CMS Draft FHIR Measures
2024.1.0 - CI Build

CMS Draft FHIR Measures, published by cqframework. This guide is not an authorized publication; it is the continuous build for version 2024.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/cqframework/dqm-content-cms-2024/ and changes regularly. See the Directory of published versions

Library: AdultOutpatientEncounters

Official URL: https://madie.cms.gov/Library/AdultOutpatientEncounters Version: 4.11.000
Active as of 2024-05-15 Responsible: National Committee for Quality Assurance Computable Name: AdultOutpatientEncounters
Other Identifiers: https://madie.cms.gov/login#66313ce9633fd342e6fbc53c (use: official, )

This library contains a definition used to identify denominator qualifying encounters.

Metadata
Title AdultOutpatientEncounters
Version 4.11.000
Identifier 66313ce9633fd342e6fbc53c
Topic FHIR
Topic CQL
Steward (Publisher) National Committee for Quality Assurance
Description

This library contains a definition used to identify denominator qualifying encounters.
Type logic-library from http://terminology.hl7.org/CodeSystem/library-type
Dependency Description: Library FHIRHelpers
Resource: FHIRHelpersversion: null4.4.000)
Canonical URL: https://madie.cms.gov/Library/FHIRHelpers|4.4.000
Dependency Description: Library QICoreCommon
Resource: QICoreCommonversion: null2.1.000)
Canonical URL: https://madie.cms.gov/Library/QICoreCommon|2.1.000
Dependency Description: Library Status
Resource: Statusversion: null1.8.000)
Canonical URL: https://madie.cms.gov/Library/Status|1.8.000
Dependency Description: Value Set Annual Wellness Visit
Resource: Annual Wellness Visit
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1240
Dependency Description: Value Set Home Healthcare Services
Resource: Home Healthcare Services
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1016
Dependency Description: Value Set Office Visit
Resource: Office Visit
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001
Dependency Description: Value Set Virtual Encounter
Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1089
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1089
Dependency Description: Value Set Preventive Care Services Established Office Visit, 18 and Up
Resource: Preventive Care Services - Established Office Visit, 18 and Up
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1025
Dependency Description: Value Set Preventive Care Services Initial Office Visit, 18 and Up
Resource: Preventive Care Services-Initial Office Visit, 18 and Up
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1023
Dependency Description: Value Set Telephone Visits
Resource: Telephone Visits
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1080
Data Requirement Type: Encounter
Profile(s): QICoreEncounter
Code Filter(s):
Path: type
ValueSet: Office Visit
Data Requirement Type: Encounter
Profile(s): QICoreEncounter
Code Filter(s):
Path: type
ValueSet: Annual Wellness Visit
Data Requirement Type: Encounter
Profile(s): QICoreEncounter
Code Filter(s):
Path: type
ValueSet: Preventive Care Services - Established Office Visit, 18 and Up
Data Requirement Type: Encounter
Profile(s): QICoreEncounter
Code Filter(s):
Path: type
ValueSet: Preventive Care Services-Initial Office Visit, 18 and Up
Data Requirement Type: Encounter
Profile(s): QICoreEncounter
Code Filter(s):
Path: type
ValueSet: Home Healthcare Services
Data Requirement Type: Encounter
Profile(s): QICoreEncounter
Code Filter(s):
Path: type
ValueSet: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1089
Data Requirement Type: Encounter
Profile(s): QICoreEncounter
Code Filter(s):
Path: type
ValueSet: Telephone Visits
Parameters
Name Use Card. Type Documentation
Measurement Period In 0..1 Period
Patient Out 0..1 Resource
Qualifying Encounters Out 0..* Resource
Library Content
CQL Content 
library AdultOutpatientEncounters version '4.11.000'

using QICore version '4.1.1'

include FHIRHelpers version '4.4.000' called FHIRHelpers
include QICoreCommon version '2.1.000' called QICoreCommon
include Status version '1.8.000' called Status

valueset "Annual Wellness Visit": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1240' 
valueset "Home Healthcare Services": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1016' 
valueset "Office Visit": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001' 
valueset "Virtual Encounter": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1089' 
valueset "Preventive Care Services Established Office Visit, 18 and Up": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1025' 
valueset "Preventive Care Services Initial Office Visit, 18 and Up": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1023' 
valueset "Telephone Visits": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1080' 

parameter "Measurement Period" Interval<DateTime>

context Patient

define "Qualifying Encounters":
  ( ( [Encounter: "Office Visit"]
    union [Encounter: "Annual Wellness Visit"]
    union [Encounter: "Preventive Care Services Established Office Visit, 18 and Up"]
    union [Encounter: "Preventive Care Services Initial Office Visit, 18 and Up"]
    union [Encounter: "Home Healthcare Services"]
    union [Encounter: "Virtual Encounter"]
    union [Encounter: "Telephone Visits"] ).isEncounterPerformed() ) ValidEncounter
    where ValidEncounter.period.toInterval() during day of "Measurement Period"
ELM XML Content 
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ELM JSON Content 
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