Quality Measure Implementation Guide
1.0.0 - STU 1

Quality Measure Implementation Guide - Downloaded Version null See the Directory of published versions

## Measure: Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention (Experimental)

Official URL: http://hl7.org/fhir/uv/cqm/Measure/TSCComponent | Version: 0.0.001
Standards status: Informative | Computable Name: TSCComponent
Other Identifiers: Version Independent: Uniform Resource Identifier (URI)#http://example.org/fhir/us/cqm/Measure/HBPComponent (use: official, ), Version Specific: Uniform Resource Identifier (URI)#http://example.org/fhir/us/cqm/Measure/138v12 (use: official, ), Short Name: Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention (use: usual, ), OID:2.16.840.1.113883.4.642.40.61.29.18
Usage:Clinical Venue: EC

This is an example only.

Metadata
Title | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Version | 0.0.001
Short Name | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
GUID (Version Independent) | http://example.org/fhir/us/cqm/Measure/HBPComponent
GUID (Version Specific) | http://example.org/fhir/us/cqm/Measure/138v12
Identifier | urn:oid:2.16.840.1.113883.4.642.40.61.29.18
Effective Period | 2022-01-01 through 2022-12-31
Experimental | true
Use Context | Clinical Venue = EC
Jurisdiction | Global (Whole world)
Steward (Publisher) | HL7 International / Clinical Quality Information
Description | This is an example only.
Measure Basis | boolean
Measure Scoring | Proportion
Measure Type | Process
Improvement Notation | Increased score indicates improvement
Measure Group (Rate) (ID: primary)
Initial Population | ID: primary-tsccomponent-initial-population Description: No description provided Criteria: Initial Population
Denominator | ID: primary-tsccomponent-denominator Description: No description provided Criteria: Denominator 1
Denominator Exception | ID: primary-tsccomponent-denominator-exception Description: No description provided Criteria: Denominator Exceptions 1
Numerator | ID: primary-tsccomponent-numerator Description: No description provided Criteria: Numerator 1
Measure Group (Rate) (ID: group-2)
Initial Population | ID: group-2-tsccomponent-initial-population Description: No description provided Criteria: Initial Population
Denominator | ID: group-2-tsccomponent-denominator Description: No description provided Criteria: Denominator 2
Denominator Exception | ID: group-2-tsccomponent-denominator-exception Description: No description provided Criteria: Denominator Exceptions 2
Numerator | ID: group-2-tsccomponent-numerator Description: No description provided Criteria: Numerator 2
Measure Group (Rate) (ID: group-3)
Initial Population | ID: group-3-tsccomponent-initial-population Description: No description provided Criteria: Initial Population
Denominator | ID: group-3-tsccomponent-denominator Description: No description provided Criteria: Denominator 3
Denominator Exception | ID: group-3-tsccomponent-denominator-exception Description: No description provided Criteria: Denominator Exceptions 3
Numerator | ID: group-3-tsccomponent-numerator Description: No description provided Criteria: Numerator 3
Supplemental Data Elements
Supplemental Data Element | ID: fe7bab72-cc69-44bb-a678-473b24811e67 Usage Code: Supplemental Data Description: No description provided Logic Definition: SDE Ethnicity
Supplemental Data Element | ID: 2486f84d-df90-489b-8f5c-e55cdcfb361e Usage Code: Supplemental Data Description: No description provided Logic Definition: SDE Payer
Supplemental Data Element | ID: bb0949c4-1f7b-4ce2-a988-c2e60f1a0079 Usage Code: Supplemental Data Description: No description provided Logic Definition: SDE Race
Supplemental Data Element | ID: 742028bc-5aa5-4a5b-927d-be1908e10aaf Usage Code: Supplemental Data Description: No description provided Logic Definition: SDE Sex
Measure Logic
Primary Library | TSC Component Library
Contents | Population Criteria Logic Definitions Terminology Dependencies Data Requirements
Population Criteria
Measure Group (Rate) (ID: primary)
Initial Population
    define "Initial Population":   exists ( ["Patient"] BirthDate         where Global."CalendarAgeInYearsAt" ( FHIRHelpers.ToDate ( BirthDate.birthDate ), start of "Measurement Period" ) >= 18     )       and ( Count("Office Based Visit During Measurement Period")>= 2           or exists "Preventive Visit During Measurement Period"       )
Definition
Denominator
    define "Denominator 1":   "Initial Population"
Definition
Denominator Exception
    define "Denominator Exceptions 1":   exists "Medical Reason for Not Screening for Tobacco Use"       or "Has Limited Life Expectancy"
Definition
Numerator
    define "Numerator 1":   "Most Recent Tobacco Use Screening Indicates Tobacco Non User" is not null       or "Most Recent Tobacco Use Screening Indicates Tobacco User" is not null
Definition
Measure Group (Rate) (ID: group-2)
Initial Population
    define "Initial Population":   exists ( ["Patient"] BirthDate         where Global."CalendarAgeInYearsAt" ( FHIRHelpers.ToDate ( BirthDate.birthDate ), start of "Measurement Period" ) >= 18     )       and ( Count("Office Based Visit During Measurement Period")>= 2           or exists "Preventive Visit During Measurement Period"       )
Definition
Denominator
    define "Denominator 2":   "Initial Population"       and "Most Recent Tobacco Use Screening Indicates Tobacco User" is not null
Definition
Denominator Exception
    define "Denominator Exceptions 2":   exists "Medical Reason for Not Counseling Tobacco User"       or exists "Medical Reason for Not Ordering Tobacco Cessation Pharmacotherapy"       or "Has Limited Life Expectancy"
Definition
Numerator
    define "Numerator 2":   exists "Tobacco Cessation Counseling Given"       or exists "Tobacco Cessation Pharmacotherapy Ordered"
Definition
Measure Group (Rate) (ID: group-3)
Initial Population
    define "Initial Population":   exists ( ["Patient"] BirthDate         where Global."CalendarAgeInYearsAt" ( FHIRHelpers.ToDate ( BirthDate.birthDate ), start of "Measurement Period" ) >= 18     )       and ( Count("Office Based Visit During Measurement Period")>= 2           or exists "Preventive Visit During Measurement Period"       )
Definition
Denominator
    define "Denominator 3":   "Initial Population"
Definition
Denominator Exception
    define "Denominator Exceptions 3":   exists "Medical Reason for Not Screening for Tobacco Use"       or exists "Medical Reason for Not Counseling Tobacco User"       or exists "Medical Reason for Not Ordering Tobacco Cessation Pharmacotherapy"       or "Has Limited Life Expectancy"
Definition
Numerator
    define "Numerator 3":   "Most Recent Tobacco Use Screening Indicates Tobacco Non User" is not null       or ( "Most Recent Tobacco Use Screening Indicates Tobacco User" is not null           and ( exists "Tobacco Cessation Counseling Given"               or exists "Tobacco Cessation Pharmacotherapy Ordered"               //or exists "Active Pharmacotherapy for Tobacco Cessation"           )       )
Definition
Logic Definitions
Logic Definition | Library Name: SupplementalDataElements
    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
Logic Definition | Library Name: SupplementalDataElements
    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
Logic Definition | Library Name: SupplementalDataElements
    define "SDE Payer":   [Coverage: type in "Payer"] Payer         return {           code: Payer.type,           period: Payer.period         }
Logic Definition | Library Name: SupplementalDataElements
    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
Logic Definition | Library Name: TSCComponent
    define "Most Recent Tobacco Use Screening Indicates Tobacco Non User":   ( Last(["Observation": "Tobacco Use Screening"] TobaccoUseScreening         where Global."Normalize Interval"(TobaccoUseScreening.effective)overlaps "Measurement Period"         sort by start of Global."Normalize Interval"(effective)     )) MostRecentTobaccoUseScreening       where MostRecentTobaccoUseScreening.value in "Tobacco Non-User"
Logic Definition | Library Name: TSCComponent
    define "Most Recent Tobacco Use Screening Indicates Tobacco User":   ( Last(["Observation": "Tobacco Use Screening"] TobaccoUseScreening         where Global."Normalize Interval"(TobaccoUseScreening.effective)overlaps "Measurement Period"         sort by start of Global."Normalize Interval"(effective)     )) MostRecentTobaccoUseScreening       where MostRecentTobaccoUseScreening.value in "Tobacco User"
Logic Definition | Library Name: TSCComponent
    // MedicationStatement is not available in R5, known publication issue //define "Active Pharmacotherapy for Tobacco Cessation": //  ["MedicationStatement": "Tobacco Use Cessation Pharmacotherapy"] TakingCessationPharmacotherapy //      where Global."Normalize Interval" ( TakingCessationPharmacotherapy.effective ) overlaps after "Measurement Period" //        and TakingCessationPharmacotherapy.status in { 'active', 'completed' }  define "Tobacco Cessation Counseling Given":   ["Encounter": "Tobacco Use Cessation Counseling"] TobaccoCessationCounseling       where TobaccoCessationCounseling.period during "Measurement Period"         and TobaccoCessationCounseling.status = 'finished'
Logic Definition | Library Name: TSCComponent
    define "Tobacco Cessation Pharmacotherapy Ordered":   ["MedicationRequest": "Tobacco Use Cessation Pharmacotherapy"] CessationPharmacotherapyOrdered       where CessationPharmacotherapyOrdered.authoredOn during "Measurement Period"         and CessationPharmacotherapyOrdered.status = 'active'
Logic Definition | Library Name: TSCComponent
    define "Numerator 3":   "Most Recent Tobacco Use Screening Indicates Tobacco Non User" is not null       or ( "Most Recent Tobacco Use Screening Indicates Tobacco User" is not null           and ( exists "Tobacco Cessation Counseling Given"               or exists "Tobacco Cessation Pharmacotherapy Ordered"               //or exists "Active Pharmacotherapy for Tobacco Cessation"           )       )
Logic Definition | Library Name: TSCComponent
    define "Medical Reason for Not Screening for Tobacco Use":   ["Observation": "Tobacco Use Screening"] NoTobaccoUseScreening       where NoTobaccoUseScreening.issued during "Measurement Period"         and "Not Done"(NoTobaccoUseScreening)         and "Not Done Reason in Medical Reason"(NoTobaccoUseScreening)         and NoTobaccoUseScreening.status = 'final'
Logic Definition | Library Name: TSCComponent
    //or exists "Active Pharmacotherapy for Tobacco Cessation"  define "Has Limited Life Expectancy":   exists ( ["Condition"] LimitedLifeExpectancy         where Global."Prevalence Period" ( LimitedLifeExpectancy ) overlaps after "Measurement Period"           and LimitedLifeExpectancy.clinicalStatus ~ ToConcept(Global."active")     )
Logic Definition | Library Name: TSCComponent
    define "Denominator Exceptions 1":   exists "Medical Reason for Not Screening for Tobacco Use"       or "Has Limited Life Expectancy"
Logic Definition | Library Name: TSCComponent
    define "Numerator 1":   "Most Recent Tobacco Use Screening Indicates Tobacco Non User" is not null       or "Most Recent Tobacco Use Screening Indicates Tobacco User" is not null
Logic Definition | Library Name: TSCComponent
    define "Numerator 2":   exists "Tobacco Cessation Counseling Given"       or exists "Tobacco Cessation Pharmacotherapy Ordered"
Logic Definition | Library Name: TSCComponent
    define "SDE Race":   SDE."SDE Race"
Logic Definition | Library Name: TSCComponent
    define "SDE Sex":   SDE."SDE Sex"
Logic Definition | Library Name: TSCComponent
    define "Office Based Visit During Measurement Period":   ( ["Encounter": "Health behavior intervention, individual, face-to-face; initial 30 minutes"]       union ["Encounter": "Health behavior assessment, or re-assessment (ie, health-focused clinical interview, behavioral observations, clinical decision making)"]       union ["Encounter": "Home Healthcare Services"]       union ["Encounter": "Occupational Therapy Evaluation"]       union ["Encounter": "Office Visit"]       union ["Encounter": "Ophthalmological Services"]       union ["Encounter": "Physical Therapy Evaluation"]       union ["Encounter": "Psych Visit - Diagnostic Evaluation"]       union ["Encounter": "Psych Visit - Psychotherapy"]       union ["Encounter": "Psychoanalysis"]       union ["Encounter": "Speech and Hearing Evaluation"] ) OfficeBasedEncounter       where OfficeBasedEncounter.period during "Measurement Period"         and OfficeBasedEncounter.status = 'finished'
Logic Definition | Library Name: TSCComponent
    define "Preventive Visit During Measurement Period":   ( ["Encounter": "Annual Wellness Visit"]       union ["Encounter": "Preventive Care Services - Established Office Visit, 18 and Up"]       union ["Encounter": "Preventive Care Services - Group Counseling"]       union ["Encounter": "Preventive Care Services - Other"]       union ["Encounter": "Preventive Care Services-Individual Counseling"]       union ["Encounter": "Preventive Care Services-Initial Office Visit, 18 and Up"] ) PreventiveEncounter       where PreventiveEncounter.period during "Measurement Period"         and PreventiveEncounter.status = 'finished'
Logic Definition | Library Name: TSCComponent
    define "Initial Population":   exists ( ["Patient"] BirthDate         where Global."CalendarAgeInYearsAt" ( FHIRHelpers.ToDate ( BirthDate.birthDate ), start of "Measurement Period" ) >= 18     )       and ( Count("Office Based Visit During Measurement Period")>= 2           or exists "Preventive Visit During Measurement Period"       )
Logic Definition | Library Name: TSCComponent
    define "Denominator 3":   "Initial Population"
Logic Definition | Library Name: TSCComponent
    define "Denominator 2":   "Initial Population"       and "Most Recent Tobacco Use Screening Indicates Tobacco User" is not null
Logic Definition | Library Name: TSCComponent
    define "SDE Payer":   SDE."SDE Payer"
Logic Definition | Library Name: TSCComponent
    define "SDE Ethnicity":   SDE."SDE Ethnicity"
Logic Definition | Library Name: TSCComponent
    define "Medical Reason for Not Counseling Tobacco User":   ["Procedure": "Tobacco Use Cessation Counseling"] NoTobaccoCessationCounseling       where Global."Normalize Interval" ( NoTobaccoCessationCounseling.performed ) starts during "Measurement Period"         and ( ( NoTobaccoCessationCounseling.status = 'not-done'               and NoTobaccoCessationCounseling.statusReason in "Medical Reason"           )             or ( "Not Done"(NoTobaccoCessationCounseling)                 and "Not Done Reason in Medical Reason"(NoTobaccoCessationCounseling)             )         )
Logic Definition | Library Name: TSCComponent
    define "Medical Reason for Not Ordering Tobacco Cessation Pharmacotherapy":   ["MedicationRequest": "Tobacco Use Cessation Pharmacotherapy"] NoCessationPharmacotherapyOrdered       where NoCessationPharmacotherapyOrdered.authoredOn during "Measurement Period"         and NoCessationPharmacotherapyOrdered.status = 'completed'         and ( ( "Not Done"(NoCessationPharmacotherapyOrdered)               and "Not Done Reason in Medical Reason"(NoCessationPharmacotherapyOrdered)           )             or ( NoCessationPharmacotherapyOrdered.doNotPerform = true                 and NoCessationPharmacotherapyOrdered.statusReason in "Medical Reason"             )         )
Logic Definition | Library Name: TSCComponent
    define "Denominator Exceptions 2":   exists "Medical Reason for Not Counseling Tobacco User"       or exists "Medical Reason for Not Ordering Tobacco Cessation Pharmacotherapy"       or "Has Limited Life Expectancy"
Logic Definition | Library Name: TSCComponent
    define "Denominator Exceptions 3":   exists "Medical Reason for Not Screening for Tobacco Use"       or exists "Medical Reason for Not Counseling Tobacco User"       or exists "Medical Reason for Not Ordering Tobacco Cessation Pharmacotherapy"       or "Has Limited Life Expectancy"
Logic Definition | Library Name: TSCComponent
    define "Denominator 1":   "Initial Population"
Logic Definition | Library Name: TSCComponent
    define function "Not Done"(res DomainResource ):   if ( res R       where ( "GetModiferExtension"(R, 'http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-notDone').value = true )   ) is not null then true     else false
Logic Definition | Library Name: TSCComponent
    define function "GetModiferExtension"(res DomainResource, url String ):   singleton from "GetModifierExtensions"(res, url)
Logic Definition | Library Name: TSCComponent
    define function "GetModifierExtensions"(res DomainResource, url String ):   res.modifierExtension E     where E.url = ( url )     return E
Logic Definition | Library Name: TSCComponent
    define function "Not Done Reason in Medical Reason"(res DomainResource ):   if ( res R       where "GetModiferExtension"(R, 'http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-notDoneReason').value in "Medical Reason"   ) is not null then true     else false
Logic Definition | Library Name: MATGlobalCommonFunctions
    define function "Prevalence Period"(condition Condition):   Interval[start of "Normalize Interval"(condition.onset), end of "Normalize Abatement"(condition))
Logic Definition | Library Name: MATGlobalCommonFunctions
    define function "Normalize Abatement"(condition Condition):  if condition.abatement is FHIR.dateTime then    Interval[FHIRHelpers.ToDateTime(condition.abatement as FHIR.dateTime), FHIRHelpers.ToDateTime(condition.abatement as FHIR.dateTime)]  else if condition.abatement is FHIR.Period then    FHIRHelpers.ToInterval(condition.abatement as FHIR.Period)  else if condition.abatement is FHIR.string then     Message(null as Interval<DateTime>, true, '1', 'Error', 'Cannot compute an interval from a String value')  else if condition.abatement is FHIR.Age then   Interval[FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity(condition.abatement as FHIR.Age),    FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity(condition.abatement as FHIR.Age) + 1 year)  else if condition.abatement is FHIR.Range then    Interval[FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity((condition.abatement as FHIR.Range).low),     FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity((condition.abatement as FHIR.Range).high) + 1 year)  else if condition.abatement is FHIR.boolean then    Interval[end of "Normalize Interval"(condition.onset), condition.recordedDate)  else null
Logic Definition | Library Name: MATGlobalCommonFunctions
    define function "CalendarAgeInYearsAt"(BirthDateTime DateTime, AsOf DateTime):  years between ToDate(BirthDateTime)and ToDate(AsOf)
Logic Definition | Library Name: MATGlobalCommonFunctions
    define function "ToDate"(Value DateTime):  DateTime(year from Value, month from Value, day from Value, 0, 0, 0, 0, timezoneoffset from Value)
Logic Definition | Library Name: FHIRHelpers
    define function ToString(value string): value.value
Logic Definition | Library Name: FHIRHelpers
    /* @description: Converts the given [Period](https://hl7.org/fhir/datatypes.html#Period) value to a CQL DateTime Interval @comment: If the start value of the given period is unspecified, the starting boundary of the resulting interval will be open (meaning the start of the interval is unknown, as opposed to interpreted as the beginning of time). */ define function ToInterval(period FHIR.Period):     if period is null then         null     else         if period."start" is null then             Interval(period."start".value, period."end".value]         else             Interval[period."start".value, period."end".value]
Logic Definition | Library Name: FHIRHelpers
    define function ToString(value EncounterStatus): value.value
Logic Definition | Library Name: FHIRHelpers
    /* @description: Converts the given FHIR [CodeableConcept](https://hl7.org/fhir/datatypes.html#CodeableConcept) value to a CQL Concept. */ define function ToConcept(concept FHIR.CodeableConcept):     if concept is null then         null     else         System.Concept {             codes: concept.coding C return ToCode(C),             display: concept.text.value         }
Logic Definition | Library Name: FHIRHelpers
    /* @description: Converts the given FHIR [Coding](https://hl7.org/fhir/datatypes.html#Coding) value to a CQL Code. */ define function ToCode(coding FHIR.Coding):     if coding is null then         null     else         System.Code {           code: coding.code.value,           system: coding.system.value,           version: coding.version.value,           display: coding.display.value         }
Logic Definition | Library Name: FHIRHelpers
    define function ToDateTime(value dateTime): value.value
Logic Definition | Library Name: FHIRHelpers
    define function ToString(value MedicationRequestStatus): value.value
Logic Definition | Library Name: FHIRHelpers
    define function ToDateTime(value instant): value.value
Logic Definition | Library Name: FHIRHelpers
    define function ToBoolean(value boolean): value.value
Logic Definition | Library Name: FHIRHelpers
    define function ToString(value uri): value.value
Logic Definition | Library Name: FHIRHelpers
    define function ToString(value base64Binary): value.value
Logic Definition | Library Name: FHIRHelpers
    define function ToString(value ObservationStatus): value.value
Logic Definition | Library Name: FHIRHelpers
    define function ToDate(value date): value.value
Logic Definition | Library Name: FHIRHelpers
    /* @description: Converts the given FHIR [Quantity](https://hl7.org/fhir/datatypes.html#Quantity)  value to a CQL Quantity @comment: If the given quantity has a comparator specified, a runtime error is raised. If the given quantity has a system other than UCUM (i.e. `http://unitsofmeasure.org`) or CQL calendar units (i.e. `http://hl7.org/fhirpath/CodeSystem/calendar-units`) an error is raised. For UCUM to calendar units, the `ToCalendarUnit` function is used. @seealso: ToCalendarUnit */ define function ToQuantity(quantity FHIR.Quantity):     case         when quantity is null then null         when quantity.value is null then null         when quantity.comparator is not null then             Message(null, true, 'FHIRHelpers.ToQuantity.ComparatorQuantityNotSupported', 'Error', 'FHIR Quantity value has a comparator and cannot be converted to a System.Quantity value.')         when quantity.system is null or quantity.system.value = 'http://unitsofmeasure.org'               or quantity.system.value = 'http://hl7.org/fhirpath/CodeSystem/calendar-units' then             System.Quantity { value: quantity.value.value, unit: ToCalendarUnit(Coalesce(quantity.code.value, quantity.unit.value, '1')) }         else             Message(null, true, 'FHIRHelpers.ToQuantity.InvalidFHIRQuantity', 'Error', 'Invalid FHIR Quantity code: ' & quantity.unit.value & ' (' & quantity.system.value & '|' & quantity.code.value & ')')     end
Logic Definition | Library Name: FHIRHelpers
    /* @description: Converts a UCUM definite duration unit to a CQL calendar duration unit using conversions specified in the [quantities](https://cql.hl7.org/02-authorsguide.html#quantities)  topic of the CQL specification. @comment: Note that for durations above days (or weeks), the conversion is understood to be approximate */ define function ToCalendarUnit(unit System.String):     case unit         when 'ms' then 'millisecond'         when 's' then 'second'         when 'min' then 'minute'         when 'h' then 'hour'         when 'd' then 'day'         when 'wk' then 'week'         when 'mo' then 'month'         when 'a' then 'year'         else unit     end
Logic Definition | Library Name: FHIRHelpers
    define function ToString(value AdministrativeGender): value.value
Logic Definition | Library Name: FHIRHelpers
    define function ToString(value ProcedureStatus): value.value
Terminology
Code System | Description: Code system ConditionClinicalStatusCodes Resource: Condition Clinical Status Codes Canonical URL: `http://terminology.hl7.org/CodeSystem/condition-clinical`
Code System | Description: Code system CPT Resource: Current Procedural Terminology (CPT®) Canonical URL: `http://www.ama-assn.org/go/cpt`
Value Set | Description: Value set Tobacco Use Screening Resource: Tobacco Use Screening Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1278`
Value Set | Description: Value set Tobacco Non-User Resource: Tobacco Non User Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1189`
Value Set | Description: Value set Tobacco User Resource: Tobacco User Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1170`
Value Set | Description: Value set Tobacco Use Cessation Counseling Resource: Tobacco Use Cessation Counseling Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.509`
Value Set | Description: Value set Tobacco Use Cessation Pharmacotherapy Resource: Tobacco Use Cessation Pharmacotherapy Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1190`
Value Set | Description: Value set Medical Reason Resource: Medical Reason Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1007`
Value Set | Description: Value set Home Healthcare Services Resource: Home Healthcare Services Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1016`
Value Set | Description: Value set Occupational Therapy Evaluation Resource: Occupational Therapy Evaluation Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1011`
Value Set | Description: Value set Office Visit Resource: Office Visit Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001`
Value Set | Description: Value set Ophthalmological Services Resource: Ophthalmological Services Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1285`
Value Set | Description: Value set Physical Therapy Evaluation Resource: Physical Therapy Evaluation Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1022`
Value Set | Description: Value set Psych Visit - Diagnostic Evaluation Resource: Psych Visit Diagnostic Evaluation Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1492`
Value Set | Description: Value set Psych Visit - Psychotherapy Resource: Psych Visit Psychotherapy Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1496`
Value Set | Description: Value set Psychoanalysis Resource: Psychoanalysis Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1141`
Value Set | Description: Value set Speech and Hearing Evaluation Resource: Speech and Hearing Evaluation Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1530`
Value Set | Description: Value set Annual Wellness Visit Resource: Annual Wellness Visit Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1240`
Value Set | Description: Value set Preventive Care Services - Established Office Visit, 18 and Up Resource: Preventive Care Services Established Office Visit, 18 and Up Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1025`
Value Set | Description: Value set Preventive Care Services - Group Counseling Resource: Preventive Care Services Group Counseling Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1027`
Value Set | Description: Value set Preventive Care Services - Other Resource: Preventive Care Services Other Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1030`
Value Set | Description: Value set Preventive Care Services-Individual Counseling Resource: Preventive Care Services Individual Counseling Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1026`
Value Set | Description: Value set Preventive Care Services-Initial Office Visit, 18 and Up Resource: Preventive Care Services Initial Office Visit, 18 and Up Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1023`
Value Set | Description: Value set Payer Resource: Payer Type Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591`
Direct Reference Code | Code: active System: `http://terminology.hl7.org/CodeSystem/condition-clinical`
Direct Reference Code | Display: Health behavior intervention, individual, face-to-face; initial 30 minutes Code: 96158 System: `http://www.ama-assn.org/go/cpt`
Direct Reference Code | Display: Health behavior assessment, or re-assessment (ie, health-focused clinical interview, behavioral observations, clinical decision making) Code: 96156 System: `http://www.ama-assn.org/go/cpt`
Dependencies
Dependency | Description: Library Global Resource: MAT Global Common Functions FHIR Libraryversion: null5.0.000) Canonical URL: `http://hl7.org/fhir/uv/cqm/Library/MATGlobalCommonFunctions|5.0.000`
Dependency | Description: Library FHIRHelpers Resource: http://hl7.org/fhir/uv/cql/Library/FHIRHelpers|4.0.1 Canonical URL: `http://hl7.org/fhir/uv/cql/Library/FHIRHelpers|4.0.1`
Dependency | Description: Library SDE Resource: Supplemental Data Elementsversion: null2.0.000) Canonical URL: `http://hl7.org/fhir/uv/cqm/Library/SupplementalDataElements|2.0.000`
Data Requirements
Data Requirement | Type: Observation Profile(s): Observation Must Support Elements: code, effective, value, issued, status Code Filter(s): Path: code ValueSet: Tobacco Use Screening
Data Requirement | Type: Encounter Profile(s): Encounter Must Support Elements: type, period, status Code Filter(s): Path: type ValueSet: Tobacco Use Cessation Counseling
Data Requirement | Type: Encounter Profile(s): Encounter Must Support Elements: type, period, status Code Filter(s): Path: type Code(s): Current Procedural Terminology (CPT®) 96158: Health behavior intervention, individual, face-to-face; initial 30 minutes
Data Requirement | Type: Encounter Profile(s): Encounter Must Support Elements: type, period, status Code Filter(s): Path: type Code(s): Current Procedural Terminology (CPT®) 96156: Health behavior assessment, or re-assessment (ie, health-focused clinical interview, behavioral observations, clinical decision making)
Data Requirement | Type: Encounter Profile(s): Encounter Must Support Elements: type, period, status Code Filter(s): Path: type ValueSet: Home Healthcare Services
Data Requirement | Type: Encounter Profile(s): Encounter Must Support Elements: type, period, status Code Filter(s): Path: type ValueSet: Occupational Therapy Evaluation
Data Requirement | Type: Encounter Profile(s): Encounter Must Support Elements: type, period, status Code Filter(s): Path: type ValueSet: Office Visit
Data Requirement | Type: Encounter Profile(s): Encounter Must Support Elements: type, period, status Code Filter(s): Path: type ValueSet: Ophthalmological Services
Data Requirement | Type: Encounter Profile(s): Encounter Must Support Elements: type, period, status Code Filter(s): Path: type ValueSet: Physical Therapy Evaluation
Data Requirement | Type: Encounter Profile(s): Encounter Must Support Elements: type, period, status Code Filter(s): Path: type ValueSet: Psych Visit Diagnostic Evaluation
Data Requirement | Type: Encounter Profile(s): Encounter Must Support Elements: type, period, status Code Filter(s): Path: type ValueSet: Psych Visit Psychotherapy
Data Requirement | Type: Encounter Profile(s): Encounter Must Support Elements: type, period, status Code Filter(s): Path: type ValueSet: Psychoanalysis
Data Requirement | Type: Encounter Profile(s): Encounter Must Support Elements: type, period, status Code Filter(s): Path: type ValueSet: Speech and Hearing Evaluation
Data Requirement | Type: Encounter Profile(s): Encounter Must Support Elements: type, period, status Code Filter(s): Path: type ValueSet: Annual Wellness Visit
Data Requirement | Type: Encounter Profile(s): Encounter Must Support Elements: type, period, status Code Filter(s): Path: type ValueSet: Preventive Care Services Established Office Visit, 18 and Up
Data Requirement | Type: Encounter Profile(s): Encounter Must Support Elements: type, period, status Code Filter(s): Path: type ValueSet: Preventive Care Services Group Counseling
Data Requirement | Type: Encounter Profile(s): Encounter Must Support Elements: type, period, status Code Filter(s): Path: type ValueSet: Preventive Care Services Other
Data Requirement | Type: Encounter Profile(s): Encounter Must Support Elements: type, period, status Code Filter(s): Path: type ValueSet: Preventive Care Services Individual Counseling
Data Requirement | Type: Encounter Profile(s): Encounter Must Support Elements: type, period, status Code Filter(s): Path: type ValueSet: Preventive Care Services Initial Office Visit, 18 and Up
Data Requirement | Type: MedicationRequest Profile(s): MedicationRequest Must Support Elements: medication, authoredOn, status, doNotPerform, statusReason Code Filter(s): Path: medication ValueSet: Tobacco Use Cessation Pharmacotherapy
Data Requirement | Type: MedicationRequest Profile(s): MedicationRequest Must Support Elements: medication.reference, authoredOn, status, doNotPerform, statusReason
Data Requirement | Type: Medication Profile(s): Medication Must Support Elements: id, code
Data Requirement | Type: Patient Profile(s): Patient Must Support Elements: url, extension, value, birthDate
Data Requirement | Type: Condition Profile(s): Condition Must Support Elements: clinicalStatus
Data Requirement | Type: Coverage Profile(s): Coverage Must Support Elements: type, period Code Filter(s): Path: type ValueSet: Payer Type
Data Requirement | Type: Procedure Profile(s): Procedure Must Support Elements: code, performed, status, statusReason Code Filter(s): Path: code ValueSet: Tobacco Use Cessation Counseling
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