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

## : ChildandAdolescentMajorDepressiveDisorderMDDSuicideRiskAssessmentFHIR - XML Representation

Active as of 2023-08-14

Raw xml | Download

    <Library xmlns="http://hl7.org/fhir">
      <id
          value="ChildandAdolescentMajorDepressiveDisorderMDDSuicideRiskAssessmentFHIR"/>
      <meta>
        <profile
                 value="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-library-cqfm"/>
      </meta>
      <language value="en"/>
      <text>
        <status value="extensions"/>
        <div xmlns="http://www.w3.org/1999/xhtml">
        <table class="grid dict">

                <tr>
                    <th scope="row"><b>Id: </b></th>
                    <td style="padding-left: 4px;">ChildandAdolescentMajorDepressiveDisorderMDDSuicideRiskAssessmentFHIR</td>
                </tr>

                <tr>
                    <th scope="row"><b>Url: </b></th>
                    <td style="padding-left: 4px;">http://ecqi.healthit.gov/ecqms/Library/ChildandAdolescentMajorDepressiveDisorderMDDSuicideRiskAssessmentFHIR</td>
                </tr>

                <tr>
                    <th scope="row"><b>Version: </b></th>
                    <td style="padding-left: 4px;">0.0.003</td>
                </tr>

                <tr>
                    <th scope="row"><b>Identifier: </b></th>
                    <td style="padding-left: 4px;">

                            <p style="margin-bottom: 5px;">
                                <b>value: </b> <span>ChildandAdolescentMajorDepressiveDisorderMDDSuicideRiskAssessmentFHIR</span>
                            </p>

                    </td>
                </tr>

                <tr>
                    <th scope="row"><b>Name: </b></th>
                    <td style="padding-left: 4px;">ChildandAdolescentMajorDepressiveDisorderMDDSuicideRiskAssessmentFHIR</td>
                </tr>

                <tr>
                    <th scope="row"><b>Title: </b></th>
                    <td style="padding-left: 4px;">ChildandAdolescentMajorDepressiveDisorderMDDSuicideRiskAssessmentFHIR</td>
                </tr>

                <tr>
                    <th scope="row"><b>Status: </b></th>
                    <td style="padding-left: 4px;">active</td>
                </tr>

                <tr>
                    <th scope="row"><b>Experimental: </b></th>
                    <td style="padding-left: 4px;">false</td>
                </tr>

                <tr>
                    <th scope="row"><b>Type: </b></th>
                    <td style="padding-left: 4px;">

                                    <p style="margin-bottom: 5px;">
                                        <b>system: </b> <span>http://terminology.hl7.org/CodeSystem/library-type</span>
                                    </p>

                                    <p style="margin-bottom: 5px;">
                                        <b>code: </b> <span>logic-library</span>
                                    </p>

                    </td>
                </tr>

                <tr>
                    <th scope="row"><b>Date: </b></th>
                    <td style="padding-left: 4px;">2023-08-14T14:37:08+00:00</td>
                </tr>

                <tr>
                    <th scope="row"><b>Description: </b></th>
                    <td style="padding-left: 4px;">ChildandAdolescentMajorDepressiveDisorderMDDSuicideRiskAssessmentFHIR</td>
                </tr>

                <tr>
                    <th scope="row"><b>Use Context: </b></th>
                    <td style="padding-left: 4px;">
                        <table class="grid-dict">
                            <tr><th><b>code</b></th><th><b>value</b></th><th><b>display</b></th></tr>

                                <tr>
                                    <td>program</td>
                                    <td>ep-ec</td>
                                    <td>EP/EC</td>
                                </tr>

                        </table>
                    </td>
                </tr>

                <tr>
                    <th scope="row"><b>Related Artifacts: </b></th>
                    <td style="padding-left: 4px;">

                            <p><b>Dependencies</b></p>
                            <ul>

                                    <li/>

                                    <li/>

                                    <li/>

                                    <li/>

                                    <li/>

                                    <li/>

                                    <li/>

                                    <li/>

                                    <li/>

                                    <li/>

                                    <li/>

                                    <li/>

                                    <li/>

                                    <li/>

                                    <li/>

                                    <li/>

                                    <li/>

                            </ul>

                    </td>
                </tr>

                <tr>
                    <th scope="row"><b>Data Requirements:</b></th>
                    <td style="padding-left: 4px;">
                        <table class="grid-dict">
                            <tr><th><b>Type</b></th><th><b>Profile</b></th><th><b>MS</b></th><th><b>Code Filter</b></th></tr>

                                <tr>
                                    <th>Condition</th>
                                    <th>http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition</th>
                                    <th>;;</th>
                                    <th>

                                    </th>
                                </tr>

                                <tr>
                                    <th>Encounter</th>
                                    <th>http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter</th>
                                    <th>;</th>
                                    <th>

                                            <b>code filter: </b>

                                                <br/>

                                                <span style="padding-left: 4px;">
                              <b>path: </b><span>type</span>
                          </span>

                                                    <br/>

                                                <span style="padding-left: 4px;">
                              <b>value set: </b><span>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001</span>
                          </span>

                                    </th>
                                </tr>

                                <tr>
                                    <th>Encounter</th>
                                    <th>http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter</th>
                                    <th>;</th>
                                    <th>

                                            <b>code filter: </b>

                                                <br/>

                                                <span style="padding-left: 4px;">
                              <b>path: </b><span>type</span>
                          </span>

                                                    <br/>

                                                <span style="padding-left: 4px;">
                              <b>value set: </b><span>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1008</span>
                          </span>

                                    </th>
                                </tr>

                                <tr>
                                    <th>Encounter</th>
                                    <th>http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter</th>
                                    <th>;</th>
                                    <th>

                                            <b>code filter: </b>

                                                <br/>

                                                <span style="padding-left: 4px;">
                              <b>path: </b><span>type</span>
                          </span>

                                                    <br/>

                                                <span style="padding-left: 4px;">
                              <b>value set: </b><span>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1492</span>
                          </span>

                                    </th>
                                </tr>

                                <tr>
                                    <th>Encounter</th>
                                    <th>http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter</th>
                                    <th>;</th>
                                    <th>

                                            <b>code filter: </b>

                                                <br/>

                                                <span style="padding-left: 4px;">
                              <b>path: </b><span>type</span>
                          </span>

                                                    <br/>

                                                <span style="padding-left: 4px;">
                              <b>value set: </b><span>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1018</span>
                          </span>

                                    </th>
                                </tr>

                                <tr>
                                    <th>Encounter</th>
                                    <th>http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter</th>
                                    <th>;</th>
                                    <th>

                                            <b>code filter: </b>

                                                <br/>

                                                <span style="padding-left: 4px;">
                              <b>path: </b><span>type</span>
                          </span>

                                                    <br/>

                                                <span style="padding-left: 4px;">
                              <b>value set: </b><span>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1496</span>
                          </span>

                                    </th>
                                </tr>

                                <tr>
                                    <th>Encounter</th>
                                    <th>http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter</th>
                                    <th>;</th>
                                    <th>

                                            <b>code filter: </b>

                                                <br/>

                                                <span style="padding-left: 4px;">
                              <b>path: </b><span>type</span>
                          </span>

                                                    <br/>

                                                <span style="padding-left: 4px;">
                              <b>value set: </b><span>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1141</span>
                          </span>

                                    </th>
                                </tr>

                                <tr>
                                    <th>Encounter</th>
                                    <th>http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter</th>
                                    <th>;</th>
                                    <th>

                                            <b>code filter: </b>

                                                <br/>

                                                <span style="padding-left: 4px;">
                              <b>path: </b><span>type</span>
                          </span>

                                                    <br/>

                                                <span style="padding-left: 4px;">
                              <b>value set: </b><span>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1187</span>
                          </span>

                                    </th>
                                </tr>

                                <tr>
                                    <th>Encounter</th>
                                    <th>http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter</th>
                                    <th>;</th>
                                    <th>

                                            <b>code filter: </b>

                                                <br/>

                                                <span style="padding-left: 4px;">
                              <b>path: </b><span>type</span>
                          </span>

                                                    <br/>

                                                <span style="padding-left: 4px;">
                              <b>value set: </b><span>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1031</span>
                          </span>

                                    </th>
                                </tr>

                                <tr>
                                    <th>Procedure</th>
                                    <th>http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedure</th>
                                    <th>;;;;</th>
                                    <th>

                                            <b>code filter: </b>

                                                <br/>

                                                <span style="padding-left: 4px;">
                              <b>path: </b><span>code</span>
                          </span>

                                                    <br/>

                                                    <p style="margin-bottom: 5px;">
                                                        <b>system: </b> <span>http://snomed.info/sct</span>
                                                    </p>

                                                    <p style="margin-bottom: 5px;">
                                                        <b>code: </b> <span>225337009</span>
                                                    </p>

                                                    <p style="margin-bottom: 5px;">
                                                        <b>display: </b> <span>Suicide risk assessment (procedure)</span>
                                                    </p>

                                    </th>
                                </tr>

                                <tr>
                                    <th>Patient</th>
                                    <th>http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient</th>
                                    <th/>
                                    <th>

                                    </th>
                                </tr>

                        </table>
                    </td>
                </tr>

                    <tr>
                        <td colspan="2">
                            <table>
                                <tr><th><a id="cql-content"><b>Content: </b></a> text/cql</th></tr>
                                <tr><td><pre><code class="language-cql">library ChildandAdolescentMajorDepressiveDisorderMDDSuicideRiskAssessmentFHIR version '0.0.003'

    using QICore version '4.1.1'

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

    codesystem &quot;LOINC&quot;: 'http://loinc.org'
    codesystem &quot;SNOMEDCT&quot;: 'http://snomed.info/sct'
    codesystem &quot;ActCode&quot;: 'http://terminology.hl7.org/CodeSystem/v3-ActCode'
    codesystem &quot;ICD10CM&quot;: 'http://hl7.org/fhir/sid/icd-10-cm'

    valueset &quot;Group Psychotherapy&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1187'
    valueset &quot;Major Depressive Disorder Active&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1491'
    valueset &quot;Office Visit&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001'
    valueset &quot;Outpatient Consultation&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1008'
    valueset &quot;Psych Visit Diagnostic Evaluation&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1492'
    valueset &quot;Psych Visit for Family Psychotherapy&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1018'
    valueset &quot;Psych Visit Psychotherapy&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1496'
    valueset &quot;Psychoanalysis&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1141'
    valueset &quot;Telehealth Services&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1031'

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

    parameter &quot;Measurement Period&quot; Interval&lt;DateTime&gt;

    context Patient

    define &quot;Initial Population&quot;:
      &quot;Major Depressive Disorder Encounter&quot; MDDEncounter
        where ( &quot;AgeInYearsAt&quot;(date from start of &quot;Measurement Period&quot;) &gt;= 6
            and &quot;AgeInYearsAt&quot;(date from start of &quot;Measurement Period&quot;) &lt; 17
        )

    define &quot;Denominator&quot;:
      &quot;Initial Population&quot;

    define &quot;Numerator&quot;:
      &quot;Major Depressive Disorder Encounter&quot; MDDEncounter
        with [&quot;Procedure&quot;: &quot;Suicide risk assessment (procedure)&quot;] SuicideRiskAssessment
          such that SuicideRiskAssessment.status = 'completed'
            and QICoreCommon.&quot;ToInterval&quot; ( SuicideRiskAssessment.performed ) during MDDEncounter.period

    define &quot;Major Depressive Disorder Encounter&quot;:
      ( [&quot;Encounter&quot;: &quot;Office Visit&quot;]
        union [&quot;Encounter&quot;: &quot;Outpatient Consultation&quot;]
        union [&quot;Encounter&quot;: &quot;Psych Visit Diagnostic Evaluation&quot;]
        union [&quot;Encounter&quot;: &quot;Psych Visit for Family Psychotherapy&quot;]
        union [&quot;Encounter&quot;: &quot;Psych Visit Psychotherapy&quot;]
        union [&quot;Encounter&quot;: &quot;Psychoanalysis&quot;]
        union [&quot;Encounter&quot;: &quot;Group Psychotherapy&quot;]
        union [&quot;Encounter&quot;: &quot;Telehealth Services&quot;] ) ValidEncounter
        where ValidEncounter.status = 'finished'
          and ValidEncounter.class ~ &quot;AMB&quot;
          and ( ValidEncounter.reasonCode in &quot;Major Depressive Disorder Active&quot;
              or exists ( ( CQMCommon.&quot;EncounterDiagnosis&quot; ( ValidEncounter ) ) EncounterDiagnosis
                  where EncounterDiagnosis.code in &quot;Major Depressive Disorder Active&quot;
              )
          )
          and ValidEncounter.period during &quot;Measurement Period&quot;

    define &quot;SDE Ethnicity&quot;:
      SDE.&quot;SDE Ethnicity&quot;

    define &quot;SDE Payer&quot;:
      SDE.&quot;SDE Payer&quot;

    define &quot;SDE Race&quot;:
      SDE.&quot;SDE Race&quot;

    define &quot;SDE Sex&quot;:
      SDE.&quot;SDE Sex&quot;</code></pre></td></tr>
                            </table>
                        </td>
                    </tr>

                    <tr>
                        <td colspan="2">
                            <table>
                                <tr><th><b>Content: </b> application/elm+xml</th></tr>
                                <tr><td><pre><code>Encoded data (79024 characters)</code></pre></td></tr>
                            </table>
                        </td>
                    </tr>

                    <tr>
                        <td colspan="2">
                            <table>
                                <tr><th><b>Content: </b> application/elm+json</th></tr>
                                <tr><td><pre><code>Encoded data (110596 characters)</code></pre></td></tr>
                            </table>
                        </td>
                    </tr>

        </table>
    </div>
      </text>
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-softwaresystem">
        <valueReference>
          <reference value="Device/cqf-tooling"/>
        </valueReference>
      </extension>
      <url
           value="http://ecqi.healthit.gov/ecqms/Library/ChildandAdolescentMajorDepressiveDisorderMDDSuicideRiskAssessmentFHIR"/>
      <identifier>
        <use value="official"/>
        <system value="https://madie.cms.gov/login"/>
        <value
               value="ChildandAdolescentMajorDepressiveDisorderMDDSuicideRiskAssessmentFHIR"/>
      </identifier>
      <version value="0.0.003"/>
      <name
            value="ChildandAdolescentMajorDepressiveDisorderMDDSuicideRiskAssessmentFHIR"/>
      <title
             value="ChildandAdolescentMajorDepressiveDisorderMDDSuicideRiskAssessmentFHIR"/>
      <status value="active"/>
      <experimental value="false"/>
      <type>
        <coding>
          <system value="http://terminology.hl7.org/CodeSystem/library-type"/>
          <code value="logic-library"/>
        </coding>
      </type>
      <date value="2023-08-14T14:37:08+00:00"/>
      <description
                   value="ChildandAdolescentMajorDepressiveDisorderMDDSuicideRiskAssessmentFHIR"/>
      <useContext>
        <code>
          <system
                  value="http://terminology.hl7.org/CodeSystem/usage-context-type"/>
          <code value="program"/>
        </code>
        <valueCodeableConcept>
          <coding>
            <system
                    value="http://hl7.org/fhir/us/cqfmeasures/CodeSystem/quality-programs"/>
            <code value="ep-ec"/>
            <display value="EP/EC"/>
          </coding>
        </valueCodeableConcept>
      </useContext>
      <relatedArtifact id="21112-8">
        <display value="Birth date"/>
        <url value="http://loinc.org"/>
        <document>
          <url value="http://loinc.org"/>
        </document>
      </relatedArtifact>
      <relatedArtifact id="225337009">
        <display value="Suicide risk assessment (procedure)"/>
        <url value="http://snomed.info/sct"/>
        <document>
          <url value="http://snomed.info/sct"/>
        </document>
      </relatedArtifact>
      <relatedArtifact id="AMB">
        <display value="AMB"/>
        <url value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
        <document>
          <url value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
        </document>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="QICore model information"/>
        <resource value="http://hl7.org/fhir/Library/QICore-ModelInfo"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Library SDE"/>
        <resource
                  value="http://ecqi.healthit.gov/ecqms/Library/SupplementalDataElements|3.4.000"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Library QICoreCommon"/>
        <resource
                  value="http://ecqi.healthit.gov/ecqms/Library/QICoreCommon|1.5.000"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Library FHIRHelpers"/>
        <resource
                  value="http://ecqi.healthit.gov/ecqms/Library/FHIRHelpers|4.3.000"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Library CQMCommon"/>
        <resource
                  value="http://ecqi.healthit.gov/ecqms/Library/CQMCommon|1.4.000"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Code system LOINC"/>
        <resource value="http://loinc.org"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Code system SNOMEDCT"/>
        <resource value="http://snomed.info/sct"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Code system ActCode"/>
        <resource value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Code system ICD10CM"/>
        <resource value="http://hl7.org/fhir/sid/icd-10-cm"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Code system AdministrativeGender"/>
        <resource value="http://hl7.org/fhir/v3/AdministrativeGender"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Value set Group Psychotherapy"/>
        <resource
                  value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1187"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Value set Major Depressive Disorder Active"/>
        <resource
                  value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1491"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Value set Office Visit"/>
        <resource
                  value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Value set Outpatient Consultation"/>
        <resource
                  value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1008"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Value set Psych Visit Diagnostic Evaluation"/>
        <resource
                  value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1492"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Value set Psych Visit for Family Psychotherapy"/>
        <resource
                  value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1018"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Value set Psych Visit Psychotherapy"/>
        <resource
                  value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1496"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Value set Psychoanalysis"/>
        <resource
                  value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1141"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Value set Telehealth Services"/>
        <resource
                  value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1031"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Value set Payer Type"/>
        <resource
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