Chronic Disease Surveillance
0.1.0 - CI Build
Chronic Disease Surveillance
0.1.0 - CI Build
Chronic Disease Surveillance, published by Clinical Quality Framework. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/cqframework/aphl-chronic-ig/ and changes regularly. See the Directory of published versions
| Active as of 2025-09-25 |
{
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"id" : "ChronicDSDiabetesPoorControl",
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n<div>\n <table class=\"grid dict\">\n \n <tr>\n <th scope=\"row\"><b>Id: </b></th>\n <td style=\"padding-left: 4px;\">ChronicDSDiabetesPoorControl</td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Url: </b></th>\n <td style=\"padding-left: 4px;\"><a href=\"PlanDefinition-ChronicDSDiabetesPoorControl.html\">Chronic Disease Surveillance Reporting Specification for Diabetes Hemoglobin A1c Poor Control</a></td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Version: </b></th>\n <td style=\"padding-left: 4px;\">0.1.0</td>\n </tr>\n \n\n \n\n \n <tr>\n <th scope=\"row\"><b>Title: </b></th>\n <td style=\"padding-left: 4px;\">Chronic Disease Surveillance Reporting Specification for Diabetes Hemoglobin A1c Poor Control</td>\n </tr>\n \n\n \n\n \n\n \n <tr>\n <th scope=\"row\"><b>Experimental: </b></th>\n <td style=\"padding-left: 4px;\">true</td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Type: </b></th>\n <td style=\"padding-left: 4px;\">\n \n \n \n <p style=\"margin-bottom: 5px;\">\n <b>system: </b> <span><a href=\"http://terminology.hl7.org/7.0.1/CodeSystem-plan-definition-type.html\">http://terminology.hl7.org/CodeSystem/plan-definition-type</a></span>\n </p>\n \n \n <p style=\"margin-bottom: 5px;\">\n <b>code: </b> <span>workflow-definition</span>\n </p>\n \n \n <p style=\"margin-bottom: 5px;\">\n <b>display: </b> <span>Workflow Definition</span>\n </p>\n \n \n \n \n </td>\n </tr>\n \n\n \n\n \n <tr>\n <th scope=\"row\"><b>Date: </b></th>\n <td style=\"padding-left: 4px;\">2025-09-25 08:40:03-0500</td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Publisher: </b></th>\n <td style=\"padding-left: 4px;\">Clinical Quality Framework</td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Description: </b></th>\n <td style=\"padding-left: 4px;\"><div><p>Reporting specification for Chronic Disease Surveillance for Diabetes Hemoglobin A1c Poor Control</p>\n</div></td>\n </tr>\n \n\n \n\n \n\n \n\n \n <tr>\n <th scope=\"row\"><b>Jurisdiction: </b></th>\n <td style=\"padding-left: 4px;\">001</td>\n </tr>\n \n\n \n\n \n\n \n\n \n\n \n\n \n <tr>\n <th scope=\"row\"><b>Effective Period: </b></th>\n <td style=\"padding-left: 4px;\">2021-06-01..</td>\n </tr>\n \n\n \n\n \n <tr>\n <th scope=\"row\"><b>Libraries: </b></th>\n <td style=\"padding-left: 4px;\">\n <table class=\"grid-dict\">\n \n <tr>\n <td><a href=\"Library-DiabetesHemoglobinA1cHbA1cPoorControl9FHIR.html\">DiabetesHemoglobinA1cHbA1cPoorControl9FHIR</a></td>\n </tr>\n \n </table>\n </td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Actions: </b></th>\n <td style=\"padding-left: 4px;\">\n <table class=\"grid-dict\">\n \n <tr>\n <td>\n \n Start the reporting workflow in response to an encounter-end event\n \n <br/>\n \n <b>When:</b>\n \n <i>Named Event:</i> encounter-end\n <br/>\n \n \n \n \n \n \n </td>\n </tr>\n \n <tr>\n <td>\n \n Check Reportable\n \n <br/>\n \n \n \n <b>Then:</b>\n <table class=\"grid-dict\">\n \n <tr>\n <td>\n \n Check Trigger Codes based on RCTC Value sets.\n \n <br/>\n \n \n <b>If:</b>\n \n <i>Applicability:</i>\n \n <i>(%conditions.exists())</i>\n <br/>\n \n \n \n \n \n </td>\n </tr>\n \n </table>\n \n </td>\n </tr>\n \n <tr>\n <td>\n \n Evaluate measure\n \n <br/>\n \n \n \n \n <b>Then:</b> <i>Definition:</i> <a href=\"Measure-DiabetesHemoglobinA1cHbA1cPoorControl9FHIR.html\">Diabetes: Hemoglobin A1c (HbA1c) Poor Control (> 9%)FHIR</a><br/>\n \n \n \n </td>\n </tr>\n \n <tr>\n <td>\n \n Report Chronic Disease Surveillance\n \n <br/>\n \n \n <b>If:</b>\n \n <i>Applicability:</i>\n \n <i>(%measurereport.exists() and %measurereport.group.select(population).where(code.coding.where(code = 'denominator').exists() and count > 0).exists())</i>\n <br/>\n \n \n \n <b>Then:</b>\n <table class=\"grid-dict\">\n \n <tr>\n <td>\n \n Create eICR\n \n <br/>\n \n \n \n \n \n </td>\n </tr>\n \n <tr>\n <td>\n \n Validate eICR\n \n <br/>\n \n \n \n \n \n </td>\n </tr>\n \n <tr>\n <td>\n \n Submit eICR\n \n <br/>\n \n \n \n \n \n </td>\n </tr>\n \n </table>\n \n </td>\n </tr>\n \n </table>\n </td>\n </tr>\n \n </table>\n</div>\n</div>"
},
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"name" : "EffectiveDataRequirements",
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"relatedArtifact" : [
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"url" : "http://fhir.org/guides/cqf/aphl/chronic-ds/PlanDefinition/ChronicDSDiabetesPoorControl",
"version" : "0.1.0",
"name" : "ChronicDSDiabetesPoorControl",
"title" : "Chronic Disease Surveillance Reporting Specification for Diabetes Hemoglobin A1c Poor Control",
"type" : {
"coding" : [
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"system" : "http://terminology.hl7.org/CodeSystem/plan-definition-type",
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"experimental" : true,
"date" : "2025-09-25T08:40:03.823-05:00",
"publisher" : "Clinical Quality Framework",
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],
"description" : "Reporting specification for Chronic Disease Surveillance for Diabetes Hemoglobin A1c Poor Control",
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"library" : [
🔗 "http://fhir.org/guides/cqf/aphl/chronic-ds/Library/DiabetesHemoglobinA1cHbA1cPoorControl9FHIR"
],
"action" : [
{
"id" : "start",
"description" : "This action represents the start of the reporting workflow in response to the encounter-end event",
"textEquivalent" : "Start the reporting workflow in response to an encounter-end event",
"code" : [
{
"coding" : [
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"system" : "http://hl7.org/fhir/us/medmorph/CodeSystem/us-ph-plandefinition-actions",
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"trigger" : [
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],
"relatedAction" : [
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"actionId" : "check-reportable",
"relationship" : "before-start",
"offsetDuration" : {
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"system" : "http://unitsofmeasure.org",
"code" : "h"
}
}
]
},
{
"id" : "check-reportable",
"description" : "This action represents the check for reportability of the surveillance event.",
"textEquivalent" : "Check Reportable",
"code" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/us/medmorph/CodeSystem/us-ph-plandefinition-actions",
"code" : "execute-reporting-workflow"
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}
],
"action" : [
{
"id" : "ckr-is-encounter-reportable",
"description" : "This action represents the check for reportability to create the patients eICR.",
"textEquivalent" : "Check Trigger Codes based on RCTC Value sets.",
"code" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/us/medmorph/CodeSystem/us-ph-plandefinition-actions",
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}
]
}
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"condition" : [
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"kind" : "applicability",
"expression" : {
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}
],
"input" : [
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"type" : "Condition",
"codeFilter" : [
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"path" : "code",
"valueSet" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.103.12.1001"
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}
],
"relatedAction" : [
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"actionId" : "evaluate-measure",
"relationship" : "before-start"
}
]
}
]
},
{
"id" : "evaluate-measure",
"description" : "This action represents the evaluation of the measure.",
"textEquivalent" : "Evaluate measure",
"code" : [
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"coding" : [
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"system" : "http://hl7.org/fhir/us/medmorph/CodeSystem/us-ph-plandefinition-actions",
"code" : "evaluate-measure"
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],
"input" : [
{
"id" : "patient",
"type" : "Patient"
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{
"id" : "conditions",
"type" : "Condition"
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{
"id" : "encounter",
"type" : "Encounter"
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{
"id" : "mr",
"type" : "MedicationRequest"
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{
"id" : "obs",
"type" : "Observation"
}
],
"output" : [
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"type" : "MeasureReport",
"profile" : [
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}
],
"relatedAction" : [
{
"actionId" : "report-ds",
"relationship" : "before-start"
}
],
"definitionCanonical" : "http://fhir.org/guides/cqf/aphl/chronic-ds/Measure/DiabetesHemoglobinA1cHbA1cPoorControl9FHIR"
},
{
"id" : "report-ds",
"description" : "This action represents the reporting of the Chronic Disease Surveillance event.",
"textEquivalent" : "Report Chronic Disease Surveillance",
"code" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/us/medmorph/CodeSystem/us-ph-plandefinition-actions",
"code" : "execute-reporting-workflow"
}
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}
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"condition" : [
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"kind" : "applicability",
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"language" : "text/fhirpath",
"expression" : "%measurereport.exists() and %measurereport.group.select(population).where(code.coding.where(code = 'denominator').exists() and count > 0).exists()"
}
}
],
"input" : [
{
"id" : "measurereport",
"type" : "MeasureReport"
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],
"action" : [
{
"id" : "create-eicr",
"description" : "This action invokes the creation of the eICR report.",
"textEquivalent" : "Create eICR",
"code" : [
{
"coding" : [
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"system" : "http://hl7.org/fhir/us/medmorph/CodeSystem/us-ph-plandefinition-actions",
"code" : "create-report"
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}
],
"input" : [
{
"id" : "patient",
"type" : "Patient"
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{
"id" : "conditions",
"type" : "Condition"
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{
"id" : "encounter",
"type" : "Encounter"
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{
"id" : "mr",
"type" : "MedicationRequest"
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{
"id" : "obs",
"type" : "Observation"
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{
"id" : "measurereport",
"type" : "MeasureReport"
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],
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"id" : "eicr-report-ChronicDSDiabetesPoorControl",
"type" : "Bundle",
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"actionId" : "validate-eicr",
"relationship" : "before-start"
}
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{
"id" : "validate-eicr",
"description" : "This action represents the validation of the eICR.",
"textEquivalent" : "Validate eICR",
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}
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}