| Library Name | Name | sequence |
|---|
| CCSComponent |
SDE Sex |
define "SDE Sex":
SDE."SDE Sex"
| Library Name | Name | sequence |
|---|
| SupplementalDataElements |
SDE Sex |
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
| Library Name | Name | sequence |
|---|
| CCSComponent |
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"
| Library Name | Name | sequence |
|---|
| CCSComponent |
Colonoscopy Performed |
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"
| Library Name | Name | sequence |
|---|
| CCSComponent |
Fecal Occult Blood Test Performed |
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"
| Library Name | Name | sequence |
|---|
| CCSComponent |
Flexible Sigmoidoscopy Performed |
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"
| Library Name | Name | sequence |
|---|
| CCSComponent |
Fecal Immunochemical Test DNA |
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"
| Library Name | Name | sequence |
|---|
| CCSComponent |
CT Colonography Performed |
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"
| Library Name | Name | sequence |
|---|
| CCSComponent |
Denominator |
define "Denominator":
"Initial Population"
| Library Name | Name | sequence |
|---|
| CCSComponent |
Initial Population |
define "Initial Population":
Global."CalendarAgeInYearsAt" ( FHIRHelpers.ToDate ( Patient.birthDate ), start of "Measurement Period" ) in Interval[50, 75]
and exists AdultOutpatientEncounters."Qualifying Encounters"
| Library Name | Name | sequence |
|---|
| AdultOutpatientEncounters |
Qualifying Encounters |
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'
| Library Name | Name | sequence |
|---|
| CCSComponent |
SDE Payer |
define "SDE Payer":
SDE."SDE Payer"
| Library Name | Name | sequence |
|---|
| SupplementalDataElements |
SDE Payer |
define "SDE Payer":
[Coverage: type in "Payer"] Payer
return {
code: Payer.type,
period: Payer.period
}
| Library Name | Name | sequence |
|---|
| CCSComponent |
Initial Population |
define "Initial Population":
Global."CalendarAgeInYearsAt" ( FHIRHelpers.ToDate ( Patient.birthDate ), start of "Measurement Period" ) in Interval[50, 75]
and exists AdultOutpatientEncounters."Qualifying Encounters"
| Library Name | Name | sequence |
|---|
| CCSComponent |
SDE Ethnicity |
define "SDE Ethnicity":
SDE."SDE Ethnicity"
| Library Name | Name | sequence |
|---|
| SupplementalDataElements |
SDE Ethnicity |
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
| Library Name | Name | sequence |
|---|
| CCSComponent |
Denominator Exclusion |
define "Denominator Exclusion":
Hospice."Has Hospice"
or exists "Malignant Neoplasm"
or exists "Total Colectomy Performed"
or Frailty."Advanced Illness and Frailty Exclusion Not Including Over Age 80"
and Frailty."Long Term Care Periods Longer Than 90 Consecutive Days"
| Library Name | Name | sequence |
|---|
| Hospice |
Has 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"
)
| Library Name | Name | sequence |
|---|
| CCSComponent |
Malignant Neoplasm |
define "Malignant Neoplasm":
[Condition: "Malignant Neoplasm of Colon"] ColorectalCancer
where Global."Prevalence Period" ( ColorectalCancer ) starts on or before
end of "Measurement Period"
| Library Name | Name | sequence |
|---|
| CCSComponent |
Total Colectomy Performed |
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"
| Library Name | Name | sequence |
|---|
| AdvancedIllnessandFrailtyExclusion |
Advanced Illness and Frailty Exclusion Not Including Over Age 80 |
define "Advanced Illness and Frailty Exclusion Not Including Over Age 80":
//If the measure does NOT include populations age 80 and older, then use this logic:
Global."CalendarAgeInYearsAt"(FHIRHelpers.ToDate(Patient.birthDate), start of "Measurement Period")>= 65
and "Has Criteria Indicating Frailty"
and ( Count("Outpatient Encounters with Advanced Illness")>= 2
or exists ( "Inpatient Encounter with Advanced Illness" )
or exists "Dementia Medications In Year Before or During Measurement Period"
)
| Library Name | Name | sequence |
|---|
| AdvancedIllnessandFrailtyExclusion |
Has Criteria Indicating Frailty |
define "Has Criteria Indicating Frailty":
//Ask Bryn about devices
exists ( [DeviceRequest: "Frailty Device"] FrailtyDeviceOrder
where FrailtyDeviceOrder.authoredOn during "Measurement Period"
)
or exists ( [DeviceUseStatement: "Frailty Device"] FrailtyDeviceUse
where Global."Normalize Interval"(FrailtyDeviceUse.timing) overlaps "Measurement Period"
)
or exists ( [Condition: "Frailty Diagnosis"] FrailtyDiagnosis
where Global."Prevalence Period"(FrailtyDiagnosis) overlaps "Measurement Period"
)
or exists ( [Encounter: "Frailty Encounter"] FrailtyEncounter
where FrailtyEncounter.period overlaps "Measurement Period"
)
or exists ( [Observation: "Frailty Symptom"] FrailtySymptomObservation
where Global."Normalize Interval"(FrailtySymptomObservation.effective) overlaps "Measurement Period"
)
| Library Name | Name | sequence |
|---|
| AdvancedIllnessandFrailtyExclusion |
Outpatient Encounters with Advanced Illness |
define "Outpatient Encounters with Advanced Illness":
( [Encounter: "Outpatient"]
union [Encounter: "Observation"]
union [Encounter: "ED"]
union [Encounter: "Nonacute Inpatient"] ) OutpatientEncounter
with [Condition: "Advanced Illness"] AdvancedIllnessDiagnosis
such that exists (
OutpatientEncounter.diagnosis.condition EncounterDiagnosis
where EndsWith(EncounterDiagnosis.reference, AdvancedIllnessDiagnosis.id)
)
and OutpatientEncounter.period starts 2 years or less on or before
end of "Measurement Period"
| Library Name | Name | sequence |
|---|
| AdvancedIllnessandFrailtyExclusion |
Inpatient Encounter with Advanced Illness |
define "Inpatient Encounter with Advanced Illness":
[Encounter: "Acute Inpatient"] InpatientEncounter
with [Condition: "Advanced Illness"] AdvancedIllnessDiagnosis
such that exists (
InpatientEncounter.diagnosis.condition EncounterDiagnosis
where EndsWith(EncounterDiagnosis.reference, AdvancedIllnessDiagnosis.id)
)
and InpatientEncounter.period starts 2 years or less on or before
end of "Measurement Period"
| Library Name | Name | sequence |
|---|
| AdvancedIllnessandFrailtyExclusion |
Dementia Medications In Year Before or During Measurement Period |
define "Dementia Medications In Year Before or During Measurement Period":
["MedicationDispense": "Dementia Medications"] DementiaMed
where DementiaMed.whenHandedOver during Interval[
( start of "Measurement Period" - 1 year ), end of "Measurement Period"
]
| Library Name | Name | sequence |
|---|
| AdvancedIllnessandFrailtyExclusion |
Long Term Care Periods Longer Than 90 Consecutive Days |
define "Long Term Care Periods Longer Than 90 Consecutive Days":
exists ( "Long Term Care Periods During Measurement Period" LongTermCareDuringMP
where duration in days of LongTermCareDuringMP > 90
)
| Library Name | Name | sequence |
|---|
| AdvancedIllnessandFrailtyExclusion |
Long Term Care Periods During Measurement Period |
// start heredefine "Long Term Care Periods During Measurement Period":
( [Encounter: "Care Services in Long-Term Residential Facility"]
union [Encounter: "Nursing Facility Visit"] ) LongTermFacilityEncounter
where LongTermFacilityEncounter.period overlaps "Measurement Period"
return LongTermFacilityEncounter.period
intersect "Measurement Period"
| Library Name | Name | sequence |
|---|
| CCSComponent |
SDE Race |
define "SDE Race":
SDE."SDE Race"
| Library Name | Name | sequence |
|---|
| SupplementalDataElements |
SDE Race |
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
|
|
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