Title: |
EXM146 - Example Proportion Measure Library |
Id: |
EXM146-FHIR |
Version: |
4.0.0 |
Url: |
http://hl7.org/fhir/uv/cqm/Library/EXM146-FHIR |
Official
|
EXM146
|
Experimental: |
true |
Type: |
system: http://terminology.hl7.org/CodeSystem/library-type
code: logic-library
|
Date: |
2019-09-03 |
Publisher: |
HL7 International / Clinical Quality Information |
Description: |
This library is used as an example in the FHIR Quality Measure Implementation Guide
|
Jurisdiction: |
001 |
Approval Date: |
2019-08-03 |
Related Artifacts: |
Dependencies
|
Parameters: |
Name | Type | Min | Max | In/Out |
Measurement Period | Period | 0 | 1 | In |
Patient | Patient | 0 | 1 | Out |
Is Between 2 and 17 Years of Age at Start of Measurement Period | boolean | 0 | 1 | Out |
Antibiotics | MedicationRequest | 0 | * | Out |
Pharyngitis | Condition | 0 | * | Out |
Measurement Period Encounters | Encounter | 0 | * | Out |
Pharyngitis Encounters With Antibiotics | Encounter | 0 | * | Out |
Initial Population | Encounter | 0 | * | Out |
Pharyngitis With Prior Antibiotics | Condition | 0 | * | Out |
Excluded Encounters | Encounter | 0 | * | Out |
Denominator Exclusions | Encounter | 0 | * | Out |
Strep Test Encounters | Encounter | 0 | * | Out |
Numerator | Encounter | 0 | * | Out |
|
Data Requirements: |
Type | Profile | MS | Code Filter |
Patient |
http://hl7.org/fhir/StructureDefinition/Patient |
|
|
MedicationRequest |
http://hl7.org/fhir/StructureDefinition/MedicationRequest |
|
code filter:
path: medication
value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.196.12.1001
|
Condition |
http://hl7.org/fhir/StructureDefinition/Condition |
|
code filter:
path: code
value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.102.12.1011
|
Condition |
http://hl7.org/fhir/StructureDefinition/Condition |
|
code filter:
path: code
value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.102.12.1012
|
Encounter |
http://hl7.org/fhir/StructureDefinition/Encounter |
|
code filter:
path: type
value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1061
|
Observation |
http://hl7.org/fhir/StructureDefinition/Observation |
|
code filter:
path: code
value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1012
|
|
Content: text/cql |
/*
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.
*/
library EXM146 version '4.0.0'
using FHIR version '4.0.1'
include FHIRHelpers version '4.0.1' called FHIRHelpers
include Common version '2.0.0' called Common
include MATGlobalCommonFunctions version '5.0.000' called Global
valueset "Acute Pharyngitis": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.102.12.1011'
valueset "Acute Tonsillitis": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.102.12.1012'
valueset "Ambulatory/ED Visit": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1061'
valueset "Antibiotic Medications": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.196.12.1001'
valueset "Group A Streptococcus Test": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1012'
parameter "Measurement Period" Interval<DateTime>
context Patient
// Region: Initial Population
define "Is Between 2 and 17 Years of Age at Start of Measurement Period":
AgeInYearsAt(start of "Measurement Period") >= 2
and AgeInYearsAt(start of "Measurement Period") <= 17
define "Antibiotics":
[MedicationRequest: medication in "Antibiotic Medications"] Prescription
where Prescription.status = 'active'
and Prescription.intent = 'order'
define "Pharyngitis":
([Condition: code in "Acute Pharyngitis"]
union [Condition: code in "Acute Tonsillitis"]) Pharyngitis
where Pharyngitis.clinicalStatus ~ Global.active
and Pharyngitis.verificationStatus ~ Global.confirmed
define "Measurement Period Encounters":
[Encounter: "Ambulatory/ED Visit"] Encounter
where Encounter.period during "Measurement Period"
and Encounter.status = 'finished'
and "Is Between 2 and 17 Years of Age at Start of Measurement Period"
define "Pharyngitis Encounters With Antibiotics":
"Measurement Period Encounters" Encounters
with "Pharyngitis" Pharyngitis such that
Common."Includes Or Starts During"(Pharyngitis, Encounters)
with "Antibiotics" Antibiotics such that Antibiotics.authoredOn
3 days or less after FHIRHelpers.ToInterval(Encounters.period)
define "Initial Population":
"Pharyngitis Encounters With Antibiotics"
// EndRegion: Initial Population
// Region: Denominator
// None
// EndRegion: Denominator
// Region: Denominator Exclusions
define "Pharyngitis With Prior Antibiotics":
"Pharyngitis" Pharyngitis
with "Antibiotics" Antibiotics such that
Antibiotics.authoredOn 30 days or less before Pharyngitis.onset
define "Excluded Encounters":
"Pharyngitis Encounters With Antibiotics" Encounters
with "Pharyngitis With Prior Antibiotics" Pharyngitis such that
Common."Includes Or Starts During"(Pharyngitis, Encounters)
define "Denominator Exclusions":
"Excluded Encounters"
// EndRegion: Denominator Exclusions
// Region: Denominator Exceptions
// None
// EndRegion: Denominator Exceptions
// Region: Numerator
define "Strep Test Encounters":
"Pharyngitis Encounters With Antibiotics" Encounters
with [Observation: code in "Group A Streptococcus Test"] Tests
such that Tests.value is not null
and Tests.effective starts during
Interval[start of FHIRHelpers.ToInterval(Encounters.period) - 3 days,
end of FHIRHelpers.ToInterval(Encounters.period) + 3 days]
define "Numerator":
"Strep Test Encounters"
// EndRegion: Numerator
// Region: Numerator Exclusion
// None
// EndRegion: Numerator Exclusion
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Content: application/elm+xml |
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Content: application/elm+json |
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