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
Contents:
This page provides a list of the FHIR artifacts defined as part of this implementation guide.
These define workflows, rules, strategies, or protocols as part of content in this implementation guide.
| Chronic Disease Surveillance Reporting Specification for Controlling Blood Pressure |
Reporting specification for Chronic Disease Surveillance for Controlling Blood Pressure |
| Chronic Disease Surveillance Reporting Specification for Diabetes Hemoglobin A1c Poor Control |
Reporting specification for Chronic Disease Surveillance for Diabetes Hemoglobin A1c Poor Control |
| Chronic Disease Surveillance Reporting Specification for Preventive Care and Screening: Screening for Depression and Follow-Up Plan |
Reporting specification for Chronic Disease Surveillance for Preventive Care and Screening: Screening for Depression and Follow-Up Plan |
| Chronic Disease Surveillance Reporting Specification for Seen Patients Cohort |
Reporting specification for Chronic Disease Surveillance for Seen Patients Cohort |
These define measures as part of content in this implementation guide.
| Controlling High Blood Pressure |
Percentage of patients 18-85 years of age who had a diagnosis of essential hypertension starting before and continuing into, or starting during the first six months of the measurement period, and whose most recent blood pressure was adequately controlled (<140/90 mmHg) during the measurement period |
| Diabetes: Hemoglobin A1c (HbA1c) Poor Control (> 9%)FHIR |
Percentage of patients 18-75 years of age with diabetes who had hemoglobin A1c > 9.0% during the measurement period |
| Preventive Care and Screening: Screening for Depression and Follow-Up Plan |
Percentage of patients aged 12 years and older screened for depression on the date of the encounter or up to 14 days prior to the date of the encounter using an age-appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of or up to two days after the date of the qualifying encounter |
| Seen Patients |
Seen patients during the measurement period |
These define logic, asset collections and other libraries as part of content in this implementation guide.
| AdultOutpatientEncountersFHIR4 |
AdultOutpatientEncountersFHIR4 |
| AdvancedIllnessandFrailtyExclusionECQMFHIR4 |
Frailty Exclusion |
| AlphoraCommon | |
| ControllingHighBloodPressureFHIR | |
| ControllingHighBloodPressureFHIRTrigger | |
| DepressionScreeningandFollowUp | |
| DepressionScreeningandFollowUpTrigger | |
| DiabetesHemoglobinA1cHbA1cPoorControl9FHIR |
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (> 9%)FHIR |
| DiabetesHemoglobinA1cHbA1cPoorControl9FHIRTrigger | |
| FHIR Model Definition |
Model definition for the FHIR R4 (v4.0.1) Model |
| FHIRCommon | |
| FHIRHelpers | |
| HospiceFHIR4 |
HospiceFHIR4 |
| MATGlobalCommonFunctionsFHIR4 |
MATGlobalCommonFunctionsFHIR4 |
| PalliativeCareFHIR | |
| Seen Patients | |
| SeenPatientsTrigger | |
| SupplementalDataElementsFHIR4 |
SupplementalDataElementsFHIR4 |
| SurveillanceDataElementsFHIR4 |
Example Surveillance Data Elements for Chronic disease surveillance using quality measure and public health reporting standards |