Metadata Title CCS Component Library Version 0.0.001 Identifier urn:oid:2.16.840.1.113883.4.642.40.61.28.5 Status Draft Jurisdiction Global (Whole world) Steward (Publisher) HL7 International / Clinical Quality Information Description This library is the primary measure library for the Cervical Cancer Screening component of the composite measure examples in this 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: SDE Ethnicity Use: Out Min Cardinality: 0 Max Cardinality: * Type: Coding Parameter Name: SDE Payer Use: Out Min Cardinality: 0 Max Cardinality: * Type: Resource Parameter Name: SDE Race Use: Out Min Cardinality: 0 Max Cardinality: * Type: Coding Parameter Name: SDE Sex Use: Out Min Cardinality: 0 Max Cardinality: 1 Type: Coding Parameter Name: Initial Population Use: Out Min Cardinality: 0 Max Cardinality: 1 Type: boolean Parameter Name: Denominator Use: Out Min Cardinality: 0 Max Cardinality: 1 Type: boolean Parameter Name: Flexible Sigmoidoscopy Performed Use: Out Min Cardinality: 0 Max Cardinality: * Type: Procedure Parameter Name: CT Colonography Performed Use: Out Min Cardinality: 0 Max Cardinality: * Type: Procedure Parameter Name: Total Colectomy Performed Use: Out Min Cardinality: 0 Max Cardinality: * Type: Procedure Parameter Name: Fecal Occult Blood Test Performed Use: Out Min Cardinality: 0 Max Cardinality: * Type: Observation Parameter Name: Fecal Immunochemical Test DNA Use: Out Min Cardinality: 0 Max Cardinality: * Type: Observation Parameter Name: Colonoscopy Performed Use: Out Min Cardinality: 0 Max Cardinality: * Type: Procedure Parameter Name: Numerator Use: Out Min Cardinality: 0 Max Cardinality: 1 Type: boolean Parameter Name: Malignant Neoplasm Use: Out Min Cardinality: 0 Max Cardinality: * Type: Condition Parameter Name: Denominator Exclusion Use: Out Min Cardinality: 0 Max Cardinality: 1 Type: boolean Data Requirement Type: Patient Profile(s): Patient Data Requirement Type: Procedure Profile(s): Procedure Must Support Elements: code, status, performed Code Filter(s): Path: code ValueSet: Flexible Sigmoidoscopy Data Requirement Type: Procedure Profile(s): Procedure Must Support Elements: code, status, performed Code Filter(s): Path: code ValueSet: CT Colonography Data Requirement Type: Procedure Profile(s): Procedure Must Support Elements: code, status, performed Code Filter(s): Path: code ValueSet: Total Colectomy Data Requirement Type: Procedure Profile(s): Procedure Must Support Elements: code, status, performed Code Filter(s): Path: code ValueSet: Colonoscopy Data Requirement Type: Observation Profile(s): Observation Must Support Elements: code, status, value, effective Code Filter(s): Path: code ValueSet: Fecal Occult Blood Test (FOBT) Data Requirement Type: Observation Profile(s): Observation Must Support Elements: code, status, value, effective Code Filter(s): Path: code ValueSet: sDNA FIT Test Data Requirement Type: Condition Profile(s): Condition Must Support Elements: code Code Filter(s): Path: code ValueSet: Malignant Neoplasm of Colon Library Content CQL Content /*#xD; This example is a work in progress and should not be considered a final specification#xD; or recommendation for guidance. This example will help guide and direct the process#xD; of finding conventions and usage patterns that meet the needs of the various stakeholders#xD; in the measure development community.#xD; */#xD; library CCSComponent version '0.0.001'#xD; #xD; using FHIR version '4.0.1'#xD; #xD; include hl7.fhir.uv.cql.FHIRHelpers version '4.0.1' called FHIRHelpers#xD; #xD; include SupplementalDataElements version '2.0.000' called SDE#xD; include MATGlobalCommonFunctions version '5.0.000' called Global#xD; include AdultOutpatientEncounters version '2.0.000' called AdultOutpatientEncounters#xD; include Hospice version '2.0.000' called Hospice#xD; include AdvancedIllnessandFrailtyExclusion version '5.12.000' called Frailty#xD; #xD; codesystem "LOINC": 'http://loinc.org'#xD; #xD; valueset "Acute Inpatient": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1083'#xD; valueset "Advanced Illness": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1082'#xD; valueset "Annual Wellness Visit": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1240'#xD; valueset "Care Services in Long-Term Residential Facility": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1014'#xD; valueset "Colonoscopy": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1020'#xD; valueset "CT Colonography": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1038'#xD; valueset "Dementia Medications": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.196.12.1510'#xD; 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'#xD; 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'#xD; valueset "ED": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1085'#xD; valueset "Encounter Inpatient": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307'#xD; valueset "Fecal Occult Blood Test (FOBT)": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1011'#xD; valueset "FIT DNA": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1039'#xD; valueset "Flexible Sigmoidoscopy": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1010'#xD; valueset "Frailty Device": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.118.12.1300'#xD; valueset "Frailty Diagnosis": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.113.12.1074'#xD; valueset "Frailty Encounter": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1088'#xD; valueset "Frailty Symptom": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.113.12.1075'#xD; valueset "Home Healthcare Services": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1016'#xD; valueset "Hospice care ambulatory": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1108.15'#xD; valueset "Malignant Neoplasm of Colon": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1001'#xD; valueset "Nonacute Inpatient": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1084'#xD; valueset "Nursing Facility Visit": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1012'#xD; valueset "Observation": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1086'#xD; valueset "Office Visit": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001'#xD; valueset "Outpatient": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1087'#xD; valueset "Preventive Care Services - Established Office Visit, 18 and Up": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1025'#xD; valueset "Preventive Care Services-Initial Office Visit, 18 and Up": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1023'#xD; valueset "Total Colectomy": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1019'#xD; #xD; code "Birth date": '21112-8' from "LOINC" display 'Birth date'#xD; #xD; parameter "Measurement Period" Interval<DateTime>#xD; #xD; context Patient#xD; #xD; define "SDE Ethnicity":#xD; SDE."SDE Ethnicity"#xD; #xD; define "SDE Payer":#xD; SDE."SDE Payer"#xD; #xD; define "SDE Race":#xD; SDE."SDE Race"#xD; #xD; define "SDE Sex":#xD; SDE."SDE Sex"#xD; #xD; define "Initial Population":#xD; Global."CalendarAgeInYearsAt" ( FHIRHelpers.ToDate ( Patient.birthDate ), start of "Measurement Period" ) in Interval[50, 75]#xD; and exists AdultOutpatientEncounters."Qualifying Encounters"#xD; #xD; define "Denominator":#xD; "Initial Population"#xD; #xD; define "Flexible Sigmoidoscopy Performed":#xD; [Procedure: "Flexible Sigmoidoscopy"] FlexibleSigmoidoscopy#xD; where FlexibleSigmoidoscopy.status = 'completed'#xD; and Global."Normalize Interval" ( FlexibleSigmoidoscopy.performed ) ends 5 years or less on or before#xD; end of "Measurement Period"#xD; #xD; define "CT Colonography Performed":#xD; [Procedure: "CT Colonography"] Colonography#xD; where Colonography.status = 'completed'#xD; and Global."Normalize Interval" ( Colonography.performed ) ends 5 years or less on or before#xD; end of "Measurement Period"#xD; #xD; define "Total Colectomy Performed":#xD; [Procedure: "Total Colectomy"] Colectomy#xD; where Colectomy.status = 'completed'#xD; and Global."Normalize Interval" ( Colectomy.performed ) starts on or before#xD; end of "Measurement Period"#xD; #xD; define "Fecal Occult Blood Test Performed":#xD; [Observation: "Fecal Occult Blood Test (FOBT)"] FecalOccultResult#xD; where FecalOccultResult.status in { 'final', 'amended', 'corrected', 'preliminary' }#xD; and FecalOccultResult.value is not null#xD; and Global."Normalize Interval" ( FecalOccultResult.effective ) during day of "Measurement Period"#xD; #xD; define "Fecal Immunochemical Test DNA":#xD; [Observation: "FIT DNA"] FitDNA#xD; where FitDNA.status in { 'final', 'amended', 'corrected', 'preliminary' }#xD; and FitDNA.value is not null#xD; and Global."Normalize Interval" ( FitDNA.effective ) occurs 3 years or less on or before day of#xD; end of "Measurement Period"#xD; #xD; define "Colonoscopy Performed":#xD; [Procedure: "Colonoscopy"] Colonoscopy#xD; where Colonoscopy.status = 'completed'#xD; and Global."Normalize Interval" ( Colonoscopy.performed ) ends 10 years or less on or before#xD; end of "Measurement Period"#xD; #xD; define "Numerator":#xD; exists "Colonoscopy Performed"#xD; or exists "Fecal Occult Blood Test Performed"#xD; or exists "Flexible Sigmoidoscopy Performed"#xD; or exists "Fecal Immunochemical Test DNA"#xD; or exists "CT Colonography Performed"#xD; #xD; define "Malignant Neoplasm":#xD; [Condition: "Malignant Neoplasm of Colon"] ColorectalCancer#xD; where Global."Prevalence Period" ( ColorectalCancer ) starts on or before#xD; end of "Measurement Period"#xD; #xD; define "Denominator Exclusion":#xD; Hospice."Has Hospice"#xD; or exists "Malignant Neoplasm"#xD; or exists "Total Colectomy Performed"#xD; or Frailty."Advanced Illness and Frailty Exclusion Not Including Over Age 80"#xD; and Frailty."Long Term Care Periods Longer Than 90 Consecutive Days"#xD; ELM XML Content Encoded data (112116 characters) ELM JSON Content Encoded data (202108 characters) Generated using version 0.4.9 of the sample-content-ig Liquid templates
HL7 International / Clinical Quality Information
This library is the primary measure library for the Cervical Cancer Screening component of the composite measure examples in this implementation guide.
Value set Care Services in Long-Term Residential Facility
Value set Discharged to Health Care Facility for Hospice Care
Value set Discharged to Home for Hospice Care
Value set Fecal Occult Blood Test (FOBT)
Value set Preventive Care Services - Established Office Visit, 18 and Up
Value set Preventive Care Services-Initial Office Visit, 18 and Up