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 |
<PlanDefinition xmlns="http://hl7.org/fhir">
<id value="ChronicDSSeenPatients"/>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<table class="narrative-table">
<tbody>
<tr>
<th colspan="2" scope="row" class="row-header">Metadata</th>
</tr>
<tr>
<th scope="row" class="row-header">Title</th>
<td class="content-container">Chronic Disease Surveillance Reporting Specification for Seen Patients Cohort</td>
</tr>
<tr>
<th scope="row" class="row-header">Version</th>
<td class="content-container">0.1.0</td>
</tr>
<tr>
<th scope="row" class="row-header">Experimental</th>
<td class="content-container">true</td>
</tr>
<tr>
<th scope="row" class="row-header">Jurisdiction</th>
<td class="content-container">
001 from <a href="http://unstats.un.org/unsd/methods/m49/m49.htm">http://unstats.un.org/unsd/methods/m49/m49.htm</a>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Steward (Publisher)</th>
<td class="content-container">Clinical Quality Framework</td>
</tr>
<tr>
<th scope="row" class="row-header">Description</th>
<td class="content-container"><div><p>Reporting specification for Chronic Disease Surveillance for Seen Patients Cohort</p>
</div></td>
</tr>
<tr>
<th scope="row" class="row-header">Type</th>
<td class="content-container">
Workflow Definition
</td>
</tr>
<tr>
<th colspan="2" scope="row" class="row-header">PlanDefinition Action</th>
</tr>
<tr>
<th scope="row" class="row-header">Id</th>
<td class="content-container">start</td>
</tr>
<tr>
<th scope="row" class="row-header">Description</th>
<td class="content-container">This action represents the start of the reporting workflow in response to the encounter-end event</td>
</tr>
<tr>
<th scope="row" class="row-header">Human-interpretable Description</th>
<td class="content-container">Start the reporting workflow in response to an encounter-end event</td>
</tr>
<tr>
<th scope="row" class="row-header">Code</th>
<td class="content-container">
initiate-reporting-workflow from <a href="http://hl7.org/fhir/us/medmorph/CodeSystem/us-ph-plandefinition-actions">http://hl7.org/fhir/us/medmorph/CodeSystem/us-ph-plandefinition-actions</a>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Trigger Type</th>
<td class="content-container">Named Event</td>
</tr>
<tr>
<th scope="row" class="row-header">Trigger Name</th>
<td class="content-container">encounter-end</td>
</tr>
<tr>
<th colspan="2" scope="row" class="row-header">PlanDefinition Action</th>
</tr>
<tr>
<th scope="row" class="row-header">Id</th>
<td class="content-container">evaluate-measure</td>
</tr>
<tr>
<th scope="row" class="row-header">Description</th>
<td class="content-container">This action represents the evaluation of the measure.</td>
</tr>
<tr>
<th scope="row" class="row-header">Human-interpretable Description</th>
<td class="content-container">Evaluate measure</td>
</tr>
<tr>
<th scope="row" class="row-header">Code</th>
<td class="content-container">
evaluate-measure from <a href="http://hl7.org/fhir/us/medmorph/CodeSystem/us-ph-plandefinition-actions">http://hl7.org/fhir/us/medmorph/CodeSystem/us-ph-plandefinition-actions</a>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Input Data Requirement</th>
<td class="content-container">
<em>Type</em>: Patient
<br/>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Input Data Requirement</th>
<td class="content-container">
<em>Type</em>: Condition
<br/>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Input Data Requirement</th>
<td class="content-container">
<em>Type</em>: Encounter
<br/>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Input Data Requirement</th>
<td class="content-container">
<em>Type</em>: MedicationRequest
<br/>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Input Data Requirement</th>
<td class="content-container">
<em>Type</em>: Observation
<br/>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Output Data Requirement</th>
<td class="content-container">
<em>Type</em>: MeasureReport
<br/>
<em>Profile(s)</em>:
<code>http://hl7.org/fhir/MeasureReport</code>
<br/>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Definition</th>
<td class="content-container"><a href="Measure-SeenPatients.html">Seen Patients</a></td>
</tr>
<tr>
<th colspan="2" scope="row" class="row-header">PlanDefinition Action</th>
</tr>
<tr>
<th scope="row" class="row-header">Id</th>
<td class="content-container">report-ds</td>
</tr>
<tr>
<th scope="row" class="row-header">Description</th>
<td class="content-container">This action represents the reporting of the Chronic Disease Surveillance event.</td>
</tr>
<tr>
<th scope="row" class="row-header">Human-interpretable Description</th>
<td class="content-container">Report Chronic Disease Surveillance</td>
</tr>
<tr>
<th scope="row" class="row-header">Code</th>
<td class="content-container">
execute-reporting-workflow from <a href="http://hl7.org/fhir/us/medmorph/CodeSystem/us-ph-plandefinition-actions">http://hl7.org/fhir/us/medmorph/CodeSystem/us-ph-plandefinition-actions</a>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Condition</th>
<td class="content-container">
<em>Kind</em>: Applicability
<br/>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Input Data Requirement</th>
<td class="content-container">
<em>Type</em>: MeasureReport
<br/>
</td>
</tr>
<tr>
<th colspan="2" scope="row" class="row-header">PlanDefinition Sub-Action (Parent Action ID: report-ds)</th>
</tr>
<tr>
<th scope="row" class="row-header">Id</th>
<td class="content-container">create-eicr</td>
</tr>
<tr>
<th scope="row" class="row-header">Description</th>
<td class="content-container">This action invokes the creation of the eICR report.</td>
</tr>
<tr>
<th scope="row" class="row-header">Human-interpretable Description</th>
<td class="content-container">Create eICR</td>
</tr>
<tr>
<th scope="row" class="row-header">Code</th>
<td class="content-container">
create-report from <a href="http://hl7.org/fhir/us/medmorph/CodeSystem/us-ph-plandefinition-actions">http://hl7.org/fhir/us/medmorph/CodeSystem/us-ph-plandefinition-actions</a>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Input Data Requirement</th>
<td class="content-container">
<em>Type</em>: Patient
<br/>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Input Data Requirement</th>
<td class="content-container">
<em>Type</em>: Condition
<br/>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Input Data Requirement</th>
<td class="content-container">
<em>Type</em>: Encounter
<br/>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Input Data Requirement</th>
<td class="content-container">
<em>Type</em>: MedicationRequest
<br/>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Input Data Requirement</th>
<td class="content-container">
<em>Type</em>: Observation
<br/>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Input Data Requirement</th>
<td class="content-container">
<em>Type</em>: MeasureReport
<br/>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Output Data Requirement</th>
<td class="content-container">
<em>Type</em>: Bundle
<br/>
<em>Profile(s)</em>:
<code>http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-measurereport-bundle</code>
<br/>
</td>
</tr>
<tr>
<th colspan="2" scope="row" class="row-header">PlanDefinition Sub-Action</th>
</tr>
<tr>
<th scope="row" class="row-header">Id</th>
<td class="content-container">create-eicr</td>
</tr>
<tr>
<th scope="row" class="row-header">Description</th>
<td class="content-container">This action invokes the creation of the eICR report.</td>
</tr>
<tr>
<th scope="row" class="row-header">Human-interpretable Description</th>
<td class="content-container">Create eICR</td>
</tr>
<tr>
<th scope="row" class="row-header">Code</th>
<td class="content-container">
create-report from <a href="http://hl7.org/fhir/us/medmorph/CodeSystem/us-ph-plandefinition-actions">http://hl7.org/fhir/us/medmorph/CodeSystem/us-ph-plandefinition-actions</a>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Input Data Requirement</th>
<td class="content-container">
<em>Type</em>: Patient
<br/>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Input Data Requirement</th>
<td class="content-container">
<em>Type</em>: Condition
<br/>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Input Data Requirement</th>
<td class="content-container">
<em>Type</em>: Encounter
<br/>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Input Data Requirement</th>
<td class="content-container">
<em>Type</em>: MedicationRequest
<br/>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Input Data Requirement</th>
<td class="content-container">
<em>Type</em>: Observation
<br/>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Input Data Requirement</th>
<td class="content-container">
<em>Type</em>: MeasureReport
<br/>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Output Data Requirement</th>
<td class="content-container">
<em>Type</em>: Bundle
<br/>
<em>Profile(s)</em>:
<code>http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-measurereport-bundle</code>
<br/>
</td>
</tr>
<tr>
<th colspan="2" scope="row" class="row-header">PlanDefinition Sub-Action (Parent Action ID: report-ds)</th>
</tr>
<tr>
<th scope="row" class="row-header">Id</th>
<td class="content-container">validate-eicr</td>
</tr>
<tr>
<th scope="row" class="row-header">Description</th>
<td class="content-container">This action represents the validation of the eICR.</td>
</tr>
<tr>
<th scope="row" class="row-header">Human-interpretable Description</th>
<td class="content-container">Validate eICR</td>
</tr>
<tr>
<th scope="row" class="row-header">Code</th>
<td class="content-container">
validate-report from <a href="http://hl7.org/fhir/us/medmorph/CodeSystem/us-ph-plandefinition-actions">http://hl7.org/fhir/us/medmorph/CodeSystem/us-ph-plandefinition-actions</a>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Input Data Requirement</th>
<td class="content-container">
<em>Type</em>: Bundle
<br/>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Output Data Requirement</th>
<td class="content-container">
<em>Type</em>: Bundle
<br/>
<em>Profile(s)</em>:
<a href="http://hl7.org/fhir/us/ecr/2021Jan/StructureDefinition-eicr-document-bundle.html">eICR Document Bundle</a>
<br/>
</td>
</tr>
<tr>
<th colspan="2" scope="row" class="row-header">PlanDefinition Sub-Action</th>
</tr>
<tr>
<th scope="row" class="row-header">Id</th>
<td class="content-container">validate-eicr</td>
</tr>
<tr>
<th scope="row" class="row-header">Description</th>
<td class="content-container">This action represents the validation of the eICR.</td>
</tr>
<tr>
<th scope="row" class="row-header">Human-interpretable Description</th>
<td class="content-container">Validate eICR</td>
</tr>
<tr>
<th scope="row" class="row-header">Code</th>
<td class="content-container">
validate-report from <a href="http://hl7.org/fhir/us/medmorph/CodeSystem/us-ph-plandefinition-actions">http://hl7.org/fhir/us/medmorph/CodeSystem/us-ph-plandefinition-actions</a>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Input Data Requirement</th>
<td class="content-container">
<em>Type</em>: Bundle
<br/>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Output Data Requirement</th>
<td class="content-container">
<em>Type</em>: Bundle
<br/>
<em>Profile(s)</em>:
<a href="http://hl7.org/fhir/us/ecr/2021Jan/StructureDefinition-eicr-document-bundle.html">eICR Document Bundle</a>
<br/>
</td>
</tr>
<tr>
<th colspan="2" scope="row" class="row-header">PlanDefinition Sub-Action (Parent Action ID: report-ds)</th>
</tr>
<tr>
<th scope="row" class="row-header">Id</th>
<td class="content-container">submit-eicr</td>
</tr>
<tr>
<th scope="row" class="row-header">Description</th>
<td class="content-container">This action represents the validation of the eICR.</td>
</tr>
<tr>
<th scope="row" class="row-header">Human-interpretable Description</th>
<td class="content-container">Submit eICR</td>
</tr>
<tr>
<th scope="row" class="row-header">Code</th>
<td class="content-container">
submit-report from <a href="http://hl7.org/fhir/us/medmorph/CodeSystem/us-ph-plandefinition-actions">http://hl7.org/fhir/us/medmorph/CodeSystem/us-ph-plandefinition-actions</a>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Input Data Requirement</th>
<td class="content-container">
<em>Type</em>: Bundle
<br/>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Output Data Requirement</th>
<td class="content-container">
<em>Type</em>: Bundle
<br/>
<em>Profile(s)</em>:
<a href="http://hl7.org/fhir/us/ecr/2021Jan/StructureDefinition-eicr-document-bundle.html">eICR Document Bundle</a>
<br/>
</td>
</tr>
<tr>
<th colspan="2" scope="row" class="row-header">PlanDefinition Sub-Action</th>
</tr>
<tr>
<th scope="row" class="row-header">Id</th>
<td class="content-container">submit-eicr</td>
</tr>
<tr>
<th scope="row" class="row-header">Description</th>
<td class="content-container">This action represents the validation of the eICR.</td>
</tr>
<tr>
<th scope="row" class="row-header">Human-interpretable Description</th>
<td class="content-container">Submit eICR</td>
</tr>
<tr>
<th scope="row" class="row-header">Code</th>
<td class="content-container">
submit-report from <a href="http://hl7.org/fhir/us/medmorph/CodeSystem/us-ph-plandefinition-actions">http://hl7.org/fhir/us/medmorph/CodeSystem/us-ph-plandefinition-actions</a>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Input Data Requirement</th>
<td class="content-container">
<em>Type</em>: Bundle
<br/>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Output Data Requirement</th>
<td class="content-container">
<em>Type</em>: Bundle
<br/>
<em>Profile(s)</em>:
<a href="http://hl7.org/fhir/us/ecr/2021Jan/StructureDefinition-eicr-document-bundle.html">eICR Document Bundle</a>
<br/>
</td>
</tr>
<tr>
<th colspan="2" scope="row" class="row-header">PlanDefinition Logic</th>
</tr>
<tr>
<th scope="row" class="row-header">Primary Library</th>
<td class="content-container"><a href="Library-SeenPatients.html">Seen Patients</a></td>
</tr>
<tr>
<th scope="row" class="row-header">Dependency</th>
<td class="content-container">
<em>Description</em>: FHIR model information
<br/>
<em>Resource</em>: <code>http://fhir.org/guides/cqf/common/Library/FHIR-ModelInfo|4.0.1</code>
<br/>
<em>Canonical URL</em>: <tt>http://fhir.org/guides/cqf/common/Library/FHIR-ModelInfo|4.0.1</tt>
</td>
</tr>
<tr>
<th scope="row" rowspan="2" class="row-header">
Logic Definition
</th>
</tr>
<tr>
</tr>
<tr>
<th colspan="2" scope="row" class="row-header">Generated using version 0.5.1-cibuild of the sample-content-ig Liquid templates</th>
</tr>
</tbody>
</table>
</div>
</text>
<contained>
<Library>
<id value="effective-data-requirements"/>
<name value="EffectiveDataRequirements"/>
<status value="active"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/library-type"/>
<code value="module-definition"/>
</coding>
</type>
<relatedArtifact>
<type value="depends-on"/>
<display value="FHIR model information"/>
<resource
value="http://fhir.org/guides/cqf/common/Library/FHIR-ModelInfo|4.0.1"/>
</relatedArtifact>
</Library>
</contained>
<extension
url="http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-effectiveDataRequirements" id="effective-data-requirements">
<valueCanonical value="#effective-data-requirements"/>
</extension>
<extension
url="http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem">
<valueReference>
<reference value="Device/cqf-tooling"/>
</valueReference>
</extension>
<url
value="http://fhir.org/guides/cqf/aphl/chronic-ds/PlanDefinition/ChronicDSSeenPatients"/>
<version value="0.1.0"/>
<name value="ChronicDSSeenPatients"/>
<title
value="Chronic Disease Surveillance Reporting Specification for Seen Patients Cohort"/>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/plan-definition-type"/>
<code value="workflow-definition"/>
<display value="Workflow Definition"/>
</coding>
</type>
<status value="active"/>
<experimental value="true"/>
<date value="2025-09-25T08:40:03.823-05:00"/>
<publisher value="Clinical Quality Framework"/>
<contact>
<telecom>
<system value="url"/>
<value value="http://cqframework.org"/>
</telecom>
</contact>
<description
value="Reporting specification for Chronic Disease Surveillance for Seen Patients Cohort"/>
<jurisdiction>
<coding>
<system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
<code value="001"/>
</coding>
</jurisdiction>
<effectivePeriod>
<start value="2021-06-01"/>
</effectivePeriod>
<library
value="http://fhir.org/guides/cqf/aphl/chronic-ds/Library/SeenPatients"/>
<action id="start">
<description
value="This action represents the start of the reporting workflow in response to the encounter-end event"/>
<textEquivalent
value="Start the reporting workflow in response to an encounter-end event"/>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/medmorph/CodeSystem/us-ph-plandefinition-actions"/>
<code value="initiate-reporting-workflow"/>
</coding>
</code>
<trigger id="encounter-end">
<type value="named-event"/>
<name value="encounter-end"/>
</trigger>
<relatedAction>
<actionId value="evaluate-measure"/>
<relationship value="before-start"/>
<offsetDuration>
<value value="24"/>
<system value="http://unitsofmeasure.org"/>
<code value="h"/>
</offsetDuration>
</relatedAction>
</action>
<action id="evaluate-measure">
<description
value="This action represents the evaluation of the measure."/>
<textEquivalent value="Evaluate measure"/>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/medmorph/CodeSystem/us-ph-plandefinition-actions"/>
<code value="evaluate-measure"/>
</coding>
</code>
<input id="patient">
<type value="Patient"/>
</input>
<input id="conditions">
<type value="Condition"/>
</input>
<input id="encounter">
<type value="Encounter"/>
</input>
<input id="mr">
<type value="MedicationRequest"/>
</input>
<input id="obs">
<type value="Observation"/>
</input>
<output id="measurereport">
<type value="MeasureReport"/>
<profile value="http://hl7.org/fhir/MeasureReport"/>
</output>
<relatedAction>
<actionId value="report-ds"/>
<relationship value="before-start"/>
</relatedAction>
<definitionCanonical
value="http://fhir.org/guides/cqf/aphl/chronic-ds/Measure/SeenPatients"/>
</action>
<action id="report-ds">
<description
value="This action represents the reporting of the Chronic Disease Surveillance event."/>
<textEquivalent value="Report Chronic Disease Surveillance"/>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/medmorph/CodeSystem/us-ph-plandefinition-actions"/>
<code value="execute-reporting-workflow"/>
</coding>
</code>
<condition>
<kind value="applicability"/>
<expression>
<language value="text/fhirpath"/>
<expression
value="%measurereport.exists() and %measurereport.group.select(population).where(code.coding.where(code = 'initial-population').exists() and count > 0).exists()"/>
</expression>
</condition>
<input id="measurereport">
<type value="MeasureReport"/>
</input>
<action id="create-eicr">
<description
value="This action invokes the creation of the eICR report."/>
<textEquivalent value="Create eICR"/>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/medmorph/CodeSystem/us-ph-plandefinition-actions"/>
<code value="create-report"/>
</coding>
</code>
<input id="patient">
<type value="Patient"/>
</input>
<input id="conditions">
<type value="Condition"/>
</input>
<input id="encounter">
<type value="Encounter"/>
</input>
<input id="mr">
<type value="MedicationRequest"/>
</input>
<input id="obs">
<type value="Observation"/>
</input>
<input id="measurereport">
<type value="MeasureReport"/>
</input>
<output id="eicr-report-ChronicDSSeenPatients">
<type value="Bundle"/>
<profile
value="http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-measurereport-bundle"/>
</output>
<relatedAction>
<actionId value="validate-eicr"/>
<relationship value="before-start"/>
</relatedAction>
</action>
<action id="validate-eicr">
<description
value="This action represents the validation of the eICR."/>
<textEquivalent value="Validate eICR"/>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/medmorph/CodeSystem/us-ph-plandefinition-actions"/>
<code value="validate-report"/>
</coding>
</code>
<input id="eicr-report-ChronicDSSeenPatients">
<extension
url="http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-relateddata-extension">
<valueString value="eicr-report-ChronicDSSeenPatients"/>
</extension>
<type value="Bundle"/>
</input>
<output id="validated-eicr-report">
<type value="Bundle"/>
<profile
value="http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-document-bundle"/>
</output>
<relatedAction>
<actionId value="submit-eicr"/>
<relationship value="before-start"/>
</relatedAction>
</action>
<action id="submit-eicr">
<description
value="This action represents the validation of the eICR."/>
<textEquivalent value="Submit eICR"/>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/medmorph/CodeSystem/us-ph-plandefinition-actions"/>
<code value="submit-report"/>
</coding>
</code>
<input id="validated-eicr-report">
<extension
url="http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-relateddata-extension">
<valueString value="validated-eicr-report"/>
</extension>
<type value="Bundle"/>
</input>
<output id="eicr-report-submitted">
<type value="Bundle"/>
<profile
value="http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-document-bundle"/>
</output>
</action>
</action>
</PlanDefinition>