Clinical Quality Framework Common FHIR Assets (US-Based)
0.1.0 - CI Build United States of America (USA)

Clinical Quality Framework Common FHIR Assets (US-Based), 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/cqf-us/ and changes regularly. See the Directory of published versions

Artifacts Summary

Contents:

This page provides a list of the FHIR artifacts defined as part of this implementation guide.

Knowledge Artifacts: Libraries

These define logic, asset collections and other libraries as part of content in this implementation guide.

Library/CumulativeMedicationDuration
Library/ExamplePatientAndCoverageInitialExpressions
Library/FHIRHelpers
Library/GMTPInitialExpressions
Library/MBODAInitialExpressions
Library/MNACInitialExpressions
Library/UPPARFInitialExpressions
Library/USCoreCommon
Library/USCoreElements
Library/USCoreTests

Structures: Questionnaires

These define forms used by systems conforming to this implementation guide to capture or expose data to end users.

Example Patient and Coverage Questionnaire

For the Prior Authorization Questionnaire Use Case, this type of in-context information is expected to be known already so it wouldn’t typically be in a Questionnaire. This example illustrates how to get this information if it is needed.
Genetic/Molecular testing preauthorization request

Automated online preauthorization is available for some tests. Please log into the Availity Portal at Availity.com for a list of available questionnaires. If the appropriate questionnaire is not available, please complete this form.
Humana Uniform Pharmacy Prior Authorization Request Form

Humana Uniform Pharmacy Prior Authorization Request Form
Medical Benefit Outpatient Drug Authorization Form

Drugs administered by healthcare professionals in an outpatient setting are covered under the Medical Benefit. Information on drugs requiring prior authorization can be found on NaviNet.net or the For Providers section of the Geisinger Health Plan website.
Medical Necessity For Authorization Of Catheters

The Health Care Authority requires this form for all clients requesting sterile closed catheter.

Other

These are resources that are used within this implementation guide that do not fit into one of the other categories.

Device/cqf-tooling
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