Quality Measure Implementation Guide
1.0.0 - STU 1

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

## Measure: EXM130 - Colorectal Cancer Screening Measure (Experimental)

Official URL: http://hl7.org/fhir/uv/cqm/Measure/EXM130-FHIR | Version: 8.0.000
Standards status: Informative | Computable Name: EXM130
Other Identifiers: http://example.org/fhir/cqi/ecqm/Measure/Identifier/cms#130 (use: official, ), http://example.org/fhir/cqi/ecqm/Measure/Identifier/nqf#0034 (use: official, ), OID:2.16.840.1.113883.4.642.40.61.29.6
Usage:Clinical Venue: EC
Copyright/Legal: This Physician Performance Measure (Measure) and related data specifications were developed by the National Committee for Quality Assurance (NCQA). NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications. NCQA holds a copyright in the Measure. The Measure can be reproduced and distributed, without modification, for noncommercial purposes (eg, use by healthcare providers in connection with their practices) without obtaining approval from NCQA. Commercial use is defined as the sale, licensing, or distribution of the Measure for commercial gain, or incorporation of the Measure into a product or service that is sold, licensed or distributed for commercial gain. All commercial uses or requests for modification must be approved by NCQA and are subject to a license at the discretion of NCQA. (C) 2012-2017 National Committee for Quality Assurance. All Rights Reserved. Limited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any third party codes contained in the specifications. CPT(R) contained in the Measure specifications is copyright 2004-2017 American Medical Association. LOINC(R) copyright 2004-2017 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R] ) copyright 2004-2017 International Health Terminology Standards Development Organisation. ICD-10 copyright 2017 World Health Organization. All Rights Reserved.

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

This measure has been developed to support improvement in clinical care.

Metadata
Title | EXM130 - Colorectal Cancer Screening Measure
Version | 8.0.000
Identifier | 130
Identifier | 0034
Identifier | urn:oid:2.16.840.1.113883.4.642.40.61.29.6
Effective Period | 2018-01-01 through 2018-12-31
Approval Date | 2016-01-01
Last Review Date | 2016-09-01
Experimental | true
Use Context | Clinical Venue = EC
Jurisdiction | Global (Whole world)
Topic | Health Quality Measure Document
Steward (Publisher) | HL7 International / Clinical Quality Information
Description | Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
Purpose | This measure has been developed to support improvement in clinical care.
Copyright | This Physician Performance Measure (Measure) and related data specifications were developed by the National Committee for Quality Assurance (NCQA). NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications. NCQA holds a copyright in the Measure. The Measure can be reproduced and distributed, without modification, for noncommercial purposes (eg, use by healthcare providers in connection with their practices) without obtaining approval from NCQA. Commercial use is defined as the sale, licensing, or distribution of the Measure for commercial gain, or incorporation of the Measure into a product or service that is sold, licensed or distributed for commercial gain. All commercial uses or requests for modification must be approved by NCQA and are subject to a license at the discretion of NCQA. (C) 2012-2017 National Committee for Quality Assurance. All Rights Reserved. Limited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any third party codes contained in the specifications. CPT(R) contained in the Measure specifications is copyright 2004-2017 American Medical Association. LOINC(R) copyright 2004-2017 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R] ) copyright 2004-2017 International Health Terminology Standards Development Organisation. ICD-10 copyright 2017 World Health Organization. All Rights Reserved.
Disclaimer | The performance Measure is not a clinical guideline and does not establish a standard of medical care, and has not been tested for all potential applications. THE MEASURE AND SPECIFICATIONS ARE PROVIDED "AS IS" WITHOUT WARRANTY OF ANY KIND. Due to technical limitations, registered trademarks are indicated by (R) or [R] and unregistered trademarks are indicated by (TM) or [TM].
Measure Basis | boolean
Measure Scoring | Proportion
Measure Type | Process
Rationale | Colorectal cancer represents 8 percent of all new cancer cases and is the second leading cause of cancer deaths in the United States. In 2017, there were an estimated 135,430 new cases of colorectal cancer and an estimated 50,260 deaths attributed to it. According to the National Cancer Institute, about 4.3 percent of men and women will be diagnosed with colorectal cancer at some point during their lifetimes. For most adults, older age is the most important risk factor for colorectal cancer, although being male and black are also associated with higher incidence and mortality. Colorectal cancer is most frequently diagnosed among people 65 to 74 years old (Howlader et al. 2017). Screening can be effective for finding precancerous lesions (polyps) that could later become malignant, and for detecting early cancers that can be more easily and effectively treated. Precancerous polyps usually take about 10 to 15 years to develop into colorectal cancer, and most can be found and removed before turning into cancer. The five-year relative survival rate for people whose colorectal cancer is found in the early stage before it has spread is about 90 percent (American Cancer Society 2017).
Clinical Recommendation Statement | The U. S. Preventive Services Task Force (2016) recommends screening for colorectal cancer starting at age 50 years and continuing until age 75 years. This is a Grade A recommendation (U.S. Preventive Services Task Force 2016). Screening tests: -Colonoscopy (every 10 years) -Flexible sigmoidoscopy (every 5 years) -Fecal occult blood test (annually) -FIT-DNA (every 3 years) -Computed tomographic colonography (every 5 years)
Improvement Notation | Increased score indicates improvement
Measure Group (Rate) (ID: primary)
Initial Population | ID: primary-exm130-initial-population Description: No description provided Criteria: Initial Population
Numerator | ID: primary-exm130-numerator Description: No description provided Criteria: Numerator
Denominator | ID: primary-exm130-denominator Description: No description provided Criteria: Denominator
Denominator Exclusion | ID: primary-exm130-denominator-exclusion Description: No description provided Criteria: Denominator Exclusion
Supplemental Data Elements
Supplemental Data Element | Usage Code: Supplemental Data Description: No description provided Logic Definition: SDE Ethnicity
Supplemental Data Element | Usage Code: Supplemental Data Description: No description provided Logic Definition: SDE Payer
Supplemental Data Element | Usage Code: Supplemental Data Description: No description provided Logic Definition: SDE Race
Supplemental Data Element | Usage Code: Supplemental Data Description: No description provided Logic Definition: SDE Sex
Measure Logic
Primary Library | EXM130 - Colorectal Cancer Screening Library
Contents | Population Criteria Logic Definitions Terminology Dependencies Data Requirements
Population Criteria
Measure Group (Rate) (ID: primary)
Initial Population
    define "Initial Population":
    	Global."CalendarAgeInYearsAt"(FHIRHelpers.ToDate(Patient.birthDate), start of "Measurement Period") in Interval[50, 75]
    			and exists AdultOutpatientEncounters."Qualifying Encounters"
Definition
Numerator
    define "Numerator":
    	exists "Colonoscopy Performed"
    		or exists "Fecal Occult Blood Test Performed"
    		or exists "Flexible Sigmoidoscopy Performed"
    		or exists "Fecal Immunochemical Test DNA"
    		or exists "CT Colonography Performed"
Definition
Denominator
    define "Denominator":
    	true
Definition
Denominator Exclusion
    define "Denominator Exclusion":
    	Hospice."Has Hospice"
    		or exists "Malignant Neoplasm Ever"
    		or exists "Total Colectomy Performed"
Definition
Logic Definitions
Logic Definition | Library Name: AdultOutpatientEncounters
    define "Qualifying Encounters":
    	(
        [Encounter: "Office Visit"]
      		union [Encounter: "Annual Wellness Visit"]
      		union [Encounter: "Preventive Care Services - Established Office Visit, 18 and Up"]
      		union [Encounter: "Preventive Care Services-Initial Office Visit, 18 and Up"]
      		union [Encounter: "Home Healthcare Services"]
      ) ValidEncounter
    		where ValidEncounter.period during "Measurement Period"
      		and ValidEncounter.status  = 'finished'
Logic Definition | Library Name: Hospice
    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"
        )
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: 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: EXM130
    define "SDE Sex":
      SDE."SDE Sex"
Logic Definition | Library Name: EXM130
    define "Colonoscopy Performed":
    	[Procedure: "Colonoscopy"] Colonoscopy
    		where Colonoscopy.status = 'completed'
    		  and Global."Normalize Interval"(Colonoscopy.performed) ends 10 years or less on or before end of "Measurement Period"
Logic Definition | Library Name: EXM130
    define "Fecal Occult Blood Test Performed":
    	[Observation: "Fecal Occult Blood Test (FOBT)"] FecalOccultResult
    		where FecalOccultResult.status in {'final', 'amended', 'corrected', 'preliminary'}
    			and FecalOccultResult.value is not null
    			and Global."Normalize Interval"(FecalOccultResult.effective) during day of "Measurement Period"
Logic Definition | Library Name: EXM130
    define "Flexible Sigmoidoscopy Performed":
    	[Procedure: "Flexible Sigmoidoscopy"] FlexibleSigmoidoscopy
    		where FlexibleSigmoidoscopy.status = 'completed'
    			and Global."Normalize Interval"(FlexibleSigmoidoscopy.performed) ends 5 years or less on or before end of "Measurement Period"
Logic Definition | Library Name: EXM130
    define "Fecal Immunochemical Test DNA":
    	[Observation: "FIT DNA"] FitDNA
    		where FitDNA.status in {'final', 'amended', 'corrected', 'preliminary'}
    			and FitDNA.value is not null
    			and Global."Normalize Interval"(FitDNA.effective) occurs 3 years or less on or before day of end of "Measurement Period"
Logic Definition | Library Name: EXM130
    define "CT Colonography Performed":
    	[Procedure: "CT Colonography"] Colonography
    		where Colonography.status = 'completed'
    			and Global."Normalize Interval"(Colonography.performed) ends 5 years or less on or before end of "Measurement Period"
Logic Definition | Library Name: EXM130
    define "Numerator":
    	exists "Colonoscopy Performed"
    		or exists "Fecal Occult Blood Test Performed"
    		or exists "Flexible Sigmoidoscopy Performed"
    		or exists "Fecal Immunochemical Test DNA"
    		or exists "CT Colonography Performed"
Logic Definition | Library Name: EXM130
    define "Denominator":
    	true
Logic Definition | Library Name: EXM130
    define "SDE Payer":
      SDE."SDE Payer"
Logic Definition | Library Name: EXM130
    define "Initial Population":
    	Global."CalendarAgeInYearsAt"(FHIRHelpers.ToDate(Patient.birthDate), start of "Measurement Period") in Interval[50, 75]
    			and exists AdultOutpatientEncounters."Qualifying Encounters"
Logic Definition | Library Name: EXM130
    define "SDE Ethnicity":
      SDE."SDE Ethnicity"
Logic Definition | Library Name: EXM130
    define "Malignant Neoplasm Ever":
    	[Condition: "Malignant Neoplasm of Colon"] ColorectalCancer
    		where Global."Normalize Interval"(ColorectalCancer.onset) starts on or before end of "Measurement Period"
Logic Definition | Library Name: EXM130
    define "Total Colectomy Performed":
    	[Procedure: "Total Colectomy"] Colectomy
    		where Colectomy.status = 'completed'
    			and Global."Normalize Interval"(Colectomy.performed) starts on or before end of "Measurement Period"
Logic Definition | Library Name: EXM130
    define "Denominator Exclusion":
    	Hospice."Has Hospice"
    		or exists "Malignant Neoplasm Ever"
    		or exists "Total Colectomy Performed"
Logic Definition | Library Name: EXM130
    define "SDE Race":
      SDE."SDE Race"
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 AdministrativeGender): value.value
Logic Definition | Library Name: FHIRHelpers
    define function ToString(value ProcedureStatus): 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 [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
    define function ToString(value uri): 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 ToString(value ServiceRequestIntent): value.value
Logic Definition | Library Name: FHIRHelpers
    define function ToDateTime(value dateTime): value.value
Terminology
Code System | Description: Code system SNOMEDCT:2017-09 Resource: `http://snomed.info/sct|http://snomed.info/sct/731000124108/version/201709` Canonical URL: `http://snomed.info/sct|http://snomed.info/sct/731000124108/version/201709`
Value Set | Description: Value set Colonoscopy Resource: Colonoscopy Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1020`
Value Set | Description: Value set Fecal Occult Blood Test (FOBT) Resource: Fecal Occult Blood Test (FOBT) Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1011`
Value Set | Description: Value set Flexible Sigmoidoscopy Resource: Flexible Sigmoidoscopy Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1010`
Value Set | Description: Value set FIT DNA Resource: sDNA FIT Test Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1039`
Value Set | Description: Value set CT Colonography Resource: CT Colonography Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1038`
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`
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 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-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 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 Encounter Inpatient Resource: Encounter Inpatient Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307`
Value Set | Description: Value set Hospice care ambulatory Resource: Hospice Care Ambulatory Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1108.15`
Value Set | Description: Value set Malignant Neoplasm of Colon Resource: Malignant Neoplasm of Colon Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1001`
Value Set | Description: Value set Total Colectomy Resource: Total Colectomy Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1019`
Direct Reference Code | Display: Discharge to home for hospice care (procedure) Code: 428361000124107 System: `http://snomed.info/sct`
Direct Reference Code | Display: Discharge to healthcare facility for hospice care (procedure) Code: 428371000124100 System: `http://snomed.info/sct`
Dependencies
Dependency | Description: Library SDE Resource: Supplemental Data Elementsversion: null2.0.000) Canonical URL: `http://hl7.org/fhir/uv/cqm/Library/SupplementalDataElements|2.0.000`
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 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 AdultOutpatientEncounters Resource: Adult Outpatient Encounters Common Libraryversion: null2.0.000) Canonical URL: `http://hl7.org/fhir/uv/cqm/Library/AdultOutpatientEncounters|2.0.000`
Dependency | Description: Library Hospice Resource: Hospice FHIR Libraryversion: null2.0.000) Canonical URL: `http://hl7.org/fhir/uv/cqm/Library/Hospice|2.0.000`
Data Requirements
Data Requirement | Type: Patient Profile(s): Patient Must Support Elements: url, extension, value
Data Requirement | Type: Procedure Profile(s): Procedure Must Support Elements: code, status, performed Code Filter(s): Path: code ValueSet: Colonoscopy
Data Requirement | Type: Procedure Profile(s): Procedure Must Support Elements: code, status, performed Code Filter(s): Path: code ValueSet: Flexible Sigmoidoscopy
Data Requirement | Type: Procedure Profile(s): Procedure Must Support Elements: code, status, performed Code Filter(s): Path: code ValueSet: CT Colonography
Data Requirement | Type: Procedure Profile(s): Procedure Must Support Elements: code, status, performed Code Filter(s): Path: code ValueSet: Hospice Care Ambulatory
Data Requirement | Type: Procedure Profile(s): Procedure Must Support Elements: code, status, performed Code Filter(s): Path: code ValueSet: Total Colectomy
Data Requirement | Type: Observation Profile(s): Observation Must Support Elements: code, status, value, effective Code Filter(s): Path: code ValueSet: Fecal Occult Blood Test (FOBT)
Data Requirement | Type: Observation Profile(s): Observation Must Support Elements: code, status, value, effective Code Filter(s): Path: code ValueSet: sDNA FIT Test
Data Requirement | Type: Coverage Profile(s): Coverage Must Support Elements: type, period Code Filter(s): Path: type ValueSet: Payer Type
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: 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 Initial Office Visit, 18 and Up
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, status, hospitalization, hospitalization.dischargeDisposition, period Code Filter(s): Path: type ValueSet: Encounter Inpatient
Data Requirement | Type: ServiceRequest Profile(s): ServiceRequest Must Support Elements: code, intent, authoredOn Code Filter(s): Path: code ValueSet: Hospice Care Ambulatory
Data Requirement | Type: Condition Profile(s): Condition Must Support Elements: code, onset Code Filter(s): Path: code ValueSet: Malignant Neoplasm of Colon
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