Metadata Title BCS Component Library Version 0.0.001 Identifier urn:oid:2.16.840.1.113883.4.642.40.61.28.4 Status Draft Jurisdiction 001 from http://unstats.un.org/unsd/methods/m49/m49.htm Steward (Publisher) HL7 International / Clinical Quality Information Description This library is the primary measure library for the Breast Cancer Screening component of the composite measure examples in this implementation guide. Type logic-library from http://terminology.hl7.org/CodeSystem/library-type Dependency Description: Library FHIRHelpers Resource: http://hl7.org/fhir/uv/cql/Library/FHIRHelpers|4.0.1 Canonical URL: http://hl7.org/fhir/uv/cql/Library/FHIRHelpers|4.0.1 Dependency Description: Library SDE Resource: Supplemental Data Elementsversion: null2.0.000) Canonical URL: http://hl7.org/fhir/uv/cqm/Library/SupplementalDataElements|2.0.000 Dependency Description: Library Global Resource: MAT Global Common Functions FHIR Libraryversion: null5.0.000) Canonical URL: http://hl7.org/fhir/uv/cqm/Library/MATGlobalCommonFunctions|5.0.000 Dependency Description: Library AdultOutpatientEncounters Resource: Adult Outpatient Encounters Common Libraryversion: null2.0.000) Canonical URL: http://hl7.org/fhir/uv/cqm/Library/AdultOutpatientEncounters|2.0.000 Dependency Description: Library Hospice Resource: Hospice FHIR Libraryversion: null2.0.000) Canonical URL: http://hl7.org/fhir/uv/cqm/Library/Hospice|2.0.000 Dependency Description: Library Frailty Resource: Advanced Illness and Frailty Exclusion Libraryversion: null5.12.000) Canonical URL: http://hl7.org/fhir/uv/cqm/Library/AdvancedIllnessandFrailtyExclusion|5.12.000 Dependency Description: Code System LOINC Resource: Logical Observation Identifiers, Names and Codes (LOINC) Canonical URL: http://loinc.org Dependency Description: Code System SNOMEDCT Resource: SNOMED CT (all versions) Canonical URL: http://snomed.info/sct Dependency Description: Value Set Bilateral Mastectomy Resource: Bilateral Mastectomy Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1005 Dependency Description: Value Set Ethnicity Resource: Ethnicity Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.837 Dependency Description: Value Set Female Resource: Female Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.560.100.2 Dependency Description: Value Set History of bilateral mastectomy Resource: History of bilateral mastectomy Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1068 Dependency Description: Value Set Left Resource: Left Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.122.12.1036 Dependency Description: Value Set Mammography Resource: Mammography Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1018 Dependency Description: Value Set ONC Administrative Sex Resource: ONC Administrative Sex Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1 Dependency Description: Value Set Payer Resource: Payer Type Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591 Dependency Description: Value Set Race Resource: Race Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.836 Dependency Description: Value Set Right Resource: Right Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.122.12.1035 Dependency Description: Value Set Status Post Left Mastectomy Resource: Status Post Left Mastectomy Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1069 Dependency Description: Value Set Status Post Right Mastectomy Resource: Status Post Right Mastectomy Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1070 Dependency Description: Value Set Unilateral Mastectomy Left Resource: Unilateral Mastectomy Left Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1133 Dependency Description: Value Set Unilateral Mastectomy Right Resource: Unilateral Mastectomy Right Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1134 Dependency Description: Value Set Unilateral Mastectomy, Unspecified Laterality Resource: Unilateral Mastectomy, Unspecified Laterality Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1071 Data Requirement Type: Condition Profile(s): Condition Code Filter(s): Path: code ValueSet: Status Post Right Mastectomy Data Requirement Type: Procedure Profile(s): Procedure Code Filter(s): Path: code ValueSet: Unilateral Mastectomy Right Data Requirement Type: Procedure Profile(s): Procedure Code Filter(s): Path: code ValueSet: Unilateral Mastectomy Left Data Requirement Type: Condition Profile(s): Condition Code Filter(s): Path: code ValueSet: History of bilateral mastectomy Data Requirement Type: Procedure Profile(s): Procedure Code Filter(s): Path: code ValueSet: Bilateral Mastectomy Data Requirement Type: DiagnosticReport Profile(s): DiagnosticReport Code Filter(s): Path: code ValueSet: Mammography Data Requirement Type: Condition Profile(s): Condition Code Filter(s): Path: code ValueSet: Status Post Left Mastectomy Data Requirement Type: Condition Profile(s): Condition Code Filter(s): Path: code ValueSet: Unilateral Mastectomy, Unspecified Laterality Parameters Name Use Card. Type Documentation Measurement Period In 0..1 Period Patient Out 0..1 Patient SDE Ethnicity Out 0..* Coding SDE Payer Out 0..* Resource SDE Race Out 0..* Coding SDE Sex Out 0..1 Coding Initial Population Out 0..1 boolean Denominator Out 0..1 boolean Right Mastectomy Diagnosis Out 0..* Condition Right Mastectomy Procedure Out 0..* Procedure Left Mastectomy Procedure Out 0..* Procedure Bilateral Mastectomy Diagnosis Out 0..* Condition Bilateral Mastectomy Procedure Out 0..* Procedure Numerator Out 0..1 boolean Left Mastectomy Out 0..* Condition Denominator Exclusion Out 0..1 boolean Library Content CQL Content /* This example is a work in progress and should not be considered a final specification or recommendation for guidance. This example will help guide and direct the process of finding conventions and usage patterns that meet the needs of the various stakeholders in the measure development community. */ library BCSComponent version '0.0.001' using FHIR version '4.0.1' include hl7.fhir.uv.cql.FHIRHelpers version '4.0.1' called FHIRHelpers include SupplementalDataElements version '2.0.000' called SDE include MATGlobalCommonFunctions version '5.0.000' called Global include AdultOutpatientEncounters version '2.0.000' called AdultOutpatientEncounters include Hospice version '2.0.000' called Hospice include AdvancedIllnessandFrailtyExclusion version '5.12.000' called Frailty codesystem "LOINC": 'http://loinc.org' codesystem "SNOMEDCT": 'http://snomed.info/sct' valueset "Bilateral Mastectomy": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1005' valueset "Ethnicity": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.837' valueset "Female": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.560.100.2' valueset "History of bilateral mastectomy": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1068' valueset "Left": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.122.12.1036' valueset "Mammography": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1018' valueset "ONC Administrative Sex": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1' valueset "Payer": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591' valueset "Race": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.836' valueset "Right": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.122.12.1035' valueset "Status Post Left Mastectomy": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1069' valueset "Status Post Right Mastectomy": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1070' valueset "Unilateral Mastectomy Left": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1133' valueset "Unilateral Mastectomy Right": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1134' valueset "Unilateral Mastectomy, Unspecified Laterality": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1071' code "Birth date": '21112-8' from "LOINC" display 'Birth date' code "Left (qualifier value)": '7771000' from "SNOMEDCT" display 'Left (qualifier value)' code "Right (qualifier value)": '24028007' from "SNOMEDCT" display 'Right (qualifier value)' parameter "Measurement Period" Interval<DateTime> context Patient define "SDE Ethnicity": SDE."SDE Ethnicity" define "SDE Payer": SDE."SDE Payer" define "SDE Race": SDE."SDE Race" define "SDE Sex": SDE."SDE Sex" define "Initial Population": Patient.gender = 'female' and Global."CalendarAgeInYearsAt" ( FHIRHelpers.ToDate ( Patient.birthDate ), start of "Measurement Period" ) in Interval[51, 74 ) and exists AdultOutpatientEncounters."Qualifying Encounters" define "Denominator": "Initial Population" define "Right Mastectomy Diagnosis": ( ( [Condition: "Status Post Right Mastectomy"] ) union ( [Condition: "Unilateral Mastectomy, Unspecified Laterality"] UnilateralMastectomyDiagnosis where UnilateralMastectomyDiagnosis.bodySite in "Right" ) ) RightMastectomy where Global."Normalize Interval" ( RightMastectomy.onset ) starts on or before end of "Measurement Period" define "Right Mastectomy Procedure": [Procedure: "Unilateral Mastectomy Right"] UnilateralMastectomyRightPerformed where Global."Normalize Interval" ( UnilateralMastectomyRightPerformed.performed ) ends on or before end of "Measurement Period" and UnilateralMastectomyRightPerformed.status = 'completed' define "Left Mastectomy Procedure": [Procedure: "Unilateral Mastectomy Left"] UnilateralMastectomyLeftPerformed where Global."Normalize Interval" ( UnilateralMastectomyLeftPerformed.performed ) ends on or before end of "Measurement Period" and UnilateralMastectomyLeftPerformed.status = 'completed' define "Bilateral Mastectomy Diagnosis": [Condition: "History of bilateral mastectomy"] BilateralMastectomyHistory where Global."Normalize Interval" ( BilateralMastectomyHistory.onset ) starts on or before end of "Measurement Period" define "Bilateral Mastectomy Procedure": [Procedure: "Bilateral Mastectomy"] BilateralMastectomyPerformed where Global."Normalize Interval" ( BilateralMastectomyPerformed.performed ) ends on or before end of "Measurement Period" and BilateralMastectomyPerformed.status = 'completed' define "Numerator": exists ( [DiagnosticReport: "Mammography"] Mammogram where ( Global."Normalize Interval" ( Mammogram.effective ) ends 27 months or less on or before end of "Measurement Period" ) and Mammogram.status in { 'final', 'amended', 'corrected', 'appended' } ) define "Denominator Exclusion": Hospice."Has Hospice" or ( ( exists "Right Mastectomy Diagnosis" or exists "Right Mastectomy Procedure" ) and ( exists "Left Mastectomy" or exists "Left Mastectomy Procedure" ) ) or exists "Bilateral Mastectomy Diagnosis" or exists "Bilateral Mastectomy Procedure" or Frailty."Advanced Illness and Frailty Exclusion Not Including Over Age 80" or ( Global."CalendarAgeInYearsAt" ( FHIRHelpers.ToDate ( Patient.birthDate ), start of "Measurement Period" ) >= 65 and Frailty."Long Term Care Periods Longer Than 90 Consecutive Days" ) define "Left Mastectomy": ( ( [Condition: "Status Post Left Mastectomy"] ) union ( [Condition: "Unilateral Mastectomy, Unspecified Laterality"] UnilateralMastectomyDiagnosis where UnilateralMastectomyDiagnosis.bodySite in "Left" ) ) LeftMastectomy where Global."Normalize Interval" ( LeftMastectomy.onset ) starts on or before end of "Measurement Period" ELM XML Content Encoded data ELM JSON Content Encoded data Generated using version 0.5.4 of the sample-content-ig Liquid templates
HL7 International / Clinical Quality Information
This library is the primary measure library for the Breast Cancer Screening component of the composite measure examples in this implementation guide.
Value Set History of bilateral mastectomy
Value Set Unilateral Mastectomy, Unspecified Laterality