This page is part of the Quality Measure STU2 for FHIR R4 Implementation Guide (v3.0.0: STU3) based on FHIR R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions
Draft as of 2022-02-22 |
{
"resourceType" : "Measure",
"id" : "BCSComponent",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/proportion-measure-cqfm",
"http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm"
]
},
"language" : "en",
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"en\" lang=\"en\">\n <table class=\"grid dict\">\n \n <tr>\n <th scope=\"row\"><b>Id: </b></th>\n <td style=\"padding-left: 4px;\">BCSComponent</td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Url: </b></th>\n <td style=\"padding-left: 4px;\">http://hl7.org/fhir/us/cqfmeasures/Measure/BCSComponent</td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Version: </b></th>\n <td style=\"padding-left: 4px;\">0.0.001</td>\n </tr>\n \n \n \n <tr>\n <th scope=\"row\"><b>Name: </b></th>\n <td style=\"padding-left: 4px;\">BCSComponent</td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Title: </b></th>\n <td style=\"padding-left: 4px;\">Breast Cancer Screening</td>\n </tr>\n \n \n \n <tr>\n <th scope=\"row\"><b>Status: </b></th>\n <td style=\"padding-left: 4px;\">draft</td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Experimental: </b></th>\n <td style=\"padding-left: 4px;\">true</td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Scoring: </b></th>\n <td style=\"padding-left: 4px;\">\n \n \n \n <p style=\"margin-bottom: 5px;\">\n <b>system: </b> <span>http://terminology.hl7.org/CodeSystem/measure-scoring</span>\n </p>\n \n \n <p style=\"margin-bottom: 5px;\">\n <b>code: </b> <span>proportion</span>\n </p>\n \n \n <p style=\"margin-bottom: 5px;\">\n <b>display: </b> <span>Proportion</span>\n </p>\n \n \n \n \n </td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Improvement Notation: </b></th>\n <td style=\"padding-left: 4px;\">\n \n \n \n <p style=\"margin-bottom: 5px;\">\n <b>system: </b> <span>http://terminology.hl7.org/CodeSystem/measure-improvement-notation</span>\n </p>\n \n \n <p style=\"margin-bottom: 5px;\">\n <b>code: </b> <span>increase</span>\n </p>\n \n \n \n \n \n </td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Type: </b></th>\n <td style=\"padding-left: 4px;\">\n \n \n \n <p style=\"margin-bottom: 5px;\">\n <b>system: </b> <span>http://terminology.hl7.org/CodeSystem/measure-type</span>\n </p>\n \n \n <p style=\"margin-bottom: 5px;\">\n <b>code: </b> <span>process</span>\n </p>\n \n \n \n \n \n </td>\n </tr>\n \n \n \n <tr>\n <th scope=\"row\"><b>Date: </b></th>\n <td style=\"padding-left: 4px;\">2022-02-22T11:37:03-06:00</td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Publisher: </b></th>\n <td style=\"padding-left: 4px;\">Clinical Quality Information WG</td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Description: </b></th>\n <td style=\"padding-left: 4px;\">This is an example only.</td>\n </tr>\n \n \n \n \n \n \n \n <tr>\n <th scope=\"row\"><b>Supplemental Data: </b></th>\n <td style=\"padding-left: 4px;\">\n <table class=\"grid-dict\">\n <tr><th><b>expression</b></th><th><b>system</b></th></tr>\n \n <tr>\n <td>SDE Ethnicity</td>\n <td>http://terminology.hl7.org/CodeSystem/measure-data-usage</td>\n </tr>\n \n <tr>\n <td>SDE Payer</td>\n <td>http://terminology.hl7.org/CodeSystem/measure-data-usage</td>\n </tr>\n \n <tr>\n <td>SDE Race</td>\n <td>http://terminology.hl7.org/CodeSystem/measure-data-usage</td>\n </tr>\n \n <tr>\n <td>SDE Sex</td>\n <td>http://terminology.hl7.org/CodeSystem/measure-data-usage</td>\n </tr>\n \n </table>\n </td>\n </tr>\n \n \n \n <tr>\n <th scope=\"row\"><b>Jurisdiction: </b></th>\n <td style=\"padding-left: 25px;\">US</td>\n </tr>\n \n \n \n \n \n \n \n \n \n <tr>\n <th scope=\"row\"><b>Effective Period: </b></th>\n <td style=\"padding-left: 4px;\">2022-01-01..2022-12-31</td>\n </tr>\n \n \n \n \n \n \n </table>\n</div>"
},
"contained" : [
{
"resourceType" : "Library",
"id" : "effective-data-requirements",
"extension" : [
{
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode",
"valueCoding" : {
"system" : "http://snomed.info/sct",
"version" : "http://snomed.info/sct/731000124108/version/201709",
"code" : "428361000124107",
"display" : "Discharge to home for hospice care (procedure)"
}
},
{
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode",
"valueCoding" : {
"system" : "http://snomed.info/sct",
"version" : "http://snomed.info/sct/731000124108/version/201709",
"code" : "428371000124100",
"display" : "Discharge to healthcare facility for hospice care (procedure)"
}
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "SupplementalDataElements"
},
{
"url" : "name",
"valueString" : "SDE Sex"
},
{
"url" : "statement",
"valueString" : "define \"SDE Sex\": case when Patient.gender = 'male' then Code { code: 'M', system: 'http://hl7.org/fhir/v3/AdministrativeGender', display: 'Male' } when Patient.gender = 'female' then Code { code: 'F', system: 'http://hl7.org/fhir/v3/AdministrativeGender', display: 'Female' } else null end"
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"valueInteger" : 0
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"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
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{
"extension" : [
{
"url" : "libraryName",
"valueString" : "BCSComponent"
},
{
"url" : "name",
"valueString" : "SDE Sex"
},
{
"url" : "statement",
"valueString" : "define \"SDE Sex\": SDE.\"SDE Sex\""
},
{
"url" : "displaySequence",
"valueInteger" : 1
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "BCSComponent"
},
{
"url" : "name",
"valueString" : "Numerator"
},
{
"url" : "statement",
"valueString" : "define \"Numerator\": exists ( [DiagnosticReport: \"Mammography\"] Mammogram where ( Global.\"Normalize Interval\" ( Mammogram.effective ) ends 27 months or less on or before end of \"Measurement Period\" ) and Mammogram.status in { 'final', 'amended', 'corrected', 'appended' } )"
},
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"valueInteger" : 2
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "AdultOutpatientEncounters"
},
{
"url" : "name",
"valueString" : "Qualifying Encounters"
},
{
"url" : "statement",
"valueString" : "define \"Qualifying Encounters\": ( [Encounter: \"Office Visit\"] union [Encounter: \"Annual Wellness Visit\"] union [Encounter: \"Preventive Care Services - Established Office Visit, 18 and Up\"] union [Encounter: \"Preventive Care Services-Initial Office Visit, 18 and Up\"] union [Encounter: \"Home Healthcare Services\"] ) ValidEncounter where ValidEncounter.period during \"Measurement Period\" and ValidEncounter.status = 'finished'"
},
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"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "BCSComponent"
},
{
"url" : "name",
"valueString" : "Initial Population"
},
{
"url" : "statement",
"valueString" : "define \"Initial Population\": Patient.gender = 'female' and Global.\"CalendarAgeInYearsAt\" ( FHIRHelpers.ToDate ( Patient.birthDate ), start of \"Measurement Period\" ) in Interval[51, 74 ) and exists AdultOutpatientEncounters.\"Qualifying Encounters\""
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"url" : "displaySequence",
"valueInteger" : 4
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"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
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{
"extension" : [
{
"url" : "libraryName",
"valueString" : "BCSComponent"
},
{
"url" : "name",
"valueString" : "Denominator"
},
{
"url" : "statement",
"valueString" : "define \"Denominator\": \"Initial Population\""
},
{
"url" : "displaySequence",
"valueInteger" : 5
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "SupplementalDataElements"
},
{
"url" : "name",
"valueString" : "SDE Payer"
},
{
"url" : "statement",
"valueString" : "define \"SDE Payer\": [Coverage: type in \"Payer\"] Payer return { code: Payer.type, period: Payer.period }"
},
{
"url" : "displaySequence",
"valueInteger" : 6
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
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{
"extension" : [
{
"url" : "libraryName",
"valueString" : "BCSComponent"
},
{
"url" : "name",
"valueString" : "SDE Payer"
},
{
"url" : "statement",
"valueString" : "define \"SDE Payer\": SDE.\"SDE Payer\""
},
{
"url" : "displaySequence",
"valueInteger" : 7
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
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{
"extension" : [
{
"url" : "libraryName",
"valueString" : "SupplementalDataElements"
},
{
"url" : "name",
"valueString" : "SDE Ethnicity"
},
{
"url" : "statement",
"valueString" : "define \"SDE Ethnicity\": (flatten ( Patient.extension Extension where Extension.url = 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity' return Extension.extension )) E where E.url = 'ombCategory' or E.url = 'detailed' return E.value as Coding"
},
{
"url" : "displaySequence",
"valueInteger" : 8
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
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{
"extension" : [
{
"url" : "libraryName",
"valueString" : "BCSComponent"
},
{
"url" : "name",
"valueString" : "SDE Ethnicity"
},
{
"url" : "statement",
"valueString" : "define \"SDE Ethnicity\": SDE.\"SDE Ethnicity\""
},
{
"url" : "displaySequence",
"valueInteger" : 9
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "Hospice"
},
{
"url" : "name",
"valueString" : "Has Hospice"
},
{
"url" : "statement",
"valueString" : "define \"Has Hospice\": exists ( [Encounter: \"Encounter Inpatient\"] DischargeHospice where DischargeHospice.status = 'finished' and ( DischargeHospice.hospitalization.dischargeDisposition ~ \"Discharge to home for hospice care (procedure)\" or DischargeHospice.hospitalization.dischargeDisposition ~ \"Discharge to healthcare facility for hospice care (procedure)\" ) and DischargeHospice.period ends during \"Measurement Period\" ) or exists ( [ServiceRequest: \"Hospice care ambulatory\"] HospiceOrder where HospiceOrder.intent = 'order' and HospiceOrder.authoredOn in \"Measurement Period\" ) or exists ( [Procedure: \"Hospice care ambulatory\"] HospicePerformed where HospicePerformed.status = 'completed' and Global.\"Normalize Interval\"(HospicePerformed.performed) overlaps \"Measurement Period\" )"
},
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"url" : "displaySequence",
"valueInteger" : 10
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "BCSComponent"
},
{
"url" : "name",
"valueString" : "Right Mastectomy Diagnosis"
},
{
"url" : "statement",
"valueString" : "define \"Right Mastectomy Diagnosis\": ( ( [Condition: \"Status Post Right Mastectomy\"] ) union ( [Condition: \"Unilateral Mastectomy, Unspecified Laterality\"] UnilateralMastectomyDiagnosis where UnilateralMastectomyDiagnosis.bodySite in \"Right\" ) ) RightMastectomy where Global.\"Normalize Interval\" ( RightMastectomy.onset ) starts on or before end of \"Measurement Period\""
},
{
"url" : "displaySequence",
"valueInteger" : 11
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "BCSComponent"
},
{
"url" : "name",
"valueString" : "Right Mastectomy Procedure"
},
{
"url" : "statement",
"valueString" : "define \"Right Mastectomy Procedure\": [Procedure: \"Unilateral Mastectomy Right\"] UnilateralMastectomyRightPerformed where Global.\"Normalize Interval\" ( UnilateralMastectomyRightPerformed.performed ) ends on or before end of \"Measurement Period\" and UnilateralMastectomyRightPerformed.status = 'completed'"
},
{
"url" : "displaySequence",
"valueInteger" : 12
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "BCSComponent"
},
{
"url" : "name",
"valueString" : "Left Mastectomy"
},
{
"url" : "statement",
"valueString" : "define \"Left Mastectomy\": ( ( [Condition: \"Status Post Left Mastectomy\"] ) union ( [Condition: \"Unilateral Mastectomy, Unspecified Laterality\"] UnilateralMastectomyDiagnosis where UnilateralMastectomyDiagnosis.bodySite in \"Left\" ) ) LeftMastectomy where Global.\"Normalize Interval\" ( LeftMastectomy.onset ) starts on or before end of \"Measurement Period\""
},
{
"url" : "displaySequence",
"valueInteger" : 13
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "BCSComponent"
},
{
"url" : "name",
"valueString" : "Left Mastectomy Procedure"
},
{
"url" : "statement",
"valueString" : "define \"Left Mastectomy Procedure\": [Procedure: \"Unilateral Mastectomy Left\"] UnilateralMastectomyLeftPerformed where Global.\"Normalize Interval\" ( UnilateralMastectomyLeftPerformed.performed ) ends on or before end of \"Measurement Period\" and UnilateralMastectomyLeftPerformed.status = 'completed'"
},
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"url" : "displaySequence",
"valueInteger" : 14
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "BCSComponent"
},
{
"url" : "name",
"valueString" : "Bilateral Mastectomy Diagnosis"
},
{
"url" : "statement",
"valueString" : "define \"Bilateral Mastectomy Diagnosis\": [Condition: \"History of bilateral mastectomy\"] BilateralMastectomyHistory where Global.\"Normalize Interval\" ( BilateralMastectomyHistory.onset ) starts on or before end of \"Measurement Period\""
},
{
"url" : "displaySequence",
"valueInteger" : 15
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "BCSComponent"
},
{
"url" : "name",
"valueString" : "Bilateral Mastectomy Procedure"
},
{
"url" : "statement",
"valueString" : "define \"Bilateral Mastectomy Procedure\": [Procedure: \"Bilateral Mastectomy\"] BilateralMastectomyPerformed where Global.\"Normalize Interval\" ( BilateralMastectomyPerformed.performed ) ends on or before end of \"Measurement Period\" and BilateralMastectomyPerformed.status = 'completed'"
},
{
"url" : "displaySequence",
"valueInteger" : 16
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "AdvancedIllnessandFrailtyExclusion"
},
{
"url" : "name",
"valueString" : "Has Criteria Indicating Frailty"
},
{
"url" : "statement",
"valueString" : "define \"Has Criteria Indicating Frailty\": //Ask Bryn about devices exists ( [DeviceRequest: \"Frailty Device\"] FrailtyDeviceOrder where FrailtyDeviceOrder.authoredOn during \"Measurement Period\" ) // DeviceUseStatement has a known issue with the publication tooling // so it is removed to allow this IG to publish until that is fixed //or exists ( [DeviceUseStatement: \"Frailty Device\"] FrailtyDeviceUse // where Global.\"Normalize Interval\"(FrailtyDeviceUse.timing) overlaps \"Measurement Period\" //) or exists ( [Condition: \"Frailty Diagnosis\"] FrailtyDiagnosis where Global.\"Prevalence Period\"(FrailtyDiagnosis) overlaps \"Measurement Period\" ) or exists ( [Encounter: \"Frailty Encounter\"] FrailtyEncounter where FrailtyEncounter.period overlaps \"Measurement Period\" ) or exists ( [Observation: \"Frailty Symptom\"] FrailtySymptomObservation where Global.\"Normalize Interval\"(FrailtySymptomObservation.effective) overlaps \"Measurement Period\" )"
},
{
"url" : "displaySequence",
"valueInteger" : 17
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "AdvancedIllnessandFrailtyExclusion"
},
{
"url" : "name",
"valueString" : "Outpatient Encounters with Advanced Illness"
},
{
"url" : "statement",
"valueString" : "define \"Outpatient Encounters with Advanced Illness\": ( [Encounter: \"Outpatient\"] union [Encounter: \"Observation\"] union [Encounter: \"ED\"] union [Encounter: \"Nonacute Inpatient\"] ) OutpatientEncounter with [Condition: \"Advanced Illness\"] AdvancedIllnessDiagnosis such that exists ( OutpatientEncounter.diagnosis.condition EncounterDiagnosis where EndsWith(EncounterDiagnosis.reference, AdvancedIllnessDiagnosis.id) ) and OutpatientEncounter.period starts 2 years or less on or before end of \"Measurement Period\""
},
{
"url" : "displaySequence",
"valueInteger" : 18
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "AdvancedIllnessandFrailtyExclusion"
},
{
"url" : "name",
"valueString" : "Inpatient Encounter with Advanced Illness"
},
{
"url" : "statement",
"valueString" : "define \"Inpatient Encounter with Advanced Illness\": [Encounter: \"Acute Inpatient\"] InpatientEncounter with [Condition: \"Advanced Illness\"] AdvancedIllnessDiagnosis such that exists ( InpatientEncounter.diagnosis.condition EncounterDiagnosis where EndsWith(EncounterDiagnosis.reference, AdvancedIllnessDiagnosis.id) ) and InpatientEncounter.period starts 2 years or less on or before end of \"Measurement Period\""
},
{
"url" : "displaySequence",
"valueInteger" : 19
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "AdvancedIllnessandFrailtyExclusion"
},
{
"url" : "name",
"valueString" : "Dementia Medications In Year Before or During Measurement Period"
},
{
"url" : "statement",
"valueString" : "define \"Dementia Medications In Year Before or During Measurement Period\": [\"MedicationDispense\": \"Dementia Medications\"] DementiaMed where DementiaMed.whenHandedOver during Interval[ ( start of \"Measurement Period\" - 1 year ), end of \"Measurement Period\" ]"
},
{
"url" : "displaySequence",
"valueInteger" : 20
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "AdvancedIllnessandFrailtyExclusion"
},
{
"url" : "name",
"valueString" : "Advanced Illness and Frailty Exclusion Not Including Over Age 80"
},
{
"url" : "statement",
"valueString" : "define \"Advanced Illness and Frailty Exclusion Not Including Over Age 80\": //If the measure does NOT include populations age 80 and older, then use this logic: Global.\"CalendarAgeInYearsAt\"(FHIRHelpers.ToDate(Patient.birthDate), start of \"Measurement Period\")>= 65 and \"Has Criteria Indicating Frailty\" and ( Count(\"Outpatient Encounters with Advanced Illness\")>= 2 or exists ( \"Inpatient Encounter with Advanced Illness\" ) or exists \"Dementia Medications In Year Before or During Measurement Period\" )"
},
{
"url" : "displaySequence",
"valueInteger" : 21
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "AdvancedIllnessandFrailtyExclusion"
},
{
"url" : "name",
"valueString" : "Long Term Care Periods During Measurement Period"
},
{
"url" : "statement",
"valueString" : "// start here define \"Long Term Care Periods During Measurement Period\": ( [Encounter: \"Care Services in Long-Term Residential Facility\"] union [Encounter: \"Nursing Facility Visit\"] ) LongTermFacilityEncounter where LongTermFacilityEncounter.period overlaps \"Measurement Period\" return LongTermFacilityEncounter.period intersect \"Measurement Period\""
},
{
"url" : "displaySequence",
"valueInteger" : 22
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
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{
"extension" : [
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"url" : "libraryName",
"valueString" : "AdvancedIllnessandFrailtyExclusion"
},
{
"url" : "name",
"valueString" : "Long Term Care Periods Longer Than 90 Consecutive Days"
},
{
"url" : "statement",
"valueString" : "define \"Long Term Care Periods Longer Than 90 Consecutive Days\": exists ( \"Long Term Care Periods During Measurement Period\" LongTermCareDuringMP where duration in days of LongTermCareDuringMP > 90 )"
},
{
"url" : "displaySequence",
"valueInteger" : 23
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "BCSComponent"
},
{
"url" : "name",
"valueString" : "Denominator Exclusion"
},
{
"url" : "statement",
"valueString" : "define \"Denominator Exclusion\": Hospice.\"Has Hospice\" or ( ( exists \"Right Mastectomy Diagnosis\" or exists \"Right Mastectomy Procedure\" ) and ( exists \"Left Mastectomy\" or exists \"Left Mastectomy Procedure\" ) ) or exists \"Bilateral Mastectomy Diagnosis\" or exists \"Bilateral Mastectomy Procedure\" or Frailty.\"Advanced Illness and Frailty Exclusion Not Including Over Age 80\" or ( Global.\"CalendarAgeInYearsAt\" ( FHIRHelpers.ToDate ( Patient.birthDate ), start of \"Measurement Period\" ) >= 65 and Frailty.\"Long Term Care Periods Longer Than 90 Consecutive Days\" )"
},
{
"url" : "displaySequence",
"valueInteger" : 24
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "SupplementalDataElements"
},
{
"url" : "name",
"valueString" : "SDE Race"
},
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"status"
],
"codeFilter" : [
{
"path" : "code",
"valueSet" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1018"
}
]
}
]
}
],
"extension" : [
{
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis",
"valueCode" : "boolean"
},
{
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-softwaresystem",
"valueReference" : {
"reference" : "Device/software-system-example"
}
},
{
"id" : "effective-data-requirements",
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-effectiveDataRequirements",
"valueReference" : {
"reference" : "#effective-data-requirements"
}
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/Measure/BCSComponent",
"version" : "0.0.001",
"name" : "BCSComponent",
"title" : "Breast Cancer Screening",
"status" : "draft",
"experimental" : true,
"date" : "2022-02-22T11:37:03-06:00",
"publisher" : "Clinical Quality Information WG",
"contact" : [
{
"telecom" : [
{
"system" : "url",
"value" : "http://www.hl7.org/Special/committees/cqi"
}
]
}
],
"description" : "This is an example only.",
"jurisdiction" : [
{
"coding" : [
{
"system" : "urn:iso:std:iso:3166",
"code" : "US"
}
]
}
],
"effectivePeriod" : {
"start" : "2022-01-01",
"end" : "2022-12-31"
},
"library" : [
"http://hl7.org/fhir/us/cqfmeasures/Library/BCSComponent"
],
"scoring" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-scoring",
"code" : "proportion",
"display" : "Proportion"
}
]
},
"type" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-type",
"code" : "process"
}
]
}
],
"improvementNotation" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-improvement-notation",
"code" : "increase"
}
]
},
"group" : [
{
"population" : [
{
"id" : "2851A1BA-FBF8-4945-812E-6273F881CE13",
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "initial-population",
"display" : "Initial Population"
}
]
},
"criteria" : {
"language" : "text/cql-identifier",
"expression" : "Initial Population"
}
},
{
"id" : "349C20C9-EA7E-4311-9E2D-CF81F1EBCEEF",
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "denominator",
"display" : "Denominator"
}
]
},
"criteria" : {
"language" : "text/cql-identifier",
"expression" : "Denominator"
}
},
{
"id" : "369D1C75-B5D3-43EC-AEFC-2FF7F462306C",
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "denominator-exclusion",
"display" : "Denominator Exclusion"
}
]
},
"criteria" : {
"language" : "text/cql-identifier",
"expression" : "Denominator Exclusion"
}
},
{
"id" : "6F1617E3-99D7-47E4-8392-85107BAA5311",
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "numerator",
"display" : "Numerator"
}
]
},
"criteria" : {
"language" : "text/cql-identifier",
"expression" : "Numerator"
}
}
]
}
],
"supplementalData" : [
{
"id" : "3dbb0697-08d7-48db-bc89-bc7f5230c36f",
"usage" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-data-usage",
"code" : "supplemental-data"
}
]
}
],
"criteria" : {
"language" : "text/cql-identifier",
"expression" : "SDE Ethnicity"
}
},
{
"id" : "2865e9d5-f4e8-4c99-812b-5eff79b4b775",
"usage" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-data-usage",
"code" : "supplemental-data"
}
]
}
],
"criteria" : {
"language" : "text/cql-identifier",
"expression" : "SDE Payer"
}
},
{
"id" : "513368dc-dfea-4377-a05d-d358e7e04fbb",
"usage" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-data-usage",
"code" : "supplemental-data"
}
]
}
],
"criteria" : {
"language" : "text/cql-identifier",
"expression" : "SDE Race"
}
},
{
"id" : "25a16429-e866-438f-990a-3e3a5f2f8443",
"usage" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-data-usage",
"code" : "supplemental-data"
}
]
}
],
"criteria" : {
"language" : "text/cql-identifier",
"expression" : "SDE Sex"
}
}
]
}