Metadata Title EXM125 - Breast Cancer Screening Library Version 8.0.000 Identifier EXM125 Identifier urn:oid:2.16.840.1.113883.4.642.40.61.28.10 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: 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 Race Resource: Race Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.836 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 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 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 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 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 Unilateral Mastectomy Resource: Unilateral Mastectomy Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1020 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 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 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 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 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: Procedure Profile(s): Procedure Code Filter(s): Path: code ValueSet: Unilateral Mastectomy Data Requirement Type: Condition Profile(s): Condition Code Filter(s): Path: code ValueSet: Status Post Right Mastectomy 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 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 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 Unilateral Mastectomy Procedure Out 0..* Procedure Right Mastectomy Out 0..* Condition Left Mastectomy Out 0..* Condition History Bilateral Mastectomy Out 0..* Condition Bilateral Mastectomy Procedure Out 0..* Procedure Numerator Out 0..1 boolean 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. Based on CMS125v8 - Breast Cancer Screening */ library EXM125 version '8.0.000' 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 valueset "ONC Administrative Sex": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1' valueset "Race": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.836' valueset "Ethnicity": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.837' valueset "Payer": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591' valueset "Bilateral Mastectomy": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1005' valueset "Female": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.560.100.2' valueset "Mammography": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1018' valueset "Unilateral Mastectomy": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1020' valueset "History of bilateral mastectomy": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1068' 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 "Left": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.122.12.1036' valueset "Right": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.122.12.1035' valueset "Unilateral Mastectomy, Unspecified Laterality": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1071' 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 "Denominator": "Initial Population" define "Unilateral Mastectomy Procedure": [Procedure: "Unilateral Mastectomy"] UnilateralMastectomyProcedure where Global."Normalize Interval"(UnilateralMastectomyProcedure.performed) ends before day of end of "Measurement Period" and UnilateralMastectomyProcedure.status = 'completed' define "Right Mastectomy": ( ( [Condition: "Status Post Right Mastectomy"] C where C.clinicalStatus ~ ToConcept(Global."active") ) union ( [Condition: "Unilateral Mastectomy, Unspecified Laterality"] UnilateralMastectomyDiagnosis where UnilateralMastectomyDiagnosis.bodySite in "Right" and UnilateralMastectomyDiagnosis.clinicalStatus ~ ToConcept(Global."active") ) ) RightMastectomy where Global."Normalize Interval"(RightMastectomy.onset) starts before day of end of "Measurement Period" define "Left Mastectomy": ( ( [Condition: "Status Post Left Mastectomy"] C where C.clinicalStatus ~ ToConcept(Global."active") ) union ( [Condition: "Unilateral Mastectomy, Unspecified Laterality"] UnilateralMastectomyDiagnosis where UnilateralMastectomyDiagnosis.bodySite in "Left" and UnilateralMastectomyDiagnosis.clinicalStatus ~ ToConcept(Global."active") ) ) LeftMastectomy where Global."Normalize Interval"(LeftMastectomy.onset) starts before day of end of "Measurement Period" define "History Bilateral Mastectomy": [Condition: "History of bilateral mastectomy"] BilateralMastectomyHistory where Global."Normalize Interval"(BilateralMastectomyHistory.onset) starts before day of end of "Measurement Period" and BilateralMastectomyHistory.clinicalStatus ~ ToConcept(Global."active") define "Bilateral Mastectomy Procedure": [Procedure: "Bilateral Mastectomy"] BilateralMastectomyPerformed where Global."Normalize Interval"(BilateralMastectomyPerformed.performed) ends before day of 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 before day of end of "Measurement Period" ) and Mammogram.status in { 'final', 'amended', 'corrected', 'appended' } ) define "Denominator Exclusion": Hospice."Has Hospice" or ( Count("Unilateral Mastectomy Procedure") = 2 ) or ( exists "Right Mastectomy" and exists "Left Mastectomy" ) or exists "History Bilateral Mastectomy" or exists "Bilateral Mastectomy Procedure" 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" ELM XML Content Encoded data ELM JSON Content Encoded data Generated using version 0.5.4 of the sample-content-ig Liquid templates
EXM125 - Breast Cancer Screening Library
HL7 International / Clinical Quality Information
This library is used as an example in the FHIR Quality Measure Implementation Guide
Value Set History of bilateral mastectomy
Value Set Unilateral Mastectomy, Unspecified Laterality