Quality Measure STU2 for FHIR R4 Implementation Guide

This page is part of the Quality Measure STU2 for FHIR R4 Implementation Guide (v2.0.0: STU 2) based on FHIR R4. The current version which supercedes this version is 3.0.0. For a full list of available versions, see the Directory of published versions

Library-Hospice

Formats: XML, JSON, Turtle

Id: Hospice
Url: http://hl7.org/fhir/us/cqfmeasures/Library/Hospice
Version: 2.0.000
Identifier:

value: Hospice

Name: Hospice
Title: Hospice FHIR
Status: active
Experimental: true
Type:

system: http://terminology.hl7.org/CodeSystem/library-type

code: logic-library

Date: 2019-09-03
Publisher: Health Level 7 International - Clinical Quality Information Work Group
Description: This library is used as an example in the FHIR Quality Measure Implementation Guide
Jurisdiction: US
Approval Date: 2019-08-03
Last Review Date: 2019-08-03
Related Artifacts:
TypeResource
depends-onhttp://hl7.org/fhir/Library/FHIR-ModelInfo|4.0.1
depends-onhttp://hl7.org/fhir/us/cqfmeasures/Library/MATGlobalCommonFunctions|5.0.000
depends-onhttp://hl7.org/fhir/Library/FHIRHelpers|4.0.1
depends-onhttp://snomed.info/sct|http://snomed.info/sct/731000124108/version/201709
depends-onhttp://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307
depends-onhttp://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1108.15
Parameters:
NameTypeMinMaxIn/Out
Measurement PeriodPeriod01in
PatientPatient01out
Has Hospiceboolean01out
Data Requirements:
TypeProfileMSCode Filter
Encounter http://hl7.org/fhir/StructureDefinition/Encounter

code filter:
path: type
value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307

ServiceRequest http://hl7.org/fhir/StructureDefinition/ServiceRequest

code filter:
path: code
value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1108.15

Procedure http://hl7.org/fhir/StructureDefinition/Procedure

code filter:
path: code
value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1108.15

Content: text/cql
library Hospice version '2.0.000'

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

/*
@update: @@BTR 2020-03-31 ->
Incremented version to 2.0.000
Updated FHIR version to 4.0.1
@@@
*/

using FHIR version '4.0.1'

include MATGlobalCommonFunctions version '5.0.000' called Global
include FHIRHelpers version '4.0.1' called FHIRHelpers

codesystem "SNOMEDCT:2017-09": 'http://snomed.info/sct' version 'http://snomed.info/sct/731000124108/version/201709'

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

code "Discharge to healthcare facility for hospice care (procedure)": '428371000124100' from "SNOMEDCT:2017-09" display 'Discharge to healthcare facility for hospice care (procedure)'
code "Discharge to home for hospice care (procedure)": '428361000124107' from "SNOMEDCT:2017-09" display 'Discharge to home for hospice care (procedure)'

parameter "Measurement Period" Interval<DateTime>
  default Interval[@2019-01-01T00:00:00.0, @2020-01-01T00:00:00.0)

context Patient

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"
    )
Content: application/elm+xml
Encoded data (15736 characters)
Content: application/elm+json
Encoded data (28876 characters)