Title: |
Example Publishable Library |
Id: |
EXMPublishableLibrary |
Version: |
2.0.0 |
Url: |
Example Publishable Library |
Official
|
EXMPublishableLibrary
|
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/common/Library/FHIRHelpers|4.0.1
- Diagnosis Role
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.292
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.299
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1111.126
- 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
|
Parameters: |
Name | Type | Min | Max | In/Out |
Measurement Period | Period | 0 | 1 | In |
Patient | Patient | 0 | 1 | Out |
Inpatient Encounter | Encounter | 0 | * | Out |
Initial Population | Encounter | 0 | * | Out |
Measure Population | Encounter | 0 | * | Out |
Stratifier 1 | Encounter | 0 | * | Out |
Stratifier 2 | Encounter | 0 | * | Out |
Stratifier 3 | Encounter | 0 | * | Out |
Stratifier 4 | Encounter | 0 | * | Out |
SDE Ethnicity | Coding | 0 | * | Out |
SDE Payer | Resource | 0 | * | Out |
SDE Race | Coding | 0 | * | Out |
SDE Sex | Coding | 0 | 1 | Out |
|
Data Requirements: |
Type | Profile | MS | Code Filter |
Encounter |
http://hl7.org/fhir/StructureDefinition/Encounter |
|
|
Encounter |
http://hl7.org/fhir/StructureDefinition/Encounter |
|
code filter:
path: type
value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.292
|
Condition |
http://hl7.org/fhir/StructureDefinition/Condition |
|
code filter:
path: id
|
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
|
|
Content: text/cql |
library EXMPublishableLibrary version '2.0.0'
/*
This example is purely for illustration purposes to show how all the elements of a
FHIR-based quality measure are represented. It is intentionally simplified to show
specific aspects of a measure, and is not intended as an example of a clinically
meaningful measure.
*/
/*
NOTE: This is the same library as EXMLogic, being used to illustrate the different flavors of profiles:
* Computable: Focusing on computable/design-time aspects
* Executable: Focusing on run-time aspects
* Publishable: Focusing on knowledge management aspects
*/
using FHIR version '4.0.1'
include FHIRHelpers version '4.0.1' called FHIRHelpers
codesystem "Diagnosis Role": 'http://terminology.hl7.org/CodeSystem/diagnosis-role'
valueset "Emergency Department Visit" : 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.292'
valueset "Psychiatric/Mental Health Patient" : 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.299'
valueset "Hospital Settings" : 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1111.126'
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'
code "Billing": 'billing' from "Diagnosis Role" display 'Billing'
parameter "Measurement Period" Interval<DateTime>
context Patient
define "Initial Population" :
"Inpatient Encounter" Encounter
define "Measure Population" :
"Initial Population"
define function "Measure Observation" (Encounter "Encounter" ) :
duration in minutes of "Related ED Visit"(Encounter).period
define "Stratifier 1" :
"Inpatient Encounter" Encounter
where not (PrincipalDiagnosis(Encounter).code in "Psychiatric/Mental Health Patient")
define "Stratifier 2" :
"Inpatient Encounter" Encounter
where PrincipalDiagnosis(Encounter).code in "Psychiatric/Mental Health Patient"
define "Stratifier 3" :
"Inpatient Encounter" Encounter
where PrincipalDiagnosis(Encounter) is null
define "Stratifier 4" :
"Inpatient Encounter" Encounter
where PrincipalDiagnosis(Encounter) is null
define "Inpatient Encounter" :
["Encounter"] Encounter
where LengthInDays(Encounter.period) <= 120
and Encounter.period ends during "Measurement Period"
define function "PrincipalDiagnosis"(Encounter Encounter):
(singleton from (Encounter.diagnosis D where D.use ~ ToConcept("Billing") and D.rank.value = 1)) PD
return singleton from ([Condition: id in "GetId"(PD.condition.reference)])
define function "LengthInDays"(Value Interval<DateTime>):
difference in days between start of Value and end of Value
define function "GetId"(uri String):
Last(Split(uri, '/'))
//Measure Observation
define function "Related ED Visit" (Encounter "Encounter" ) :
Last(["Encounter" : "Emergency Department Visit"] ED
where ED.status = 'finished'
and ED.period ends 1 hour or less before start of Encounter.period
sort by start of period )
define "SDE Ethnicity":
(flatten (
Patient.extension Extension
where Extension.url = 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity'
return Extension.extension
)) E
where E.url = 'ombCategory'
or E.url = 'detailed'
return E.value as Coding
define "SDE Payer":
[Coverage: type in "Payer"] Payer
return {
code: Payer.type,
period: Payer.period
}
define "SDE Race":
(flatten (
Patient.extension Extension
where Extension.url = 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-race'
return Extension.extension
)) E
where E.url = 'ombCategory'
or E.url = 'detailed'
return E.value as Coding
define "SDE Sex":
case
when Patient.gender = 'male' then Code { code: 'M', system: 'http://hl7.org/fhir/v3/AdministrativeGender', display: 'Male' }
when Patient.gender = 'female' then Code { code: 'F', system: 'http://hl7.org/fhir/v3/AdministrativeGender', display: 'Female' }
else null
end
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Content: application/elm+xml |
Encoded data (39012 characters)
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Content: application/elm+json |
Encoded data (70964 characters)
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