Atrius India Core FHIR Implementation Guide
0.1.0 - ci-build
Atrius India Core FHIR Implementation Guide - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
| Draft as of 2026-09-21 |
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<id value="AtriusCMS124CervicalCancerScreen"/>
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<language value="en"/>
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<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<table class="narrative-table">
<tbody>
<tr>
<th colspan="2" scope="row" class="row-header">Metadata</th>
</tr>
<tr>
<th scope="row" class="row-header">Title</th>
<td class="content-container">Cervical Cancer Screening (Atrius CMS124)</td>
</tr>
<tr>
<th scope="row" class="row-header">Version</th>
<td class="content-container">0.1.0</td>
</tr>
<tr>
<th scope="row" class="row-header">Short Name</th>
<td class="content-container">CMS124</td>
</tr>
<tr>
<th scope="row" class="row-header">GUID (Version Independent)</th>
<td class="content-container">urn:uuid:cc6d402f-452d-4c49-91ca-0364160ad963</td>
</tr>
<tr>
<th scope="row" class="row-header">GUID (Version Specific)</th>
<td class="content-container">urn:uuid:5443f489-92c2-4ed4-8e47-4f990ceea024</td>
</tr>
<tr>
<th scope="row" class="row-header">Identifier</th>
<td class="content-container">AtriusCMS124CervicalCancerScreen</td>
</tr>
<tr>
<th scope="row" class="row-header">Identifier</th>
<td class="content-container">urn:oid:1.3.6.1.4.1.66219.1.29.5</td>
</tr>
<tr>
<th scope="row" class="row-header">Status</th>
<td class="content-container">Draft</td>
</tr>
<tr>
<th scope="row" class="row-header">Experimental</th>
<td class="content-container">true</td>
</tr>
<tr>
<th scope="row" class="row-header">Steward (Publisher)</th>
<td class="content-container">Atrius</td>
</tr>
<tr>
<th scope="row" class="row-header">Steward Contact</th>
<td class="content-container">Atrius</td>
</tr>
<tr>
<th scope="row" class="row-header">Description</th>
<td class="content-container"><div><p>Proportion measure: women 24–64 with a qualifying encounter who have cervical cytology in 3 years or an HPV test at age ≥30 in 5 years. Process measure; improvement is increase.</p>
</div></td>
</tr>
<tr>
<th scope="row" class="row-header">Measure Basis</th>
<td class="content-container">boolean</td>
</tr>
<tr>
<th scope="row" class="row-header">Measure Scoring</th>
<td class="content-container">
proportion from <a href="http://terminology.hl7.org/7.2.0/CodeSystem-measure-scoring.html">http://terminology.hl7.org/CodeSystem/measure-scoring</a>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Improvement Notation</th>
<td class="content-container">
increase from <a href="http://terminology.hl7.org/7.2.0/CodeSystem-measure-improvement-notation.html">http://terminology.hl7.org/CodeSystem/measure-improvement-notation</a>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Measure Type</th>
<td class="content-container">
process from <a href="http://terminology.hl7.org/7.2.0/CodeSystem-measure-type.html">http://terminology.hl7.org/CodeSystem/measure-type</a>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Dependency</th>
<td class="content-container">
<em>Description</em>: Atrius CMS124 CQL Library
<br/>
<em>Resource</em>: <a href="Library-AtriusCMS124CervicalCancerScreen.html">Atrius CMS124 Cervical Cancer Screening CQL</a> version: 0.1.0
<br/>
<em>Canonical URL</em>: <tt>https://atrius.in/fhir/r4/atrius-in/Library/AtriusCMS124CervicalCancerScreen|0.1.0</tt>
</td>
</tr>
<tr>
<th colspan="2" scope="row" class="row-header">Measure Group (Rate) (ID: group-1)</th>
</tr>
<tr>
<th scope="row" class="row-header"/>
<td class="content-container"><div><p>SDE Sex uses Patient.gender mapped to the same SNOMED Male/Female findings as CMS. Initial Population uses Patient.gender = female (QI-Core Patient.sex is not on AtriusIn Patient). SDE Payer uses AtriusIn coverage payer type (PM-JAY, ESIS, private, public, self-pay). SDE Residence (state/district) and SDE Urban Rural replace US Core race and ethnicity and are not US-comparable. Pap/HPV retrieve stays base Observation until modelinfo includes the laboratory subtype. Hysterectomy uses atrius-vs-hysterectomy-no-residual-cervix (India substitute; CPT/PCS dropped).</p>
</div></td>
</tr>
<tr>
<th colspan="2" scope="row" class="row-header">Measure Logic</th>
</tr>
<tr>
<th scope="row" class="row-header">Primary Library</th>
<td class="content-container"><a href="Library-AtriusCMS124CervicalCancerScreen.html">Atrius CMS124 Cervical Cancer Screening CQL</a> version: 0.1.0</td>
</tr>
<tr>
<th scope="row" class="row-header">Contents</th>
<td class="content-container">
<em><a href="#population-criteria">Population Criteria</a></em>
<br/>
<em><a href="#definitions">Logic Definitions</a></em>
<br/>
<em><a href="#terminology">Terminology</a></em>
<br/>
<em><a href="#dependencies">Dependencies</a></em>
<br/>
<em><a href="#data-requirements">Data Requirements</a></em>
<br/>
<em><a href="#parameters">Parameters</a></em>
<br/>
</td>
</tr>
<tr>
<th colspan="2" scope="row" class="row-header"><a name="population-criteria"> </a>Population Criteria</th>
</tr>
<tr>
<th colspan="2" scope="row" class="row-header">Measure Group (Rate) (ID: group-1)</th>
</tr>
<tr>
<th colspan="2" scope="row" class="row-header"><a name="definitions"> </a>Logic Definitions</th>
</tr>
<tr>
<th scope="row" rowspan="2" class="row-header">
Logic Definition
</th>
<td class="content-container"><em>Library Name:</em> AtriusHospice</td>
</tr>
<tr>
<td>
<a name="atriushospice-has-hospice-services"> </a>
<pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define "Has Hospice Services":
exists ( ( ( [Encounter: "Encounter Inpatient"] ).isEncounterPerformed() ) InpatientEncounter
where FHIRHelpers.ToConcept(InpatientEncounter.hospitalization.dischargeDisposition) ~ "Hospice (HL7 discharge)"
and FHIRHelpers.ToInterval(InpatientEncounter.period as FHIR.Period) ends during day of "Measurement Period"
)
or exists ( ( ( [Encounter: "Hospice Encounter"] ).isEncounterPerformed() ) HospiceEncounter
where FHIRHelpers.ToInterval(HospiceEncounter.period as FHIR.Period) overlaps day of "Measurement Period"
)
or exists ( ( ( [ObservationGeneralAssessment: "Hospice care [Minimum Data Set]"] ).isAssessmentPerformed() ) HospiceAssessment
where FHIRHelpers.ToConcept(HospiceAssessment.value as FHIR.CodeableConcept) ~ "Yes (qualifier value)"
and HospiceAssessment.effective.toObservationEffectiveInterval() overlaps day of "Measurement Period"
)
or exists ( ( ( [ServiceRequest: "Hospice Care Ambulatory"] ).isInterventionOrder() ) HospiceOrder
where FHIRHelpers.ToDateTime(HospiceOrder.authoredOn) during day of "Measurement Period"
)
or exists ( ( ( [Procedure: "Hospice Care Ambulatory"] ).isInterventionPerformed() ) HospicePerformed
where HospicePerformed.performed.toPerformedInterval() overlaps day of "Measurement Period"
)
or exists ( ( (
[ConditionProblemsHealthConcerns: "Hospice Diagnosis"]
union [ConditionEncounterDiagnosis: "Hospice Diagnosis"]
).verified() ) HospiceCareDiagnosis
where HospiceCareDiagnosis.prevalenceInterval() overlaps day of "Measurement Period"
)</code></pre>
</td>
</tr>
<tr>
<th scope="row" rowspan="2" class="row-header">
Logic Definition
</th>
<td class="content-container"><em>Library Name:</em> AtriusPalliativeCare</td>
</tr>
<tr>
<td>
<a name="atriuspalliativecare-has-palliative-care-in-the-measurement-period"> </a>
<pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define "Has Palliative Care in the Measurement Period":
exists (
[ObservationGeneralAssessment: "Functional Assessment of Chronic Illness Therapy - Palliative Care Questionnaire (FACIT-Pal)"] PalliativeAssessment
where PalliativeAssessment.status in { 'final', 'amended', 'corrected' }
and PalliativeAssessment.effective.toObservationEffectiveInterval() overlaps day of "Measurement Period"
)
or exists (
[ConditionProblemsHealthConcerns: "Palliative Care Diagnosis"] PalliativeProblem
where (
PalliativeProblem.verificationStatus is null
or FHIRHelpers.ToConcept(PalliativeProblem.verificationStatus) ~ "confirmed"
or FHIRHelpers.ToConcept(PalliativeProblem.verificationStatus) ~ "unconfirmed"
or FHIRHelpers.ToConcept(PalliativeProblem.verificationStatus) ~ "provisional"
or FHIRHelpers.ToConcept(PalliativeProblem.verificationStatus) ~ "differential"
)
and PalliativeProblem.prevalenceInterval() overlaps day of "Measurement Period"
)
or exists (
[ConditionEncounterDiagnosis: "Palliative Care Diagnosis"] PalliativeEncounterDiagnosis
where (
PalliativeEncounterDiagnosis.verificationStatus is null
or FHIRHelpers.ToConcept(PalliativeEncounterDiagnosis.verificationStatus) ~ "confirmed"
or FHIRHelpers.ToConcept(PalliativeEncounterDiagnosis.verificationStatus) ~ "unconfirmed"
or FHIRHelpers.ToConcept(PalliativeEncounterDiagnosis.verificationStatus) ~ "provisional"
or FHIRHelpers.ToConcept(PalliativeEncounterDiagnosis.verificationStatus) ~ "differential"
)
and PalliativeEncounterDiagnosis.prevalenceInterval() overlaps day of "Measurement Period"
)
or exists (
[Encounter: "Palliative Care Encounter"] PalliativeEncounter
where PalliativeEncounter.status = 'finished'
and FHIRHelpers.ToInterval(PalliativeEncounter.period as FHIR.Period) overlaps day of "Measurement Period"
)
or exists (
[Procedure: "Palliative Care Intervention"] PalliativeIntervention
where PalliativeIntervention.status = 'completed'
and PalliativeIntervention.performed.toPerformedInterval() overlaps day of "Measurement Period"
)</code></pre>
</td>
</tr>
<tr>
<th scope="row" rowspan="2" class="row-header">
Logic Definition
</th>
<td class="content-container"><em>Library Name:</em> AtriusCMS124CervicalCancerScreen</td>
</tr>
<tr>
<td>
<a name="atriuscms124cervicalcancerscreen-cervical-cytology-within-3-years"> </a>
<pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define "Cervical Cytology Within 3 Years":
( [Observation: "Pap Test"] ) CervicalCytology
where CervicalCytology.status in { 'final', 'amended', 'corrected' }
and CervicalCytology.effective.toObservationEffectiveInterval ( ) during day of Interval[start of "Measurement Period" - 2 years, end of "Measurement Period"]
and CervicalCytology.value is not null</code></pre>
</td>
</tr>
<tr>
<th scope="row" rowspan="2" class="row-header">
Logic Definition
</th>
<td class="content-container"><em>Library Name:</em> AtriusCMS124CervicalCancerScreen</td>
</tr>
<tr>
<td>
<a name="atriuscms124cervicalcancerscreen-hpv-test-within-5-years-for-women-age-30-and-older"> </a>
<pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define "HPV Test Within 5 Years for Women Age 30 and Older":
( [Observation: "HPV Test"] ) HPVTest
where HPVTest.status in { 'final', 'amended', 'corrected' }
and AgeInYearsAt(date from end of HPVTest.effective.toObservationEffectiveInterval()) >= 30
and HPVTest.effective.toObservationEffectiveInterval ( ) during day of Interval[start of "Measurement Period" - 4 years, end of "Measurement Period"]
and HPVTest.value is not null</code></pre>
</td>
</tr>
<tr>
<th scope="row" rowspan="2" class="row-header">
Logic Definition
</th>
<td class="content-container"><em>Library Name:</em> AtriusCMS124CervicalCancerScreen</td>
</tr>
<tr>
<td>
<a name="atriuscms124cervicalcancerscreen-numerator"> </a>
<pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define "Numerator":
exists "Cervical Cytology Within 3 Years"
or exists "HPV Test Within 5 Years for Women Age 30 and Older"</code></pre>
</td>
</tr>
<tr>
<th scope="row" rowspan="2" class="row-header">
Logic Definition
</th>
<td class="content-container"><em>Library Name:</em> AtriusCMS124CervicalCancerScreen</td>
</tr>
<tr>
<td>
<a name="atriuscms124cervicalcancerscreen-qualifying-encounters"> </a>
<pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define "Qualifying Encounters":
( ( [Encounter: "Office 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"]
union [Encounter: "Telephone Visits"]
union [Encounter: "Virtual Encounter"]
).isEncounterPerformed ( ) ) ValidEncounters
where ValidEncounters.period during day of "Measurement Period"</code></pre>
</td>
</tr>
<tr>
<th scope="row" rowspan="2" class="row-header">
Logic Definition
</th>
<td class="content-container"><em>Library Name:</em> AtriusCMS124CervicalCancerScreen</td>
</tr>
<tr>
<td>
<a name="atriuscms124cervicalcancerscreen-initial-population"> </a>
<pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define "Initial Population":
AgeInYearsAt(date from
end of "Measurement Period"
) in Interval[24, 64]
and Patient.gender = 'female'
and exists "Qualifying Encounters"</code></pre>
</td>
</tr>
<tr>
<th scope="row" rowspan="2" class="row-header">
Logic Definition
</th>
<td class="content-container"><em>Library Name:</em> AtriusCMS124CervicalCancerScreen</td>
</tr>
<tr>
<td>
<a name="atriuscms124cervicalcancerscreen-denominator"> </a>
<pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define "Denominator":
"Initial Population"</code></pre>
</td>
</tr>
<tr>
<th scope="row" rowspan="2" class="row-header">
Logic Definition
</th>
<td class="content-container"><em>Library Name:</em> AtriusCMS124CervicalCancerScreen</td>
</tr>
<tr>
<td>
<a name="atriuscms124cervicalcancerscreen-absence-of-cervix"> </a>
<pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define "Absence of Cervix":
( ( ( [Procedure: "Hysterectomy with No Residual Cervix"] ).isProcedurePerformed ( ) ) NoCervixProcedure
where NoCervixProcedure.performed.toPerformedInterval ( ) ends on or before end of "Measurement Period"
)
union ( ( ( [ConditionProblemsHealthConcerns: "Congenital or Acquired Absence of Cervix"]
union [ConditionEncounterDiagnosis: "Congenital or Acquired Absence of Cervix"]
).verified ( ) ) NoCervixDiagnosis
where NoCervixDiagnosis.prevalenceInterval ( ) starts on or before end of "Measurement Period"
)</code></pre>
</td>
</tr>
<tr>
<th scope="row" rowspan="2" class="row-header">
Logic Definition
</th>
<td class="content-container"><em>Library Name:</em> AtriusCMS124CervicalCancerScreen</td>
</tr>
<tr>
<td>
<a name="atriuscms124cervicalcancerscreen-denominator-exclusions"> </a>
<pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define "Denominator Exclusions":
Hospice."Has Hospice Services"
or exists "Absence of Cervix"
or PalliativeCare."Has Palliative Care in the Measurement Period"</code></pre>
</td>
</tr>
<tr>
<th scope="row" rowspan="2" class="row-header">
Logic Definition
</th>
<td class="content-container"><em>Library Name:</em> FHIRHelpers</td>
</tr>
<tr>
<td>
<a name="fhirhelpers-tostring"> </a>
<pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define function ToString(value ObservationStatus): value.value</code></pre>
</td>
</tr>
<tr>
<th scope="row" rowspan="2" class="row-header">
Logic Definition
</th>
<td class="content-container"><em>Library Name:</em> FHIRHelpers</td>
</tr>
<tr>
<td>
<a name="fhirhelpers-tostring"> </a>
<pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define function ToString(value AdministrativeGender): value.value</code></pre>
</td>
</tr>
<tr>
<th scope="row" rowspan="2" class="row-header">
Logic Definition
</th>
<td class="content-container"><em>Library Name:</em> FHIRHelpers</td>
</tr>
<tr>
<td>
<a name="fhirhelpers-tostring"> </a>
<pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define function ToString(value EncounterStatus): value.value</code></pre>
</td>
</tr>
<tr>
<th scope="row" rowspan="2" class="row-header">
Logic Definition
</th>
<td class="content-container"><em>Library Name:</em> FHIRHelpers</td>
</tr>
<tr>
<td>
<a name="fhirhelpers-tointerval"> </a>
<pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">/*
@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]</code></pre>
</td>
</tr>
<tr>
<th scope="row" rowspan="2" class="row-header">
Logic Definition
</th>
<td class="content-container"><em>Library Name:</em> FHIRHelpers</td>
</tr>
<tr>
<td>
<a name="fhirhelpers-toconcept"> </a>
<pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">/*
@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
}</code></pre>
</td>
</tr>
<tr>
<th scope="row" rowspan="2" class="row-header">
Logic Definition
</th>
<td class="content-container"><em>Library Name:</em> FHIRHelpers</td>
</tr>
<tr>
<td>
<a name="fhirhelpers-tocode"> </a>
<pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">/*
@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
}</code></pre>
</td>
</tr>
<tr>
<th scope="row" rowspan="2" class="row-header">
Logic Definition
</th>
<td class="content-container"><em>Library Name:</em> FHIRHelpers</td>
</tr>
<tr>
<td>
<a name="fhirhelpers-tostring"> </a>
<pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define function ToString(value ServiceRequestStatus): value.value</code></pre>
</td>
</tr>
<tr>
<th scope="row" rowspan="2" class="row-header">
Logic Definition
</th>
<td class="content-container"><em>Library Name:</em> FHIRHelpers</td>
</tr>
<tr>
<td>
<a name="fhirhelpers-tostring"> </a>
<pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define function ToString(value ServiceRequestIntent): value.value</code></pre>
</td>
</tr>
<tr>
<th scope="row" rowspan="2" class="row-header">
Logic Definition
</th>
<td class="content-container"><em>Library Name:</em> FHIRHelpers</td>
</tr>
<tr>
<td>
<a name="fhirhelpers-todatetime"> </a>
<pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define function ToDateTime(value dateTime): value.value</code></pre>
</td>
</tr>
<tr>
<th scope="row" rowspan="2" class="row-header">
Logic Definition
</th>
<td class="content-container"><em>Library Name:</em> FHIRHelpers</td>
</tr>
<tr>
<td>
<a name="fhirhelpers-tostring"> </a>
<pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define function ToString(value ProcedureStatus): value.value</code></pre>
</td>
</tr>
<tr>
<th scope="row" rowspan="2" class="row-header">
Logic Definition
</th>
<td class="content-container"><em>Library Name:</em> AtriusCommon</td>
</tr>
<tr>
<td>
<a name="atriuscommon-toobservationeffectiveinterval"> </a>
<pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define fluent function toObservationEffectiveInterval(choice Choice<FHIR.dateTime, FHIR.Period, FHIR.Timing, FHIR.instant>):
choice.toInterval()</code></pre>
</td>
</tr>
<tr>
<th scope="row" rowspan="2" class="row-header">
Logic Definition
</th>
<td class="content-container"><em>Library Name:</em> AtriusCommon</td>
</tr>
<tr>
<td>
<a name="atriuscommon-toperformedinterval"> </a>
<pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define fluent function toPerformedInterval(performed Choice<FHIR.dateTime, FHIR.Period, FHIR.string, FHIR.Age, FHIR.Range>):
performed.toInterval()</code></pre>
</td>
</tr>
<tr>
<th scope="row" rowspan="2" class="row-header">
Logic Definition
</th>
<td class="content-container"><em>Library Name:</em> AtriusCommon</td>
</tr>
<tr>
<td>
<a name="atriuscommon-prevalenceinterval"> </a>
<pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">/*
@description: Returns an interval representing the normalized prevalence period of a given Condition.
*/
define fluent function prevalenceInterval(condition Choice<ConditionEncounterDiagnosis, ConditionProblemsHealthConcerns>):
if condition.isActive() then
Interval[start of condition.onset.toConditionTimingInterval(), end of condition.abatementInterval()]
else
(end of condition.abatementInterval()) abatementDate
return if abatementDate is null then
Interval[start of condition.onset.toConditionTimingInterval(), abatementDate)
else
Interval[start of condition.onset.toConditionTimingInterval(), abatementDate]</code></pre>
</td>
</tr>
<tr>
<th scope="row" rowspan="2" class="row-header">
Logic Definition
</th>
<td class="content-container"><em>Library Name:</em> AtriusCommon</td>
</tr>
<tr>
<td>
<a name="atriuscommon-isactive"> </a>
<pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">/*
@description: Returns true if the given condition has a clinical status of active, recurrence, or relapse
*/
define fluent function isActive(condition Choice<ConditionEncounterDiagnosis, ConditionProblemsHealthConcerns>):
FHIRHelpers.ToConcept(condition.clinicalStatus) ~ "active"
or FHIRHelpers.ToConcept(condition.clinicalStatus) ~ "recurrence"
or FHIRHelpers.ToConcept(condition.clinicalStatus) ~ "relapse"</code></pre>
</td>
</tr>
<tr>
<th scope="row" rowspan="2" class="row-header">
Logic Definition
</th>
<td class="content-container"><em>Library Name:</em> AtriusCommon</td>
</tr>
<tr>
<td>
<a name="atriuscommon-toconditiontiminginterval"> </a>
<pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define fluent function toConditionTimingInterval(choice Choice<FHIR.dateTime, FHIR.Age, FHIR.Period, FHIR.Range, FHIR.string>):
choice.toInterval()</code></pre>
</td>
</tr>
<tr>
<th scope="row" rowspan="2" class="row-header">
Logic Definition
</th>
<td class="content-container"><em>Library Name:</em> AtriusCommon</td>
</tr>
<tr>
<td>
<a name="atriuscommon-abatementinterval"> </a>
<pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">/*
@description: Returns an interval representing the normalized abatement of a given Condition.
*/
define fluent function abatementInterval(condition Choice<ConditionEncounterDiagnosis, ConditionProblemsHealthConcerns>):
condition.abatement.toConditionTimingInterval()</code></pre>
</td>
</tr>
<tr>
<th scope="row" rowspan="2" class="row-header">
Logic Definition
</th>
<td class="content-container"><em>Library Name:</em> AtriusStatus</td>
</tr>
<tr>
<td>
<a name="atriusstatus-isencounterperformed"> </a>
<pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define fluent function isEncounterPerformed(Enc List<Encounter>):
Enc E
where E.status = 'finished'</code></pre>
</td>
</tr>
<tr>
<th scope="row" rowspan="2" class="row-header">
Logic Definition
</th>
<td class="content-container"><em>Library Name:</em> AtriusStatus</td>
</tr>
<tr>
<td>
<a name="atriusstatus-isassessmentperformed"> </a>
<pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define fluent function isAssessmentPerformed(Obs List<Observation>):
Obs O
where O.status in { 'final', 'amended', 'corrected' }</code></pre>
</td>
</tr>
<tr>
<th scope="row" rowspan="2" class="row-header">
Logic Definition
</th>
<td class="content-container"><em>Library Name:</em> AtriusStatus</td>
</tr>
<tr>
<td>
<a name="atriusstatus-isinterventionorder"> </a>
<pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define fluent function isInterventionOrder(ServiceRequest List<ServiceRequest>):
ServiceRequest S
where S.status in { 'active', 'completed' }
and S.intent in {
'order', 'original-order', 'reflex-order', 'filler-order', 'instance-order'
}</code></pre>
</td>
</tr>
<tr>
<th scope="row" rowspan="2" class="row-header">
Logic Definition
</th>
<td class="content-container"><em>Library Name:</em> AtriusStatus</td>
</tr>
<tr>
<td>
<a name="atriusstatus-isinterventionperformed"> </a>
<pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define fluent function isInterventionPerformed(Proc List<Procedure>):
Proc P
where P.status = 'completed'</code></pre>
</td>
</tr>
<tr>
<th scope="row" rowspan="2" class="row-header">
Logic Definition
</th>
<td class="content-container"><em>Library Name:</em> AtriusStatus</td>
</tr>
<tr>
<td>
<a name="atriusstatus-verified"> </a>
<pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define fluent function verified(
conditions List<Choice<ConditionEncounterDiagnosis, ConditionProblemsHealthConcerns>>
):
conditions C
where C.verificationStatus is not null implies (
FHIRHelpers.ToConcept(C.verificationStatus) ~ "confirmed"
or FHIRHelpers.ToConcept(C.verificationStatus) ~ "unconfirmed"
or FHIRHelpers.ToConcept(C.verificationStatus) ~ "provisional"
or FHIRHelpers.ToConcept(C.verificationStatus) ~ "differential"
)</code></pre>
</td>
</tr>
<tr>
<th scope="row" rowspan="2" class="row-header">
Logic Definition
</th>
<td class="content-container"><em>Library Name:</em> AtriusStatus</td>
</tr>
<tr>
<td>
<a name="atriusstatus-isprocedureperformed"> </a>
<pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define fluent function isProcedurePerformed(Proc List<Procedure>):
Proc P
where P.status = 'completed'</code></pre>
</td>
</tr>
<tr>
<th colspan="2" scope="row" class="row-header"><a name="terminology"> </a>Terminology</th>
</tr>
<tr>
<th scope="row" class="row-header">Code System</th>
<td class="content-container">
<em>Description</em>: Code system DischargeDisposition
<br/>
<em>Resource</em>: <a href="http://terminology.hl7.org/7.2.0/CodeSystem-discharge-disposition.html">Discharge disposition</a> version: 1.0.1
<br/>
<em>Canonical URL</em>: <tt>http://terminology.hl7.org/CodeSystem/discharge-disposition|1.0.1</tt>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Code System</th>
<td class="content-container">
<em>Description</em>: Code system SNOMEDCT
<br/>
<em>Resource</em>: <a href="http://hl7.org/fhir/R4/codesystem-snomedct.html">SNOMED CT (all versions)</a>
<br/>
<em>Canonical URL</em>: <tt>http://snomed.info/sct</tt>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Code System</th>
<td class="content-container">
<em>Description</em>: Code system LOINC
<br/>
<em>Resource</em>: <a href="http://terminology.hl7.org/6.0.2/CodeSystem-v3-loinc.html">Logical Observation Identifiers, Names and Codes (LOINC)</a>
<br/>
<em>Canonical URL</em>: <tt>http://loinc.org</tt>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Code System</th>
<td class="content-container">
<em>Description</em>: Code system ConditionVerificationStatusCodes
<br/>
<em>Resource</em>: <a href="http://terminology.hl7.org/7.2.0/CodeSystem-condition-ver-status.html">ConditionVerificationStatus</a> version: 2.0.1
<br/>
<em>Canonical URL</em>: <tt>http://terminology.hl7.org/CodeSystem/condition-ver-status|2.0.1</tt>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Code System</th>
<td class="content-container">
<em>Description</em>: Code system ConditionClinicalStatusCodes
<br/>
<em>Resource</em>: <a href="http://terminology.hl7.org/7.2.0/CodeSystem-condition-clinical.html">Condition Clinical Status Codes</a> version: 3.0.0
<br/>
<em>Canonical URL</em>: <tt>http://terminology.hl7.org/CodeSystem/condition-clinical|3.0.0</tt>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Value Set</th>
<td class="content-container">
<em>Description</em>: Value set Pap Test
<br/>
<em>Resource</em>: <a href="ValueSet-atrius-vs-pap-test.html">Atrius Pap Test</a> version: 0.1.0
<br/>
<em>Canonical URL</em>: <tt>https://atrius.in/fhir/r4/atrius-in/ValueSet/atrius-vs-pap-test|0.1.0</tt>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Value Set</th>
<td class="content-container">
<em>Description</em>: Value set HPV Test
<br/>
<em>Resource</em>: <a href="ValueSet-atrius-vs-hpv-test.html">Atrius HPV Test</a> version: 0.1.0
<br/>
<em>Canonical URL</em>: <tt>https://atrius.in/fhir/r4/atrius-in/ValueSet/atrius-vs-hpv-test|0.1.0</tt>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Value Set</th>
<td class="content-container">
<em>Description</em>: Value set Office Visit
<br/>
<em>Resource</em>: <a href="ValueSet-atrius-vs-office-visit.html">Atrius Office Visit</a> version: 0.1.0
<br/>
<em>Canonical URL</em>: <tt>https://atrius.in/fhir/r4/atrius-in/ValueSet/atrius-vs-office-visit|0.1.0</tt>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Value Set</th>
<td class="content-container">
<em>Description</em>: Value set Preventive Care Services Established Office Visit, 18 and Up
<br/>
<em>Resource</em>: <a href="ValueSet-atrius-vs-preventive-established-18up.html">Atrius Preventive Care Services Established Office Visit, 18 and Up</a> version: 0.1.0
<br/>
<em>Canonical URL</em>: <tt>https://atrius.in/fhir/r4/atrius-in/ValueSet/atrius-vs-preventive-established-18up|0.1.0</tt>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Value Set</th>
<td class="content-container">
<em>Description</em>: Value set Preventive Care Services Initial Office Visit, 18 and Up
<br/>
<em>Resource</em>: <a href="ValueSet-atrius-vs-preventive-initial-18up.html">Atrius Preventive Care Services Initial Office Visit, 18 and Up</a> version: 0.1.0
<br/>
<em>Canonical URL</em>: <tt>https://atrius.in/fhir/r4/atrius-in/ValueSet/atrius-vs-preventive-initial-18up|0.1.0</tt>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Value Set</th>
<td class="content-container">
<em>Description</em>: Value set Home Healthcare Services
<br/>
<em>Resource</em>: <a href="ValueSet-atrius-vs-home-healthcare.html">Atrius Home Healthcare Services</a> version: 0.1.0
<br/>
<em>Canonical URL</em>: <tt>https://atrius.in/fhir/r4/atrius-in/ValueSet/atrius-vs-home-healthcare|0.1.0</tt>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Value Set</th>
<td class="content-container">
<em>Description</em>: Value set Telephone Visits
<br/>
<em>Resource</em>: <a href="ValueSet-atrius-vs-telephone-visits.html">Atrius Telephone Visits</a> version: 0.1.0
<br/>
<em>Canonical URL</em>: <tt>https://atrius.in/fhir/r4/atrius-in/ValueSet/atrius-vs-telephone-visits|0.1.0</tt>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Value Set</th>
<td class="content-container">
<em>Description</em>: Value set Virtual Encounter
<br/>
<em>Resource</em>: <a href="ValueSet-atrius-vs-virtual-encounter.html">Atrius Virtual Encounter</a> version: 0.1.0
<br/>
<em>Canonical URL</em>: <tt>https://atrius.in/fhir/r4/atrius-in/ValueSet/atrius-vs-virtual-encounter|0.1.0</tt>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Value Set</th>
<td class="content-container">
<em>Description</em>: Value set Encounter Inpatient
<br/>
<em>Resource</em>: <a href="ValueSet-atrius-vs-encounter-inpatient.html">Atrius Encounter Inpatient</a> version: 0.1.0
<br/>
<em>Canonical URL</em>: <tt>https://atrius.in/fhir/r4/atrius-in/ValueSet/atrius-vs-encounter-inpatient|0.1.0</tt>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Value Set</th>
<td class="content-container">
<em>Description</em>: Value set Hospice Encounter
<br/>
<em>Resource</em>: <a href="ValueSet-atrius-vs-hospice-encounter.html">Atrius Hospice Encounter</a> version: 0.1.0
<br/>
<em>Canonical URL</em>: <tt>https://atrius.in/fhir/r4/atrius-in/ValueSet/atrius-vs-hospice-encounter|0.1.0</tt>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Value Set</th>
<td class="content-container">
<em>Description</em>: Value set Hospice Care Ambulatory
<br/>
<em>Resource</em>: <a href="ValueSet-atrius-vs-hospice-care-ambulatory.html">Atrius Hospice Care Ambulatory</a> version: 0.1.0
<br/>
<em>Canonical URL</em>: <tt>https://atrius.in/fhir/r4/atrius-in/ValueSet/atrius-vs-hospice-care-ambulatory|0.1.0</tt>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Value Set</th>
<td class="content-container">
<em>Description</em>: Value set Hospice Diagnosis
<br/>
<em>Resource</em>: <a href="ValueSet-atrius-vs-hospice-diagnosis.html">Atrius Hospice Diagnosis</a> version: 0.1.0
<br/>
<em>Canonical URL</em>: <tt>https://atrius.in/fhir/r4/atrius-in/ValueSet/atrius-vs-hospice-diagnosis|0.1.0</tt>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Value Set</th>
<td class="content-container">
<em>Description</em>: Value set Hysterectomy with No Residual Cervix
<br/>
<em>Resource</em>: <a href="ValueSet-atrius-vs-hysterectomy-no-residual-cervix.html">Atrius Hysterectomy with No Residual Cervix</a> version: 0.1.0
<br/>
<em>Canonical URL</em>: <tt>https://atrius.in/fhir/r4/atrius-in/ValueSet/atrius-vs-hysterectomy-no-residual-cervix|0.1.0</tt>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Value Set</th>
<td class="content-container">
<em>Description</em>: Value set Congenital or Acquired Absence of Cervix
<br/>
<em>Resource</em>: <a href="ValueSet-atrius-vs-absence-of-cervix.html">Atrius Congenital or Acquired Absence of Cervix</a> version: 0.1.0
<br/>
<em>Canonical URL</em>: <tt>https://atrius.in/fhir/r4/atrius-in/ValueSet/atrius-vs-absence-of-cervix|0.1.0</tt>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Value Set</th>
<td class="content-container">
<em>Description</em>: Value set Palliative Care Diagnosis
<br/>
<em>Resource</em>: <a href="ValueSet-atrius-vs-palliative-care-diagnosis.html">Atrius Palliative Care Diagnosis</a> version: 0.1.0
<br/>
<em>Canonical URL</em>: <tt>https://atrius.in/fhir/r4/atrius-in/ValueSet/atrius-vs-palliative-care-diagnosis|0.1.0</tt>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Value Set</th>
<td class="content-container">
<em>Description</em>: Value set Palliative Care Encounter
<br/>
<em>Resource</em>: <a href="ValueSet-atrius-vs-palliative-care-encounter.html">Atrius Palliative Care Encounter</a> version: 0.1.0
<br/>
<em>Canonical URL</em>: <tt>https://atrius.in/fhir/r4/atrius-in/ValueSet/atrius-vs-palliative-care-encounter|0.1.0</tt>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Value Set</th>
<td class="content-container">
<em>Description</em>: Value set Palliative Care Intervention
<br/>
<em>Resource</em>: <a href="ValueSet-atrius-vs-palliative-care-intervention.html">Atrius Palliative Care Intervention</a> version: 0.1.0
<br/>
<em>Canonical URL</em>: <tt>https://atrius.in/fhir/r4/atrius-in/ValueSet/atrius-vs-palliative-care-intervention|0.1.0</tt>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Direct Reference Code</th>
<td class="content-container">
<em>Display</em>: Hospice
<br/>
<em>Code</em>: hosp
<br/>
<em>System</em>: <tt>http://terminology.hl7.org/CodeSystem/discharge-disposition</tt>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Direct Reference Code</th>
<td class="content-container">
<em>Display</em>: Yes
<br/>
<em>Code</em>: 373066001
<br/>
<em>System</em>: <tt>http://snomed.info/sct</tt>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Direct Reference Code</th>
<td class="content-container">
<em>Display</em>: Hospice care [Minimum Data Set]
<br/>
<em>Code</em>: 45755-6
<br/>
<em>System</em>: <tt>http://loinc.org</tt>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Direct Reference Code</th>
<td class="content-container">
<em>Display</em>: Confirmed
<br/>
<em>Code</em>: confirmed
<br/>
<em>System</em>: <tt>http://terminology.hl7.org/CodeSystem/condition-ver-status</tt>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Direct Reference Code</th>
<td class="content-container">
<em>Display</em>: Unconfirmed
<br/>
<em>Code</em>: unconfirmed
<br/>
<em>System</em>: <tt>http://terminology.hl7.org/CodeSystem/condition-ver-status</tt>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Direct Reference Code</th>
<td class="content-container">
<em>Display</em>: Provisional
<br/>
<em>Code</em>: provisional
<br/>
<em>System</em>: <tt>http://terminology.hl7.org/CodeSystem/condition-ver-status</tt>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Direct Reference Code</th>
<td class="content-container">
<em>Display</em>: Differential
<br/>
<em>Code</em>: differential
<br/>
<em>System</em>: <tt>http://terminology.hl7.org/CodeSystem/condition-ver-status</tt>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Direct Reference Code</th>
<td class="content-container">
<em>Display</em>: Active
<br/>
<em>Code</em>: active
<br/>
<em>System</em>: <tt>http://terminology.hl7.org/CodeSystem/condition-clinical</tt>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Direct Reference Code</th>
<td class="content-container">
<em>Display</em>: Recurrence
<br/>
<em>Code</em>: recurrence
<br/>
<em>System</em>: <tt>http://terminology.hl7.org/CodeSystem/condition-clinical</tt>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Direct Reference Code</th>
<td class="content-container">
<em>Display</em>: Relapse
<br/>
<em>Code</em>: relapse
<br/>
<em>System</em>: <tt>http://terminology.hl7.org/CodeSystem/condition-clinical</tt>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Direct Reference Code</th>
<td class="content-container">
<em>Display</em>: Functional Assessment of Chronic Illness Therapy - Palliative Care Questionnaire (FACIT-Pal)
<br/>
<em>Code</em>: 71007-9
<br/>
<em>System</em>: <tt>http://loinc.org</tt>
</td>
</tr>
<tr>
<th colspan="2" scope="row" class="row-header"><a name="dependencies"> </a>Dependencies</th>
</tr>
<tr>
<th scope="row" class="row-header">Dependency</th>
<td class="content-container">
<em>Description</em>: AtriusIn model information
<br/>
<em>Resource</em>: <a href="Library-AtriusIn-ModelInfo.html">Atrius India Core Model Definition</a> version: 0.1.0
<br/>
<em>Canonical URL</em>: <tt>https://atrius.in/fhir/r4/atrius-in/Library/AtriusIn-ModelInfo|0.1.0</tt>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Dependency</th>
<td class="content-container">
<em>Description</em>: Library FHIRHelpers
<br/>
<em>Resource</em>: <code>https://atrius.in/fhir/r4/atrius-in/Library/FHIRHelpers|4.4.000</code>
<br/>
<em>Canonical URL</em>: <tt>https://atrius.in/fhir/r4/atrius-in/Library/FHIRHelpers|4.4.000</tt>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Dependency</th>
<td class="content-container">
<em>Description</em>: Library QICoreCommon
<br/>
<em>Resource</em>: <a href="Library-AtriusCommon.html">Atrius Common CQL</a> version: 0.1.0
<br/>
<em>Canonical URL</em>: <tt>https://atrius.in/fhir/r4/atrius-in/Library/AtriusCommon|0.1.0</tt>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Dependency</th>
<td class="content-container">
<em>Description</em>: Library Status
<br/>
<em>Resource</em>: <code>https://atrius.in/fhir/r4/atrius-in/Library/AtriusStatus|1.15.000</code>
<br/>
<em>Canonical URL</em>: <tt>https://atrius.in/fhir/r4/atrius-in/Library/AtriusStatus|1.15.000</tt>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Dependency</th>
<td class="content-container">
<em>Description</em>: Library Hospice
<br/>
<em>Resource</em>: <code>https://atrius.in/fhir/r4/atrius-in/Library/AtriusHospice|6.18.000</code>
<br/>
<em>Canonical URL</em>: <tt>https://atrius.in/fhir/r4/atrius-in/Library/AtriusHospice|6.18.000</tt>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Dependency</th>
<td class="content-container">
<em>Description</em>: Library PalliativeCare
<br/>
<em>Resource</em>: <code>https://atrius.in/fhir/r4/atrius-in/Library/AtriusPalliativeCare|1.18.000</code>
<br/>
<em>Canonical URL</em>: <tt>https://atrius.in/fhir/r4/atrius-in/Library/AtriusPalliativeCare|1.18.000</tt>
</td>
</tr>
<tr>
<th colspan="2" scope="row" class="row-header"><a name="data-requirements"> </a>Data Requirements</th>
</tr>
<tr>
<th scope="row" class="row-header">Data Requirement</th>
<td class="content-container">
<em>Type</em>: Observation
<br/>
<em>Profile(s)</em>:
<a href="http://hl7.org/fhir/R4/observation.html">Observation</a> version: 4.0.1
<br/>
<em>Must Support Elements</em>: code, status, effective, value
<br/>
<em>Code Filter(s)</em>:
<br/>
<span class="tab-one"><em>Path</em>: code</span>
<br/>
<span class="tab-one"><em>ValueSet</em>:</span> <a href="ValueSet-atrius-vs-pap-test.html">Atrius Pap Test</a> version: 0.1.0
<br/>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Data Requirement</th>
<td class="content-container">
<em>Type</em>: Observation
<br/>
<em>Profile(s)</em>:
<a href="http://hl7.org/fhir/R4/observation.html">Observation</a> version: 4.0.1
<br/>
<em>Must Support Elements</em>: code, status, effective, value
<br/>
<em>Code Filter(s)</em>:
<br/>
<span class="tab-one"><em>Path</em>: code</span>
<br/>
<span class="tab-one"><em>ValueSet</em>:</span> <a href="ValueSet-atrius-vs-hpv-test.html">Atrius HPV Test</a> version: 0.1.0
<br/>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Data Requirement</th>
<td class="content-container">
<em>Type</em>: Patient
<br/>
<em>Profile(s)</em>:
<a href="http://hl7.org/fhir/R4/patient.html">Patient</a> version: 4.0.1
<br/>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Data Requirement</th>
<td class="content-container">
<em>Type</em>: Encounter
<br/>
<em>Profile(s)</em>:
<a href="http://hl7.org/fhir/R4/encounter.html">Encounter</a> version: 4.0.1
<br/>
<em>Must Support Elements</em>: type, status, period
<br/>
<em>Code Filter(s)</em>:
<br/>
<span class="tab-one"><em>Path</em>: type</span>
<br/>
<span class="tab-one"><em>ValueSet</em>:</span> <a href="ValueSet-atrius-vs-office-visit.html">Atrius Office Visit</a> version: 0.1.0
<br/>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Data Requirement</th>
<td class="content-container">
<em>Type</em>: Encounter
<br/>
<em>Profile(s)</em>:
<a href="http://hl7.org/fhir/R4/encounter.html">Encounter</a> version: 4.0.1
<br/>
<em>Must Support Elements</em>: type, status, period
<br/>
<em>Code Filter(s)</em>:
<br/>
<span class="tab-one"><em>Path</em>: type</span>
<br/>
<span class="tab-one"><em>ValueSet</em>:</span> <a href="ValueSet-atrius-vs-preventive-established-18up.html">Atrius Preventive Care Services Established Office Visit, 18 and Up</a> version: 0.1.0
<br/>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Data Requirement</th>
<td class="content-container">
<em>Type</em>: Encounter
<br/>
<em>Profile(s)</em>:
<a href="http://hl7.org/fhir/R4/encounter.html">Encounter</a> version: 4.0.1
<br/>
<em>Must Support Elements</em>: type, status, period
<br/>
<em>Code Filter(s)</em>:
<br/>
<span class="tab-one"><em>Path</em>: type</span>
<br/>
<span class="tab-one"><em>ValueSet</em>:</span> <a href="ValueSet-atrius-vs-preventive-initial-18up.html">Atrius Preventive Care Services Initial Office Visit, 18 and Up</a> version: 0.1.0
<br/>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Data Requirement</th>
<td class="content-container">
<em>Type</em>: Encounter
<br/>
<em>Profile(s)</em>:
<a href="http://hl7.org/fhir/R4/encounter.html">Encounter</a> version: 4.0.1
<br/>
<em>Must Support Elements</em>: type, status, period
<br/>
<em>Code Filter(s)</em>:
<br/>
<span class="tab-one"><em>Path</em>: type</span>
<br/>
<span class="tab-one"><em>ValueSet</em>:</span> <a href="ValueSet-atrius-vs-home-healthcare.html">Atrius Home Healthcare Services</a> version: 0.1.0
<br/>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Data Requirement</th>
<td class="content-container">
<em>Type</em>: Encounter
<br/>
<em>Profile(s)</em>:
<a href="http://hl7.org/fhir/R4/encounter.html">Encounter</a> version: 4.0.1
<br/>
<em>Must Support Elements</em>: type, status, period
<br/>
<em>Code Filter(s)</em>:
<br/>
<span class="tab-one"><em>Path</em>: type</span>
<br/>
<span class="tab-one"><em>ValueSet</em>:</span> <a href="ValueSet-atrius-vs-telephone-visits.html">Atrius Telephone Visits</a> version: 0.1.0
<br/>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Data Requirement</th>
<td class="content-container">
<em>Type</em>: Encounter
<br/>
<em>Profile(s)</em>:
<a href="http://hl7.org/fhir/R4/encounter.html">Encounter</a> version: 4.0.1
<br/>
<em>Must Support Elements</em>: type, status, period
<br/>
<em>Code Filter(s)</em>:
<br/>
<span class="tab-one"><em>Path</em>: type</span>
<br/>
<span class="tab-one"><em>ValueSet</em>:</span> <a href="ValueSet-atrius-vs-virtual-encounter.html">Atrius Virtual Encounter</a> version: 0.1.0
<br/>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Data Requirement</th>
<td class="content-container">
<em>Type</em>: Encounter
<br/>
<em>Profile(s)</em>:
<a href="http://hl7.org/fhir/R4/encounter.html">Encounter</a> version: 4.0.1
<br/>
<em>Must Support Elements</em>: type, hospitalization, hospitalization.dischargeDisposition, period, status
<br/>
<em>Code Filter(s)</em>:
<br/>
<span class="tab-one"><em>Path</em>: type</span>
<br/>
<span class="tab-one"><em>ValueSet</em>:</span> <a href="ValueSet-atrius-vs-encounter-inpatient.html">Atrius Encounter Inpatient</a> version: 0.1.0
<br/>
<span class="tab-one"><em>Path</em>: hospitalization.dischargeDisposition</span>
<br/>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Data Requirement</th>
<td class="content-container">
<em>Type</em>: Encounter
<br/>
<em>Profile(s)</em>:
<a href="http://hl7.org/fhir/R4/encounter.html">Encounter</a> version: 4.0.1
<br/>
<em>Must Support Elements</em>: type, period, status
<br/>
<em>Code Filter(s)</em>:
<br/>
<span class="tab-one"><em>Path</em>: type</span>
<br/>
<span class="tab-one"><em>ValueSet</em>:</span> <a href="ValueSet-atrius-vs-hospice-encounter.html">Atrius Hospice Encounter</a> version: 0.1.0
<br/>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Data Requirement</th>
<td class="content-container">
<em>Type</em>: Encounter
<br/>
<em>Profile(s)</em>:
<a href="http://hl7.org/fhir/R4/encounter.html">Encounter</a> version: 4.0.1
<br/>
<em>Must Support Elements</em>: type, status, period
<br/>
<em>Code Filter(s)</em>:
<br/>
<span class="tab-one"><em>Path</em>: type</span>
<br/>
<span class="tab-one"><em>ValueSet</em>:</span> <a href="ValueSet-atrius-vs-palliative-care-encounter.html">Atrius Palliative Care Encounter</a> version: 0.1.0
<br/>
<span class="tab-one"><em>Path</em>: status</span>
<br/>
<span class="tab-one"><em>Code(s)</em>:
[not stated]: finished (finished)
</span>
<br/>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Data Requirement</th>
<td class="content-container">
<em>Type</em>: Observation
<br/>
<em>Profile(s)</em>:
<a href="StructureDefinition-atrius-in-observation-general-assessment.html">Atrius India Core Observation General Assessment</a> version: 0.1.0
<br/>
<em>Must Support Elements</em>: code, value, effective
<br/>
<em>Code Filter(s)</em>:
<br/>
<span class="tab-one"><em>Path</em>: code</span>
<br/>
<span class="tab-one"><em>Code(s)</em>:
<a href="https://loinc.org/45755-6">LOINC: 45755-6</a> (Hospice care [Minimum Data Set])
</span>
<br/>
<span class="tab-one"><em>Path</em>: value</span>
<br/>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Data Requirement</th>
<td class="content-container">
<em>Type</em>: Observation
<br/>
<em>Profile(s)</em>:
<a href="StructureDefinition-atrius-in-observation-general-assessment.html">Atrius India Core Observation General Assessment</a> version: 0.1.0
<br/>
<em>Must Support Elements</em>: code, status, effective
<br/>
<em>Code Filter(s)</em>:
<br/>
<span class="tab-one"><em>Path</em>: code</span>
<br/>
<span class="tab-one"><em>Code(s)</em>:
<a href="https://loinc.org/71007-9">LOINC: 71007-9</a> (Functional Assessment of Chronic Illness Therapy - Palliative Care Questionnaire (FACIT-Pal))
</span>
<br/>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Data Requirement</th>
<td class="content-container">
<em>Type</em>: ServiceRequest
<br/>
<em>Profile(s)</em>:
<a href="http://hl7.org/fhir/R4/servicerequest.html">ServiceRequest</a> version: 4.0.1
<br/>
<em>Must Support Elements</em>: code, authoredOn, status, intent
<br/>
<em>Code Filter(s)</em>:
<br/>
<span class="tab-one"><em>Path</em>: code</span>
<br/>
<span class="tab-one"><em>ValueSet</em>:</span> <a href="ValueSet-atrius-vs-hospice-care-ambulatory.html">Atrius Hospice Care Ambulatory</a> version: 0.1.0
<br/>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Data Requirement</th>
<td class="content-container">
<em>Type</em>: Procedure
<br/>
<em>Profile(s)</em>:
<a href="http://hl7.org/fhir/R4/procedure.html">Procedure</a> version: 4.0.1
<br/>
<em>Must Support Elements</em>: code, performed, status
<br/>
<em>Code Filter(s)</em>:
<br/>
<span class="tab-one"><em>Path</em>: code</span>
<br/>
<span class="tab-one"><em>ValueSet</em>:</span> <a href="ValueSet-atrius-vs-hospice-care-ambulatory.html">Atrius Hospice Care Ambulatory</a> version: 0.1.0
<br/>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Data Requirement</th>
<td class="content-container">
<em>Type</em>: Procedure
<br/>
<em>Profile(s)</em>:
<a href="http://hl7.org/fhir/R4/procedure.html">Procedure</a> version: 4.0.1
<br/>
<em>Must Support Elements</em>: code, performed, status
<br/>
<em>Code Filter(s)</em>:
<br/>
<span class="tab-one"><em>Path</em>: code</span>
<br/>
<span class="tab-one"><em>ValueSet</em>:</span> <a href="ValueSet-atrius-vs-hysterectomy-no-residual-cervix.html">Atrius Hysterectomy with No Residual Cervix</a> version: 0.1.0
<br/>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Data Requirement</th>
<td class="content-container">
<em>Type</em>: Procedure
<br/>
<em>Profile(s)</em>:
<a href="http://hl7.org/fhir/R4/procedure.html">Procedure</a> version: 4.0.1
<br/>
<em>Must Support Elements</em>: code, status, performed
<br/>
<em>Code Filter(s)</em>:
<br/>
<span class="tab-one"><em>Path</em>: code</span>
<br/>
<span class="tab-one"><em>ValueSet</em>:</span> <a href="ValueSet-atrius-vs-palliative-care-intervention.html">Atrius Palliative Care Intervention</a> version: 0.1.0
<br/>
<span class="tab-one"><em>Path</em>: status</span>
<br/>
<span class="tab-one"><em>Code(s)</em>:
[not stated]: completed (completed)
</span>
<br/>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Data Requirement</th>
<td class="content-container">
<em>Type</em>: Condition
<br/>
<em>Profile(s)</em>:
<a href="StructureDefinition-atrius-in-condition-problems-health-concerns.html">Atrius India Core Condition Problems Health Concerns</a> version: 0.1.0
<br/>
<em>Must Support Elements</em>: code
<br/>
<em>Code Filter(s)</em>:
<br/>
<span class="tab-one"><em>Path</em>: code</span>
<br/>
<span class="tab-one"><em>ValueSet</em>:</span> <a href="ValueSet-atrius-vs-hospice-diagnosis.html">Atrius Hospice Diagnosis</a> version: 0.1.0
<br/>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Data Requirement</th>
<td class="content-container">
<em>Type</em>: Condition
<br/>
<em>Profile(s)</em>:
<a href="StructureDefinition-atrius-in-condition-problems-health-concerns.html">Atrius India Core Condition Problems Health Concerns</a> version: 0.1.0
<br/>
<em>Must Support Elements</em>: code
<br/>
<em>Code Filter(s)</em>:
<br/>
<span class="tab-one"><em>Path</em>: code</span>
<br/>
<span class="tab-one"><em>ValueSet</em>:</span> <a href="ValueSet-atrius-vs-absence-of-cervix.html">Atrius Congenital or Acquired Absence of Cervix</a> version: 0.1.0
<br/>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Data Requirement</th>
<td class="content-container">
<em>Type</em>: Condition
<br/>
<em>Profile(s)</em>:
<a href="StructureDefinition-atrius-in-condition-problems-health-concerns.html">Atrius India Core Condition Problems Health Concerns</a> version: 0.1.0
<br/>
<em>Must Support Elements</em>: code, verificationStatus
<br/>
<em>Code Filter(s)</em>:
<br/>
<span class="tab-one"><em>Path</em>: code</span>
<br/>
<span class="tab-one"><em>ValueSet</em>:</span> <a href="ValueSet-atrius-vs-palliative-care-diagnosis.html">Atrius Palliative Care Diagnosis</a> version: 0.1.0
<br/>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Data Requirement</th>
<td class="content-container">
<em>Type</em>: Condition
<br/>
<em>Profile(s)</em>:
<a href="StructureDefinition-atrius-in-condition-encounter-diagnosis.html">Atrius India Core Condition Encounter Diagnosis</a> version: 0.1.0
<br/>
<em>Must Support Elements</em>: code
<br/>
<em>Code Filter(s)</em>:
<br/>
<span class="tab-one"><em>Path</em>: code</span>
<br/>
<span class="tab-one"><em>ValueSet</em>:</span> <a href="ValueSet-atrius-vs-hospice-diagnosis.html">Atrius Hospice Diagnosis</a> version: 0.1.0
<br/>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Data Requirement</th>
<td class="content-container">
<em>Type</em>: Condition
<br/>
<em>Profile(s)</em>:
<a href="StructureDefinition-atrius-in-condition-encounter-diagnosis.html">Atrius India Core Condition Encounter Diagnosis</a> version: 0.1.0
<br/>
<em>Must Support Elements</em>: code
<br/>
<em>Code Filter(s)</em>:
<br/>
<span class="tab-one"><em>Path</em>: code</span>
<br/>
<span class="tab-one"><em>ValueSet</em>:</span> <a href="ValueSet-atrius-vs-absence-of-cervix.html">Atrius Congenital or Acquired Absence of Cervix</a> version: 0.1.0
<br/>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Data Requirement</th>
<td class="content-container">
<em>Type</em>: Condition
<br/>
<em>Profile(s)</em>:
<a href="StructureDefinition-atrius-in-condition-encounter-diagnosis.html">Atrius India Core Condition Encounter Diagnosis</a> version: 0.1.0
<br/>
<em>Must Support Elements</em>: code, verificationStatus
<br/>
<em>Code Filter(s)</em>:
<br/>
<span class="tab-one"><em>Path</em>: code</span>
<br/>
<span class="tab-one"><em>ValueSet</em>:</span> <a href="ValueSet-atrius-vs-palliative-care-diagnosis.html">Atrius Palliative Care Diagnosis</a> version: 0.1.0
<br/>
</td>
</tr>
<tr>
<th colspan="2" scope="row" class="row-header"><a name="parameters"> </a>Parameters</th>
</tr>
<tr>
<th scope="row" class="row-header"/>
<td class="content-container">
<table>
<thead>
<tr>
<td><em>Name</em></td>
<td><em>Use</em></td>
<td><em>Card.</em></td>
<td><em>Type</em></td>
<td><em>Documentation</em></td>
</tr>
</thead>
<tbody>
<tr>
<td>Measurement Period</td>
<td>In</td>
<td>0..1</td>
<td>Period</td>
<td/>
</tr>
<tr>
<td>Numerator</td>
<td>Out</td>
<td>0..1</td>
<td>boolean</td>
<td/>
</tr>
<tr>
<td>Denominator</td>
<td>Out</td>
<td>0..1</td>
<td>boolean</td>
<td/>
</tr>
<tr>
<td>Initial Population</td>
<td>Out</td>
<td>0..1</td>
<td>boolean</td>
<td/>
</tr>
<tr>
<td>Denominator Exclusions</td>
<td>Out</td>
<td>0..1</td>
<td>boolean</td>
<td/>
</tr>
</tbody>
</table>
</td>
</tr>
<tr>
<th colspan="2" scope="row" class="row-header">Generated using version 0.5.4 of the sample-content-ig Liquid templates</th>
</tr>
</tbody>
</table>
</div>
</text>
<contained>
<Library>
<id value="effective-data-requirements"/>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
<valueCoding>
<system
value="http://terminology.hl7.org/CodeSystem/discharge-disposition"/>
<code value="hosp"/>
<display value="Hospice"/>
</valueCoding>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
<valueCoding>
<system value="http://snomed.info/sct"/>
<code value="373066001"/>
<display value="Yes"/>
</valueCoding>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
<valueCoding>
<system value="http://loinc.org"/>
<code value="45755-6"/>
<display value="Hospice care [Minimum Data Set]"/>
</valueCoding>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
<valueCoding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-ver-status"/>
<code value="confirmed"/>
<display value="Confirmed"/>
</valueCoding>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
<valueCoding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-ver-status"/>
<code value="unconfirmed"/>
<display value="Unconfirmed"/>
</valueCoding>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
<valueCoding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-ver-status"/>
<code value="provisional"/>
<display value="Provisional"/>
</valueCoding>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
<valueCoding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-ver-status"/>
<code value="differential"/>
<display value="Differential"/>
</valueCoding>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
<valueCoding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
<code value="active"/>
<display value="Active"/>
</valueCoding>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
<valueCoding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
<code value="recurrence"/>
<display value="Recurrence"/>
</valueCoding>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
<valueCoding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
<code value="relapse"/>
<display value="Relapse"/>
</valueCoding>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
<valueCoding>
<system value="http://loinc.org"/>
<code value="71007-9"/>
<display
value="Functional Assessment of Chronic Illness Therapy - Palliative Care Questionnaire (FACIT-Pal)"/>
</valueCoding>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="AtriusCMS124CervicalCancerScreen"/>
</extension>
<extension url="name">
<valueString value="Cervical Cytology Within 3 Years"/>
</extension>
<extension url="statement">
<valueString
value="define "Cervical Cytology Within 3 Years":
( [Observation: "Pap Test"] ) CervicalCytology
where CervicalCytology.status in { 'final', 'amended', 'corrected' }
and CervicalCytology.effective.toObservationEffectiveInterval ( ) during day of Interval[start of "Measurement Period" - 2 years, end of "Measurement Period"]
and CervicalCytology.value is not null"/>
</extension>
<extension url="displaySequence">
<valueInteger value="0"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="AtriusCMS124CervicalCancerScreen"/>
</extension>
<extension url="name">
<valueString
value="HPV Test Within 5 Years for Women Age 30 and Older"/>
</extension>
<extension url="statement">
<valueString
value="define "HPV Test Within 5 Years for Women Age 30 and Older":
( [Observation: "HPV Test"] ) HPVTest
where HPVTest.status in { 'final', 'amended', 'corrected' }
and AgeInYearsAt(date from end of HPVTest.effective.toObservationEffectiveInterval()) >= 30
and HPVTest.effective.toObservationEffectiveInterval ( ) during day of Interval[start of "Measurement Period" - 4 years, end of "Measurement Period"]
and HPVTest.value is not null"/>
</extension>
<extension url="displaySequence">
<valueInteger value="1"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="AtriusCMS124CervicalCancerScreen"/>
</extension>
<extension url="name">
<valueString value="Numerator"/>
</extension>
<extension url="statement">
<valueString
value="define "Numerator":
exists "Cervical Cytology Within 3 Years"
or exists "HPV Test Within 5 Years for Women Age 30 and Older""/>
</extension>
<extension url="displaySequence">
<valueInteger value="2"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="AtriusCMS124CervicalCancerScreen"/>
</extension>
<extension url="name">
<valueString value="Qualifying Encounters"/>
</extension>
<extension url="statement">
<valueString
value="define "Qualifying Encounters":
( ( [Encounter: "Office 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"]
union [Encounter: "Telephone Visits"]
union [Encounter: "Virtual Encounter"]
).isEncounterPerformed ( ) ) ValidEncounters
where ValidEncounters.period during day of "Measurement Period""/>
</extension>
<extension url="displaySequence">
<valueInteger value="3"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="AtriusCMS124CervicalCancerScreen"/>
</extension>
<extension url="name">
<valueString value="Initial Population"/>
</extension>
<extension url="statement">
<valueString
value="define "Initial Population":
AgeInYearsAt(date from
end of "Measurement Period"
) in Interval[24, 64]
and Patient.gender = 'female'
and exists "Qualifying Encounters""/>
</extension>
<extension url="displaySequence">
<valueInteger value="4"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="AtriusCMS124CervicalCancerScreen"/>
</extension>
<extension url="name">
<valueString value="Denominator"/>
</extension>
<extension url="statement">
<valueString
value="define "Denominator":
"Initial Population""/>
</extension>
<extension url="displaySequence">
<valueInteger value="5"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="AtriusHospice"/>
</extension>
<extension url="name">
<valueString value="Has Hospice Services"/>
</extension>
<extension url="statement">
<valueString
value="define "Has Hospice Services":
exists ( ( ( [Encounter: "Encounter Inpatient"] ).isEncounterPerformed() ) InpatientEncounter
where FHIRHelpers.ToConcept(InpatientEncounter.hospitalization.dischargeDisposition) ~ "Hospice (HL7 discharge)"
and FHIRHelpers.ToInterval(InpatientEncounter.period as FHIR.Period) ends during day of "Measurement Period"
)
or exists ( ( ( [Encounter: "Hospice Encounter"] ).isEncounterPerformed() ) HospiceEncounter
where FHIRHelpers.ToInterval(HospiceEncounter.period as FHIR.Period) overlaps day of "Measurement Period"
)
or exists ( ( ( [ObservationGeneralAssessment: "Hospice care [Minimum Data Set]"] ).isAssessmentPerformed() ) HospiceAssessment
where FHIRHelpers.ToConcept(HospiceAssessment.value as FHIR.CodeableConcept) ~ "Yes (qualifier value)"
and HospiceAssessment.effective.toObservationEffectiveInterval() overlaps day of "Measurement Period"
)
or exists ( ( ( [ServiceRequest: "Hospice Care Ambulatory"] ).isInterventionOrder() ) HospiceOrder
where FHIRHelpers.ToDateTime(HospiceOrder.authoredOn) during day of "Measurement Period"
)
or exists ( ( ( [Procedure: "Hospice Care Ambulatory"] ).isInterventionPerformed() ) HospicePerformed
where HospicePerformed.performed.toPerformedInterval() overlaps day of "Measurement Period"
)
or exists ( ( (
[ConditionProblemsHealthConcerns: "Hospice Diagnosis"]
union [ConditionEncounterDiagnosis: "Hospice Diagnosis"]
).verified() ) HospiceCareDiagnosis
where HospiceCareDiagnosis.prevalenceInterval() overlaps day of "Measurement Period"
)"/>
</extension>
<extension url="displaySequence">
<valueInteger value="6"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="AtriusCMS124CervicalCancerScreen"/>
</extension>
<extension url="name">
<valueString value="Absence of Cervix"/>
</extension>
<extension url="statement">
<valueString
value="define "Absence of Cervix":
( ( ( [Procedure: "Hysterectomy with No Residual Cervix"] ).isProcedurePerformed ( ) ) NoCervixProcedure
where NoCervixProcedure.performed.toPerformedInterval ( ) ends on or before end of "Measurement Period"
)
union ( ( ( [ConditionProblemsHealthConcerns: "Congenital or Acquired Absence of Cervix"]
union [ConditionEncounterDiagnosis: "Congenital or Acquired Absence of Cervix"]
).verified ( ) ) NoCervixDiagnosis
where NoCervixDiagnosis.prevalenceInterval ( ) starts on or before end of "Measurement Period"
)"/>
</extension>
<extension url="displaySequence">
<valueInteger value="7"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="AtriusPalliativeCare"/>
</extension>
<extension url="name">
<valueString value="Has Palliative Care in the Measurement Period"/>
</extension>
<extension url="statement">
<valueString
value="define "Has Palliative Care in the Measurement Period":
exists (
[ObservationGeneralAssessment: "Functional Assessment of Chronic Illness Therapy - Palliative Care Questionnaire (FACIT-Pal)"] PalliativeAssessment
where PalliativeAssessment.status in { 'final', 'amended', 'corrected' }
and PalliativeAssessment.effective.toObservationEffectiveInterval() overlaps day of "Measurement Period"
)
or exists (
[ConditionProblemsHealthConcerns: "Palliative Care Diagnosis"] PalliativeProblem
where (
PalliativeProblem.verificationStatus is null
or FHIRHelpers.ToConcept(PalliativeProblem.verificationStatus) ~ "confirmed"
or FHIRHelpers.ToConcept(PalliativeProblem.verificationStatus) ~ "unconfirmed"
or FHIRHelpers.ToConcept(PalliativeProblem.verificationStatus) ~ "provisional"
or FHIRHelpers.ToConcept(PalliativeProblem.verificationStatus) ~ "differential"
)
and PalliativeProblem.prevalenceInterval() overlaps day of "Measurement Period"
)
or exists (
[ConditionEncounterDiagnosis: "Palliative Care Diagnosis"] PalliativeEncounterDiagnosis
where (
PalliativeEncounterDiagnosis.verificationStatus is null
or FHIRHelpers.ToConcept(PalliativeEncounterDiagnosis.verificationStatus) ~ "confirmed"
or FHIRHelpers.ToConcept(PalliativeEncounterDiagnosis.verificationStatus) ~ "unconfirmed"
or FHIRHelpers.ToConcept(PalliativeEncounterDiagnosis.verificationStatus) ~ "provisional"
or FHIRHelpers.ToConcept(PalliativeEncounterDiagnosis.verificationStatus) ~ "differential"
)
and PalliativeEncounterDiagnosis.prevalenceInterval() overlaps day of "Measurement Period"
)
or exists (
[Encounter: "Palliative Care Encounter"] PalliativeEncounter
where PalliativeEncounter.status = 'finished'
and FHIRHelpers.ToInterval(PalliativeEncounter.period as FHIR.Period) overlaps day of "Measurement Period"
)
or exists (
[Procedure: "Palliative Care Intervention"] PalliativeIntervention
where PalliativeIntervention.status = 'completed'
and PalliativeIntervention.performed.toPerformedInterval() overlaps day of "Measurement Period"
)"/>
</extension>
<extension url="displaySequence">
<valueInteger value="8"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="AtriusCMS124CervicalCancerScreen"/>
</extension>
<extension url="name">
<valueString value="Denominator Exclusions"/>
</extension>
<extension url="statement">
<valueString
value="define "Denominator Exclusions":
Hospice."Has Hospice Services"
or exists "Absence of Cervix"
or PalliativeCare."Has Palliative Care in the Measurement Period""/>
</extension>
<extension url="displaySequence">
<valueInteger value="9"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="FHIRHelpers"/>
</extension>
<extension url="name">
<valueString value="ToString"/>
</extension>
<extension url="statement">
<valueString
value="define function ToString(value ObservationStatus): value.value"/>
</extension>
<extension url="displaySequence">
<valueInteger value="10"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="AtriusCommon"/>
</extension>
<extension url="name">
<valueString value="toObservationEffectiveInterval"/>
</extension>
<extension url="statement">
<valueString
value="define fluent function toObservationEffectiveInterval(choice Choice<FHIR.dateTime, FHIR.Period, FHIR.Timing, FHIR.instant>):
choice.toInterval()"/>
</extension>
<extension url="displaySequence">
<valueInteger value="11"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="FHIRHelpers"/>
</extension>
<extension url="name">
<valueString value="ToString"/>
</extension>
<extension url="statement">
<valueString
value="define function ToString(value AdministrativeGender): value.value"/>
</extension>
<extension url="displaySequence">
<valueInteger value="12"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="AtriusStatus"/>
</extension>
<extension url="name">
<valueString value="isEncounterPerformed"/>
</extension>
<extension url="statement">
<valueString
value="define fluent function isEncounterPerformed(Enc List<Encounter>):
Enc E
where E.status = 'finished'"/>
</extension>
<extension url="displaySequence">
<valueInteger value="13"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="FHIRHelpers"/>
</extension>
<extension url="name">
<valueString value="ToString"/>
</extension>
<extension url="statement">
<valueString
value="define function ToString(value EncounterStatus): value.value"/>
</extension>
<extension url="displaySequence">
<valueInteger value="14"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="FHIRHelpers"/>
</extension>
<extension url="name">
<valueString value="ToInterval"/>
</extension>
<extension url="statement">
<valueString
value="/*
@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]"/>
</extension>
<extension url="displaySequence">
<valueInteger value="15"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="FHIRHelpers"/>
</extension>
<extension url="name">
<valueString value="ToConcept"/>
</extension>
<extension url="statement">
<valueString
value="/*
@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
}"/>
</extension>
<extension url="displaySequence">
<valueInteger value="16"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="FHIRHelpers"/>
</extension>
<extension url="name">
<valueString value="ToCode"/>
</extension>
<extension url="statement">
<valueString
value="/*
@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
}"/>
</extension>
<extension url="displaySequence">
<valueInteger value="17"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="AtriusStatus"/>
</extension>
<extension url="name">
<valueString value="isAssessmentPerformed"/>
</extension>
<extension url="statement">
<valueString
value="define fluent function isAssessmentPerformed(Obs List<Observation>):
Obs O
where O.status in { 'final', 'amended', 'corrected' }"/>
</extension>
<extension url="displaySequence">
<valueInteger value="18"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="AtriusStatus"/>
</extension>
<extension url="name">
<valueString value="isInterventionOrder"/>
</extension>
<extension url="statement">
<valueString
value="define fluent function isInterventionOrder(ServiceRequest List<ServiceRequest>):
ServiceRequest S
where S.status in { 'active', 'completed' }
and S.intent in {
'order', 'original-order', 'reflex-order', 'filler-order', 'instance-order'
}"/>
</extension>
<extension url="displaySequence">
<valueInteger value="19"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="FHIRHelpers"/>
</extension>
<extension url="name">
<valueString value="ToString"/>
</extension>
<extension url="statement">
<valueString
value="define function ToString(value ServiceRequestStatus): value.value"/>
</extension>
<extension url="displaySequence">
<valueInteger value="20"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="FHIRHelpers"/>
</extension>
<extension url="name">
<valueString value="ToString"/>
</extension>
<extension url="statement">
<valueString
value="define function ToString(value ServiceRequestIntent): value.value"/>
</extension>
<extension url="displaySequence">
<valueInteger value="21"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="FHIRHelpers"/>
</extension>
<extension url="name">
<valueString value="ToDateTime"/>
</extension>
<extension url="statement">
<valueString
value="define function ToDateTime(value dateTime): value.value"/>
</extension>
<extension url="displaySequence">
<valueInteger value="22"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="AtriusStatus"/>
</extension>
<extension url="name">
<valueString value="isInterventionPerformed"/>
</extension>
<extension url="statement">
<valueString
value="define fluent function isInterventionPerformed(Proc List<Procedure>):
Proc P
where P.status = 'completed'"/>
</extension>
<extension url="displaySequence">
<valueInteger value="23"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="FHIRHelpers"/>
</extension>
<extension url="name">
<valueString value="ToString"/>
</extension>
<extension url="statement">
<valueString
value="define function ToString(value ProcedureStatus): value.value"/>
</extension>
<extension url="displaySequence">
<valueInteger value="24"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="AtriusCommon"/>
</extension>
<extension url="name">
<valueString value="toPerformedInterval"/>
</extension>
<extension url="statement">
<valueString
value="define fluent function toPerformedInterval(performed Choice<FHIR.dateTime, FHIR.Period, FHIR.string, FHIR.Age, FHIR.Range>):
performed.toInterval()"/>
</extension>
<extension url="displaySequence">
<valueInteger value="25"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="AtriusStatus"/>
</extension>
<extension url="name">
<valueString value="verified"/>
</extension>
<extension url="statement">
<valueString
value="define fluent function verified(
conditions List<Choice<ConditionEncounterDiagnosis, ConditionProblemsHealthConcerns>>
):
conditions C
where C.verificationStatus is not null implies (
FHIRHelpers.ToConcept(C.verificationStatus) ~ "confirmed"
or FHIRHelpers.ToConcept(C.verificationStatus) ~ "unconfirmed"
or FHIRHelpers.ToConcept(C.verificationStatus) ~ "provisional"
or FHIRHelpers.ToConcept(C.verificationStatus) ~ "differential"
)"/>
</extension>
<extension url="displaySequence">
<valueInteger value="26"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="AtriusCommon"/>
</extension>
<extension url="name">
<valueString value="prevalenceInterval"/>
</extension>
<extension url="statement">
<valueString
value="/*
@description: Returns an interval representing the normalized prevalence period of a given Condition.
*/
define fluent function prevalenceInterval(condition Choice<ConditionEncounterDiagnosis, ConditionProblemsHealthConcerns>):
if condition.isActive() then
Interval[start of condition.onset.toConditionTimingInterval(), end of condition.abatementInterval()]
else
(end of condition.abatementInterval()) abatementDate
return if abatementDate is null then
Interval[start of condition.onset.toConditionTimingInterval(), abatementDate)
else
Interval[start of condition.onset.toConditionTimingInterval(), abatementDate]"/>
</extension>
<extension url="displaySequence">
<valueInteger value="27"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="AtriusCommon"/>
</extension>
<extension url="name">
<valueString value="isActive"/>
</extension>
<extension url="statement">
<valueString
value="/*
@description: Returns true if the given condition has a clinical status of active, recurrence, or relapse
*/
define fluent function isActive(condition Choice<ConditionEncounterDiagnosis, ConditionProblemsHealthConcerns>):
FHIRHelpers.ToConcept(condition.clinicalStatus) ~ "active"
or FHIRHelpers.ToConcept(condition.clinicalStatus) ~ "recurrence"
or FHIRHelpers.ToConcept(condition.clinicalStatus) ~ "relapse""/>
</extension>
<extension url="displaySequence">
<valueInteger value="28"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="AtriusCommon"/>
</extension>
<extension url="name">
<valueString value="toConditionTimingInterval"/>
</extension>
<extension url="statement">
<valueString
value="define fluent function toConditionTimingInterval(choice Choice<FHIR.dateTime, FHIR.Age, FHIR.Period, FHIR.Range, FHIR.string>):
choice.toInterval()"/>
</extension>
<extension url="displaySequence">
<valueInteger value="29"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="AtriusCommon"/>
</extension>
<extension url="name">
<valueString value="abatementInterval"/>
</extension>
<extension url="statement">
<valueString
value="/*
@description: Returns an interval representing the normalized abatement of a given Condition.
*/
define fluent function abatementInterval(condition Choice<ConditionEncounterDiagnosis, ConditionProblemsHealthConcerns>):
condition.abatement.toConditionTimingInterval()"/>
</extension>
<extension url="displaySequence">
<valueInteger value="30"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="AtriusStatus"/>
</extension>
<extension url="name">
<valueString value="isProcedurePerformed"/>
</extension>
<extension url="statement">
<valueString
value="define fluent function isProcedurePerformed(Proc List<Procedure>):
Proc P
where P.status = 'completed'"/>
</extension>
<extension url="displaySequence">
<valueInteger value="31"/>
</extension>
</extension>
<name value="EffectiveDataRequirements"/>
<status value="active"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/library-type"/>
<code value="module-definition"/>
</coding>
</type>
<relatedArtifact>
<type value="depends-on"/>
<display value="AtriusIn model information"/>
<resource
value="https://atrius.in/fhir/r4/atrius-in/Library/AtriusIn-ModelInfo|0.1.0"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Library FHIRHelpers"/>
<resource
value="https://atrius.in/fhir/r4/atrius-in/Library/FHIRHelpers|4.4.000"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Library QICoreCommon"/>
<resource
value="https://atrius.in/fhir/r4/atrius-in/Library/AtriusCommon|0.1.0"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Library Status"/>
<resource
value="https://atrius.in/fhir/r4/atrius-in/Library/AtriusStatus|1.15.000"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Library Hospice"/>
<resource
value="https://atrius.in/fhir/r4/atrius-in/Library/AtriusHospice|6.18.000"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Library PalliativeCare"/>
<resource
value="https://atrius.in/fhir/r4/atrius-in/Library/AtriusPalliativeCare|1.18.000"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Code system DischargeDisposition"/>
<resource
value="http://terminology.hl7.org/CodeSystem/discharge-disposition|1.0.1"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Code system SNOMEDCT"/>
<resource value="http://snomed.info/sct"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Code system LOINC"/>
<resource value="http://loinc.org"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Code system ConditionVerificationStatusCodes"/>
<resource
value="http://terminology.hl7.org/CodeSystem/condition-ver-status|2.0.1"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Code system ConditionClinicalStatusCodes"/>
<resource
value="http://terminology.hl7.org/CodeSystem/condition-clinical|3.0.0"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Value set Pap Test"/>
<resource
value="https://atrius.in/fhir/r4/atrius-in/ValueSet/atrius-vs-pap-test|0.1.0"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Value set HPV Test"/>
<resource
value="https://atrius.in/fhir/r4/atrius-in/ValueSet/atrius-vs-hpv-test|0.1.0"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Value set Office Visit"/>
<resource
value="https://atrius.in/fhir/r4/atrius-in/ValueSet/atrius-vs-office-visit|0.1.0"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display
value="Value set Preventive Care Services Established Office Visit, 18 and Up"/>
<resource
value="https://atrius.in/fhir/r4/atrius-in/ValueSet/atrius-vs-preventive-established-18up|0.1.0"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display
value="Value set Preventive Care Services Initial Office Visit, 18 and Up"/>
<resource
value="https://atrius.in/fhir/r4/atrius-in/ValueSet/atrius-vs-preventive-initial-18up|0.1.0"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Value set Home Healthcare Services"/>
<resource
value="https://atrius.in/fhir/r4/atrius-in/ValueSet/atrius-vs-home-healthcare|0.1.0"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Value set Telephone Visits"/>
<resource
value="https://atrius.in/fhir/r4/atrius-in/ValueSet/atrius-vs-telephone-visits|0.1.0"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Value set Virtual Encounter"/>
<resource
value="https://atrius.in/fhir/r4/atrius-in/ValueSet/atrius-vs-virtual-encounter|0.1.0"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Value set Encounter Inpatient"/>
<resource
value="https://atrius.in/fhir/r4/atrius-in/ValueSet/atrius-vs-encounter-inpatient|0.1.0"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Value set Hospice Encounter"/>
<resource
value="https://atrius.in/fhir/r4/atrius-in/ValueSet/atrius-vs-hospice-encounter|0.1.0"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Value set Hospice Care Ambulatory"/>
<resource
value="https://atrius.in/fhir/r4/atrius-in/ValueSet/atrius-vs-hospice-care-ambulatory|0.1.0"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Value set Hospice Diagnosis"/>
<resource
value="https://atrius.in/fhir/r4/atrius-in/ValueSet/atrius-vs-hospice-diagnosis|0.1.0"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Value set Hysterectomy with No Residual Cervix"/>
<resource
value="https://atrius.in/fhir/r4/atrius-in/ValueSet/atrius-vs-hysterectomy-no-residual-cervix|0.1.0"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Value set Congenital or Acquired Absence of Cervix"/>
<resource
value="https://atrius.in/fhir/r4/atrius-in/ValueSet/atrius-vs-absence-of-cervix|0.1.0"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Value set Palliative Care Diagnosis"/>
<resource
value="https://atrius.in/fhir/r4/atrius-in/ValueSet/atrius-vs-palliative-care-diagnosis|0.1.0"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Value set Palliative Care Encounter"/>
<resource
value="https://atrius.in/fhir/r4/atrius-in/ValueSet/atrius-vs-palliative-care-encounter|0.1.0"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Value set Palliative Care Intervention"/>
<resource
value="https://atrius.in/fhir/r4/atrius-in/ValueSet/atrius-vs-palliative-care-intervention|0.1.0"/>
</relatedArtifact>
<parameter>
<name value="Measurement Period"/>
<use value="in"/>
<min value="0"/>
<max value="1"/>
<type value="Period"/>
</parameter>
<parameter>
<name value="Numerator"/>
<use value="out"/>
<min value="0"/>
<max value="1"/>
<type value="boolean"/>
</parameter>
<parameter>
<name value="Denominator"/>
<use value="out"/>
<min value="0"/>
<max value="1"/>
<type value="boolean"/>
</parameter>
<parameter>
<name value="Initial Population"/>
<use value="out"/>
<min value="0"/>
<max value="1"/>
<type value="boolean"/>
</parameter>
<parameter>
<name value="Denominator Exclusions"/>
<use value="out"/>
<min value="0"/>
<max value="1"/>
<type value="boolean"/>
</parameter>
<dataRequirement>
<type value="Observation"/>
<profile
value="http://hl7.org/fhir/StructureDefinition/Observation|4.0.1"/>
<mustSupport value="code"/>
<mustSupport value="status"/>
<mustSupport value="effective"/>
<mustSupport value="value"/>
<codeFilter>
<path value="code"/>
<valueSet
value="https://atrius.in/fhir/r4/atrius-in/ValueSet/atrius-vs-pap-test|0.1.0"/>
</codeFilter>
</dataRequirement>
<dataRequirement>
<type value="Observation"/>
<profile
value="http://hl7.org/fhir/StructureDefinition/Observation|4.0.1"/>
<mustSupport value="code"/>
<mustSupport value="status"/>
<mustSupport value="effective"/>
<mustSupport value="value"/>
<codeFilter>
<path value="code"/>
<valueSet
value="https://atrius.in/fhir/r4/atrius-in/ValueSet/atrius-vs-hpv-test|0.1.0"/>
</codeFilter>
</dataRequirement>
<dataRequirement>
<type value="Patient"/>
<profile
value="http://hl7.org/fhir/StructureDefinition/Patient|4.0.1"/>
</dataRequirement>
<dataRequirement>
<type value="Encounter"/>
<profile
value="http://hl7.org/fhir/StructureDefinition/Encounter|4.0.1"/>
<mustSupport value="type"/>
<mustSupport value="status"/>
<mustSupport value="period"/>
<codeFilter>
<path value="type"/>
<valueSet
value="https://atrius.in/fhir/r4/atrius-in/ValueSet/atrius-vs-office-visit|0.1.0"/>
</codeFilter>
</dataRequirement>
<dataRequirement>
<type value="Encounter"/>
<profile
value="http://hl7.org/fhir/StructureDefinition/Encounter|4.0.1"/>
<mustSupport value="type"/>
<mustSupport value="status"/>
<mustSupport value="period"/>
<codeFilter>
<path value="type"/>
<valueSet
value="https://atrius.in/fhir/r4/atrius-in/ValueSet/atrius-vs-preventive-established-18up|0.1.0"/>
</codeFilter>
</dataRequirement>
<dataRequirement>
<type value="Encounter"/>
<profile
value="http://hl7.org/fhir/StructureDefinition/Encounter|4.0.1"/>
<mustSupport value="type"/>
<mustSupport value="status"/>
<mustSupport value="period"/>
<codeFilter>
<path value="type"/>
<valueSet
value="https://atrius.in/fhir/r4/atrius-in/ValueSet/atrius-vs-preventive-initial-18up|0.1.0"/>
</codeFilter>
</dataRequirement>
<dataRequirement>
<type value="Encounter"/>
<profile
value="http://hl7.org/fhir/StructureDefinition/Encounter|4.0.1"/>
<mustSupport value="type"/>
<mustSupport value="status"/>
<mustSupport value="period"/>
<codeFilter>
<path value="type"/>
<valueSet
value="https://atrius.in/fhir/r4/atrius-in/ValueSet/atrius-vs-home-healthcare|0.1.0"/>
</codeFilter>
</dataRequirement>
<dataRequirement>
<type value="Encounter"/>
<profile
value="http://hl7.org/fhir/StructureDefinition/Encounter|4.0.1"/>
<mustSupport value="type"/>
<mustSupport value="status"/>
<mustSupport value="period"/>
<codeFilter>
<path value="type"/>
<valueSet
value="https://atrius.in/fhir/r4/atrius-in/ValueSet/atrius-vs-telephone-visits|0.1.0"/>
</codeFilter>
</dataRequirement>
<dataRequirement>
<type value="Encounter"/>
<profile
value="http://hl7.org/fhir/StructureDefinition/Encounter|4.0.1"/>
<mustSupport value="type"/>
<mustSupport value="status"/>
<mustSupport value="period"/>
<codeFilter>
<path value="type"/>
<valueSet
value="https://atrius.in/fhir/r4/atrius-in/ValueSet/atrius-vs-virtual-encounter|0.1.0"/>
</codeFilter>
</dataRequirement>
<dataRequirement>
<type value="Encounter"/>
<profile
value="http://hl7.org/fhir/StructureDefinition/Encounter|4.0.1"/>
<mustSupport value="type"/>
<mustSupport value="hospitalization"/>
<mustSupport value="hospitalization.dischargeDisposition"/>
<mustSupport value="period"/>
<mustSupport value="status"/>
<codeFilter>
<path value="type"/>
<valueSet
value="https://atrius.in/fhir/r4/atrius-in/ValueSet/atrius-vs-encounter-inpatient|0.1.0"/>
</codeFilter>
<codeFilter>
<path value="hospitalization.dischargeDisposition"/>
</codeFilter>
<dateFilter>
<path value="period"/>
<valuePeriod>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-expression">
<valueExpression>
<language value="text/cql-identifier"/>
<expression value="Measurement Period"/>
</valueExpression>
</extension>
</valuePeriod>
</dateFilter>
</dataRequirement>
<dataRequirement>
<type value="Encounter"/>
<profile
value="http://hl7.org/fhir/StructureDefinition/Encounter|4.0.1"/>
<mustSupport value="type"/>
<mustSupport value="period"/>
<mustSupport value="status"/>
<codeFilter>
<path value="type"/>
<valueSet
value="https://atrius.in/fhir/r4/atrius-in/ValueSet/atrius-vs-hospice-encounter|0.1.0"/>
</codeFilter>
</dataRequirement>
<dataRequirement>
<type value="Encounter"/>
<profile
value="http://hl7.org/fhir/StructureDefinition/Encounter|4.0.1"/>
<mustSupport value="type"/>
<mustSupport value="status"/>
<mustSupport value="period"/>
<codeFilter>
<path value="type"/>
<valueSet
value="https://atrius.in/fhir/r4/atrius-in/ValueSet/atrius-vs-palliative-care-encounter|0.1.0"/>
</codeFilter>
<codeFilter>
<path value="status"/>
<code>
<code value="finished"/>
</code>
</codeFilter>
</dataRequirement>
<dataRequirement>
<type value="Observation"/>
<profile
value="https://atrius.in/fhir/r4/atrius-in/StructureDefinition/atrius-in-observation-general-assessment|0.1.0"/>
<mustSupport value="code"/>
<mustSupport value="value"/>
<mustSupport value="effective"/>
<codeFilter>
<path value="code"/>
<code>
<system value="http://loinc.org"/>
<code value="45755-6"/>
<display value="Hospice care [Minimum Data Set]"/>
</code>
</codeFilter>
<codeFilter>
<path value="value"/>
</codeFilter>
</dataRequirement>
<dataRequirement>
<type value="Observation"/>
<profile
value="https://atrius.in/fhir/r4/atrius-in/StructureDefinition/atrius-in-observation-general-assessment|0.1.0"/>
<mustSupport value="code"/>
<mustSupport value="status"/>
<mustSupport value="effective"/>
<codeFilter>
<path value="code"/>
<code>
<system value="http://loinc.org"/>
<code value="71007-9"/>
<display
value="Functional Assessment of Chronic Illness Therapy - Palliative Care Questionnaire (FACIT-Pal)"/>
</code>
</codeFilter>
</dataRequirement>
<dataRequirement>
<type value="ServiceRequest"/>
<profile
value="http://hl7.org/fhir/StructureDefinition/ServiceRequest|4.0.1"/>
<mustSupport value="code"/>
<mustSupport value="authoredOn"/>
<mustSupport value="status"/>
<mustSupport value="intent"/>
<codeFilter>
<path value="code"/>
<valueSet
value="https://atrius.in/fhir/r4/atrius-in/ValueSet/atrius-vs-hospice-care-ambulatory|0.1.0"/>
</codeFilter>
<dateFilter>
<path value="authoredOn"/>
<valuePeriod>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-expression">
<valueExpression>
<language value="text/cql-identifier"/>
<expression value="Measurement Period"/>
</valueExpression>
</extension>
</valuePeriod>
</dateFilter>
</dataRequirement>
<dataRequirement>
<type value="Procedure"/>
<profile
value="http://hl7.org/fhir/StructureDefinition/Procedure|4.0.1"/>
<mustSupport value="code"/>
<mustSupport value="performed"/>
<mustSupport value="status"/>
<codeFilter>
<path value="code"/>
<valueSet
value="https://atrius.in/fhir/r4/atrius-in/ValueSet/atrius-vs-hospice-care-ambulatory|0.1.0"/>
</codeFilter>
</dataRequirement>
<dataRequirement>
<type value="Procedure"/>
<profile
value="http://hl7.org/fhir/StructureDefinition/Procedure|4.0.1"/>
<mustSupport value="code"/>
<mustSupport value="performed"/>
<mustSupport value="status"/>
<codeFilter>
<path value="code"/>
<valueSet
value="https://atrius.in/fhir/r4/atrius-in/ValueSet/atrius-vs-hysterectomy-no-residual-cervix|0.1.0"/>
</codeFilter>
<dateFilter>
<path value="performed"/>
</dateFilter>
</dataRequirement>
<dataRequirement>
<type value="Procedure"/>
<profile
value="http://hl7.org/fhir/StructureDefinition/Procedure|4.0.1"/>
<mustSupport value="code"/>
<mustSupport value="status"/>
<mustSupport value="performed"/>
<codeFilter>
<path value="code"/>
<valueSet
value="https://atrius.in/fhir/r4/atrius-in/ValueSet/atrius-vs-palliative-care-intervention|0.1.0"/>
</codeFilter>
<codeFilter>
<path value="status"/>
<code>
<code value="completed"/>
</code>
</codeFilter>
</dataRequirement>
<dataRequirement>
<type value="Condition"/>
<profile
value="https://atrius.in/fhir/r4/atrius-in/StructureDefinition/atrius-in-condition-problems-health-concerns|0.1.0"/>
<mustSupport value="code"/>
<codeFilter>
<path value="code"/>
<valueSet
value="https://atrius.in/fhir/r4/atrius-in/ValueSet/atrius-vs-hospice-diagnosis|0.1.0"/>
</codeFilter>
</dataRequirement>
<dataRequirement>
<type value="Condition"/>
<profile
value="https://atrius.in/fhir/r4/atrius-in/StructureDefinition/atrius-in-condition-problems-health-concerns|0.1.0"/>
<mustSupport value="code"/>
<codeFilter>
<path value="code"/>
<valueSet
value="https://atrius.in/fhir/r4/atrius-in/ValueSet/atrius-vs-absence-of-cervix|0.1.0"/>
</codeFilter>
</dataRequirement>
<dataRequirement>
<type value="Condition"/>
<profile
value="https://atrius.in/fhir/r4/atrius-in/StructureDefinition/atrius-in-condition-problems-health-concerns|0.1.0"/>
<mustSupport value="code"/>
<mustSupport value="verificationStatus"/>
<codeFilter>
<path value="code"/>
<valueSet
value="https://atrius.in/fhir/r4/atrius-in/ValueSet/atrius-vs-palliative-care-diagnosis|0.1.0"/>
</codeFilter>
</dataRequirement>
<dataRequirement>
<type value="Condition"/>
<profile
value="https://atrius.in/fhir/r4/atrius-in/StructureDefinition/atrius-in-condition-encounter-diagnosis|0.1.0"/>
<mustSupport value="code"/>
<codeFilter>
<path value="code"/>
<valueSet
value="https://atrius.in/fhir/r4/atrius-in/ValueSet/atrius-vs-hospice-diagnosis|0.1.0"/>
</codeFilter>
</dataRequirement>
<dataRequirement>
<type value="Condition"/>
<profile
value="https://atrius.in/fhir/r4/atrius-in/StructureDefinition/atrius-in-condition-encounter-diagnosis|0.1.0"/>
<mustSupport value="code"/>
<codeFilter>
<path value="code"/>
<valueSet
value="https://atrius.in/fhir/r4/atrius-in/ValueSet/atrius-vs-absence-of-cervix|0.1.0"/>
</codeFilter>
</dataRequirement>
<dataRequirement>
<type value="Condition"/>
<profile
value="https://atrius.in/fhir/r4/atrius-in/StructureDefinition/atrius-in-condition-encounter-diagnosis|0.1.0"/>
<mustSupport value="code"/>
<mustSupport value="verificationStatus"/>
<codeFilter>
<path value="code"/>
<valueSet
value="https://atrius.in/fhir/r4/atrius-in/ValueSet/atrius-vs-palliative-care-diagnosis|0.1.0"/>
</codeFilter>
</dataRequirement>
</Library>
</contained>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis">
<valueCode value="boolean"/>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance">
<extension url="usage">
<valueCodeableConcept>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-data-usage"/>
<code value="supplemental-data"/>
</coding>
</valueCodeableConcept>
</extension>
<extension url="guidance">
<valueMarkdown
value="SDE Sex uses Patient.gender mapped to the same SNOMED Male/Female findings as CMS. Initial Population uses Patient.gender = female (QI-Core Patient.sex is not on AtriusIn Patient). SDE Payer uses AtriusIn coverage payer type (PM-JAY, ESIS, private, public, self-pay). SDE Residence (state/district) and SDE Urban Rural replace US Core race and ethnicity and are not US-comparable. Pap/HPV retrieve stays base Observation until modelinfo includes the laboratory subtype. Hysterectomy uses atrius-vs-hysterectomy-no-residual-cervix (India substitute; CPT/PCS dropped)."/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-effectiveDataRequirements">
<valueCanonical value="#effective-data-requirements"/>
</extension>
<url
value="https://atrius.in/fhir/r4/atrius-in/Measure/AtriusCMS124CervicalCancerScreen"/>
<identifier>
<use value="official"/>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/artifact-identifier-type"/>
<code value="version-independent"/>
</coding>
</type>
<system value="urn:ietf:rfc:3986"/>
<value value="urn:uuid:cc6d402f-452d-4c49-91ca-0364160ad963"/>
</identifier>
<identifier>
<use value="official"/>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/artifact-identifier-type"/>
<code value="version-specific"/>
</coding>
</type>
<system value="urn:ietf:rfc:3986"/>
<value value="urn:uuid:5443f489-92c2-4ed4-8e47-4f990ceea024"/>
</identifier>
<identifier>
<use value="usual"/>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/artifact-identifier-type"/>
<code value="short-name"/>
</coding>
</type>
<value value="CMS124"/>
</identifier>
<identifier>
<use value="official"/>
<system value="https://atrius.in/fhir/r4/atrius-in"/>
<value value="AtriusCMS124CervicalCancerScreen"/>
</identifier>
<identifier>
<system value="urn:ietf:rfc:3986"/>
<value value="urn:oid:1.3.6.1.4.1.66219.1.29.5"/>
</identifier>
<version value="0.1.0"/>
<name value="AtriusCMS124CervicalCancerScreen"/>
<title value="Cervical Cancer Screening (Atrius CMS124)"/>
<status value="draft"/>
<experimental value="true"/>
<date value="2026-09-21"/>
<publisher value="Atrius"/>
<contact>
<name value="Atrius"/>
<telecom>
<system value="url"/>
<value value="https://atrius.in"/>
</telecom>
</contact>
<description
value="Proportion measure: women 24–64 with a qualifying encounter who have cervical cytology in 3 years or an HPV test at age ≥30 in 5 years. Process measure; improvement is increase."/>
<relatedArtifact>
<type value="depends-on"/>
<display value="Atrius CMS124 CQL Library"/>
<resource
value="https://atrius.in/fhir/r4/atrius-in/Library/AtriusCMS124CervicalCancerScreen|0.1.0"/>
</relatedArtifact>
<library
value="https://atrius.in/fhir/r4/atrius-in/Library/AtriusCMS124CervicalCancerScreen|0.1.0"/>
<scoring>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/measure-scoring"/>
<code value="proportion"/>
</coding>
</scoring>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/measure-type"/>
<code value="process"/>
</coding>
</type>
<improvementNotation>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-improvement-notation"/>
<code value="increase"/>
</coding>
</improvementNotation>
<group id="group-1">
<population id="initial-population">
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="initial-population"/>
</coding>
</code>
<criteria>
<language value="text/cql-identifier"/>
<expression value="Initial Population"/>
</criteria>
</population>
<population id="denominator">
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="denominator"/>
</coding>
</code>
<criteria>
<language value="text/cql-identifier"/>
<expression value="Denominator"/>
</criteria>
</population>
<population id="denominator-exclusion">
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="denominator-exclusion"/>
</coding>
</code>
<criteria>
<language value="text/cql-identifier"/>
<expression value="Denominator Exclusions"/>
</criteria>
</population>
<population id="numerator">
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="numerator"/>
</coding>
</code>
<criteria>
<language value="text/cql-identifier"/>
<expression value="Numerator"/>
</criteria>
</population>
</group>
</Measure>