{ "resourceType" : "PlanDefinition", "id" : "ChronicDSDiabetesPoorControl", "text" : { "status" : "extensions", "div" : "
\n
\n \n \n \n \n \n \n \n\n \n \n \n \n \n \n\n \n \n \n \n \n \n\n \n\n \n \n \n \n \n \n\n \n\n \n\n \n \n \n \n \n \n\n \n \n \n \n \n \n\n \n\n \n \n \n \n \n \n\n \n \n \n \n \n \n\n \n \n \n \n \n \n\n \n\n \n\n \n\n \n \n \n \n \n \n\n \n\n \n\n \n\n \n\n \n\n \n \n \n \n \n \n\n \n\n \n \n \n \n \n \n\n \n \n \n \n \n \n
Id: ChronicDSDiabetesPoorControl
Url: Chronic Disease Surveillance Reporting Specification for Diabetes Hemoglobin A1c Poor Control
Version: 0.1.0
Title: Chronic Disease Surveillance Reporting Specification for Diabetes Hemoglobin A1c Poor Control
Experimental: true
Type: \n \n \n \n

\n system: http://terminology.hl7.org/CodeSystem/plan-definition-type\n

\n \n \n

\n code: workflow-definition\n

\n \n \n

\n display: Workflow Definition\n

\n \n \n \n \n
Date: 2025-09-25 08:40:03-0500
Publisher: Clinical Quality Framework
Description:

Reporting specification for Chronic Disease Surveillance for Diabetes Hemoglobin A1c Poor Control

\n
Jurisdiction: 001
Effective Period: 2021-06-01..
Libraries: \n \n \n \n \n \n \n
DiabetesHemoglobinA1cHbA1cPoorControl9FHIR
\n
Actions: \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n
\n \n Start the reporting workflow in response to an encounter-end event\n \n
\n \n When:\n \n Named Event: encounter-end\n
\n \n \n \n \n \n \n
\n \n Check Reportable\n \n
\n \n \n \n Then:\n \n \n \n \n \n \n
\n \n Check Trigger Codes based on RCTC Value sets.\n \n
\n \n \n If:\n \n Applicability:\n \n (%conditions.exists())\n
\n \n \n \n \n \n
\n \n
\n \n Evaluate measure\n \n
\n \n \n \n \n Then: Definition: Diabetes: Hemoglobin A1c (HbA1c) Poor Control (> 9%)FHIR
\n \n \n \n
\n \n Report Chronic Disease Surveillance\n \n
\n \n \n If:\n \n Applicability:\n \n (%measurereport.exists() and %measurereport.group.select(population).where(code.coding.where(code = 'denominator').exists() and count > 0).exists())\n
\n \n \n \n Then:\n \n \n \n \n \n \n \n \n \n \n \n \n \n \n
\n \n Create eICR\n \n
\n \n \n \n \n \n
\n \n Validate eICR\n \n
\n \n \n \n \n \n
\n \n Submit eICR\n \n
\n \n \n \n \n \n
\n \n
\n
\n
\n
" }, "contained" : [{ "resourceType" : "Library", "id" : "effective-data-requirements", "name" : "EffectiveDataRequirements", "status" : "active", "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/library-type", "code" : "module-definition" }] }, "relatedArtifact" : [{ "type" : "depends-on", "display" : "FHIR model information", "resource" : "http://fhir.org/guides/cqf/common/Library/FHIR-ModelInfo|4.0.1" }] }], "extension" : [{ "id" : "effective-data-requirements", "url" : "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-effectiveDataRequirements", "valueCanonical" : "#effective-data-requirements" }, { "url" : "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem", "valueReference" : { "reference" : "Device/cqf-tooling" } }], "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" : [{ "system" : "http://terminology.hl7.org/CodeSystem/plan-definition-type", "code" : "workflow-definition", "display" : "Workflow Definition" }] }, "status" : "active", "experimental" : true, "date" : "2025-09-25T08:40:03.823-05:00", "publisher" : "Clinical Quality Framework", "contact" : [{ "telecom" : [{ "system" : "url", "value" : "http://cqframework.org" }] }], "description" : "Reporting specification for Chronic Disease Surveillance for Diabetes Hemoglobin A1c Poor Control", "jurisdiction" : [{ "coding" : [{ "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm", "code" : "001" }] }], "effectivePeriod" : { "start" : "2021-06-01" }, "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" : [{ "system" : "http://hl7.org/fhir/us/medmorph/CodeSystem/us-ph-plandefinition-actions", "code" : "initiate-reporting-workflow" }] }], "trigger" : [{ "id" : "encounter-end", "type" : "named-event", "name" : "encounter-end" }], "relatedAction" : [{ "actionId" : "check-reportable", "relationship" : "before-start", "offsetDuration" : { "value" : 24, "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" }] }], "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", "code" : "check-trigger-codes" }] }], "condition" : [{ "kind" : "applicability", "expression" : { "language" : "text/fhirpath", "expression" : "%conditions.exists()" } }], "input" : [{ "id" : "conditions", "type" : "Condition", "codeFilter" : [{ "path" : "code", "valueSet" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.103.12.1001" }] }], "relatedAction" : [{ "actionId" : "evaluate-measure", "relationship" : "before-start" }] }] }, { "id" : "evaluate-measure", "description" : "This action represents the evaluation of the measure.", "textEquivalent" : "Evaluate measure", "code" : [{ "coding" : [{ "system" : "http://hl7.org/fhir/us/medmorph/CodeSystem/us-ph-plandefinition-actions", "code" : "evaluate-measure" }] }], "input" : [{ "id" : "patient", "type" : "Patient" }, { "id" : "conditions", "type" : "Condition" }, { "id" : "encounter", "type" : "Encounter" }, { "id" : "mr", "type" : "MedicationRequest" }, { "id" : "obs", "type" : "Observation" }], "output" : [{ "id" : "measurereport", "type" : "MeasureReport", "profile" : ["http://hl7.org/fhir/MeasureReport"] }], "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" }] }], "condition" : [{ "kind" : "applicability", "expression" : { "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" }], "action" : [{ "id" : "create-eicr", "description" : "This action invokes the creation of the eICR report.", "textEquivalent" : "Create eICR", "code" : [{ "coding" : [{ "system" : "http://hl7.org/fhir/us/medmorph/CodeSystem/us-ph-plandefinition-actions", "code" : "create-report" }] }], "input" : [{ "id" : "patient", "type" : "Patient" }, { "id" : "conditions", "type" : "Condition" }, { "id" : "encounter", "type" : "Encounter" }, { "id" : "mr", "type" : "MedicationRequest" }, { "id" : "obs", "type" : "Observation" }, { "id" : "measurereport", "type" : "MeasureReport" }], "output" : [{ "id" : "eicr-report-ChronicDSDiabetesPoorControl", "type" : "Bundle", "profile" : ["http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-measurereport-bundle"] }], "relatedAction" : [{ "actionId" : "validate-eicr", "relationship" : "before-start" }] }, { "id" : "validate-eicr", "description" : "This action represents the validation of the eICR.", "textEquivalent" : "Validate eICR", "code" : [{ "coding" : [{ "system" : "http://hl7.org/fhir/us/medmorph/CodeSystem/us-ph-plandefinition-actions", "code" : "validate-report" }] }], "input" : [{ "id" : "eicr-report-ChronicDSDiabetesPoorControl", "extension" : [{ "url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-relateddata-extension", "valueString" : "eicr-report-ChronicDSDiabetesPoorControl" }], "type" : "Bundle" }], "output" : [{ "id" : "validated-eicr-report", "type" : "Bundle", "profile" : ["http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-document-bundle"] }], "relatedAction" : [{ "actionId" : "submit-eicr", "relationship" : "before-start" }] }, { "id" : "submit-eicr", "description" : "This action represents the validation of the eICR.", "textEquivalent" : "Submit eICR", "code" : [{ "coding" : [{ "system" : "http://hl7.org/fhir/us/medmorph/CodeSystem/us-ph-plandefinition-actions", "code" : "submit-report" }] }], "input" : [{ "id" : "validated-eicr-report", "extension" : [{ "url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-relateddata-extension", "valueString" : "validated-eicr-report" }], "type" : "Bundle" }], "output" : [{ "id" : "eicr-report-submitted", "type" : "Bundle", "profile" : ["http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-document-bundle"] }] }] }] }