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
Active as of 2024-12-16 |
<Library xmlns="http://hl7.org/fhir">
<id value="risk-adjustment-FHIR2"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<table class="grid dict">
<tr>
<th scope="row"><b>Id: </b></th>
<td style="padding-left: 25px; padding-right: 25px;">riskadjustment-fhir2</td>
</tr>
<tr>
<th scope="row"><b>Type: </b></th>
<td style="padding-right: 25px;"><span><br/><span><span style="padding-left: 25px;"><b>system: </b><span>http://terminology.hl7.org/CodeSystem/library-type</span><br/></span><span style="padding-left: 25px;"><b>code: </b><span>logic-library</span></span></span></span></td>
</tr>
<tr>
<th scope="row"><b>Version: </b></th>
<td style="padding-left: 25px; padding-right: 25px;">0.0.001</td>
</tr>
<tr>
<th scope="row"><b>Status: </b></th>
<td style="padding-left: 25px; padding-right: 25px;">active</td>
</tr>
<tr style="vertical-align: top;">
<th scope="row"><a id="cql-content"><b>Content: </b></a></th>
<td style="padding-left: 25px; padding-right: 25px;"><b>type: </b><span>text/cql</span></td>
</tr>
<tr>
<td colspan="2" style="padding-left: 25px; padding-right: 25px;">
<pre><code class="language-cql">library RiskAdjustment_FHIR2 version '0.0.001'
using FHIR version '1.0.2'
include FHIRHelpers version '1.0.2' called FHIRHelpers
include SupplementalDataElements_FHIR2 version '1.0.0' called SDE
valueset "Serum Albumin": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.60'
valueset "Cirrhosis or other liver disease": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.63'
valueset "Encounter Inpatient": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307'
valueset "CABG_Open and Endoscopic": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.39'
valueset "Bilirubin": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.2400'
parameter "Measurement Period" Interval<DateTime>
context Patient
define "SDE Ethnicity":
SDE."SDE Ethnicity"
define "SDE Payer":
SDE."SDE Payer"
define "SDE Race":
SDE."SDE Race"
define "SDE Sex":
SDE."SDE Sex"
define "Encounter Inpatient 365": ["Encounter": "Encounter Inpatient"] E
where FHIRHelpers.ToQuantity(E.length) <= 365 days // Shouldn't need the ToQuantity, need a FHIR.Duration conversion
and E.period ends during "Measurement Period"
and E.status.value in {'finished'}
define "CABG_Open and Endoscopic During Encounter": ["Procedure": "CABG_Open and Endoscopic"] P
with "Encounter Inpatient 365" E
such that P.performedPeriod starts during E.period
and P.status.value in {'completed'}
define "Hepatic Failure":
exists ("Cirrhosis Dx")
and exists ("Bilirubin Test")
and exists ("Serum Albumin Test")
define "Cirrhosis Dx": ["Condition": "Cirrhosis or other liver disease"] D
with "CABG_Open and Endoscopic During Encounter" C
such that D.onsetDateTime.value before start of C.performedPeriod
such that Coalesce (D.onsetDateTime.value, start of ToInterval(D.onsetPeriod)) before start of ToInterval(C.performedPeriod)
define "Bilirubin Test":
["Observation": "Bilirubin"] L
with "CABG_Open and Endoscopic During Encounter" C
such that L.effectiveDateTime.value before start of C.performedPeriod
such that Coalesce (L.effectiveDateTime.value, start of ToInterval(L.effectivePeriod)) starts before start of ToInterval(C.performedPeriod)
with "Encounter Inpatient 365" E
such that L.effectiveDateTime.value during E.period
where L.valueQuantity > 2 'mg/dL'
and L.status.value in {'final', 'amended', 'corrected', 'appended'}
define "Serum Albumin Test":
["Observation": "Serum Albumin"] L
with "CABG_Open and Endoscopic During Encounter" C
such that L.effectiveDateTime.value before start of C.performedPeriod
with "Encounter Inpatient 365" E
such that L.effectiveDateTime.value during E.period
where L.valueQuantity < 3.5 'g/dL'
and L.status.value in {'final', 'amended', 'corrected', 'appended'}
define "Initial Population": "Encounter Inpatient 365"
define "Denominator": "Initial Population"
define "Numerator": "CABG_Open and Endoscopic During Encounter"
</code></pre>
</td>
</tr>
</table>
</div>
</text>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
<valueCode value="cqi"/>
</extension>
<url value="http://hl7.org/fhir/uv/cqm/Library/risk-adjustment-FHIR2"/>
<version value="0.0.001"/>
<name value="RiskAdjustment_FHIR2"/>
<title value="RiskAdjustment_FHIR2"/>
<status value="active"/>
<experimental value="true"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/library-type"/>
<code value="logic-library"/>
</coding>
</type>
<date value="2024-12-16T21:50:47+00:00"/>
<publisher value="HL7 International / Clinical Quality Information"/>
<contact>
<telecom>
<system value="url"/>
<value value="http://www.hl7.org/Special/committees/cqi"/>
</telecom>
</contact>
<description
value="Example library illustrating risk adjustment with FHIR DSTU2"/>
<jurisdiction>
<coding>
<system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
<code value="001"/>
</coding>
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