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FHIR IG analytics

Packagehl7.fhir.us.cqfmeasures.r4
Resource TypeLibrary
IdLibrary-EXMComputableLibrary.json
FHIR VersionR4

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Narrative

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

Title: Example Computable Library
Id: EXMComputableLibrary
Version: 2.0.0
Url: http://hl7.org/fhir/us/cqfmeasures/Library/EXMComputableLibrary
Official

EXMComputableLogic

Experimental: true
Type:

system: http://terminology.hl7.org/CodeSystem/library-type

code: logic-library

Date: 2019-09-03
Publisher: HL7 International / Clinical Quality Information
Description:

This library is used as an example in the FHIR Quality Measure Implementation Guide
Jurisdiction: US
Approval Date: 2019-08-03
Related Artifacts:

Dependencies

  • http://fhir.org/guides/common/Library/FHIR-ModelInfo|4.0.1
  • http://fhir.org/guides/common/Library/FHIRHelpers|4.0.1
  • Diagnosis Role
  • http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.292
  • http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.299
  • http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1111.126
  • http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1
  • http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.836
  • http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.837
  • http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591
Parameters:
NameTypeMinMaxIn/Out
Measurement PeriodPeriod01In
PatientPatient01Out
Inpatient EncounterEncounter0*Out
Initial PopulationEncounter0*Out
Measure PopulationEncounter0*Out
Stratifier 1Encounter0*Out
Stratifier 2Encounter0*Out
Stratifier 3Encounter0*Out
Stratifier 4Encounter0*Out
SDE EthnicityCoding0*Out
SDE PayerResource0*Out
SDE RaceCoding0*Out
SDE SexCoding01Out
Data Requirements:
TypeProfileMSCode Filter
Encounter http://hl7.org/fhir/StructureDefinition/Encounter
Encounter http://hl7.org/fhir/StructureDefinition/Encounter code filter:
path: type
value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.292
Condition http://hl7.org/fhir/StructureDefinition/Condition code filter:
path: id
Coverage http://hl7.org/fhir/StructureDefinition/Coverage code filter:
path: type
value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591
Content: text/cql
library EXMComputableLibrary version '2.0.0'

/*
This example is purely for illustration purposes to show how all the elements of a
FHIR-based quality measure are represented. It is intentionally simplified to show
specific aspects of a measure, and is not intended as an example of a clinically
meaningful measure.
*/

/*
NOTE: This is the same library as EXMLogic, being used to illustrate the different flavors of profiles:
* Computable: Focusing on computable/design-time aspects
* Executable: Focusing on run-time aspects
* Publishable: Focusing on knowledge management aspects
*/

using FHIR version '4.0.1'

include FHIRHelpers version '4.0.1' called FHIRHelpers

codesystem "Diagnosis Role": 'http://terminology.hl7.org/CodeSystem/diagnosis-role'

valueset "Emergency Department Visit" : 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.292'
valueset "Psychiatric/Mental Health Patient" : 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.299'
valueset "Hospital Settings" : 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1111.126'

valueset "ONC Administrative Sex": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1'
valueset "Race": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.836'
valueset "Ethnicity": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.837'
valueset "Payer": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591'

code "Billing": 'billing' from "Diagnosis Role" display 'Billing'

parameter "Measurement Period" Interval<DateTime>

context Patient

define "Initial Population" :
  "Inpatient Encounter" Encounter

define "Measure Population" :
  "Initial Population"

define function "Measure Observation" (Encounter "Encounter" ) :
  duration in minutes of "Related ED Visit"(Encounter).period

define "Stratifier 1" :
  "Inpatient Encounter" Encounter
    where not (PrincipalDiagnosis(Encounter).code in "Psychiatric/Mental Health Patient")

define "Stratifier 2" :
  "Inpatient Encounter" Encounter
    where PrincipalDiagnosis(Encounter).code in "Psychiatric/Mental Health Patient"

define "Stratifier 3" :
  "Inpatient Encounter" Encounter
    where PrincipalDiagnosis(Encounter) is null

define "Stratifier 4" :
  "Inpatient Encounter" Encounter
    where PrincipalDiagnosis(Encounter) is null

define "Inpatient Encounter" :
  ["Encounter"] Encounter
    where LengthInDays(Encounter.period) <= 120
      and Encounter.period ends during "Measurement Period"

define function "PrincipalDiagnosis"(Encounter Encounter):
	(singleton from (Encounter.diagnosis D where D.use ~ ToConcept("Billing") and D.rank.value = 1)) PD
		return singleton from ([Condition: id in "GetId"(PD.condition.reference)])

define function "LengthInDays"(Value Interval<DateTime>):
	difference in days between start of Value and end of Value

define function "GetId"(uri String):
	Last(Split(uri, '/'))

//Measure Observation
define function "Related ED Visit" (Encounter "Encounter" ) :
  Last(["Encounter" : "Emergency Department Visit"] ED
    where ED.status = 'finished'
      and ED.period ends 1 hour or less before start of Encounter.period
    sort by start of period )

define "SDE Ethnicity":
  (flatten (
    Patient.extension Extension
      where Extension.url = 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity'
        return Extension.extension
  )) E
    where E.url = 'ombCategory'
      or E.url = 'detailed'
    return E.value as Coding

define "SDE Payer":
    [Coverage: type in "Payer"] Payer
      return {
        code: Payer.type,
        period: Payer.period
      }

define "SDE Race":
  (flatten (
    Patient.extension Extension
      where Extension.url = 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-race'
        return Extension.extension
  )) E
    where E.url = 'ombCategory'
      or E.url = 'detailed'
    return E.value as Coding

define "SDE Sex":
  case
    when Patient.gender = 'male' then Code { code: 'M', system: 'http://hl7.org/fhir/v3/AdministrativeGender', display: 'Male' }
    when Patient.gender = 'female' then Code { code: 'F', system: 'http://hl7.org/fhir/v3/AdministrativeGender', display: 'Female' }
    else null
  end

Source1

{
  "resourceType": "Library",
  "id": "EXMComputableLibrary",
  "meta": {
    "profile": [
      "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-publishablelibrary",
      "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareablelibrary",
      "http://hl7.org/fhir/uv/cql/StructureDefinition/cql-library"
    ]
  },
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode": "cqi"
    }
  ],
  "url": "http://hl7.org/fhir/us/cqfmeasures/Library/EXMComputableLibrary",
  "identifier": [
    {
      "use": "official",
      "system": "http://example.org/fhir/cqi/ecqm/Library/Identifier",
      "value": "EXMComputableLogic"
    }
  ],
  "version": "2.0.0",
  "name": "EXMComputableLibrary",
  "title": "Example Computable Library",
  "status": "active",
  "experimental": true,
  "type": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/library-type",
        "code": "logic-library"
      }
    ]
  },
  "date": "2019-09-03",
  "publisher": "HL7 International / Clinical Quality Information",
  "contact": [
    {
      "telecom": [
        {
          "system": "url",
          "value": "http://www.hl7.org/Special/committees/cqi"
        }
      ]
    }
  ],
  "description": "This library is used as an example in the FHIR Quality Measure Implementation Guide",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "urn:iso:std:iso:3166",
          "code": "US"
        }
      ]
    }
  ],
  "approvalDate": "2019-08-03",
  "lastReviewDate": "2019-08-03",
  "relatedArtifact": [
    {
      "type": "depends-on",
      "resource": "http://fhir.org/guides/common/Library/FHIR-ModelInfo|4.0.1"
    },
    {
      "type": "depends-on",
      "resource": "http://fhir.org/guides/common/Library/FHIRHelpers|4.0.1"
    },
    {
      "type": "depends-on",
      "resource": "http://terminology.hl7.org/CodeSystem/diagnosis-role"
    },
    {
      "type": "depends-on",
      "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.292"
    },
    {
      "type": "depends-on",
      "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.299"
    },
    {
      "type": "depends-on",
      "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1111.126"
    },
    {
      "type": "depends-on",
      "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1"
    },
    {
      "type": "depends-on",
      "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.836"
    },
    {
      "type": "depends-on",
      "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.837"
    },
    {
      "type": "depends-on",
      "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591"
    }
  ],
  "parameter": [
    {
      "name": "Measurement Period",
      "use": "in",
      "min": 0,
      "max": "1",
      "type": "Period"
    },
    {
      "name": "Patient",
      "use": "out",
      "min": 0,
      "max": "1",
      "type": "Patient"
    },
    {
      "name": "Inpatient Encounter",
      "use": "out",
      "min": 0,
      "max": "*",
      "type": "Encounter"
    },
    {
      "name": "Initial Population",
      "use": "out",
      "min": 0,
      "max": "*",
      "type": "Encounter"
    },
    {
      "name": "Measure Population",
      "use": "out",
      "min": 0,
      "max": "*",
      "type": "Encounter"
    },
    {
      "name": "Stratifier 1",
      "use": "out",
      "min": 0,
      "max": "*",
      "type": "Encounter"
    },
    {
      "name": "Stratifier 2",
      "use": "out",
      "min": 0,
      "max": "*",
      "type": "Encounter"
    },
    {
      "name": "Stratifier 3",
      "use": "out",
      "min": 0,
      "max": "*",
      "type": "Encounter"
    },
    {
      "name": "Stratifier 4",
      "use": "out",
      "min": 0,
      "max": "*",
      "type": "Encounter"
    },
    {
      "name": "SDE Ethnicity",
      "use": "out",
      "min": 0,
      "max": "*",
      "type": "Coding"
    },
    {
      "name": "SDE Payer",
      "use": "out",
      "min": 0,
      "max": "*",
      "type": "Resource"
    },
    {
      "name": "SDE Race",
      "use": "out",
      "min": 0,
      "max": "*",
      "type": "Coding"
    },
    {
      "name": "SDE Sex",
      "use": "out",
      "min": 0,
      "max": "1",
      "type": "Coding"
    }
  ],
  "dataRequirement": [
    {
      "type": "Encounter",
      "profile": [
        "http://hl7.org/fhir/StructureDefinition/Encounter"
      ]
    },
    {
      "type": "Encounter",
      "profile": [
        "http://hl7.org/fhir/StructureDefinition/Encounter"
      ],
      "codeFilter": [
        {
          "path": "type",
          "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.292"
        }
      ]
    },
    {
      "type": "Condition",
      "profile": [
        "http://hl7.org/fhir/StructureDefinition/Condition"
      ],
      "codeFilter": [
        {
          "path": "id"
        }
      ]
    },
    {
      "type": "Coverage",
      "profile": [
        "http://hl7.org/fhir/StructureDefinition/Coverage"
      ],
      "codeFilter": [
        {
          "path": "type",
          "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591"
        }
      ]
    }
  ],
  "content": [
    {
      "contentType": "text/cql",
      "language": "AllLanguages",
      "data": 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    }
  ]
}