Metadata Title Example Logic Library Version 2.0.0 Identifier EXMLogic Identifier urn:oid:2.16.840.1.113883.4.642.40.61.28.20 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: Code System Diagnosis Role Resource: Diagnosis Role Canonical URL: http://terminology.hl7.org/CodeSystem/diagnosis-role Dependency Description: Value Set Emergency Department Visit Resource: Emergency Department Visit Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.292 Dependency Description: Value Set Psychiatric/Mental Health Patient Resource: Psychiatric/Mental Health Diagnosis Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.299 Dependency Description: Value Set Hospital Settings Resource: Hospital Settings Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1111.126 Dependency Description: Value Set Chronic Liver Disease Legacy Example Resource: Chronic Liver Disease Legacy Example Canonical URL: http://hl7.org/fhir/uv/cqm/ValueSet/chronic-liver-disease-legacy-example 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 Data Requirement Type: Encounter Profile(s): Encounter Data Requirement Type: Condition Profile(s): Condition Code Filter(s): Path: id Data Requirement Type: Encounter Profile(s): Encounter Code Filter(s): Path: type ValueSet: Emergency Department Visit Data Requirement Type: Coverage Profile(s): Coverage Code Filter(s): Path: type ValueSet: Payer Type Parameters Name Use Card. Type Documentation Measurement Period In 0..1 Period Patient Out 0..1 Patient Inpatient Encounter Out 0..* Encounter Initial Population Out 0..* Encounter Measure Population Out 0..* Encounter Stratifier 1 Out 0..* Encounter Stratifier 2 Out 0..* Encounter Stratifier 3 Out 0..* Encounter Stratifier 4 Out 0..* Encounter SDE Ethnicity Out 0..* Coding SDE Payer Out 0..* Resource SDE Race Out 0..* Coding SDE Sex Out 0..1 Coding Library Content CQL Content /* This example is purely for illustration purposes to show how all the elements of a FHIR-based quality measure are represented. It is intentionally simplified to show specific aspects of a measure, and is not intended as an example of a clinically meaningful measure. */ library EXMLogic version '2.0.0' using FHIR version '4.0.1' include hl7.fhir.uv.cql.FHIRHelpers version '4.0.1' called FHIRHelpers codesystem "Diagnosis Role": 'http://terminology.hl7.org/CodeSystem/diagnosis-role' valueset "Emergency Department Visit" : 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.292' valueset "Psychiatric/Mental Health Patient" : 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.299' valueset "Hospital Settings" : 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1111.126' valueset "Chronic Liver Disease Legacy Example": 'http://hl7.org/fhir/uv/cqm/ValueSet/chronic-liver-disease-legacy-example' 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' code "Billing": 'billing' from "Diagnosis Role" display 'Billing' parameter "Measurement Period" Interval<DateTime> context Patient define "Initial Population" : "Inpatient Encounter" Encounter define "Measure Population" : "Initial Population" define function "Measure Observation" (Encounter "Encounter" ) : duration in minutes of "Related ED Visit"(Encounter).period define "Stratifier 1" : "Inpatient Encounter" Encounter where not (PrincipalDiagnosis(Encounter).code in "Psychiatric/Mental Health Patient") define "Stratifier 2" : "Inpatient Encounter" Encounter where PrincipalDiagnosis(Encounter).code in "Psychiatric/Mental Health Patient" define "Stratifier 3" : "Inpatient Encounter" Encounter where PrincipalDiagnosis(Encounter) is null define "Stratifier 4" : "Inpatient Encounter" Encounter where PrincipalDiagnosis(Encounter) is null define "Inpatient Encounter" : ["Encounter"] Encounter where LengthInDays(Encounter.period) <= 120 and Encounter.period ends during "Measurement Period" define function "PrincipalDiagnosis"(Encounter Encounter): (singleton from (Encounter.diagnosis D where D.use ~ ToConcept("Billing") and D.rank.value = 1)) PD return singleton from ([Condition: id in "GetId"(PD.condition.reference)]) define function "LengthInDays"(Value Interval<DateTime>): difference in days between start of Value and end of Value define function "GetId"(uri String): Last(Split(uri, '/')) //Measure Observation define function "Related ED Visit" (Encounter "Encounter" ) : Last(["Encounter" : "Emergency Department Visit"] ED where ED.status = 'finished' and ED.period ends 1 hour or less before start of Encounter.period sort by start of period ) define "SDE Ethnicity": (flatten ( Patient.extension Extension where Extension.url = 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity' return Extension.extension )) E where E.url = 'ombCategory' or E.url = 'detailed' return E.value as Coding define "SDE Payer": [Coverage: type in "Payer"] Payer return { code: Payer.type, period: Payer.period } define "SDE Race": (flatten ( Patient.extension Extension where Extension.url = 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-race' return Extension.extension )) E where E.url = 'ombCategory' or E.url = 'detailed' return E.value as Coding define "SDE Sex": case when Patient.gender = 'male' then Code { code: 'M', system: 'http://hl7.org/fhir/v3/AdministrativeGender', display: 'Male' } when Patient.gender = 'female' then Code { code: 'F', system: 'http://hl7.org/fhir/v3/AdministrativeGender', display: 'Female' } else null end 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 used as an example in the FHIR Quality Measure Implementation Guide
Value Set Psychiatric/Mental Health Patient
Value Set Chronic Liver Disease Legacy Example