Title: |
TJC Overall Library |
Id: |
TJCOverall |
Version: |
4.0.000 |
Url: |
TJC Overall Library |
Official
|
TJCOverall
|
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
- 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://snomed.info/sct/20240201
- Logical Observation Identifiers, Names and Codes (LOINC)
http://cts.nlm.nih.gov/fhir/ValueSet/1.3.6.1.4.1.33895.1.3.0.45
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.87
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/2.16.840.1.113883.3.117.1.7.1.292
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.212
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.247
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.308
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.424
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.309
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1110.39
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1111.143
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1111.143
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.292
|
Parameters: |
Name | Type | Min | Max | In/Out |
Measurement Period | Period | 0 | 1 | In |
Patient | Patient | 0 | 1 | Out |
Intervention Comfort Measures | Resource | 0 | * | Out |
Non Elective Inpatient Encounter | Encounter | 0 | * | Out |
All Stroke Encounter | Encounter | 0 | * | Out |
Encounter with Principal Diagnosis and Age | Encounter | 0 | * | Out |
Ischemic Stroke Encounter | Encounter | 0 | * | Out |
Ischemic Stroke Encounters with Discharge Disposition | Encounter | 0 | * | Out |
Comfort Measures during Hospitalization | Encounter | 0 | * | Out |
|
Data Requirements: |
Type | Profile | MS | Code Filter |
Patient |
http://hl7.org/fhir/StructureDefinition/Patient |
|
|
ServiceRequest |
http://hl7.org/fhir/StructureDefinition/ServiceRequest |
|
code filter:
path: code
value set: http://cts.nlm.nih.gov/fhir/ValueSet/1.3.6.1.4.1.33895.1.3.0.45
|
ServiceRequest |
http://hl7.org/fhir/StructureDefinition/ServiceRequest |
|
code filter:
path: code
value set: http://cts.nlm.nih.gov/fhir/ValueSet/1.3.6.1.4.1.33895.1.3.0.45
|
Procedure |
http://hl7.org/fhir/StructureDefinition/Procedure |
|
code filter:
path: code
value set: http://cts.nlm.nih.gov/fhir/ValueSet/1.3.6.1.4.1.33895.1.3.0.45
|
Procedure |
http://hl7.org/fhir/StructureDefinition/Procedure |
|
code filter:
path: code
value set: http://cts.nlm.nih.gov/fhir/ValueSet/1.3.6.1.4.1.33895.1.3.0.45
|
Encounter |
http://hl7.org/fhir/StructureDefinition/Encounter |
|
code filter:
path: type
value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.424
|
Condition |
http://hl7.org/fhir/StructureDefinition/Condition |
|
|
Patient |
http://hl7.org/fhir/StructureDefinition/Patient |
|
|
Encounter |
http://hl7.org/fhir/StructureDefinition/Encounter |
|
code filter:
path: type
value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1111.143
|
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
|
|
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 TJCOverall version '4.0.000'
using FHIR version '4.0.1'
include FHIRHelpers version '4.0.1' called FHIRHelpers
include MATGlobalCommonFunctions version '5.0.000' called Global
include SupplementalDataElements version '2.0.000' called SDE
codesystem "SNOMEDCT": 'http://snomed.info/sct'
codesystem "LOINC": 'http://loinc.org'
valueset "Comfort Measures": 'http://cts.nlm.nih.gov/fhir/ValueSet/1.3.6.1.4.1.33895.1.3.0.45'
valueset "Discharge To Acute Care Facility": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.87'
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 "Emergency Department Visit": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.292'
valueset "Encounter Inpatient": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307'
valueset "Hemorrhagic Stroke": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.212'
valueset "Ischemic Stroke": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.247'
valueset "Left Against Medical Advice": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.308'
valueset "Non-Elective Inpatient Encounter": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.424'
valueset "Patient Expired": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.309'
valueset "Ticagrelor Therapy": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1110.39'
valueset "Observation Services": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1111.143'
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 "Intervention Comfort Measures":
(["ServiceRequest": "Comfort Measures"] P
where P.intent = 'order')
union
(["Procedure": "Comfort Measures"] InterventionPerformed
where InterventionPerformed.status = 'completed')
define "All Stroke Encounter":
"Non Elective Inpatient Encounter" NonElectiveEncounter
where Global.PrincipalDiagnosis(NonElectiveEncounter).code in "Hemorrhagic Stroke"
or Global.PrincipalDiagnosis(NonElectiveEncounter).code in "Ischemic Stroke"
define "Ischemic Stroke Encounter":
"Encounter with Principal Diagnosis and Age" EncounterWithAge
where Global.PrincipalDiagnosis(EncounterWithAge).code in "Ischemic Stroke"
define "Non Elective Inpatient Encounter":
["Encounter": "Non-Elective Inpatient Encounter"] NonElectiveEncounter
where Global."LengthInDays"(NonElectiveEncounter.period) <= 120
and NonElectiveEncounter.period ends during "Measurement Period"
define "Ischemic Stroke Encounters with Discharge Disposition":
"Ischemic Stroke Encounter" IschemicStrokeEncounter
where IschemicStrokeEncounter.hospitalization.dischargeDisposition in "Discharge To Acute Care Facility"
or IschemicStrokeEncounter.hospitalization.dischargeDisposition in "Left Against Medical Advice"
or IschemicStrokeEncounter.hospitalization.dischargeDisposition in "Patient Expired"
or IschemicStrokeEncounter.hospitalization.dischargeDisposition in "Discharged to Home for Hospice Care"
or IschemicStrokeEncounter.hospitalization.dischargeDisposition in "Discharged to Health Care Facility for Hospice Care"
define "Comfort Measures during Hospitalization":
"Ischemic Stroke Encounter" IschemicStrokeEncounter
with "Intervention Comfort Measures" ComfortMeasure
such that FHIRHelpers.ToDateTime(Coalesce(ComfortMeasure.performed as dateTime,ComfortMeasure.authoredOn)) during Global."HospitalizationWithObservation"(IschemicStrokeEncounter)
define "Encounter with Principal Diagnosis and Age":
"All Stroke Encounter" AllStrokeEncounter
with ["Patient"] BirthDate
such that Global."CalendarAgeInYearsAt"(FHIRHelpers.ToDate(BirthDate.birthDate), start of FHIRHelpers.ToInterval(AllStrokeEncounter.period)) >= 18
define function "CalendarDayOfOrDayAfter"(StartValue DateTime ):
Interval(Global."ToDate"(StartValue), Global."ToDate"(StartValue + 2 days))
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Content: application/elm+xml |
Encoded data (78616 characters)
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Content: application/elm+json |
Encoded data (138840 characters)
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