Metadata Title EXM124 - Cervical Cancer Screening Library Version 9.0.000 Identifier EXM124 Identifier urn:oid:2.16.840.1.113883.4.642.40.61.28.9 Approval Date 2019-08-03 Last Review Date 2019-08-03 Experimental true Jurisdiction 001 from http://unstats.un.org/unsd/methods/m49/m49.htm Topic FHIR Topic CQL Steward (Publisher) HL7 International / Clinical Quality Information Description This library is used as an example in the FHIR Quality Measure 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 Hospice Resource: Hospice FHIR Libraryversion: null2.0.000) Canonical URL: http://hl7.org/fhir/uv/cqm/Library/Hospice|2.0.000 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 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 SDE Resource: Supplemental Data Elementsversion: null2.0.000) Canonical URL: http://hl7.org/fhir/uv/cqm/Library/SupplementalDataElements|2.0.000 Dependency Description: Code System SNOMEDCT:2017-09 Resource: http://snomed.info/sct|http://snomed.info/sct/731000124108/version/201709 Canonical URL: http://snomed.info/sct|http://snomed.info/sct/731000124108/version/201709 Dependency Description: Value Set Hysterectomy with No Residual Cervix Resource: Hysterectomy with No Residual Cervix Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1014 Dependency Description: Value Set Pap Test Resource: Pap Test Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1017 Dependency Description: Value Set HPV Test Resource: HPV Test Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1059 Data Requirement Type: Procedure Profile(s): Procedure Code Filter(s): Path: code ValueSet: Hysterectomy with No Residual Cervix Data Requirement Type: Condition Profile(s): Condition Code Filter(s): Path: code Code(s): SNOMED CT: 37687000 (Congenital absence of cervix (disorder)) (version = http://snomed.info/sct/731000124108/version/201709 ) Data Requirement Type: Observation Profile(s): Observation Code Filter(s): Path: code ValueSet: Pap Test Data Requirement Type: Observation Profile(s): Observation Code Filter(s): Path: code ValueSet: HPV Test 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 Absence of Cervix Out 0..* Resource Denominator Exclusion Out 0..1 boolean Cervical Cytology Within 3 Years Out 0..* Observation HPV Test Within 5 Years for Women Age 30 and Older Out 0..* Observation Numerator 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. Based on CMS124v9 - Cervical Cancer Screening */ library EXM124 version '9.0.000' using FHIR version '4.0.1' include hl7.fhir.uv.cql.FHIRHelpers version '4.0.1' called FHIRHelpers include Hospice version '2.0.000' called Hospice include AdultOutpatientEncounters version '2.0.000' called AdultOutpatientEncounters include MATGlobalCommonFunctions version '5.0.000' called Global include SupplementalDataElements version '2.0.000' called SDE codesystem "SNOMEDCT:2017-09": 'http://snomed.info/sct' version 'http://snomed.info/sct/731000124108/version/201709' valueset "Hysterectomy with No Residual Cervix": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1014' valueset "Pap Test": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1017' valueset "HPV Test": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1059' code "Congenital absence of cervix (disorder)": '37687000' from "SNOMEDCT:2017-09" display 'Congenital absence of cervix (disorder)' parameter "Measurement Period" Interval<DateTime> default Interval[@2019-01-01T00:00:00.0, @2020-01-01T00:00:00.0) 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[23, 64] and exists AdultOutpatientEncounters."Qualifying Encounters" define "Denominator": "Initial Population" define "Denominator Exclusion": Hospice."Has Hospice" or exists "Absence of Cervix" define "Absence of Cervix": ([Procedure: "Hysterectomy with No Residual Cervix"] NoCervixProcedure where Global."Normalize Interval"(NoCervixProcedure.performed) ends on or before end of "Measurement Period" and NoCervixProcedure.status = 'completed' ) union [Condition : "Congenital absence of cervix (disorder)"] NoCervixBirth where Global."Normalize Interval"(NoCervixBirth.onset) starts on or before end of "Measurement Period" define "Numerator": exists "Cervical Cytology Within 3 Years" or exists "HPV Test Within 5 Years for Women Age 30 and Older" define "Cervical Cytology Within 3 Years": [Observation: "Pap Test"] CervicalCytology where CervicalCytology.value is not null and CervicalCytology.status in { 'final', 'amended', 'corrected', 'preliminary' } and Global."Normalize Interval"(CervicalCytology.effective) ends 3 years or less on or before end of "Measurement Period" define "HPV Test Within 5 Years for Women Age 30 and Older": [Observation: "HPV Test"] HPVTest where HPVTest.value is not null and HPVTest.status in { 'final', 'amended', 'corrected', 'preliminary' } and Global."CalendarAgeInYearsAt"(FHIRHelpers.ToDate(Patient.birthDate), start of Global."Normalize Interval"(HPVTest.effective))>= 30 and Global."Normalize Interval"(HPVTest.effective) ends 5 years or less 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
EXM124 - Cervical Cancer Screening Library
HL7 International / Clinical Quality Information
This library is used as an example in the FHIR Quality Measure Implementation Guide
Value Set Hysterectomy with No Residual Cervix
HPV Test Within 5 Years for Women Age 30 and Older