library EXM130_FHIR version '7.2.000' /* 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 AdultOutpatientEncounters_FHIR version '1.1.000' called AdultOutpatientEncounters include MATGlobalCommonFunctions_FHIR version '2.0.000' called Global include Hospice_FHIR version '1.0.000' called Hospice include FHIRHelpers version '3.0.0' called FHIRHelpers include SupplementalDataElements_FHIR version '1.0.0' called SDE valueset "ONC Administrative Sex": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1' valueset "Race": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.836' valueset "Ethnicity": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.837' valueset "Payer": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591' valueset "Colonoscopy": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1020' valueset "Fecal Occult Blood Test (FOBT)": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1011' valueset "Flexible Sigmoidoscopy": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1010' valueset "Malignant Neoplasm of Colon": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1001' valueset "Total Colectomy": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1019' valueset "FIT DNA": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1039' valueset "CT Colonography": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1038' parameter "Measurement Period" Interval context Patient define "SDE Ethnicity": SDE."SDE Ethnicity" define "SDE Payer": SDE."SDE Payer" define "SDE Race": SDE."SDE Race" define "SDE Sex": SDE."SDE Sex" define "Denominator": true define "Flexible Sigmoidoscopy Performed": [Procedure: "Flexible Sigmoidoscopy"] FlexibleSigmoidoscopy where FlexibleSigmoidoscopy.status = 'completed' and FlexibleSigmoidoscopy.performed ends 5 years or less on or before end of "Measurement Period" define "CT Colonography Performed": [Procedure: "CT Colonography"] Colonography where Colonography.status = 'completed' and Colonography.performed ends 5 years or less on or before end of "Measurement Period" define "Total Colectomy Performed": [Procedure: "Total Colectomy"] Colectomy where Colectomy.status = 'completed' and Global."Get Choice Interval - dateTime or Period"(Colectomy.performed) starts on or before end of "Measurement Period" define "Malignant Neoplasm": [Condition: "Malignant Neoplasm of Colon"] ColorectalCancer where Global."Normalize Onset"(ColorectalCancer.onset) starts on or before end of "Measurement Period" define "Fecal Occult Blood Test Performed": [Observation: "Fecal Occult Blood Test (FOBT)"] FecalOccultResult where FecalOccultResult.status in {'final', 'amended', 'corrected', 'preliminary'} and FecalOccultResult.value is not null and FecalOccultResult.effective during day of "Measurement Period" // and FecalOccultResult.FHIR.provenance.recorded during "Measurement Period" define "Fecal Immunochemical Test DNA": [Observation: "FIT DNA"] FitDNA where FitDNA.value is not null and FitDNA.effective occurs 3 years or less on or before day of end of "Measurement Period" // and FitDNA.FHIR.provenance.recorded occurs 3 years or less on or before end of "Measurement Period" define "Colonoscopy Performed": [Procedure: "Colonoscopy"] Colonoscopy where Colonoscopy.status = 'completed' and Colonoscopy.performed ends 10 years or less on or before end of "Measurement Period" define "Numerator": exists "Colonoscopy Performed" or exists "Fecal Occult Blood Test Performed" or exists "Flexible Sigmoidoscopy Performed" or exists "Fecal Immunochemical Test DNA" or exists "CT Colonography Performed" define "Denominator Exclusion": Hospice."Has Hospice"("Measurement Period") or exists "Malignant Neoplasm" or exists "Total Colectomy Performed" define "Initial Population": Global."CalendarAgeInYearsAt"(FHIRHelpers.ToDate(Patient.birthDate), start of "Measurement Period") in Interval[50, 75] and exists AdultOutpatientEncounters."Qualifying Encounters"("Measurement Period")