Quality Measure Implementation Guide
2.0.0-ballot - STU 2 Ballot

Quality Measure Implementation Guide - Downloaded Version null See the Directory of published versions

## Library: Hospice FHIR Library (Experimental)

Official URL: http://hl7.org/fhir/uv/cqm/Library/Hospice | Version: 2.0.000 | Highlight text changes?
Standards status: Informative Active as of 2019-09-03 | Computable Name: Hospice
Other Identifiers: http://example.org/fhir/cqi/ecqm/Library/Identifier#Hospice (use: official, ), OID:2.16.840.1.113883.4.642.40.61.28.24

This library is used as an example in the FHIR Quality Measure Implementation Guide

Metadata
Title | Hospice FHIR Library
Version | 2.0.000
Identifier | Hospice
Identifier | urn:oid:2.16.840.1.113883.4.642.40.61.28.24
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 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: 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 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 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`
Data Requirement | Type: Encounter Profile(s): Encounter Code Filter(s): Path: type ValueSet: Encounter Inpatient
Data Requirement | Type: ServiceRequest Profile(s): ServiceRequest Code Filter(s): Path: code ValueSet: Hospice Care Ambulatory
Data Requirement | Type: Procedure Profile(s): Procedure Code Filter(s): Path: code ValueSet: Hospice Care Ambulatory
Parameters
Name | Use | Card. | Type | Documentation
Measurement Period | In | 0..1 | Period |
Patient | Out | 0..1 | Patient |
Has Hospice | 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 Hospice version '2.0.000'

    using FHIR version '4.0.1'

    include hl7.fhir.uv.cql.FHIRHelpers version '4.0.1' called FHIRHelpers

    include MATGlobalCommonFunctions version '5.0.000' called Global

    codesystem "SNOMEDCT:2017-09": 'http://snomed.info/sct' version 'http://snomed.info/sct/731000124108/version/201709'

    valueset "Encounter Inpatient": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307'
    valueset "Hospice care ambulatory": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1108.15'

    code "Discharge to healthcare facility for hospice care (procedure)": '428371000124100' from "SNOMEDCT:2017-09" display 'Discharge to healthcare facility for hospice care (procedure)'
    code "Discharge to home for hospice care (procedure)": '428361000124107' from "SNOMEDCT:2017-09" display 'Discharge to home for hospice care (procedure)'

    parameter "Measurement Period" Interval<DateTime>
      default Interval[@2019-01-01T00:00:00.0, @2020-01-01T00:00:00.0)

    context Patient

    define "Has Hospice":
    	exists (
        [Encounter: "Encounter Inpatient"] DischargeHospice
    			where DischargeHospice.status = 'finished'
    		    and (
    	        DischargeHospice.hospitalization.dischargeDisposition ~ "Discharge to home for hospice care (procedure)"
    				    or DischargeHospice.hospitalization.dischargeDisposition ~ "Discharge to healthcare facility for hospice care (procedure)"
    	    	)
    				and DischargeHospice.period ends during "Measurement Period"
    	)
        or exists (
          [ServiceRequest: "Hospice care ambulatory"] HospiceOrder
            where HospiceOrder.intent = 'order'
                and HospiceOrder.authoredOn in "Measurement Period"
        )
        or exists (
          [Procedure: "Hospice care ambulatory"] HospicePerformed
            where HospicePerformed.status = 'completed'
              and Global."Normalize Interval"(HospicePerformed.performed) overlaps "Measurement Period"
        )
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