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FHIR IG analytics

Packagehl7.fhir.uv.cqm
Resource TypeMeasure
IdMeasure-BCSComponent.json
FHIR VersionR4
Sourcehttps://build.fhir.org/ig/HL7/fhir-cqm/Measure-BCSComponent.html
URLhttp://hl7.org/fhir/uv/cqm/Measure/BCSComponent
Version0.0.001
Statusactive
Date2025-08-13T17:14:51-06:00
NameBCSComponent
TitleBreast Cancer Screening
Realmuv
Authorityhl7
DescriptionThis is an example only.

Resources that use this resource

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Resources that this resource uses

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Narrative

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

Metadata
Title Breast Cancer Screening
Version 0.0.001
Short Name Breast Cancer Screening
GUID (Version Independent) http://example.org/fhir/us/cqm/Measure/BCSComponent
GUID (Version Specific) http://example.org/fhir/us/cqm/Measure/125v10
Identifier urn:oid:2.16.840.1.113883.4.642.40.61.29.1
Effective Period 2022-01-01 through 2022-12-31
Experimental true
Use Context Clinical Venue = EC
Jurisdiction Global (Whole world)
Steward (Publisher) HL7 International / Clinical Quality Information
Description

This is an example only.
Measure Basis boolean
Measure Scoring Proportion
Measure Type Process
Improvement Notation Increased score indicates improvement
Measure Group (Rate) (ID: primary)
Initial Population ID: primary-bcscomponent-initial-population
Description: No description provided Criteria: Initial Population
Denominator ID: primary-bcscomponent-denominator
Description: No description provided Criteria: Denominator
Denominator Exclusion ID: primary-bcscomponent-denominator-exclusion
Description: No description provided Criteria: Denominator Exclusion
Numerator ID: primary-bcscomponent-numerator
Description: No description provided Criteria: Numerator
Supplemental Data Elements
Supplemental Data Element ID: 3dbb0697-08d7-48db-bc89-bc7f5230c36f
Usage Code: Supplemental Data
Description: No description provided
Logic Definition: SDE Ethnicity
Supplemental Data Element ID: 2865e9d5-f4e8-4c99-812b-5eff79b4b775
Usage Code: Supplemental Data
Description: No description provided
Logic Definition: SDE Payer
Supplemental Data Element ID: 513368dc-dfea-4377-a05d-d358e7e04fbb
Usage Code: Supplemental Data
Description: No description provided
Logic Definition: SDE Race
Supplemental Data Element ID: 25a16429-e866-438f-990a-3e3a5f2f8443
Usage Code: Supplemental Data
Description: No description provided
Logic Definition: SDE Sex
Measure Logic
Primary Library BCS Component Library
Contents Population Criteria
Logic Definitions
Terminology
Dependencies
Data Requirements
Population Criteria
Measure Group (Rate) (ID: primary)
Initial Population 
define "Initial Population":   Patient.gender = 'female'       and Global."CalendarAgeInYearsAt" ( FHIRHelpers.ToDate ( Patient.birthDate ), start of "Measurement Period" ) in Interval[51, 74 )       and exists AdultOutpatientEncounters."Qualifying Encounters"
Definition
Denominator 
define "Denominator":   "Initial Population"
Definition
Denominator Exclusion 
define "Denominator Exclusion":   Hospice."Has Hospice"       or ( ( exists "Right Mastectomy Diagnosis"             or exists "Right Mastectomy Procedure"         )           and ( exists "Left Mastectomy"               or exists "Left Mastectomy Procedure"           )       )       or exists "Bilateral Mastectomy Diagnosis"       or exists "Bilateral Mastectomy Procedure"       or Frailty."Advanced Illness and Frailty Exclusion Not Including Over Age 80"       or ( Global."CalendarAgeInYearsAt" ( FHIRHelpers.ToDate ( Patient.birthDate ), start of "Measurement Period" ) >= 65           and Frailty."Long Term Care Periods Longer Than 90 Consecutive Days"       )
Definition
Numerator 
define "Numerator":   exists ( [DiagnosticReport: "Mammography"] Mammogram         where ( Global."Normalize Interval" ( Mammogram.effective ) ends 27 months or less on or before           end of "Measurement Period"         )           and Mammogram.status in { 'final', 'amended', 'corrected', 'appended' }     )
Definition
Logic Definitions
Logic Definition Library Name: AdultOutpatientEncounters 
define "Qualifying Encounters":  (     [Encounter: "Office Visit"]     union [Encounter: "Annual Wellness Visit"]     union [Encounter: "Preventive Care Services - Established Office Visit, 18 and Up"]     union [Encounter: "Preventive Care Services-Initial Office Visit, 18 and Up"]     union [Encounter: "Home Healthcare Services"]   ) ValidEncounter   where ValidEncounter.period during "Measurement Period"     and ValidEncounter.status  = 'finished'
Logic Definition Library Name: Hospice 
define "Has Hospice":  exists (     [Encounter: "Encounter Inpatient"] DischargeHospice    where DischargeHospice.status = 'finished'       and (          DischargeHospice.hospitalization.dischargeDisposition ~ "Discharge to home for hospice care (procedure)"         or DischargeHospice.hospitalization.dischargeDisposition ~ "Discharge to healthcare facility for hospice care (procedure)"       )     and DischargeHospice.period ends during "Measurement Period"  )     or exists (       [ServiceRequest: "Hospice care ambulatory"] HospiceOrder         where HospiceOrder.intent = 'order'             and HospiceOrder.authoredOn in "Measurement Period"     )     or exists (       [Procedure: "Hospice care ambulatory"] HospicePerformed         where HospicePerformed.status = 'completed'           and Global."Normalize Interval"(HospicePerformed.performed) overlaps "Measurement Period"     )
Logic Definition Library Name: AdvancedIllnessandFrailtyExclusion 
define "Has Criteria Indicating Frailty":   //Ask Bryn about devices        exists ( [DeviceRequest: "Frailty Device"] FrailtyDeviceOrder          where FrailtyDeviceOrder.authoredOn during "Measurement Period"        )           // DeviceUseStatement has a known issue with the publication tooling           // so it is removed to allow this IG to publish until that is fixed         //or exists ( [DeviceUseStatement: "Frailty Device"] FrailtyDeviceUse         //  where Global."Normalize Interval"(FrailtyDeviceUse.timing) overlaps "Measurement Period"         //)         or exists ( [Condition: "Frailty Diagnosis"] FrailtyDiagnosis           where Global."Prevalence Period"(FrailtyDiagnosis) overlaps "Measurement Period"         )         or exists ( [Encounter: "Frailty Encounter"] FrailtyEncounter           where FrailtyEncounter.period overlaps "Measurement Period"         )         or exists ( [Observation: "Frailty Symptom"] FrailtySymptomObservation           where Global."Normalize Interval"(FrailtySymptomObservation.effective) overlaps "Measurement Period"         )
Logic Definition Library Name: AdvancedIllnessandFrailtyExclusion 
define "Outpatient Encounters with Advanced Illness":   ( [Encounter: "Outpatient"]         union [Encounter: "Observation"]         union [Encounter: "ED"]         union [Encounter: "Nonacute Inpatient"] ) OutpatientEncounter          with [Condition: "Advanced Illness"] AdvancedIllnessDiagnosis                   such that exists (                       OutpatientEncounter.diagnosis.condition EncounterDiagnosis                           where EndsWith(EncounterDiagnosis.reference, AdvancedIllnessDiagnosis.id)                   )                   and OutpatientEncounter.period starts 2 years or less on or before          end of "Measurement Period"
Logic Definition Library Name: AdvancedIllnessandFrailtyExclusion 
define "Inpatient Encounter with Advanced Illness":   [Encounter: "Acute Inpatient"] InpatientEncounter         with [Condition: "Advanced Illness"] AdvancedIllnessDiagnosis                   such that exists (                       InpatientEncounter.diagnosis.condition EncounterDiagnosis                           where EndsWith(EncounterDiagnosis.reference, AdvancedIllnessDiagnosis.id)                   )          and InpatientEncounter.period starts 2 years or less on or before          end of "Measurement Period"
Logic Definition Library Name: AdvancedIllnessandFrailtyExclusion 
define "Dementia Medications In Year Before or During Measurement Period":   ["MedicationDispense": "Dementia Medications"] DementiaMed         where DementiaMed.whenHandedOver during Interval[                   ( start of "Measurement Period" - 1 year ), end of "Measurement Period"               ]
Logic Definition Library Name: AdvancedIllnessandFrailtyExclusion 
define "Advanced Illness and Frailty Exclusion Not Including Over Age 80":   //If the measure does NOT include populations age 80 and older, then use this logic:        Global."CalendarAgeInYearsAt"(FHIRHelpers.ToDate(Patient.birthDate), start of "Measurement Period")>= 65               and "Has Criteria Indicating Frailty"               and ( Count("Outpatient Encounters with Advanced Illness")>= 2                   or exists ( "Inpatient Encounter with Advanced Illness" )                   or exists "Dementia Medications In Year Before or During Measurement Period"               )
Logic Definition Library Name: AdvancedIllnessandFrailtyExclusion 
// start here  define "Long Term Care Periods During Measurement Period":   ( [Encounter: "Care Services in Long-Term Residential Facility"]                 union [Encounter: "Nursing Facility Visit"] ) LongTermFacilityEncounter                 where LongTermFacilityEncounter.period overlaps "Measurement Period"                 return LongTermFacilityEncounter.period                  intersect "Measurement Period"
Logic Definition Library Name: AdvancedIllnessandFrailtyExclusion 
define "Long Term Care Periods Longer Than 90 Consecutive Days":   exists ( "Long Term Care Periods During Measurement Period" LongTermCareDuringMP         where duration in days of LongTermCareDuringMP > 90     )
Logic Definition Library Name: SupplementalDataElements 
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
Logic Definition Library Name: SupplementalDataElements 
define "SDE Payer":   [Coverage: type in "Payer"] Payer         return {           code: Payer.type,           period: Payer.period         }
Logic Definition Library Name: SupplementalDataElements 
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
Logic Definition Library Name: SupplementalDataElements 
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
Logic Definition Library Name: BCSComponent 
define "SDE Sex":   SDE."SDE Sex"
Logic Definition Library Name: BCSComponent 
define "Numerator":   exists ( [DiagnosticReport: "Mammography"] Mammogram         where ( Global."Normalize Interval" ( Mammogram.effective ) ends 27 months or less on or before           end of "Measurement Period"         )           and Mammogram.status in { 'final', 'amended', 'corrected', 'appended' }     )
Logic Definition Library Name: BCSComponent 
define "Initial Population":   Patient.gender = 'female'       and Global."CalendarAgeInYearsAt" ( FHIRHelpers.ToDate ( Patient.birthDate ), start of "Measurement Period" ) in Interval[51, 74 )       and exists AdultOutpatientEncounters."Qualifying Encounters"
Logic Definition Library Name: BCSComponent 
define "Denominator":   "Initial Population"
Logic Definition Library Name: BCSComponent 
define "SDE Payer":   SDE."SDE Payer"
Logic Definition Library Name: BCSComponent 
define "SDE Ethnicity":   SDE."SDE Ethnicity"
Logic Definition Library Name: BCSComponent 
define "Right Mastectomy Diagnosis":   ( ( [Condition: "Status Post Right Mastectomy"] )       union ( [Condition: "Unilateral Mastectomy, Unspecified Laterality"] UnilateralMastectomyDiagnosis           where UnilateralMastectomyDiagnosis.bodySite in "Right"       ) ) RightMastectomy       where Global."Normalize Interval" ( RightMastectomy.onset ) starts on or before       end of "Measurement Period"
Logic Definition Library Name: BCSComponent 
define "Right Mastectomy Procedure":   [Procedure: "Unilateral Mastectomy Right"] UnilateralMastectomyRightPerformed       where Global."Normalize Interval" ( UnilateralMastectomyRightPerformed.performed ) ends on or before       end of "Measurement Period"         and UnilateralMastectomyRightPerformed.status = 'completed'
Logic Definition Library Name: BCSComponent 
define "Left Mastectomy":   ( ( [Condition: "Status Post Left Mastectomy"] )       union ( [Condition: "Unilateral Mastectomy, Unspecified Laterality"] UnilateralMastectomyDiagnosis           where UnilateralMastectomyDiagnosis.bodySite in "Left"       ) ) LeftMastectomy       where Global."Normalize Interval" ( LeftMastectomy.onset ) starts on or before       end of "Measurement Period"
Logic Definition Library Name: BCSComponent 
define "Left Mastectomy Procedure":   [Procedure: "Unilateral Mastectomy Left"] UnilateralMastectomyLeftPerformed       where Global."Normalize Interval" ( UnilateralMastectomyLeftPerformed.performed ) ends on or before       end of "Measurement Period"         and UnilateralMastectomyLeftPerformed.status = 'completed'
Logic Definition Library Name: BCSComponent 
define "Bilateral Mastectomy Diagnosis":   [Condition: "History of bilateral mastectomy"] BilateralMastectomyHistory       where Global."Normalize Interval" ( BilateralMastectomyHistory.onset ) starts on or before       end of "Measurement Period"
Logic Definition Library Name: BCSComponent 
define "Bilateral Mastectomy Procedure":   [Procedure: "Bilateral Mastectomy"] BilateralMastectomyPerformed       where Global."Normalize Interval" ( BilateralMastectomyPerformed.performed ) ends on or before       end of "Measurement Period"         and BilateralMastectomyPerformed.status = 'completed'
Logic Definition Library Name: BCSComponent 
define "Denominator Exclusion":   Hospice."Has Hospice"       or ( ( exists "Right Mastectomy Diagnosis"             or exists "Right Mastectomy Procedure"         )           and ( exists "Left Mastectomy"               or exists "Left Mastectomy Procedure"           )       )       or exists "Bilateral Mastectomy Diagnosis"       or exists "Bilateral Mastectomy Procedure"       or Frailty."Advanced Illness and Frailty Exclusion Not Including Over Age 80"       or ( Global."CalendarAgeInYearsAt" ( FHIRHelpers.ToDate ( Patient.birthDate ), start of "Measurement Period" ) >= 65           and Frailty."Long Term Care Periods Longer Than 90 Consecutive Days"       )
Logic Definition Library Name: BCSComponent 
define "SDE Race":   SDE."SDE Race"
Logic Definition Library Name: MATGlobalCommonFunctions 
define function "CalendarAgeInYearsAt"(BirthDateTime DateTime, AsOf DateTime):  years between ToDate(BirthDateTime)and ToDate(AsOf)
Logic Definition Library Name: MATGlobalCommonFunctions 
define function "ToDate"(Value DateTime):  DateTime(year from Value, month from Value, day from Value, 0, 0, 0, 0, timezoneoffset from Value)
Logic Definition Library Name: MATGlobalCommonFunctions 
define function "Prevalence Period"(condition Condition):   Interval[start of "Normalize Interval"(condition.onset), end of "Normalize Abatement"(condition))
Logic Definition Library Name: MATGlobalCommonFunctions 
define function "Normalize Abatement"(condition Condition):  if condition.abatement is FHIR.dateTime then    Interval[FHIRHelpers.ToDateTime(condition.abatement as FHIR.dateTime), FHIRHelpers.ToDateTime(condition.abatement as FHIR.dateTime)]  else if condition.abatement is FHIR.Period then    FHIRHelpers.ToInterval(condition.abatement as FHIR.Period)  else if condition.abatement is FHIR.string then     Message(null as Interval<DateTime>, true, '1', 'Error', 'Cannot compute an interval from a String value')  else if condition.abatement is FHIR.Age then   Interval[FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity(condition.abatement as FHIR.Age),    FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity(condition.abatement as FHIR.Age) + 1 year)  else if condition.abatement is FHIR.Range then    Interval[FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity((condition.abatement as FHIR.Range).low),     FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity((condition.abatement as FHIR.Range).high) + 1 year)  else if condition.abatement is FHIR.boolean then    Interval[end of "Normalize Interval"(condition.onset), condition.recordedDate)  else null
Logic Definition Library Name: FHIRHelpers 
define function ToString(value AdministrativeGender): value.value
Logic Definition Library Name: FHIRHelpers 
define function ToString(value DiagnosticReportStatus): value.value
Logic Definition Library Name: FHIRHelpers 
define function ToDate(value date): value.value
Logic Definition Library Name: FHIRHelpers 
/* @description: Converts the given [Period](https://hl7.org/fhir/datatypes.html#Period) value to a CQL DateTime Interval @comment: If the start value of the given period is unspecified, the starting boundary of the resulting interval will be open (meaning the start of the interval is unknown, as opposed to interpreted as the beginning of time). */ define function ToInterval(period FHIR.Period):     if period is null then         null     else         if period."start" is null then             Interval(period."start".value, period."end".value]         else             Interval[period."start".value, period."end".value]
Logic Definition Library Name: FHIRHelpers 
define function ToString(value EncounterStatus): value.value
Logic Definition Library Name: FHIRHelpers 
define function ToString(value uri): value.value
Logic Definition Library Name: FHIRHelpers 
/* @description: Converts the given FHIR [CodeableConcept](https://hl7.org/fhir/datatypes.html#CodeableConcept) value to a CQL Concept. */ define function ToConcept(concept FHIR.CodeableConcept):     if concept is null then         null     else         System.Concept {             codes: concept.coding C return ToCode(C),             display: concept.text.value         }
Logic Definition Library Name: FHIRHelpers 
/* @description: Converts the given FHIR [Coding](https://hl7.org/fhir/datatypes.html#Coding) value to a CQL Code. */ 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         }
Logic Definition Library Name: FHIRHelpers 
define function ToString(value ServiceRequestIntent): value.value
Logic Definition Library Name: FHIRHelpers 
define function ToDateTime(value dateTime): value.value
Logic Definition Library Name: FHIRHelpers 
define function ToString(value ProcedureStatus): value.value
Logic Definition Library Name: FHIRHelpers 
/* @description: Converts the given FHIR [Quantity](https://hl7.org/fhir/datatypes.html#Quantity)  value to a CQL Quantity @comment: If the given quantity has a comparator specified, a runtime error is raised. If the given quantity has a system other than UCUM (i.e. `http://unitsofmeasure.org`) or CQL calendar units (i.e. `http://hl7.org/fhirpath/CodeSystem/calendar-units`) an error is raised. For UCUM to calendar units, the `ToCalendarUnit` function is used. @seealso: ToCalendarUnit */ define function ToQuantity(quantity FHIR.Quantity):     case         when quantity is null then null         when quantity.value is null then null         when quantity.comparator is not null then             Message(null, true, 'FHIRHelpers.ToQuantity.ComparatorQuantityNotSupported', 'Error', 'FHIR Quantity value has a comparator and cannot be converted to a System.Quantity value.')         when quantity.system is null or quantity.system.value = 'http://unitsofmeasure.org'               or quantity.system.value = 'http://hl7.org/fhirpath/CodeSystem/calendar-units' then             System.Quantity { value: quantity.value.value, unit: ToCalendarUnit(Coalesce(quantity.code.value, quantity.unit.value, '1')) }         else             Message(null, true, 'FHIRHelpers.ToQuantity.InvalidFHIRQuantity', 'Error', 'Invalid FHIR Quantity code: ' & quantity.unit.value & ' (' & quantity.system.value & '|' & quantity.code.value & ')')     end
Logic Definition Library Name: FHIRHelpers 
/* @description: Converts a UCUM definite duration unit to a CQL calendar duration unit using conversions specified in the [quantities](https://cql.hl7.org/02-authorsguide.html#quantities)  topic of the CQL specification. @comment: Note that for durations above days (or weeks), the conversion is understood to be approximate */ define function ToCalendarUnit(unit System.String):     case unit         when 'ms' then 'millisecond'         when 's' then 'second'         when 'min' then 'minute'         when 'h' then 'hour'         when 'd' then 'day'         when 'wk' then 'week'         when 'mo' then 'month'         when 'a' then 'year'         else unit     end
Logic Definition Library Name: FHIRHelpers 
define function ToString(value string): value.value
Terminology
Code System Description: Code system SNOMEDCT:2017-09
Resource: http://snomed.info/sct|http://snomed.info/sct/731000124108/version/201709
Canonical URL: http://snomed.info/sct|http://snomed.info/sct/731000124108/version/201709
Value Set Description: Value set Mammography
Resource: Mammography
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1018
Value Set Description: Value set Office Visit
Resource: Office Visit
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001
Value Set Description: Value set Annual Wellness Visit
Resource: Annual Wellness Visit
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1240
Value Set Description: Value set Preventive Care Services - Established Office Visit, 18 and Up
Resource: Preventive Care Services Established Office Visit, 18 and Up
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1025
Value Set Description: Value set Preventive Care Services-Initial Office Visit, 18 and Up
Resource: Preventive Care Services Initial Office Visit, 18 and Up
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1023
Value Set Description: Value set Home Healthcare Services
Resource: Home Healthcare Services
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1016
Value Set Description: Value set Payer
Resource: Payer Type
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591
Value Set Description: Value set Encounter Inpatient
Resource: Encounter Inpatient
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307
Value Set Description: Value set Hospice care ambulatory
Resource: Hospice Care Ambulatory
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1108.15
Value Set Description: Value set Status Post Right Mastectomy
Resource: Status Post Right Mastectomy
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1070
Value Set Description: Value set Unilateral Mastectomy, Unspecified Laterality
Resource: Unilateral Mastectomy, Unspecified Laterality
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1071
Value Set Description: Value set Right
Resource: Right
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.122.12.1035
Value Set Description: Value set Unilateral Mastectomy Right
Resource: Unilateral Mastectomy Right
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1134
Value Set Description: Value set Status Post Left Mastectomy
Resource: Status Post Left Mastectomy
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1069
Value Set Description: Value set Left
Resource: Left
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.122.12.1036
Value Set Description: Value set Unilateral Mastectomy Left
Resource: Unilateral Mastectomy Left
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1133
Value Set Description: Value set History of bilateral mastectomy
Resource: History of bilateral mastectomy
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1068
Value Set Description: Value set Bilateral Mastectomy
Resource: Bilateral Mastectomy
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1005
Value Set Description: Value set Frailty Device
Resource: Frailty Device
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.118.12.1300
Value Set Description: Value set Frailty Diagnosis
Resource: Frailty Diagnosis
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.113.12.1074
Value Set Description: Value set Frailty Encounter
Resource: Frailty Encounter
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1088
Value Set Description: Value set Frailty Symptom
Resource: Frailty Symptom
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.113.12.1075
Value Set Description: Value set Outpatient
Resource: Outpatient
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1087
Value Set Description: Value set Observation
Resource: Observation
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1086
Value Set Description: Value set ED
Resource: ED
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1085
Value Set Description: Value set Nonacute Inpatient
Resource: Nonacute Inpatient
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1084
Value Set Description: Value set Advanced Illness
Resource: Advanced Illness
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1082
Value Set Description: Value set Acute Inpatient
Resource: Acute Inpatient
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1083
Value Set Description: Value set Dementia Medications
Resource: Dementia Medications
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.196.12.1510
Value Set Description: Value set Care Services in Long-Term Residential Facility
Resource: Care Services in Long Term Residential Facility
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1014
Value Set Description: Value set Nursing Facility Visit
Resource: Nursing Facility Visit
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1012
Direct Reference Code Display: Discharge to home for hospice care (procedure)
Code: 428361000124107
System: http://snomed.info/sct
Direct Reference Code Display: Discharge to healthcare facility for hospice care (procedure)
Code: 428371000124100
System: http://snomed.info/sct
Dependencies
Dependency Description: Library SDE
Resource: Supplemental Data Elementsversion: null2.0.000)
Canonical URL: http://hl7.org/fhir/uv/cqm/Library/SupplementalDataElements|2.0.000
Dependency Description: Library FHIRHelpers
Resource: http://hl7.org/fhir/uv/cql/Library/FHIRHelpers|4.0.1
Canonical URL: http://hl7.org/fhir/uv/cql/Library/FHIRHelpers|4.0.1
Dependency Description: Library Global
Resource: MAT Global Common Functions FHIR Libraryversion: null5.0.000)
Canonical URL: http://hl7.org/fhir/uv/cqm/Library/MATGlobalCommonFunctions|5.0.000
Dependency Description: Library AdultOutpatientEncounters
Resource: Adult Outpatient Encounters Common Libraryversion: null2.0.000)
Canonical URL: http://hl7.org/fhir/uv/cqm/Library/AdultOutpatientEncounters|2.0.000
Dependency Description: Library Hospice
Resource: Hospice FHIR Libraryversion: null2.0.000)
Canonical URL: http://hl7.org/fhir/uv/cqm/Library/Hospice|2.0.000
Dependency Description: Library Frailty
Resource: Advanced Illness and Frailty Exclusion Libraryversion: null5.12.000)
Canonical URL: http://hl7.org/fhir/uv/cqm/Library/AdvancedIllnessandFrailtyExclusion|5.12.000
Data Requirements
Data Requirement Type: Patient
Profile(s): Patient
Must Support Elements: url, extension, value
Data Requirement Type: DiagnosticReport
Profile(s): DiagnosticReport
Must Support Elements: code, effective, status
Code Filter(s):
Path: code
ValueSet: Mammography
Data Requirement Type: Encounter
Profile(s): Encounter
Must Support Elements: type, period, status, diagnosis
Code Filter(s):
Path: type
ValueSet: Office Visit
Data Requirement Type: Encounter
Profile(s): Encounter
Must Support Elements: type, period, status, diagnosis
Code Filter(s):
Path: type
ValueSet: Annual Wellness Visit
Data Requirement Type: Encounter
Profile(s): Encounter
Must Support Elements: type, period, status, diagnosis
Code Filter(s):
Path: type
ValueSet: Preventive Care Services Established Office Visit, 18 and Up
Data Requirement Type: Encounter
Profile(s): Encounter
Must Support Elements: type, period, status, diagnosis
Code Filter(s):
Path: type
ValueSet: Preventive Care Services Initial Office Visit, 18 and Up
Data Requirement Type: Encounter
Profile(s): Encounter
Must Support Elements: type, period, status, diagnosis
Code Filter(s):
Path: type
ValueSet: Home Healthcare Services
Data Requirement Type: Encounter
Profile(s): Encounter
Must Support Elements: type, status, hospitalization, hospitalization.dischargeDisposition, period, diagnosis
Code Filter(s):
Path: type
ValueSet: Encounter Inpatient
Data Requirement Type: Encounter
Profile(s): Encounter
Must Support Elements: type, period, status, diagnosis
Code Filter(s):
Path: type
ValueSet: Frailty Encounter
Data Requirement Type: Encounter
Profile(s): Encounter
Must Support Elements: type, period, status, diagnosis
Code Filter(s):
Path: type
ValueSet: Outpatient
Data Requirement Type: Encounter
Profile(s): Encounter
Must Support Elements: type, period, status, diagnosis
Code Filter(s):
Path: type
ValueSet: Observation
Data Requirement Type: Encounter
Profile(s): Encounter
Must Support Elements: type, period, status, diagnosis
Code Filter(s):
Path: type
ValueSet: ED
Data Requirement Type: Encounter
Profile(s): Encounter
Must Support Elements: type, period, status, diagnosis
Code Filter(s):
Path: type
ValueSet: Nonacute Inpatient
Data Requirement Type: Encounter
Profile(s): Encounter
Must Support Elements: type, diagnosis, period, status
Code Filter(s):
Path: type
ValueSet: Acute Inpatient
Data Requirement Type: Encounter
Profile(s): Encounter
Must Support Elements: type, period, status, diagnosis
Code Filter(s):
Path: type
ValueSet: Care Services in Long Term Residential Facility
Data Requirement Type: Encounter
Profile(s): Encounter
Must Support Elements: type, period, status, diagnosis
Code Filter(s):
Path: type
ValueSet: Nursing Facility Visit
Data Requirement Type: Coverage
Profile(s): Coverage
Must Support Elements: type, period
Code Filter(s):
Path: type
ValueSet: Payer Type
Data Requirement Type: ServiceRequest
Profile(s): ServiceRequest
Must Support Elements: code, intent, authoredOn
Code Filter(s):
Path: code
ValueSet: Hospice Care Ambulatory
Data Requirement Type: Procedure
Profile(s): Procedure
Must Support Elements: code, status, performed
Code Filter(s):
Path: code
ValueSet: Hospice Care Ambulatory
Data Requirement Type: Procedure
Profile(s): Procedure
Must Support Elements: code, performed, status
Code Filter(s):
Path: code
ValueSet: Unilateral Mastectomy Right
Data Requirement Type: Procedure
Profile(s): Procedure
Must Support Elements: code, performed, status
Code Filter(s):
Path: code
ValueSet: Unilateral Mastectomy Left
Data Requirement Type: Procedure
Profile(s): Procedure
Must Support Elements: code, performed, status
Code Filter(s):
Path: code
ValueSet: Bilateral Mastectomy
Data Requirement Type: Condition
Profile(s): Condition
Must Support Elements: code, onset
Code Filter(s):
Path: code
ValueSet: Status Post Right Mastectomy
Data Requirement Type: Condition
Profile(s): Condition
Must Support Elements: code, onset
Code Filter(s):
Path: code
ValueSet: Status Post Left Mastectomy
Data Requirement Type: Condition
Profile(s): Condition
Must Support Elements: code, bodySite, onset
Code Filter(s):
Path: code
ValueSet: Unilateral Mastectomy, Unspecified Laterality
Data Requirement Type: Condition
Profile(s): Condition
Must Support Elements: code, onset
Code Filter(s):
Path: code
ValueSet: History of bilateral mastectomy
Data Requirement Type: Condition
Profile(s): Condition
Must Support Elements: code, onset
Code Filter(s):
Path: code
ValueSet: Frailty Diagnosis
Data Requirement Type: Condition
Profile(s): Condition
Must Support Elements: code, id, onset
Code Filter(s):
Path: code
ValueSet: Advanced Illness
Data Requirement Type: DeviceRequest
Profile(s): DeviceRequest
Must Support Elements: code, authoredOn
Code Filter(s):
Path: code
ValueSet: Frailty Device
Data Requirement Type: Observation
Profile(s): Observation
Must Support Elements: code, effective
Code Filter(s):
Path: code
ValueSet: Frailty Symptom
Data Requirement Type: MedicationDispense
Profile(s): MedicationDispense
Must Support Elements: medication, whenHandedOver
Code Filter(s):
Path: medication
ValueSet: Dementia Medications
Data Requirement Type: MedicationDispense
Profile(s): MedicationDispense
Must Support Elements: medication.reference, whenHandedOver
Data Requirement Type: Medication
Profile(s): Medication
Must Support Elements: id, code
Generated using version 0.4.9 of the sample-content-ig Liquid templates

Source1

{
  "resourceType": "Measure",
  "id": "BCSComponent",
  "meta": {
    "profile": [
      "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareablemeasure",
      "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-computablemeasure",
      "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-publishablemeasure",
      "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-proportionmeasure",
      "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-cqlmeasure"
    ]
  },
  "language": "en",
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "contained": [
    {
      "resourceType": "Library",
      "id": "effective-data-requirements",
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
          "valueCoding": {
            "system": "http://snomed.info/sct",
            "version": "http://snomed.info/sct/731000124108/version/201709",
            "code": "428361000124107",
            "display": "Discharge to home for hospice care (procedure)"
          }
        },
        {
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
          "valueCoding": {
            "system": "http://snomed.info/sct",
            "version": "http://snomed.info/sct/731000124108/version/201709",
            "code": "428371000124100",
            "display": "Discharge to healthcare facility for hospice care (procedure)"
          }
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "SupplementalDataElements"
            },
            {
              "url": "name",
              "valueString": "SDE Sex"
            },
            {
              "url": "statement",
              "valueString": "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"
            },
            {
              "url": "displaySequence",
              "valueInteger": 0
            }
          ],
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "BCSComponent"
            },
            {
              "url": "name",
              "valueString": "SDE Sex"
            },
            {
              "url": "statement",
              "valueString": "define \"SDE Sex\":   SDE.\"SDE Sex\""
            },
            {
              "url": "displaySequence",
              "valueInteger": 1
            }
          ],
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "BCSComponent"
            },
            {
              "url": "name",
              "valueString": "Numerator"
            },
            {
              "url": "statement",
              "valueString": "define \"Numerator\":   exists ( [DiagnosticReport: \"Mammography\"] Mammogram         where ( Global.\"Normalize Interval\" ( Mammogram.effective ) ends 27 months or less on or before           end of \"Measurement Period\"         )           and Mammogram.status in { 'final', 'amended', 'corrected', 'appended' }     )"
            },
            {
              "url": "displaySequence",
              "valueInteger": 2
            }
          ],
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "AdultOutpatientEncounters"
            },
            {
              "url": "name",
              "valueString": "Qualifying Encounters"
            },
            {
              "url": "statement",
              "valueString": "define \"Qualifying Encounters\":  (     [Encounter: \"Office Visit\"]     union [Encounter: \"Annual Wellness Visit\"]     union [Encounter: \"Preventive Care Services - Established Office Visit, 18 and Up\"]     union [Encounter: \"Preventive Care Services-Initial Office Visit, 18 and Up\"]     union [Encounter: \"Home Healthcare Services\"]   ) ValidEncounter   where ValidEncounter.period during \"Measurement Period\"     and ValidEncounter.status  = 'finished'"
            },
            {
              "url": "displaySequence",
              "valueInteger": 3
            }
          ],
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "BCSComponent"
            },
            {
              "url": "name",
              "valueString": "Initial Population"
            },
            {
              "url": "statement",
              "valueString": "define \"Initial Population\":   Patient.gender = 'female'       and Global.\"CalendarAgeInYearsAt\" ( FHIRHelpers.ToDate ( Patient.birthDate ), start of \"Measurement Period\" ) in Interval[51, 74 )       and exists AdultOutpatientEncounters.\"Qualifying Encounters\""
            },
            {
              "url": "displaySequence",
              "valueInteger": 4
            }
          ],
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "BCSComponent"
            },
            {
              "url": "name",
              "valueString": "Denominator"
            },
            {
              "url": "statement",
              "valueString": "define \"Denominator\":   \"Initial Population\""
            },
            {
              "url": "displaySequence",
              "valueInteger": 5
            }
          ],
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "SupplementalDataElements"
            },
            {
              "url": "name",
              "valueString": "SDE Payer"
            },
            {
              "url": "statement",
              "valueString": "define \"SDE Payer\":   [Coverage: type in \"Payer\"] Payer         return {           code: Payer.type,           period: Payer.period         }"
            },
            {
              "url": "displaySequence",
              "valueInteger": 6
            }
          ],
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "BCSComponent"
            },
            {
              "url": "name",
              "valueString": "SDE Payer"
            },
            {
              "url": "statement",
              "valueString": "define \"SDE Payer\":   SDE.\"SDE Payer\""
            },
            {
              "url": "displaySequence",
              "valueInteger": 7
            }
          ],
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "SupplementalDataElements"
            },
            {
              "url": "name",
              "valueString": "SDE Ethnicity"
            },
            {
              "url": "statement",
              "valueString": "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"
            },
            {
              "url": "displaySequence",
              "valueInteger": 8
            }
          ],
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "BCSComponent"
            },
            {
              "url": "name",
              "valueString": "SDE Ethnicity"
            },
            {
              "url": "statement",
              "valueString": "define \"SDE Ethnicity\":   SDE.\"SDE Ethnicity\""
            },
            {
              "url": "displaySequence",
              "valueInteger": 9
            }
          ],
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "Hospice"
            },
            {
              "url": "name",
              "valueString": "Has Hospice"
            },
            {
              "url": "statement",
              "valueString": "define \"Has Hospice\":  exists (     [Encounter: \"Encounter Inpatient\"] DischargeHospice    where DischargeHospice.status = 'finished'       and (          DischargeHospice.hospitalization.dischargeDisposition ~ \"Discharge to home for hospice care (procedure)\"         or DischargeHospice.hospitalization.dischargeDisposition ~ \"Discharge to healthcare facility for hospice care (procedure)\"       )     and DischargeHospice.period ends during \"Measurement Period\"  )     or exists (       [ServiceRequest: \"Hospice care ambulatory\"] HospiceOrder         where HospiceOrder.intent = 'order'             and HospiceOrder.authoredOn in \"Measurement Period\"     )     or exists (       [Procedure: \"Hospice care ambulatory\"] HospicePerformed         where HospicePerformed.status = 'completed'           and Global.\"Normalize Interval\"(HospicePerformed.performed) overlaps \"Measurement Period\"     )"
            },
            {
              "url": "displaySequence",
              "valueInteger": 10
            }
          ],
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "BCSComponent"
            },
            {
              "url": "name",
              "valueString": "Right Mastectomy Diagnosis"
            },
            {
              "url": "statement",
              "valueString": "define \"Right Mastectomy Diagnosis\":   ( ( [Condition: \"Status Post Right Mastectomy\"] )       union ( [Condition: \"Unilateral Mastectomy, Unspecified Laterality\"] UnilateralMastectomyDiagnosis           where UnilateralMastectomyDiagnosis.bodySite in \"Right\"       ) ) RightMastectomy       where Global.\"Normalize Interval\" ( RightMastectomy.onset ) starts on or before       end of \"Measurement Period\""
            },
            {
              "url": "displaySequence",
              "valueInteger": 11
            }
          ],
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "BCSComponent"
            },
            {
              "url": "name",
              "valueString": "Right Mastectomy Procedure"
            },
            {
              "url": "statement",
              "valueString": "define \"Right Mastectomy Procedure\":   [Procedure: \"Unilateral Mastectomy Right\"] UnilateralMastectomyRightPerformed       where Global.\"Normalize Interval\" ( UnilateralMastectomyRightPerformed.performed ) ends on or before       end of \"Measurement Period\"         and UnilateralMastectomyRightPerformed.status = 'completed'"
            },
            {
              "url": "displaySequence",
              "valueInteger": 12
            }
          ],
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "BCSComponent"
            },
            {
              "url": "name",
              "valueString": "Left Mastectomy"
            },
            {
              "url": "statement",
              "valueString": "define \"Left Mastectomy\":   ( ( [Condition: \"Status Post Left Mastectomy\"] )       union ( [Condition: \"Unilateral Mastectomy, Unspecified Laterality\"] UnilateralMastectomyDiagnosis           where UnilateralMastectomyDiagnosis.bodySite in \"Left\"       ) ) LeftMastectomy       where Global.\"Normalize Interval\" ( LeftMastectomy.onset ) starts on or before       end of \"Measurement Period\""
            },
            {
              "url": "displaySequence",
              "valueInteger": 13
            }
          ],
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "BCSComponent"
            },
            {
              "url": "name",
              "valueString": "Left Mastectomy Procedure"
            },
            {
              "url": "statement",
              "valueString": "define \"Left Mastectomy Procedure\":   [Procedure: \"Unilateral Mastectomy Left\"] UnilateralMastectomyLeftPerformed       where Global.\"Normalize Interval\" ( UnilateralMastectomyLeftPerformed.performed ) ends on or before       end of \"Measurement Period\"         and UnilateralMastectomyLeftPerformed.status = 'completed'"
            },
            {
              "url": "displaySequence",
              "valueInteger": 14
            }
          ],
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "BCSComponent"
            },
            {
              "url": "name",
              "valueString": "Bilateral Mastectomy Diagnosis"
            },
            {
              "url": "statement",
              "valueString": "define \"Bilateral Mastectomy Diagnosis\":   [Condition: \"History of bilateral mastectomy\"] BilateralMastectomyHistory       where Global.\"Normalize Interval\" ( BilateralMastectomyHistory.onset ) starts on or before       end of \"Measurement Period\""
            },
            {
              "url": "displaySequence",
              "valueInteger": 15
            }
          ],
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "BCSComponent"
            },
            {
              "url": "name",
              "valueString": "Bilateral Mastectomy Procedure"
            },
            {
              "url": "statement",
              "valueString": "define \"Bilateral Mastectomy Procedure\":   [Procedure: \"Bilateral Mastectomy\"] BilateralMastectomyPerformed       where Global.\"Normalize Interval\" ( BilateralMastectomyPerformed.performed ) ends on or before       end of \"Measurement Period\"         and BilateralMastectomyPerformed.status = 'completed'"
            },
            {
              "url": "displaySequence",
              "valueInteger": 16
            }
          ],
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "AdvancedIllnessandFrailtyExclusion"
            },
            {
              "url": "name",
              "valueString": "Has Criteria Indicating Frailty"
            },
            {
              "url": "statement",
              "valueString": "define \"Has Criteria Indicating Frailty\":   //Ask Bryn about devices        exists ( [DeviceRequest: \"Frailty Device\"] FrailtyDeviceOrder          where FrailtyDeviceOrder.authoredOn during \"Measurement Period\"        )           // DeviceUseStatement has a known issue with the publication tooling           // so it is removed to allow this IG to publish until that is fixed         //or exists ( [DeviceUseStatement: \"Frailty Device\"] FrailtyDeviceUse         //  where Global.\"Normalize Interval\"(FrailtyDeviceUse.timing) overlaps \"Measurement Period\"         //)         or exists ( [Condition: \"Frailty Diagnosis\"] FrailtyDiagnosis           where Global.\"Prevalence Period\"(FrailtyDiagnosis) overlaps \"Measurement Period\"         )         or exists ( [Encounter: \"Frailty Encounter\"] FrailtyEncounter           where FrailtyEncounter.period overlaps \"Measurement Period\"         )         or exists ( [Observation: \"Frailty Symptom\"] FrailtySymptomObservation           where Global.\"Normalize Interval\"(FrailtySymptomObservation.effective) overlaps \"Measurement Period\"         )"
            },
            {
              "url": "displaySequence",
              "valueInteger": 17
            }
          ],
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "AdvancedIllnessandFrailtyExclusion"
            },
            {
              "url": "name",
              "valueString": "Outpatient Encounters with Advanced Illness"
            },
            {
              "url": "statement",
              "valueString": "define \"Outpatient Encounters with Advanced Illness\":   ( [Encounter: \"Outpatient\"]         union [Encounter: \"Observation\"]         union [Encounter: \"ED\"]         union [Encounter: \"Nonacute Inpatient\"] ) OutpatientEncounter          with [Condition: \"Advanced Illness\"] AdvancedIllnessDiagnosis                   such that exists (                       OutpatientEncounter.diagnosis.condition EncounterDiagnosis                           where EndsWith(EncounterDiagnosis.reference, AdvancedIllnessDiagnosis.id)                   )                   and OutpatientEncounter.period starts 2 years or less on or before          end of \"Measurement Period\""
            },
            {
              "url": "displaySequence",
              "valueInteger": 18
            }
          ],
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "AdvancedIllnessandFrailtyExclusion"
            },
            {
              "url": "name",
              "valueString": "Inpatient Encounter with Advanced Illness"
            },
            {
              "url": "statement",
              "valueString": "define \"Inpatient Encounter with Advanced Illness\":   [Encounter: \"Acute Inpatient\"] InpatientEncounter         with [Condition: \"Advanced Illness\"] AdvancedIllnessDiagnosis                   such that exists (                       InpatientEncounter.diagnosis.condition EncounterDiagnosis                           where EndsWith(EncounterDiagnosis.reference, AdvancedIllnessDiagnosis.id)                   )          and InpatientEncounter.period starts 2 years or less on or before          end of \"Measurement Period\""
            },
            {
              "url": "displaySequence",
              "valueInteger": 19
            }
          ],
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "AdvancedIllnessandFrailtyExclusion"
            },
            {
              "url": "name",
              "valueString": "Dementia Medications In Year Before or During Measurement Period"
            },
            {
              "url": "statement",
              "valueString": "define \"Dementia Medications In Year Before or During Measurement Period\":   [\"MedicationDispense\": \"Dementia Medications\"] DementiaMed         where DementiaMed.whenHandedOver during Interval[                   ( start of \"Measurement Period\" - 1 year ), end of \"Measurement Period\"               ]"
            },
            {
              "url": "displaySequence",
              "valueInteger": 20
            }
          ],
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "AdvancedIllnessandFrailtyExclusion"
            },
            {
              "url": "name",
              "valueString": "Advanced Illness and Frailty Exclusion Not Including Over Age 80"
            },
            {
              "url": "statement",
              "valueString": "define \"Advanced Illness and Frailty Exclusion Not Including Over Age 80\":   //If the measure does NOT include populations age 80 and older, then use this logic:        Global.\"CalendarAgeInYearsAt\"(FHIRHelpers.ToDate(Patient.birthDate), start of \"Measurement Period\")>= 65               and \"Has Criteria Indicating Frailty\"               and ( Count(\"Outpatient Encounters with Advanced Illness\")>= 2                   or exists ( \"Inpatient Encounter with Advanced Illness\" )                   or exists \"Dementia Medications In Year Before or During Measurement Period\"               )"
            },
            {
              "url": "displaySequence",
              "valueInteger": 21
            }
          ],
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "AdvancedIllnessandFrailtyExclusion"
            },
            {
              "url": "name",
              "valueString": "Long Term Care Periods During Measurement Period"
            },
            {
              "url": "statement",
              "valueString": "// start here  define \"Long Term Care Periods During Measurement Period\":   ( [Encounter: \"Care Services in Long-Term Residential Facility\"]                 union [Encounter: \"Nursing Facility Visit\"] ) LongTermFacilityEncounter                 where LongTermFacilityEncounter.period overlaps \"Measurement Period\"                 return LongTermFacilityEncounter.period                  intersect \"Measurement Period\""
            },
            {
              "url": "displaySequence",
              "valueInteger": 22
            }
          ],
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "AdvancedIllnessandFrailtyExclusion"
            },
            {
              "url": "name",
              "valueString": "Long Term Care Periods Longer Than 90 Consecutive Days"
            },
            {
              "url": "statement",
              "valueString": "define \"Long Term Care Periods Longer Than 90 Consecutive Days\":   exists ( \"Long Term Care Periods During Measurement Period\" LongTermCareDuringMP         where duration in days of LongTermCareDuringMP > 90     )"
            },
            {
              "url": "displaySequence",
              "valueInteger": 23
            }
          ],
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "BCSComponent"
            },
            {
              "url": "name",
              "valueString": "Denominator Exclusion"
            },
            {
              "url": "statement",
              "valueString": "define \"Denominator Exclusion\":   Hospice.\"Has Hospice\"       or ( ( exists \"Right Mastectomy Diagnosis\"             or exists \"Right Mastectomy Procedure\"         )           and ( exists \"Left Mastectomy\"               or exists \"Left Mastectomy Procedure\"           )       )       or exists \"Bilateral Mastectomy Diagnosis\"       or exists \"Bilateral Mastectomy Procedure\"       or Frailty.\"Advanced Illness and Frailty Exclusion Not Including Over Age 80\"       or ( Global.\"CalendarAgeInYearsAt\" ( FHIRHelpers.ToDate ( Patient.birthDate ), start of \"Measurement Period\" ) >= 65           and Frailty.\"Long Term Care Periods Longer Than 90 Consecutive Days\"       )"
            },
            {
              "url": "displaySequence",
              "valueInteger": 24
            }
          ],
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "SupplementalDataElements"
            },
            {
              "url": "name",
              "valueString": "SDE Race"
            },
            {
              "url": "statement",
              "valueString": "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"
            },
            {
              "url": "displaySequence",
              "valueInteger": 25
            }
          ],
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "BCSComponent"
            },
            {
              "url": "name",
              "valueString": "SDE Race"
            },
            {
              "url": "statement",
              "valueString": "define \"SDE Race\":   SDE.\"SDE Race\""
            },
            {
              "url": "displaySequence",
              "valueInteger": 26
            }
          ],
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "FHIRHelpers"
            },
            {
              "url": "name",
              "valueString": "ToString"
            },
            {
              "url": "statement",
              "valueString": "define function ToString(value AdministrativeGender): value.value"
            },
            {
              "url": "displaySequence",
              "valueInteger": 27
            }
          ],
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "FHIRHelpers"
            },
            {
              "url": "name",
              "valueString": "ToString"
            },
            {
              "url": "statement",
              "valueString": "define function ToString(value DiagnosticReportStatus): value.value"
            },
            {
              "url": "displaySequence",
              "valueInteger": 28
            }
          ],
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "MATGlobalCommonFunctions"
            },
            {
              "url": "name",
              "valueString": "CalendarAgeInYearsAt"
            },
            {
              "url": "statement",
              "valueString": "define function \"CalendarAgeInYearsAt\"(BirthDateTime DateTime, AsOf DateTime):  years between ToDate(BirthDateTime)and ToDate(AsOf)"
            },
            {
              "url": "displaySequence",
              "valueInteger": 29
            }
          ],
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "MATGlobalCommonFunctions"
            },
            {
              "url": "name",
              "valueString": "ToDate"
            },
            {
              "url": "statement",
              "valueString": "define function \"ToDate\"(Value DateTime):  DateTime(year from Value, month from Value, day from Value, 0, 0, 0, 0, timezoneoffset from Value)"
            },
            {
              "url": "displaySequence",
              "valueInteger": 30
            }
          ],
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "FHIRHelpers"
            },
            {
              "url": "name",
              "valueString": "ToDate"
            },
            {
              "url": "statement",
              "valueString": "define function ToDate(value date): value.value"
            },
            {
              "url": "displaySequence",
              "valueInteger": 31
            }
          ],
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "FHIRHelpers"
            },
            {
              "url": "name",
              "valueString": "ToInterval"
            },
            {
              "url": "statement",
              "valueString": "/* @description: Converts the given [Period](https://hl7.org/fhir/datatypes.html#Period) value to a CQL DateTime Interval @comment: If the start value of the given period is unspecified, the starting boundary of the resulting interval will be open (meaning the start of the interval is unknown, as opposed to interpreted as the beginning of time). */ define function ToInterval(period FHIR.Period):     if period is null then         null     else         if period.\"start\" is null then             Interval(period.\"start\".value, period.\"end\".value]         else             Interval[period.\"start\".value, period.\"end\".value]"
            },
            {
              "url": "displaySequence",
              "valueInteger": 32
            }
          ],
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "FHIRHelpers"
            },
            {
              "url": "name",
              "valueString": "ToString"
            },
            {
              "url": "statement",
              "valueString": "define function ToString(value EncounterStatus): value.value"
            },
            {
              "url": "displaySequence",
              "valueInteger": 33
            }
          ],
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "FHIRHelpers"
            },
            {
              "url": "name",
              "valueString": "ToString"
            },
            {
              "url": "statement",
              "valueString": "define function ToString(value uri): value.value"
            },
            {
              "url": "displaySequence",
              "valueInteger": 34
            }
          ],
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "FHIRHelpers"
            },
            {
              "url": "name",
              "valueString": "ToConcept"
            },
            {
              "url": "statement",
              "valueString": "/* @description: Converts the given FHIR [CodeableConcept](https://hl7.org/fhir/datatypes.html#CodeableConcept) value to a CQL Concept. */ define function ToConcept(concept FHIR.CodeableConcept):     if concept is null then         null     else         System.Concept {             codes: concept.coding C return ToCode(C),             display: concept.text.value         }"
            },
            {
              "url": "displaySequence",
              "valueInteger": 35
            }
          ],
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "FHIRHelpers"
            },
            {
              "url": "name",
              "valueString": "ToCode"
            },
            {
              "url": "statement",
              "valueString": "/* @description: Converts the given FHIR [Coding](https://hl7.org/fhir/datatypes.html#Coding) value to a CQL Code. */ 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         }"
            },
            {
              "url": "displaySequence",
              "valueInteger": 36
            }
          ],
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "FHIRHelpers"
            },
            {
              "url": "name",
              "valueString": "ToString"
            },
            {
              "url": "statement",
              "valueString": "define function ToString(value ServiceRequestIntent): value.value"
            },
            {
              "url": "displaySequence",
              "valueInteger": 37
            }
          ],
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "FHIRHelpers"
            },
            {
              "url": "name",
              "valueString": "ToDateTime"
            },
            {
              "url": "statement",
              "valueString": "define function ToDateTime(value dateTime): value.value"
            },
            {
              "url": "displaySequence",
              "valueInteger": 38
            }
          ],
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "FHIRHelpers"
            },
            {
              "url": "name",
              "valueString": "ToString"
            },
            {
              "url": "statement",
              "valueString": "define function ToString(value ProcedureStatus): value.value"
            },
            {
              "url": "displaySequence",
              "valueInteger": 39
            }
          ],
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "MATGlobalCommonFunctions"
            },
            {
              "url": "name",
              "valueString": "Prevalence Period"
            },
            {
              "url": "statement",
              "valueString": "define function \"Prevalence Period\"(condition Condition):   Interval[start of \"Normalize Interval\"(condition.onset), end of \"Normalize Abatement\"(condition))"
            },
            {
              "url": "displaySequence",
              "valueInteger": 40
            }
          ],
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "MATGlobalCommonFunctions"
            },
            {
              "url": "name",
              "valueString": "Normalize Abatement"
            },
            {
              "url": "statement",
              "valueString": "define function \"Normalize Abatement\"(condition Condition):  if condition.abatement is FHIR.dateTime then    Interval[FHIRHelpers.ToDateTime(condition.abatement as FHIR.dateTime), FHIRHelpers.ToDateTime(condition.abatement as FHIR.dateTime)]  else if condition.abatement is FHIR.Period then    FHIRHelpers.ToInterval(condition.abatement as FHIR.Period)  else if condition.abatement is FHIR.string then     Message(null as Interval<DateTime>, true, '1', 'Error', 'Cannot compute an interval from a String value')  else if condition.abatement is FHIR.Age then   Interval[FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity(condition.abatement as FHIR.Age),    FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity(condition.abatement as FHIR.Age) + 1 year)  else if condition.abatement is FHIR.Range then    Interval[FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity((condition.abatement as FHIR.Range).low),     FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity((condition.abatement as FHIR.Range).high) + 1 year)  else if condition.abatement is FHIR.boolean then    Interval[end of \"Normalize Interval\"(condition.onset), condition.recordedDate)  else null"
            },
            {
              "url": "displaySequence",
              "valueInteger": 41
            }
          ],
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "FHIRHelpers"
            },
            {
              "url": "name",
              "valueString": "ToQuantity"
            },
            {
              "url": "statement",
              "valueString": "/* @description: Converts the given FHIR [Quantity](https://hl7.org/fhir/datatypes.html#Quantity)  value to a CQL Quantity @comment: If the given quantity has a comparator specified, a runtime error is raised. If the given quantity has a system other than UCUM (i.e. `http://unitsofmeasure.org`) or CQL calendar units (i.e. `http://hl7.org/fhirpath/CodeSystem/calendar-units`) an error is raised. For UCUM to calendar units, the `ToCalendarUnit` function is used. @seealso: ToCalendarUnit */ define function ToQuantity(quantity FHIR.Quantity):     case         when quantity is null then null         when quantity.value is null then null         when quantity.comparator is not null then             Message(null, true, 'FHIRHelpers.ToQuantity.ComparatorQuantityNotSupported', 'Error', 'FHIR Quantity value has a comparator and cannot be converted to a System.Quantity value.')         when quantity.system is null or quantity.system.value = 'http://unitsofmeasure.org'               or quantity.system.value = 'http://hl7.org/fhirpath/CodeSystem/calendar-units' then             System.Quantity { value: quantity.value.value, unit: ToCalendarUnit(Coalesce(quantity.code.value, quantity.unit.value, '1')) }         else             Message(null, true, 'FHIRHelpers.ToQuantity.InvalidFHIRQuantity', 'Error', 'Invalid FHIR Quantity code: ' & quantity.unit.value & ' (' & quantity.system.value & '|' & quantity.code.value & ')')     end"
            },
            {
              "url": "displaySequence",
              "valueInteger": 42
            }
          ],
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "FHIRHelpers"
            },
            {
              "url": "name",
              "valueString": "ToCalendarUnit"
            },
            {
              "url": "statement",
              "valueString": "/* @description: Converts a UCUM definite duration unit to a CQL calendar duration unit using conversions specified in the [quantities](https://cql.hl7.org/02-authorsguide.html#quantities)  topic of the CQL specification. @comment: Note that for durations above days (or weeks), the conversion is understood to be approximate */ define function ToCalendarUnit(unit System.String):     case unit         when 'ms' then 'millisecond'         when 's' then 'second'         when 'min' then 'minute'         when 'h' then 'hour'         when 'd' then 'day'         when 'wk' then 'week'         when 'mo' then 'month'         when 'a' then 'year'         else unit     end"
            },
            {
              "url": "displaySequence",
              "valueInteger": 43
            }
          ],
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "FHIRHelpers"
            },
            {
              "url": "name",
              "valueString": "ToString"
            },
            {
              "url": "statement",
              "valueString": "define function ToString(value string): value.value"
            },
            {
              "url": "displaySequence",
              "valueInteger": 44
            }
          ],
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
        }
      ],
      "name": "EffectiveDataRequirements",
      "status": "active",
      "type": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/library-type",
            "code": "module-definition"
          }
        ]
      },
      "relatedArtifact": [
        {
          "type": "depends-on",
          "display": "Library SDE",
          "resource": "http://hl7.org/fhir/uv/cqm/Library/SupplementalDataElements|2.0.000"
        },
        {
          "type": "depends-on",
          "display": "Library FHIRHelpers",
          "resource": "http://hl7.org/fhir/uv/cql/Library/FHIRHelpers|4.0.1"
        },
        {
          "type": "depends-on",
          "display": "Library Global",
          "resource": "http://hl7.org/fhir/uv/cqm/Library/MATGlobalCommonFunctions|5.0.000"
        },
        {
          "type": "depends-on",
          "display": "Library AdultOutpatientEncounters",
          "resource": "http://hl7.org/fhir/uv/cqm/Library/AdultOutpatientEncounters|2.0.000"
        },
        {
          "type": "depends-on",
          "display": "Library Hospice",
          "resource": "http://hl7.org/fhir/uv/cqm/Library/Hospice|2.0.000"
        },
        {
          "type": "depends-on",
          "display": "Library Frailty",
          "resource": "http://hl7.org/fhir/uv/cqm/Library/AdvancedIllnessandFrailtyExclusion|5.12.000"
        },
        {
          "type": "depends-on",
          "display": "Code system SNOMEDCT:2017-09",
          "resource": "http://snomed.info/sct|http://snomed.info/sct/731000124108/version/201709"
        },
        {
          "type": "depends-on",
          "display": "Value set Mammography",
          "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1018"
        },
        {
          "type": "depends-on",
          "display": "Value set Office Visit",
          "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001"
        },
        {
          "type": "depends-on",
          "display": "Value set Annual Wellness Visit",
          "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1240"
        },
        {
          "type": "depends-on",
          "display": "Value set Preventive Care Services - Established Office Visit, 18 and Up",
          "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1025"
        },
        {
          "type": "depends-on",
          "display": "Value set Preventive Care Services-Initial Office Visit, 18 and Up",
          "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1023"
        },
        {
          "type": "depends-on",
          "display": "Value set Home Healthcare Services",
          "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1016"
        },
        {
          "type": "depends-on",
          "display": "Value set Payer",
          "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591"
        },
        {
          "type": "depends-on",
          "display": "Value set Encounter Inpatient",
          "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307"
        },
        {
          "type": "depends-on",
          "display": "Value set Hospice care ambulatory",
          "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1108.15"
        },
        {
          "type": "depends-on",
          "display": "Value set Status Post Right Mastectomy",
          "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1070"
        },
        {
          "type": "depends-on",
          "display": "Value set Unilateral Mastectomy, Unspecified Laterality",
          "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1071"
        },
        {
          "type": "depends-on",
          "display": "Value set Right",
          "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.122.12.1035"
        },
        {
          "type": "depends-on",
          "display": "Value set Unilateral Mastectomy Right",
          "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1134"
        },
        {
          "type": "depends-on",
          "display": "Value set Status Post Left Mastectomy",
          "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1069"
        },
        {
          "type": "depends-on",
          "display": "Value set Left",
          "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.122.12.1036"
        },
        {
          "type": "depends-on",
          "display": "Value set Unilateral Mastectomy Left",
          "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1133"
        },
        {
          "type": "depends-on",
          "display": "Value set History of bilateral mastectomy",
          "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1068"
        },
        {
          "type": "depends-on",
          "display": "Value set Bilateral Mastectomy",
          "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1005"
        },
        {
          "type": "depends-on",
          "display": "Value set Frailty Device",
          "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.118.12.1300"
        },
        {
          "type": "depends-on",
          "display": "Value set Frailty Diagnosis",
          "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.113.12.1074"
        },
        {
          "type": "depends-on",
          "display": "Value set Frailty Encounter",
          "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1088"
        },
        {
          "type": "depends-on",
          "display": "Value set Frailty Symptom",
          "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.113.12.1075"
        },
        {
          "type": "depends-on",
          "display": "Value set Outpatient",
          "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1087"
        },
        {
          "type": "depends-on",
          "display": "Value set Observation",
          "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1086"
        },
        {
          "type": "depends-on",
          "display": "Value set ED",
          "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1085"
        },
        {
          "type": "depends-on",
          "display": "Value set Nonacute Inpatient",
          "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1084"
        },
        {
          "type": "depends-on",
          "display": "Value set Advanced Illness",
          "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1082"
        },
        {
          "type": "depends-on",
          "display": "Value set Acute Inpatient",
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        },
        {
          "type": "depends-on",
          "display": "Value set Dementia Medications",
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        },
        {
          "type": "depends-on",
          "display": "Value set Care Services in Long-Term Residential Facility",
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        },
        {
          "type": "depends-on",
          "display": "Value set Nursing Facility Visit",
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      ],
      "parameter": [
        {
          "name": "Measurement Period",
          "use": "in",
          "min": 0,
          "max": "1",
          "type": "Period"
        },
        {
          "name": "SDE Sex",
          "use": "out",
          "min": 0,
          "max": "1",
          "type": "Coding"
        },
        {
          "name": "Numerator",
          "use": "out",
          "min": 0,
          "max": "1",
          "type": "boolean"
        },
        {
          "name": "Denominator",
          "use": "out",
          "min": 0,
          "max": "1",
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        },
        {
          "name": "SDE Payer",
          "use": "out",
          "min": 0,
          "max": "*",
          "type": "Resource"
        },
        {
          "name": "Initial Population",
          "use": "out",
          "min": 0,
          "max": "1",
          "type": "boolean"
        },
        {
          "name": "SDE Ethnicity",
          "use": "out",
          "min": 0,
          "max": "*",
          "type": "Coding"
        },
        {
          "name": "Denominator Exclusion",
          "use": "out",
          "min": 0,
          "max": "1",
          "type": "boolean"
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        {
          "name": "SDE Race",
          "use": "out",
          "min": 0,
          "max": "*",
          "type": "Coding"
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      ],
      "dataRequirement": [
        {
          "type": "Patient",
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          "mustSupport": [
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            "value"
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        },
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          "type": "DiagnosticReport",
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          "mustSupport": [
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          ]
        },
        {
          "type": "Coverage",
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            "http://hl7.org/fhir/StructureDefinition/Coverage"
          ],
          "mustSupport": [
            "type",
            "period"
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          "codeFilter": [
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        },
        {
          "type": "ServiceRequest",
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          "mustSupport": [
            "code",
            "intent",
            "authoredOn"
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          "codeFilter": [
            {
              "path": "code",
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          ]
        },
        {
          "type": "Procedure",
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          "mustSupport": [
            "code",
            "status",
            "performed"
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        {
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          "mustSupport": [
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          "type": "Procedure",
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          "mustSupport": [
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          "mustSupport": [
            "code",
            "bodySite",
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        },
        {
          "type": "DeviceRequest",
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        {
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        {
          "type": "MedicationDispense",
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          "mustSupport": [
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            "whenHandedOver"
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        },
        {
          "type": "MedicationDispense",
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          "mustSupport": [
            "medication.reference",
            "whenHandedOver"
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        },
        {
          "type": "Medication",
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          "mustSupport": [
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        }
      ]
    }
  ],
  "extension": [
    {
      "url": "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-populationBasis",
      "valueCode": "boolean"
    },
    {
      "url": "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem",
      "valueReference": {
        "reference": "Device/software-system-example"
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    },
    {
      "id": "effective-data-requirements",
      "url": "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-effectiveDataRequirements",
      "valueCanonical": "#effective-data-requirements"
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  ],
  "url": "http://hl7.org/fhir/uv/cqm/Measure/BCSComponent",
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      "use": "official",
      "type": {
        "coding": [
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            "system": "http://terminology.hl7.org/CodeSystem/artifact-identifier-type",
            "code": "version-independent",
            "display": "Version Independent"
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        ]
      },
      "system": "urn:ietf:rfc:3986",
      "value": "http://example.org/fhir/us/cqm/Measure/BCSComponent"
    },
    {
      "use": "official",
      "type": {
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            "system": "http://terminology.hl7.org/CodeSystem/artifact-identifier-type",
            "code": "version-specific",
            "display": "Version Specific"
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        ]
      },
      "system": "urn:ietf:rfc:3986",
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    },
    {
      "use": "usual",
      "type": {
        "coding": [
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            "system": "http://terminology.hl7.org/CodeSystem/artifact-identifier-type",
            "code": "short-name",
            "display": "Short Name"
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    {
      "system": "urn:ietf:rfc:3986",
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  "name": "BCSComponent",
  "title": "Breast Cancer Screening",
  "status": "active",
  "experimental": true,
  "date": "2025-08-13T17:14:51-06:00",
  "publisher": "HL7 International / Clinical Quality Information",
  "contact": [
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      "telecom": [
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          "system": "url",
          "value": "http://www.hl7.org/Special/committees/cqi"
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      ]
    }
  ],
  "description": "This is an example only.",
  "useContext": [
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      "code": {
        "system": "http://terminology.hl7.org/CodeSystem/usage-context-type",
        "code": "venue",
        "display": "Clinical Venue"
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      "valueCodeableConcept": {
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            "system": "http://hl7.org/fhir/uv/cqm/CodeSystem/intended-venue-codes",
            "code": "ec",
            "display": "EC"
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    }
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  "jurisdiction": [
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      "coding": [
        {
          "system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code": "001"
        }
      ]
    }
  ],
  "effectivePeriod": {
    "start": "2022-01-01",
    "end": "2022-12-31"
  },
  "library": [
    "http://hl7.org/fhir/uv/cqm/Library/BCSComponent"
  ],
  "scoring": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/measure-scoring",
        "code": "proportion",
        "display": "Proportion"
      }
    ]
  },
  "type": [
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      "coding": [
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          "system": "http://terminology.hl7.org/CodeSystem/measure-type",
          "code": "process"
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      ]
    }
  ],
  "improvementNotation": {
    "coding": [
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        "system": "http://terminology.hl7.org/CodeSystem/measure-improvement-notation",
        "code": "increase"
      }
    ]
  },
  "group": [
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          "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.linkId",
          "valueString": "primary"
        }
      ],
      "population": [
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          "id": "2851A1BA-FBF8-4945-812E-6273F881CE13",
          "extension": [
            {
              "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId",
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          ],
          "code": {
            "coding": [
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                "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                "code": "initial-population",
                "display": "Initial Population"
              }
            ]
          },
          "criteria": {
            "language": "text/cql-identifier",
            "expression": "Initial Population"
          }
        },
        {
          "id": "349C20C9-EA7E-4311-9E2D-CF81F1EBCEEF",
          "extension": [
            {
              "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId",
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          ],
          "code": {
            "coding": [
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                "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                "code": "denominator",
                "display": "Denominator"
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            ]
          },
          "criteria": {
            "language": "text/cql-identifier",
            "expression": "Denominator"
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        },
        {
          "id": "369D1C75-B5D3-43EC-AEFC-2FF7F462306C",
          "extension": [
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              "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId",
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          ],
          "code": {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/measure-population",
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                "display": "Denominator Exclusion"
              }
            ]
          },
          "criteria": {
            "language": "text/cql-identifier",
            "expression": "Denominator Exclusion"
          }
        },
        {
          "id": "6F1617E3-99D7-47E4-8392-85107BAA5311",
          "extension": [
            {
              "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId",
              "valueString": "primary-bcscomponent-numerator"
            }
          ],
          "code": {
            "coding": [
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                "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                "code": "numerator",
                "display": "Numerator"
              }
            ]
          },
          "criteria": {
            "language": "text/cql-identifier",
            "expression": "Numerator"
          }
        }
      ]
    }
  ],
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      "id": "3dbb0697-08d7-48db-bc89-bc7f5230c36f",
      "extension": [
        {
          "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.supplementalData.linkId",
          "valueString": "bcscomponent-sde-ethnicity"
        }
      ],
      "usage": [
        {
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            {
              "system": "http://terminology.hl7.org/CodeSystem/measure-data-usage",
              "code": "supplemental-data"
            }
          ]
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      ],
      "criteria": {
        "language": "text/cql-identifier",
        "expression": "SDE Ethnicity"
      }
    },
    {
      "id": "2865e9d5-f4e8-4c99-812b-5eff79b4b775",
      "extension": [
        {
          "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.supplementalData.linkId",
          "valueString": "bcscomponent-sde-payer"
        }
      ],
      "usage": [
        {
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            {
              "system": "http://terminology.hl7.org/CodeSystem/measure-data-usage",
              "code": "supplemental-data"
            }
          ]
        }
      ],
      "criteria": {
        "language": "text/cql-identifier",
        "expression": "SDE Payer"
      }
    },
    {
      "id": "513368dc-dfea-4377-a05d-d358e7e04fbb",
      "extension": [
        {
          "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.supplementalData.linkId",
          "valueString": "bcscomponent-sde-race"
        }
      ],
      "usage": [
        {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/measure-data-usage",
              "code": "supplemental-data"
            }
          ]
        }
      ],
      "criteria": {
        "language": "text/cql-identifier",
        "expression": "SDE Race"
      }
    },
    {
      "id": "25a16429-e866-438f-990a-3e3a5f2f8443",
      "extension": [
        {
          "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.supplementalData.linkId",
          "valueString": "bcscomponent-sde-sex"
        }
      ],
      "usage": [
        {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/measure-data-usage",
              "code": "supplemental-data"
            }
          ]
        }
      ],
      "criteria": {
        "language": "text/cql-identifier",
        "expression": "SDE Sex"
      }
    }
  ]
}