{ "resourceType" : "Measure", "id" : "MPPPatientLevel", "meta" : { "profile" : ["http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm", "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm", "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/executable-measure-cqfm"] }, "text" : { "status" : "extensions", "div" : "
\n \n \n \n \n \n \n \n\n \n\n \n \n \n \n \n \n \n \n \n \n \n \n\n \n \n \n \n \n \n\n \n \n \n \n \n \n\n \n\n \n \n \n \n \n \n\n \n \n \n \n \n \n\n \n \n \n \n \n \n\n \n \n \n \n \n \n\n \n\n \n\n \n \n \n \n \n \n\n \n\n \n\n \n\n \n \n \n \n \n \n\n \n\n \n\n \n \n \n \n \n \n\n \n\n \n\n \n \n \n \n \n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n \n \n\n \n\n \n\n \n \n \n \n \n \n\n \n\n \n \n \n \n \n \n \n \n \n \n\n \n \n \n \n\n \n\n \n \n \n \n \n \n \n \n\n
Title: Multi-provider Patient Patient Level Example
Id: MPPPatientLevel
Download cql: MPPPatientLevel.cql
Version: 0.8.000
Url: Multi-provider Patient Patient Level Example
Effective Period: 2024-01-01\n ..2024-12-31
Status: draft
Experimental: true
Date: 2023-10-27 08:12:32+0000
Name: MPPPatientLevel
Description:

Example measure supporting testing of the multi-provider patient scenario for patient-based measures

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Use Context: \n \n \n \n \n \n \n \n \n \n \n
codevalue
program\n
\n
Purpose:

To support testing of approaches to multi-provider patient scenarios with a patient-based measure

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Libraries: \n \n \n \n \n \n \n
MPPPatientLevel
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Related Artifact Dependencies: \n \n
  • FHIRHelpers version: 4.3.000
    • \n \n
  • AttributionModel version: 0.1.0
    • \n \n
  • Office Visit
    • \n \n
  • Outpatient Consultation
    • \n \n
  • Annual Wellness Visit
    • \n \n
  • Face-to-Face Interaction
    • \n \n
  • Home Healthcare Services
    • \n \n
  • Preventive Care Services - Established Office Visit, 18 and Up
    • \n \n
  • Preventive Care Services-Initial Office Visit, 18 and Up
    • \n \n
  • Preventive Care Services, Initial Office Visit, 0 to 17
    • \n \n
  • Preventive Care, Established Office Visit, 0 to 17
    • \n \n
  • Telephone Visits
    • \n \n
    Parameters:\n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n
    nameuseminmaxtype
    Measurement PeriodIn01Period
    ProviderIn01string
    Initial PopulationOut01boolean
    \n
    DataRequirements:\n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n
    TypeElementsValueset NameValueset
    Encounter(QICoreEncounter)\n \n type\n \n period\n \n \n \n \n Office Visit\n \n \n Office Visit
    Encounter(QICoreEncounter)\n \n type\n \n period\n \n \n \n \n Outpatient Consultation\n \n \n Outpatient Consultation
    Encounter(QICoreEncounter)\n \n type\n \n period\n \n \n \n \n Annual Wellness Visit\n \n \n Annual Wellness Visit
    Encounter(QICoreEncounter)\n \n type\n \n period\n \n \n \n \n Face-to-Face Interaction\n \n \n Face-to-Face Interaction
    Encounter(QICoreEncounter)\n \n type\n \n period\n \n \n \n \n Home Healthcare Services\n \n \n Home Healthcare Services
    Encounter(QICoreEncounter)\n \n type\n \n period\n \n \n \n \n Preventive Care Services Established Office Visit, 18 and Up\n \n \n Preventive Care Services - Established Office Visit, 18 and Up
    Encounter(QICoreEncounter)\n \n type\n \n period\n \n \n \n \n Preventive Care Services Initial Office Visit, 18 and Up\n \n \n Preventive Care Services-Initial Office Visit, 18 and Up
    Encounter(QICoreEncounter)\n \n type\n \n period\n \n \n \n \n Preventive Care Services, Initial Office Visit, 0 to 17\n \n \n Preventive Care Services, Initial Office Visit, 0 to 17
    Encounter(QICoreEncounter)\n \n type\n \n period\n \n \n \n \n Preventive Care, Established Office Visit, 0 to 17\n \n \n Preventive Care, Established Office Visit, 0 to 17
    Encounter(QICoreEncounter)\n \n type\n \n period\n \n \n \n \n Telephone Visits\n \n \n Telephone Visits
    \n
    Logic Definitions:\n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n
    GroupScoringPopulation CriteriaExpression
    64403d17d4d7050edabb0562 \n \n Group scoring:\n \n proportion \n \n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n
    \n \n Initial Population\n \n 
    define "Initial Population":\n  "Has Qualifying Encounter During First 240 Days of Measurement Period"
    \n \n
    \n \n Denominator\n \n
    \n \n
    \n \n Numerator\n \n
    \n \n
    \n \n\n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n
    Library NameName
    MPPPatientLevelHas Qualifying Encounter During First 240 Days of Measurement Period
    \n \n 
    define "Has Qualifying Encounter During First 240 Days of Measurement Period":\n  exists ( ( ["Encounter": "Office Visit"]\n      union ["Encounter": "Outpatient Consultation"]\n      union ["Encounter": "Annual Wellness Visit"]\n      union ["Encounter": "Face-to-Face Interaction"]\n      union ["Encounter": "Home Healthcare Services"]\n      union ["Encounter": "Preventive Care Services Established Office Visit, 18 and Up"]\n      union ["Encounter": "Preventive Care Services Initial Office Visit, 18 and Up"]\n      union ["Encounter": "Preventive Care Services, Initial Office Visit, 0 to 17"]\n      union ["Encounter": "Preventive Care, Established Office Visit, 0 to 17"]\n      union ["Encounter": "Telephone Visits"]\n    ) QualifyingEncounter\n      where QualifyingEncounter.period during day of Interval[start of "Measurement Period", start of "Measurement Period" + 240 days]\n        and QualifyingEncounter.isAttributable()\n  )
    \n
    Library NameName
    MPPPatientLevelInitial Population
    \n \n 
    define "Initial Population":\n  "Has Qualifying Encounter During First 240 Days of Measurement Period"
    \n
    Library NameName
    AttributionModelisAttributable
    \n \n 
    define fluent function isAttributable(encounter Encounter):\n  encounter.period during "Measurement Period"\n    and "Provider" is not null implies encounter.serviceProvider.reference.endsWith("Provider")
    \n
    \n
    \n
    " }, "contained" : [{ "resourceType" : "Library", "id" : "effective-data-requirements", "extension" : [{ "extension" : [{ "url" : "libraryName", "valueString" : "MPPPatientLevel" }, { "url" : "name", "valueString" : "Has Qualifying Encounter During First 240 Days of Measurement Period" }, { "url" : "statement", "valueString" : "define \"Has Qualifying Encounter During First 240 Days of Measurement Period\":\n exists ( ( [\"Encounter\": \"Office Visit\"]\n union [\"Encounter\": \"Outpatient Consultation\"]\n union [\"Encounter\": \"Annual Wellness Visit\"]\n union [\"Encounter\": \"Face-to-Face Interaction\"]\n union [\"Encounter\": \"Home Healthcare Services\"]\n union [\"Encounter\": \"Preventive Care Services Established Office Visit, 18 and Up\"]\n union [\"Encounter\": \"Preventive Care Services Initial Office Visit, 18 and Up\"]\n union [\"Encounter\": \"Preventive Care Services, Initial Office Visit, 0 to 17\"]\n union [\"Encounter\": \"Preventive Care, Established Office Visit, 0 to 17\"]\n union [\"Encounter\": \"Telephone Visits\"]\n ) QualifyingEncounter\n where QualifyingEncounter.period during day of Interval[start of \"Measurement Period\", start of \"Measurement Period\" + 240 days]\n and QualifyingEncounter.isAttributable()\n )" }, { "url" : "displaySequence", "valueInteger" : 0 }], "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "MPPPatientLevel" }, { "url" : "name", "valueString" : "Initial Population" }, { "url" : "statement", "valueString" : "define \"Initial Population\":\n \"Has Qualifying Encounter During First 240 Days of Measurement Period\"" }, { "url" : "displaySequence", "valueInteger" : 1 }], "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "AttributionModel" }, { "url" : "name", "valueString" : "isAttributable" }, { "url" : "statement", "valueString" : "define fluent function isAttributable(encounter Encounter):\n encounter.period during \"Measurement Period\"\n and \"Provider\" is not null implies encounter.serviceProvider.reference.endsWith(\"Provider\")" }, { "url" : "displaySequence", "valueInteger" : 2 }], "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" }], "status" : "active", "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/library-type", "code" : "module-definition" }] }, "relatedArtifact" : [{ "type" : "depends-on", "display" : "Library FHIRHelpers", "resource" : "http://ecqi.healthit.gov/ecqms/Library/FHIRHelpers|4.3.000" }, { "type" : "depends-on", "display" : "Library AM", "resource" : "http://ecqi.healthit.gov/ecqms/Library/AttributionModel|0.1.0" }, { "type" : "depends-on", "display" : "Value set Office Visit", "resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001" }, { "type" : "depends-on", "display" : "Value set Outpatient Consultation", "resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1008" }, { "type" : "depends-on", "display" : "Value set Annual Wellness Visit", "resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1240" }, { "type" : "depends-on", "display" : "Value set Face-to-Face Interaction", "resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1048" }, { "type" : "depends-on", "display" : "Value set Home Healthcare Services", "resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1016" }, { "type" : "depends-on", "display" : "Value set Preventive Care Services Established Office Visit, 18 and Up", "resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1025" }, { "type" : "depends-on", "display" : "Value set Preventive Care Services Initial Office Visit, 18 and Up", "resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1023" }, { "type" : "depends-on", "display" : "Value set Preventive Care Services, Initial Office Visit, 0 to 17", "resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1022" }, { "type" : "depends-on", "display" : "Value set Preventive Care, Established Office Visit, 0 to 17", "resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1024" }, { "type" : "depends-on", "display" : "Value set Telephone Visits", "resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1080" }], "parameter" : [{ "name" : "Measurement Period", "use" : "in", "min" : 0, "max" : "1", "type" : "Period" }, { "name" : "Provider", "use" : "in", "min" : 0, "max" : "1", "type" : "string" }, { "name" : "Initial Population", "use" : "out", "min" : 0, "max" : "1", "type" : "boolean" }], "dataRequirement" : [{ "type" : "Encounter", "profile" : ["http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter"], "mustSupport" : ["type", "period"], "codeFilter" : [{ "path" : "type", "valueSet" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001" }] }, { "type" : "Encounter", "profile" : ["http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter"], "mustSupport" : ["type", "period"], "codeFilter" : [{ "path" : "type", "valueSet" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1008" }] }, { "type" : "Encounter", "profile" : ["http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter"], "mustSupport" : ["type", "period"], "codeFilter" : [{ "path" : "type", "valueSet" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1240" }] }, { "type" : "Encounter", "profile" : ["http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter"], "mustSupport" : ["type", "period"], "codeFilter" : [{ "path" : "type", "valueSet" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1048" }] }, { "type" : "Encounter", "profile" : ["http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter"], "mustSupport" : ["type", "period"], "codeFilter" : [{ "path" : "type", "valueSet" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1016" }] }, { "type" : "Encounter", "profile" : ["http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter"], "mustSupport" : ["type", "period"], "codeFilter" : [{ "path" : "type", "valueSet" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1025" }] }, { "type" : "Encounter", "profile" : ["http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter"], "mustSupport" : ["type", "period"], "codeFilter" : [{ "path" : "type", "valueSet" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1023" }] }, { "type" : "Encounter", "profile" : ["http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter"], "mustSupport" : ["type", "period"], "codeFilter" : [{ "path" : "type", "valueSet" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1022" }] }, { "type" : "Encounter", "profile" : ["http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter"], "mustSupport" : ["type", "period"], "codeFilter" : [{ "path" : "type", "valueSet" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1024" }] }, { "type" : "Encounter", "profile" : ["http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter"], "mustSupport" : ["type", "period"], "codeFilter" : [{ "path" : "type", "valueSet" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1080" }] }] }], "extension" : [{ "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-softwaresystem", "valueReference" : { "reference" : "Device/cqf-tooling" } }, { "id" : "effective-data-requirements", "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-effectiveDataRequirements", "valueReference" : { "reference" : "#effective-data-requirements" } }], "url" : "http://ecqi.healthit.gov/ecqms/Measure/MPPPatientLevel", "version" : "0.8.000", "name" : "MPPPatientLevel", "title" : "Multi-provider Patient Patient Level Example", "status" : "draft", "experimental" : true, "date" : "2023-10-27T08:12:32+00:00", "description" : "Example measure supporting testing of the multi-provider patient scenario for patient-based measures", "useContext" : [{ "code" : { "system" : "http://terminology.hl7.org/CodeSystem/usage-context-type", "code" : "program" }, "valueCodeableConcept" : { "coding" : [{ "system" : "http://hl7.org/fhir/us/cqfmeasures/CodeSystem/quality-programs", "code" : "ep-ec", "display" : "EP/EC" }] } }], "purpose" : "To support testing of approaches to multi-provider patient scenarios with a patient-based measure", "effectivePeriod" : { "start" : "2024-01-01", "end" : "2024-12-31" }, "library" : ["http://ecqi.healthit.gov/ecqms/Library/MPPPatientLevel"], "group" : [{ "id" : "64403d17d4d7050edabb0562", "extension" : [{ "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring", "valueCodeableConcept" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/measure-scoring", "code" : "proportion", "display" : "Proportion" }] } }, { "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis", "valueCode" : "boolean" }, { "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-type", "valueCodeableConcept" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/measure-type", "code" : "process", "display" : "Process" }] } }], "population" : [{ "id" : "937BAF2A-D36A-4EE5-B2B2-762A0FE04502", "code" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/measure-population", "code" : "initial-population", "display" : "Initial Population" }] }, "criteria" : { "language" : "text/cql-identifier", "expression" : "Initial Population" } }, { "id" : "302C1DCC-7FE6-41EF-A94E-FDAE24B7BB1B", "code" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/measure-population", "code" : "denominator", "display" : "Denominator" }] }, "criteria" : { "language" : "text/cql-identifier", "expression" : "Denominator" } }, { "id" : "99961E3A-EFC4-4858-A3EE-F7F1D5B222FB", "code" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/measure-population", "code" : "numerator", "display" : "Numerator" }] }, "criteria" : { "language" : "text/cql-identifier", "expression" : "Numerator" } }] }] }