Metadata Title EXM124 - Cervical Cancer Screening Library Version 9.0.000 Identifier EXM124 Identifier urn:oid:2.16.840.1.113883.4.642.40.61.28.9 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: 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: Absence of Cervix Use: Out Min Cardinality: 0 Max Cardinality: * Type: Resource Parameter Name: Denominator Exclusion Use: Out Min Cardinality: 0 Max Cardinality: 1 Type: boolean Parameter Name: Cervical Cytology Within 3 Years Use: Out Min Cardinality: 0 Max Cardinality: * Type: Observation Parameter Name: HPV Test Within 5 Years for Women Age 30 and Older Use: Out Min Cardinality: 0 Max Cardinality: * Type: Observation Parameter Name: Numerator 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, performed, status Code Filter(s): Path: code ValueSet: Hysterectomy with No Residual Cervix Data Requirement Type: Condition Profile(s): Condition Must Support Elements: code, onset Code Filter(s): Path: code Code(s): SNOMED CT: 37687000 (Congenital absence of cervix (disorder)) (version = http://snomed.info/sct/731000124108/version/201709 ) Data Requirement Type: Observation Profile(s): Observation Must Support Elements: code, value, status, effective Code Filter(s): Path: code ValueSet: Pap Test Data Requirement Type: Observation Profile(s): Observation Must Support Elements: code, value, status, effective Code Filter(s): Path: code ValueSet: HPV Test 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; Based on CMS124v9 - Cervical Cancer Screening#xD; */#xD; library EXM124 version '9.0.000'#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 Hospice version '2.0.000' called Hospice#xD; include AdultOutpatientEncounters version '2.0.000' called AdultOutpatientEncounters#xD; include MATGlobalCommonFunctions version '5.0.000' called Global#xD; include SupplementalDataElements version '2.0.000' called SDE#xD; #xD; codesystem "SNOMEDCT:2017-09": 'http://snomed.info/sct' version 'http://snomed.info/sct/731000124108/version/201709'#xD; #xD; valueset "Hysterectomy with No Residual Cervix": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1014'#xD; valueset "Pap Test": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1017'#xD; valueset "HPV Test": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1059'#xD; #xD; code "Congenital absence of cervix (disorder)": '37687000' from "SNOMEDCT:2017-09" display 'Congenital absence of cervix (disorder)'#xD; #xD; parameter "Measurement Period" Interval<DateTime>#xD; default Interval[@2019-01-01T00:00:00.0, @2020-01-01T00:00:00.0)#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; Patient.gender = 'female'#xD; and Global."CalendarAgeInYearsAt"(FHIRHelpers.ToDate(Patient.birthDate), start of "Measurement Period") in Interval[23, 64]#xD; and exists AdultOutpatientEncounters."Qualifying Encounters"#xD; #xD; define "Denominator":#xD; "Initial Population"#xD; #xD; define "Denominator Exclusion":#xD; Hospice."Has Hospice"#xD; or exists "Absence of Cervix"#xD; #xD; define "Absence of Cervix":#xD; ([Procedure: "Hysterectomy with No Residual Cervix"] NoCervixProcedure#xD; where Global."Normalize Interval"(NoCervixProcedure.performed) ends on or before end of "Measurement Period"#xD; and NoCervixProcedure.status = 'completed'#xD; )#xD; union [Condition : "Congenital absence of cervix (disorder)"] NoCervixBirth#xD; where Global."Normalize Interval"(NoCervixBirth.onset) starts on or before end of "Measurement Period"#xD; #xD; define "Numerator":#xD; exists "Cervical Cytology Within 3 Years"#xD; or exists "HPV Test Within 5 Years for Women Age 30 and Older"#xD; #xD; define "Cervical Cytology Within 3 Years":#xD; [Observation: "Pap Test"] CervicalCytology#xD; where CervicalCytology.value is not null#xD; and CervicalCytology.status in { 'final', 'amended', 'corrected', 'preliminary' }#xD; and Global."Normalize Interval"(CervicalCytology.effective) ends 3 years or less on or before end of "Measurement Period"#xD; #xD; define "HPV Test Within 5 Years for Women Age 30 and Older":#xD; [Observation: "HPV Test"] HPVTest#xD; where HPVTest.value is not null#xD; and HPVTest.status in { 'final', 'amended', 'corrected', 'preliminary' }#xD; and Global."CalendarAgeInYearsAt"(FHIRHelpers.ToDate(Patient.birthDate), start of Global."Normalize Interval"(HPVTest.effective))>= 30#xD; and Global."Normalize Interval"(HPVTest.effective) ends 5 years or less on or before end of "Measurement Period"#xD; ELM XML Content Encoded data (77256 characters) ELM JSON Content Encoded data (145132 characters) Generated using version 0.4.9 of the sample-content-ig Liquid templates
EXM124 - Cervical Cancer Screening Library
HL7 International / Clinical Quality Information
This library is used as an example in the FHIR Quality Measure Implementation Guide
Value set Hysterectomy with No Residual Cervix
HPV Test Within 5 Years for Women Age 30 and Older