CMS FHIR Quality Measure Development IG, published by Centers for Medicare & Medicaid Services (CMS). This guide is not an authorized publication; it is the continuous build for version 1.0.0-cibuild built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/cqframework/cms-qmd/ and changes regularly. See the Directory of published versions

Communication

Communication

Communication

QI-Core defines the Communication profile to represent communications with or about the patient. It is important to note that the definition of the profile is “A record of information transmitted from a sender to a receiver”. Measure developers looking to model clinical concepts like patient education should use the Procedure profile as that represents “An action that is being or was performed on a patient”.

By default, Communication resources in QI-Core are characterized by the topic element. In comparison to STU 4.1.1, there are no new communication profiles added to STU6 of QI-Core.

define "Lab results communicated":
   ["Communication": "report-labs"] LabReport
       where LabReport.topic = 'report-labs'
       and LabReport.status = 'completed'
       and LabReport.reasonCode = 'Serum pregnancy test negative (finding)'

NOTE: Because the Communication profile does not fix the value of the status element, authors must consider all the possible values for the element to ensure the expression meets measure intent.

NOTE: For the LabReport.reasonCode, this expression uses a direct-reference code of “Serum pregnancy test negative (finding)” (i.e. referencing a specific code from a code system, rather than a value set consisting of multiple codes). For more information on using direct-reference codes in CQL expressions, refer to the Codes topic in the Using CQL with FHIR IG.

Communication not done

QI-Core defines the CommunicationNotDone to represent documentation of the reason a communication was not done. By default, CommunicationNotDone resources in QI-Core are characterized by the topic element.

define "Medication Not Available":
["CommunicationNotDone": "progress update"] ProgressUpdate 
    where ProgressUpdate.topic = 'progress-update'
    and ProgressUpdate.status = 'completed'
    and ProgressUpdate.reasonCode = 'Medication not available from manufacturer (finding)'

NOTE: Because the CommunicationNotDone profile fixes the value of the status element to not-done, this element does not need to be tested in the expression.

NOTE: At this time, direct-reference codes cannot be used as the terminology target of a retrieve of a negation profile. Available workarounds for this issue are to either create a value set with the single required code or to use the long-hand expression of the negation statement.