Quality Measure Implementation Guide
2.0.0-ballot - STU 2 Ballot

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

## Measure: Cervical Cancer Screening (Experimental)

Official URL: http://hl7.org/fhir/uv/cqm/Measure/CCSComponent | Version: 0.0.001 | Highlight text changes?
Standards status: Informative Active as of 2025-08-13 | Computable Name: CCSComponent
Other Identifiers: Version Independent: Uniform Resource Identifier (URI)#http://example.org/fhir/us/cqm/Measure/CCSComponent (use: official, ), Version Specific: Uniform Resource Identifier (URI)#http://example.org/fhir/us/cqm/Measure/130v10 (use: official, ), Short Name: Colorectal Cancer Screening (use: usual, ), OID:2.16.840.1.113883.4.642.40.61.29.2
Usage: Clinical Venue: EC

This is only an example.

Metadata
Title | Cervical Cancer Screening
Version | 0.0.001
Short Name | Colorectal Cancer Screening
GUID (Version Independent) | http://example.org/fhir/us/cqm/Measure/CCSComponent
GUID (Version Specific) | http://example.org/fhir/us/cqm/Measure/130v10
Identifier | urn:oid:2.16.840.1.113883.4.642.40.61.29.2
Effective Period | 2022-01-01 through 2022-12-31
Experimental | true
Use Context | Clinical Venue = EC
Jurisdiction | 001 from http://unstats.un.org/unsd/methods/m49/m49.htm
Steward (Publisher) | HL7 International / Clinical Quality Information
Description | This is only an example.
Measure Basis | boolean
Measure Scoring | Proportion
Improvement Notation | increase from http://terminology.hl7.org/CodeSystem/measure-improvement-notation
Measure Type | process from http://terminology.hl7.org/CodeSystem/measure-type
Measure Group (Rate) (ID: primary)
Supplemental Data Elements
Supplemental Data Element | ID: 4d3fff25-29d7-4e61-9fdd-a02a85c1472f Usage Code: Supplemental Data Description: No description provided Logic Definition: SDE Ethnicity
Supplemental Data Element | ID: 4732f9d3-e4c9-4a24-ab3c-9247a55d73ef Usage Code: Supplemental Data Description: No description provided Logic Definition: SDE Payer
Supplemental Data Element | ID: 523c2619-71c6-4e60-83f8-3d8eeef75398 Usage Code: Supplemental Data Description: No description provided Logic Definition: SDE Race
Supplemental Data Element | ID: 336d1356-61a7-4220-9635-ffc50b90af2f Usage Code: Supplemental Data Description: No description provided Logic Definition: SDE Sex
Measure Logic
Primary Library | CCS Component Library
Contents | Population Criteria Logic Definitions Terminology Dependencies Data Requirements Parameters
Population Criteria
Measure Group (Rate) (ID: primary)
Logic Definitions
Logic Definition | Library Name: AdultOutpatientEncounters
    define "Qualifying Encounters":
      ([Encounter: "Office Visit"]
        union [Encounter: "Annual Wellness Visit"]
        union [Encounter: "Preventive Care Services - Established Office Visit, 18 and Up"]
        union [Encounter: "Preventive Care Services-Initial Office Visit, 18 and Up"]
        union [Encounter: "Home Healthcare Services"]
      ) ValidEncounter
        where ValidEncounter.period during "Measurement Period"
          and ValidEncounter.status  = 'finished'
Logic Definition | Library Name: Hospice
    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"
        )
Logic Definition | Library Name: AdvancedIllnessandFrailtyExclusion
    define "Has Criteria Indicating Frailty":
      //Ask Bryn about devices
          	exists ( [DeviceRequest: "Frailty Device"] FrailtyDeviceOrder
          			where FrailtyDeviceOrder.authoredOn during "Measurement Period"
          	)
              // DeviceUseStatement has a known issue with the publication tooling
              // so it is removed to allow this IG to publish until that is fixed
          		//or exists ( [DeviceUseStatement: "Frailty Device"] FrailtyDeviceUse
          		//		where Global."Normalize Interval"(FrailtyDeviceUse.timing) overlaps "Measurement Period"
          		//)
          		or exists ( [Condition: "Frailty Diagnosis"] FrailtyDiagnosis
          				where Global."Prevalence Period"(FrailtyDiagnosis) overlaps "Measurement Period"
          		)
          		or exists ( [Encounter: "Frailty Encounter"] FrailtyEncounter
          				where FrailtyEncounter.period overlaps "Measurement Period"
          		)
          		or exists ( [Observation: "Frailty Symptom"] FrailtySymptomObservation
          				where Global."Normalize Interval"(FrailtySymptomObservation.effective) overlaps "Measurement Period"
          		)
Logic Definition | Library Name: AdvancedIllnessandFrailtyExclusion
    define "Outpatient Encounters with Advanced Illness":
      ( [Encounter: "Outpatient"]
          		union [Encounter: "Observation"]
          		union [Encounter: "ED"]
          		union [Encounter: "Nonacute Inpatient"] ) OutpatientEncounter
          		 with [Condition: "Advanced Illness"] AdvancedIllnessDiagnosis
                      such that exists (
                          OutpatientEncounter.diagnosis.condition EncounterDiagnosis
                              where EndsWith(EncounterDiagnosis.reference, AdvancedIllnessDiagnosis.id)
                      )
                      and OutpatientEncounter.period starts 2 years or less on or before
          			end of "Measurement Period"
Logic Definition | Library Name: AdvancedIllnessandFrailtyExclusion
    define "Inpatient Encounter with Advanced Illness":
      [Encounter: "Acute Inpatient"] InpatientEncounter
          		with [Condition: "Advanced Illness"] AdvancedIllnessDiagnosis
                      such that exists (
                          InpatientEncounter.diagnosis.condition EncounterDiagnosis
                              where EndsWith(EncounterDiagnosis.reference, AdvancedIllnessDiagnosis.id)
                      )
          			and InpatientEncounter.period starts 2 years or less on or before
          			end of "Measurement Period"
Logic Definition | Library Name: AdvancedIllnessandFrailtyExclusion
    define "Dementia Medications In Year Before or During Measurement Period":
      ["MedicationDispense": "Dementia Medications"] DementiaMed
          		where DementiaMed.whenHandedOver during Interval[
                      ( start of "Measurement Period" - 1 year ), end of "Measurement Period"
                  ]
Logic Definition | Library Name: AdvancedIllnessandFrailtyExclusion
    define "Advanced Illness and Frailty Exclusion Not Including Over Age 80":
      //If the measure does NOT include populations age 80 and older, then use this logic:
          	Global."CalendarAgeInYearsAt"(FHIRHelpers.ToDate(Patient.birthDate), start of "Measurement Period")>= 65
                  and "Has Criteria Indicating Frailty"
                  and ( Count("Outpatient Encounters with Advanced Illness")>= 2
                      or exists ( "Inpatient Encounter with Advanced Illness" )
                      or exists "Dementia Medications In Year Before or During Measurement Period"
                  )
Logic Definition | Library Name: AdvancedIllnessandFrailtyExclusion
    // start here

    define "Long Term Care Periods During Measurement Period":
      ( [Encounter: "Care Services in Long-Term Residential Facility"]
                  		union [Encounter: "Nursing Facility Visit"] ) LongTermFacilityEncounter
                  		where LongTermFacilityEncounter.period overlaps "Measurement Period"
                  		return LongTermFacilityEncounter.period
                  			intersect "Measurement Period"
Logic Definition | Library Name: AdvancedIllnessandFrailtyExclusion
    define "Long Term Care Periods Longer Than 90 Consecutive Days":
      exists ( "Long Term Care Periods During Measurement Period" LongTermCareDuringMP
            where duration in days of LongTermCareDuringMP > 90
        )
Logic Definition | Library Name: SupplementalDataElements
    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
Logic Definition | Library Name: SupplementalDataElements
    define "SDE Payer":
      [Coverage: type in "Payer"] Payer
            return {
              code: Payer.type,
              period: Payer.period
            }
Logic Definition | Library Name: SupplementalDataElements
    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
Logic Definition | Library Name: SupplementalDataElements
    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
Logic Definition | Library Name: CCSComponent
    define "SDE Sex":
      SDE."SDE Sex"
Logic Definition | Library Name: CCSComponent
    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"
Logic Definition | Library Name: CCSComponent
    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"
Logic Definition | Library Name: CCSComponent
    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"
Logic Definition | Library Name: CCSComponent
    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"
Logic Definition | Library Name: CCSComponent
    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"
Logic Definition | Library Name: CCSComponent
    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"
Logic Definition | Library Name: CCSComponent
    define "Initial Population":
      Global."CalendarAgeInYearsAt" ( FHIRHelpers.ToDate ( Patient.birthDate ), start of "Measurement Period" ) in Interval[50, 75]
          and exists AdultOutpatientEncounters."Qualifying Encounters"
Logic Definition | Library Name: CCSComponent
    define "Denominator":
      "Initial Population"
Logic Definition | Library Name: CCSComponent
    define "SDE Payer":
      SDE."SDE Payer"
Logic Definition | Library Name: CCSComponent
    define "SDE Ethnicity":
      SDE."SDE Ethnicity"
Logic Definition | Library Name: CCSComponent
    define "Malignant Neoplasm":
      [Condition: "Malignant Neoplasm of Colon"] ColorectalCancer
          where Global."Prevalence Period" ( ColorectalCancer ) starts on or before
          end of "Measurement Period"
Logic Definition | Library Name: CCSComponent
    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"
Logic Definition | Library Name: CCSComponent
    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"
Logic Definition | Library Name: CCSComponent
    define "SDE Race":
      SDE."SDE Race"
Logic Definition | Library Name: MATGlobalCommonFunctions
    /*
    *
    *    CQFMeasures Common Logic
    *
    */

    define function "Normalize Interval"(choice Choice<FHIR.dateTime, FHIR.Period, FHIR.Timing, FHIR.instant, FHIR.string, FHIR.Age, FHIR.Range>):
      case
    	  when choice is FHIR.dateTime then
        	Interval[FHIRHelpers.ToDateTime(choice as FHIR.dateTime), FHIRHelpers.ToDateTime(choice as FHIR.dateTime)]
    		when choice is FHIR.Period then
      		FHIRHelpers.ToInterval(choice as FHIR.Period)
    		when choice is FHIR.instant then
    			Interval[FHIRHelpers.ToDateTime(choice as FHIR.instant), FHIRHelpers.ToDateTime(choice as FHIR.instant)]
    		when choice is FHIR.Age then
    		  Interval[FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity(choice as FHIR.Age),
    			  FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity(choice as FHIR.Age) + 1 year)
    		when choice is FHIR.Range then
    		  Interval[FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity((choice as FHIR.Range).low),
    			  FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity((choice as FHIR.Range).high) + 1 year)
    		when choice is FHIR.Timing then
    		  Message(null as Interval<DateTime>, true, '1', 'Error', 'Cannot compute a single interval from a Timing type')
        when choice is FHIR.string then
          Message(null as Interval<DateTime>, true, '1', 'Error', 'Cannot compute an interval from a String value')
    		else
    			null as Interval<DateTime>
    	end
Logic Definition | Library Name: MATGlobalCommonFunctions
    define function "CalendarAgeInYearsAt"(BirthDateTime DateTime, AsOf DateTime):
    	years between ToDate(BirthDateTime)and ToDate(AsOf)
Logic Definition | Library Name: MATGlobalCommonFunctions
    define function "ToDate"(Value DateTime):
    	DateTime(year from Value, month from Value, day from Value, 0, 0, 0, 0, timezoneoffset from Value)
Logic Definition | Library Name: MATGlobalCommonFunctions
    define function "Prevalence Period"(condition Condition):
      Interval[start of "Normalize Interval"(condition.onset), end of "Normalize Abatement"(condition))
Logic Definition | Library Name: MATGlobalCommonFunctions
    define function "Normalize Abatement"(condition Condition):
    	if condition.abatement is FHIR.dateTime then
    	  Interval[FHIRHelpers.ToDateTime(condition.abatement as FHIR.dateTime), FHIRHelpers.ToDateTime(condition.abatement as FHIR.dateTime)]
    	else if condition.abatement is FHIR.Period then
    	  FHIRHelpers.ToInterval(condition.abatement as FHIR.Period)
    	else if condition.abatement is FHIR.string then
        Message(null as Interval<DateTime>, true, '1', 'Error', 'Cannot compute an interval from a String value')
    	else if condition.abatement is FHIR.Age then
    		Interval[FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity(condition.abatement as FHIR.Age),
    			FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity(condition.abatement as FHIR.Age) + 1 year)
    	else if condition.abatement is FHIR.Range then
    	  Interval[FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity((condition.abatement as FHIR.Range).low),
    		  FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity((condition.abatement as FHIR.Range).high) + 1 year)
    	else if condition.abatement is FHIR.boolean then
    	  Interval[end of "Normalize Interval"(condition.onset), condition.recordedDate)
    	else null
Logic Definition | Library Name: FHIRHelpers
    define function ToString(value AdministrativeGender): value.value
Logic Definition | Library Name: FHIRHelpers
    define function ToString(value ProcedureStatus): value.value
Logic Definition | Library Name: FHIRHelpers
    define function ToDateTime(value dateTime): value.value
Logic Definition | Library Name: FHIRHelpers
    /*
    @description: Converts the given [Period](https://hl7.org/fhir/datatypes.html#Period)
    value to a CQL DateTime Interval
    @comment: If the start value of the given period is unspecified, the starting
    boundary of the resulting interval will be open (meaning the start of the interval
    is unknown, as opposed to interpreted as the beginning of time).
    */
    define function ToInterval(period FHIR.Period):
        if period is null then
            null
        else
            if period."start" is null then
                Interval(period."start".value, period."end".value]
            else
                Interval[period."start".value, period."end".value]
Logic Definition | Library Name: FHIRHelpers
    define function ToDateTime(value instant): value.value
Logic Definition | Library Name: FHIRHelpers
    define function ToDate(value date): value.value
Logic Definition | Library Name: FHIRHelpers
    /*
    @description: Converts the given FHIR [Quantity](https://hl7.org/fhir/datatypes.html#Quantity)
    value to a CQL Quantity
    @comment: If the given quantity has a comparator specified, a runtime error is raised. If the given quantity
    has a system other than UCUM (i.e. `http://unitsofmeasure.org`) or CQL calendar units (i.e. `http://hl7.org/fhirpath/CodeSystem/calendar-units`)
    an error is raised. For UCUM to calendar units, the `ToCalendarUnit` function is used.
    @seealso: ToCalendarUnit
    */
    define function ToQuantity(quantity FHIR.Quantity):
        case
            when quantity is null then null
            when quantity.value is null then null
            when quantity.comparator is not null then
                Message(null, true, 'FHIRHelpers.ToQuantity.ComparatorQuantityNotSupported', 'Error', 'FHIR Quantity value has a comparator and cannot be converted to a System.Quantity value.')
            when quantity.system is null or quantity.system.value = 'http://unitsofmeasure.org'
                  or quantity.system.value = 'http://hl7.org/fhirpath/CodeSystem/calendar-units' then
                System.Quantity { value: quantity.value.value, unit: ToCalendarUnit(Coalesce(quantity.code.value, quantity.unit.value, '1')) }
            else
                Message(null, true, 'FHIRHelpers.ToQuantity.InvalidFHIRQuantity', 'Error', 'Invalid FHIR Quantity code: ' & quantity.unit.value & ' (' & quantity.system.value & '|' & quantity.code.value & ')')
        end
Logic Definition | Library Name: FHIRHelpers
    /*
    @description: Converts a UCUM definite duration unit to a CQL calendar duration
    unit using conversions specified in the [quantities](https://cql.hl7.org/02-authorsguide.html#quantities)
    topic of the CQL specification.
    @comment: Note that for durations above days (or weeks), the conversion is understood to be approximate
    */
    define function ToCalendarUnit(unit System.String):
        case unit
            when 'ms' then 'millisecond'
            when 's' then 'second'
            when 'min' then 'minute'
            when 'h' then 'hour'
            when 'd' then 'day'
            when 'wk' then 'week'
            when 'mo' then 'month'
            when 'a' then 'year'
            else unit
        end
Logic Definition | Library Name: FHIRHelpers
    define function ToString(value ObservationStatus): value.value
Logic Definition | Library Name: FHIRHelpers
    define function ToString(value EncounterStatus): value.value
Logic Definition | Library Name: FHIRHelpers
    define function ToString(value uri): value.value
Logic Definition | Library Name: FHIRHelpers
    /*
    @description: Converts the given FHIR [CodeableConcept](https://hl7.org/fhir/datatypes.html#CodeableConcept) value to a CQL Concept.
    */
    define function ToConcept(concept FHIR.CodeableConcept):
        if concept is null then
            null
        else
            System.Concept {
                codes: concept.coding C return ToCode(C),
                display: concept.text.value
            }
Logic Definition | Library Name: FHIRHelpers
    /*
    @description: Converts the given FHIR [Coding](https://hl7.org/fhir/datatypes.html#Coding) value to a CQL Code.
    */
    define function ToCode(coding FHIR.Coding):
        if coding is null then
            null
        else
            System.Code {
              code: coding.code.value,
              system: coding.system.value,
              version: coding.version.value,
              display: coding.display.value
            }
Logic Definition | Library Name: FHIRHelpers
    define function ToString(value ServiceRequestIntent): value.value
Logic Definition | Library Name: FHIRHelpers
    define function ToString(value string): value.value
Terminology
Code System | 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`
Value Set | 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`
Value Set | 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`
Value Set | 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`
Value Set | 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`
Value Set | 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`
Value Set | 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`
Value Set | 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`
Value Set | 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`
Value Set | 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`
Value Set | 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`
Value Set | Description: Value set Payer Resource: Payer Type Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591`
Value Set | 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`
Value Set | 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`
Value Set | 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`
Value Set | 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`
Value Set | 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`
Value Set | 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`
Value Set | 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`
Value Set | 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`
Value Set | 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`
Value Set | 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`
Value Set | 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`
Value Set | 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`
Value Set | 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`
Value Set | 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`
Value Set | 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`
Value Set | 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`
Value Set | 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`
Direct Reference Code | Display: Discharge to home for hospice care (procedure) Code: 428361000124107 System: `http://snomed.info/sct`
Direct Reference Code | Display: Discharge to healthcare facility for hospice care (procedure) Code: 428371000124100 System: `http://snomed.info/sct`
Dependencies
Dependency | Description: FHIR model information Resource: http://hl7.org/fhir/uv/cql/Library/FHIR-ModelInfo|4.0.1 Canonical URL: `http://hl7.org/fhir/uv/cql/Library/FHIR-ModelInfo|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 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: 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`
Data Requirements
Data Requirement | Type: Patient Profile(s): Patient Must Support Elements: url, extension, value
Data Requirement | Type: Procedure Profile(s): Procedure Must Support Elements: code, status, performed Code Filter(s): Path: code ValueSet: Colonoscopy
Data Requirement | Type: Procedure Profile(s): Procedure Must Support Elements: code, status, performed Code Filter(s): Path: code ValueSet: Flexible Sigmoidoscopy
Data Requirement | Type: Procedure Profile(s): Procedure Must Support Elements: code, status, performed Code Filter(s): Path: code ValueSet: CT Colonography
Data Requirement | Type: Procedure Profile(s): Procedure Must Support Elements: code, status, performed Code Filter(s): Path: code ValueSet: Hospice Care Ambulatory
Data Requirement | Type: Procedure Profile(s): Procedure Must Support Elements: code, status, performed Code Filter(s): Path: code ValueSet: Total Colectomy
Data Requirement | Type: Observation Profile(s): Observation Must Support Elements: code, status, value, effective Code Filter(s): Path: code ValueSet: Fecal Occult Blood Test (FOBT)
Data Requirement | Type: Observation Profile(s): Observation Must Support Elements: code, status, value, effective Code Filter(s): Path: code ValueSet: sDNA FIT Test
Data Requirement | Type: Observation Profile(s): Observation Must Support Elements: code, effective Code Filter(s): Path: code ValueSet: Frailty Symptom
Data Requirement | Type: Encounter Profile(s): Encounter Must Support Elements: type, period, status, diagnosis Code Filter(s): Path: type ValueSet: Office Visit
Data Requirement | Type: Encounter Profile(s): Encounter Must Support Elements: type, period, status, diagnosis Code Filter(s): Path: type ValueSet: Annual Wellness Visit
Data Requirement | Type: Encounter Profile(s): Encounter Must Support Elements: type, period, status, diagnosis Code Filter(s): Path: type ValueSet: Preventive Care Services Established Office Visit, 18 and Up
Data Requirement | Type: Encounter Profile(s): Encounter Must Support Elements: type, period, status, diagnosis Code Filter(s): Path: type ValueSet: Preventive Care Services Initial Office Visit, 18 and Up
Data Requirement | Type: Encounter Profile(s): Encounter Must Support Elements: type, period, status, diagnosis Code Filter(s): Path: type ValueSet: Home Healthcare Services
Data Requirement | Type: Encounter Profile(s): Encounter Must Support Elements: type, status, hospitalization, hospitalization.dischargeDisposition, period, diagnosis Code Filter(s): Path: type ValueSet: Encounter Inpatient
Data Requirement | Type: Encounter Profile(s): Encounter Must Support Elements: type, period, status, diagnosis Code Filter(s): Path: type ValueSet: Frailty Encounter
Data Requirement | Type: Encounter Profile(s): Encounter Must Support Elements: type, period, status, diagnosis Code Filter(s): Path: type ValueSet: Outpatient
Data Requirement | Type: Encounter Profile(s): Encounter Must Support Elements: type, period, status, diagnosis Code Filter(s): Path: type ValueSet: Observation
Data Requirement | Type: Encounter Profile(s): Encounter Must Support Elements: type, period, status, diagnosis Code Filter(s): Path: type ValueSet: ED
Data Requirement | Type: Encounter Profile(s): Encounter Must Support Elements: type, period, status, diagnosis Code Filter(s): Path: type ValueSet: Nonacute Inpatient
Data Requirement | Type: Encounter Profile(s): Encounter Must Support Elements: type, diagnosis, period, status Code Filter(s): Path: type ValueSet: Acute Inpatient
Data Requirement | Type: Encounter Profile(s): Encounter Must Support Elements: type, period, status, diagnosis Code Filter(s): Path: type ValueSet: Care Services in Long Term Residential Facility
Data Requirement | Type: Encounter Profile(s): Encounter Must Support Elements: type, period, status, diagnosis Code Filter(s): Path: type ValueSet: Nursing Facility Visit
Data Requirement | Type: Coverage Profile(s): Coverage Must Support Elements: type, period Code Filter(s): Path: type ValueSet: Payer Type
Data Requirement | Type: ServiceRequest Profile(s): ServiceRequest Must Support Elements: code, intent, authoredOn Code Filter(s): Path: code ValueSet: Hospice Care Ambulatory
Data Requirement | Type: Condition Profile(s): Condition Must Support Elements: code Code Filter(s): Path: code ValueSet: Malignant Neoplasm of Colon
Data Requirement | Type: Condition Profile(s): Condition Must Support Elements: code Code Filter(s): Path: code ValueSet: Frailty Diagnosis
Data Requirement | Type: Condition Profile(s): Condition Must Support Elements: code, id Code Filter(s): Path: code ValueSet: Advanced Illness
Data Requirement | Type: DeviceRequest Profile(s): DeviceRequest Must Support Elements: code, authoredOn Code Filter(s): Path: code ValueSet: Frailty Device
Data Requirement | Type: MedicationDispense Profile(s): MedicationDispense Must Support Elements: medication, whenHandedOver Code Filter(s): Path: medication ValueSet: Dementia Medications
Data Requirement | Type: MedicationDispense Profile(s): MedicationDispense Must Support Elements: medication.reference, whenHandedOver
Data Requirement | Type: Medication Profile(s): Medication Must Support Elements: id, code
Parameters
Name | Use | Card. | Type | Documentation
Measurement Period | In | 0..1 | Period |
SDE Sex | Out | 0..1 | Coding |
Numerator | Out | 0..1 | boolean |
Denominator | Out | 0..1 | boolean |
SDE Payer | Out | 0..* | Resource |
Initial Population | Out | 0..1 | boolean |
SDE Ethnicity | Out | 0..* | Coding |
Denominator Exclusion | Out | 0..1 | boolean |
SDE Race | Out | 0..* | Coding |
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