{ "resourceType": "Measure", "id": "PVSComponent", "meta": { "profile": [ "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/proportion-measure-cqfm", "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm" ] }, "language": "en", "text": { "status": "extensions", "div": "
\n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n
Id: PVSComponent
Url: http://hl7.org/fhir/us/cqfmeasures/Measure/PVSComponent
Version: 0.0.001
Name: PVSComponent
Title: Pneumococcal Vaccination Status for Older Adults
Status: draft
Experimental: true
Scoring: \n \n \n \n

\n system: http://terminology.hl7.org/CodeSystem/measure-scoring\n

\n \n \n

\n code: proportion\n

\n \n \n

\n display: Proportion\n

\n \n \n \n \n
Improvement Notation: \n \n \n \n

\n system: http://terminology.hl7.org/CodeSystem/measure-improvement-notation\n

\n \n \n

\n code: increase\n

\n \n \n \n \n \n
Type: \n \n \n \n

\n system: http://terminology.hl7.org/CodeSystem/measure-type\n

\n \n \n

\n code: process\n

\n \n \n \n \n \n
Date: 2021-04-03T13:00:06-06:00
Publisher: Clinical Quality Information WG
Description: This is an example only.
Parameters: \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n
nameuseminmaxtype
Measurement Periodin01Period
SDE Sexout01Coding
Numeratorout01boolean
Denominatorout01boolean
Initial Populationout01boolean
Patientout01Patient
Qualifying Encountersout0*Encounter
SDE Payerout0*Any
SDE Ethnicityout0*Coding
Denominator Exclusionsout01boolean
Has Hospiceout01boolean
SDE Raceout0*Coding
\n
Data Requirements: \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n
typepathvalueSet or systemcode
ImmunizationvaccineCodehttp://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1027
Procedurecodehttp://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1034
Patient
Encountertypehttp://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001
Encountertypehttp://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1240
Encountertypehttp://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1025
Encountertypehttp://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1023
Encountertypehttp://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1016
Encountertypehttp://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.11.1065
Encountertypehttp://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1012
Encountertypehttp://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1014
Coveragetypehttp://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591
Patient
Encountertypehttp://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307
ServiceRequestcodehttp://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1108.15
Procedurecodehttp://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1108.15
\n
Direct Reference Codes: \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n
displaycodesystem
Discharge to home for hospice care (procedure)428361000124107http://snomed.info/sct/731000124108/version/201709
Discharge to healthcare facility for hospice care (procedure)428371000124100http://snomed.info/sct/731000124108/version/201709
\n
Supplemental Data: \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n
expressionsystem
SDE Ethnicityhttp://terminology.hl7.org/CodeSystem/measure-data-usage
SDE Payerhttp://terminology.hl7.org/CodeSystem/measure-data-usage
SDE Racehttp://terminology.hl7.org/CodeSystem/measure-data-usage
SDE Sexhttp://terminology.hl7.org/CodeSystem/measure-data-usage
\n
Jurisdiction: US
Effective Period: 2022-01-01..2022-12-31
Related Artifacts: \n \n \n \n

Dependencies

\n
    \n \n
  • http://hl7.org/fhir/us/cqfmeasures/Library/SupplementalDataElements|2.0.000
    • \n \n
  • http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1
    • \n \n
  • http://hl7.org/fhir/us/cqfmeasures/Library/MATGlobalCommonFunctions|5.0.000
    • \n \n
  • http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1
    • \n \n
  • http://hl7.org/fhir/us/cqfmeasures/Library/Hospice|2.0.000
    • \n \n
  • http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1
    • \n \n
  • http://hl7.org/fhir/us/cqfmeasures/Library/MATGlobalCommonFunctions|5.0.000
    • \n \n
  • http://snomed.info/sct|http://snomed.info/sct/731000124108/version/201709
    • \n \n
  • http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1027
    • \n \n
  • http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1034
    • \n \n
  • http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001
    • \n \n
  • http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1240
    • \n \n
  • http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1025
    • \n \n
  • http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1023
    • \n \n
  • http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1016
    • \n \n
  • http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.11.1065
    • \n \n
  • http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1012
    • \n \n
  • http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1014
    • \n \n
  • http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591
    • \n \n
  • http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307
    • \n \n
  • http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1108.15
    • \n \n
\n \n \n \n \n \n
Logic Definitions: \n \n \n \n \n \n \n \n \n \n \n \n \n
Library NameNamesequence
PVSComponentSDE Sex
\n \n 
define \"SDE Sex\":\n  SDE.\"SDE Sex\"
\n \n

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

\n \n \n \n \n \n \n \n \n \n \n \n \n
Library NameNamesequence
PVSComponentNumerator
\n \n 
define \"Numerator\":\n  exists ( [Immunization: \"Pneumococcal Vaccine\"] PneumococcalVaccine\n        where PneumococcalVaccine.status = 'completed'\n          and PneumococcalVaccine.occurrence as dateTime on or before\n          end of \"Measurement Period\"\n    )\n      or exists ( [Procedure: \"Pneumococcal Vaccine Administered\"] PneumococcalVaccineGiven\n          where PneumococcalVaccineGiven.status = 'completed'\n            and PneumococcalVaccineGiven.performed as Period on or before\n            end of \"Measurement Period\"\n      )
\n \n

\n \n \n \n \n \n \n \n \n \n \n \n \n
Library NameNamesequence
PVSComponentDenominator
\n \n 
define \"Denominator\":\n  \"Initial Population\"
\n \n

\n \n \n \n \n \n \n \n \n \n \n \n \n
Library NameNamesequence
PVSComponentInitial Population
\n \n 
define \"Initial Population\":\n  Global.\"CalendarAgeInYearsAt\" ( FHIRHelpers.ToDate ( Patient.birthDate ), start of \"Measurement Period\" ) >= 65\n      and exists \"Qualifying Encounters\"
\n \n

\n \n \n \n \n \n \n \n \n \n \n \n \n
Library NameNamesequence
PVSComponentQualifying Encounters
\n \n 
define \"Qualifying Encounters\":\n  ( [Encounter: \"Office Visit\"]\n      union [Encounter: \"Annual Wellness Visit\"]\n      union [Encounter: \"Preventive Care Services - Established Office Visit, 18 and Up\"]\n      union [Encounter: \"Preventive Care Services-Initial Office Visit, 18 and Up\"]\n      union [Encounter: \"Home Healthcare Services\"]\n      union [Encounter: \"Discharge Services - Nursing Facility\"]\n      union [Encounter: \"Nursing Facility Visit\"]\n      union [Encounter: \"Care Services in Long-Term Residential Facility\"] ) ValidEncounter\n      where ValidEncounter.period during \"Measurement Period\"\n        and ValidEncounter.status = 'finished'
\n \n

\n \n \n \n \n \n \n \n \n \n \n \n \n
Library NameNamesequence
PVSComponentSDE Payer
\n \n 
define \"SDE Payer\":\n  SDE.\"SDE Payer\"
\n \n

\n \n \n \n \n \n \n \n \n \n \n \n \n
Library NameNamesequence
SupplementalDataElementsSDE Payer
\n \n 
define \"SDE Payer\":\n  [Coverage: type in \"Payer\"] Payer\n        return {\n          code: Payer.type,\n          period: Payer.period\n        }
\n \n

\n \n \n \n \n \n \n \n \n \n \n \n \n
Library NameNamesequence
PVSComponentInitial Population
\n \n 
define \"Initial Population\":\n  Global.\"CalendarAgeInYearsAt\" ( FHIRHelpers.ToDate ( Patient.birthDate ), start of \"Measurement Period\" ) >= 65\n      and exists \"Qualifying Encounters\"
\n \n

\n \n \n \n \n \n \n \n \n \n \n \n \n
Library NameNamesequence
PVSComponentSDE Ethnicity
\n \n 
define \"SDE Ethnicity\":\n  SDE.\"SDE Ethnicity\"
\n \n

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

\n \n \n \n \n \n \n \n \n \n \n \n \n
Library NameNamesequence
PVSComponentDenominator Exclusions
\n \n 
define \"Denominator Exclusions\":\n  Hospice.\"Has Hospice\"
\n \n

\n \n \n \n \n \n \n \n \n \n \n \n \n
Library NameNamesequence
HospiceHas Hospice
\n \n 
define \"Has Hospice\":\n\texists (\n    [Encounter: \"Encounter Inpatient\"] DischargeHospice\n\t\t\twhere DischargeHospice.status = 'finished'\n\t\t    and (\n\t        DischargeHospice.hospitalization.dischargeDisposition ~ \"Discharge to home for hospice care (procedure)\"\n\t\t\t\t    or DischargeHospice.hospitalization.dischargeDisposition ~ \"Discharge to healthcare facility for hospice care (procedure)\"\n\t    \t)\n\t\t\t\tand DischargeHospice.period ends during \"Measurement Period\"\n\t)\n    or exists (\n      [ServiceRequest: \"Hospice care ambulatory\"] HospiceOrder\n        where HospiceOrder.intent = 'order'\n            and HospiceOrder.authoredOn in \"Measurement Period\"\n    )\n    or exists (\n      [Procedure: \"Hospice care ambulatory\"] HospicePerformed\n        where HospicePerformed.status = 'completed'\n          and Global.\"Normalize Interval\"(HospicePerformed.performed) overlaps \"Measurement Period\"\n    )
\n \n

\n \n \n \n \n \n \n \n \n \n \n \n \n
Library NameNamesequence
PVSComponentSDE Race
\n \n 
define \"SDE Race\":\n  SDE.\"SDE Race\"
\n \n

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

\n \n
\n
" }, "extension": [ { "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis", "valueCode": "boolean" }, { "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter", "valueParameterDefinition": { "name": "Measurement Period", "use": "in", "min": 0, "max": "1", "type": "Period" } }, { "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter", "valueParameterDefinition": { "name": "SDE Sex", "use": "out", "min": 0, "max": "1", "type": "Coding" } }, { "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter", "valueParameterDefinition": { "name": "Numerator", "use": "out", "min": 0, "max": "1", "type": "boolean" } }, { "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter", "valueParameterDefinition": { "name": "Denominator", "use": "out", "min": 0, "max": "1", "type": "boolean" } }, { "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter", "valueParameterDefinition": { "name": "Initial Population", "use": "out", "min": 0, "max": "1", "type": "boolean" } }, { "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter", "valueParameterDefinition": { "name": "Patient", "use": "out", "min": 0, "max": "1", "type": "Patient" } }, { "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter", "valueParameterDefinition": { "name": "Qualifying Encounters", "use": "out", "min": 0, "max": "*", "type": "Encounter" } }, { "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter", "valueParameterDefinition": { "name": "SDE Payer", "use": "out", "min": 0, "max": "*", "type": "Any" } }, { "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter", "valueParameterDefinition": { "name": "SDE Ethnicity", "use": "out", "min": 0, "max": "*", "type": "Coding" } }, { "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter", "valueParameterDefinition": { "name": "Denominator Exclusions", "use": "out", "min": 0, "max": "1", "type": "boolean" } }, { "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter", "valueParameterDefinition": { "name": "Has Hospice", "use": "out", "min": 0, "max": "1", "type": "boolean" } }, { "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter", "valueParameterDefinition": { "name": "SDE Race", "use": "out", "min": 0, "max": "*", "type": "Coding" } }, { "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement", "valueDataRequirement": { "type": "Immunization", "profile": [ "http://hl7.org/fhir/StructureDefinition/Immunization" ], "codeFilter": [ { "path": "vaccineCode", "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1027" } ] } }, { "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement", "valueDataRequirement": { "type": "Procedure", "profile": [ "http://hl7.org/fhir/StructureDefinition/Procedure" ], "codeFilter": [ { "path": "code", "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1034" } ] } }, { "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement", "valueDataRequirement": { "type": "Patient", "profile": [ "http://hl7.org/fhir/StructureDefinition/Patient" ] } }, { "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement", "valueDataRequirement": { "type": "Encounter", "profile": [ "http://hl7.org/fhir/StructureDefinition/Encounter" ], "codeFilter": [ { "path": "type", "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001" } ] } }, { "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement", "valueDataRequirement": { "type": "Encounter", "profile": [ "http://hl7.org/fhir/StructureDefinition/Encounter" ], "codeFilter": [ { "path": "type", "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1240" } ] } }, { "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement", "valueDataRequirement": { "type": "Encounter", "profile": [ "http://hl7.org/fhir/StructureDefinition/Encounter" ], "codeFilter": [ { "path": "type", "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1025" } ] } }, { "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement", "valueDataRequirement": { "type": "Encounter", "profile": [ "http://hl7.org/fhir/StructureDefinition/Encounter" ], "codeFilter": [ { "path": "type", "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1023" } ] } }, { "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement", "valueDataRequirement": { "type": "Encounter", "profile": [ "http://hl7.org/fhir/StructureDefinition/Encounter" ], "codeFilter": [ { "path": "type", "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1016" } ] } }, { "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement", "valueDataRequirement": { "type": "Encounter", "profile": [ "http://hl7.org/fhir/StructureDefinition/Encounter" ], "codeFilter": [ { "path": "type", "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.11.1065" } ] } }, { "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement", "valueDataRequirement": { "type": "Encounter", "profile": [ "http://hl7.org/fhir/StructureDefinition/Encounter" ], "codeFilter": [ { "path": "type", "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1012" } ] } }, { "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement", "valueDataRequirement": { "type": "Encounter", "profile": [ "http://hl7.org/fhir/StructureDefinition/Encounter" ], "codeFilter": [ { "path": "type", "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1014" } ] } }, { "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement", "valueDataRequirement": { "type": "Coverage", "profile": [ "http://hl7.org/fhir/StructureDefinition/Coverage" ], "codeFilter": [ { "path": "type", "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591" } ] } }, { "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement", "valueDataRequirement": { "type": "Patient", "profile": [ "http://hl7.org/fhir/StructureDefinition/Patient" ] } }, { "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement", "valueDataRequirement": { "type": "Encounter", "profile": [ "http://hl7.org/fhir/StructureDefinition/Encounter" ], "codeFilter": [ { "path": "type", "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307" } ] } }, { "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement", "valueDataRequirement": { "type": "ServiceRequest", "profile": [ "http://hl7.org/fhir/StructureDefinition/ServiceRequest" ], "codeFilter": [ { "path": "code", "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1108.15" } ] } }, { "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement", "valueDataRequirement": { "type": "Procedure", "profile": [ "http://hl7.org/fhir/StructureDefinition/Procedure" ], "codeFilter": [ { "path": "code", "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1108.15" } ] } }, { "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-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/us/cqfmeasures/StructureDefinition/cqfm-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": "PVSComponent" }, { "url": "name", "valueString": "SDE Sex" }, { "url": "statement", "valueString": "define \"SDE Sex\":\n SDE.\"SDE Sex\"" }, { "url": "displaySequence", "valueInteger": 0 } ], "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" }, { "extension": [ { "url": "libraryName", "valueString": "SupplementalDataElements" }, { "url": "name", "valueString": "SDE Sex" }, { "url": "statement", "valueString": "define \"SDE Sex\":\n case\n when Patient.gender = 'male' then Code { code: 'M', system: 'http://hl7.org/fhir/v3/AdministrativeGender', display: 'Male' }\n when Patient.gender = 'female' then Code { code: 'F', system: 'http://hl7.org/fhir/v3/AdministrativeGender', display: 'Female' }\n else null\n end" }, { "url": "displaySequence", "valueInteger": 1 } ], "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" }, { "extension": [ { "url": "libraryName", "valueString": "PVSComponent" }, { "url": "name", "valueString": "Numerator" }, { "url": "statement", "valueString": "define \"Numerator\":\n exists ( [Immunization: \"Pneumococcal Vaccine\"] PneumococcalVaccine\n where PneumococcalVaccine.status = 'completed'\n and PneumococcalVaccine.occurrence as dateTime on or before\n end of \"Measurement Period\"\n )\n or exists ( [Procedure: \"Pneumococcal Vaccine Administered\"] PneumococcalVaccineGiven\n where PneumococcalVaccineGiven.status = 'completed'\n and PneumococcalVaccineGiven.performed as Period on or before\n end of \"Measurement Period\"\n )" }, { "url": "displaySequence", "valueInteger": 2 } ], "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" }, { "extension": [ { "url": "libraryName", "valueString": "PVSComponent" }, { "url": "name", "valueString": "Denominator" }, { "url": "statement", "valueString": "define \"Denominator\":\n \"Initial Population\"" }, { "url": "displaySequence", "valueInteger": 3 } ], "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" }, { "extension": [ { "url": "libraryName", "valueString": "PVSComponent" }, { "url": "name", "valueString": "Initial Population" }, { "url": "statement", "valueString": "define \"Initial Population\":\n Global.\"CalendarAgeInYearsAt\" ( FHIRHelpers.ToDate ( Patient.birthDate ), start of \"Measurement Period\" ) >= 65\n and exists \"Qualifying Encounters\"" }, { "url": "displaySequence", "valueInteger": 4 } ], "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" }, { "extension": [ { "url": "libraryName", "valueString": "PVSComponent" }, { "url": "name", "valueString": "Qualifying Encounters" }, { "url": "statement", "valueString": "define \"Qualifying Encounters\":\n ( [Encounter: \"Office Visit\"]\n union [Encounter: \"Annual Wellness Visit\"]\n union [Encounter: \"Preventive Care Services - Established Office Visit, 18 and Up\"]\n union [Encounter: \"Preventive Care Services-Initial Office Visit, 18 and Up\"]\n union [Encounter: \"Home Healthcare Services\"]\n union [Encounter: \"Discharge Services - Nursing Facility\"]\n union [Encounter: \"Nursing Facility Visit\"]\n union [Encounter: \"Care Services in Long-Term Residential Facility\"] ) ValidEncounter\n where ValidEncounter.period during \"Measurement Period\"\n and ValidEncounter.status = 'finished'" }, { "url": "displaySequence", "valueInteger": 5 } ], "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" }, { "extension": [ { "url": "libraryName", "valueString": "PVSComponent" }, { "url": "name", "valueString": "SDE Payer" }, { "url": "statement", "valueString": "define \"SDE Payer\":\n SDE.\"SDE Payer\"" }, { "url": "displaySequence", "valueInteger": 6 } ], "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" }, { "extension": [ { "url": "libraryName", "valueString": "SupplementalDataElements" }, { "url": "name", "valueString": "SDE Payer" }, { "url": "statement", "valueString": "define \"SDE Payer\":\n [Coverage: type in \"Payer\"] Payer\n return {\n code: Payer.type,\n period: Payer.period\n }" }, { "url": "displaySequence", "valueInteger": 7 } ], "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" }, { "extension": [ { "url": "libraryName", "valueString": "PVSComponent" }, { "url": "name", "valueString": "Initial Population" }, { "url": "statement", "valueString": "define \"Initial Population\":\n Global.\"CalendarAgeInYearsAt\" ( FHIRHelpers.ToDate ( Patient.birthDate ), start of \"Measurement Period\" ) >= 65\n and exists \"Qualifying Encounters\"" }, { "url": "displaySequence", "valueInteger": 8 } ], "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" }, { "extension": [ { "url": "libraryName", "valueString": "PVSComponent" }, { "url": "name", "valueString": "SDE Ethnicity" }, { "url": "statement", "valueString": "define \"SDE Ethnicity\":\n SDE.\"SDE Ethnicity\"" }, { "url": "displaySequence", "valueInteger": 9 } ], "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" }, { "extension": [ { "url": "libraryName", "valueString": "SupplementalDataElements" }, { "url": "name", "valueString": "SDE Ethnicity" }, { "url": "statement", "valueString": "define \"SDE Ethnicity\":\n (flatten (\n Patient.extension Extension\n where Extension.url = 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity'\n return Extension.extension\n )) E\n where E.url = 'ombCategory'\n or E.url = 'detailed'\n return E.value as Coding" }, { "url": "displaySequence", "valueInteger": 10 } ], "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" }, { "extension": [ { "url": "libraryName", "valueString": "PVSComponent" }, { "url": "name", "valueString": "Denominator Exclusions" }, { "url": "statement", "valueString": "define \"Denominator Exclusions\":\n Hospice.\"Has Hospice\"" }, { "url": "displaySequence", "valueInteger": 11 } ], "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" }, { "extension": [ { "url": "libraryName", "valueString": "Hospice" }, { "url": "name", "valueString": "Has Hospice" }, { "url": "statement", "valueString": "define \"Has Hospice\":\n\texists (\n [Encounter: \"Encounter Inpatient\"] DischargeHospice\n\t\t\twhere DischargeHospice.status = 'finished'\n\t\t and (\n\t DischargeHospice.hospitalization.dischargeDisposition ~ \"Discharge to home for hospice care (procedure)\"\n\t\t\t\t or DischargeHospice.hospitalization.dischargeDisposition ~ \"Discharge to healthcare facility for hospice care (procedure)\"\n\t \t)\n\t\t\t\tand DischargeHospice.period ends during \"Measurement Period\"\n\t)\n or exists (\n [ServiceRequest: \"Hospice care ambulatory\"] HospiceOrder\n where HospiceOrder.intent = 'order'\n and HospiceOrder.authoredOn in \"Measurement Period\"\n )\n or exists (\n [Procedure: \"Hospice care ambulatory\"] HospicePerformed\n where HospicePerformed.status = 'completed'\n and Global.\"Normalize Interval\"(HospicePerformed.performed) overlaps \"Measurement Period\"\n )" }, { "url": "displaySequence", "valueInteger": 12 } ], "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" }, { "extension": [ { "url": "libraryName", "valueString": "PVSComponent" }, { "url": "name", "valueString": "SDE Race" }, { "url": "statement", "valueString": "define \"SDE Race\":\n SDE.\"SDE Race\"" }, { "url": "displaySequence", "valueInteger": 13 } ], "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" }, { "extension": [ { "url": "libraryName", "valueString": "SupplementalDataElements" }, { "url": "name", "valueString": "SDE Race" }, { "url": "statement", "valueString": "define \"SDE Race\":\n (flatten (\n Patient.extension Extension\n where Extension.url = 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-race'\n return Extension.extension\n )) E\n where E.url = 'ombCategory'\n or E.url = 'detailed'\n return E.value as Coding" }, { "url": "displaySequence", "valueInteger": 14 } ], "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" } ], "url": "http://hl7.org/fhir/us/cqfmeasures/Measure/PVSComponent", "version": "0.0.001", "name": "PVSComponent", "title": "Pneumococcal Vaccination Status for Older Adults", "status": "draft", "experimental": true, "date": "2021-04-03T13:00:06-06:00", "publisher": "Clinical Quality Information WG", "contact": [ { "telecom": [ { "system": "url", "value": "http://www.hl7.org/Special/committees/cqi/index.cfm" } ] } ], "description": "This is an example only.", "jurisdiction": [ { "coding": [ { "system": "urn:iso:std:iso:3166", "code": "US" } ] } ], "effectivePeriod": { "start": "2022-01-01", "end": "2022-12-31" }, "relatedArtifact": [ { "type": "depends-on", "display": "Library SDE", "resource": "http://hl7.org/fhir/us/cqfmeasures/Library/SupplementalDataElements|2.0.000" }, { "type": "depends-on", "display": "Library FHIRHelpers", "resource": "http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1" }, { "type": "depends-on", "display": "Library Global", "resource": "http://hl7.org/fhir/us/cqfmeasures/Library/MATGlobalCommonFunctions|5.0.000" }, { "type": "depends-on", "display": "Library FHIRHelpers", "resource": "http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1" }, { "type": "depends-on", "display": "Library Hospice", "resource": "http://hl7.org/fhir/us/cqfmeasures/Library/Hospice|2.0.000" }, { "type": "depends-on", "display": "Library FHIRHelpers", "resource": "http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1" }, { "type": "depends-on", "display": "Library Global", "resource": "http://hl7.org/fhir/us/cqfmeasures/Library/MATGlobalCommonFunctions|5.0.000" }, { "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 Pneumococcal Vaccine", "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1027" }, { "type": "depends-on", "display": "Value set Pneumococcal Vaccine Administered", "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1034" }, { "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 Discharge Services - Nursing Facility", "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.11.1065" }, { "type": "depends-on", "display": "Value set Nursing Facility Visit", "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1012" }, { "type": "depends-on", "display": "Value set Care Services in Long-Term Residential Facility", "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1014" }, { "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" } ], "library": [ "http://hl7.org/fhir/us/cqfmeasures/Library/PVSComponent" ], "scoring": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/measure-scoring", "code": "proportion", "display": "Proportion" } ] }, "type": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/measure-type", "code": "process" } ] } ], "improvementNotation": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/measure-improvement-notation", "code": "increase" } ] }, "group": [ { "population": [ { "id": "FB55A109-7AC0-4385-AD01-ED3814C92697", "code": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/measure-population", "code": "initial-population", "display": "Initial Population" } ] }, "criteria": { "language": "text/cql.identifier", "expression": "Initial Population" } }, { "id": "7BFE8E56-FD1F-4E35-A79F-0E2569819358", "code": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/measure-population", "code": "denominator", "display": "Denominator" } ] }, "criteria": { "language": "text/cql.identifier", "expression": "Denominator" } }, { "id": "F74BB6AC-40CD-40BB-A9F8-06F4A4A0D2C5", "code": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/measure-population", "code": "denominator-exclusion", "display": "Denominator Exclusion" } ] }, "criteria": { "language": "text/cql.identifier", "expression": "Denominator Exclusions" } }, { "id": "89B1D5A5-96B6-4002-B962-9989FED8A0E9", "code": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/measure-population", "code": "numerator", "display": "Numerator" } ] }, "criteria": { "language": "text/cql.identifier", "expression": "Numerator" } } ] } ], "supplementalData": [ { "id": "66567b90-12e8-4a1c-8425-2cb8106f9664", "usage": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/measure-data-usage", "code": "supplemental-data" } ] } ], "criteria": { "language": "text/cql.identifier", "expression": "SDE Ethnicity" } }, { "id": "d431e0e9-8d05-4ca7-a0b2-6cf72313c6d6", "usage": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/measure-data-usage", "code": "supplemental-data" } ] } ], "criteria": { "language": "text/cql.identifier", "expression": "SDE Payer" } }, { "id": "b5baeb14-bfba-4ad5-a150-8a5442d113f8", "usage": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/measure-data-usage", "code": "supplemental-data" } ] } ], "criteria": { "language": "text/cql.identifier", "expression": "SDE Race" } }, { "id": "54129f83-97a7-4149-82c8-92ab0e8060ed", "usage": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/measure-data-usage", "code": "supplemental-data" } ] } ], "criteria": { "language": "text/cql.identifier", "expression": "SDE Sex" } } ] }