CCS Component Library - Quality Measure Implementation Guide v1.0.0-ballot

Quality Measure Implementation Guide
1.0.0-ballot - ballot International flag

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 1.0.0-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

Library: CCS Component Library

Official URL: http://hl7.org/fhir/uv/cqfmeasures/Library/CCSComponent				Version: 0.0.001
Draft as of 2024-12-10				Computable Name: CCSComponent

This library is the primary measure library for the Cervical Cancer Screening component of the composite measure examples in this implementation guide.

Title: CCS Component Library

Id: CCSComponent

Version: 0.0.001

Url: CCS Component Library

Status: draft

Type:

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

code: logic-library

Date: 2024-12-10 20:48:29+0000

Publisher: HL7 International / Clinical Quality Information

Description:

This library is the primary measure library for the Cervical Cancer Screening component of the composite measure examples in this implementation guide.

Jurisdiction: 001

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
Supplemental Data Elements Library
http://ecqi.healthit.gov/ecqms/Library/MATGlobalCommonFunctions|5.0.000
http://ecqi.healthit.gov/ecqms/Library/AdultOutpatientEncounters|2.0.000
http://ecqi.healthit.gov/ecqms/Library/Hospice|2.0.000
http://ecqi.healthit.gov/ecqms/Library/AdvancedIllnessandFrailtyExclusion|5.12.000
http://fhir.org/guides/common/Library/FHIRHelpers|4.0.1
http://fhir.org/guides/common/Library/FHIRHelpers|4.0.1
http://fhir.org/guides/common/Library/FHIRHelpers|4.0.1
http://ecqi.healthit.gov/ecqms/Library/MATGlobalCommonFunctions|5.0.000
http://ecqi.healthit.gov/ecqms/Library/MATGlobalCommonFunctions|5.0.000
Logical Observation Identifiers, Names and Codes (LOINC)
http://snomed.info/sct|http://snomed.info/sct/731000124108/version/201709
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/2.16.840.1.113883.3.526.3.1240
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/2.16.840.1.113883.3.464.1003.108.12.1020
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1038
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/2.16.840.1.113883.3.117.1.7.1.207
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.209
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/2.16.840.1.113883.3.666.5.307
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1011
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1039
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1010
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/2.16.840.1.113883.3.464.1003.101.12.1016
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1108.15
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1001
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/2.16.840.1.113883.3.464.1003.101.12.1001
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1087
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1025
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1023
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1019
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1240
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1025
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1023
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1016
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1108.15
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/2.16.840.1.113883.3.464.1003.101.12.1087
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/2.16.840.1.113883.3.464.1003.101.12.1085
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/2.16.840.1.113883.3.464.1003.110.12.1082
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/2.16.840.1.113883.3.464.1003.196.12.1510
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/2.16.840.1.113883.3.464.1003.101.12.1012

Parameters:

Name

Type

Min

Max

In/Out

Measurement Period

Period

0

1

In

Patient

0

1

Out

SDE Ethnicity

Coding

0

*

Out

SDE Payer

Resource

0

*

Out

SDE Race

Coding

0

*

Out

SDE Sex

Coding

0

1

Out

Initial Population

boolean

0

1

Out

Denominator

boolean

0

1

Out

Flexible Sigmoidoscopy Performed

Procedure

0

*

Out

CT Colonography Performed

Procedure

0

*

Out

Total Colectomy Performed

Procedure

0

*

Out

Fecal Occult Blood Test Performed

Observation

0

*

Out

Fecal Immunochemical Test DNA

Observation

0

*

Out

Colonoscopy Performed

Procedure

0

*

Out

Numerator

boolean

0

1

Out

Malignant Neoplasm

Condition

0

*

Out

Denominator Exclusion

boolean

0

1

Out

Data Requirements:

Type

Profile

MS

Code Filter

Patient

http://hl7.org/fhir/StructureDefinition/Patient

Patient

http://hl7.org/fhir/StructureDefinition/Patient

code filter:
path: url

system: urn:ietf:rfc:3986

code: http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity

Patient

http://hl7.org/fhir/StructureDefinition/Patient

code filter:
path: url

system: urn:ietf:rfc:3986

code: http://hl7.org/fhir/us/core/StructureDefinition/us-core-race

Procedure

http://hl7.org/fhir/StructureDefinition/Procedure

code filter:
path: code
value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1010 code filter:
path: status

system: http://hl7.org/fhir/report-status-codes

code: completed

Procedure

http://hl7.org/fhir/StructureDefinition/Procedure

code filter:
path: code
value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1038 code filter:
path: status

system: http://hl7.org/fhir/report-status-codes

code: completed

Procedure

http://hl7.org/fhir/StructureDefinition/Procedure

code filter:
path: code
value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1019 code filter:
path: status

system: http://hl7.org/fhir/report-status-codes

code: completed

Observation

http://hl7.org/fhir/StructureDefinition/Observation

code filter:
path: code
value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1011

Observation

http://hl7.org/fhir/StructureDefinition/Observation

code filter:
path: code
value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1039

Procedure

http://hl7.org/fhir/StructureDefinition/Procedure

code filter:
path: code
value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1020 code filter:
path: status

system: http://hl7.org/fhir/report-status-codes

code: completed

Condition

http://hl7.org/fhir/StructureDefinition/Condition

code filter:
path: code
value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1001

Encounter

http://hl7.org/fhir/StructureDefinition/Encounter

code filter:
path: type
value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307

ServiceRequest

http://hl7.org/fhir/StructureDefinition/ServiceRequest

code filter:
path: code
value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1108.15 code filter:
path: intent

system: http://hl7.org/fhir/request-intent

code: order

code filter:
path: intent

system: http://hl7.org/fhir/request-intent

code: order

code filter:
path: intent

system: http://hl7.org/fhir/request-intent

code: order

code filter:
path: intent

system: http://hl7.org/fhir/request-intent

code: order

code filter:
path: intent

system: http://hl7.org/fhir/request-intent

code: order

Procedure

http://hl7.org/fhir/StructureDefinition/Procedure

code filter:
path: code
value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1108.15 code filter:
path: status

system: http://hl7.org/fhir/report-status-codes

code: completed

code filter:
path: status

system: http://hl7.org/fhir/report-status-codes

code: completed

code filter:
path: status

system: http://hl7.org/fhir/report-status-codes

code: completed

code filter:
path: status

system: http://hl7.org/fhir/report-status-codes

code: completed

code filter:
path: status

system: http://hl7.org/fhir/report-status-codes

code: completed

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

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 CCSComponent version '0.0.001'

using FHIR version '4.0.1'

include FHIRHelpers version '4.0.1' called FHIRHelpers
include SupplementalDataElements version '2.0.000' called SDE
include MATGlobalCommonFunctions version '5.0.000' called Global
include AdultOutpatientEncounters version '2.0.000' called AdultOutpatientEncounters
include Hospice version '2.0.000' called Hospice
include AdvancedIllnessandFrailtyExclusion version '5.12.000' called Frailty

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 "Annual Wellness Visit": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1240'
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 "Colonoscopy": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1020'
valueset "CT Colonography": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1038'
valueset "Dementia Medications": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.196.12.1510'
valueset "Discharged to Health Care Facility for Hospice Care": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.207'
valueset "Discharged to Home for Hospice Care": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.209'
valueset "ED": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1085'
valueset "Encounter Inpatient": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307'
valueset "Fecal Occult Blood Test (FOBT)": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1011'
valueset "FIT DNA": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1039'
valueset "Flexible Sigmoidoscopy": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1010'
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 "Home Healthcare Services": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1016'
valueset "Hospice care ambulatory": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1108.15'
valueset "Malignant Neoplasm of Colon": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1001'
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 "Office Visit": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001'
valueset "Outpatient": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1087'
valueset "Preventive Care Services - Established Office Visit, 18 and Up": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1025'
valueset "Preventive Care Services-Initial Office Visit, 18 and Up": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1023'
valueset "Total Colectomy": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1019'

code "Birth date": '21112-8' from "LOINC" display 'Birth date'

parameter "Measurement Period" Interval<DateTime>

context Patient

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

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

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

define "SDE Sex":
  SDE."SDE Sex"

define "Initial Population":
  Global."CalendarAgeInYearsAt" ( FHIRHelpers.ToDate ( Patient.birthDate ), start of "Measurement Period" ) in Interval[50, 75]
      and exists AdultOutpatientEncounters."Qualifying Encounters"

define "Denominator":
  "Initial Population"

define "Flexible Sigmoidoscopy Performed":
  [Procedure: "Flexible Sigmoidoscopy"] FlexibleSigmoidoscopy
      where FlexibleSigmoidoscopy.status = 'completed'
        and Global."Normalize Interval" ( FlexibleSigmoidoscopy.performed ) ends 5 years or less on or before
        end of "Measurement Period"

define "CT Colonography Performed":
  [Procedure: "CT Colonography"] Colonography
      where Colonography.status = 'completed'
        and Global."Normalize Interval" ( Colonography.performed ) ends 5 years or less on or before
        end of "Measurement Period"

define "Total Colectomy Performed":
  [Procedure: "Total Colectomy"] Colectomy
      where Colectomy.status = 'completed'
        and Global."Normalize Interval" ( Colectomy.performed ) starts on or before
        end of "Measurement Period"

define "Fecal Occult Blood Test Performed":
  [Observation: "Fecal Occult Blood Test (FOBT)"] FecalOccultResult
      where FecalOccultResult.status in { 'final', 'amended', 'corrected', 'preliminary' }
        and FecalOccultResult.value is not null
        and Global."Normalize Interval" ( FecalOccultResult.effective ) during day of "Measurement Period"

define "Fecal Immunochemical Test DNA":
  [Observation: "FIT DNA"] FitDNA
      where FitDNA.status in { 'final', 'amended', 'corrected', 'preliminary' }
        and FitDNA.value is not null
        and Global."Normalize Interval" ( FitDNA.effective ) occurs 3 years or less on or before day of
        end of "Measurement Period"

define "Colonoscopy Performed":
  [Procedure: "Colonoscopy"] Colonoscopy
      where Colonoscopy.status = 'completed'
        and Global."Normalize Interval" ( Colonoscopy.performed ) ends 10 years or less on or before
        end of "Measurement Period"

define "Numerator":
  exists "Colonoscopy Performed"
      or exists "Fecal Occult Blood Test Performed"
      or exists "Flexible Sigmoidoscopy Performed"
      or exists "Fecal Immunochemical Test DNA"
      or exists "CT Colonography Performed"

define "Malignant Neoplasm":
  [Condition: "Malignant Neoplasm of Colon"] ColorectalCancer
      where Global."Prevalence Period" ( ColorectalCancer ) starts on or before
      end of "Measurement Period"

define "Denominator Exclusion":
  Hospice."Has Hospice"
      or exists "Malignant Neoplasm"
      or exists "Total Colectomy Performed"
      or Frailty."Advanced Illness and Frailty Exclusion Not Including Over Age 80"
        and Frailty."Long Term Care Periods Longer Than 90 Consecutive Days"

Content: application/elm+xml
`Encoded data (104476 characters)`

IG © 2019+ HL7 International / Clinical Quality Information. Package hl7.fhir.uv.cqm#1.0.0-ballot based on FHIR 4.0.1. Generated 2024-12-10
Links: Table of Contents | QA Report | Version History | | Propose a change