [ fhir:value "Condition" ];
     fhir:DataRequirement.codeFilter [
       fhir:index 0;
       fhir:DataRequirement.codeFilter.path [ fhir:value "id" ]     ]
  ], [
     fhir:index 3;
     fhir:DataRequirement.type [ fhir:value "Condition" ];
     fhir:DataRequirement.codeFilter [
       fhir:index 0;
       fhir:DataRequirement.codeFilter.path [ fhir:value "id" ]     ]
  ], [
     fhir:index 4;
     fhir:DataRequirement.type [ fhir:value "Location" ];
     fhir:DataRequirement.codeFilter [
       fhir:index 0;
       fhir:DataRequirement.codeFilter.path [ fhir:value "id" ]     ]
  ];
  fhir:Library.content [
     fhir:index 0;
     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="VTEICU_FHIR" version="2.4.000"/>
   <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="FHIRHelpers" path="FHIRHelpers" version="3.0.0"/>
      <def localIdentifier="Common" path="MATGlobalCommonFunctions_FHIR" version="2.0.000"/>
   </includes>
   <parameters>
      <def name="Measurement Period" accessLevel="Public">
         <parameterTypeSpecifier xsi:type="IntervalTypeSpecifier">
            <pointType name="t:DateTime" xsi:type="NamedTypeSpecifier"/>
         </parameterTypeSpecifier>
      </def>
   </parameters>
   <codeSystems>
      <def name="LOINC:2.46" id="http://loinc.org" version="urn:hl7:version:2.46" accessLevel="Public"/>
      <def name="SNOMED CT:2016-03" id="http://snomed.info/sct" version="http://snomed.info/sct/731000124108/version/201603" accessLevel="Public"/>
   </codeSystems>
   <valueSets>
      <def name="Intensive Care Unit" id="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1110.23" accessLevel="Public"/>
   </valueSets>
   <codes>
      <def name="Birthdate" id="21112-8" display="Birth date" accessLevel="Public">
         <codeSystem name="LOINC:2.46"/>
      </def>
      <def name="Dead" id="419099009" display="Dead" accessLevel="Public">
         <codeSystem name="SNOMED CT:2016-03"/>
      </def>
   </codes>
   <statements>
      <def name="Patient" context="Patient">
         <expression xsi:type="SingletonFrom">
            <operand dataType="fhir:Patient" xsi:type="Retrieve"/>
         </expression>
      </def>
      <def name="ToDate" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression xsi:type="DateTime">
            <year precision="Year" xsi:type="DateTimeComponentFrom">
               <operand name="Value" xsi:type="OperandRef"/>
            </year>
            <month precision="Month" xsi:type="DateTimeComponentFrom">
               <operand name="Value" xsi:type="OperandRef"/>
            </month>
            <day precision="Day" xsi:type="DateTimeComponentFrom">
               <operand name="Value" xsi:type="OperandRef"/>
            </day>
            <hour valueType="t:Integer" value="0" xsi:type="Literal"/>
            <minute valueType="t:Integer" value="0" xsi:type="Literal"/>
            <second valueType="t:Integer" value="0" xsi:type="Literal"/>
            <millisecond valueType="t:Integer" value="0" xsi:type="Literal"/>
            <timezoneOffset xsi:type="TimezoneFrom">
               <operand name="Value" xsi:type="OperandRef"/>
            </timezoneOffset>
         </expression>
         <operand name="Value">
            <operandTypeSpecifier name="t:DateTime" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="CalendarDayOfOrDayAfter" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression lowClosed="true" highClosed="false" xsi:type="Interval">
            <low name="StartValue" xsi:type="OperandRef"/>
            <high name="ToDate" xsi:type="FunctionRef">
               <operand xsi:type="Add">
                  <operand name="StartValue" xsi:type="OperandRef"/>
                  <operand value="2" unit="days" xsi:type="Quantity"/>
               </operand>
            </high>
         </expression>
         <operand name="StartValue">
            <operandTypeSpecifier name="t:DateTime" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="First Intensive Care Unit" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression xsi:type="First">
            <source xsi:type="Query">
               <source alias="L">
                  <expression path="location" xsi:type="Property">
                     <source name="Encounter" xsi:type="OperandRef"/>
                  </expression>
               </source>
               <where xsi:type="And">
                  <operand xsi:type="InValueSet">
                     <code name="ToConcept" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                        <operand path="type" xsi:type="Property">
                           <source name="GetLocation" libraryName="Common" xsi:type="FunctionRef">
                              <operand path="location" scope="L" xsi:type="Property"/>
                           </source>
                        </operand>
                     </code>
                     <valueset name="Intensive Care Unit"/>
                  </operand>
                  <operand xsi:type="IncludedIn">
                     <operand name="ToInterval" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                        <operand path="period" scope="L" xsi:type="Property"/>
                     </operand>
                     <operand name="ToInterval" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                        <operand path="period" xsi:type="Property">
                           <source name="Encounter" xsi:type="OperandRef"/>
                        </operand>
                     </operand>
                  </operand>
               </where>
               <sort>
                  <by direction="asc" xsi:type="ByExpression">
                     <expression xsi:type="Start">
                        <operand name="ToInterval" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                           <operand name="period" xsi:type="IdentifierRef"/>
                        </operand>
                     </expression>
                  </by>
               </sort>
            </source>
         </expression>
         <operand name="Encounter">
            <operandTypeSpecifier name="fhir:Encounter" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="Start of First ICU" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression xsi:type="Start">
            <operand name="ToInterval" libraryName="FHIRHelpers" xsi:type="FunctionRef">
               <operand path="period" xsi:type="Property">
                  <source name="First Intensive Care Unit" xsi:type="FunctionRef">
                     <operand name="Encounter" xsi:type="OperandRef"/>
                  </source>
               </operand>
            </operand>
         </expression>
         <operand name="Encounter">
            <operandTypeSpecifier name="fhir:Encounter" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
   </statements>
</library>
"^^xsd:base64Binary ]
  ], [
     fhir:index 1;
     fhir:Attachment.contentType [ fhir:value "text/cql" ];
     fhir:Attachment.data [ fhir:value "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"^^xsd:base64Binary ]
  ].

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

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