Quality Measure Implementation Guide
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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 1.0.1-cibuild built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-cqm/ and changes regularly. See the Directory of published versions

Library: Hospice FHIR Library (Experimental)

Official URL: http://hl7.org/fhir/uv/cqm/Library/Hospice Version: 2.0.000
Standards status: Informative Computable Name: Hospice
Other Identifiers: http://example.org/fhir/cqi/ecqm/Library/Identifier#Hospice (use: official, ), OID:2.16.840.1.113883.4.642.40.61.28.24

This library is used as an example in the FHIR Quality Measure Implementation Guide

Metadata
Title Hospice FHIR Library
Version 2.0.000
Identifier Hospice
Identifier urn:oid:2.16.840.1.113883.4.642.40.61.28.24
Approval Date 2019-08-03
Last Review Date 2019-08-03
Experimental true
Jurisdiction Global (Whole world)
Steward (Publisher) HL7 International / Clinical Quality Information
Description

This library is used as an example in the FHIR Quality Measure Implementation Guide
Type Logic Library
Parameter Name: Measurement Period
Use: In
Min Cardinality: 0
Max Cardinality: 1
Type: Period
Parameter Name: Patient
Use: Out
Min Cardinality: 0
Max Cardinality: 1
Type: Patient
Parameter Name: Has Hospice
Use: Out
Min Cardinality: 0
Max Cardinality: 1
Type: boolean
Data Requirement Type: Patient
Profile(s): Patient
Data Requirement Type: Encounter
Profile(s): Encounter
Must Support Elements: type, status, hospitalization, hospitalization.dischargeDisposition, period
Code Filter(s):
Path: type
ValueSet: Encounter Inpatient
Data Requirement Type: ServiceRequest
Profile(s): ServiceRequest
Must Support Elements: code, intent, authoredOn
Code Filter(s):
Path: code
ValueSet: Hospice Care Ambulatory
Data Requirement Type: Procedure
Profile(s): Procedure
Must Support Elements: code, status, performed
Code Filter(s):
Path: code
ValueSet: Hospice Care Ambulatory
Library Content
CQL Content 
/*
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 Hospice version '2.0.000'

using FHIR version '4.0.1'

include hl7.fhir.uv.cql.FHIRHelpers version '4.0.1' called FHIRHelpers

include MATGlobalCommonFunctions version '5.0.000' called Global

codesystem "SNOMEDCT:2017-09": 'http://snomed.info/sct' version 'http://snomed.info/sct/731000124108/version/201709'

valueset "Encounter Inpatient": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307'
valueset "Hospice care ambulatory": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1108.15'

code "Discharge to healthcare facility for hospice care (procedure)": '428371000124100' from "SNOMEDCT:2017-09" display 'Discharge to healthcare facility for hospice care (procedure)'
code "Discharge to home for hospice care (procedure)": '428361000124107' from "SNOMEDCT:2017-09" display 'Discharge to home for hospice care (procedure)'

parameter "Measurement Period" Interval<DateTime>
  default Interval[@2019-01-01T00:00:00.0, @2020-01-01T00:00:00.0)

context Patient

define "Has Hospice":
	exists (
    [Encounter: "Encounter Inpatient"] DischargeHospice
			where DischargeHospice.status = 'finished'
		    and (
	        DischargeHospice.hospitalization.dischargeDisposition ~ "Discharge to home for hospice care (procedure)"
				    or DischargeHospice.hospitalization.dischargeDisposition ~ "Discharge to healthcare facility for hospice care (procedure)"
	    	)
				and DischargeHospice.period ends during "Measurement Period"
	)
    or exists (
      [ServiceRequest: "Hospice care ambulatory"] HospiceOrder
        where HospiceOrder.intent = 'order'
            and HospiceOrder.authoredOn in "Measurement Period"
    )
    or exists (
      [Procedure: "Hospice care ambulatory"] HospicePerformed
        where HospicePerformed.status = 'completed'
          and Global."Normalize Interval"(HospicePerformed.performed) overlaps "Measurement Period"
    )
ELM XML Content 
Encoded data (44140 characters)
ELM JSON Content 
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