Metadata Title PCSDepressionScreenAndFollowUpFHIR Version 0.2.000 Identifier PCSDepressionScreenAndFollowUpFHIR Topic FHIR Topic CQL Description PCSDepressionScreenAndFollowUpFHIR Type logic-library from http://terminology.hl7.org/CodeSystem/library-type Dependency Description: Library QICoreCommon Resource: QICoreCommonversion: null2.1.000) Canonical URL: https://madie.cms.gov/Library/QICoreCommon|2.1.000 Dependency Description: Library SDE Resource: SupplementalDataElementsversion: null3.5.000) Canonical URL: https://madie.cms.gov/Library/SupplementalDataElements|3.5.000 Dependency Description: Library FHIRHelpers Resource: FHIRHelpersversion: null4.4.000) Canonical URL: https://madie.cms.gov/Library/FHIRHelpers|4.4.000 Dependency Description: Code System LOINC Resource: Logical Observation Identifiers, Names and Codes (LOINC) Canonical URL: http://loinc.org Dependency Description: Code System SNOMEDCT Resource: SNOMED CT (all versions) Canonical URL: http://snomed.info/sct Dependency Description: Value Set Adolescent Depression Medications Resource: Adolescent Depression Medications Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1567 Dependency Description: Value Set Adult Depression Medications Resource: Adult Depression Medications Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1566 Dependency Description: Value Set Bipolar Disorder Resource: Bipolar Disorder Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.67.1.101.1.128 Dependency Description: Value Set Encounter to Screen for Depression Resource: Encounter to Screen for Depression Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.1916 Dependency Description: Value Set Follow Up for Adolescent Depression Resource: Follow Up for Adolescent Depression Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1569 Dependency Description: Value Set Follow Up for Adult Depression Resource: Follow Up for Adult Depression Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1568 Dependency Description: Value Set Medical Reason Resource: Medical Reason Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1007 Dependency Description: Value Set Physical Therapy Evaluation Resource: Physical Therapy Evaluation Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1022 Dependency Description: Value Set Referral for Adolescent Depression Resource: Referral for Adolescent Depression Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1570 Dependency Description: Value Set Referral for Adult Depression Resource: Referral for Adult Depression Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1571 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: Encounter to Screen for Depression Data Requirement Type: Encounter Profile(s): QICoreEncounter Code Filter(s): Path: type ValueSet: Physical Therapy Evaluation Data Requirement Type: Encounter Profile(s): QICoreEncounter Code Filter(s): Path: type ValueSet: Telephone Visits Data Requirement Type: Condition Profile(s): QICoreCondition Code Filter(s): Path: code ValueSet: Bipolar Disorder Data Requirement Type: ServiceRequest Profile(s): QICoreServiceRequest Code Filter(s): Path: code ValueSet: Referral for Adolescent Depression Data Requirement Type: Procedure Profile(s): QICoreProcedure Code Filter(s): Path: code ValueSet: Follow Up for Adolescent Depression Data Requirement Type: MedicationRequest Profile(s): QICoreMedicationRequest Data Requirement Type: Medication Profile(s): QICoreMedication Data Requirement Type: ServiceRequest Profile(s): QICoreServiceRequest Code Filter(s): Path: code ValueSet: Referral for Adult Depression Data Requirement Type: Procedure Profile(s): QICoreProcedure Code Filter(s): Path: code ValueSet: Follow Up for Adult Depression Data Requirement Type: Observation Profile(s): QICoreObservationNotDone Code Filter(s): Path: code Code(s): LOINC: 73831-0 (Adolescent depression screening assessment) Data Requirement Type: Observation Profile(s): QICoreObservation Code Filter(s): Path: code Code(s): LOINC: 73831-0 (Adolescent depression screening assessment) Data Requirement Type: Observation Profile(s): QICoreObservationNotDone Code Filter(s): Path: code Code(s): LOINC: 73832-8 (Adult depression screening assessment) Data Requirement Type: Observation Profile(s): QICoreObservation Code Filter(s): Path: code Code(s): LOINC: 73832-8 (Adult depression screening assessment) Parameters Name Use Card. Type Documentation Measurement Period In 0..1 Period Patient Out 0..1 Resource Patient Age 12 Years or Older at Start of Measurement Period Out 0..1 boolean Qualifying Encounter During Measurement Period Out 0..* Resource Initial Population Out 0..1 boolean Denominator Out 0..1 boolean History of Bipolar Diagnosis Before Qualifying Encounter Out 0..* Resource Denominator Exclusions Out 0..1 boolean Patient Age 12 to 16 Years at Start of Measurement Period Out 0..1 boolean Most Recent Adolescent Depression Screening Out 0..1 Resource Has Most Recent Adolescent Screening Negative Out 0..1 boolean Follow Up Intervention for Positive Adolescent Depression Screening Out 0..* Resource Most Recent Adolescent Depression Screening Positive and Follow Up Provided Out 0..* Resource Patient Age 17 Years at Start of Measurement Period Out 0..1 boolean Most Recent Adult Depression Screening Out 0..1 Resource Has Most Recent Adult Screening Negative Out 0..1 boolean Follow Up Intervention for Positive Adult Depression Screening Out 0..* Resource Most Recent Adult Depression Screening Positive and Follow Up Provided Out 0..* Resource Patient Age 18 Years or Older at Start of Measurement Period Out 0..1 boolean Numerator Out 0..1 boolean Medical or Patient Reason for Not Screening Adolescent for Depression Out 0..* Resource Has Adolescent Depression Screening Out 0..1 boolean Medical or Patient Reason for Not Screening Adult for Depression Out 0..* Resource Has Adult Depression Screening Out 0..1 boolean Denominator Exceptions 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 PCSDepressionScreenAndFollowUpFHIR version '0.2.000' using QICore version '4.1.1' include QICoreCommon version '2.1.000' called QICoreCommon include SupplementalDataElements version '3.5.000' called SDE include FHIRHelpers version '4.4.000' called FHIRHelpers codesystem "LOINC": 'http://loinc.org' codesystem "SNOMEDCT": 'http://snomed.info/sct' valueset "Adolescent Depression Medications": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1567' valueset "Adult Depression Medications": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1566' valueset "Bipolar Disorder": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.67.1.101.1.128' valueset "Encounter to Screen for Depression": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.1916' valueset "Follow Up for Adolescent Depression": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1569' valueset "Follow Up for Adult Depression": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1568' valueset "Medical Reason": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1007' valueset "Physical Therapy Evaluation": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1022' valueset "Referral for Adolescent Depression": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1570' valueset "Referral for Adult Depression": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1571' valueset "Telephone Visits": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1080' code "Adolescent depression screening assessment": '73831-0' from "LOINC" display 'Adolescent depression screening assessment' code "Adult depression screening assessment": '73832-8' from "LOINC" display 'Adult depression screening assessment' code "Depression screening declined (situation)": '720834000' from "SNOMEDCT" display 'Depression screening declined (situation)' code "Depression screening negative (finding)": '428171000124102' from "SNOMEDCT" display 'Depression screening negative (finding)' code "Depression screening positive (finding)": '428181000124104' from "SNOMEDCT" display 'Depression screening positive (finding)' parameter "Measurement Period" Interval<DateTime> default Interval[@2025-01-01T00:00:00.000Z, @2025-12-31T23:59:59.999Z] context Patient define "Initial Population": "Patient Age 12 Years or Older at Start of Measurement Period" and exists ( "Qualifying Encounter During Measurement Period" ) define "Denominator": "Initial Population" define "Denominator Exclusions": exists "History of Bipolar Diagnosis Before Qualifying Encounter" define "Numerator": ( "Patient Age 12 to 16 Years at Start of Measurement Period" and ( "Has Most Recent Adolescent Screening Negative" or exists "Most Recent Adolescent Depression Screening Positive and Follow Up Provided" ) ) or ( "Patient Age 17 Years at Start of Measurement Period" and ( "Has Most Recent Adolescent Screening Negative" or exists "Most Recent Adolescent Depression Screening Positive and Follow Up Provided" or "Has Most Recent Adult Screening Negative" or exists "Most Recent Adult Depression Screening Positive and Follow Up Provided" ) ) or ( "Patient Age 18 Years or Older at Start of Measurement Period" and ( "Has Most Recent Adult Screening Negative" or exists "Most Recent Adult Depression Screening Positive and Follow Up Provided" ) ) define "Denominator Exceptions": ( exists "Medical or Patient Reason for Not Screening Adolescent for Depression" and not "Has Adolescent Depression Screening" ) or ( exists "Medical or Patient Reason for Not Screening Adult for Depression" and not "Has Adult Depression Screening" ) define "Follow Up Intervention for Positive Adolescent Depression Screening": ( ( [MedicationRequest: "Adolescent Depression Medications"] AdolescentMed where AdolescentMed.status in { 'active', 'completed' } and AdolescentMed.intent = 'order' ) union ( [ServiceRequest: "Referral for Adolescent Depression"] AdolescentReferral where AdolescentReferral.status in { 'active', 'completed' } ) union ( [Procedure: "Follow Up for Adolescent Depression"] AdolescentFollowUp where AdolescentFollowUp.status = 'completed' ) ) define "Follow Up Intervention for Positive Adult Depression Screening": ( ( [MedicationRequest: "Adult Depression Medications"] AdultMed where AdultMed.status in { 'active', 'completed' } and AdultMed.intent = 'order' ) union ( [ServiceRequest: "Referral for Adult Depression"] AdultReferral where AdultReferral.status in { 'active', 'completed' } ) union ( [Procedure: "Follow Up for Adult Depression"] AdultFollowUp where AdultFollowUp.status = 'completed' ) ) define "Has Adolescent Depression Screening": exists ( [Observation: "Adolescent depression screening assessment"] AdolescentScreening with "Qualifying Encounter During Measurement Period" QualifyingEncounter such that AdolescentScreening.effective.toInterval ( ) 14 days or less on or before day of start of QualifyingEncounter.period and AdolescentScreening.value is not null and AdolescentScreening.status = 'final' ) define "Has Adult Depression Screening": exists ( [Observation: "Adult depression screening assessment"] AdultScreening with "Qualifying Encounter During Measurement Period" QualifyingEncounter such that AdultScreening.effective.toInterval ( ) 14 days or less on or before day of start of QualifyingEncounter.period and AdultScreening.value is not null and AdultScreening.status = 'final' ) define "Has Most Recent Adolescent Screening Negative": ( "Most Recent Adolescent Depression Screening" AdolescentScreen where AdolescentScreen.value ~ "Depression screening negative (finding)" ) is not null define "Has Most Recent Adult Screening Negative": ( "Most Recent Adult Depression Screening" AdultScreen where AdultScreen.value ~ "Depression screening negative (finding)" ) is not null define "History of Bipolar Diagnosis Before Qualifying Encounter": [Condition: "Bipolar Disorder"] BipolarDiagnosis with "Qualifying Encounter During Measurement Period" QualifyingEncounter such that ( BipolarDiagnosis.isProblemListItem ( ) or BipolarDiagnosis.isHealthConcern ( ) ) and BipolarDiagnosis.prevalenceInterval ( ) starts before QualifyingEncounter.period define "Medical or Patient Reason for Not Screening Adolescent for Depression": [ObservationNotDone: code ~ "Adolescent depression screening assessment"] NoAdolescentScreen with "Qualifying Encounter During Measurement Period" QualifyingEncounter such that NoAdolescentScreen.issued during QualifyingEncounter.period where ( NoAdolescentScreen.notDoneReason ~ "Depression screening declined (situation)" or NoAdolescentScreen.notDoneReason in "Medical Reason" ) and NoAdolescentScreen.status = 'cancelled' define "Medical or Patient Reason for Not Screening Adult for Depression": [ObservationNotDone: code ~ "Adult depression screening assessment"] NoAdultScreen with "Qualifying Encounter During Measurement Period" QualifyingEncounter such that NoAdultScreen.issued during QualifyingEncounter.period where ( NoAdultScreen.notDoneReason ~ "Depression screening declined (situation)" or NoAdultScreen.notDoneReason in "Medical Reason" ) and NoAdultScreen.status = 'cancelled' define "Most Recent Adolescent Depression Screening": Last([Observation: "Adolescent depression screening assessment"] AdolescentDepressionScreening with "Qualifying Encounter During Measurement Period" QualifyingEncounter such that AdolescentDepressionScreening.effective.toInterval() 14 days or less on or before day of start of QualifyingEncounter.period and AdolescentDepressionScreening.value is not null and AdolescentDepressionScreening.status = 'final' sort by start of effective.toInterval() ) define "Most Recent Adult Depression Screening": Last([Observation: "Adult depression screening assessment"] AdultDepressionScreening with "Qualifying Encounter During Measurement Period" QualifyingEncounter such that AdultDepressionScreening.effective.toInterval() 14 days or less on or before day of start of QualifyingEncounter.period and AdultDepressionScreening.value is not null and AdultDepressionScreening.status = 'final' sort by start of effective.toInterval() ) define "Most Recent Adolescent Depression Screening Positive and Follow Up Provided": from "Most Recent Adolescent Depression Screening" LastAdolescentScreen, "Follow Up Intervention for Positive Adolescent Depression Screening" FollowUpPositiveAdolescentScreen, "Qualifying Encounter During Measurement Period" QualifyingEncounter where LastAdolescentScreen.effective.toInterval ( ) starts 14 days or less on or before day of start of QualifyingEncounter.period and LastAdolescentScreen.value ~ "Depression screening positive (finding)" and ( start of FollowUpPositiveAdolescentScreen.performed.toInterval ( ) during QualifyingEncounter.period or FollowUpPositiveAdolescentScreen.authoredOn 2 days or less on or after day of end of QualifyingEncounter.period ) and ( Coalesce(start of FollowUpPositiveAdolescentScreen.performed.toInterval(), FollowUpPositiveAdolescentScreen.authoredOn) during day of "Measurement Period" ) define "Most Recent Adult Depression Screening Positive and Follow Up Provided": from "Most Recent Adult Depression Screening" LastAdultScreen, "Follow Up Intervention for Positive Adult Depression Screening" FollowUpPositiveAdultScreen, "Qualifying Encounter During Measurement Period" QualifyingEncounter where LastAdultScreen.effective.toInterval ( ) starts 14 days or less on or before day of start of QualifyingEncounter.period and LastAdultScreen.value ~ "Depression screening positive (finding)" and ( start of FollowUpPositiveAdultScreen.performed.toInterval ( ) during QualifyingEncounter.period or FollowUpPositiveAdultScreen.authoredOn 2 days or less on or after day of end of QualifyingEncounter.period ) and ( Coalesce(start of FollowUpPositiveAdultScreen.performed.toInterval(), FollowUpPositiveAdultScreen.authoredOn) during day of "Measurement Period" ) define "Patient Age 12 to 16 Years at Start of Measurement Period": AgeInYearsAt(date from start of "Measurement Period") in Interval[12, 16] define "Patient Age 12 Years or Older at Start of Measurement Period": AgeInYearsAt(date from start of "Measurement Period") >= 12 define "Patient Age 17 Years at Start of Measurement Period": AgeInYearsAt(date from start of "Measurement Period") = 17 define "Patient Age 18 Years or Older at Start of Measurement Period": AgeInYearsAt(date from start of "Measurement Period") >= 18 define "Qualifying Encounter During Measurement Period": ( [Encounter: "Encounter to Screen for Depression"] union [Encounter: "Physical Therapy Evaluation"] union [Encounter: "Telephone Visits"] ) QualifyingEncounter where QualifyingEncounter.period during day of "Measurement Period" and QualifyingEncounter.status = 'finished' 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 Adolescent Depression Medications
Value Set Encounter to Screen for Depression
Value Set Follow Up for Adolescent Depression
Value Set Follow Up for Adult Depression
Value Set Referral for Adolescent Depression
Patient Age 12 Years or Older at Start of Measurement Period
Qualifying Encounter During Measurement Period
History of Bipolar Diagnosis Before Qualifying Encounter
Patient Age 12 to 16 Years at Start of Measurement Period
Most Recent Adolescent Depression Screening
Has Most Recent Adolescent Screening Negative
Follow Up Intervention for Positive Adolescent Depression Screening
Most Recent Adolescent Depression Screening Positive and Follow Up Provided
Patient Age 17 Years at Start of Measurement Period
Has Most Recent Adult Screening Negative
Follow Up Intervention for Positive Adult Depression Screening
Most Recent Adult Depression Screening Positive and Follow Up Provided
Patient Age 18 Years or Older at Start of Measurement Period
Medical or Patient Reason for Not Screening Adolescent for Depression
Medical or Patient Reason for Not Screening Adult for Depression
Adolescent depression screening assessment