Quality Measure Implementation Guide
1.0.0-ballot - ballot International flag

This page is part of the Quality Measure Implementation Guide (v1.0.0-ballot: STU1 (v1.0.0) Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. . For a full list of available versions, see the Directory of published versions

Library: Hospice FHIR Library (Experimental)

Official URL: http://hl7.org/fhir/uv/cqm/Library/Hospice Version: 2.0.000
Active as of 2019-09-03 Computable Name: Hospice
Other Identifiers: http://example.org/fhir/cqi/ecqm/Library/Identifier#Hospice (use: official, )

This library is used as an example in the FHIR Quality Measure Implementation Guide

Title: Hospice FHIR Library
Id: Hospice
Version: 2.0.000
Url: http://hl7.org/fhir/uv/cqm/Library/Hospice
Official

Hospice

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

  • http://fhir.org/guides/cqf/common/Library/FHIR-ModelInfo|4.0.1
  • MAT Global Common Functions FHIR Libraryversion: null5.0.000)
  • http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1
  • http://snomed.info/sct|http://snomed.info/sct/731000124108/version/201709
  • http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307
  • http://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
Patient http://hl7.org/fhir/StructureDefinition/Patient
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
/*
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
*/
library Hospice version '2.0.000'

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 (40272 characters)
Content: application/elm+json
Encoded data (72052 characters)