Metadata Title Breast Cancer Screening FHIR Version 0.0.001 Identifier BreastCancerScreeningFHIR Topic FHIR Topic CQL Description Breast Cancer Screening FHIR 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 SDE Resource: SupplementalDataElementsversion: null3.5.000) Canonical URL: https://madie.cms.gov/Library/SupplementalDataElements|3.5.000 Dependency Description: Library QICoreCommon Resource: QICoreCommonversion: null2.1.000) Canonical URL: https://madie.cms.gov/Library/QICoreCommon|2.1.000 Dependency Description: Library AdultOutpatientEncounters Resource: AdultOutpatientEncountersversion: null4.11.000) Canonical URL: https://madie.cms.gov/Library/AdultOutpatientEncounters|4.11.000 Dependency Description: Library Hospice Resource: Hospiceversion: null6.12.000) Canonical URL: https://madie.cms.gov/Library/Hospice|6.12.000 Dependency Description: Library Status Resource: Statusversion: null1.8.000) Canonical URL: https://madie.cms.gov/Library/Status|1.8.000 Dependency Description: Library PalliativeCare Resource: PalliativeCareversion: null1.11.000) Canonical URL: https://madie.cms.gov/Library/PalliativeCare|1.11.000 Dependency Description: Library AIFrailLTCF Resource: AdvancedIllnessandFrailtyversion: null1.16.000) Canonical URL: https://madie.cms.gov/Library/AdvancedIllnessandFrailty|1.16.000 Dependency Description: Code System AdministrativeGender Resource: AdministrativeGender Canonical URL: http://terminology.hl7.org/CodeSystem/v3-AdministrativeGender Dependency Description: Code System SNOMEDCT Resource: SNOMED CT (all versions) Canonical URL: http://snomed.info/sct Dependency Description: Code System LOINC Resource: Logical Observation Identifiers, Names and Codes (LOINC) Canonical URL: http://loinc.org Dependency Description: Value Set Bilateral Mastectomy Resource: Bilateral Mastectomy Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1005 Dependency Description: Value Set History of bilateral mastectomy Resource: History of bilateral mastectomy Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1068 Dependency Description: Value Set Mammography Resource: Mammography Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1018 Dependency Description: Value Set Status Post Left Mastectomy Resource: Status Post Left Mastectomy Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1069 Dependency Description: Value Set Status Post Right Mastectomy Resource: Status Post Right Mastectomy Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1070 Dependency Description: Value Set Unilateral Mastectomy Left Resource: Unilateral Mastectomy Left Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1133 Dependency Description: Value Set Unilateral Mastectomy Right Resource: Unilateral Mastectomy Right Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1134 Dependency Description: Value Set Unilateral Mastectomy, Unspecified Laterality Resource: Unilateral Mastectomy, Unspecified Laterality Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1071 Data Requirement Type: Condition Profile(s): QICoreCondition Code Filter(s): Path: code ValueSet: Status Post Right Mastectomy Data Requirement Type: Procedure Profile(s): QICoreProcedure Code Filter(s): Path: code ValueSet: Unilateral Mastectomy Right Data Requirement Type: Condition Profile(s): QICoreCondition Code Filter(s): Path: code ValueSet: Status Post Left Mastectomy Data Requirement Type: Condition Profile(s): QICoreCondition Code Filter(s): Path: code ValueSet: Unilateral Mastectomy, Unspecified Laterality Data Requirement Type: Procedure Profile(s): QICoreProcedure Code Filter(s): Path: code ValueSet: Unilateral Mastectomy Left Data Requirement Type: Condition Profile(s): QICoreCondition Code Filter(s): Path: code ValueSet: History of bilateral mastectomy Data Requirement Type: Procedure Profile(s): QICoreProcedure Code Filter(s): Path: code ValueSet: Bilateral Mastectomy Data Requirement Type: Observation Profile(s): QICoreObservation Code Filter(s): Path: code ValueSet: Mammography Parameters Name Use Card. Type Documentation Measurement Period In 0..1 Period Patient Out 0..1 Resource Initial Population Out 0..1 boolean Denominator Out 0..1 boolean Right Mastectomy Diagnosis Out 0..* Resource Right Mastectomy Procedure Out 0..* Resource Left Mastectomy Diagnosis Out 0..* Resource Left Mastectomy Procedure Out 0..* Resource Bilateral Mastectomy Diagnosis Out 0..* Resource Bilateral Mastectomy Procedure Out 0..* Resource Denominator Exclusions Out 0..1 boolean October 1 Two Years Prior to the Measurement Period Out 0..1 dateTime Numerator Out 0..1 boolean SDE Ethnicity Out 0..1 Resource SDE Payer Out 0..* Resource SDE Race Out 0..1 Resource SDE Sex Out 0..1 Coding Library Content CQL Content library BreastCancerScreeningFHIR version '0.0.001' using QICore version '4.1.1' include FHIRHelpers version '4.4.000' called FHIRHelpers include SupplementalDataElements version '3.5.000' called SDE include QICoreCommon version '2.1.000' called QICoreCommon include AdultOutpatientEncounters version '4.11.000' called AdultOutpatientEncounters include Hospice version '6.12.000' called Hospice include Status version '1.8.000' called Status include PalliativeCare version '1.11.000' called PalliativeCare include AdvancedIllnessandFrailty version '1.16.000' called AIFrailLTCF codesystem "AdministrativeGender": 'http://terminology.hl7.org/CodeSystem/v3-AdministrativeGender' codesystem "SNOMEDCT": 'http://snomed.info/sct' codesystem "LOINC": 'http://loinc.org' valueset "Bilateral Mastectomy": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1005' valueset "History of bilateral mastectomy": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1068' valueset "Mammography": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1018' valueset "Status Post Left Mastectomy": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1069' valueset "Status Post Right Mastectomy": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1070' valueset "Unilateral Mastectomy Left": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1133' valueset "Unilateral Mastectomy Right": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1134' valueset "Unilateral Mastectomy, Unspecified Laterality": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1071' code "Female": 'F' from "AdministrativeGender" display 'Female' code "Left (qualifier value)": '7771000' from "SNOMEDCT" display 'Left (qualifier value)' code "Right (qualifier value)": '24028007' from "SNOMEDCT" display 'Right (qualifier value)' parameter "Measurement Period" Interval<DateTime> default Interval[@2025-01-01T00:00:00.000Z, @2025-12-31T23:59:59.999Z] context Patient define "Initial Population": AgeInYearsAt(date from end of "Measurement Period" ) in Interval[52, 74] and Patient.gender = 'female' and exists AdultOutpatientEncounters."Qualifying Encounters" define "Denominator": "Initial Population" define "Denominator Exclusions": Hospice."Has Hospice Services" or ( ( exists ( "Right Mastectomy Diagnosis" ) or exists ( "Right Mastectomy Procedure" ) ) and ( exists ( "Left Mastectomy Diagnosis" ) or exists ( "Left Mastectomy Procedure" ) ) ) or exists "Bilateral Mastectomy Diagnosis" or exists "Bilateral Mastectomy Procedure" or AIFrailLTCF."Is Age 66 or Older with Advanced Illness and Frailty" or AIFrailLTCF."Is Age 66 or Older Living Long Term in a Nursing Home" or PalliativeCare."Has Palliative Care in the Measurement Period" define "Right Mastectomy Diagnosis": ( [Condition: "Status Post Right Mastectomy"] RightMastectomyProcedure union ( [Condition: "Unilateral Mastectomy, Unspecified Laterality"] UnilateralMastectomyDiagnosis where exists ( UnilateralMastectomyDiagnosis.bodySite S where S ~ "Right (qualifier value)" ) ) ) RightMastectomy where RightMastectomy.prevalenceInterval ( ) starts on or before end of "Measurement Period" define "Right Mastectomy Procedure": ( ( [Procedure: "Unilateral Mastectomy Right"] ).isProcedurePerformed ( ) ) UnilateralMastectomyRightPerformed where UnilateralMastectomyRightPerformed.performed.toInterval ( ) ends on or before end of "Measurement Period" define "Left Mastectomy Diagnosis": ( [Condition: "Status Post Left Mastectomy"] union ( [Condition: "Unilateral Mastectomy, Unspecified Laterality"] UnilateralMastectomyDiagnosis where exists ( UnilateralMastectomyDiagnosis.bodySite S where S ~ "Left (qualifier value)" ) ) ) LeftMastectomy where LeftMastectomy.prevalenceInterval ( ) starts on or before end of "Measurement Period" define "Left Mastectomy Procedure": ( ( [Procedure: "Unilateral Mastectomy Left"] ).isProcedurePerformed ( ) ) UnilateralMastectomyLeftPerformed where UnilateralMastectomyLeftPerformed.performed.toInterval ( ) ends on or before end of "Measurement Period" define "Bilateral Mastectomy Diagnosis": [Condition: "History of bilateral mastectomy"] BilateralMastectomyHistory where BilateralMastectomyHistory.prevalenceInterval ( ) starts on or before end of "Measurement Period" define "Bilateral Mastectomy Procedure": ( ( [Procedure: "Bilateral Mastectomy"] ).isProcedurePerformed ( ) ) BilateralMastectomyPerformed where BilateralMastectomyPerformed.performed.toInterval ( ) ends on or before end of "Measurement Period" define "Numerator": exists ( ( ( [Observation: "Mammography"] ).isDiagnosticStudyPerformed ( ) ) Mammogram where Mammogram.effective.toInterval ( ) ends during day of Interval["October 1 Two Years Prior to the Measurement Period", end of "Measurement Period"] ) define "October 1 Two Years Prior to the Measurement Period": DateTime((year from start of "Measurement Period" - 2), 10, 1, 0, 0, 0, 0, 0) define "SDE Ethnicity": SDE."SDE Ethnicity" define "SDE Payer": SDE."SDE Payer" define "SDE Race": SDE."SDE Race" define "SDE Sex": SDE."SDE Sex" ELM XML Content Encoded data ELM JSON Content Encoded data Generated using version 0.5.4-cibuild of the sample-content-ig Liquid templates
Value Set History of bilateral mastectomy
Value Set Unilateral Mastectomy, Unspecified Laterality
October 1 Two Years Prior to the Measurement Period