Title: |
EXM130 - Colorectal Cancer Screening Library |
Id: |
EXM130-FHIR |
Version: |
8.0.000 |
Url: |
EXM130 - Colorectal Cancer Screening Library |
Official
|
EXM130
|
Experimental: |
true |
Type: |
system: http://terminology.hl7.org/CodeSystem/library-type
code: logic-library
|
Date: |
2019-09-03 |
Publisher: |
HL7 International / Clinical Quality Information |
Description: |
This library is used as an example in the FHIR Quality Measure Implementation Guide
|
Jurisdiction: |
US |
Approval Date: |
2019-08-03 |
Related Artifacts: |
Dependencies
http://fhir.org/guides/cqf/common/Library/FHIR-ModelInfo|4.0.1
http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1
- Hospice FHIR Library
- Adult Outpatient Encounters Common Library
- MAT Global Common Functions FHIR Libraryversion: null5.0.000)
- Supplemental Data Elements Library
http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1
http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1
- MAT Global Common Functions FHIR Libraryversion: null5.0.000)
http://snomed.info/sct|http://snomed.info/sct/731000124108/version/201709
- ONC Administrative Sex
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.836
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.837
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1020
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/2.16.840.1.113883.3.464.1003.198.12.1010
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/2.16.840.1.113883.3.464.1003.198.12.1019
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/2.16.840.1.113883.3.464.1003.108.12.1038
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1108.15
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001
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
|
Parameters: |
Name | Type | Min | Max | In/Out |
Measurement Period | Period | 0 | 1 | In |
Measurement Period | Period | 0 | 1 | In |
Measurement Period | Period | 0 | 1 | In |
Patient | Patient | 0 | 1 | Out |
SDE Ethnicity | Coding | 0 | * | Out |
SDE Ethnicity | Coding | 0 | * | Out |
Patient | Patient | 0 | 1 | Out |
SDE Payer | Resource | 0 | * | Out |
SDE Payer | Resource | 0 | * | Out |
SDE Race | Coding | 0 | * | Out |
SDE Race | Coding | 0 | * | Out |
SDE Sex | Coding | 0 | 1 | Out |
SDE Sex | Coding | 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 |
Malignant Neoplasm Ever | Condition | 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 |
Denominator Exclusion | boolean | 0 | 1 | Out |
Has Hospice | boolean | 0 | 1 | Out |
Initial Population | boolean | 0 | 1 | Out |
Qualifying Encounters | Encounter | 0 | * | Out |
|
Data Requirements: |
Type | Profile | MS | Code Filter |
Patient |
http://hl7.org/fhir/StructureDefinition/Patient |
|
|
Patient |
http://hl7.org/fhir/StructureDefinition/Patient |
|
|
Coverage |
http://hl7.org/fhir/StructureDefinition/Coverage |
|
code filter:
path: type
value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591
|
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
|
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
|
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
|
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
|
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
|
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
|
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
|
Encounter |
http://hl7.org/fhir/StructureDefinition/Encounter |
|
code filter:
path: type
value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001
|
Encounter |
http://hl7.org/fhir/StructureDefinition/Encounter |
|
code filter:
path: type
value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1240
|
Encounter |
http://hl7.org/fhir/StructureDefinition/Encounter |
|
code filter:
path: type
value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1025
|
Encounter |
http://hl7.org/fhir/StructureDefinition/Encounter |
|
code filter:
path: type
value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1023
|
Encounter |
http://hl7.org/fhir/StructureDefinition/Encounter |
|
code filter:
path: type
value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1016
|
|
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.
Based on CMS130v8 - Colorectal Cancer Screening
*/
library EXM130 version '8.0.000'
using FHIR version '4.0.1'
include FHIRHelpers version '4.0.1' called FHIRHelpers
include Hospice version '2.0.000' called Hospice
include AdultOutpatientEncounters version '2.0.000' called AdultOutpatientEncounters
include MATGlobalCommonFunctions version '5.0.000' called Global
include SupplementalDataElements version '2.0.000' called SDE
valueset "ONC Administrative Sex": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1'
valueset "Race": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.836'
valueset "Ethnicity": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.837'
valueset "Payer": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591'
valueset "Colonoscopy": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1020'
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 "Flexible Sigmoidoscopy": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1010'
valueset "Malignant Neoplasm of Colon": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1001'
valueset "Total Colectomy": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1019'
valueset "FIT DNA": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1039'
valueset "CT Colonography": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1038'
parameter "Measurement Period" Interval<DateTime>
default Interval[@2019-01-01T00:00:00.0, @2020-01-01T00:00:00.0)
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 "Denominator":
true
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 "Malignant Neoplasm Ever":
[Condition: "Malignant Neoplasm of Colon"] ColorectalCancer
where Global."Normalize Interval"(ColorectalCancer.onset) 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 "Denominator Exclusion":
Hospice."Has Hospice"
or exists "Malignant Neoplasm Ever"
or exists "Total Colectomy Performed"
define "Initial Population":
Global."CalendarAgeInYearsAt"(FHIRHelpers.ToDate(Patient.birthDate), start of "Measurement Period") in Interval[50, 75]
and exists AdultOutpatientEncounters."Qualifying Encounters"
|
|
Content: application/elm+xml |
Encoded data (92940 characters)
|
|
Content: application/elm+json |
Encoded data (167088 characters)
|
|