Metadata Title Colon Cancer Screening FHIR Version 0.1.000 Identifier ColonCancerScreeningFHIR Topic FHIR Topic CQL Description Colon 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 Hospice Resource: Hospiceversion: null6.12.000) Canonical URL: https://madie.cms.gov/Library/Hospice|6.12.000 Dependency Description: Library PalliativeCare Resource: PalliativeCareversion: null1.11.000) Canonical URL: https://madie.cms.gov/Library/PalliativeCare|1.11.000 Dependency Description: Library AdultOutpatientEncounters Resource: AdultOutpatientEncountersversion: null4.11.000) Canonical URL: https://madie.cms.gov/Library/AdultOutpatientEncounters|4.11.000 Dependency Description: Library AIFrailLTCF Resource: AdvancedIllnessandFrailtyversion: null1.16.000) Canonical URL: https://madie.cms.gov/Library/AdvancedIllnessandFrailty|1.16.000 Dependency Description: Library Status Resource: Statusversion: null1.8.000) Canonical URL: https://madie.cms.gov/Library/Status|1.8.000 Dependency Description: Library QICoreCommon Resource: QICoreCommonversion: null2.1.000) Canonical URL: https://madie.cms.gov/Library/QICoreCommon|2.1.000 Dependency Description: Value Set Colonoscopy Resource: Colonoscopy Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1020 Dependency Description: Value Set CT Colonography Resource: CT Colonography Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1038 Dependency Description: Value Set Fecal Occult Blood Test (FOBT) Resource: Fecal Occult Blood Test (FOBT) Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1011 Dependency Description: Value Set sDNA FIT Test Resource: FIT DNA Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1039 Dependency Description: Value Set Flexible Sigmoidoscopy Resource: Flexible Sigmoidoscopy Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1010 Dependency Description: Value Set Malignant Neoplasm of Colon Resource: Malignant Neoplasm of Colon Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1001 Dependency Description: Value Set Total Colectomy Resource: Total Colectomy Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1019 Data Requirement Type: Condition Profile(s): QICoreCondition Code Filter(s): Path: code ValueSet: Malignant Neoplasm of Colon Data Requirement Type: Procedure Profile(s): QICoreProcedure Code Filter(s): Path: code ValueSet: Total Colectomy Data Requirement Type: Observation Profile(s): QICoreObservation Code Filter(s): Path: code ValueSet: Fecal Occult Blood Test (FOBT) Data Requirement Type: Observation Profile(s): QICoreObservation Code Filter(s): Path: code ValueSet: FIT DNA Data Requirement Type: Procedure Profile(s): QICoreProcedure Code Filter(s): Path: code ValueSet: Flexible Sigmoidoscopy Data Requirement Type: Observation Profile(s): QICoreObservation Code Filter(s): Path: code ValueSet: CT Colonography Data Requirement Type: Procedure Profile(s): QICoreProcedure Code Filter(s): Path: code ValueSet: Colonoscopy Parameters Name Use Card. Type Documentation Measurement Period In 0..1 Period Patient Out 0..1 Resource SDE Ethnicity Out 0..1 Resource SDE Payer Out 0..* Resource SDE Race Out 0..1 Resource SDE Sex Out 0..1 Coding Initial Population Out 0..1 boolean Denominator Out 0..1 boolean Malignant Neoplasm Out 0..* Resource Total Colectomy Performed Out 0..* Resource Denominator Exclusion Out 0..1 boolean Fecal Occult Blood Test Performed Out 0..* Resource Stool DNA with FIT Test Performed Out 0..* Resource Flexible Sigmoidoscopy Performed Out 0..* Resource CT Colonography Performed Out 0..* Resource Colonoscopy Performed Out 0..* Resource Numerator Out 0..1 boolean Stratification 1 Out 0..1 boolean Stratification 2 Out 0..1 boolean Library Content CQL Content library ColonCancerScreeningFHIR version '0.1.000' using QICore version '4.1.1' include FHIRHelpers version '4.4.000' called FHIRHelpers include SupplementalDataElements version '3.5.000' called SDE include Hospice version '6.12.000' called Hospice include PalliativeCare version '1.11.000' called PalliativeCare include AdultOutpatientEncounters version '4.11.000' called AdultOutpatientEncounters include AdvancedIllnessandFrailty version '1.16.000' called AIFrailLTCF include Status version '1.8.000' called Status include QICoreCommon version '2.1.000' called QICoreCommon valueset "Colonoscopy": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1020' valueset "CT Colonography": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1038' valueset "Fecal Occult Blood Test (FOBT)": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1011' valueset "sDNA FIT Test": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1039' valueset "Flexible Sigmoidoscopy": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1010' valueset "Malignant Neoplasm of Colon": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1001' valueset "Total Colectomy": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1019' parameter "Measurement Period" Interval<DateTime> default Interval[@2025-01-01T00:00:00.000Z, @2025-12-31T23:59:59.999Z] context Patient define "SDE Ethnicity": SDE."SDE Ethnicity" define "SDE Payer": SDE."SDE Payer" define "SDE Race": SDE."SDE Race" define "SDE Sex": SDE."SDE Sex" define "Initial Population": AgeInYearsAt(date from end of "Measurement Period" ) in Interval[46, 75] and exists AdultOutpatientEncounters."Qualifying Encounters" define "Denominator": "Initial Population" define "Denominator Exclusion": Hospice."Has Hospice Services" or exists "Malignant Neoplasm" or exists "Total Colectomy Performed" 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 "Numerator": exists "Fecal Occult Blood Test Performed" or exists "Stool DNA with FIT Test Performed" or exists "Flexible Sigmoidoscopy Performed" or exists "CT Colonography Performed" or exists "Colonoscopy Performed" define "Fecal Occult Blood Test Performed": ( ( [Observation: "Fecal Occult Blood Test (FOBT)"] ).isLaboratoryTestPerformed ( ) ) FecalOccultResult where FecalOccultResult.value is not null and FecalOccultResult.effective.latest ( ) during day of "Measurement Period" define "Malignant Neoplasm": ( [Condition: "Malignant Neoplasm of Colon"] ) ColorectalCancer where ColorectalCancer.prevalenceInterval ( ) starts on or before day of end of "Measurement Period" define "Total Colectomy Performed": ( ( [Procedure: "Total Colectomy"] ).isProcedurePerformed ( ) ) Colectomy where Colectomy.performed.toInterval ( ) ends on or before day of end of "Measurement Period" define "Stratification 1": AgeInYearsAt(date from end of "Measurement Period" ) in Interval[46, 49] define "Stratification 2": AgeInYearsAt(date from end of "Measurement Period" ) in Interval[50, 75] define "Colonoscopy Performed": ( ( [Procedure: "Colonoscopy"] ).isProcedurePerformed ( ) ) Colonoscopy where Colonoscopy.performed.toInterval ( ) ends during day of Interval[start of "Measurement Period" - 9 years, end of "Measurement Period"] define "Flexible Sigmoidoscopy Performed": ( ( [Procedure: "Flexible Sigmoidoscopy"] ).isProcedurePerformed ( ) ) FlexibleSigmoidoscopy where FlexibleSigmoidoscopy.performed.toInterval ( ) ends during day of Interval[start of "Measurement Period" - 4 years, end of "Measurement Period"] define "CT Colonography Performed": ( ( [Observation: "CT Colonography"] ).isDiagnosticStudyPerformed ( ) ) Colonography where Colonography.effective.toInterval ( ) ends during day of Interval[start of "Measurement Period" - 4 years, end of "Measurement Period"] define "Stool DNA with FIT Test Performed": ( ( [Observation: "sDNA FIT Test"] ).isLaboratoryTestPerformed ( ) ) sDNATest where sDNATest.value is not null and sDNATest.effective.latest ( ) during day of Interval[start of "Measurement Period" - 2 years, end of "Measurement Period"] 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 Fecal Occult Blood Test (FOBT)