Quality Measure Implementation Guide
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Quality Measure Implementation Guide, published by HL7 International / Clinical Quality Information. This guide is not an authorized publication; it is the continuous build for version 6.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/cqf-measures/ and changes regularly. See the Directory of published versions

: RiskAdjustment_FHIR2 - TTL Representation

Active as of 2024-11-19

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:Library ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "risk-adjustment-FHIR2"] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\r\n   <table class=\"grid dict\">\r\n      <tr>\r\n         <th scope=\"row\"><b>Id: </b></th>\r\n         <td style=\"padding-left: 25px; padding-right: 25px;\">riskadjustment-fhir2</td>\r\n      </tr>\r\n      <tr>\r\n         <th scope=\"row\"><b>Type: </b></th>\r\n         <td style=\"padding-right: 25px;\"><span><br/><span><span style=\"padding-left: 25px;\"><b>system: </b><span>http://terminology.hl7.org/CodeSystem/library-type</span><br/></span><span style=\"padding-left: 25px;\"><b>code: </b><span>logic-library</span></span></span></span></td>\r\n      </tr>\r\n      <tr>\r\n         <th scope=\"row\"><b>Version: </b></th>\r\n         <td style=\"padding-left: 25px; padding-right: 25px;\">0.0.001</td>\r\n      </tr>\r\n      <tr>\r\n         <th scope=\"row\"><b>Status: </b></th>\r\n         <td style=\"padding-left: 25px; padding-right: 25px;\">active</td>\r\n      </tr>\r\n      <tr style=\"vertical-align: top;\">\r\n         <th scope=\"row\"><a id=\"cql-content\"><b>Content: </b></a></th>\r\n         <td style=\"padding-left: 25px; padding-right: 25px;\"><b>type: </b><span>text/cql</span></td>\r\n      </tr>\r\n      <tr>\r\n         <td colspan=\"2\" style=\"padding-left: 25px; padding-right: 25px;\">\r\n            <pre><code class=\"language-cql\">library RiskAdjustment_FHIR2 version '0.0.001'\r\n\r\nusing FHIR version '1.0.2'\r\n\r\ninclude FHIRHelpers version '1.0.2' called FHIRHelpers\r\ninclude SupplementalDataElements_FHIR2 version '1.0.0' called SDE\r\n\r\nvalueset &quot;Serum Albumin&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.60'\r\nvalueset &quot;Cirrhosis or other liver disease&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.63'\r\nvalueset &quot;Encounter Inpatient&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307'\r\nvalueset &quot;CABG_Open and Endoscopic&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.39'\r\nvalueset &quot;Bilirubin&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.2400'\r\n\r\nparameter &quot;Measurement Period&quot; Interval&lt;DateTime&gt;\r\n\r\ncontext Patient\r\n\r\ndefine &quot;SDE Ethnicity&quot;:\r\n  SDE.&quot;SDE Ethnicity&quot;\r\n\r\ndefine &quot;SDE Payer&quot;:\r\n  SDE.&quot;SDE Payer&quot;\r\n\r\ndefine &quot;SDE Race&quot;:\r\n  SDE.&quot;SDE Race&quot;\r\n\r\ndefine &quot;SDE Sex&quot;:\r\n  SDE.&quot;SDE Sex&quot;\r\n\r\ndefine &quot;Encounter Inpatient 365&quot;: [&quot;Encounter&quot;: &quot;Encounter Inpatient&quot;] E\r\n    where FHIRHelpers.ToQuantity(E.length) &lt;= 365 days // Shouldn't need the ToQuantity, need a FHIR.Duration conversion\r\n      and E.period ends during &quot;Measurement Period&quot;\r\n	and E.status.value in {'finished'}\r\n\r\ndefine &quot;CABG_Open and Endoscopic During Encounter&quot;: [&quot;Procedure&quot;: &quot;CABG_Open and Endoscopic&quot;] P\r\n    with &quot;Encounter Inpatient 365&quot; E\r\n      such that P.performedPeriod starts during E.period\r\n	and P.status.value in {'completed'}\r\n\r\ndefine &quot;Hepatic Failure&quot;:\r\n    exists (&quot;Cirrhosis Dx&quot;)\r\n    and exists (&quot;Bilirubin Test&quot;)\r\n    and exists (&quot;Serum Albumin Test&quot;)\r\n\r\ndefine &quot;Cirrhosis Dx&quot;: [&quot;Condition&quot;: &quot;Cirrhosis or other liver disease&quot;] D\r\n    with &quot;CABG_Open and Endoscopic During Encounter&quot; C\r\n	such that D.onsetDateTime.value before start of C.performedPeriod\r\n	such that Coalesce (D.onsetDateTime.value, start of ToInterval(D.onsetPeriod)) before start of ToInterval(C.performedPeriod)\r\n\r\ndefine &quot;Bilirubin Test&quot;:\r\n[&quot;Observation&quot;: &quot;Bilirubin&quot;] L\r\n    with &quot;CABG_Open and Endoscopic During Encounter&quot; C\r\n      such that L.effectiveDateTime.value before start of C.performedPeriod\r\nsuch that Coalesce (L.effectiveDateTime.value, start of ToInterval(L.effectivePeriod)) starts before start of ToInterval(C.performedPeriod)\r\n    with &quot;Encounter Inpatient 365&quot; E\r\n      such that L.effectiveDateTime.value during E.period\r\n    where L.valueQuantity &gt; 2 'mg/dL'\r\n      and L.status.value in {'final', 'amended', 'corrected', 'appended'}\r\n\r\ndefine &quot;Serum Albumin Test&quot;:\r\n[&quot;Observation&quot;: &quot;Serum Albumin&quot;] L\r\n    with &quot;CABG_Open and Endoscopic During Encounter&quot; C\r\n      such that L.effectiveDateTime.value before start of C.performedPeriod\r\n    with &quot;Encounter Inpatient 365&quot; E\r\n      such that L.effectiveDateTime.value during E.period\r\n    where L.valueQuantity &lt; 3.5 'g/dL'\r\n      and L.status.value in {'final', 'amended', 'corrected', 'appended'}\r\n\r\ndefine &quot;Initial Population&quot;: &quot;Encounter Inpatient 365&quot;\r\n\r\ndefine &quot;Denominator&quot;: &quot;Initial Population&quot;\r\n\r\ndefine &quot;Numerator&quot;: &quot;CABG_Open and Endoscopic During Encounter&quot;\r\n</code></pre>\r\n         </td>\r\n      </tr>\r\n   </table>\r\n</div>"
  ] ; # 
  fhir:extension ( [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg"^^xsd:anyURI ] ;
fhir:value [ fhir:v "cqi" ]
  ] ) ; # 
  fhir:url [ fhir:v "http://hl7.org/fhir/uv/cqm/Library/risk-adjustment-FHIR2"^^xsd:anyURI] ; # 
  fhir:version [ fhir:v "0.0.001"] ; # 
  fhir:name [ fhir:v "RiskAdjustment_FHIR2"] ; # 
  fhir:title [ fhir:v "RiskAdjustment_FHIR2"] ; # 
  fhir:status [ fhir:v "active"] ; # 
  fhir:experimental [ fhir:v "true"^^xsd:boolean] ; # 
  fhir:type [
    ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/library-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "logic-library" ]     ] )
  ] ; # 
  fhir:date [ fhir:v "2024-11-19T16:49:15+00:00"^^xsd:dateTime] ; # 
  fhir:publisher [ fhir:v "HL7 International / Clinical Quality Information"] ; # 
  fhir:contact ( [
    ( fhir:telecom [
fhir:system [ fhir:v "url" ] ;
fhir:value [ fhir:v "http://www.hl7.org/Special/committees/cqi" ]     ] )
  ] ) ; # 
  fhir:description [ fhir:v "Example library illustrating risk adjustment with FHIR DSTU2"] ; # 
  fhir:jurisdiction ( [
    ( fhir:coding [
fhir:system [ fhir:v "urn:iso:std:iso:3166"^^xsd:anyURI ] ;
fhir:code [ fhir:v "US" ]     ] )
  ] ) ; # 
  fhir:content ( [
fhir:contentType [ fhir:v "application/elm+xml" ] ;
fhir:data [ fhir:v "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"^^xsd:base64Binary ]
  ] [
fhir:contentType [ fhir:v "text/cql" ] ;
fhir:data [ fhir:v "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"^^xsd:base64Binary ]
  ] ) . #