Title: |
Advanced Illness and Frailty Exclusion Library |
Id: |
AdvancedIllnessandFrailtyExclusion |
Version: |
5.12.000 |
Url: |
Advanced Illness and Frailty Exclusion Library |
Status: |
draft |
Type: |
system: http://terminology.hl7.org/CodeSystem/library-type
code: logic-library
|
Date: |
2024-10-11 18:39:45+0000 |
Publisher: |
HL7 International / Clinical Quality Information |
Description: |
Advanced Illness and Frailty Exclusion Example Library
|
Jurisdiction: |
US |
Related Artifacts: |
Dependencies
http://fhir.org/guides/cqf/common/Library/FHIR-ModelInfo|4.0.1
http://fhir.org/guides/common/Library/FHIRHelpers|4.0.1
http://ecqi.healthit.gov/ecqms/Library/MATGlobalCommonFunctions|5.0.000
http://fhir.org/guides/common/Library/FHIRHelpers|4.0.1
- Logical Observation Identifiers, Names and Codes (LOINC)
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1083
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1082
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1014
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.196.12.1510
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1085
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.118.12.1300
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.113.12.1074
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1088
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.113.12.1075
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1084
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1012
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1086
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1087
|
Parameters: |
Name | Type | Min | Max | In/Out |
Measurement Period | Period | 0 | 1 | In |
Patient | Patient | 0 | 1 | Out |
Has Criteria Indicating Frailty | boolean | 0 | 1 | Out |
Outpatient Encounters with Advanced Illness | Encounter | 0 | * | Out |
Inpatient Encounter with Advanced Illness | Encounter | 0 | * | Out |
Dementia Medications In Year Before or During Measurement Period | MedicationDispense | 0 | * | Out |
Advanced Illness and Frailty Exclusion Including Over Age 80 | boolean | 0 | 1 | Out |
Advanced Illness and Frailty Exclusion Not Including Over Age 80 | boolean | 0 | 1 | Out |
Long Term Care Periods During Measurement Period | Period | 0 | * | Out |
Long Term Care Periods Longer Than 90 Consecutive Days | boolean | 0 | 1 | Out |
|
Data Requirements: |
Type | Profile | MS | Code Filter |
Patient |
http://hl7.org/fhir/StructureDefinition/Patient |
|
|
DeviceRequest |
http://hl7.org/fhir/StructureDefinition/DeviceRequest |
|
code filter:
path: code
value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.118.12.1300
|
Condition |
http://hl7.org/fhir/StructureDefinition/Condition |
|
code filter:
path: code
value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.113.12.1074
|
Encounter |
http://hl7.org/fhir/StructureDefinition/Encounter |
|
code filter:
path: type
value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1088
|
Observation |
http://hl7.org/fhir/StructureDefinition/Observation |
|
code filter:
path: code
value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.113.12.1075
|
Condition |
http://hl7.org/fhir/StructureDefinition/Condition |
|
code filter:
path: code
value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1082
|
Encounter |
http://hl7.org/fhir/StructureDefinition/Encounter |
|
code filter:
path: type
value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1083
|
Condition |
http://hl7.org/fhir/StructureDefinition/Condition |
|
code filter:
path: code
value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1082
|
MedicationDispense |
http://hl7.org/fhir/StructureDefinition/MedicationDispense |
|
code filter:
path: medication
value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.196.12.1510
|
|
Content: text/cql |
/*
This example is a work in progress and should not be considered a final specification
or recommendation for guidance. This example will help guide and direct the process
of finding conventions and usage patterns that meet the needs of the various stakeholders
in the measure development community.
*/
library AdvancedIllnessandFrailtyExclusion version '5.12.000'
using FHIR version '4.0.1'
include FHIRHelpers version '4.0.1' called FHIRHelpers
include MATGlobalCommonFunctions version '5.0.000' called Global
codesystem "LOINC": 'http://loinc.org'
valueset "Acute Inpatient": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1083'
valueset "Advanced Illness": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1082'
valueset "Care Services in Long-Term Residential Facility": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1014'
valueset "Dementia Medications": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.196.12.1510'
valueset "ED": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1085'
valueset "Frailty Device": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.118.12.1300'
valueset "Frailty Diagnosis": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.113.12.1074'
valueset "Frailty Encounter": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1088'
valueset "Frailty Symptom": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.113.12.1075'
valueset "Nonacute Inpatient": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1084'
valueset "Nursing Facility Visit": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1012'
valueset "Observation": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1086'
valueset "Outpatient": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1087'
code "Birth date": '21112-8' from "LOINC" display 'Birth date'
parameter "Measurement Period" Interval<DateTime>
default Interval[@2019-01-01T00:00:00.0, @2020-01-01T00:00:00.0)
context Patient
define "Advanced Illness and Frailty Exclusion Including Over Age 80":
//If the measure includes populations age 80 and older, then use this logic:
(
Global."CalendarAgeInYearsAt"(FHIRHelpers.ToDate(Patient.birthDate), start of "Measurement Period")in Interval[66, 80]
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"
)
)
or (
Global."CalendarAgeInYearsAt"(FHIRHelpers.ToDate(Patient.birthDate), start of "Measurement Period")>= 81
and "Has Criteria Indicating Frailty"
)
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"
)
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"
]
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"
)
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"
// 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"
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
)
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"
define function "CumulativeDays"(Intervals List<Interval<DateTime>> ):
Sum((collapse Intervals)CollapsedInterval
return all duration in days of CollapsedInterval
)
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Content: application/elm+xml |
Encoded data (116176 characters)
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