Quality Measure Implementation Guide (STU4)
4.0.0 - STU4
Quality Measure Implementation Guide (STU4)
4.0.0 - STU4
This page is part of the Quality Measure STU2 for FHIR R4 Implementation Guide (v4.0.0: STU4 (v4.0.0)) 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>Download cql: </b></th>\n <td style=\"padding-left: 4px;\"><a href=\"Library-BCSComponent.cql\">BCSComponent.cql</a></td>\n </tr>\n \n\n \n \n <tr>\n <th scope=\"row\"><b>Url: </b></th>\n <td style=\"padding-left: 4px;\"><a href=\"Measure-BCSComponent.html\">Breast Cancer Screening</a></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 <p style=\"margin-bottom: 5px;\">\n <span>Proportion </span>\n </p>\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 <p style=\"margin-bottom: 5px;\">\n <span>increase </span>\n </p>\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 <p style=\"margin-bottom: 5px;\">\n <span>process </span>\n </p>\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;\">2022-02-22 11:37:03-0600</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;\"><div><p>This is an example only.</p>\n</div></td>\n </tr>\n \n \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 \n <tr>\n <th scope=\"row\"><b> Supplemental Data Elements: </b></th>\n <td style=\"padding-left: 4px;\">\n \n \n \n \n SDE Ethnicity\n \n \n \n \n \n \n \n SDE Payer\n \n \n \n \n \n \n \n SDE Race\n \n \n \n \n \n \n \n SDE Sex\n \n \n \n \n </td>\n </tr>\n \n \n \n <tr>\n <th scope=\"row\"><b>Libraries: </b></th>\n <td style=\"padding-left: 4px;\">\n <table class=\"grid-dict\">\n \n <tr><td><a href=\"Library-BCSComponent.html\">BCS Component Library</a></td></tr>\n \n </table>\n </td>\n </tr>\n \n \n \n <tr>\n <th scope=\"row\"><b>Related Artifact Dependencies: </b></th>\n <td style=\"padding-left: 4px;\">\n \n <li><a href=\"Library-SupplementalDataElements.html\">Supplemental Data Elements Library</a></li>\n \n <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>\n \n <li><a href=\"Library-MATGlobalCommonFunctions.html\">MAT Global Common Functions FHIR Library</a></li>\n \n <li><a href=\"Library-AdultOutpatientEncounters.html\">Adult Outpatient Encounters Common Library</a></li>\n \n <li><a href=\"Library-Hospice.html\">Hospice FHIR Library</a></li>\n \n <li><a href=\"Library-AdvancedIllnessandFrailtyExclusion.html\">Advanced Illness and Frailty Exclusion Library</a></li>\n \n <li><a href=\"http://snomed.info/sct|http://snomed.info/sct/731000124108/version/201709\">http://snomed.info/sct|http://snomed.info/sct/731000124108/version/201709</a></li>\n \n <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.108.12.1018/expansion\">Mammography</a></li>\n \n <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.101.12.1001/expansion\">Office Visit</a></li>\n \n <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.526.3.1240/expansion\">Annual Wellness Visit</a></li>\n \n <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.101.12.1025/expansion\">Preventive Care Services Established Office Visit, 18 and Up</a></li>\n \n <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.101.12.1023/expansion\">Preventive Care Services Initial Office Visit, 18 and Up</a></li>\n \n <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.101.12.1016/expansion\">Home Healthcare Services</a></li>\n \n <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.114222.4.11.3591/expansion\">Payer</a></li>\n \n <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.666.5.307/expansion\">Encounter Inpatient</a></li>\n \n <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1108.15/expansion\">Hospice Care Ambulatory</a></li>\n \n <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.198.12.1070/expansion\">Status Post Right Mastectomy</a></li>\n \n <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.198.12.1071/expansion\">Unilateral Mastectomy, Unspecified Laterality</a></li>\n \n <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.122.12.1035/expansion\">Right</a></li>\n \n <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.198.12.1134/expansion\">Unilateral Mastectomy Right</a></li>\n \n <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.198.12.1069/expansion\">Status Post Left Mastectomy</a></li>\n \n <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.122.12.1036/expansion\">Left</a></li>\n \n <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.198.12.1133/expansion\">Unilateral Mastectomy Left</a></li>\n \n <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.198.12.1068/expansion\">History of bilateral mastectomy</a></li>\n \n <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.198.12.1005/expansion\">Bilateral Mastectomy</a></li>\n \n <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.118.12.1300/expansion\">Frailty Device</a></li>\n \n <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.113.12.1074/expansion\">Frailty Diagnosis</a></li>\n \n <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.101.12.1088/expansion\">Frailty Encounter</a></li>\n \n <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.113.12.1075/expansion\">Frailty Symptom</a></li>\n \n <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.101.12.1087/expansion\">Outpatient</a></li>\n \n <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.101.12.1086/expansion\">Observation</a></li>\n \n <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.101.12.1085/expansion\">ED</a></li>\n \n <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.101.12.1084/expansion\">Nonacute Inpatient</a></li>\n \n <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.110.12.1082/expansion\">Advanced Illness</a></li>\n \n <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.101.12.1083/expansion\">Acute Inpatient</a></li>\n \n <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.196.12.1510/expansion\">Dementia Medications</a></li>\n \n <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.101.12.1014/expansion\">Care Services in Long Term Residential Facility</a></li>\n \n <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.101.12.1012/expansion\">Nursing Facility Visit</a></li>\n \n </td>\n </tr>\n <tr>\n <th scope=\"row\"><b>Parameters:</b></th>\n <td style=\"padding-left: 4px;\">\n <table class=\"grid-dict\">\n <tr><th><b>name</b></th><th><b>use</b></th><th><b>min</b></th><th><b>max</b></th><th><b>type</b></th></tr>\n \n <tr>\n <td>Measurement Period</td>\n <td>in</td>\n <td>0</td>\n <td>1</td>\n <td>Period</td>\n </tr>\n \n <tr>\n <td>SDE Sex</td>\n <td>out</td>\n <td>0</td>\n <td>1</td>\n <td>Coding</td>\n </tr>\n \n <tr>\n <td>Numerator</td>\n <td>out</td>\n <td>0</td>\n <td>1</td>\n <td>boolean</td>\n </tr>\n \n <tr>\n <td>Denominator</td>\n <td>out</td>\n <td>0</td>\n <td>1</td>\n <td>boolean</td>\n </tr>\n \n <tr>\n <td>SDE Payer</td>\n <td>out</td>\n <td>0</td>\n <td>*</td>\n <td>Resource</td>\n </tr>\n \n <tr>\n <td>Initial Population</td>\n <td>out</td>\n <td>0</td>\n <td>1</td>\n <td>boolean</td>\n </tr>\n \n <tr>\n <td>SDE Ethnicity</td>\n <td>out</td>\n <td>0</td>\n <td>*</td>\n <td>Coding</td>\n </tr>\n \n <tr>\n <td>Denominator Exclusion</td>\n <td>out</td>\n <td>0</td>\n <td>1</td>\n <td>boolean</td>\n </tr>\n \n <tr>\n <td>SDE Race</td>\n <td>out</td>\n <td>0</td>\n <td>*</td>\n <td>Coding</td>\n </tr>\n \n </table>\n </td>\n </tr>\n <tr>\n <th scope=\"row\"><b>DataRequirements:</b></th>\n <td style=\"padding-left: 4px;\">\n <table class=\"grid-dict\">\n <tr><th><b>Type</b></th><th><b>Must Support</b></th><th><b>Valueset Name</b></th><th><b>Valueset</b></th></tr>\n \n <tr>\n <td>Coverage</td>\n <td>\n \n period\n \n type\n \n </td>\n <td>\n \n \n Payer\n \n \n </td>\n <td><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.114222.4.11.3591/expansion\">Payer</a></td>\n </tr>\n \n <tr>\n <td>Patient</td>\n <td>\n \n extension\n \n value\n \n url\n \n </td>\n <td>\n \n </td>\n <td></td>\n </tr>\n \n <tr>\n <td>Encounter</td>\n <td>\n \n type\n \n </td>\n <td>\n \n \n Care Services in Long-Term Residential Facility\n \n \n </td>\n <td><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.101.12.1014/expansion\">Care Services in Long Term Residential Facility</a></td>\n </tr>\n \n <tr>\n <td>Encounter</td>\n <td>\n \n type\n \n </td>\n <td>\n \n \n Nursing Facility Visit\n \n \n </td>\n <td><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.101.12.1012/expansion\">Nursing Facility Visit</a></td>\n </tr>\n \n <tr>\n <td>Encounter</td>\n <td>\n \n type\n \n </td>\n <td>\n \n \n Office Visit\n \n \n </td>\n <td><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.101.12.1001/expansion\">Office Visit</a></td>\n </tr>\n \n <tr>\n <td>Encounter</td>\n <td>\n \n type\n \n </td>\n <td>\n \n \n Annual Wellness Visit\n \n \n </td>\n <td><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.526.3.1240/expansion\">Annual Wellness Visit</a></td>\n </tr>\n \n <tr>\n <td>Encounter</td>\n <td>\n \n type\n \n </td>\n <td>\n \n \n Preventive Care Services - Established Office Visit, 18 and Up\n \n \n </td>\n <td><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.101.12.1025/expansion\">Preventive Care Services Established Office Visit, 18 and Up</a></td>\n </tr>\n \n <tr>\n <td>Encounter</td>\n <td>\n \n type\n \n </td>\n <td>\n \n \n Preventive Care Services-Initial Office Visit, 18 and Up\n \n \n </td>\n <td><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.101.12.1023/expansion\">Preventive Care Services Initial Office Visit, 18 and Up</a></td>\n </tr>\n \n <tr>\n <td>Encounter</td>\n <td>\n \n type\n \n </td>\n <td>\n \n \n Home Healthcare Services\n \n \n </td>\n <td><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.101.12.1016/expansion\">Home Healthcare Services</a></td>\n </tr>\n \n <tr>\n <td>Encounter</td>\n <td>\n \n period\n \n diagnosis\n \n type\n \n </td>\n <td>\n \n \n Acute Inpatient\n \n \n </td>\n <td><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.101.12.1083/expansion\">Acute Inpatient</a></td>\n </tr>\n \n <tr>\n <td>Encounter</td>\n <td>\n \n period\n \n hospitalization\n \n hospitalization.dischargeDisposition\n \n type\n \n status\n \n </td>\n <td>\n \n \n Encounter Inpatient\n \n \n </td>\n <td><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.666.5.307/expansion\">Encounter Inpatient</a></td>\n </tr>\n \n <tr>\n <td>Encounter</td>\n <td>\n \n period\n \n type\n \n </td>\n <td>\n \n \n Frailty Encounter\n \n \n </td>\n <td><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.101.12.1088/expansion\">Frailty Encounter</a></td>\n </tr>\n \n <tr>\n <td>Encounter</td>\n <td>\n \n type\n \n </td>\n <td>\n \n \n Outpatient\n \n \n </td>\n <td><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.101.12.1087/expansion\">Outpatient</a></td>\n </tr>\n \n <tr>\n <td>Encounter</td>\n <td>\n \n type\n \n </td>\n <td>\n \n \n Observation\n \n \n </td>\n <td><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.101.12.1086/expansion\">Observation</a></td>\n </tr>\n \n <tr>\n <td>Encounter</td>\n <td>\n \n type\n \n </td>\n <td>\n \n \n ED\n \n \n </td>\n <td><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.101.12.1085/expansion\">ED</a></td>\n </tr>\n \n <tr>\n <td>Encounter</td>\n <td>\n \n type\n \n </td>\n <td>\n \n \n Nonacute Inpatient\n \n \n </td>\n <td><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.101.12.1084/expansion\">Nonacute Inpatient</a></td>\n </tr>\n \n <tr>\n <td>Procedure</td>\n <td>\n \n code\n \n performed\n \n status\n \n </td>\n <td>\n \n \n Unilateral Mastectomy Left\n \n \n </td>\n <td><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.198.12.1133/expansion\">Unilateral Mastectomy Left</a></td>\n </tr>\n \n <tr>\n <td>Procedure</td>\n <td>\n \n code\n \n performed\n \n status\n \n </td>\n <td>\n \n \n Hospice care ambulatory\n \n \n </td>\n <td><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1108.15/expansion\">Hospice Care Ambulatory</a></td>\n </tr>\n \n <tr>\n <td>Procedure</td>\n <td>\n \n code\n \n performed\n \n status\n \n </td>\n <td>\n \n \n Bilateral Mastectomy\n \n \n </td>\n <td><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.198.12.1005/expansion\">Bilateral Mastectomy</a></td>\n </tr>\n \n <tr>\n <td>Procedure</td>\n <td>\n \n code\n \n performed\n \n status\n \n </td>\n <td>\n \n \n Unilateral Mastectomy Right\n \n \n </td>\n <td><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.198.12.1134/expansion\">Unilateral Mastectomy Right</a></td>\n </tr>\n \n <tr>\n <td>Condition</td>\n <td>\n \n code\n \n </td>\n <td>\n \n \n Status Post Right Mastectomy\n \n \n </td>\n <td><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.198.12.1070/expansion\">Status Post Right Mastectomy</a></td>\n </tr>\n \n <tr>\n <td>Condition</td>\n <td>\n \n code\n \n </td>\n <td>\n \n \n Status Post Left Mastectomy\n \n \n </td>\n <td><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.198.12.1069/expansion\">Status Post Left Mastectomy</a></td>\n </tr>\n \n <tr>\n <td>Condition</td>\n <td>\n \n bodySite\n \n code\n \n </td>\n <td>\n \n \n Unilateral Mastectomy, Unspecified Laterality\n \n \n </td>\n <td><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.198.12.1071/expansion\">Unilateral Mastectomy, Unspecified Laterality</a></td>\n </tr>\n \n <tr>\n <td>Condition</td>\n <td>\n \n code\n \n </td>\n <td>\n \n \n Frailty Diagnosis\n \n \n </td>\n <td><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.113.12.1074/expansion\">Frailty Diagnosis</a></td>\n </tr>\n \n <tr>\n <td>Condition</td>\n <td>\n \n code\n \n id\n \n </td>\n <td>\n \n \n Advanced Illness\n \n \n </td>\n <td><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.110.12.1082/expansion\">Advanced Illness</a></td>\n </tr>\n \n <tr>\n <td>Condition</td>\n <td>\n \n code\n \n onset\n \n </td>\n <td>\n \n \n History of bilateral mastectomy\n \n \n </td>\n <td><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.198.12.1068/expansion\">History of bilateral mastectomy</a></td>\n </tr>\n \n <tr>\n <td>ServiceRequest</td>\n <td>\n \n code\n \n authoredOn\n \n intent\n \n </td>\n <td>\n \n \n Hospice care ambulatory\n \n \n </td>\n <td><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1108.15/expansion\">Hospice Care Ambulatory</a></td>\n </tr>\n \n <tr>\n <td>DeviceRequest</td>\n <td>\n \n code\n \n authoredOn\n \n </td>\n <td>\n \n \n Frailty Device\n \n \n </td>\n <td><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.118.12.1300/expansion\">Frailty Device</a></td>\n </tr>\n \n <tr>\n <td>Observation</td>\n <td>\n \n effective\n \n code\n \n </td>\n <td>\n \n \n Frailty Symptom\n \n \n </td>\n <td><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.113.12.1075/expansion\">Frailty Symptom</a></td>\n </tr>\n \n <tr>\n <td>MedicationDispense</td>\n <td>\n \n whenHandedOver\n \n medication\n \n </td>\n <td>\n \n \n Dementia Medications\n \n \n </td>\n <td><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.196.12.1510/expansion\">Dementia Medications</a></td>\n </tr>\n \n <tr>\n <td>DiagnosticReport</td>\n <td>\n \n effective\n \n code\n \n status\n \n </td>\n <td>\n \n \n Mammography\n \n \n </td>\n <td><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.108.12.1018/expansion\">Mammography</a></td>\n </tr>\n \n </table>\n </td>\n </tr>\n \n <tr>\n <th scope=\"row\"><b>Direct Reference Codes:</b></th>\n <td style=\"padding-left: 4px;\">\n <table class=\"grid-dict\">\n <tr><th><b>display</b></th><th><b>code</b></th><th><b>system</b></th></tr>\n \n <tr>\n <td>Discharge to home for hospice care (procedure)</td>\n <td>428361000124107</td>\n <td><a href=\"http://hl7.org/fhir/R4/codesystem-snomedct.html\">SNOMED CT (all versions)</a></td>\n </tr>\n \n <tr>\n <td>Discharge to healthcare facility for hospice care (procedure)</td>\n <td>428371000124100</td>\n <td><a href=\"http://hl7.org/fhir/R4/codesystem-snomedct.html\">SNOMED CT (all versions)</a></td>\n </tr>\n \n </table>\n </td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Logic Definitions:</b></th>\n <td style=\"padding-left: 4px;\">\n \n <table class=\"grid-dict\">\n <tr>\n <th><b>Group</b></th><th><b>Scoring</b></th><th><b>Population Criteria</b></th><th><b>Expression</b></th>\n </tr>\n <tr>\n \n <td> </td>\n <td>\n \n \n <b>Measure scoring:</b>\n \n <p style=\"margin-bottom: 5px;\">\n <span>Proportion</span>\n </p>\n \n \n </td>\n \n <tr>\n <td/>\n <td/>\n <td>Initial Population</td>\n <td>\n \n <pre><code class=\"language-cql\">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"</code></pre>\n \n </td>\n </tr>\n \n <tr>\n <td/>\n <td/>\n <td>Denominator</td>\n <td>\n \n <pre><code class=\"language-cql\">define "Denominator": "Initial Population"</code></pre>\n \n </td>\n </tr>\n \n <tr>\n <td/>\n <td/>\n <td>Denominator Exclusion</td>\n <td>\n \n <pre><code class=\"language-cql\">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" )</code></pre>\n \n </td>\n </tr>\n \n <tr>\n <td/>\n <td/>\n <td>Numerator</td>\n <td>\n \n <pre><code class=\"language-cql\">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' } )</code></pre>\n \n </td>\n </tr>\n \n\n \n </tr>\n </table>\n \n <table class=\"grid-dict\">\n \n <tr><th><b>Library Name</b></th><th><b>Name</b></th></tr>\n <tr>\n \n <td>SupplementalDataElements</td>\n \n \n <td>SDE Sex</td>\n \n </tr>\n <tr>\n \n <td></td>\n <td><pre class=\"highlight language-cql\"><code class=\"language-cql\">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</code></pre></td>\n \n </tr>\n \n <tr><th><b>Library Name</b></th><th><b>Name</b></th></tr>\n <tr>\n \n <td>BCSComponent</td>\n \n \n <td>SDE Sex</td>\n \n </tr>\n <tr>\n \n <td></td>\n <td><pre class=\"highlight language-cql\"><code class=\"language-cql\">define "SDE Sex": SDE."SDE Sex"</code></pre></td>\n \n </tr>\n \n <tr><th><b>Library Name</b></th><th><b>Name</b></th></tr>\n <tr>\n \n <td>BCSComponent</td>\n \n \n <td>Numerator</td>\n \n </tr>\n <tr>\n \n <td></td>\n <td><pre class=\"highlight language-cql\"><code class=\"language-cql\">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' } )</code></pre></td>\n \n </tr>\n \n <tr><th><b>Library Name</b></th><th><b>Name</b></th></tr>\n <tr>\n \n <td>AdultOutpatientEncounters</td>\n \n \n <td>Qualifying Encounters</td>\n \n </tr>\n <tr>\n \n <td></td>\n <td><pre class=\"highlight language-cql\"><code class=\"language-cql\">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'</code></pre></td>\n \n </tr>\n \n <tr><th><b>Library Name</b></th><th><b>Name</b></th></tr>\n <tr>\n \n <td>BCSComponent</td>\n \n \n <td>Initial Population</td>\n \n </tr>\n <tr>\n \n <td></td>\n <td><pre class=\"highlight language-cql\"><code class=\"language-cql\">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"</code></pre></td>\n \n </tr>\n \n <tr><th><b>Library Name</b></th><th><b>Name</b></th></tr>\n <tr>\n \n <td>BCSComponent</td>\n \n \n <td>Denominator</td>\n \n </tr>\n <tr>\n \n <td></td>\n <td><pre class=\"highlight language-cql\"><code class=\"language-cql\">define "Denominator": "Initial Population"</code></pre></td>\n \n </tr>\n \n <tr><th><b>Library Name</b></th><th><b>Name</b></th></tr>\n <tr>\n \n <td>SupplementalDataElements</td>\n \n \n <td>SDE Payer</td>\n \n </tr>\n <tr>\n \n <td></td>\n <td><pre class=\"highlight language-cql\"><code class=\"language-cql\">define "SDE Payer": [Coverage: type in "Payer"] Payer return { code: Payer.type, period: Payer.period }</code></pre></td>\n \n </tr>\n \n <tr><th><b>Library Name</b></th><th><b>Name</b></th></tr>\n <tr>\n \n <td>BCSComponent</td>\n \n \n <td>SDE Payer</td>\n \n </tr>\n <tr>\n \n <td></td>\n <td><pre class=\"highlight language-cql\"><code class=\"language-cql\">define "SDE Payer": SDE."SDE Payer"</code></pre></td>\n \n </tr>\n \n <tr><th><b>Library Name</b></th><th><b>Name</b></th></tr>\n <tr>\n \n <td>SupplementalDataElements</td>\n \n \n <td>SDE Ethnicity</td>\n \n </tr>\n <tr>\n \n <td></td>\n <td><pre class=\"highlight language-cql\"><code class=\"language-cql\">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</code></pre></td>\n \n </tr>\n \n <tr><th><b>Library Name</b></th><th><b>Name</b></th></tr>\n <tr>\n \n <td>BCSComponent</td>\n \n \n <td>SDE Ethnicity</td>\n \n </tr>\n <tr>\n \n <td></td>\n <td><pre class=\"highlight language-cql\"><code class=\"language-cql\">define "SDE Ethnicity": SDE."SDE Ethnicity"</code></pre></td>\n \n </tr>\n \n <tr><th><b>Library Name</b></th><th><b>Name</b></th></tr>\n <tr>\n \n <td>Hospice</td>\n \n \n <td>Has Hospice</td>\n \n </tr>\n <tr>\n \n <td></td>\n <td><pre class=\"highlight language-cql\"><code class=\"language-cql\">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" )</code></pre></td>\n \n </tr>\n \n <tr><th><b>Library Name</b></th><th><b>Name</b></th></tr>\n <tr>\n \n <td>BCSComponent</td>\n \n \n <td>Right Mastectomy Diagnosis</td>\n \n </tr>\n <tr>\n \n <td></td>\n <td><pre class=\"highlight language-cql\"><code class=\"language-cql\">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"</code></pre></td>\n \n </tr>\n \n <tr><th><b>Library Name</b></th><th><b>Name</b></th></tr>\n <tr>\n \n <td>BCSComponent</td>\n \n \n <td>Right Mastectomy Procedure</td>\n \n </tr>\n <tr>\n \n <td></td>\n <td><pre class=\"highlight language-cql\"><code class=\"language-cql\">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'</code></pre></td>\n \n </tr>\n \n <tr><th><b>Library Name</b></th><th><b>Name</b></th></tr>\n <tr>\n \n <td>BCSComponent</td>\n \n \n <td>Left Mastectomy</td>\n \n </tr>\n <tr>\n \n <td></td>\n <td><pre class=\"highlight language-cql\"><code class=\"language-cql\">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"</code></pre></td>\n \n </tr>\n \n <tr><th><b>Library Name</b></th><th><b>Name</b></th></tr>\n <tr>\n \n <td>BCSComponent</td>\n \n \n <td>Left Mastectomy Procedure</td>\n \n </tr>\n <tr>\n \n <td></td>\n <td><pre class=\"highlight language-cql\"><code class=\"language-cql\">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'</code></pre></td>\n \n </tr>\n \n <tr><th><b>Library Name</b></th><th><b>Name</b></th></tr>\n <tr>\n \n <td>BCSComponent</td>\n \n \n <td>Bilateral Mastectomy Diagnosis</td>\n \n </tr>\n <tr>\n \n <td></td>\n <td><pre class=\"highlight language-cql\"><code class=\"language-cql\">define "Bilateral Mastectomy Diagnosis": [Condition: "History of bilateral mastectomy"] BilateralMastectomyHistory where Global."Normalize Interval" ( BilateralMastectomyHistory.onset ) starts on or before end of "Measurement Period"</code></pre></td>\n \n </tr>\n \n <tr><th><b>Library Name</b></th><th><b>Name</b></th></tr>\n <tr>\n \n <td>BCSComponent</td>\n \n \n <td>Bilateral Mastectomy Procedure</td>\n \n </tr>\n <tr>\n \n <td></td>\n <td><pre class=\"highlight language-cql\"><code class=\"language-cql\">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'</code></pre></td>\n \n </tr>\n \n <tr><th><b>Library Name</b></th><th><b>Name</b></th></tr>\n <tr>\n \n <td>AdvancedIllnessandFrailtyExclusion</td>\n \n \n <td>Has Criteria Indicating Frailty</td>\n \n </tr>\n <tr>\n \n <td></td>\n <td><pre class=\"highlight language-cql\"><code class=\"language-cql\">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" )</code></pre></td>\n \n </tr>\n \n <tr><th><b>Library Name</b></th><th><b>Name</b></th></tr>\n <tr>\n \n <td>AdvancedIllnessandFrailtyExclusion</td>\n \n \n <td>Outpatient Encounters with Advanced Illness</td>\n \n </tr>\n <tr>\n \n <td></td>\n <td><pre class=\"highlight language-cql\"><code class=\"language-cql\">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"</code></pre></td>\n \n </tr>\n \n <tr><th><b>Library Name</b></th><th><b>Name</b></th></tr>\n <tr>\n \n <td>AdvancedIllnessandFrailtyExclusion</td>\n \n \n <td>Inpatient Encounter with Advanced Illness</td>\n \n </tr>\n <tr>\n \n <td></td>\n <td><pre class=\"highlight language-cql\"><code class=\"language-cql\">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"</code></pre></td>\n \n </tr>\n \n <tr><th><b>Library Name</b></th><th><b>Name</b></th></tr>\n <tr>\n \n <td>AdvancedIllnessandFrailtyExclusion</td>\n \n \n <td>Dementia Medications In Year Before or During Measurement Period</td>\n \n </tr>\n <tr>\n \n <td></td>\n <td><pre class=\"highlight language-cql\"><code class=\"language-cql\">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" ]</code></pre></td>\n \n </tr>\n \n <tr><th><b>Library Name</b></th><th><b>Name</b></th></tr>\n <tr>\n \n <td>AdvancedIllnessandFrailtyExclusion</td>\n \n \n <td>Advanced Illness and Frailty Exclusion Not Including Over Age 80</td>\n \n </tr>\n <tr>\n \n <td></td>\n <td><pre class=\"highlight language-cql\"><code class=\"language-cql\">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" )</code></pre></td>\n \n </tr>\n \n <tr><th><b>Library Name</b></th><th><b>Name</b></th></tr>\n <tr>\n \n <td>AdvancedIllnessandFrailtyExclusion</td>\n \n \n <td>Long Term Care Periods During Measurement Period</td>\n \n </tr>\n <tr>\n \n <td></td>\n <td><pre class=\"highlight language-cql\"><code class=\"language-cql\">// 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"</code></pre></td>\n \n </tr>\n \n <tr><th><b>Library Name</b></th><th><b>Name</b></th></tr>\n <tr>\n \n <td>AdvancedIllnessandFrailtyExclusion</td>\n \n \n <td>Long Term Care Periods Longer Than 90 Consecutive Days</td>\n \n </tr>\n <tr>\n \n <td></td>\n <td><pre class=\"highlight language-cql\"><code class=\"language-cql\">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 )</code></pre></td>\n \n </tr>\n \n <tr><th><b>Library Name</b></th><th><b>Name</b></th></tr>\n <tr>\n \n <td>BCSComponent</td>\n \n \n <td>Denominator Exclusion</td>\n \n </tr>\n <tr>\n \n <td></td>\n <td><pre class=\"highlight language-cql\"><code class=\"language-cql\">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" )</code></pre></td>\n \n </tr>\n \n <tr><th><b>Library Name</b></th><th><b>Name</b></th></tr>\n <tr>\n \n <td>SupplementalDataElements</td>\n \n \n <td>SDE Race</td>\n \n </tr>\n <tr>\n \n <td></td>\n <td><pre class=\"highlight language-cql\"><code class=\"language-cql\">define "SDE Race": (flatten ( Patient.extension Extension where Extension.url = 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-race' return Extension.extension )) E where E.url = 'ombCategory' or E.url = 'detailed' return E.value as Coding</code></pre></td>\n \n </tr>\n \n <tr><th><b>Library Name</b></th><th><b>Name</b></th></tr>\n <tr>\n \n <td>BCSComponent</td>\n \n \n <td>SDE Race</td>\n \n </tr>\n <tr>\n \n <td></td>\n <td><pre class=\"highlight language-cql\"><code class=\"language-cql\">define "SDE Race": SDE."SDE Race"</code></pre></td>\n \n </tr>\n \n </table>\n </td>\n </tr>\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"
},
{
"url" : "displaySequence",
"valueInteger" : 0
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"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' } )"
},
{
"url" : "displaySequence",
"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'"
},
{
"url" : "displaySequence",
"valueInteger" : 3
}
],
"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\""
},
{
"url" : "displaySequence",
"valueInteger" : 4
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"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"
},
{
"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"
},
{
"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"
},
{
"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\" )"
},
{
"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'"
},
{
"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"
},
{
"extension" : [
{
"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"
},
{
"url" : "statement",
"valueString" : "define \"SDE Race\": (flatten ( Patient.extension Extension where Extension.url = 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-race' return Extension.extension )) E where E.url = 'ombCategory' or E.url = 'detailed' return E.value as Coding"
},
{
"url" : "displaySequence",
"valueInteger" : 25
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "BCSComponent"
},
{
"url" : "name",
"valueString" : "SDE Race"
},
{
"url" : "statement",
"valueString" : "define \"SDE Race\": SDE.\"SDE Race\""
},
{
"url" : "displaySequence",
"valueInteger" : 26
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
}
],
"name" : "EffectiveDataRequirements",
"status" : "active",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/library-type",
"code" : "module-definition"
}
]
},
"date" : "2022-02-22T10:37:03-07:00",
"relatedArtifact" : [
{
"type" : "depends-on",
"display" : "Library SDE",
"resource" : "http://hl7.org/fhir/us/cqfmeasures/Library/SupplementalDataElements|2.0.000"
},
{
"type" : "depends-on",
"display" : "Library FHIRHelpers",
"resource" : "http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1"
},
{
"type" : "depends-on",
"display" : "Library Global",
"resource" : "http://hl7.org/fhir/us/cqfmeasures/Library/MATGlobalCommonFunctions|5.0.000"
},
{
"type" : "depends-on",
"display" : "Library AdultOutpatientEncounters",
"resource" : "http://hl7.org/fhir/us/cqfmeasures/Library/AdultOutpatientEncounters|2.0.000"
},
{
"type" : "depends-on",
"display" : "Library Hospice",
"resource" : "http://hl7.org/fhir/us/cqfmeasures/Library/Hospice|2.0.000"
},
{
"type" : "depends-on",
"display" : "Library Frailty",
"resource" : "http://hl7.org/fhir/us/cqfmeasures/Library/AdvancedIllnessandFrailtyExclusion|5.12.000"
},
{
"type" : "depends-on",
"display" : "Code system SNOMEDCT:2017-09",
"resource" : "http://snomed.info/sct|http://snomed.info/sct/731000124108/version/201709"
},
{
"type" : "depends-on",
"display" : "Value set Mammography",
"resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1018"
},
{
"type" : "depends-on",
"display" : "Value set Office Visit",
"resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001"
},
{
"type" : "depends-on",
"display" : "Value set Annual Wellness Visit",
"resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1240"
},
{
"type" : "depends-on",
"display" : "Value set Preventive Care Services - Established Office Visit, 18 and Up",
"resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1025"
},
{
"type" : "depends-on",
"display" : "Value set Preventive Care Services-Initial Office Visit, 18 and Up",
"resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1023"
},
{
"type" : "depends-on",
"display" : "Value set Home Healthcare Services",
"resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1016"
},
{
"type" : "depends-on",
"display" : "Value set Payer",
"resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591"
},
{
"type" : "depends-on",
"display" : "Value set Encounter Inpatient",
"resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307"
},
{
"type" : "depends-on",
"display" : "Value set Hospice care ambulatory",
"resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1108.15"
},
{
"type" : "depends-on",
"display" : "Value set Status Post Right Mastectomy",
"resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1070"
},
{
"type" : "depends-on",
"display" : "Value set Unilateral Mastectomy, Unspecified Laterality",
"resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1071"
},
{
"type" : "depends-on",
"display" : "Value set Right",
"resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.122.12.1035"
},
{
"type" : "depends-on",
"display" : "Value set Unilateral Mastectomy Right",
"resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1134"
},
{
"type" : "depends-on",
"display" : "Value set Status Post Left Mastectomy",
"resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1069"
},
{
"type" : "depends-on",
"display" : "Value set Left",
"resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.122.12.1036"
},
{
"type" : "depends-on",
"display" : "Value set Unilateral Mastectomy Left",
"resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1133"
},
{
"type" : "depends-on",
"display" : "Value set History of bilateral mastectomy",
"resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1068"
},
{
"type" : "depends-on",
"display" : "Value set Bilateral Mastectomy",
"resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1005"
},
{
"type" : "depends-on",
"display" : "Value set Frailty Device",
"resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.118.12.1300"
},
{
"type" : "depends-on",
"display" : "Value set Frailty Diagnosis",
"resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.113.12.1074"
},
{
"type" : "depends-on",
"display" : "Value set Frailty Encounter",
"resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1088"
},
{
"type" : "depends-on",
"display" : "Value set Frailty Symptom",
"resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.113.12.1075"
},
{
"type" : "depends-on",
"display" : "Value set Outpatient",
"resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1087"
},
{
"type" : "depends-on",
"display" : "Value set Observation",
"resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1086"
},
{
"type" : "depends-on",
"display" : "Value set ED",
"resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1085"
},
{
"type" : "depends-on",
"display" : "Value set Nonacute Inpatient",
"resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1084"
},
{
"type" : "depends-on",
"display" : "Value set Advanced Illness",
"resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1082"
},
{
"type" : "depends-on",
"display" : "Value set Acute Inpatient",
"resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1083"
},
{
"type" : "depends-on",
"display" : "Value set Dementia Medications",
"resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.196.12.1510"
},
{
"type" : "depends-on",
"display" : "Value set Care Services in Long-Term Residential Facility",
"resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1014"
},
{
"type" : "depends-on",
"display" : "Value set Nursing Facility Visit",
"resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1012"
}
],
"parameter" : [
{
"name" : "Measurement Period",
"use" : "in",
"min" : 0,
"max" : "1",
"type" : "Period"
},
{
"name" : "SDE Sex",
"use" : "out",
"min" : 0,
"max" : "1",
"type" : "Coding"
},
{
"name" : "Numerator",
"use" : "out",
"min" : 0,
"max" : "1",
"type" : "boolean"
},
{
"name" : "Denominator",
"use" : "out",
"min" : 0,
"max" : "1",
"type" : "boolean"
},
{
"name" : "SDE Payer",
"use" : "out",
"min" : 0,
"max" : "*",
"type" : "Resource"
},
{
"name" : "Initial Population",
"use" : "out",
"min" : 0,
"max" : "1",
"type" : "boolean"
},
{
"name" : "SDE Ethnicity",
"use" : "out",
"min" : 0,
"max" : "*",
"type" : "Coding"
},
{
"name" : "Denominator Exclusion",
"use" : "out",
"min" : 0,
"max" : "1",
"type" : "boolean"
},
{
"name" : "SDE Race",
"use" : "out",
"min" : 0,
"max" : "*",
"type" : "Coding"
}
],
"dataRequirement" : [
{
"type" : "Coverage",
"profile" : [
"http://hl7.org/fhir/StructureDefinition/Coverage"
],
"mustSupport" : [
"period",
"type"
],
"codeFilter" : [
{
"path" : "type",
"valueSet" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591"
}
]
},
{
"type" : "Patient",
"profile" : [
"http://hl7.org/fhir/StructureDefinition/Patient"
],
"mustSupport" : [
"extension",
"value",
"url"
]
},
{
"type" : "Encounter",
"profile" : [
"http://hl7.org/fhir/StructureDefinition/Encounter"
],
"mustSupport" : [
"type"
],
"codeFilter" : [
{
"path" : "type",
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}
]
},
{
"type" : "Encounter",
"profile" : [
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],
"mustSupport" : [
"type"
],
"codeFilter" : [
{
"path" : "type",
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}
]
},
{
"type" : "Encounter",
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],
"mustSupport" : [
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"codeFilter" : [
{
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}
]
},
{
"type" : "Encounter",
"profile" : [
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],
"mustSupport" : [
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"codeFilter" : [
{
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}
]
},
{
"type" : "Encounter",
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"http://hl7.org/fhir/StructureDefinition/Encounter"
],
"mustSupport" : [
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"codeFilter" : [
{
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}
]
},
{
"type" : "Encounter",
"profile" : [
"http://hl7.org/fhir/StructureDefinition/Encounter"
],
"mustSupport" : [
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"codeFilter" : [
{
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}
]
},
{
"type" : "Encounter",
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"http://hl7.org/fhir/StructureDefinition/Encounter"
],
"mustSupport" : [
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"codeFilter" : [
{
"path" : "type",
"valueSet" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1016"
}
]
},
{
"type" : "Encounter",
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],
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],
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}
]
},
{
"type" : "Encounter",
"profile" : [
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],
"mustSupport" : [
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"hospitalization.dischargeDisposition",
"type",
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],
"codeFilter" : [
{
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]
},
{
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],
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]
},
{
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],
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]
},
{
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}
]
},
{
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],
"mustSupport" : [
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],
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{
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}
]
},
{
"type" : "Encounter",
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],
"mustSupport" : [
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],
"codeFilter" : [
{
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}
]
},
{
"type" : "Procedure",
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],
"mustSupport" : [
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],
"codeFilter" : [
{
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}
]
},
{
"type" : "Procedure",
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],
"mustSupport" : [
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],
"codeFilter" : [
{
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}
]
},
{
"type" : "Procedure",
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],
"mustSupport" : [
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"codeFilter" : [
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}
]
},
{
"type" : "Procedure",
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"http://hl7.org/fhir/StructureDefinition/Procedure"
],
"mustSupport" : [
"code",
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],
"codeFilter" : [
{
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}
]
},
{
"type" : "Condition",
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],
"mustSupport" : [
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{
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},
{
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{
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]
},
{
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],
"mustSupport" : [
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"code"
],
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{
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]
},
{
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],
"mustSupport" : [
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{
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}
]
},
{
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"mustSupport" : [
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"id"
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"codeFilter" : [
{
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}
]
},
{
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"http://hl7.org/fhir/StructureDefinition/Condition"
],
"mustSupport" : [
"code",
"onset"
],
"codeFilter" : [
{
"path" : "code",
"valueSet" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1068"
}
]
},
{
"type" : "ServiceRequest",
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"http://hl7.org/fhir/StructureDefinition/ServiceRequest"
],
"mustSupport" : [
"code",
"authoredOn",
"intent"
],
"codeFilter" : [
{
"path" : "code",
"valueSet" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1108.15"
}
]
},
{
"type" : "DeviceRequest",
"profile" : [
"http://hl7.org/fhir/StructureDefinition/DeviceRequest"
],
"mustSupport" : [
"code",
"authoredOn"
],
"codeFilter" : [
{
"path" : "code",
"valueSet" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.118.12.1300"
}
]
},
{
"type" : "Observation",
"profile" : [
"http://hl7.org/fhir/StructureDefinition/Observation"
],
"mustSupport" : [
"effective",
"code"
],
"codeFilter" : [
{
"path" : "code",
"valueSet" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.113.12.1075"
}
]
},
{
"type" : "MedicationDispense",
"profile" : [
"http://hl7.org/fhir/StructureDefinition/MedicationDispense"
],
"mustSupport" : [
"whenHandedOver",
"medication"
],
"codeFilter" : [
{
"path" : "medication",
"valueSet" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.196.12.1510"
}
]
},
{
"type" : "DiagnosticReport",
"profile" : [
"http://hl7.org/fhir/StructureDefinition/DiagnosticReport"
],
"mustSupport" : [
"effective",
"code",
"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"
}
},
{
"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"
}
}
]
}
IG © 2019+ Clinical Quality Information WG. Package hl7.fhir.us.cqfmeasures#4.0.0 based on FHIR 4.0.1. Generated 2023-08-28
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