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Resource Measure/FHIR Server from package example.fhir.uv.mycontentig#current (109 ms)

Package example.fhir.uv.mycontentig
Type Measure
Id Id
FHIR Version R4
Source http://somewhere.org/fhir/uv/mycontentig/https://build.fhir.org/ig/cqframework/sample-content-ig/Measure-QuestionnaireMeasureExample.html
Url http://somewhere.org/fhir/uv/mycontentig/Measure/QuestionnaireMeasureExample
Version 0.4.9-cibuild
Status draft
Date 2025-04-24T05:02:57-07:00
Name QuestionnaireMeasureExample
Title Questionnaire Measure Example
Experimental True
Realm uv
Authority hl7
Description Example measure illustrating a continuous variable measure calculating scores from multiple questionnaires

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Narrative

Note: links and images are rebased to the (stated) source

Metadata
Title Questionnaire Measure Example
Version 0.4.9-cibuild
Status Draft
Experimental true
Jurisdiction Global (Whole world)
Steward (Publisher) HL7 International - [Some] Work Group
Description

Example measure illustrating a continuous variable measure calculating scores from multiple questionnaires
Measure Scoring Continuous Variable
Measure Type Process
Improvement Notation Increased score indicates improvement
Measure Group (Rate) (ID: group-1)
Initial Population ID: 8A48538B-80BB-4E8B-9716-559C657278FD
Description: No description provided Logic Definition: Initial Population
Measure Population ID: 8FBD6CFA-99E4-4108-B083-91067C55170E
Description: No description provided Logic Definition: Measure Population
Measure Observation ID: 8B71AD15-47EB-4939-8318-1DF60CABCFD6
Description: No description provided Logic Definition: MeasureObservation
Measure Logic
Primary Library Measure calculating scores from multiple questionnaires example
Contents Population Criteria
Logic Definitions
Terminology
Dependencies
Data Requirements
Population Criteria
Measure Group (Rate) (ID: group-1)
Initial Population 
define "Initial Population":
  AgeInYearsAt(start of "Measurement Period") >= 18
Measure Population 
// Likely some condition or other relevant characteristic such as a depression diagnosis
define "Measure Population":
  true
Measure Observation 
/*
Measure observation is a function defined in terms of the types of members of the measure
population, Patient in this case. In a population evaluation scenario, the measure
observation is evaluated for every member of the population.

In an individual report scenario, however, the measure observation is evaluated for
the current patient. Note that the patient context is flowing through the call here
*/
define function "MeasureObservation"(patient Patient):
  PHQ9Logic.CalculateTotalScore
Logic Definitions
Logic Definition Library Name: QuestionnaireMeasureExample 
define "Initial Population":
  AgeInYearsAt(start of "Measurement Period") >= 18
Logic Definition Library Name: QuestionnaireMeasureExample 
// Likely some condition or other relevant characteristic such as a depression diagnosis
define "Measure Population":
  true
Logic Definition Library Name: QuestionnaireMeasureExample 
/*
Measure observation is a function defined in terms of the types of members of the measure
population, Patient in this case. In a population evaluation scenario, the measure
observation is evaluated for every member of the population.

In an individual report scenario, however, the measure observation is evaluated for
the current patient. Note that the patient context is flowing through the call here
*/
define function "MeasureObservation"(patient Patient):
  PHQ9Logic.CalculateTotalScore
Logic Definition Library Name: PHQ9LogicExample 
// Use the QuestionnaireResponse provided as a parameter if available
// Otherwise look it up from the record
define "QuestionnaireResponse":
  if response is not null then
    response
  else
    Last(
      [QuestionnaireResponse] QR
        where QR.questionnaire = 'http://somewhere.org/fhir/uv/mycontentig/Questionnaire/phq-9-questionnaire'
        sort by (authored as FHIR.dateTime) desc
    )
Logic Definition Library Name: PHQ9LogicExample 
// NOTE: This ties this logic directly to this particular rendering of the Questionnaire.
// Ideally the items would be filtered based on Code of the Item, rather than the LinkId,
// but that would require pulling in the Questionnaire because the QuestionnaireResponse
// only has the LinkId.
define "Responses":
  "QuestionnaireResponse" QR
    return QR.item I where I.linkId in {
      'LittleInterest',
      'FeelingDown',
      'TroubleSleeping',
      'FeelingTired',
      'BadApetite',
      'FeelingBadAboutSelf',
      'TroubleConcetrating',
      'MovingSpeaking'
    }
Logic Definition Library Name: PHQ9LogicExample 
define "CalculateTotalScore":
  Sum("Responses" R return all AnswerCardinality(First(R.answer.value)))
Logic Definition Library Name: PHQ9LogicExample 
/*
@source: https://www.med.umich.edu/1info/FHP/practiceguides/depress/score.pdf
*/
define function "AnswerCardinality"(answer Coding):
  case
    when answer ~ "Not at all" then 0
    when answer ~ "Several days" then 1
    when answer ~ "More than half the days" then 2
    when answer ~ "Nearly every day" then 3
    else null
  end
Logic Definition Library Name: FHIRHelpers 
define function ToString(value string): value.value
Logic Definition Library Name: FHIRHelpers 
define function ToCode(coding FHIR.Coding):
    if coding is null then
        null
    else
        System.Code {
          code: coding.code.value,
          system: coding.system.value,
          version: coding.version.value,
          display: coding.display.value
        }
Terminology
Code System Description: Code system LOINC
Resource: Logical Observation Identifiers, Names and Codes (LOINC)
Canonical URL: http://loinc.org
Direct Reference Code Code: LA6568-5
System: http://loinc.org
Direct Reference Code Code: LA6569-3
System: http://loinc.org
Direct Reference Code Code: LA6570-1
System: http://loinc.org
Direct Reference Code Code: LA6571-9
System: http://loinc.org
Dependencies
Dependency Description: Library PHQ9Logic
Resource: PHQ-9 Depression Scoring Logic Example
Canonical URL: http://somewhere.org/fhir/uv/mycontentig/Library/PHQ9LogicExample
Dependency Description: Library FHIRHelpers
Resource: http://somewhere.org/fhir/uv/mycontentig/Library/FHIRHelpers|4.0.1
Canonical URL: http://somewhere.org/fhir/uv/mycontentig/Library/FHIRHelpers|4.0.1
Data Requirements
Data Requirement Type: Patient
Profile(s): Patient
Generated using version 0.4.9-cibuild of the sample-content-ig Liquid templates

Source

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  "resourceType" : "Measure",
  "id" : "QuestionnaireMeasureExample",
  "meta" : {
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      "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm"
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  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n  <table class=\"narrative-table\">\n    <tbody>\n<tr>\n\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\">Metadata</th>\n\n\n</tr>\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Title</th>\n\n\n<td class=\"content-container\">Questionnaire Measure Example</td>\n</tr>\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Version</th>\n\n\n<td class=\"content-container\">0.4.9-cibuild</td>\n</tr>\n\n\n\n\n\n\n\n\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Status</th>\n\n\n<td class=\"content-container\">Draft</td>\n</tr>\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Experimental</th>\n\n\n<td class=\"content-container\">true</td>\n</tr>\n\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Jurisdiction</th>\n\n\n<td class=\"content-container\"><span title=\"Codes:{http://unstats.un.org/unsd/methods/m49/m49.htm 001}\">Global (Whole world)</span></td>\n</tr>\n\n\n\n\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Steward (Publisher)</th>\n\n\n<td class=\"content-container\">HL7 International - [Some] Work Group</td>\n</tr>\n\n\n\n\n\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Description</th>\n\n\n<td class=\"content-container\"><div><p>Example measure illustrating a continuous variable measure calculating scores from multiple questionnaires</p>\n</div></td>\n</tr>\n\n\n\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Measure Scoring</th>\n\n\n<td class=\"content-container\"><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-scoring continuous-variable}\">Continuous Variable</span></td>\n</tr>\n\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Measure Type</th>\n\n\n<td class=\"content-container\"><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-type process}\">Process</span></td>\n</tr>\n\n\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Improvement Notation</th>\n\n\n<td class=\"content-container\"><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-improvement-notation increase}\">Increased score indicates improvement</span></td>\n</tr>\n\n\n\n\n\n\n\n\n\n  \n    \n    <tr>\n\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\">Measure Group (Rate) (ID: group-1)</th>\n\n\n</tr>\n  \n  \n  \n\n\n\n\n\n\n\n\n\n  \n  \n    <tr>\n      \n        \n\n<th scope=\"row\" class=\"row-header\">Initial Population</th>\n\n\n      \n      <td class=\"content-container\">\n        \n        <em>ID</em>: 8A48538B-80BB-4E8B-9716-559C657278FD\n        <br/>\n        \n        \n          <em>Description</em>: No description provided\n        \n        \n          \n            \n            <em>Logic Definition</em>: <a href=\"#primary-questionnairemeasureexample-initial-population\">Initial Population</a> \n          \n        \n      </td>\n    </tr>\n  \n\n  \n    <tr>\n      \n        \n\n<th scope=\"row\" class=\"row-header\">Measure Population</th>\n\n\n      \n      <td class=\"content-container\">\n        \n        <em>ID</em>: 8FBD6CFA-99E4-4108-B083-91067C55170E\n        <br/>\n        \n        \n          <em>Description</em>: No description provided\n        \n        \n          \n            \n            <em>Logic Definition</em>: <a href=\"#primary-questionnairemeasureexample-measure-population\">Measure Population</a> \n          \n        \n      </td>\n    </tr>\n  \n\n  \n    <tr>\n      \n        \n\n<th scope=\"row\" class=\"row-header\">Measure Observation</th>\n\n\n      \n      <td class=\"content-container\">\n        \n        <em>ID</em>: 8B71AD15-47EB-4939-8318-1DF60CABCFD6\n        <br/>\n        \n        \n          <em>Description</em>: No description provided\n        \n        \n          \n            \n            <em>Logic Definition</em>: <a href=\"#primary-questionnairemeasureexample-measureobservation\">MeasureObservation</a> \n          \n        \n      </td>\n    </tr>\n  \n\n  \n\n\n\n\n\n<tr>\n\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\">Measure Logic</th>\n\n\n</tr>\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Primary Library</th>\n\n\n<td class=\"content-container\"><a href=\"Library-QuestionnaireMeasureExample.html\">Measure calculating scores from multiple questionnaires example</a></td>\n</tr>\n\n\n\n\n<tr>\n  <th scope=\"row\" class=\"row-header\">Contents</th>\n  <td class=\"content-container\">\n    <em><a href=\"#population-criteria\">Population Criteria</a></em>\n    <br/>\n    <em><a href=\"#definitions\">Logic Definitions</a></em>\n    <br/>\n    <em><a href=\"#terminology\">Terminology</a></em>\n    <br/>\n    <em><a href=\"#dependencies\">Dependencies</a></em>\n    <br/>\n    <em><a href=\"#data-requirements\">Data Requirements</a></em>\n    <br/>\n  </td>\n</tr>\n\n\n  <tr>\n\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\"><a name=\"population-criteria\"> </a>Population Criteria</th>\n\n\n</tr>\n  \n  \n  \n  \n    \n    <tr>\n\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\">Measure Group (Rate) (ID: group-1)</th>\n\n\n</tr>\n  \n  \n  \n  \n    \n      \n        \n          \n        \n          \n        \n          \n        \n          \n            \n              \n            \n            <tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    \n      \n      <a name=\"primary-questionnairemeasureexample-initial-population\"> </a>\n    \n    \n    Initial Population\n    \n  </th>\n</tr>\n<tr>\n\n  <td>\n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define &quot;Initial Population&quot;:\n  AgeInYearsAt(start of &quot;Measurement Period&quot;) &gt;= 18</code></pre>\n  </td>\n\n</tr>\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            <tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    \n      \n      <a name=\"primary-questionnairemeasureexample-measure-population\"> </a>\n    \n    \n    Measure Population\n    \n  </th>\n</tr>\n<tr>\n\n  <td>\n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">// Likely some condition or other relevant characteristic such as a depression diagnosis\ndefine &quot;Measure Population&quot;:\n  true</code></pre>\n  </td>\n\n</tr>\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            <tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    \n      \n      <a name=\"primary-questionnairemeasureexample-measureobservation\"> </a>\n    \n    \n    Measure Observation\n    \n  </th>\n</tr>\n<tr>\n\n  <td>\n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">/*\nMeasure observation is a function defined in terms of the types of members of the measure\npopulation, Patient in this case. In a population evaluation scenario, the measure\nobservation is evaluated for every member of the population.\n\nIn an individual report scenario, however, the measure observation is evaluated for\nthe current patient. Note that the patient context is flowing through the call here\n*/\ndefine function &quot;MeasureObservation&quot;(patient Patient):\n  PHQ9Logic.CalculateTotalScore</code></pre>\n  </td>\n\n</tr>\n\n          \n        \n          \n        \n          \n        \n          \n        \n      \n    \n  \n\n  \n  \n\n  \n  \n\n\n  <tr>\n\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\"><a name=\"definitions\"> </a>Logic Definitions</th>\n\n\n</tr>\n  \n  \n          \n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    \n      \n      <a name=\"questionnairemeasureexample-initial-population\"> </a>\n    \n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> QuestionnaireMeasureExample</td>\n\n</tr>\n<tr>\n\n  <td>\n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define &quot;Initial Population&quot;:\n  AgeInYearsAt(start of &quot;Measurement Period&quot;) &gt;= 18</code></pre>\n  </td>\n\n</tr>\n\n\n\n        \n\n\n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    \n      \n      <a name=\"questionnairemeasureexample-measure-population\"> </a>\n    \n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> QuestionnaireMeasureExample</td>\n\n</tr>\n<tr>\n\n  <td>\n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">// Likely some condition or other relevant characteristic such as a depression diagnosis\ndefine &quot;Measure Population&quot;:\n  true</code></pre>\n  </td>\n\n</tr>\n\n\n\n        \n\n\n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    \n      \n      <a name=\"questionnairemeasureexample-measureobservation\"> </a>\n    \n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> QuestionnaireMeasureExample</td>\n\n</tr>\n<tr>\n\n  <td>\n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">/*\nMeasure observation is a function defined in terms of the types of members of the measure\npopulation, Patient in this case. In a population evaluation scenario, the measure\nobservation is evaluated for every member of the population.\n\nIn an individual report scenario, however, the measure observation is evaluated for\nthe current patient. Note that the patient context is flowing through the call here\n*/\ndefine function &quot;MeasureObservation&quot;(patient Patient):\n  PHQ9Logic.CalculateTotalScore</code></pre>\n  </td>\n\n</tr>\n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n\n        \n        \n\n\n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    \n      \n      <a name=\"phq9logicexample-questionnaireresponse\"> </a>\n    \n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> PHQ9LogicExample</td>\n\n</tr>\n<tr>\n\n  <td>\n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">// Use the QuestionnaireResponse provided as a parameter if available\n// Otherwise look it up from the record\ndefine &quot;QuestionnaireResponse&quot;:\n  if response is not null then\n    response\n  else\n    Last(\n      [QuestionnaireResponse] QR\n        where QR.questionnaire = 'http://somewhere.org/fhir/uv/mycontentig/Questionnaire/phq-9-questionnaire'\n        sort by (authored as FHIR.dateTime) desc\n    )</code></pre>\n  </td>\n\n</tr>\n\n\n\n        \n\n\n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    \n      \n      <a name=\"phq9logicexample-responses\"> </a>\n    \n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> PHQ9LogicExample</td>\n\n</tr>\n<tr>\n\n  <td>\n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">// NOTE: This ties this logic directly to this particular rendering of the Questionnaire.\n// Ideally the items would be filtered based on Code of the Item, rather than the LinkId,\n// but that would require pulling in the Questionnaire because the QuestionnaireResponse\n// only has the LinkId.\ndefine &quot;Responses&quot;:\n  &quot;QuestionnaireResponse&quot; QR\n    return QR.item I where I.linkId in {\n      'LittleInterest',\n      'FeelingDown',\n      'TroubleSleeping',\n      'FeelingTired',\n      'BadApetite',\n      'FeelingBadAboutSelf',\n      'TroubleConcetrating',\n      'MovingSpeaking'\n    }</code></pre>\n  </td>\n\n</tr>\n\n\n\n        \n\n\n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    \n      \n      <a name=\"phq9logicexample-calculatetotalscore\"> </a>\n    \n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> PHQ9LogicExample</td>\n\n</tr>\n<tr>\n\n  <td>\n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define &quot;CalculateTotalScore&quot;:\n  Sum(&quot;Responses&quot; R return all AnswerCardinality(First(R.answer.value)))</code></pre>\n  </td>\n\n</tr>\n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    \n      \n      <a name=\"phq9logicexample-answercardinality\"> </a>\n    \n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> PHQ9LogicExample</td>\n\n</tr>\n<tr>\n\n  <td>\n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">/*\n@source: https://www.med.umich.edu/1info/FHP/practiceguides/depress/score.pdf\n*/\ndefine function &quot;AnswerCardinality&quot;(answer Coding):\n  case\n    when answer ~ &quot;Not at all&quot; then 0\n    when answer ~ &quot;Several days&quot; then 1\n    when answer ~ &quot;More than half the days&quot; then 2\n    when answer ~ &quot;Nearly every day&quot; then 3\n    else null\n  end</code></pre>\n  </td>\n\n</tr>\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<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    \n      \n      <a name=\"fhirhelpers-tostring\"> </a>\n    \n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> FHIRHelpers</td>\n\n</tr>\n<tr>\n\n  <td>\n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define function ToString(value string): value.value</code></pre>\n  </td>\n\n</tr>\n\n\n\n        \n\n\n\n        \n\n\n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    \n      \n      <a name=\"fhirhelpers-tocode\"> </a>\n    \n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> FHIRHelpers</td>\n\n</tr>\n<tr>\n\n  <td>\n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define function ToCode(coding FHIR.Coding):\n    if coding is null then\n        null\n    else\n        System.Code {\n          code: coding.code.value,\n          system: coding.system.value,\n          version: coding.version.value,\n          display: coding.display.value\n        }</code></pre>\n  </td>\n\n</tr>\n\n\n\n\n\n  \n  \n\n\n  <tr>\n\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\"><a name=\"terminology\"> </a>Terminology</th>\n\n\n</tr>\n  \n  \n  \n\n \n\n \n\n\n<tr>\n  \n  \n  \n\n<th scope=\"row\" class=\"row-header\">Code System</th>\n\n\n  \n  <td class=\"content-container\">\n    \n    <em>Description</em>: Code system LOINC\n    \n    <br/>\n    \n    \n    \n    \n    \n    \n    <em>Resource</em>: <a href=\"http://terminology.hl7.org/5.2.0/CodeSystem-v3-loinc.html\">Logical Observation Identifiers, Names and Codes (LOINC)</a>\n    <br/>\n    <em>Canonical URL</em>: <tt>http://loinc.org</tt>\n    \n  </td>\n</tr>\n \n\n\n  \n  <tr>\n    <th scope=\"row\" class=\"row-header\">Direct Reference Code</th>\n    <td class=\"content-container\">\n      \n      <em>Code</em>: LA6568-5\n      <br/>\n      <em>System</em>: <tt>http://loinc.org</tt>\n    </td>\n  </tr>\n\n  <tr>\n    <th scope=\"row\" class=\"row-header\">Direct Reference Code</th>\n    <td class=\"content-container\">\n      \n      <em>Code</em>: LA6569-3\n      <br/>\n      <em>System</em>: <tt>http://loinc.org</tt>\n    </td>\n  </tr>\n\n  <tr>\n    <th scope=\"row\" class=\"row-header\">Direct Reference Code</th>\n    <td class=\"content-container\">\n      \n      <em>Code</em>: LA6570-1\n      <br/>\n      <em>System</em>: <tt>http://loinc.org</tt>\n    </td>\n  </tr>\n\n  <tr>\n    <th scope=\"row\" class=\"row-header\">Direct Reference Code</th>\n    <td class=\"content-container\">\n      \n      <em>Code</em>: LA6571-9\n      <br/>\n      <em>System</em>: <tt>http://loinc.org</tt>\n    </td>\n  </tr>\n\n  \n  \n\n\n  <tr>\n\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\"><a name=\"dependencies\"> </a>Dependencies</th>\n\n\n</tr>\n  \n  \n  \n\n\n<tr>\n  \n\n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n\n  <td class=\"content-container\">\n    \n    <em>Description</em>: Library PHQ9Logic\n    \n    <br/>\n    \n    \n    \n    \n    \n    \n    <em>Resource</em>: <a href=\"Library-PHQ9LogicExample.html\">PHQ-9 Depression Scoring Logic Example</a>\n    <br/>\n    <em>Canonical URL</em>: <tt>http://somewhere.org/fhir/uv/mycontentig/Library/PHQ9LogicExample</tt>\n    \n  </td>\n</tr>\n \n\n\n<tr>\n  \n\n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n\n  <td class=\"content-container\">\n    \n    <em>Description</em>: Library FHIRHelpers\n    \n    <br/>\n    \n    \n    \n    \n    \n    \n    <em>Resource</em>: <code>http://somewhere.org/fhir/uv/mycontentig/Library/FHIRHelpers|4.0.1</code>\n    <br/>\n    <em>Canonical URL</em>: <tt>http://somewhere.org/fhir/uv/mycontentig/Library/FHIRHelpers|4.0.1</tt>\n    \n  </td>\n</tr>\n \n\n \n\n\n  \n  \n\n\n  <tr>\n\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\"><a name=\"data-requirements\"> </a>Data Requirements</th>\n\n\n</tr>\n  \n  \n  \n<tr>\n  <th scope=\"row\" class=\"row-header\">Data Requirement</th>\n  <td class=\"content-container\">\n    <em>Type</em>: Patient\n    <br/>\n  \n    <em>Profile(s)</em>: \n  \n    <a href=\"http://hl7.org/fhir/R4/patient.html\">Patient</a>\n    <br/>        \n  \n   \n   \n   \n  </td>\n</tr>\n\n  \n  \n\n<tr>\n  <th colspan=\"2\" scope=\"row\" class=\"row-header\">Generated using version 0.4.9-cibuild of the sample-content-ig Liquid templates</th>\n</tr>\n\n    </tbody>\n  </table>\n</div>"
  },
  "contained" : [
    {
      "resourceType" : "Library",
      "id" : "effective-data-requirements",
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode",
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6568-5"
          }
        },
        {
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode",
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6569-3"
          }
        },
        {
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode",
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6570-1"
          }
        },
        {
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode",
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6571-9"
          }
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "PHQ9LogicExample"
            },
            {
              "url" : "name",
              "valueString" : "QuestionnaireResponse"
            },
            {
              "url" : "statement",
              "valueString" : "// Use the QuestionnaireResponse provided as a parameter if available\n// Otherwise look it up from the record\ndefine \"QuestionnaireResponse\":\n  if response is not null then\n    response\n  else\n    Last(\n      [QuestionnaireResponse] QR\n        where QR.questionnaire = 'http://somewhere.org/fhir/uv/mycontentig/Questionnaire/phq-9-questionnaire'\n        sort by (authored as FHIR.dateTime) desc\n    )"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 0
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "PHQ9LogicExample"
            },
            {
              "url" : "name",
              "valueString" : "Responses"
            },
            {
              "url" : "statement",
              "valueString" : "// NOTE: This ties this logic directly to this particular rendering of the Questionnaire.\n// Ideally the items would be filtered based on Code of the Item, rather than the LinkId,\n// but that would require pulling in the Questionnaire because the QuestionnaireResponse\n// only has the LinkId.\ndefine \"Responses\":\n  \"QuestionnaireResponse\" QR\n    return QR.item I where I.linkId in {\n      'LittleInterest',\n      'FeelingDown',\n      'TroubleSleeping',\n      'FeelingTired',\n      'BadApetite',\n      'FeelingBadAboutSelf',\n      'TroubleConcetrating',\n      'MovingSpeaking'\n    }"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 1
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "PHQ9LogicExample"
            },
            {
              "url" : "name",
              "valueString" : "CalculateTotalScore"
            },
            {
              "url" : "statement",
              "valueString" : "define \"CalculateTotalScore\":\n  Sum(\"Responses\" R return all AnswerCardinality(First(R.answer.value)))"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 2
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "QuestionnaireMeasureExample"
            },
            {
              "url" : "name",
              "valueString" : "Initial Population"
            },
            {
              "url" : "statement",
              "valueString" : "define \"Initial Population\":\n  AgeInYearsAt(start of \"Measurement Period\") >= 18"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 3
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "QuestionnaireMeasureExample"
            },
            {
              "url" : "name",
              "valueString" : "Measure Population"
            },
            {
              "url" : "statement",
              "valueString" : "// Likely some condition or other relevant characteristic such as a depression diagnosis\ndefine \"Measure Population\":\n  true"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 4
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "QuestionnaireMeasureExample"
            },
            {
              "url" : "name",
              "valueString" : "MeasureObservation"
            },
            {
              "url" : "statement",
              "valueString" : "/*\nMeasure observation is a function defined in terms of the types of members of the measure\npopulation, Patient in this case. In a population evaluation scenario, the measure\nobservation is evaluated for every member of the population.\n\nIn an individual report scenario, however, the measure observation is evaluated for\nthe current patient. Note that the patient context is flowing through the call here\n*/\ndefine function \"MeasureObservation\"(patient Patient):\n  PHQ9Logic.CalculateTotalScore"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 5
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "FHIRHelpers"
            },
            {
              "url" : "name",
              "valueString" : "ToString"
            },
            {
              "url" : "statement",
              "valueString" : "define function ToString(value string): value.value"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 6
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "PHQ9LogicExample"
            },
            {
              "url" : "name",
              "valueString" : "AnswerCardinality"
            },
            {
              "url" : "statement",
              "valueString" : "/*\n@source: https://www.med.umich.edu/1info/FHP/practiceguides/depress/score.pdf\n*/\ndefine function \"AnswerCardinality\"(answer Coding):\n  case\n    when answer ~ \"Not at all\" then 0\n    when answer ~ \"Several days\" then 1\n    when answer ~ \"More than half the days\" then 2\n    when answer ~ \"Nearly every day\" then 3\n    else null\n  end"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 7
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "FHIRHelpers"
            },
            {
              "url" : "name",
              "valueString" : "ToCode"
            },
            {
              "url" : "statement",
              "valueString" : "define function ToCode(coding FHIR.Coding):\n    if coding is null then\n        null\n    else\n        System.Code {\n          code: coding.code.value,\n          system: coding.system.value,\n          version: coding.version.value,\n          display: coding.display.value\n        }"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 8
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        }
      ],
      "name" : "EffectiveDataRequirements",
      "status" : "active",
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/library-type",
            "code" : "module-definition"
          }
        ]
      },
      "relatedArtifact" : [
        {
          "type" : "depends-on",
          "display" : "Library PHQ9Logic",
          "resource" : "http://somewhere.org/fhir/uv/mycontentig/Library/PHQ9LogicExample"
        },
        {
          "type" : "depends-on",
          "display" : "Library FHIRHelpers",
          "resource" : "http://somewhere.org/fhir/uv/mycontentig/Library/FHIRHelpers|4.0.1"
        },
        {
          "type" : "depends-on",
          "display" : "Code system LOINC",
          "resource" : "http://loinc.org"
        }
      ],
      "parameter" : [
        {
          "name" : "Measurement Period",
          "use" : "in",
          "min" : 0,
          "max" : "1",
          "type" : "Period"
        },
        {
          "name" : "Initial Population",
          "use" : "out",
          "min" : 0,
          "max" : "1",
          "type" : "boolean"
        },
        {
          "name" : "Measure Population",
          "use" : "out",
          "min" : 0,
          "max" : "1",
          "type" : "boolean"
        }
      ],
      "dataRequirement" : [
        {
          "type" : "Patient",
          "profile" : [
            "http://hl7.org/fhir/StructureDefinition/Patient"
          ]
        }
      ]
    }
  ],
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-softwaresystem",
      "valueReference" : {
        "reference" : "Device/cqf-tooling"
      }
    },
    {
      "id" : "effective-data-requirements",
      "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-effectiveDataRequirements",
      "valueReference" : {
        "reference" : "#effective-data-requirements"
      }
    }
  ],
  "url" : "http://somewhere.org/fhir/uv/mycontentig/Measure/QuestionnaireMeasureExample",
  "version" : "0.4.9-cibuild",
  "name" : "QuestionnaireMeasureExample",
  "title" : "Questionnaire Measure Example",
  "status" : "draft",
  "experimental" : true,
  "date" : "2025-04-24T05:02:57-07:00",
  "publisher" : "HL7 International - [Some] Work Group",
  "contact" : [
    {
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://hl7.org/Special/committees/[something]"
        }
      ]
    }
  ],
  "description" : "Example measure illustrating a continuous variable measure calculating scores from multiple questionnaires",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code" : "001"
        }
      ]
    }
  ],
  "library" : [
    "http://somewhere.org/fhir/uv/mycontentig/Library/QuestionnaireMeasureExample"
  ],
  "scoring" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/measure-scoring",
        "code" : "continuous-variable",
        "display" : "Continuous Variable"
      }
    ]
  },
  "type" : [
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/measure-type",
          "code" : "process"
        }
      ]
    }
  ],
  "improvementNotation" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/measure-improvement-notation",
        "code" : "increase"
      }
    ]
  },
  "group" : [
    {
      "id" : "group-1",
      "population" : [
        {
          "id" : "8A48538B-80BB-4E8B-9716-559C657278FD",
          "code" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                "code" : "initial-population",
                "display" : "Initial Population"
              }
            ]
          },
          "criteria" : {
            "language" : "text/cql-identifier",
            "expression" : "Initial Population"
          }
        },
        {
          "id" : "8FBD6CFA-99E4-4108-B083-91067C55170E",
          "code" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                "code" : "measure-population",
                "display" : "Measure Population"
              }
            ]
          },
          "criteria" : {
            "language" : "text/cql-identifier",
            "expression" : "Measure Population"
          }
        },
        {
          "id" : "8B71AD15-47EB-4939-8318-1DF60CABCFD6",
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-aggregateMethod",
              "valueCode" : "average"
            },
            {
              "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-criteriaReference",
              "valueString" : "8FBD6CFA-99E4-4108-B083-91067C55170E"
            }
          ],
          "code" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                "code" : "measure-observation",
                "display" : "Measure Observation"
              }
            ]
          },
          "criteria" : {
            "language" : "text/cql-identifier",
            "expression" : "MeasureObservation"
          }
        }
      ]
    }
  ]
}

XIG built as of ??metadata-date??. Found ??metadata-resources?? resources in ??metadata-packages?? packages.