PVSComponent
type: Measure
node role: treeRoot
id:
  v: PVSComponent
meta:
  profile:
    v: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-publishablemeasure
    l: cqm-publishablemeasure
  profile:
    v: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-computablemeasure
    l: cqm-computablemeasure
  profile:
    v: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-proportionmeasure
    l: cqm-proportionmeasure
language:
  v: en
text:
  status:
    v: extensions
  div:
    v: Metadata Title Pneumococcal Vaccination Status for Older Adults Version 0.0.001 Short Name Pneumococcal Vaccination Status GUID (Version Independent) http://example.org/fhir/us/cqm/Measure/HBPComponent GUID (Version Specific) http://example.org/fhir/us/cqm/Measure/127v10 Identifier urn:oid:2.16.840.1.113883.4.642.40.61.29.13 Effective Period 2022-01-01 through 2022-12-31 Experimental true Use Context Clinical Venue = EC Jurisdiction Global (Whole world) Steward (Publisher) HL7 International / Clinical Quality Information Description This is an example only. Measure Basis boolean Measure Scoring Proportion Measure Type Process Improvement Notation Increased score indicates improvement Measure Group (Rate) (ID: primary) Initial Population ID: primary-pvscomponent-initial-population Description: No description provided Criteria: Initial Population Denominator ID: primary-pvscomponent-denominator Description: No description provided Criteria: Denominator Denominator Exclusion ID: primary-pvscomponent-denominator-exclusion Description: No description provided Criteria: Denominator Exclusions Numerator ID: primary-pvscomponent-numerator Description: No description provided Criteria: Numerator Supplemental Data Elements Supplemental Data Element ID: 66567b90-12e8-4a1c-8425-2cb8106f9664 Usage Code: Supplemental Data Description: No description provided Logic Definition: SDE Ethnicity Supplemental Data Element ID: d431e0e9-8d05-4ca7-a0b2-6cf72313c6d6 Usage Code: Supplemental Data Description: No description provided Logic Definition: SDE Payer Supplemental Data Element ID: b5baeb14-bfba-4ad5-a150-8a5442d113f8 Usage Code: Supplemental Data Description: No description provided Logic Definition: SDE Race Supplemental Data Element ID: 54129f83-97a7-4149-82c8-92ab0e8060ed Usage Code: Supplemental Data Description: No description provided Logic Definition: SDE Sex Measure Logic Primary Library PVS Component Library Contents Population Criteria Logic Definitions Terminology Depende…
contained: Library
  id:
    v: effective-data-requirements
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode
      l: cqf-directReferenceCode
    value: Coding
      type: http://snomed.info/id/428361000124107
      system:
        v: http://snomed.info/sct
        l: sct
      version:
        v: http://snomed.info/sct/731000124108/version/201709
      code:
        v: 428361000124107
      display:
        v: Discharge to home for hospice care (procedure)
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode
      l: cqf-directReferenceCode
    value: Coding
      type: http://snomed.info/id/428371000124100
      system:
        v: http://snomed.info/sct
        l: sct
      version:
        v: http://snomed.info/sct/731000124108/version/201709
      code:
        v: 428371000124100
      display:
        v: Discharge to healthcare facility for hospice care (procedure)
  extension:
    extension:
      url:
        v: libraryName
        l: libraryName
      value: String
        v: SupplementalDataElements
    extension:
      url:
        v: name
        l: name
      value: String
        v: SDE Sex
    extension:
      url:
        v: statement
        l: statement
      value: String
        v: define "SDE Sex": case when Patient.gender = 'male' then Code { code: 'M', system: 'http://hl7.org/fhir/v3/AdministrativeGender', display: 'Male' } when Patient.gender = 'female' then Code { code: 'F', system: 'http://hl7.org/fhir/v3/AdministrativeGender', display: 'Female' } else null end
    extension:
      url:
        v: displaySequence
        l: displaySequence
      value: Integer
        v: 0
    url:
      v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
      l: cqf-logicDefinition
  extension:
    extension:
      url:
        v: libraryName
        l: libraryName
      value: String
        v: PVSComponent
    extension:
      url:
        v: name
        l: name
      value: String
        v: SDE Sex
    extension:
      url:
        v: statement
        l: statement
      value: String
        v: define "SDE Sex": SDE."SDE Sex"
    extension:
      url:
        v: displaySequence
        l: displaySequence
      value: Integer
        v: 1
    url:
      v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
      l: cqf-logicDefinition
  extension:
    extension:
      url:
        v: libraryName
        l: libraryName
      value: String
        v: PVSComponent
    extension:
      url:
        v: name
        l: name
      value: String
        v: Numerator
    extension:
      url:
        v: statement
        l: statement
      value: String
        v: define "Numerator": exists ( [Immunization: "Pneumococcal Vaccine"] PneumococcalVaccine where PneumococcalVaccine.status = 'completed' and PneumococcalVaccine.occurrence as dateTime on or before end of "Measurement Period" ) or exists ( [Procedure: "Pneumococcal Vaccine Administered"] PneumococcalVaccineGiven where PneumococcalVaccineGiven.status = 'completed' and PneumococcalVaccineGiven.performed as Period on or before end of "Measurement Period" )
    extension:
      url:
        v: displaySequence
        l: displaySequence
      value: Integer
        v: 2
    url:
      v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
      l: cqf-logicDefinition
  extension:
    extension:
      url:
        v: libraryName
        l: libraryName
      value: String
        v: PVSComponent
    extension:
      url:
        v: name
        l: name
      value: String
        v: Qualifying Encounters
    extension:
      url:
        v: statement
        l: statement
      value: String
        v: define "Qualifying Encounters": ( [Encounter: "Office Visit"] union [Encounter: "Annual Wellness Visit"] union [Encounter: "Preventive Care Services - Established Office Visit, 18 and Up"] union [Encounter: "Preventive Care Services-Initial Office Visit, 18 and Up"] union [Encounter: "Home Healthcare Services"] union [Encounter: "Discharge Services - Nursing Facility"] union [Encounter: "Nursing Facility Visit"] union [Encounter: "Care Services in Long-Term Residential Facility"] ) ValidEncounter where ValidEncounter.period during "Measurement Period" and ValidEncounter.status = 'finished'
    extension:
      url:
        v: displaySequence
        l: displaySequence
      value: Integer
        v: 3
    url:
      v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
      l: cqf-logicDefinition
  extension:
    extension:
      url:
        v: libraryName
        l: libraryName
      value: String
        v: PVSComponent
    extension:
      url:
        v: name
        l: name
      value: String
        v: Initial Population
    extension:
      url:
        v: statement
        l: statement
      value: String
        v: define "Initial Population": Global."CalendarAgeInYearsAt" ( FHIRHelpers.ToDate ( Patient.birthDate ), start of "Measurement Period" ) >= 65 and exists "Qualifying Encounters"
    extension:
      url:
        v: displaySequence
        l: displaySequence
      value: Integer
        v: 4
    url:
      v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
      l: cqf-logicDefinition
  extension:
    extension:
      url:
        v: libraryName
        l: libraryName
      value: String
        v: PVSComponent
    extension:
      url:
        v: name
        l: name
      value: String

String
v: Denominator

url:
  v: statement
  l: statement
value: String
  v: define "Denominator": "Initial Population"

url:
  v: displaySequence
  l: displaySequence
value: Integer
  v: 5

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: SupplementalDataElements
extension:
  url:
    v: name
    l: name
  value: String
    v: SDE Payer
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define "SDE Payer": [Coverage: type in "Payer"] Payer return { code: Payer.type, period: Payer.period }
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 6
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: PVSComponent
extension:
  url:
    v: name
    l: name
  value: String
    v: SDE Payer
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define "SDE Payer": SDE."SDE Payer"
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 7
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: SupplementalDataElements
extension:
  url:
    v: name
    l: name
  value: String
    v: SDE Ethnicity
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define "SDE Ethnicity": (flatten ( Patient.extension Extension where Extension.url = 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity' return Extension.extension )) E where E.url = 'ombCategory' or E.url = 'detailed' return E.value as Coding
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 8
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: PVSComponent
extension:
  url:
    v: name
    l: name
  value: String
    v: SDE Ethnicity
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define "SDE Ethnicity": SDE."SDE Ethnicity"
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 9
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: Hospice
extension:
  url:
    v: name
    l: name
  value: String
    v: Has Hospice
extension:
  url:
    v: statement
    l: statement
  value: String
    v: 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" )
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 10
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: PVSComponent
extension:
  url:
    v: name
    l: name
  value: String
    v: Denominator Exclusions
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define "Denominator Exclusions": Hospice."Has Hospice"
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 11
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: SupplementalDataElements
extension:
  url:
    v: name
    l: name
  value: String
    v: SDE Race
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define "SDE Race": (flatten ( Patient.extension Extension where Extension.url = 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-race' return Extension.extension )) E where E.url = 'ombCategory' or E.url = 'detailed' return E.value as Coding
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 12
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: PVSComponent
extension:
  url:
    v: name
    l: name
  value: String
    v: SDE Race
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define "SDE Race": SDE."SDE Race"
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 13
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: FHIRHelpers
extension:
  url:
    v: name
    l: name
  value: String
    v: ToString
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define function ToString(value AdministrativeGender): value.value
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 14
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: FHIRHelpers
extension:
  url:
    v: name
    l: name
  value: String
    v: ToString
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define function ToString(value ImmunizationStatus): value.value
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 15
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: FHIRHelpers
extension:
  url:
    v: name
    l: name
  value: String
    v: ToDateTime
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define function ToDateTime(value dateTime): value.value
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 16
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: FHIRHelpers
extension:
  url:
    v: name
    l: name
  value: String
    v: ToString
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define function ToString(value ProcedureStatus): value.value
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 17
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: FHIRHelpers
extension:
  url:
    v: name
    l: name
  value: String
    v: ToInterval
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @description: Converts the given [Period](https://hl7.org/fhir/datatypes.html#Period) value to a CQL DateTime Interval @comment: If the start value of the given period is unspecified, the starting boundary of the resulting interval will be open (meaning the start of the interval is unknown, as opposed to interpreted as the beginning of time). */ define function ToInterval(period FHIR.Period): if period is null then null else if period."start" is null then Interval(period."start".value, period."end".value] else Interval[period."start".value, period."end".value]
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 18
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: MATGlobalCommonFunctions
extension:
  url:
    v: name
    l: name
  value: String
    v: CalendarAgeInYearsAt
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define function "CalendarAgeInYearsAt"(BirthDateTime DateTime, AsOf DateTime): years between ToDate(BirthDateTime)and ToDate(AsOf)
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 19
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: MATGlobalCommonFunctions
extension:
  url:
    v: name
    l: name
  value: String
    v: ToDate
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define function "ToDate"(Value DateTime): DateTime(year from Value, month from Value, day from Value, 0, 0, 0, 0, timezoneoffset from Value)
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 20
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: FHIRHelpers
extension:
  url:
    v: name
    l: name
  value: String
    v: ToDate
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define function ToDate(value date): value.value
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 21
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: FHIRHelpers
extension:
  url:
    v: name
    l: name
  value: String
    v: ToString
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define function ToString(value EncounterStatus): value.value
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 22
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: FHIRHelpers
extension:
  url:
    v: name
    l: name
  value: String
    v: ToString
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define function ToString(value uri): value.value
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 23
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: FHIRHelpers
extension:
  url:
    v: name
    l: name
  value: String
    v: ToConcept
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @description: Converts the given FHIR [CodeableConcept](https://hl7.org/fhir/datatypes.html#CodeableConcept) value to a CQL Concept. */ define function ToConcept(concept FHIR.CodeableConcept): if concept is null then null else System.Concept { codes: concept.coding C return ToCode(C), display: concept.text.value }
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 24
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: FHIRHelpers
extension:
  url:
    v: name
    l: name
  value: String
    v: ToCode
extension:
  url:
    v: statement
    l: statement
  value: String
    v: /* @description: Converts the given FHIR [Coding](https://hl7.org/fhir/datatypes.html#Coding) value to a CQL Code. */ define function ToCode(coding FHIR.Coding): if coding is null then null else System.Code { code: coding.code.value, system: coding.system.value, version: coding.version.value, display: coding.display.value }
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 25
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: FHIRHelpers
extension:
  url:
    v: name
    l: name
  value: String
    v: ToString
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define function ToString(value ServiceRequestIntent): value.value
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 26
url:
  v: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  l: cqf-logicDefinition

v: EffectiveDataRequirements

v: active

coding:
  system:
    v: http://terminology.hl7.org/CodeSystem/library-type
    l: library-type
  code:
    v: module-definition

type:
  v: depends-on
display:
  v: Library SDE
resource:
  v: http://hl7.org/fhir/uv/cqm/Library/SupplementalDataElements|2.0.000
  l: http://hl7.org/fhir/uv/cqm/Library/SupplementalDataElements

type:
  v: depends-on
display:
  v: Library FHIRHelpers
resource:
  v: http://hl7.org/fhir/uv/cql/Library/FHIRHelpers|4.0.1
  l: http://hl7.org/fhir/uv/cql/Library/FHIRHelpers

type:
  v: depends-on
display:
  v: Library Global
resource:
  v: http://hl7.org/fhir/uv/cqm/Library/MATGlobalCommonFunctions|5.0.000
  l: http://hl7.org/fhir/uv/cqm/Library/MATGlobalCommonFunctions

type:
  v: depends-on
display:
  v: Library Hospice
resource:
  v: http://hl7.org/fhir/uv/cqm/Library/Hospice|2.0.000
  l: http://hl7.org/fhir/uv/cqm/Library/Hospice

type:
  v: depends-on
display:
  v: Code system SNOMEDCT:2017-09
resource:
  v: http://snomed.info/sct|http://snomed.info/sct/731000124108/version/201709
  l: http://snomed.info/sct

type:
  v: depends-on
display:
  v: Value set Pneumococcal Vaccine
resource:
  v: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1027
  l: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1027

type:
  v: depends-on
display:
  v: Value set Pneumococcal Vaccine Administered
resource:
  v: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1034
  l: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1034

type:
  v: depends-on
display:
  v: Value set Office Visit
resource:
  v: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001
  l: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001

type:
  v: depends-on
display:
  v: Value set Annual Wellness Visit
resource:
  v: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1240
  l: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1240

type:
  v: depends-on
display:
  v: Value set Preventive Care Services - Established Office Visit, 18 and Up
resource:
  v: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1025
  l: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1025

type:
  v: depends-on
display:
  v: Value set Preventive Care Services-Initial Office Visit, 18 and Up
resource:
  v: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1023
  l: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1023

type:
  v: depends-on
display:
  v: Value set Home Healthcare Services
resource:
  v: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1016
  l: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1016

type:
  v: depends-on
display:
  v: Value set Discharge Services - Nursing Facility
resource:
  v: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.11.1065
  l: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.11.1065

type:
  v: depends-on
display:
  v: Value set Nursing Facility Visit
resource:
  v: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1012
  l: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1012

type:
  v: depends-on
display:
  v: Value set Care Services in Long-Term Residential Facility
resource:
  v: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1014
  l: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1014

type:
  v: depends-on
display:
  v: Value set Payer
resource:
  v: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591
  l: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591

type:
  v: depends-on
display:
  v: Value set Encounter Inpatient
resource:
  v: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307
  l: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307

type:
  v: depends-on
display:
  v: Value set Hospice care ambulatory
resource:
  v: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1108.15
  l: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1108.15

name:
  v: Measurement Period
use:
  v: in
min:
  v: 0
max:
  v: 1
type:
  v: Period

name:
  v: SDE Sex
use:
  v: out
min:
  v: 0
max:
  v: 1
type:
  v: Coding

name:
  v: Numerator
use:
  v: out
min:
  v: 0
max:
  v: 1
type:
  v: boolean

name:
  v: Denominator
use:
  v: out
min:
  v: 0
max:
  v: 1
type:
  v: boolean

name:
  v: SDE Payer
use:
  v: out
min:
  v: 0
max:
  v: *
type:
  v: Resource

name:
  v: Initial Population
use:
  v: out
min:
  v: 0
max:
  v: 1
type:
  v: boolean

name:
  v: SDE Ethnicity
use:
  v: out
min:
  v: 0
max:
  v: *
type:
  v: Coding

name:
  v: Denominator Exclusions
use:
  v: out
min:
  v: 0
max:
  v: 1
type:
  v: boolean

name:
  v: SDE Race
use:
  v: out
min:
  v: 0
max:
  v: *
type:
  v: Coding

type:
  v: Patient
profile:
  v: http://hl7.org/fhir/StructureDefinition/Patient
  l: Patient
must support:
  v: url
must support:
  v: extension
must support:
  v: value

type:
  v: Immunization
profile:
  v: http://hl7.org/fhir/StructureDefinition/Immunization
  l: Immunization
must support:
  v: vaccineCode
must support:
  v: status
must support:
  v: occurrence
code filter:
  path:
    v: vaccineCode
  value set:
    v: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1027
    l: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1027

type:
  v: Procedure
profile:
  v: http://hl7.org/fhir/StructureDefinition/Procedure
  l: Procedure
must support:
  v: code
must support:
  v: status
must support:
  v: performed
code filter:
  path:
    v: code
  value set:
    v: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1034
    l: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1034

type:
  v: Procedure
profile:
  v: http://hl7.org/fhir/StructureDefinition/Procedure
  l: Procedure
must support:
  v: code
must support:
  v: status
must support:
  v: performed
code filter:
  path:
    v: code
  value set:
    v: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1108.15
    l: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1108.15

type:
  v: Encounter
profile:
  v: http://hl7.org/fhir/StructureDefinition/Encounter
  l: Encounter
must support:
  v: type
must support:
  v: period
must support:
  v: status
code filter:
  path:
    v: type
  value set:
    v: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001
    l: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001

type:
  v: Encounter
profile:
  v: http://hl7.org/fhir/StructureDefinition/Encounter
  l: Encounter
must support:
  v: type
must support:
  v: period
must support:
  v: status
code filter:
  path:
    v: type
  value set:
    v: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1240
    l: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1240

type:
  v: Encounter
profile:
  v: http://hl7.org/fhir/StructureDefinition/Encounter
  l: Encounter
must support:
  v: type
must support:
  v: period
must support:
  v: status
code filter:
  path:
    v: type
  value set:
    v: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1025
    l: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1025

type:
  v: Encounter
profile:
  v: http://hl7.org/fhir/StructureDefinition/Encounter
  l: Encounter
must support:
  v: type
must support:
  v: period
must support:
  v: status
code filter:
  path:
    v: type
  value set:
    v: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1023
    l: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1023

type:
  v: Encounter
profile:
  v: http://hl7.org/fhir/StructureDefinition/Encounter
  l: Encounter
must support:
  v: type
must support:
  v: period
must support:
  v: status
code filter:
  path:
    v: type
  value set:
    v: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1016
    l: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1016

type:
  v: Encounter
profile:
  v: http://hl7.org/fhir/StructureDefinition/Encounter
  l: Encounter
must support:
  v: type
must support:
  v: period
must support:
  v: status
code filter:
  path:
    v: type
  value set:
    v: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.11.1065
    l: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.11.1065

type:
  v: Encounter
profile:
  v: http://hl7.org/fhir/StructureDefinition/Encounter
  l: Encounter
must support:
  v: type
must support:
  v: period
must support:
  v: status
code filter:
  path:
    v: type
  value set:
    v: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1012
    l: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1012

type:
  v: Encounter
profile:
  v: http://hl7.org/fhir/StructureDefinition/Encounter
  l: Encounter
must support:
  v: type
must support:
  v: period
must support:
  v: status
code filter:
  path:
    v: type
  value set:
    v: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1014
    l: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1014

type:
  v: Encounter
profile:
  v: http://hl7.org/fhir/StructureDefinition/Encounter
  l: Encounter
must support:
  v: type
must support:
  v: status
must support:
  v: hospitalization
must support:
  v: hospitalization.dischargeDisposition
must support:
  v: period
code filter:
  path:
    v: type
  value set:
    v: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307
    l: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307

type:
  v: Coverage
profile:
  v: http://hl7.org/fhir/StructureDefinition/Coverage
  l: Coverage
must support:
  v: type
must support:
  v: period
code filter:
  path:
    v: type
  value set:
    v: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591
    l: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591

type:
  v: ServiceRequest
profile:
  v: http://hl7.org/fhir/StructureDefinition/ServiceRequest
  l: ServiceRequest
must support:
  v: code
must support:
  v: intent
must support:
  v: authoredOn
code filter:
  path:
    v: code
  value set:
    v: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1108.15
    l: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1108.15

url:
  v: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-populationBasis
  l: cqm-populationBasis
value: Code
  v: boolean

url:
  v: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem
  l: crmi-softwaresystem
value: Reference
  l: software-system-example
  reference:
    v: Device/software-system-example

id:
  v: effective-data-requirements
url:
  v: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-effectiveDataRequirements
  l: crmi-effectiveDataRequirements
value: Canonical
  v: #effective-data-requirements
  l: effective-data-requirements

use:
  v: official
type:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/artifact-identifier-type
      l: artifact-identifier-type
    code:
      v: version-independent
    display:
      v: Version Independent
system:
  v: urn:ietf:rfc:3986
  l: 3986
value:
  v: http://example.org/fhir/us/cqm/Measure/HBPComponent

use:
  v: official
type:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/artifact-identifier-type
      l: artifact-identifier-type
    code:
      v: version-specific
    display:
      v: Version Specific
system:
  v: urn:ietf:rfc:3986
  l: 3986
value:
  v: http://example.org/fhir/us/cqm/Measure/127v10

use:
  v: usual
type:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/artifact-identifier-type
      l: artifact-identifier-type
    code:
      v: short-name
    display:
      v: Short Name
value:
  v: Pneumococcal Vaccination Status

system:
  v: urn:ietf:rfc:3986
  l: 3986
value:
  v: urn:oid:2.16.840.1.113883.4.642.40.61.29.13

v: 0.0.001

v: PVSComponent

v: Pneumococcal Vaccination Status for Older Adults

v: active

v: true

v: 2025-08-13T17:14:51-06:00

v: HL7 International / Clinical Quality Information

telecom:
  system:
    v: url
  value:
    v: http://www.hl7.org/Special/committees/cqi

v: This is an example only.

code:
  system:
    v: http://terminology.hl7.org/CodeSystem/usage-context-type
    l: usage-context-type
  code:
    v: venue
  display:
    v: Clinical Venue
value: CodeableConcept
  coding:
    system:
      v: http://hl7.org/fhir/uv/cqm/CodeSystem/intended-venue-codes
      l: intended-venue-codes
    code:
      v: ec
    display:
      v: EC

coding:
  system:
    v: http://unstats.un.org/unsd/methods/m49/m49.htm
    l: m49.htm
  code:
    v: 001

start:
  v: 2022-01-01
end:
  v: 2022-12-31

coding:
  system:
    v: http://terminology.hl7.org/CodeSystem/measure-scoring
    l: measure-scoring
  code:
    v: proportion
  display:
    v: Proportion

coding:
  system:
    v: http://terminology.hl7.org/CodeSystem/measure-type
    l: measure-type
  code:
    v: process

coding:
  system:
    v: http://terminology.hl7.org/CodeSystem/measure-improvement-notation
    l: measure-improvement-notation
  code:
    v: increase

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.linkId
    l: extension-Measure.group.linkId
  value: String
    v: primary
population:
  extension:
    url:
      v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId
      l: extension-Measure.group.population.linkId
    value: String
      v: primary-pvscomponent-initial-population
  code:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/measure-population
        l: measure-population
      code:
        v: initial-population
      display:
        v: Initial Population
  criteria:
    language:
      v: text/cql-identifier
    expression:
      v: Initial Population
population:
  extension:
    url:
      v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId
      l: extension-Measure.group.population.linkId
    value: String
      v: primary-pvscomponent-denominator
  code:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/measure-population
        l: measure-population
      code:
        v: denominator
      display:
        v: Denominator
  criteria:
    language:
      v: text/cql-identifier
    expression:
      v: Denominator
population:
  extension:
    url:
      v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId
      l: extension-Measure.group.population.linkId
    value: String
      v: primary-pvscomponent-denominator-exclusion
  code:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/measure-population
        l: measure-population
      code:
        v: denominator-exclusion
      display:
        v: Denominator Exclusion
  criteria:
    language:
      v: text/cql-identifier
    expression:
      v: Denominator Exclusions
population:
  extension:
    url:
      v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId
      l: extension-Measure.group.population.linkId
    value: String
      v: primary-pvscomponent-numerator
  code:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/measure-population
        l: measure-population
      code:
        v: numerator
      display:
        v: Numerator
  criteria:
    language:
      v: text/cql-identifier
    expression:
      v: Numerator

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.supplementalData.linkId
    l: extension-Measure.supplementalData.linkId
  value: String
    v: pvscomponent-sde-ethnicity
usage:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/measure-data-usage
      l: measure-data-usage
    code:
      v: supplemental-data
criteria:
  language:
    v: text/cql-identifier
  expression:
    v: SDE Ethnicity

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.supplementalData.linkId
    l: extension-Measure.supplementalData.linkId
  value: String
    v: pvscomponent-sde-payer
usage:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/measure-data-usage
      l: measure-data-usage
    code:
      v: supplemental-data
criteria:
  language:
    v: text/cql-identifier
  expression:
    v: SDE Payer

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.supplementalData.linkId
    l: extension-Measure.supplementalData.linkId
  value: String
    v: hbpcomponent-sde-race
usage:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/measure-data-usage
      l: measure-data-usage
    code:
      v: supplemental-data
criteria:
  language:
    v: text/cql-identifier
  expression:
    v: SDE Race

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.supplementalData.linkId
    l: extension-Measure.supplementalData.linkId
  value: String
    v: ccscomponent-sde-sex
usage:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/measure-data-usage
      l: measure-data-usage
    code:
      v: supplemental-data
criteria:
  language:
    v: text/cql-identifier
  expression:
    v: SDE Sex