Metadata Title CCS Component Library Version 0.0.001 Identifier urn:oid:2.16.840.1.113883.4.642.40.61.28.5 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 Cervical 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: Value Set Acute Inpatient Resource: Acute Inpatient Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1083 Dependency Description: Value Set Advanced Illness Resource: Advanced Illness Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1082 Dependency Description: Value Set Annual Wellness Visit Resource: Annual Wellness Visit Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1240 Dependency Description: Value Set Care Services in Long-Term Residential Facility Resource: Care Services in Long Term Residential Facility Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1014 Dependency Description: Value Set Colonoscopy Resource: Colonoscopy Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1020 Dependency Description: Value Set CT Colonography Resource: CT Colonography Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1038 Dependency Description: Value Set Dementia Medications Resource: Dementia Medications Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.196.12.1510 Dependency Description: Value Set Discharged to Health Care Facility for Hospice Care Resource: Discharged to Health Care Facility for Hospice Care Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.207 Dependency Description: Value Set Discharged to Home for Hospice Care Resource: Discharged to Home for Hospice Care Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.209 Dependency Description: Value Set ED Resource: ED Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1085 Dependency Description: Value Set Encounter Inpatient Resource: Encounter Inpatient Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307 Dependency Description: Value Set Fecal Occult Blood Test (FOBT) Resource: Fecal Occult Blood Test (FOBT) Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1011 Dependency Description: Value Set FIT DNA Resource: sDNA FIT Test Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1039 Dependency Description: Value Set Flexible Sigmoidoscopy Resource: Flexible Sigmoidoscopy Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1010 Dependency Description: Value Set Frailty Device Resource: Frailty Device Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.118.12.1300 Dependency Description: Value Set Frailty Diagnosis Resource: Frailty Diagnosis Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.113.12.1074 Dependency Description: Value Set Frailty Encounter Resource: Frailty Encounter Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1088 Dependency Description: Value Set Frailty Symptom Resource: Frailty Symptom Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.113.12.1075 Dependency Description: Value Set Home Healthcare Services Resource: Home Healthcare Services Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1016 Dependency Description: Value Set Hospice care ambulatory Resource: Hospice Care Ambulatory Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1108.15 Dependency Description: Value Set Malignant Neoplasm of Colon Resource: Malignant Neoplasm of Colon Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1001 Dependency Description: Value Set Nonacute Inpatient Resource: Nonacute Inpatient Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1084 Dependency Description: Value Set Nursing Facility Visit Resource: Nursing Facility Visit Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1012 Dependency Description: Value Set Observation Resource: Observation Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1086 Dependency Description: Value Set Office Visit Resource: Office Visit Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001 Dependency Description: Value Set Outpatient Resource: Outpatient Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1087 Dependency Description: Value Set Preventive Care Services - Established Office Visit, 18 and Up Resource: Preventive Care Services Established Office Visit, 18 and Up Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1025 Dependency Description: Value Set Preventive Care Services-Initial Office Visit, 18 and Up Resource: Preventive Care Services Initial Office Visit, 18 and Up Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1023 Dependency Description: Value Set Total Colectomy Resource: Total Colectomy Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1019 Data Requirement Type: Procedure Profile(s): Procedure Code Filter(s): Path: code ValueSet: Flexible Sigmoidoscopy Data Requirement Type: Procedure Profile(s): Procedure Code Filter(s): Path: code ValueSet: CT Colonography Data Requirement Type: Procedure Profile(s): Procedure Code Filter(s): Path: code ValueSet: Total Colectomy Data Requirement Type: Observation Profile(s): Observation Code Filter(s): Path: code ValueSet: Fecal Occult Blood Test (FOBT) Data Requirement Type: Observation Profile(s): Observation Code Filter(s): Path: code ValueSet: sDNA FIT Test Data Requirement Type: Procedure Profile(s): Procedure Code Filter(s): Path: code ValueSet: Colonoscopy Data Requirement Type: Condition Profile(s): Condition Code Filter(s): Path: code ValueSet: Malignant Neoplasm of Colon 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 Flexible Sigmoidoscopy Performed Out 0..* Procedure CT Colonography Performed Out 0..* Procedure Total Colectomy Performed Out 0..* Procedure Fecal Occult Blood Test Performed Out 0..* Observation Fecal Immunochemical Test DNA Out 0..* Observation Colonoscopy Performed Out 0..* Procedure Numerator Out 0..1 boolean Malignant Neoplasm 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 CCSComponent 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' valueset "Acute Inpatient": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1083' valueset "Advanced Illness": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1082' valueset "Annual Wellness Visit": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1240' valueset "Care Services in Long-Term Residential Facility": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1014' valueset "Colonoscopy": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1020' valueset "CT Colonography": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1038' valueset "Dementia Medications": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.196.12.1510' valueset "Discharged to Health Care Facility for Hospice Care": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.207' valueset "Discharged to Home for Hospice Care": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.209' valueset "ED": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1085' valueset "Encounter Inpatient": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307' valueset "Fecal Occult Blood Test (FOBT)": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1011' valueset "FIT DNA": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1039' valueset "Flexible Sigmoidoscopy": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1010' valueset "Frailty Device": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.118.12.1300' valueset "Frailty Diagnosis": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.113.12.1074' valueset "Frailty Encounter": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1088' valueset "Frailty Symptom": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.113.12.1075' valueset "Home Healthcare Services": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1016' valueset "Hospice care ambulatory": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1108.15' valueset "Malignant Neoplasm of Colon": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1001' valueset "Nonacute Inpatient": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1084' valueset "Nursing Facility Visit": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1012' valueset "Observation": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1086' valueset "Office Visit": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001' valueset "Outpatient": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1087' valueset "Preventive Care Services - Established Office Visit, 18 and Up": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1025' valueset "Preventive Care Services-Initial Office Visit, 18 and Up": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1023' valueset "Total Colectomy": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1019' code "Birth date": '21112-8' from "LOINC" display 'Birth date' 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": Global."CalendarAgeInYearsAt" ( FHIRHelpers.ToDate ( Patient.birthDate ), start of "Measurement Period" ) in Interval[50, 75] and exists AdultOutpatientEncounters."Qualifying Encounters" define "Denominator": "Initial Population" define "Flexible Sigmoidoscopy Performed": [Procedure: "Flexible Sigmoidoscopy"] FlexibleSigmoidoscopy where FlexibleSigmoidoscopy.status = 'completed' and Global."Normalize Interval" ( FlexibleSigmoidoscopy.performed ) ends 5 years or less on or before end of "Measurement Period" define "CT Colonography Performed": [Procedure: "CT Colonography"] Colonography where Colonography.status = 'completed' and Global."Normalize Interval" ( Colonography.performed ) ends 5 years or less on or before end of "Measurement Period" define "Total Colectomy Performed": [Procedure: "Total Colectomy"] Colectomy where Colectomy.status = 'completed' and Global."Normalize Interval" ( Colectomy.performed ) starts on or before end of "Measurement Period" define "Fecal Occult Blood Test Performed": [Observation: "Fecal Occult Blood Test (FOBT)"] FecalOccultResult where FecalOccultResult.status in { 'final', 'amended', 'corrected', 'preliminary' } and FecalOccultResult.value is not null and Global."Normalize Interval" ( FecalOccultResult.effective ) during day of "Measurement Period" define "Fecal Immunochemical Test DNA": [Observation: "FIT DNA"] FitDNA where FitDNA.status in { 'final', 'amended', 'corrected', 'preliminary' } and FitDNA.value is not null and Global."Normalize Interval" ( FitDNA.effective ) occurs 3 years or less on or before day of end of "Measurement Period" define "Colonoscopy Performed": [Procedure: "Colonoscopy"] Colonoscopy where Colonoscopy.status = 'completed' and Global."Normalize Interval" ( Colonoscopy.performed ) ends 10 years or less on or before end of "Measurement Period" define "Numerator": exists "Colonoscopy Performed" or exists "Fecal Occult Blood Test Performed" or exists "Flexible Sigmoidoscopy Performed" or exists "Fecal Immunochemical Test DNA" or exists "CT Colonography Performed" define "Malignant Neoplasm": [Condition: "Malignant Neoplasm of Colon"] ColorectalCancer where Global."Prevalence Period" ( ColorectalCancer ) starts on or before end of "Measurement Period" define "Denominator Exclusion": Hospice."Has Hospice" or exists "Malignant Neoplasm" or exists "Total Colectomy Performed" or Frailty."Advanced Illness and Frailty Exclusion Not Including Over Age 80" and Frailty."Long Term Care Periods Longer Than 90 Consecutive Days" 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 Cervical Cancer Screening component of the composite measure examples in this implementation guide.
Value Set Care Services in Long-Term Residential Facility
Value Set Discharged to Health Care Facility for Hospice Care
Value Set Discharged to Home for Hospice Care
Value Set Fecal Occult Blood Test (FOBT)
Value Set Preventive Care Services - Established Office Visit, 18 and Up
Value Set Preventive Care Services-Initial Office Visit, 18 and Up