{ "resourceType" : "Library", "id" : "CMS157FHIRPainIntensityQuantified", "text" : { "status" : "extensions", "div" : "
\n \n \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n \n\n\n\n\n\n\n \n \n \n \n \n \n \n \n\n\n\n\n \n\n\n \n
Metadata
Version1.1.000
StatusDraft
Type\n http://terminology.hl7.org/CodeSystem/library-type#logic-library\n\n\n
Parameters
ParameterNone
Library Content
CQL Content\n \n 
/*\nNOTE: For use by March 2026 US Realm Connectathon participants for internal use only. Not for use or distribution in commercial products.\n*/\nlibrary CMS157FHIRPainIntensityQuantified version '1.1.000'\n\nusing USQualityCore version '0.1.0-cibuild'\nusing USCore version '6.1.0-derived'\nusing FHIR version '4.0.1'\n\ninclude hl7.fhir.uv.cql.FHIRHelpers version '4.0.1' called FHIRHelpers\ninclude hl7.fhir.uv.cql.FHIRCommon version '2.0.0' called FHIRCommon\ninclude hl7.fhir.us.cql.USCoreCommon version '2.0.0-ballot' called USCoreCommon\ninclude hl7.fhir.us.cql.USCoreElements version '2.0.0-ballot' called USCoreElements\n\ninclude CQMCommon version '5.1.000' called CQMCommon\ninclude USQualityCoreCommon version '0.1.0-cibuild' called USQualityCoreCommon\ninclude SupplementalDataElements version '6.1.000' called SDE\ninclude Status version '2.1.000' called Status\n\ncodesystem "CPT": 'http://www.ama-assn.org/go/cpt'\n\nvalueset "Audio Visual Telehealth Encounter": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.1444.5.215'\nvalueset "Cancer": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1010'\nvalueset "Chemotherapy Administration": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1027'\nvalueset "Office Visit": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001'\nvalueset "Radiation Treatment Management": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1026'\nvalueset "Standardized Pain Assessment Tool": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1028'\n\ncode "Radiation treatment management, 5 treatments": '77427' from "CPT" display 'Radiation treatment management, 5 treatments'\n\nparameter "Measurement Period" Interval<DateTime>\n  default Interval[@2026-01-01T00:00:00.000Z, @2027-01-01T00:00:00.000Z)\n\ncontext Patient\n\ndefine "Denominator 1":\n  "Initial Population 1"\n\ndefine "Denominator 2":\n  "Initial Population 2"\n\ndefine "Initial Population 1":\n  "Face to Face or Telehealth Encounter with Ongoing Chemotherapy"\n\ndefine "Initial Population 2":\n  "Radiation Treatment Management During Measurement Period with Cancer Diagnosis"\n\ndefine "Chemotherapy Within 31 Days Prior and During Measurement Period":\n  [Procedure: "Chemotherapy Administration"] ChemoAdministration\n    where ChemoAdministration.performed.toInterval ( ) during Interval[start of "Measurement Period" - 31 days, end of "Measurement Period"]\n      and ChemoAdministration.status in { 'completed', 'in-progress' }\n\ndefine "Face to Face or Telehealth Encounter with Ongoing Chemotherapy":\n  from\n    ( [Encounter: "Office Visit"]\n      union [Encounter: "Audio Visual Telehealth Encounter"] ) FaceToFaceOrTelehealthEncounter,\n    "Chemotherapy Within 31 Days Prior and During Measurement Period" ChemoBeforeEncounter,\n    "Chemotherapy Within 31 Days Prior and During Measurement Period" ChemoAfterEncounter,\n    // [E-13] base FHIR.Condition retrieve (defect-tracking/engine-issues.md E-13)\n    // Original:\n    // ( [ConditionProblemsHealthConcerns: "Cancer"]\n    //   union [ConditionEncounterDiagnosis: "Cancer"] ) CancerDx\n    [Condition: "Cancer"] CancerDx\n    where CancerDx.prevalenceInterval ( ) overlaps day of FaceToFaceOrTelehealthEncounter.period\n      and ChemoBeforeEncounter.performed.toInterval ( ) starts 30 days or less on or before day of end of FaceToFaceOrTelehealthEncounter.period\n      and ChemoAfterEncounter.performed.toInterval ( ) starts 30 days or less on or after day of end of FaceToFaceOrTelehealthEncounter.period\n      and not ( ChemoAfterEncounter.performed.toInterval ( ) same day as ChemoBeforeEncounter.performed.toInterval ( ) )\n      and FaceToFaceOrTelehealthEncounter.period during day of "Measurement Period"\n      and FaceToFaceOrTelehealthEncounter.status = 'finished'\n    return FaceToFaceOrTelehealthEncounter\n\ndefine "Numerator 1":\n  "Face to Face or Telehealth Encounter with Ongoing Chemotherapy" FaceToFaceOrTelehealthEncounterWithChemo\n    with "Standard Pain Assessment with Result" PainAssessed\n      such that PainAssessed.effective.toInterval ( ) during day of FaceToFaceOrTelehealthEncounterWithChemo.period\n\ndefine "Radiation Treatment Management During Measurement Period with Cancer Diagnosis":\n  ( [Encounter: "Radiation Treatment Management"] ) RadiationTreatmentManagement\n    // [E-13] base FHIR.Condition retrieve (defect-tracking/engine-issues.md E-13)\n    // Original:\n    // with ( [ConditionProblemsHealthConcerns: "Cancer"]\n    //   union [ConditionEncounterDiagnosis: "Cancer"] ) CancerDx\n    with [Condition: "Cancer"] CancerDx\n      such that CancerDx.prevalenceInterval ( ) overlaps day of RadiationTreatmentManagement.period\n    where RadiationTreatmentManagement.period during day of "Measurement Period"\n      and RadiationTreatmentManagement.status = 'finished'\n\ndefine "Numerator 2":\n  "Radiation Treatment Management During Measurement Period with Cancer Diagnosis" RadiationManagementEncounter\n    with "Standard Pain Assessment with Result" PainAssessed\n      such that case\n        when exists ( ( RadiationManagementEncounter.type ) RadiationManagement\n            where RadiationManagement ~ "Radiation treatment management, 5 treatments"\n        ) then PainAssessed.effective.toInterval ( ) 6 days or less on or before day of start of RadiationManagementEncounter.period \n        else PainAssessed.effective.toInterval ( ) during day of RadiationManagementEncounter.period end\n\ndefine "SDE Ethnicity":\n  SDE."SDE Ethnicity"\n\ndefine "SDE Payer":\n  SDE."SDE Payer"\n\ndefine "SDE Race":\n  SDE."SDE Race"\n\ndefine "SDE Sex":\n  SDE."SDE Sex"\n\ndefine "Standard Pain Assessment with Result":\n  [ObservationScreeningAssessment: "Standardized Pain Assessment Tool"] AssessedPain\n    where AssessedPain.value is not null
\n
Generated using version 0.5.6 of the sample-content-ig Liquid templates
\n
" }, "extension" : [{ "url" : "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem", "valueReference" : { "reference" : "Device/cqf-tooling" } }], "url" : "https://madie.cms.gov/Library/CMS157FHIRPainIntensityQuantified", "version" : "1.1.000", "name" : "CMS157FHIRPainIntensityQuantified", "status" : "draft", "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/library-type", "code" : "logic-library" }] }, "date" : "2026-09-19T16:31:14+00:00", "content" : [{ "contentType" : "text/cql", "data" : 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"url" : "https://madie.cms.gov/Library-CMS157FHIRPainIntensityQuantified.cql" }] }