Data Exchange For Quality Measures Implementation Guide
1.0.0-ballot - STU 1 Ballot International flag

Data Exchange For Quality Measures 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/davinci-deqm/ and changes regularly. See the Directory of published versions

Library: Library Venous Thromboembolism Prophylaxis (EXM108) (Experimental)

Official URL: http://hl7.org/fhir/uv/deqm/Library/library-exm108-example Version: 1.0.0-ballot
Standards status: Informative Computable Name: DEQMLibraryVenousThromboembolismProphylaxis
Other Identifiers: http://example.org/fhir/cqi/ecqm/Library/Identifier#EXM108 (use: official, )

This library is used as an example for Venous Thromboembolism Prophylaxis

Exception generating Narrative: Unable to Parse HTML - node 'code' has unexpected content ' ' (last text = '/* 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. @author: TJC Based on CMS108v8 2020 reporting year. QDM to QI-4 Venous Thromboembolism Prophylaxis */ library EXM108 version '8.2.000' 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 include VTEICU version '5.0.000' called VTEICU include TJCOverall version '4.0.000' called TJC codesystem "SNOMEDCT": 'http://snomed.info/sct' codesystem "LOINC": 'http://loinc.org' // NOTE: R4 code system URLs changed to be based on terminology.hl7.org... codesystem "RequestIntent": 'http://terminology.hl7.org/CodeSystem/request-intent' //NOTE: Created for ActPriority for Encounter.category which is codeableConcept codesystem "ActPriority": 'http://terminology.hl7.org/ValueSet/v3-ActPriority' valueset "Device Application": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1110.48' valueset "Atrial Fibrillation/Flutter": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.202' valueset "Comfort Measures": 'http://cts.nlm.nih.gov/fhir/ValueSet/1.3.6.1.4.1.33895.1.3.0.45' valueset "Direct Thrombin Inhibitor": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.205' valueset "Emergency Department Visit": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.292' valueset "General or Neuraxial Anesthesia": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.1743' valueset "General Surgery": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.255' valueset "Glycoprotein IIb/IIIa Inhibitors": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1045.41' valueset "Graduated compression stockings (GCS)": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.256' valueset "Gynecological Surgery": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.257' valueset "Hemorrhagic Stroke": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.212' valueset "Hip Fracture Surgery": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.258' valueset "Hip Replacement Surgery": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.259' valueset "Injectable Factor Xa Inhibitor for VTE Prophylaxis": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.211' valueset "INR": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.213' valueset "Intermittent pneumatic compression devices (IPC)": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.214' valueset "Intracranial Neurosurgery": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.260' valueset "Intravenous route": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.222' valueset "Ischemic Stroke": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.247' valueset "Knee Replacement Surgery": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.261' valueset "Low Dose Unfractionated Heparin for VTE Prophylaxis": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1045.39' valueset "Low Molecular Weight Heparin for VTE Prophylaxis": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.219' valueset "Low Risk": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.400' valueset "Medical Reason": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.473' valueset "Mental Health Diagnoses": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.105.12.1004' valueset "Obstetrics": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.263' valueset "Obstetrics VTE": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.264' valueset "Oral Factor Xa Inhibitor for VTE Prophylaxis or VTE Treatment": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.134' valueset "Patient Refusal": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.93' valueset "Subcutaneous route": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.223' valueset "Unfractionated Heparin": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.218' valueset "Urological Surgery": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.272' valueset "Venous foot pumps (VFP)": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.230' valueset "Venous Thromboembolism": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.279' valueset "Warfarin": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.232' valueset "Intensive Care Unit": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1110.23' code "Risk for venous thromboembolism": '72136-5' from "LOINC" display 'Risk for venous thromboembolism' 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": "Encounter With Age Range and Without VTE Diagnosis or Obstetrical Conditions" // Note: added FHIRHelpers.ToDate() in R4 define "Encounter With Age Range and Without VTE Diagnosis or Obstetrical Conditions": ( Global."Inpatient Encounter" InpatientEncounter with ["Patient"] BirthDate such that Global."CalendarAgeInYearsAt"(FHIRHelpers.ToDate(BirthDate.birthDate), start of InpatientEncounter.period) >= 18 ) intersect "Admission Without VTE or Obstetrical Conditions" define "Admission Without VTE or Obstetrical Conditions": Global."Inpatient Encounter" InpatientEncounter where not (exists (Global.EncounterDiagnosis(InpatientEncounter)) EncounterDiagnosis where (EncounterDiagnosis.code in "Obstetrics" or EncounterDiagnosis.code in "Venous Thromboembolism" or EncounterDiagnosis.code in "Obstetrics VTE" ) ) define "Denominator": "Initial Population" define "Denominator Exclusion": "Encounter Less Than 2 Days" union "Encounter With ICU Location Stay 1 Day or More" union "Encounter With Principal Diagnosis of Mental Disorder or Stroke" union "Encounter With Principal Procedure of SCIP VTE Selected Surgery" union "Encounter With Intervention Comfort Measures From Day of Start of Hospitalization To Day After Admission" union "Encounter With Intervention Comfort Measures on Day of or Day After Procedure" define "Encounter Less Than 2 Days": "Encounter With Age Range and Without VTE Diagnosis or Obstetrical Conditions" QualifyingEncounter where Global."LengthInDays"(QualifyingEncounter.period)' at line 1486 column 61