Person-Centered Outcomes (PCO) Implementation Guide
1.0.0 - STU 1 United States of America flag

Person-Centered Outcomes (PCO) Implementation Guide, published by HL7 International / Patient Care. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/pco-ig/ and changes regularly. See the Directory of published versions

Library: GoalFollowUpMeasure

Official URL: http://hl7.org/fhir/us/pco/Library/GoalFollowUpMeasure Version: 1.0.0
Standards status: Trial-use Maturity Level: 2 Computable Name: GoalFollowUpMeasure

CQL logic for the Goal Follow-up Measure

Metadata
Version 1.0.0
Status Draft
Jurisdiction United States of America
Steward (Publisher) HL7 International / Patient Care
Steward Contact HL7 International / Patient Care
Description

CQL logic for the Goal Follow-up Measure
Type logic-library from http://terminology.hl7.org/CodeSystem/library-type
Dependency Description: FHIR model information
Resource: http://fhir.org/guides/cqf/common/Library/FHIR-ModelInfo|4.0.1
Canonical URL: http://fhir.org/guides/cqf/common/Library/FHIR-ModelInfo|4.0.1
Dependency Description: Library FHIRCommon
Resource: http://hl7.org/fhir/uv/cql/Library/FHIRCommon|2.0.0
Canonical URL: http://hl7.org/fhir/uv/cql/Library/FHIRCommon|2.0.0
Dependency Description: Library FHIRHelpers
Resource: http://hl7.org/fhir/uv/cql/Library/FHIRHelpers|4.0.1
Canonical URL: http://hl7.org/fhir/uv/cql/Library/FHIRHelpers|4.0.1
Dependency Description: Library PC
Resource: http://hl7.org/fhir/us/pco/Library/PCOCommon|0.1.0
Canonical URL: http://hl7.org/fhir/us/pco/Library/PCOCommon|0.1.0
Dependency Description: Library PCOLogic
Resource: http://hl7.org/fhir/us/pco/Library/GoalAttainmentLogic|0.1.0
Canonical URL: http://hl7.org/fhir/us/pco/Library/GoalAttainmentLogic|0.1.0
Data Requirement Type: Patient
Profile(s): Patient
Parameters
Name Use Card. Type Documentation
Measurement Period In 0..1 Period
Follow-Up Interval In 0..1 Range
Patient Out 0..1 Patient
Initial Population Out 0..* Patient
Denominator Out 0..* Patient
Denominator Exclusions Out 0..1 Resource
Denominator Exceptions Out 0..1 Resource
Numerator Out 0..* Patient
Library Content
CQL Content 
/*
@description: Measure 2 - Goal Follow-up: % of individuals 18 years of age or older with
a complex care need who received follow-up on their PCO goal within two
weeks to six months of when the PCO goal and GAS or PROM were
identified.

@author: Mountain Lotus WellBeing LLC
*/
library GoalFollowUpMeasure version '0.1.0'

using FHIR version '4.0.1'

include hl7.fhir.uv.cql.FHIRCommon version '2.0.0'
include hl7.fhir.uv.cql.FHIRHelpers version '4.0.1'
include PCOCommon version '0.1.0' called PC
include GoalAttainmentLogic version '0.1.0' called PCOLogic

parameter "Measurement Period" Interval<DateTime>
    default Interval[@2024-01-01T00:00:00.000Z, @2024-12-31T23:59:59.999Z]

parameter "Follow-Up Interval" Interval<System.Quantity>
  default Interval[2 weeks, 26 weeks]

context Patient

/*
@description: Includes individuals 18 years of age and older.
*/
define "Initial Population": {
  Patient person
    where AgeInYearsAt(start of "Measurement Period") >= 18
}

/*
@description: Initial Population individuals with a complex care need and has a PCO Goal.
@comment: TODO - How do we determine "complex care need?"
*/
define "Denominator":
  "Initial Population"

define "Denominator Exclusions":
  null

define "Denominator Exceptions":
  null

/*
@description: Indivuals who received follow-up on their PCO goal within two
weeks to six months of when the PCO goal and GAS or PROM were identified.
*/
define "Numerator":
  "Denominator" person
    where exists PCOLogic."Follow-Up Scores During Measurement Period"
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Generated using version 0.5.4 of the sample-content-ig Liquid templates