eCQM QICore Content Implementation Guide
2023.0.0 - CI Build

eCQM QICore Content Implementation Guide, published by cqframework. This guide is not an authorized publication; it is the continuous build for version 2023.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/cqframework/ecqm-content-qicore-2023/ and changes regularly. See the Directory of published versions

Library: AdultMajorDepressiveDisorderMDDSuicideRiskAssessmentFHIR

Official URL: http://ecqi.healthit.gov/ecqms/Library/AdultMajorDepressiveDisorderMDDSuicideRiskAssessmentFHIR Version: 0.0.004
Active as of 2023-08-14 Computable Name: AdultMajorDepressiveDisorderMDDSuicideRiskAssessmentFHIR
Other Identifiers: https://madie.cms.gov/login#AdultMajorDepressiveDisorderMDDSuicideRiskAssessmentFHIR (use: official, )

Usage:Program: EP/EC

AdultMajorDepressiveDisorderMDDSuicideRiskAssessmentFHIR

Id: AdultMajorDepressiveDisorderMDDSuicideRiskAssessmentFHIR
Url: http://ecqi.healthit.gov/ecqms/Library/AdultMajorDepressiveDisorderMDDSuicideRiskAssessmentFHIR
Version: 0.0.004
Identifier:

value: AdultMajorDepressiveDisorderMDDSuicideRiskAssessmentFHIR

Name: AdultMajorDepressiveDisorderMDDSuicideRiskAssessmentFHIR
Title: AdultMajorDepressiveDisorderMDDSuicideRiskAssessmentFHIR
Status: active
Experimental: false
Type:

system: http://terminology.hl7.org/CodeSystem/library-type

code: logic-library

Date: 2023-08-14T14:38:57+00:00
Description: AdultMajorDepressiveDisorderMDDSuicideRiskAssessmentFHIR
Use Context:
codevaluedisplay
program ep-ec EP/EC
Related Artifacts:

Dependencies
Data Requirements:
TypeProfileMSCode Filter
Patient http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient
Patient http://hl7.org/fhir/Patient ;;
Condition http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition ;;
Encounter http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter ; code filter:
path: type
value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1492
Encounter http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter ; code filter:
path: type
value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1010
Encounter http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter ; code filter:
path: type
value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001
Encounter http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter ; code filter:
path: type
value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1008
Encounter http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter ; code filter:
path: type
value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1496
Encounter http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter ; code filter:
path: type
value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1141
Encounter http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter ; code filter:
path: type
value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1031
Procedure http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedure ;;;; code filter:
path: code

system: http://snomed.info/sct

code: 225337009

display: Suicide risk assessment (procedure)

Patient http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient
Coverage http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-coverage ;; code filter:
path: type
value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591
uri http://hl7.org/fhir/uri ;
Patient http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient ;;
Patient http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient ;;
Patient http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient ;;
Patient http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient ;;
Coverage http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-coverage ;; code filter:
path: type
value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591
Patient http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient ;;
Patient http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient ;;
Content: text/cql
library AdultMajorDepressiveDisorderMDDSuicideRiskAssessmentFHIR version '0.0.004'

using QICore version '4.1.1'

include SupplementalDataElements version '3.4.000' called SDE
include QICoreCommon version '1.5.000' called QICoreCommon
include CQMCommon version '1.4.000' called CQMCommon
include FHIRHelpers version '4.3.000' called FHIRHelpers

codesystem "SNOMEDCT": 'http://snomed.info/sct'
codesystem "LOINC": 'http://loinc.org'
codesystem "ActCode": 'http://terminology.hl7.org/CodeSystem/v3-ActCode'

valueset "Emergency Department Visit": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1010'
valueset "Ethnicity": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.837'
valueset "Major Depressive Disorder Active": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1491'
valueset "Office Visit": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001'
valueset "ONC Administrative Sex": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1'
valueset "Outpatient Consultation": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1008'
valueset "Payer": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591'
valueset "Psych Visit Diagnostic Evaluation": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1492'
valueset "Psych Visit Psychotherapy": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1496'
valueset "Psychoanalysis": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1141'
valueset "Race": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.836'
valueset "Telehealth Services": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1031'

code "Birth date": '21112-8' from "LOINC" display 'Birth date'
code "Suicide risk assessment (procedure)": '225337009' from "SNOMEDCT" display 'Suicide risk assessment (procedure)'
code "AMB": 'AMB' from "ActCode" display 'Ambulatory'

parameter "Measurement Period" Interval<DateTime>

context Patient

define "Initial Population":
  "New or Recurrent Major Depressive Disorder Encounter" NewOrRecurrentMDDEncounter
    where "AgeInYearsAt"(date from start of "Measurement Period") >= 17

define "Denominator":
  "Initial Population"

define "Numerator":
  "New or Recurrent Major Depressive Disorder Encounter" NewOrRecurrentMDDEncounter
    with ["Procedure": "Suicide risk assessment (procedure)"] SuicideRiskAssessment
      such that SuicideRiskAssessment.status = 'completed'
        and QICoreCommon."ToInterval" ( SuicideRiskAssessment.performed ) during NewOrRecurrentMDDEncounter.period

define "New or Recurrent Major Depressive Disorder Encounter":
  "Major Depressive Disorder Encounter" NewOrRecurrentMDDEncounter
    without "Major Depressive Disorder Encounter" PriorMDDEpisodeEncounter
      such that ( PriorMDDEpisodeEncounter !~ NewOrRecurrentMDDEncounter
          and PriorMDDEpisodeEncounter.period ends 104 days or less before day of start of NewOrRecurrentMDDEncounter.period
      )
    where NewOrRecurrentMDDEncounter.period during "Measurement Period"

define "Major Depressive Disorder Encounter":
  ( ["Encounter": "Psych Visit Diagnostic Evaluation"]
    union ["Encounter": "Emergency Department Visit"]
    union ["Encounter": "Office Visit"]
    union ["Encounter": "Outpatient Consultation"]
    union ["Encounter": "Psych Visit Psychotherapy"]
    union ["Encounter": "Psychoanalysis"]
    union ["Encounter": "Telehealth Services"] ) ValidEncounter
    where ValidEncounter.status = 'finished'
      and ValidEncounter.class ~ "AMB"
      and ( ValidEncounter.reasonCode in "Major Depressive Disorder Active"
          or exists ( ( CQMCommon."EncounterDiagnosis" ( ValidEncounter ) ) EncounterDiagnosis
              where EncounterDiagnosis.code in "Major Depressive Disorder Active"
          )
      )

define "SDE Ethnicity":
  SDE."SDE Ethnicity"

define "SDE Payer":
  SDE."SDE Payer"

define "SDE Race":
  SDE."SDE Race"

define "SDE Sex":
  SDE."SDE Sex"
Content: application/elm+xml
Encoded data (87128 characters)
Content: application/elm+json
Encoded data (122084 characters)