Quality Measure Implementation Guide (STU3 Ballot)
2.1.0 - ballot
Quality Measure Implementation Guide (STU3 Ballot)
2.1.0 - ballot
This page is part of the Quality Measure STU2 for FHIR R4 Implementation Guide (v2.1.0: STU3 Ballot 1) based on FHIR R4. The current version which supercedes this version is 3.0.0. For a full list of available versions, see the Directory of published versions 
@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <http://loinc.org/rdf#> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix sct: <http://snomed.info/id/> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .
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fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <table class=\"grid dict\">\n \n <tr>\n <th scope=\"row\"><b>Id: </b></th>\n <td style=\"padding-left: 4px;\">measure-exm125-FHIR</td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Url: </b></th>\n <td style=\"padding-left: 4px;\">http://hl7.org/fhir/us/cqfmeasures/Measure/measure-exm125-FHIR</td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Version: </b></th>\n <td style=\"padding-left: 4px;\">8.0.000</td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Identifier: </b></th>\n <td style=\"padding-left: 4px;\">\n \n \n <p style=\"margin-bottom: 5px;\">\n <b>value: </b> <span>146</span>\n </p>\n \n </td>\n </tr>\n \n <tr>\n <th scope=\"row\"><b>Identifier: </b></th>\n <td style=\"padding-left: 4px;\">\n \n \n <p style=\"margin-bottom: 5px;\">\n <b>value: </b> <span>0002</span>\n </p>\n \n </td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Name: </b></th>\n <td style=\"padding-left: 4px;\">EXM125</td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Title: </b></th>\n <td style=\"padding-left: 4px;\">Breast Cancer Screening</td>\n </tr>\n \n \n \n <tr>\n <th scope=\"row\"><b>Status: </b></th>\n <td style=\"padding-left: 4px;\">active</td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Experimental: </b></th>\n <td style=\"padding-left: 4px;\">true</td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Scoring: </b></th>\n <td style=\"padding-left: 4px;\">\n \n \n \n <p style=\"margin-bottom: 5px;\">\n <b>system: </b> <span>http://terminology.hl7.org/CodeSystem/measure-scoring</span>\n </p>\n \n \n <p style=\"margin-bottom: 5px;\">\n <b>code: </b> <span>proportion</span>\n </p>\n \n \n <p style=\"margin-bottom: 5px;\">\n <b>display: </b> <span>Proportion</span>\n </p>\n \n \n \n \n </td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Improvement Notation: </b></th>\n <td style=\"padding-left: 4px;\">\n \n \n \n <p style=\"margin-bottom: 5px;\">\n <b>system: </b> <span>http://terminology.hl7.org/CodeSystem/measure-improvement-notation</span>\n </p>\n \n \n <p style=\"margin-bottom: 5px;\">\n <b>code: </b> <span>increase</span>\n </p>\n \n \n <p style=\"margin-bottom: 5px;\">\n <b>display: </b> <span>Increased score indicates improvement</span>\n </p>\n \n \n \n \n </td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Type: </b></th>\n <td style=\"padding-left: 4px;\">\n \n \n \n <p style=\"margin-bottom: 5px;\">\n <b>system: </b> <span>http://terminology.hl7.org/CodeSystem/measure-type</span>\n </p>\n \n \n <p style=\"margin-bottom: 5px;\">\n <b>code: </b> <span>process</span>\n </p>\n \n \n \n \n \n </td>\n </tr>\n \n \n \n <tr>\n <th scope=\"row\"><b>Date: </b></th>\n <td style=\"padding-left: 4px;\">2021-04-03</td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Publisher: </b></th>\n <td style=\"padding-left: 4px;\">Clinical Quality Information WG</td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Description: </b></th>\n <td style=\"padding-left: 4px;\">Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer</td>\n </tr>\n \n \n \n \n <tr>\n <th scope=\"row\"><b>Parameters: </b></th>\n <td style=\"padding-left: 4px;\">\n <table class=\"grid-dict\">\n <tr><th><b>name</b></th><th><b>use</b></th><th><b>min</b></th><th><b>max</b></th><th><b>type</b></th></tr>\n \n <tr>\n <td>Measurement Period</td>\n <td>in</td>\n <td>0</td>\n <td>1</td>\n <td>Period</td>\n </tr>\n \n <tr>\n <td>SDE Sex</td>\n <td>out</td>\n <td>0</td>\n <td>1</td>\n <td>Coding</td>\n </tr>\n \n <tr>\n <td>Numerator</td>\n <td>out</td>\n <td>0</td>\n <td>1</td>\n <td>boolean</td>\n </tr>\n \n <tr>\n <td>Denominator</td>\n <td>out</td>\n <td>0</td>\n <td>1</td>\n <td>boolean</td>\n </tr>\n \n <tr>\n <td>Initial Population</td>\n <td>out</td>\n <td>0</td>\n <td>1</td>\n <td>boolean</td>\n </tr>\n \n <tr>\n <td>Patient</td>\n <td>out</td>\n <td>0</td>\n <td>1</td>\n <td>Patient</td>\n </tr>\n \n <tr>\n <td>Qualifying Encounters</td>\n <td>out</td>\n <td>0</td>\n <td>*</td>\n <td>Encounter</td>\n </tr>\n \n <tr>\n <td>SDE Payer</td>\n <td>out</td>\n <td>0</td>\n <td>*</td>\n <td>Any</td>\n </tr>\n \n <tr>\n <td>SDE Ethnicity</td>\n <td>out</td>\n <td>0</td>\n <td>*</td>\n <td>Coding</td>\n </tr>\n \n <tr>\n <td>Denominator Exclusion</td>\n <td>out</td>\n <td>0</td>\n <td>1</td>\n <td>boolean</td>\n </tr>\n \n <tr>\n <td>Has Hospice</td>\n <td>out</td>\n <td>0</td>\n <td>1</td>\n <td>boolean</td>\n </tr>\n \n <tr>\n <td>Unilateral Mastectomy Procedure</td>\n <td>out</td>\n <td>0</td>\n <td>*</td>\n <td>Procedure</td>\n </tr>\n \n <tr>\n <td>Right Mastectomy</td>\n <td>out</td>\n <td>0</td>\n <td>*</td>\n <td>Condition</td>\n </tr>\n \n <tr>\n <td>Left Mastectomy</td>\n <td>out</td>\n <td>0</td>\n <td>*</td>\n <td>Condition</td>\n </tr>\n \n <tr>\n <td>History Bilateral Mastectomy</td>\n <td>out</td>\n <td>0</td>\n <td>*</td>\n <td>Condition</td>\n </tr>\n \n <tr>\n <td>Bilateral Mastectomy Procedure</td>\n <td>out</td>\n <td>0</td>\n <td>*</td>\n <td>Procedure</td>\n </tr>\n \n <tr>\n <td>SDE Race</td>\n <td>out</td>\n <td>0</td>\n <td>*</td>\n <td>Coding</td>\n </tr>\n \n </table>\n </td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Data Requirements: </b></th>\n <td style=\"padding-left: 4px;\">\n <table class=\"grid-dict\">\n <tr><th><b>type</b></th><th><b>path</b></th><th><b>valueSet or system</b></th><th><b>code</b></th></tr>\n \n <tr>\n <td>DiagnosticReport</td>\n <td>code</td>\n \n <td>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1018</td>\n <td></td>\n \n \n </tr>\n \n <tr>\n <td>Patient</td>\n <td></td>\n \n \n </tr>\n \n <tr>\n <td>Encounter</td>\n <td>type</td>\n \n <td>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001</td>\n <td></td>\n \n \n </tr>\n \n <tr>\n <td>Encounter</td>\n <td>type</td>\n \n <td>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1240</td>\n <td></td>\n \n \n </tr>\n \n <tr>\n <td>Encounter</td>\n <td>type</td>\n \n <td>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1025</td>\n <td></td>\n \n \n </tr>\n \n <tr>\n <td>Encounter</td>\n <td>type</td>\n \n <td>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1023</td>\n <td></td>\n \n \n </tr>\n \n <tr>\n <td>Encounter</td>\n <td>type</td>\n \n <td>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1016</td>\n <td></td>\n \n \n </tr>\n \n <tr>\n <td>Coverage</td>\n <td>type</td>\n \n <td>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591</td>\n <td></td>\n \n \n </tr>\n \n <tr>\n <td>Patient</td>\n <td></td>\n \n \n </tr>\n \n <tr>\n <td>Encounter</td>\n <td>type</td>\n \n <td>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307</td>\n <td></td>\n \n \n </tr>\n \n <tr>\n <td>ServiceRequest</td>\n <td>code</td>\n \n <td>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1108.15</td>\n <td></td>\n \n \n </tr>\n \n <tr>\n <td>Procedure</td>\n <td>code</td>\n \n <td>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1108.15</td>\n <td></td>\n \n \n </tr>\n \n <tr>\n <td>Procedure</td>\n <td>code</td>\n \n <td>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1020</td>\n <td></td>\n \n \n </tr>\n \n <tr>\n <td>Condition</td>\n <td>code</td>\n \n <td>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1070</td>\n <td></td>\n \n \n </tr>\n \n <tr>\n <td>Condition</td>\n <td>code</td>\n \n <td>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1071</td>\n <td></td>\n \n \n </tr>\n \n <tr>\n <td>Condition</td>\n <td>code</td>\n \n <td>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1069</td>\n <td></td>\n \n \n </tr>\n \n <tr>\n <td>Condition</td>\n <td>code</td>\n \n <td>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1071</td>\n <td></td>\n \n \n </tr>\n \n <tr>\n <td>Condition</td>\n <td>code</td>\n \n <td>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1068</td>\n <td></td>\n \n \n </tr>\n \n <tr>\n <td>Procedure</td>\n <td>code</td>\n \n <td>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1005</td>\n <td></td>\n \n \n </tr>\n \n </table>\n </td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Direct Reference Codes: </b></th>\n <td style=\"padding-left: 4px;\">\n <table class=\"grid-dict\">\n <tr><th><b>display</b></th><th><b>code</b></th><th><b>system</b></th></tr>\n \n <tr>\n <td>Discharge to home for hospice care (procedure)</td>\n <td>428361000124107</td>\n <td>http://snomed.info/sct/731000124108/version/201709</td>\n </tr>\n \n <tr>\n <td>Discharge to healthcare facility for hospice care (procedure)</td>\n <td>428371000124100</td>\n <td>http://snomed.info/sct/731000124108/version/201709</td>\n </tr>\n \n <tr>\n <td></td>\n <td>active</td>\n <td></td>\n </tr>\n \n </table>\n </td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Supplemental Data: </b></th>\n <td style=\"padding-left: 4px;\">\n <table class=\"grid-dict\">\n <tr><th><b>expression</b></th><th><b>system</b></th></tr>\n \n <tr>\n <td>SDE Ethnicity</td>\n <td>http://terminology.hl7.org/CodeSystem/measure-data-usage</td>\n </tr>\n \n <tr>\n <td>SDE Payer</td>\n <td>http://terminology.hl7.org/CodeSystem/measure-data-usage</td>\n </tr>\n \n <tr>\n <td>SDE Race</td>\n <td>http://terminology.hl7.org/CodeSystem/measure-data-usage</td>\n </tr>\n \n <tr>\n <td>SDE Sex</td>\n <td>http://terminology.hl7.org/CodeSystem/measure-data-usage</td>\n </tr>\n \n </table>\n </td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Use Context: </b></th>\n <td style=\"padding-left: 4px;\">\n <table class=\"grid-dict\">\n <tr><th><b>code</b></th><th><b>value</b></th></tr>\n \n <tr>\n <td>program</td>\n <td></td>\n </tr>\n \n </table>\n </td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Jurisdiction: </b></th>\n <td style=\"padding-left: 25px;\">US</td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Topic: </b></th>\n <td style=\"padding-left: 25px;\">57024-2</td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Purpose: </b></th>\n <td style=\"padding-left: 4px;\">Women 51-74 years of age with a visit during the measurement period</td>\n </tr>\n \n \n \n <tr>\n <th scope=\"row\"><b>Copyright: </b></th>\n <td style=\"padding-left: 25px;\">This Physician Performance Measure (Measure) and related data specifications were developed by the National Committee for Quality Assurance (NCQA). The Measure is copyrighted but 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 must be approved by NCQA and are subject to a license at the discretion of 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. (C) 2012-2017 National Committee for Quality Assurance. All Rights Reserved. \n 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 CPT or other codes contained in the specifications. \n CPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation. ICD-10 copyright 2016 World Health Organization. All Rights Reserved. \n The American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com.</td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Disclaimer: </b></th>\n <td style=\"padding-left: 25px;\">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.</td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Approval Date: </b></th>\n <td style=\"padding-left: 4px;\">2016-01-01</td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Last Review Date: </b></th>\n <td style=\"padding-left: 4px;\">2016-09-01</td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Effective Period: </b></th>\n <td style=\"padding-left: 4px;\">2018-01-01..2018-12-31</td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Related Artifacts: </b></th>\n <td style=\"padding-left: 4px;\">\n \n \n \n <p><b>Dependencies</b></p>\n <ul>\n \n <li>http://hl7.org/fhir/us/cqfmeasures/Library/SupplementalDataElements|2.0.000</li>\n \n <li>http://hl7.org/fhir/us/cqfmeasures/Library/MATGlobalCommonFunctions|5.0.000</li>\n \n <li>http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1</li>\n \n <li>http://hl7.org/fhir/us/cqfmeasures/Library/AdultOutpatientEncounters|2.0.000</li>\n \n <li>http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1</li>\n \n <li>http://hl7.org/fhir/us/cqfmeasures/Library/Hospice|2.0.000</li>\n \n <li>http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1</li>\n \n <li>http://hl7.org/fhir/us/cqfmeasures/Library/MATGlobalCommonFunctions|5.0.000</li>\n \n <li>http://snomed.info/sct|http://snomed.info/sct/731000124108/version/201709</li>\n \n <li>http://terminology.hl7.org/CodeSystem/condition-clinical</li>\n \n <li>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1018</li>\n \n <li>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001</li>\n \n <li>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1240</li>\n \n <li>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1025</li>\n \n <li>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1023</li>\n \n <li>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1016</li>\n \n <li>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591</li>\n \n <li>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307</li>\n \n <li>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1108.15</li>\n \n <li>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1020</li>\n \n <li>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1070</li>\n \n <li>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1071</li>\n \n <li>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.122.12.1035</li>\n \n <li>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1069</li>\n \n <li>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.122.12.1036</li>\n \n <li>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1068</li>\n \n <li>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1005</li>\n \n </ul>\n \n \n \n \n \n </td>\n </tr>\n \n \n \n \n \n <tr>\n <th scope=\"row\"><b>Logic Definitions: </b></th>\n <td style=\"padding-left: 4px;\">\n \n <table class=\"grid-dict\">\n <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n <tr>\n \n <td>EXM125</td>\n \n \n <td>SDE Sex</td>\n \n \n </tr>\n </table>\n \n <pre><code class=\"language-cql\">define \"SDE Sex\":\n SDE.\"SDE Sex\"</code></pre>\n \n <br/><br/>\n \n <table class=\"grid-dict\">\n <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n <tr>\n \n <td>SupplementalDataElements</td>\n \n \n <td>SDE Sex</td>\n \n \n </tr>\n </table>\n \n <pre><code class=\"language-cql\">define \"SDE Sex\":\n case\n when Patient.gender = 'male' then Code { code: 'M', system: 'http://hl7.org/fhir/v3/AdministrativeGender', display: 'Male' }\n when Patient.gender = 'female' then Code { code: 'F', system: 'http://hl7.org/fhir/v3/AdministrativeGender', display: 'Female' }\n else null\n end</code></pre>\n \n <br/><br/>\n \n <table class=\"grid-dict\">\n <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n <tr>\n \n <td>EXM125</td>\n \n \n <td>Numerator</td>\n \n \n </tr>\n </table>\n \n <pre><code class=\"language-cql\">define \"Numerator\":\n exists (\n [DiagnosticReport: \"Mammography\"] Mammogram\n where ( Global.\"Normalize Interval\"(Mammogram.effective) ends 27 months or less before day of end of \"Measurement Period\" )\n and Mammogram.status in { 'final', 'amended', 'corrected', 'appended' }\n )</code></pre>\n \n <br/><br/>\n \n <table class=\"grid-dict\">\n <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n <tr>\n \n <td>EXM125</td>\n \n \n <td>Denominator</td>\n \n \n </tr>\n </table>\n \n <pre><code class=\"language-cql\">define \"Denominator\":\n \"Initial Population\"</code></pre>\n \n <br/><br/>\n \n <table class=\"grid-dict\">\n <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n <tr>\n \n <td>EXM125</td>\n \n \n <td>Initial Population</td>\n \n \n </tr>\n </table>\n \n <pre><code class=\"language-cql\">define \"Initial Population\":\n Patient.gender = 'female'\n and Global.\"CalendarAgeInYearsAt\"(FHIRHelpers.ToDate(Patient.birthDate), start of \"Measurement Period\") in Interval[51, 74]\n and exists AdultOutpatientEncounters.\"Qualifying Encounters\"</code></pre>\n \n <br/><br/>\n \n <table class=\"grid-dict\">\n <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n <tr>\n \n <td>AdultOutpatientEncounters</td>\n \n \n <td>Qualifying Encounters</td>\n \n \n </tr>\n </table>\n \n <pre><code class=\"language-cql\">define \"Qualifying Encounters\":\n (\n [Encounter: \"Office Visit\"]\n union [Encounter: \"Annual Wellness Visit\"]\n union [Encounter: \"Preventive Care Services - Established Office Visit, 18 and Up\"]\n union [Encounter: \"Preventive Care Services-Initial Office Visit, 18 and Up\"]\n union [Encounter: \"Home Healthcare Services\"]\n ) ValidEncounter\n where ValidEncounter.period during \"Measurement Period\"\n and ValidEncounter.status = 'finished'</code></pre>\n \n <br/><br/>\n \n <table class=\"grid-dict\">\n <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n <tr>\n \n <td>EXM125</td>\n \n \n <td>SDE Payer</td>\n \n \n </tr>\n </table>\n \n <pre><code class=\"language-cql\">define \"SDE Payer\":\n SDE.\"SDE Payer\"</code></pre>\n \n <br/><br/>\n \n <table class=\"grid-dict\">\n <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n <tr>\n \n <td>SupplementalDataElements</td>\n \n \n <td>SDE Payer</td>\n \n \n </tr>\n </table>\n \n <pre><code class=\"language-cql\">define \"SDE Payer\":\n [Coverage: type in \"Payer\"] Payer\n return {\n code: Payer.type,\n period: Payer.period\n }</code></pre>\n \n <br/><br/>\n \n <table class=\"grid-dict\">\n <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n <tr>\n \n <td>EXM125</td>\n \n \n <td>Initial Population</td>\n \n \n </tr>\n </table>\n \n <pre><code class=\"language-cql\">define \"Initial Population\":\n Patient.gender = 'female'\n and Global.\"CalendarAgeInYearsAt\"(FHIRHelpers.ToDate(Patient.birthDate), start of \"Measurement Period\") in Interval[51, 74]\n and exists AdultOutpatientEncounters.\"Qualifying Encounters\"</code></pre>\n \n <br/><br/>\n \n <table class=\"grid-dict\">\n <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n <tr>\n \n <td>EXM125</td>\n \n \n <td>SDE Ethnicity</td>\n \n \n </tr>\n </table>\n \n <pre><code class=\"language-cql\">define \"SDE Ethnicity\":\n SDE.\"SDE Ethnicity\"</code></pre>\n \n <br/><br/>\n \n <table class=\"grid-dict\">\n <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n <tr>\n \n <td>SupplementalDataElements</td>\n \n \n <td>SDE Ethnicity</td>\n \n \n </tr>\n </table>\n \n <pre><code class=\"language-cql\">define \"SDE Ethnicity\":\n (flatten (\n Patient.extension Extension\n where Extension.url = 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity'\n return Extension.extension\n )) E\n where E.url = 'ombCategory'\n or E.url = 'detailed'\n return E.value as Coding</code></pre>\n \n <br/><br/>\n \n <table class=\"grid-dict\">\n <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n <tr>\n \n <td>EXM125</td>\n \n \n <td>Denominator Exclusion</td>\n \n \n </tr>\n </table>\n \n <pre><code class=\"language-cql\">define \"Denominator Exclusion\":\n Hospice.\"Has Hospice\"\n or ( Count(\"Unilateral Mastectomy Procedure\") = 2 )\n or ( exists \"Right Mastectomy\" and exists \"Left Mastectomy\" )\n or exists \"History Bilateral Mastectomy\"\n or exists \"Bilateral Mastectomy Procedure\"</code></pre>\n \n <br/><br/>\n \n <table class=\"grid-dict\">\n <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n <tr>\n \n <td>Hospice</td>\n \n \n <td>Has Hospice</td>\n \n \n </tr>\n </table>\n \n <pre><code class=\"language-cql\">define \"Has Hospice\":\n exists (\n [Encounter: \"Encounter Inpatient\"] DischargeHospice\n where DischargeHospice.status = 'finished'\n and (\n DischargeHospice.hospitalization.dischargeDisposition ~ \"Discharge to home for hospice care (procedure)\"\n or DischargeHospice.hospitalization.dischargeDisposition ~ \"Discharge to healthcare facility for hospice care (procedure)\"\n )\n and DischargeHospice.period ends during \"Measurement Period\"\n )\n or exists (\n [ServiceRequest: \"Hospice care ambulatory\"] HospiceOrder\n where HospiceOrder.intent = 'order'\n and HospiceOrder.authoredOn in \"Measurement Period\"\n )\n or exists (\n [Procedure: \"Hospice care ambulatory\"] HospicePerformed\n where HospicePerformed.status = 'completed'\n and Global.\"Normalize Interval\"(HospicePerformed.performed) overlaps \"Measurement Period\"\n )</code></pre>\n \n <br/><br/>\n \n <table class=\"grid-dict\">\n <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n <tr>\n \n <td>EXM125</td>\n \n \n <td>Unilateral Mastectomy Procedure</td>\n \n \n </tr>\n </table>\n \n <pre><code class=\"language-cql\">define \"Unilateral Mastectomy Procedure\":\n [Procedure: \"Unilateral Mastectomy\"] UnilateralMastectomyProcedure\n where Global.\"Normalize Interval\"(UnilateralMastectomyProcedure.performed) ends before day of end of \"Measurement Period\"\n and UnilateralMastectomyProcedure.status = 'completed'</code></pre>\n \n <br/><br/>\n \n <table class=\"grid-dict\">\n <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n <tr>\n \n <td>EXM125</td>\n \n \n <td>Right Mastectomy</td>\n \n \n </tr>\n </table>\n \n <pre><code class=\"language-cql\">define \"Right Mastectomy\":\n (\n ( [Condition: \"Status Post Right Mastectomy\"] C\n where C.clinicalStatus ~ ToConcept(Global.\"active\")\n )\n union (\n [Condition: \"Unilateral Mastectomy, Unspecified Laterality\"] UnilateralMastectomyDiagnosis\n where UnilateralMastectomyDiagnosis.bodySite in \"Right\"\n and UnilateralMastectomyDiagnosis.clinicalStatus ~ ToConcept(Global.\"active\")\n )\n ) RightMastectomy\n where Global.\"Normalize Interval\"(RightMastectomy.onset) starts before day of end of \"Measurement Period\"</code></pre>\n \n <br/><br/>\n \n <table class=\"grid-dict\">\n <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n <tr>\n \n <td>EXM125</td>\n \n \n <td>Left Mastectomy</td>\n \n \n </tr>\n </table>\n \n <pre><code class=\"language-cql\">define \"Left Mastectomy\":\n (\n ( [Condition: \"Status Post Left Mastectomy\"] C\n where C.clinicalStatus ~ ToConcept(Global.\"active\")\n )\n union (\n [Condition: \"Unilateral Mastectomy, Unspecified Laterality\"] UnilateralMastectomyDiagnosis\n where UnilateralMastectomyDiagnosis.bodySite in \"Left\"\n and UnilateralMastectomyDiagnosis.clinicalStatus ~ ToConcept(Global.\"active\")\n )\n ) LeftMastectomy\n where Global.\"Normalize Interval\"(LeftMastectomy.onset) starts before day of end of \"Measurement Period\"</code></pre>\n \n <br/><br/>\n \n <table class=\"grid-dict\">\n <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n <tr>\n \n <td>EXM125</td>\n \n \n <td>History Bilateral Mastectomy</td>\n \n \n </tr>\n </table>\n \n <pre><code class=\"language-cql\">define \"History Bilateral Mastectomy\":\n [Condition: \"History of bilateral mastectomy\"] BilateralMastectomyHistory\n where Global.\"Normalize Interval\"(BilateralMastectomyHistory.onset) starts before day of end of \"Measurement Period\"\n and BilateralMastectomyHistory.clinicalStatus ~ ToConcept(Global.\"active\")</code></pre>\n \n <br/><br/>\n \n <table class=\"grid-dict\">\n <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n <tr>\n \n <td>EXM125</td>\n \n \n <td>Bilateral Mastectomy Procedure</td>\n \n \n </tr>\n </table>\n \n <pre><code class=\"language-cql\">define \"Bilateral Mastectomy Procedure\":\n [Procedure: \"Bilateral Mastectomy\"] BilateralMastectomyPerformed\n where Global.\"Normalize Interval\"(BilateralMastectomyPerformed.performed) ends before day of end of \"Measurement Period\"\n and BilateralMastectomyPerformed.status = 'completed'</code></pre>\n \n <br/><br/>\n \n <table class=\"grid-dict\">\n <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n <tr>\n \n <td>EXM125</td>\n \n \n <td>SDE Race</td>\n \n \n </tr>\n </table>\n \n <pre><code class=\"language-cql\">define \"SDE Race\":\n SDE.\"SDE Race\"</code></pre>\n \n <br/><br/>\n \n <table class=\"grid-dict\">\n <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n <tr>\n \n <td>SupplementalDataElements</td>\n \n \n <td>SDE Race</td>\n \n \n </tr>\n </table>\n \n <pre><code class=\"language-cql\">define \"SDE Race\":\n (flatten (\n Patient.extension Extension\n where Extension.url = 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-race'\n return Extension.extension\n )) E\n where E.url = 'ombCategory'\n or E.url = 'detailed'\n return E.value as Coding</code></pre>\n \n <br/><br/>\n \n </td>\n </tr>\n \n </table>\n</div>"
];
fhir:DomainResource.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis" ];
fhir:Extension.valueCode [ fhir:value "boolean" ]
], [
fhir:index 1;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter" ];
fhir:Extension.valueParameterDefinition [
fhir:ParameterDefinition.name [ fhir:value "Measurement Period" ];
fhir:ParameterDefinition.use [ fhir:value "in" ];
fhir:ParameterDefinition.min [ fhir:value "0"^^xsd:integer ];
fhir:ParameterDefinition.max [ fhir:value "1" ];
fhir:ParameterDefinition.type [ fhir:value "Period" ] ]
], [
fhir:index 2;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter" ];
fhir:Extension.valueParameterDefinition [
fhir:ParameterDefinition.name [ fhir:value "SDE Sex" ];
fhir:ParameterDefinition.use [ fhir:value "out" ];
fhir:ParameterDefinition.min [ fhir:value "0"^^xsd:integer ];
fhir:ParameterDefinition.max [ fhir:value "1" ];
fhir:ParameterDefinition.type [ fhir:value "Coding" ] ]
], [
fhir:index 3;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter" ];
fhir:Extension.valueParameterDefinition [
fhir:ParameterDefinition.name [ fhir:value "Numerator" ];
fhir:ParameterDefinition.use [ fhir:value "out" ];
fhir:ParameterDefinition.min [ fhir:value "0"^^xsd:integer ];
fhir:ParameterDefinition.max [ fhir:value "1" ];
fhir:ParameterDefinition.type [ fhir:value "boolean" ] ]
], [
fhir:index 4;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter" ];
fhir:Extension.valueParameterDefinition [
fhir:ParameterDefinition.name [ fhir:value "Denominator" ];
fhir:ParameterDefinition.use [ fhir:value "out" ];
fhir:ParameterDefinition.min [ fhir:value "0"^^xsd:integer ];
fhir:ParameterDefinition.max [ fhir:value "1" ];
fhir:ParameterDefinition.type [ fhir:value "boolean" ] ]
], [
fhir:index 5;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter" ];
fhir:Extension.valueParameterDefinition [
fhir:ParameterDefinition.name [ fhir:value "Initial Population" ];
fhir:ParameterDefinition.use [ fhir:value "out" ];
fhir:ParameterDefinition.min [ fhir:value "0"^^xsd:integer ];
fhir:ParameterDefinition.max [ fhir:value "1" ];
fhir:ParameterDefinition.type [ fhir:value "boolean" ] ]
], [
fhir:index 6;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter" ];
fhir:Extension.valueParameterDefinition [
fhir:ParameterDefinition.name [ fhir:value "Patient" ];
fhir:ParameterDefinition.use [ fhir:value "out" ];
fhir:ParameterDefinition.min [ fhir:value "0"^^xsd:integer ];
fhir:ParameterDefinition.max [ fhir:value "1" ];
fhir:ParameterDefinition.type [ fhir:value "Patient" ] ]
], [
fhir:index 7;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter" ];
fhir:Extension.valueParameterDefinition [
fhir:ParameterDefinition.name [ fhir:value "Qualifying Encounters" ];
fhir:ParameterDefinition.use [ fhir:value "out" ];
fhir:ParameterDefinition.min [ fhir:value "0"^^xsd:integer ];
fhir:ParameterDefinition.max [ fhir:value "*" ];
fhir:ParameterDefinition.type [ fhir:value "Encounter" ] ]
], [
fhir:index 8;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter" ];
fhir:Extension.valueParameterDefinition [
fhir:ParameterDefinition.name [ fhir:value "SDE Payer" ];
fhir:ParameterDefinition.use [ fhir:value "out" ];
fhir:ParameterDefinition.min [ fhir:value "0"^^xsd:integer ];
fhir:ParameterDefinition.max [ fhir:value "*" ];
fhir:ParameterDefinition.type [ fhir:value "Any" ] ]
], [
fhir:index 9;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter" ];
fhir:Extension.valueParameterDefinition [
fhir:ParameterDefinition.name [ fhir:value "SDE Ethnicity" ];
fhir:ParameterDefinition.use [ fhir:value "out" ];
fhir:ParameterDefinition.min [ fhir:value "0"^^xsd:integer ];
fhir:ParameterDefinition.max [ fhir:value "*" ];
fhir:ParameterDefinition.type [ fhir:value "Coding" ] ]
], [
fhir:index 10;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter" ];
fhir:Extension.valueParameterDefinition [
fhir:ParameterDefinition.name [ fhir:value "Denominator Exclusion" ];
fhir:ParameterDefinition.use [ fhir:value "out" ];
fhir:ParameterDefinition.min [ fhir:value "0"^^xsd:integer ];
fhir:ParameterDefinition.max [ fhir:value "1" ];
fhir:ParameterDefinition.type [ fhir:value "boolean" ] ]
], [
fhir:index 11;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter" ];
fhir:Extension.valueParameterDefinition [
fhir:ParameterDefinition.name [ fhir:value "Has Hospice" ];
fhir:ParameterDefinition.use [ fhir:value "out" ];
fhir:ParameterDefinition.min [ fhir:value "0"^^xsd:integer ];
fhir:ParameterDefinition.max [ fhir:value "1" ];
fhir:ParameterDefinition.type [ fhir:value "boolean" ] ]
], [
fhir:index 12;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter" ];
fhir:Extension.valueParameterDefinition [
fhir:ParameterDefinition.name [ fhir:value "Unilateral Mastectomy Procedure" ];
fhir:ParameterDefinition.use [ fhir:value "out" ];
fhir:ParameterDefinition.min [ fhir:value "0"^^xsd:integer ];
fhir:ParameterDefinition.max [ fhir:value "*" ];
fhir:ParameterDefinition.type [ fhir:value "Procedure" ] ]
], [
fhir:index 13;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter" ];
fhir:Extension.valueParameterDefinition [
fhir:ParameterDefinition.name [ fhir:value "Right Mastectomy" ];
fhir:ParameterDefinition.use [ fhir:value "out" ];
fhir:ParameterDefinition.min [ fhir:value "0"^^xsd:integer ];
fhir:ParameterDefinition.max [ fhir:value "*" ];
fhir:ParameterDefinition.type [ fhir:value "Condition" ] ]
], [
fhir:index 14;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter" ];
fhir:Extension.valueParameterDefinition [
fhir:ParameterDefinition.name [ fhir:value "Left Mastectomy" ];
fhir:ParameterDefinition.use [ fhir:value "out" ];
fhir:ParameterDefinition.min [ fhir:value "0"^^xsd:integer ];
fhir:ParameterDefinition.max [ fhir:value "*" ];
fhir:ParameterDefinition.type [ fhir:value "Condition" ] ]
], [
fhir:index 15;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter" ];
fhir:Extension.valueParameterDefinition [
fhir:ParameterDefinition.name [ fhir:value "History Bilateral Mastectomy" ];
fhir:ParameterDefinition.use [ fhir:value "out" ];
fhir:ParameterDefinition.min [ fhir:value "0"^^xsd:integer ];
fhir:ParameterDefinition.max [ fhir:value "*" ];
fhir:ParameterDefinition.type [ fhir:value "Condition" ] ]
], [
fhir:index 16;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter" ];
fhir:Extension.valueParameterDefinition [
fhir:ParameterDefinition.name [ fhir:value "Bilateral Mastectomy Procedure" ];
fhir:ParameterDefinition.use [ fhir:value "out" ];
fhir:ParameterDefinition.min [ fhir:value "0"^^xsd:integer ];
fhir:ParameterDefinition.max [ fhir:value "*" ];
fhir:ParameterDefinition.type [ fhir:value "Procedure" ] ]
], [
fhir:index 17;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter" ];
fhir:Extension.valueParameterDefinition [
fhir:ParameterDefinition.name [ fhir:value "SDE Race" ];
fhir:ParameterDefinition.use [ fhir:value "out" ];
fhir:ParameterDefinition.min [ fhir:value "0"^^xsd:integer ];
fhir:ParameterDefinition.max [ fhir:value "*" ];
fhir:ParameterDefinition.type [ fhir:value "Coding" ] ]
], [
fhir:index 18;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement" ];
fhir:Extension.valueDataRequirement [
fhir:DataRequirement.type [ fhir:value "DiagnosticReport" ];
fhir:DataRequirement.profile [
fhir:value "http://hl7.org/fhir/StructureDefinition/DiagnosticReport";
fhir:index 0;
fhir:link <http://hl7.org/fhir/StructureDefinition/DiagnosticReport> ];
fhir:DataRequirement.codeFilter [
fhir:index 0;
fhir:DataRequirement.codeFilter.path [ fhir:value "code" ];
fhir:DataRequirement.codeFilter.valueSet [
fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1018";
fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1018> ] ] ]
], [
fhir:index 19;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement" ];
fhir:Extension.valueDataRequirement [
fhir:DataRequirement.type [ fhir:value "Patient" ];
fhir:DataRequirement.profile [
fhir:value "http://hl7.org/fhir/StructureDefinition/Patient";
fhir:index 0;
fhir:link <http://hl7.org/fhir/StructureDefinition/Patient> ] ]
], [
fhir:index 20;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement" ];
fhir:Extension.valueDataRequirement [
fhir:DataRequirement.type [ fhir:value "Encounter" ];
fhir:DataRequirement.profile [
fhir:value "http://hl7.org/fhir/StructureDefinition/Encounter";
fhir:index 0;
fhir:link <http://hl7.org/fhir/StructureDefinition/Encounter> ];
fhir:DataRequirement.codeFilter [
fhir:index 0;
fhir:DataRequirement.codeFilter.path [ fhir:value "type" ];
fhir:DataRequirement.codeFilter.valueSet [
fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001";
fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001> ] ] ]
], [
fhir:index 21;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement" ];
fhir:Extension.valueDataRequirement [
fhir:DataRequirement.type [ fhir:value "Encounter" ];
fhir:DataRequirement.profile [
fhir:value "http://hl7.org/fhir/StructureDefinition/Encounter";
fhir:index 0;
fhir:link <http://hl7.org/fhir/StructureDefinition/Encounter> ];
fhir:DataRequirement.codeFilter [
fhir:index 0;
fhir:DataRequirement.codeFilter.path [ fhir:value "type" ];
fhir:DataRequirement.codeFilter.valueSet [
fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1240";
fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1240> ] ] ]
], [
fhir:index 22;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement" ];
fhir:Extension.valueDataRequirement [
fhir:DataRequirement.type [ fhir:value "Encounter" ];
fhir:DataRequirement.profile [
fhir:value "http://hl7.org/fhir/StructureDefinition/Encounter";
fhir:index 0;
fhir:link <http://hl7.org/fhir/StructureDefinition/Encounter> ];
fhir:DataRequirement.codeFilter [
fhir:index 0;
fhir:DataRequirement.codeFilter.path [ fhir:value "type" ];
fhir:DataRequirement.codeFilter.valueSet [
fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1025";
fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1025> ] ] ]
], [
fhir:index 23;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement" ];
fhir:Extension.valueDataRequirement [
fhir:DataRequirement.type [ fhir:value "Encounter" ];
fhir:DataRequirement.profile [
fhir:value "http://hl7.org/fhir/StructureDefinition/Encounter";
fhir:index 0;
fhir:link <http://hl7.org/fhir/StructureDefinition/Encounter> ];
fhir:DataRequirement.codeFilter [
fhir:index 0;
fhir:DataRequirement.codeFilter.path [ fhir:value "type" ];
fhir:DataRequirement.codeFilter.valueSet [
fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1023";
fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1023> ] ] ]
], [
fhir:index 24;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement" ];
fhir:Extension.valueDataRequirement [
fhir:DataRequirement.type [ fhir:value "Encounter" ];
fhir:DataRequirement.profile [
fhir:value "http://hl7.org/fhir/StructureDefinition/Encounter";
fhir:index 0;
fhir:link <http://hl7.org/fhir/StructureDefinition/Encounter> ];
fhir:DataRequirement.codeFilter [
fhir:index 0;
fhir:DataRequirement.codeFilter.path [ fhir:value "type" ];
fhir:DataRequirement.codeFilter.valueSet [
fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1016";
fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1016> ] ] ]
], [
fhir:index 25;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement" ];
fhir:Extension.valueDataRequirement [
fhir:DataRequirement.type [ fhir:value "Coverage" ];
fhir:DataRequirement.profile [
fhir:value "http://hl7.org/fhir/StructureDefinition/Coverage";
fhir:index 0;
fhir:link <http://hl7.org/fhir/StructureDefinition/Coverage> ];
fhir:DataRequirement.codeFilter [
fhir:index 0;
fhir:DataRequirement.codeFilter.path [ fhir:value "type" ];
fhir:DataRequirement.codeFilter.valueSet [
fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591";
fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591> ] ] ]
], [
fhir:index 26;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement" ];
fhir:Extension.valueDataRequirement [
fhir:DataRequirement.type [ fhir:value "Patient" ];
fhir:DataRequirement.profile [
fhir:value "http://hl7.org/fhir/StructureDefinition/Patient";
fhir:index 0;
fhir:link <http://hl7.org/fhir/StructureDefinition/Patient> ] ]
], [
fhir:index 27;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement" ];
fhir:Extension.valueDataRequirement [
fhir:DataRequirement.type [ fhir:value "Encounter" ];
fhir:DataRequirement.profile [
fhir:value "http://hl7.org/fhir/StructureDefinition/Encounter";
fhir:index 0;
fhir:link <http://hl7.org/fhir/StructureDefinition/Encounter> ];
fhir:DataRequirement.codeFilter [
fhir:index 0;
fhir:DataRequirement.codeFilter.path [ fhir:value "type" ];
fhir:DataRequirement.codeFilter.valueSet [
fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307";
fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307> ] ] ]
], [
fhir:index 28;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement" ];
fhir:Extension.valueDataRequirement [
fhir:DataRequirement.type [ fhir:value "ServiceRequest" ];
fhir:DataRequirement.profile [
fhir:value "http://hl7.org/fhir/StructureDefinition/ServiceRequest";
fhir:index 0;
fhir:link <http://hl7.org/fhir/StructureDefinition/ServiceRequest> ];
fhir:DataRequirement.codeFilter [
fhir:index 0;
fhir:DataRequirement.codeFilter.path [ fhir:value "code" ];
fhir:DataRequirement.codeFilter.valueSet [
fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1108.15";
fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1108.15> ] ] ]
], [
fhir:index 29;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement" ];
fhir:Extension.valueDataRequirement [
fhir:DataRequirement.type [ fhir:value "Procedure" ];
fhir:DataRequirement.profile [
fhir:value "http://hl7.org/fhir/StructureDefinition/Procedure";
fhir:index 0;
fhir:link <http://hl7.org/fhir/StructureDefinition/Procedure> ];
fhir:DataRequirement.codeFilter [
fhir:index 0;
fhir:DataRequirement.codeFilter.path [ fhir:value "code" ];
fhir:DataRequirement.codeFilter.valueSet [
fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1108.15";
fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1108.15> ] ] ]
], [
fhir:index 30;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement" ];
fhir:Extension.valueDataRequirement [
fhir:DataRequirement.type [ fhir:value "Procedure" ];
fhir:DataRequirement.profile [
fhir:value "http://hl7.org/fhir/StructureDefinition/Procedure";
fhir:index 0;
fhir:link <http://hl7.org/fhir/StructureDefinition/Procedure> ];
fhir:DataRequirement.codeFilter [
fhir:index 0;
fhir:DataRequirement.codeFilter.path [ fhir:value "code" ];
fhir:DataRequirement.codeFilter.valueSet [
fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1020";
fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1020> ] ] ]
], [
fhir:index 31;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement" ];
fhir:Extension.valueDataRequirement [
fhir:DataRequirement.type [ fhir:value "Condition" ];
fhir:DataRequirement.profile [
fhir:value "http://hl7.org/fhir/StructureDefinition/Condition";
fhir:index 0;
fhir:link <http://hl7.org/fhir/StructureDefinition/Condition> ];
fhir:DataRequirement.codeFilter [
fhir:index 0;
fhir:DataRequirement.codeFilter.path [ fhir:value "code" ];
fhir:DataRequirement.codeFilter.valueSet [
fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1070";
fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1070> ] ] ]
], [
fhir:index 32;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement" ];
fhir:Extension.valueDataRequirement [
fhir:DataRequirement.type [ fhir:value "Condition" ];
fhir:DataRequirement.profile [
fhir:value "http://hl7.org/fhir/StructureDefinition/Condition";
fhir:index 0;
fhir:link <http://hl7.org/fhir/StructureDefinition/Condition> ];
fhir:DataRequirement.codeFilter [
fhir:index 0;
fhir:DataRequirement.codeFilter.path [ fhir:value "code" ];
fhir:DataRequirement.codeFilter.valueSet [
fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1071";
fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1071> ] ] ]
], [
fhir:index 33;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement" ];
fhir:Extension.valueDataRequirement [
fhir:DataRequirement.type [ fhir:value "Condition" ];
fhir:DataRequirement.profile [
fhir:value "http://hl7.org/fhir/StructureDefinition/Condition";
fhir:index 0;
fhir:link <http://hl7.org/fhir/StructureDefinition/Condition> ];
fhir:DataRequirement.codeFilter [
fhir:index 0;
fhir:DataRequirement.codeFilter.path [ fhir:value "code" ];
fhir:DataRequirement.codeFilter.valueSet [
fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1069";
fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1069> ] ] ]
], [
fhir:index 34;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement" ];
fhir:Extension.valueDataRequirement [
fhir:DataRequirement.type [ fhir:value "Condition" ];
fhir:DataRequirement.profile [
fhir:value "http://hl7.org/fhir/StructureDefinition/Condition";
fhir:index 0;
fhir:link <http://hl7.org/fhir/StructureDefinition/Condition> ];
fhir:DataRequirement.codeFilter [
fhir:index 0;
fhir:DataRequirement.codeFilter.path [ fhir:value "code" ];
fhir:DataRequirement.codeFilter.valueSet [
fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1071";
fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1071> ] ] ]
], [
fhir:index 35;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement" ];
fhir:Extension.valueDataRequirement [
fhir:DataRequirement.type [ fhir:value "Condition" ];
fhir:DataRequirement.profile [
fhir:value "http://hl7.org/fhir/StructureDefinition/Condition";
fhir:index 0;
fhir:link <http://hl7.org/fhir/StructureDefinition/Condition> ];
fhir:DataRequirement.codeFilter [
fhir:index 0;
fhir:DataRequirement.codeFilter.path [ fhir:value "code" ];
fhir:DataRequirement.codeFilter.valueSet [
fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1068";
fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1068> ] ] ]
], [
fhir:index 36;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement" ];
fhir:Extension.valueDataRequirement [
fhir:DataRequirement.type [ fhir:value "Procedure" ];
fhir:DataRequirement.profile [
fhir:value "http://hl7.org/fhir/StructureDefinition/Procedure";
fhir:index 0;
fhir:link <http://hl7.org/fhir/StructureDefinition/Procedure> ];
fhir:DataRequirement.codeFilter [
fhir:index 0;
fhir:DataRequirement.codeFilter.path [ fhir:value "code" ];
fhir:DataRequirement.codeFilter.valueSet [
fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1005";
fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1005> ] ] ]
], [
fhir:index 37;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode" ];
fhir:Extension.valueCoding [
a sct:428361000124107;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.version [ fhir:value "http://snomed.info/sct/731000124108/version/201709" ];
fhir:Coding.code [ fhir:value "428361000124107" ];
fhir:Coding.display [ fhir:value "Discharge to home for hospice care (procedure)" ] ]
], [
fhir:index 38;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode" ];
fhir:Extension.valueCoding [
a sct:428371000124100;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.version [ fhir:value "http://snomed.info/sct/731000124108/version/201709" ];
fhir:Coding.code [ fhir:value "428371000124100" ];
fhir:Coding.display [ fhir:value "Discharge to healthcare facility for hospice care (procedure)" ] ]
], [
fhir:index 39;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode" ];
fhir:Extension.valueCoding [
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/condition-clinical" ];
fhir:Coding.code [ fhir:value "active" ] ]
], [
fhir:index 40;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "libraryName" ];
fhir:Extension.valueString [ fhir:value "EXM125" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "name" ];
fhir:Extension.valueString [ fhir:value "SDE Sex" ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "statement" ];
fhir:Extension.valueString [ fhir:value "define \"SDE Sex\":\n SDE.\"SDE Sex\"" ] ], [
fhir:index 3;
fhir:Extension.url [ fhir:value "displaySequence" ];
fhir:Extension.valueInteger [ fhir:value "0"^^xsd:integer ] ];
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ]
], [
fhir:index 41;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "libraryName" ];
fhir:Extension.valueString [ fhir:value "SupplementalDataElements" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "name" ];
fhir:Extension.valueString [ fhir:value "SDE Sex" ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "statement" ];
fhir:Extension.valueString [ fhir:value "define \"SDE Sex\":\n case\n when Patient.gender = 'male' then Code { code: 'M', system: 'http://hl7.org/fhir/v3/AdministrativeGender', display: 'Male' }\n when Patient.gender = 'female' then Code { code: 'F', system: 'http://hl7.org/fhir/v3/AdministrativeGender', display: 'Female' }\n else null\n end" ] ], [
fhir:index 3;
fhir:Extension.url [ fhir:value "displaySequence" ];
fhir:Extension.valueInteger [ fhir:value "1"^^xsd:integer ] ];
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ]
], [
fhir:index 42;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "libraryName" ];
fhir:Extension.valueString [ fhir:value "EXM125" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "name" ];
fhir:Extension.valueString [ fhir:value "Numerator" ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "statement" ];
fhir:Extension.valueString [ fhir:value "define \"Numerator\":\n exists (\n [DiagnosticReport: \"Mammography\"] Mammogram\n where ( Global.\"Normalize Interval\"(Mammogram.effective) ends 27 months or less before day of end of \"Measurement Period\" )\n and Mammogram.status in { 'final', 'amended', 'corrected', 'appended' }\n )" ] ], [
fhir:index 3;
fhir:Extension.url [ fhir:value "displaySequence" ];
fhir:Extension.valueInteger [ fhir:value "2"^^xsd:integer ] ];
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ]
], [
fhir:index 43;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "libraryName" ];
fhir:Extension.valueString [ fhir:value "EXM125" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "name" ];
fhir:Extension.valueString [ fhir:value "Denominator" ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "statement" ];
fhir:Extension.valueString [ fhir:value "define \"Denominator\":\n \"Initial Population\"" ] ], [
fhir:index 3;
fhir:Extension.url [ fhir:value "displaySequence" ];
fhir:Extension.valueInteger [ fhir:value "3"^^xsd:integer ] ];
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ]
], [
fhir:index 44;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "libraryName" ];
fhir:Extension.valueString [ fhir:value "EXM125" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "name" ];
fhir:Extension.valueString [ fhir:value "Initial Population" ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "statement" ];
fhir:Extension.valueString [ fhir:value "define \"Initial Population\":\n Patient.gender = 'female'\n and Global.\"CalendarAgeInYearsAt\"(FHIRHelpers.ToDate(Patient.birthDate), start of \"Measurement Period\") in Interval[51, 74]\n and exists AdultOutpatientEncounters.\"Qualifying Encounters\"" ] ], [
fhir:index 3;
fhir:Extension.url [ fhir:value "displaySequence" ];
fhir:Extension.valueInteger [ fhir:value "4"^^xsd:integer ] ];
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ]
], [
fhir:index 45;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "libraryName" ];
fhir:Extension.valueString [ fhir:value "AdultOutpatientEncounters" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "name" ];
fhir:Extension.valueString [ fhir:value "Qualifying Encounters" ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "statement" ];
fhir:Extension.valueString [ fhir:value "define \"Qualifying Encounters\":\n (\n [Encounter: \"Office Visit\"]\n union [Encounter: \"Annual Wellness Visit\"]\n union [Encounter: \"Preventive Care Services - Established Office Visit, 18 and Up\"]\n union [Encounter: \"Preventive Care Services-Initial Office Visit, 18 and Up\"]\n union [Encounter: \"Home Healthcare Services\"]\n ) ValidEncounter\n where ValidEncounter.period during \"Measurement Period\"\n and ValidEncounter.status = 'finished'" ] ], [
fhir:index 3;
fhir:Extension.url [ fhir:value "displaySequence" ];
fhir:Extension.valueInteger [ fhir:value "5"^^xsd:integer ] ];
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ]
], [
fhir:index 46;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "libraryName" ];
fhir:Extension.valueString [ fhir:value "EXM125" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "name" ];
fhir:Extension.valueString [ fhir:value "SDE Payer" ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "statement" ];
fhir:Extension.valueString [ fhir:value "define \"SDE Payer\":\n SDE.\"SDE Payer\"" ] ], [
fhir:index 3;
fhir:Extension.url [ fhir:value "displaySequence" ];
fhir:Extension.valueInteger [ fhir:value "6"^^xsd:integer ] ];
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ]
], [
fhir:index 47;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "libraryName" ];
fhir:Extension.valueString [ fhir:value "SupplementalDataElements" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "name" ];
fhir:Extension.valueString [ fhir:value "SDE Payer" ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "statement" ];
fhir:Extension.valueString [ fhir:value "define \"SDE Payer\":\n [Coverage: type in \"Payer\"] Payer\n return {\n code: Payer.type,\n period: Payer.period\n }" ] ], [
fhir:index 3;
fhir:Extension.url [ fhir:value "displaySequence" ];
fhir:Extension.valueInteger [ fhir:value "7"^^xsd:integer ] ];
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ]
], [
fhir:index 48;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "libraryName" ];
fhir:Extension.valueString [ fhir:value "EXM125" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "name" ];
fhir:Extension.valueString [ fhir:value "Initial Population" ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "statement" ];
fhir:Extension.valueString [ fhir:value "define \"Initial Population\":\n Patient.gender = 'female'\n and Global.\"CalendarAgeInYearsAt\"(FHIRHelpers.ToDate(Patient.birthDate), start of \"Measurement Period\") in Interval[51, 74]\n and exists AdultOutpatientEncounters.\"Qualifying Encounters\"" ] ], [
fhir:index 3;
fhir:Extension.url [ fhir:value "displaySequence" ];
fhir:Extension.valueInteger [ fhir:value "8"^^xsd:integer ] ];
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ]
], [
fhir:index 49;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "libraryName" ];
fhir:Extension.valueString [ fhir:value "EXM125" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "name" ];
fhir:Extension.valueString [ fhir:value "SDE Ethnicity" ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "statement" ];
fhir:Extension.valueString [ fhir:value "define \"SDE Ethnicity\":\n SDE.\"SDE Ethnicity\"" ] ], [
fhir:index 3;
fhir:Extension.url [ fhir:value "displaySequence" ];
fhir:Extension.valueInteger [ fhir:value "9"^^xsd:integer ] ];
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ]
], [
fhir:index 50;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "libraryName" ];
fhir:Extension.valueString [ fhir:value "SupplementalDataElements" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "name" ];
fhir:Extension.valueString [ fhir:value "SDE Ethnicity" ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "statement" ];
fhir:Extension.valueString [ fhir:value "define \"SDE Ethnicity\":\n (flatten (\n Patient.extension Extension\n where Extension.url = 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity'\n return Extension.extension\n )) E\n where E.url = 'ombCategory'\n or E.url = 'detailed'\n return E.value as Coding" ] ], [
fhir:index 3;
fhir:Extension.url [ fhir:value "displaySequence" ];
fhir:Extension.valueInteger [ fhir:value "10"^^xsd:integer ] ];
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ]
], [
fhir:index 51;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "libraryName" ];
fhir:Extension.valueString [ fhir:value "EXM125" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "name" ];
fhir:Extension.valueString [ fhir:value "Denominator Exclusion" ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "statement" ];
fhir:Extension.valueString [ fhir:value "define \"Denominator Exclusion\":\n Hospice.\"Has Hospice\"\n or ( Count(\"Unilateral Mastectomy Procedure\") = 2 )\n or ( exists \"Right Mastectomy\" and exists \"Left Mastectomy\" )\n or exists \"History Bilateral Mastectomy\"\n or exists \"Bilateral Mastectomy Procedure\"" ] ], [
fhir:index 3;
fhir:Extension.url [ fhir:value "displaySequence" ];
fhir:Extension.valueInteger [ fhir:value "11"^^xsd:integer ] ];
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ]
], [
fhir:index 52;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "libraryName" ];
fhir:Extension.valueString [ fhir:value "Hospice" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "name" ];
fhir:Extension.valueString [ fhir:value "Has Hospice" ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "statement" ];
fhir:Extension.valueString [ fhir:value "define \"Has Hospice\":\n exists (\n [Encounter: \"Encounter Inpatient\"] DischargeHospice\n where DischargeHospice.status = 'finished'\n and (\n DischargeHospice.hospitalization.dischargeDisposition ~ \"Discharge to home for hospice care (procedure)\"\n or DischargeHospice.hospitalization.dischargeDisposition ~ \"Discharge to healthcare facility for hospice care (procedure)\"\n )\n and DischargeHospice.period ends during \"Measurement Period\"\n )\n or exists (\n [ServiceRequest: \"Hospice care ambulatory\"] HospiceOrder\n where HospiceOrder.intent = 'order'\n and HospiceOrder.authoredOn in \"Measurement Period\"\n )\n or exists (\n [Procedure: \"Hospice care ambulatory\"] HospicePerformed\n where HospicePerformed.status = 'completed'\n and Global.\"Normalize Interval\"(HospicePerformed.performed) overlaps \"Measurement Period\"\n )" ] ], [
fhir:index 3;
fhir:Extension.url [ fhir:value "displaySequence" ];
fhir:Extension.valueInteger [ fhir:value "12"^^xsd:integer ] ];
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ]
], [
fhir:index 53;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "libraryName" ];
fhir:Extension.valueString [ fhir:value "EXM125" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "name" ];
fhir:Extension.valueString [ fhir:value "Unilateral Mastectomy Procedure" ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "statement" ];
fhir:Extension.valueString [ fhir:value "define \"Unilateral Mastectomy Procedure\":\n [Procedure: \"Unilateral Mastectomy\"] UnilateralMastectomyProcedure\n where Global.\"Normalize Interval\"(UnilateralMastectomyProcedure.performed) ends before day of end of \"Measurement Period\"\n and UnilateralMastectomyProcedure.status = 'completed'" ] ], [
fhir:index 3;
fhir:Extension.url [ fhir:value "displaySequence" ];
fhir:Extension.valueInteger [ fhir:value "13"^^xsd:integer ] ];
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ]
], [
fhir:index 54;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "libraryName" ];
fhir:Extension.valueString [ fhir:value "EXM125" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "name" ];
fhir:Extension.valueString [ fhir:value "Right Mastectomy" ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "statement" ];
fhir:Extension.valueString [ fhir:value "define \"Right Mastectomy\":\n (\n ( [Condition: \"Status Post Right Mastectomy\"] C\n where C.clinicalStatus ~ ToConcept(Global.\"active\")\n )\n union (\n [Condition: \"Unilateral Mastectomy, Unspecified Laterality\"] UnilateralMastectomyDiagnosis\n where UnilateralMastectomyDiagnosis.bodySite in \"Right\"\n and UnilateralMastectomyDiagnosis.clinicalStatus ~ ToConcept(Global.\"active\")\n )\n ) RightMastectomy\n where Global.\"Normalize Interval\"(RightMastectomy.onset) starts before day of end of \"Measurement Period\"" ] ], [
fhir:index 3;
fhir:Extension.url [ fhir:value "displaySequence" ];
fhir:Extension.valueInteger [ fhir:value "14"^^xsd:integer ] ];
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ]
], [
fhir:index 55;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "libraryName" ];
fhir:Extension.valueString [ fhir:value "EXM125" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "name" ];
fhir:Extension.valueString [ fhir:value "Left Mastectomy" ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "statement" ];
fhir:Extension.valueString [ fhir:value "define \"Left Mastectomy\":\n (\n ( [Condition: \"Status Post Left Mastectomy\"] C\n where C.clinicalStatus ~ ToConcept(Global.\"active\")\n )\n union (\n [Condition: \"Unilateral Mastectomy, Unspecified Laterality\"] UnilateralMastectomyDiagnosis\n where UnilateralMastectomyDiagnosis.bodySite in \"Left\"\n and UnilateralMastectomyDiagnosis.clinicalStatus ~ ToConcept(Global.\"active\")\n )\n ) LeftMastectomy\n where Global.\"Normalize Interval\"(LeftMastectomy.onset) starts before day of end of \"Measurement Period\"" ] ], [
fhir:index 3;
fhir:Extension.url [ fhir:value "displaySequence" ];
fhir:Extension.valueInteger [ fhir:value "15"^^xsd:integer ] ];
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ]
], [
fhir:index 56;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "libraryName" ];
fhir:Extension.valueString [ fhir:value "EXM125" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "name" ];
fhir:Extension.valueString [ fhir:value "History Bilateral Mastectomy" ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "statement" ];
fhir:Extension.valueString [ fhir:value "define \"History Bilateral Mastectomy\":\n [Condition: \"History of bilateral mastectomy\"] BilateralMastectomyHistory\n where Global.\"Normalize Interval\"(BilateralMastectomyHistory.onset) starts before day of end of \"Measurement Period\"\n and BilateralMastectomyHistory.clinicalStatus ~ ToConcept(Global.\"active\")" ] ], [
fhir:index 3;
fhir:Extension.url [ fhir:value "displaySequence" ];
fhir:Extension.valueInteger [ fhir:value "16"^^xsd:integer ] ];
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ]
], [
fhir:index 57;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "libraryName" ];
fhir:Extension.valueString [ fhir:value "EXM125" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "name" ];
fhir:Extension.valueString [ fhir:value "Bilateral Mastectomy Procedure" ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "statement" ];
fhir:Extension.valueString [ fhir:value "define \"Bilateral Mastectomy Procedure\":\n [Procedure: \"Bilateral Mastectomy\"] BilateralMastectomyPerformed\n where Global.\"Normalize Interval\"(BilateralMastectomyPerformed.performed) ends before day of end of \"Measurement Period\"\n and BilateralMastectomyPerformed.status = 'completed'" ] ], [
fhir:index 3;
fhir:Extension.url [ fhir:value "displaySequence" ];
fhir:Extension.valueInteger [ fhir:value "17"^^xsd:integer ] ];
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ]
], [
fhir:index 58;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "libraryName" ];
fhir:Extension.valueString [ fhir:value "EXM125" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "name" ];
fhir:Extension.valueString [ fhir:value "SDE Race" ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "statement" ];
fhir:Extension.valueString [ fhir:value "define \"SDE Race\":\n SDE.\"SDE Race\"" ] ], [
fhir:index 3;
fhir:Extension.url [ fhir:value "displaySequence" ];
fhir:Extension.valueInteger [ fhir:value "18"^^xsd:integer ] ];
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ]
], [
fhir:index 59;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "libraryName" ];
fhir:Extension.valueString [ fhir:value "SupplementalDataElements" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "name" ];
fhir:Extension.valueString [ fhir:value "SDE Race" ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "statement" ];
fhir:Extension.valueString [ fhir:value "define \"SDE Race\":\n (flatten (\n Patient.extension Extension\n where Extension.url = 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-race'\n return Extension.extension\n )) E\n where E.url = 'ombCategory'\n or E.url = 'detailed'\n return E.value as Coding" ] ], [
fhir:index 3;
fhir:Extension.url [ fhir:value "displaySequence" ];
fhir:Extension.valueInteger [ fhir:value "19"^^xsd:integer ] ];
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ]
];
fhir:Measure.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/Measure/measure-exm125-FHIR"];
fhir:Measure.identifier [
fhir:index 0;
fhir:Identifier.use [ fhir:value "official" ];
fhir:Identifier.system [ fhir:value "http://example.org/fhir/cqi/ecqm/Measure/Identifier/cms" ];
fhir:Identifier.value [ fhir:value "146" ]
], [
fhir:index 1;
fhir:Identifier.use [ fhir:value "official" ];
fhir:Identifier.system [ fhir:value "http://example.org/fhir/cqi/ecqm/Measure/Identifier/nqf" ];
fhir:Identifier.value [ fhir:value "0002" ]
];
fhir:Measure.version [ fhir:value "8.0.000"];
fhir:Measure.name [ fhir:value "EXM125"];
fhir:Measure.title [ fhir:value "Breast Cancer Screening"];
fhir:Measure.status [ fhir:value "active"];
fhir:Measure.experimental [ fhir:value "true"^^xsd:boolean];
fhir:Measure.date [ fhir:value "2021-04-03"^^xsd:date];
fhir:Measure.publisher [ fhir:value "Clinical Quality Information WG"];
fhir:Measure.contact [
fhir:index 0;
fhir:ContactDetail.telecom [
fhir:index 0;
fhir:ContactPoint.system [ fhir:value "url" ];
fhir:ContactPoint.value [ fhir:value "http://www.hl7.org/Special/committees/cqi/index.cfm" ] ]
];
fhir:Measure.description [ fhir:value "Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer"];
fhir:Measure.useContext [
fhir:index 0;
fhir:UsageContext.code [
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/usage-context-type" ];
fhir:Coding.code [ fhir:value "program" ] ];
fhir:UsageContext.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/CodeSystem/quality-programs" ];
fhir:Coding.code [ fhir:value "ep-ec" ];
fhir:Coding.display [ fhir:value "EP/EC" ] ] ]
];
fhir:Measure.jurisdiction [
fhir:index 0;
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "urn:iso:std:iso:3166" ];
fhir:Coding.code [ fhir:value "US" ] ]
];
fhir:Measure.purpose [ fhir:value "Women 51-74 years of age with a visit during the measurement period"];
fhir:Measure.copyright [ fhir:value "This Physician Performance Measure (Measure) and related data specifications were developed by the National Committee for Quality Assurance (NCQA). The Measure is copyrighted but 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 must be approved by NCQA and are subject to a license at the discretion of 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. (C) 2012-2017 National Committee for Quality Assurance. All Rights Reserved. \n 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 CPT or other codes contained in the specifications. \n CPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association. LOINC(R) copyright 2004-2016 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2016 International Health Terminology Standards Development Organisation. ICD-10 copyright 2016 World Health Organization. All Rights Reserved. \n The American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com."];
fhir:Measure.approvalDate [ fhir:value "2016-01-01"^^xsd:date];
fhir:Measure.lastReviewDate [ fhir:value "2016-09-01"^^xsd:date];
fhir:Measure.effectivePeriod [
fhir:Period.start [ fhir:value "2018-01-01"^^xsd:date ];
fhir:Period.end [ fhir:value "2018-12-31"^^xsd:date ]
];
fhir:Measure.topic [
fhir:index 0;
fhir:CodeableConcept.coding [
fhir:index 0;
a loinc:57024-2;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "57024-2" ];
fhir:Coding.display [ fhir:value "Health Quality Measure Document" ] ]
];
fhir:Measure.relatedArtifact [
fhir:index 0;
fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
fhir:RelatedArtifact.display [ fhir:value "Library SDE" ];
fhir:RelatedArtifact.resource [
fhir:value "http://hl7.org/fhir/us/cqfmeasures/Library/SupplementalDataElements|2.0.000";
fhir:link <http://hl7.org/fhir/us/cqfmeasures/Library/SupplementalDataElements|2.0.000> ]
], [
fhir:index 1;
fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
fhir:RelatedArtifact.display [ fhir:value "Library Global" ];
fhir:RelatedArtifact.resource [
fhir:value "http://hl7.org/fhir/us/cqfmeasures/Library/MATGlobalCommonFunctions|5.0.000";
fhir:link <http://hl7.org/fhir/us/cqfmeasures/Library/MATGlobalCommonFunctions|5.0.000> ]
], [
fhir:index 2;
fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
fhir:RelatedArtifact.display [ fhir:value "Library FHIRHelpers" ];
fhir:RelatedArtifact.resource [
fhir:value "http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1";
fhir:link <http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1> ]
], [
fhir:index 3;
fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
fhir:RelatedArtifact.display [ fhir:value "Library AdultOutpatientEncounters" ];
fhir:RelatedArtifact.resource [
fhir:value "http://hl7.org/fhir/us/cqfmeasures/Library/AdultOutpatientEncounters|2.0.000";
fhir:link <http://hl7.org/fhir/us/cqfmeasures/Library/AdultOutpatientEncounters|2.0.000> ]
], [
fhir:index 4;
fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
fhir:RelatedArtifact.display [ fhir:value "Library FHIRHelpers" ];
fhir:RelatedArtifact.resource [
fhir:value "http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1";
fhir:link <http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1> ]
], [
fhir:index 5;
fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
fhir:RelatedArtifact.display [ fhir:value "Library Hospice" ];
fhir:RelatedArtifact.resource [
fhir:value "http://hl7.org/fhir/us/cqfmeasures/Library/Hospice|2.0.000";
fhir:link <http://hl7.org/fhir/us/cqfmeasures/Library/Hospice|2.0.000> ]
], [
fhir:index 6;
fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
fhir:RelatedArtifact.display [ fhir:value "Library FHIRHelpers" ];
fhir:RelatedArtifact.resource [
fhir:value "http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1";
fhir:link <http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1> ]
], [
fhir:index 7;
fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
fhir:RelatedArtifact.display [ fhir:value "Library Global" ];
fhir:RelatedArtifact.resource [
fhir:value "http://hl7.org/fhir/us/cqfmeasures/Library/MATGlobalCommonFunctions|5.0.000";
fhir:link <http://hl7.org/fhir/us/cqfmeasures/Library/MATGlobalCommonFunctions|5.0.000> ]
], [
fhir:index 8;
fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
fhir:RelatedArtifact.display [ fhir:value "Code system SNOMEDCT:2017-09" ];
fhir:RelatedArtifact.resource [
fhir:value "http://snomed.info/sct|http://snomed.info/sct/731000124108/version/201709";
fhir:link <http://snomed.info/sct|http://snomed.info/sct/731000124108/version/201709> ]
], [
fhir:index 9;
fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
fhir:RelatedArtifact.display [ fhir:value "Code system ConditionClinicalStatusCodes" ];
fhir:RelatedArtifact.resource [
fhir:value "http://terminology.hl7.org/CodeSystem/condition-clinical";
fhir:link <http://terminology.hl7.org/CodeSystem/condition-clinical> ]
], [
fhir:index 10;
fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
fhir:RelatedArtifact.display [ fhir:value "Value set Mammography" ];
fhir:RelatedArtifact.resource [
fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1018";
fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1018> ]
], [
fhir:index 11;
fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
fhir:RelatedArtifact.display [ fhir:value "Value set Office Visit" ];
fhir:RelatedArtifact.resource [
fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001";
fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001> ]
], [
fhir:index 12;
fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
fhir:RelatedArtifact.display [ fhir:value "Value set Annual Wellness Visit" ];
fhir:RelatedArtifact.resource [
fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1240";
fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1240> ]
], [
fhir:index 13;
fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
fhir:RelatedArtifact.display [ fhir:value "Value set Preventive Care Services - Established Office Visit, 18 and Up" ];
fhir:RelatedArtifact.resource [
fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1025";
fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1025> ]
], [
fhir:index 14;
fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
fhir:RelatedArtifact.display [ fhir:value "Value set Preventive Care Services-Initial Office Visit, 18 and Up" ];
fhir:RelatedArtifact.resource [
fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1023";
fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1023> ]
], [
fhir:index 15;
fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
fhir:RelatedArtifact.display [ fhir:value "Value set Home Healthcare Services" ];
fhir:RelatedArtifact.resource [
fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1016";
fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1016> ]
], [
fhir:index 16;
fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
fhir:RelatedArtifact.display [ fhir:value "Value set Payer" ];
fhir:RelatedArtifact.resource [
fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591";
fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591> ]
], [
fhir:index 17;
fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
fhir:RelatedArtifact.display [ fhir:value "Value set Encounter Inpatient" ];
fhir:RelatedArtifact.resource [
fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307";
fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307> ]
], [
fhir:index 18;
fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
fhir:RelatedArtifact.display [ fhir:value "Value set Hospice care ambulatory" ];
fhir:RelatedArtifact.resource [
fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1108.15";
fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1108.15> ]
], [
fhir:index 19;
fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
fhir:RelatedArtifact.display [ fhir:value "Value set Unilateral Mastectomy" ];
fhir:RelatedArtifact.resource [
fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1020";
fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1020> ]
], [
fhir:index 20;
fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
fhir:RelatedArtifact.display [ fhir:value "Value set Status Post Right Mastectomy" ];
fhir:RelatedArtifact.resource [
fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1070";
fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1070> ]
], [
fhir:index 21;
fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
fhir:RelatedArtifact.display [ fhir:value "Value set Unilateral Mastectomy, Unspecified Laterality" ];
fhir:RelatedArtifact.resource [
fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1071";
fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1071> ]
], [
fhir:index 22;
fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
fhir:RelatedArtifact.display [ fhir:value "Value set Right" ];
fhir:RelatedArtifact.resource [
fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.122.12.1035";
fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.122.12.1035> ]
], [
fhir:index 23;
fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
fhir:RelatedArtifact.display [ fhir:value "Value set Status Post Left Mastectomy" ];
fhir:RelatedArtifact.resource [
fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1069";
fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1069> ]
], [
fhir:index 24;
fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
fhir:RelatedArtifact.display [ fhir:value "Value set Left" ];
fhir:RelatedArtifact.resource [
fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.122.12.1036";
fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.122.12.1036> ]
], [
fhir:index 25;
fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
fhir:RelatedArtifact.display [ fhir:value "Value set History of bilateral mastectomy" ];
fhir:RelatedArtifact.resource [
fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1068";
fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1068> ]
], [
fhir:index 26;
fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
fhir:RelatedArtifact.display [ fhir:value "Value set Bilateral Mastectomy" ];
fhir:RelatedArtifact.resource [
fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1005";
fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1005> ]
];
fhir:Measure.library [
fhir:value "http://hl7.org/fhir/us/cqfmeasures/Library/EXM125";
fhir:index 0;
fhir:link <http://hl7.org/fhir/us/cqfmeasures/Library/EXM125>
];
fhir:Measure.disclaimer [ fhir:value "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."];
fhir:Measure.scoring [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-scoring" ];
fhir:Coding.code [ fhir:value "proportion" ];
fhir:Coding.display [ fhir:value "Proportion" ] ]
];
fhir:Measure.type [
fhir:index 0;
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-type" ];
fhir:Coding.code [ fhir:value "process" ] ]
];
fhir:Measure.rationale [ fhir:value "Breast cancer is one of the most common types of cancers, accounting for a quarter of all new cancer diagnoses for women in the U.S. (BreastCancer.Org, 2011). It ranks as the second leading cause of cancer-related mortality in women, accounting for nearly 40,000 estimated deaths in 2013 (American Cancer Society, 2011). \n According to the National Cancer Institute's Surveillance Epidemiology and End Results program, the chance of a woman being diagnosed with breast cancer in a given year increases with age. By age 30, it is one in 2,212. By age 40, the chances increase to one in 235, by age 50, it becomes one in 54, and, by age 60, it is one in 25. From 2004 to 2008, the median age at the time of breast cancer diagnosis was 61 years among adult women (Tangka et al, 2010). \n In the U.S., costs associated with a diagnosis of breast cancer range from $451 to $2,520, factoring in continued testing, multiple office visits, and varying procedures. The total costs related to breast cancer add up to nearly $7 billion per year in the U.S., including $2 billion spent on late-stage treatment (Lavigne et al, 2008; Boykoff et al, 2009)."];
fhir:Measure.clinicalRecommendationStatement [ fhir:value "The U.S. Preventive Services Task Force (USPSTF) recommends biennial screening mammography for women aged 50-74 years (B recommendation). The decision to start regular, biennial screening mammography before the age of 50 years should be an individual one and take patient context into account, including the patient's values regarding specific benefits and harms (C recommendation). The Task Force concludes the evidence is insufficient to assess the additional benefits and harms of screening mammography in women 75 years and older (I statement). \n U.S. Preventive Services Task Force (2009) \n Grade: B recommendation. The USPSTF recommends biennial screening mammography for women aged 50 to 74 years. \n Grade: C recommendation. The decision to start regular, biennial screening mammography before the age of 50 years should be an individual one and take patient context into account, including the patient's values regarding specific benefits and harms. \n Grade: I Statement. The USPSTF concludes that the current evidence is insufficient to assess the additional benefits and harms of screening mammography in women 75 years or older. \n Grade: D recommendation. The USPSTF recommends against teaching breast self-examination (BSE). \n Grade: I Statement. The USPSTF concludes that the current evidence is insufficient to assess the additional benefits and harms of clinical breast examination (CBE) beyond screening mammography in women 40 years or older. \n Grade: I Statement. The USPSTF concludes that the current evidence is insufficient to assess the additional benefits and harms of either digital mammography or magnetic resonance imaging (MRI) instead of film mammography as screening modalities for breast cancer."];
fhir:Measure.improvementNotation [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-improvement-notation" ];
fhir:Coding.code [ fhir:value "increase" ];
fhir:Coding.display [ fhir:value "Increased score indicates improvement" ] ]
];
fhir:Measure.guidance [ fhir:value "Patient self-report for procedures as well as diagnostic studies should be recorded in 'Procedure, Performed' template or 'Diagnostic Study, Performed' template in QRDA-1. Patient self-report is not allowed for laboratory tests. \n This measure evaluates primary screening. Do not count biopsies, breast ultrasounds, MRIs or tomosynthesis (3D mammography), because they are not appropriate methods for primary breast cancer screening."];
fhir:Measure.group [
fhir:index 0;
fhir:Measure.group.population [
fhir:index 0;
fhir:Measure.group.population.code [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-population" ];
fhir:Coding.code [ fhir:value "initial-population" ];
fhir:Coding.display [ fhir:value "Initial Population" ] ] ];
fhir:Measure.group.population.criteria [
fhir:Expression.language [ fhir:value "text/cql.identifier" ];
fhir:Expression.expression [ fhir:value "Initial Population" ] ] ], [
fhir:index 1;
fhir:Measure.group.population.code [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-population" ];
fhir:Coding.code [ fhir:value "numerator" ];
fhir:Coding.display [ fhir:value "Numerator" ] ] ];
fhir:Measure.group.population.criteria [
fhir:Expression.language [ fhir:value "text/cql.identifier" ];
fhir:Expression.expression [ fhir:value "Numerator" ] ] ], [
fhir:index 2;
fhir:Measure.group.population.code [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-population" ];
fhir:Coding.code [ fhir:value "denominator" ];
fhir:Coding.display [ fhir:value "Denominator" ] ] ];
fhir:Measure.group.population.criteria [
fhir:Expression.language [ fhir:value "text/cql.identifier" ];
fhir:Expression.expression [ fhir:value "Denominator" ] ] ], [
fhir:index 3;
fhir:Measure.group.population.code [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-population" ];
fhir:Coding.code [ fhir:value "denominator-exclusion" ];
fhir:Coding.display [ fhir:value "Denominator Exclusion" ] ] ];
fhir:Measure.group.population.criteria [
fhir:Expression.language [ fhir:value "text/cql.identifier" ];
fhir:Expression.expression [ fhir:value "Denominator Exclusion" ] ] ]
];
fhir:Measure.supplementalData [
fhir:index 0;
fhir:Measure.supplementalData.usage [
fhir:index 0;
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-data-usage" ];
fhir:Coding.code [ fhir:value "supplemental-data" ] ] ];
fhir:Measure.supplementalData.criteria [
fhir:Expression.language [ fhir:value "text/cql.identifier" ];
fhir:Expression.expression [ fhir:value "SDE Ethnicity" ] ]
], [
fhir:index 1;
fhir:Measure.supplementalData.usage [
fhir:index 0;
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-data-usage" ];
fhir:Coding.code [ fhir:value "supplemental-data" ] ] ];
fhir:Measure.supplementalData.criteria [
fhir:Expression.language [ fhir:value "text/cql.identifier" ];
fhir:Expression.expression [ fhir:value "SDE Payer" ] ]
], [
fhir:index 2;
fhir:Measure.supplementalData.usage [
fhir:index 0;
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-data-usage" ];
fhir:Coding.code [ fhir:value "supplemental-data" ] ] ];
fhir:Measure.supplementalData.criteria [
fhir:Expression.language [ fhir:value "text/cql.identifier" ];
fhir:Expression.expression [ fhir:value "SDE Race" ] ]
], [
fhir:index 3;
fhir:Measure.supplementalData.usage [
fhir:index 0;
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-data-usage" ];
fhir:Coding.code [ fhir:value "supplemental-data" ] ] ];
fhir:Measure.supplementalData.criteria [
fhir:Expression.language [ fhir:value "text/cql.identifier" ];
fhir:Expression.expression [ fhir:value "SDE Sex" ] ]
].
# - ontology header ------------------------------------------------------------
a owl:Ontology;
owl:imports fhir:fhir.ttl.
IG © 2019+ Clinical Quality Information WG. Package hl7.fhir.us.cqfmeasures#2.1.0 based on FHIR 4.0.1. Generated 2021-04-13
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