PrimaryCariesPreventionasOfferedbyPCPsincludingDentistsFHIR.json

{
  "resourceType": "Measure",
  "id": "PrimaryCariesPreventionasOfferedbyPCPsincludingDentistsFHIR",
  "meta": {
    "versionId": "12",
    "lastUpdated": "2021-08-24T18:04:47.000-06:00",
    "source": "#69NAqDiQnGvgoWTr",
    "profile": [ "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/proportion-measure-cqfm", "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm" ]
  },
  "language": "en",
  "contained": [ {
    "resourceType": "Library",
    "id": "effective-data-requirements",
    "extension": [ {
      "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode",
      "valueCoding": {
        "system": "http://snomed.info/sct",
        "version": "http://snomed.info/sct/version/201709",
        "code": "428361000124107",
        "display": "Discharge to home for hospice care (procedure)"
      }
    }, {
      "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode",
      "valueCoding": {
        "system": "http://snomed.info/sct",
        "version": "http://snomed.info/sct/version/201709",
        "code": "428371000124100",
        "display": "Discharge to healthcare facility for hospice care (procedure)"
      }
    }, {
      "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
      "extension": [ {
        "url": "libraryName",
        "valueString": "SupplementalDataElementsFHIR4"
      }, {
        "url": "name",
        "valueString": "SDE Sex"
      }, {
        "url": "statement",
        "valueString": "define \"SDE Sex\":\n  case\n      when Patient.gender = 'male' then Code { code: 'M', system: 'http://hl7.org/fhir/v3/AdministrativeGender', display: 'Male' }\n      when Patient.gender = 'female' then Code { code: 'F', system: 'http://hl7.org/fhir/v3/AdministrativeGender', display: 'Female' }\n      else null\n    end"
      }, {
        "url": "displaySequence",
        "valueInteger": 0
      } ]
    }, {
      "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
      "extension": [ {
        "url": "libraryName",
        "valueString": "PrimaryCariesPreventionasOfferedbyPCPsincludingDentistsFHIR"
      }, {
        "url": "name",
        "valueString": "SDE Sex"
      }, {
        "url": "statement",
        "valueString": "define \"SDE Sex\":\n  SDE.\"SDE Sex\""
      }, {
        "url": "displaySequence",
        "valueInteger": 1
      } ]
    }, {
      "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
      "extension": [ {
        "url": "libraryName",
        "valueString": "PrimaryCariesPreventionasOfferedbyPCPsincludingDentistsFHIR"
      }, {
        "url": "name",
        "valueString": "Numerator"
      }, {
        "url": "statement",
        "valueString": "define \"Numerator\":\n  exists  [Procedure: \"Fluoride Varnish Application for Children\"] FluorideApplication\n                where Global.\"Normalize Interval\"(FluorideApplication.performed) during \"Measurement Period\"\n                  and FluorideApplication.status = 'completed'"
      }, {
        "url": "displaySequence",
        "valueInteger": 2
      } ]
    }, {
      "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
      "extension": [ {
        "url": "libraryName",
        "valueString": "PrimaryCariesPreventionasOfferedbyPCPsincludingDentistsFHIR"
      }, {
        "url": "name",
        "valueString": "Stratification 3"
      }, {
        "url": "statement",
        "valueString": "define \"Stratification 3\":\n  AgeInYearsAt(date from start of \"Measurement Period\" ) in Interval[12, 20 )"
      }, {
        "url": "displaySequence",
        "valueInteger": 3
      } ]
    }, {
      "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
      "extension": [ {
        "url": "libraryName",
        "valueString": "PrimaryCariesPreventionasOfferedbyPCPsincludingDentistsFHIR"
      }, {
        "url": "name",
        "valueString": "Stratification 2"
      }, {
        "url": "statement",
        "valueString": "define \"Stratification 2\":\n  AgeInYearsAt( date from start of \"Measurement Period\" ) in Interval[5, 11]"
      }, {
        "url": "displaySequence",
        "valueInteger": 4
      } ]
    }, {
      "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
      "extension": [ {
        "url": "libraryName",
        "valueString": "PrimaryCariesPreventionasOfferedbyPCPsincludingDentistsFHIR"
      }, {
        "url": "name",
        "valueString": "Stratification 1"
      }, {
        "url": "statement",
        "valueString": "define \"Stratification 1\":\n  AgeInMonthsAt( date from start of \"Measurement Period\" ) >= 6\n                  and AgeInYearsAt(date from start of \"Measurement Period\" ) <= 4"
      }, {
        "url": "displaySequence",
        "valueInteger": 5
      } ]
    }, {
      "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
      "extension": [ {
        "url": "libraryName",
        "valueString": "PrimaryCariesPreventionasOfferedbyPCPsincludingDentistsFHIR"
      }, {
        "url": "name",
        "valueString": "Qualifying Encounters"
      }, {
        "url": "statement",
        "valueString": "define \"Qualifying Encounters\":\n  ( [Encounter: \"Office Visit\"]\n              union [Encounter: \"Preventive Care - Established Office Visit, 0 to 17\"]\n              union [Encounter: \"Preventive Care- Initial Office Visit, 0 to 17\"]\n              union [Encounter: \"Preventive Care Services - Established Office Visit, 18 and Up\"]\n              union [Encounter: \"Preventive Care Services-Initial Office Visit, 18 and Up\"]\n              union [Encounter: \"Clinical Oral Evaluation\"]\n              union [Encounter: \"Telephone Visits\"]\n              union [Encounter: \"Online Assessments\"]) ValidEncounter\n              where Global.\"Normalize Interval\"(ValidEncounter.period) during \"Measurement Period\"\n                and ValidEncounter.status = 'finished'"
      }, {
        "url": "displaySequence",
        "valueInteger": 6
      } ]
    }, {
      "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
      "extension": [ {
        "url": "libraryName",
        "valueString": "PrimaryCariesPreventionasOfferedbyPCPsincludingDentistsFHIR"
      }, {
        "url": "name",
        "valueString": "Initial Population"
      }, {
        "url": "statement",
        "valueString": "define \"Initial Population\":\n  AgeInMonthsAt(date from start of \"Measurement Period\" ) >= 6\n                  and AgeInYearsAt(date from start of \"Measurement Period\" ) < 20\n            \n              and exists ( \"Qualifying Encounters\" )"
      }, {
        "url": "displaySequence",
        "valueInteger": 7
      } ]
    }, {
      "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
      "extension": [ {
        "url": "libraryName",
        "valueString": "PrimaryCariesPreventionasOfferedbyPCPsincludingDentistsFHIR"
      }, {
        "url": "name",
        "valueString": "Denominator"
      }, {
        "url": "statement",
        "valueString": "define \"Denominator\":\n  \"Initial Population\""
      }, {
        "url": "displaySequence",
        "valueInteger": 8
      } ]
    }, {
      "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
      "extension": [ {
        "url": "libraryName",
        "valueString": "SupplementalDataElementsFHIR4"
      }, {
        "url": "name",
        "valueString": "SDE Payer"
      }, {
        "url": "statement",
        "valueString": "define \"SDE Payer\":\n  [Coverage: type in \"Payer\"] Payer\n        return {\n          code: Payer.type,\n          period: Payer.period\n        }"
      }, {
        "url": "displaySequence",
        "valueInteger": 9
      } ]
    }, {
      "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
      "extension": [ {
        "url": "libraryName",
        "valueString": "PrimaryCariesPreventionasOfferedbyPCPsincludingDentistsFHIR"
      }, {
        "url": "name",
        "valueString": "SDE Payer"
      }, {
        "url": "statement",
        "valueString": "define \"SDE Payer\":\n  SDE.\"SDE Payer\""
      }, {
        "url": "displaySequence",
        "valueInteger": 10
      } ]
    }, {
      "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
      "extension": [ {
        "url": "libraryName",
        "valueString": "SupplementalDataElementsFHIR4"
      }, {
        "url": "name",
        "valueString": "SDE Ethnicity"
      }, {
        "url": "statement",
        "valueString": "define \"SDE Ethnicity\":\n  (flatten (\n      Patient.extension Extension\n        where Extension.url = 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity'\n          return Extension.extension\n    )) E\n      where E.url = 'ombCategory'\n        or E.url = 'detailed'\n      return E.value as Coding"
      }, {
        "url": "displaySequence",
        "valueInteger": 11
      } ]
    }, {
      "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
      "extension": [ {
        "url": "libraryName",
        "valueString": "PrimaryCariesPreventionasOfferedbyPCPsincludingDentistsFHIR"
      }, {
        "url": "name",
        "valueString": "SDE Ethnicity"
      }, {
        "url": "statement",
        "valueString": "define \"SDE Ethnicity\":\n  SDE.\"SDE Ethnicity\""
      }, {
        "url": "displaySequence",
        "valueInteger": 12
      } ]
    }, {
      "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
      "extension": [ {
        "url": "libraryName",
        "valueString": "HospiceFHIR4"
      }, {
        "url": "name",
        "valueString": "Has Hospice"
      }, {
        "url": "statement",
        "valueString": "define \"Has Hospice\":\n  exists (\n                [Encounter: \"Encounter Inpatient\"] DischargeHospice\n            \t\t\twhere DischargeHospice.status = 'finished'\n            \t\t    and (\n            \t        DischargeHospice.hospitalization.dischargeDisposition ~ \"Discharge to home for hospice care (procedure)\"\n            \t\t\t\t    or DischargeHospice.hospitalization.dischargeDisposition ~ \"Discharge to healthcare facility for hospice care (procedure)\"\n            \t    \t)\n            \t\t\t\tand Global.\"Normalize Interval\"(DischargeHospice.period) ends during \"Measurement Period\"\n            \t)\n                or exists (\n                  [ServiceRequest: \"Hospice care ambulatory\"] HospiceOrder\n                    where HospiceOrder.status in {'active', 'completed'} \n                    and HospiceOrder.intent = 'order'\n                        and Global.\"Normalize Interval\"(HospiceOrder.authoredOn) during \"Measurement Period\"\n                )\n                or exists (\n                  [Procedure: \"Hospice care ambulatory\"] HospicePerformed\n                    where HospicePerformed.status = 'completed'\n                      and Global.\"Normalize Interval\"(HospicePerformed.performed) overlaps \"Measurement Period\"\n                )"
      }, {
        "url": "displaySequence",
        "valueInteger": 13
      } ]
    }, {
      "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
      "extension": [ {
        "url": "libraryName",
        "valueString": "PrimaryCariesPreventionasOfferedbyPCPsincludingDentistsFHIR"
      }, {
        "url": "name",
        "valueString": "Denominator Exclusions"
      }, {
        "url": "statement",
        "valueString": "define \"Denominator Exclusions\":\n  Hospice.\"Has Hospice\""
      }, {
        "url": "displaySequence",
        "valueInteger": 14
      } ]
    }, {
      "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
      "extension": [ {
        "url": "libraryName",
        "valueString": "SupplementalDataElementsFHIR4"
      }, {
        "url": "name",
        "valueString": "SDE Race"
      }, {
        "url": "statement",
        "valueString": "define \"SDE Race\":\n  (flatten (\n      Patient.extension Extension\n        where Extension.url = 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-race'\n          return Extension.extension\n    )) E\n      where E.url = 'ombCategory'\n        or E.url = 'detailed'\n      return E.value as Coding"
      }, {
        "url": "displaySequence",
        "valueInteger": 15
      } ]
    }, {
      "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
      "extension": [ {
        "url": "libraryName",
        "valueString": "PrimaryCariesPreventionasOfferedbyPCPsincludingDentistsFHIR"
      }, {
        "url": "name",
        "valueString": "SDE Race"
      }, {
        "url": "statement",
        "valueString": "define \"SDE Race\":\n  SDE.\"SDE Race\""
      }, {
        "url": "displaySequence",
        "valueInteger": 16
      } ]
    } ],
    "status": "active",
    "type": {
      "coding": [ {
        "system": "http://terminology.hl7.org/CodeSystem/library-type",
        "code": "module-definition"
      } ]
    },
    "relatedArtifact": [ {
      "type": "depends-on",
      "display": "Library SDE",
      "resource": "http://ecqi.healthit.gov/ecqms/Library/SupplementalDataElementsFHIR4|2.0.000"
    }, {
      "type": "depends-on",
      "display": "Library FHIRHelpers",
      "resource": "http://ecqi.healthit.gov/ecqms/Library/FHIRHelpers|4.0.001"
    }, {
      "type": "depends-on",
      "display": "Library Global",
      "resource": "http://ecqi.healthit.gov/ecqms/Library/MATGlobalCommonFunctionsFHIR4|6.1.000"
    }, {
      "type": "depends-on",
      "display": "Library Hospice",
      "resource": "http://ecqi.healthit.gov/ecqms/Library/HospiceFHIR4|2.3.000"
    }, {
      "type": "depends-on",
      "display": "Code system SNOMEDCT:2017-09",
      "resource": "http://snomed.info/sct|http://snomed.info/sct/version/201709"
    }, {
      "type": "depends-on",
      "display": "Value set Fluoride Varnish Application for Children",
      "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.125.12.1002"
    }, {
      "type": "depends-on",
      "display": "Value set Office Visit",
      "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001"
    }, {
      "type": "depends-on",
      "display": "Value set Preventive Care - Established Office Visit, 0 to 17",
      "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1024"
    }, {
      "type": "depends-on",
      "display": "Value set Preventive Care- Initial Office Visit, 0 to 17",
      "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1022"
    }, {
      "type": "depends-on",
      "display": "Value set Preventive Care Services - Established Office Visit, 18 and Up",
      "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1025"
    }, {
      "type": "depends-on",
      "display": "Value set Preventive Care Services-Initial Office Visit, 18 and Up",
      "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1023"
    }, {
      "type": "depends-on",
      "display": "Value set Clinical Oral Evaluation",
      "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.125.12.1003"
    }, {
      "type": "depends-on",
      "display": "Value set Telephone Visits",
      "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1080"
    }, {
      "type": "depends-on",
      "display": "Value set Online Assessments",
      "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1089"
    }, {
      "type": "depends-on",
      "display": "Value set Payer",
      "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591"
    }, {
      "type": "depends-on",
      "display": "Value set Encounter Inpatient",
      "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307"
    }, {
      "type": "depends-on",
      "display": "Value set Hospice care ambulatory",
      "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1108.15"
    } ],
    "parameter": [ {
      "name": "Measurement Period",
      "use": "in",
      "min": 0,
      "max": "1",
      "type": "Period"
    }, {
      "name": "SDE Sex",
      "use": "out",
      "min": 0,
      "max": "1",
      "type": "Coding"
    }, {
      "name": "Numerator",
      "use": "out",
      "min": 0,
      "max": "1",
      "type": "boolean"
    }, {
      "name": "Stratification 3",
      "use": "out",
      "min": 0,
      "max": "1",
      "type": "boolean"
    }, {
      "name": "Stratification 2",
      "use": "out",
      "min": 0,
      "max": "1",
      "type": "boolean"
    }, {
      "name": "Stratification 1",
      "use": "out",
      "min": 0,
      "max": "1",
      "type": "boolean"
    }, {
      "name": "Denominator",
      "use": "out",
      "min": 0,
      "max": "1",
      "type": "boolean"
    }, {
      "name": "SDE Payer",
      "use": "out",
      "min": 0,
      "max": "*",
      "type": "Any"
    }, {
      "name": "Initial Population",
      "use": "out",
      "min": 0,
      "max": "1",
      "type": "boolean"
    }, {
      "name": "SDE Ethnicity",
      "use": "out",
      "min": 0,
      "max": "*",
      "type": "Coding"
    }, {
      "name": "Denominator Exclusions",
      "use": "out",
      "min": 0,
      "max": "1",
      "type": "boolean"
    }, {
      "name": "SDE Race",
      "use": "out",
      "min": 0,
      "max": "*",
      "type": "Coding"
    } ],
    "dataRequirement": [ {
      "type": "Patient",
      "profile": [ "http://hl7.org/fhir/StructureDefinition/Patient" ],
      "mustSupport": [ "url", "extension", "value" ]
    }, {
      "type": "Procedure",
      "profile": [ "http://hl7.org/fhir/StructureDefinition/Procedure" ],
      "mustSupport": [ "code", "performed", "status" ],
      "codeFilter": [ {
        "path": "code",
        "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.125.12.1002"
      } ]
    }, {
      "type": "Procedure",
      "profile": [ "http://hl7.org/fhir/StructureDefinition/Procedure" ],
      "mustSupport": [ "code", "status", "performed" ],
      "codeFilter": [ {
        "path": "code",
        "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1108.15"
      } ]
    }, {
      "type": "Encounter",
      "profile": [ "http://hl7.org/fhir/StructureDefinition/Encounter" ],
      "mustSupport": [ "type" ],
      "codeFilter": [ {
        "path": "type",
        "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001"
      } ]
    }, {
      "type": "Encounter",
      "profile": [ "http://hl7.org/fhir/StructureDefinition/Encounter" ],
      "mustSupport": [ "type" ],
      "codeFilter": [ {
        "path": "type",
        "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1024"
      } ]
    }, {
      "type": "Encounter",
      "profile": [ "http://hl7.org/fhir/StructureDefinition/Encounter" ],
      "mustSupport": [ "type" ],
      "codeFilter": [ {
        "path": "type",
        "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1022"
      } ]
    }, {
      "type": "Encounter",
      "profile": [ "http://hl7.org/fhir/StructureDefinition/Encounter" ],
      "mustSupport": [ "type" ],
      "codeFilter": [ {
        "path": "type",
        "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1025"
      } ]
    }, {
      "type": "Encounter",
      "profile": [ "http://hl7.org/fhir/StructureDefinition/Encounter" ],
      "mustSupport": [ "type" ],
      "codeFilter": [ {
        "path": "type",
        "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1023"
      } ]
    }, {
      "type": "Encounter",
      "profile": [ "http://hl7.org/fhir/StructureDefinition/Encounter" ],
      "mustSupport": [ "type" ],
      "codeFilter": [ {
        "path": "type",
        "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.125.12.1003"
      } ]
    }, {
      "type": "Encounter",
      "profile": [ "http://hl7.org/fhir/StructureDefinition/Encounter" ],
      "mustSupport": [ "type" ],
      "codeFilter": [ {
        "path": "type",
        "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1080"
      } ]
    }, {
      "type": "Encounter",
      "profile": [ "http://hl7.org/fhir/StructureDefinition/Encounter" ],
      "mustSupport": [ "type" ],
      "codeFilter": [ {
        "path": "type",
        "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1089"
      } ]
    }, {
      "type": "Encounter",
      "profile": [ "http://hl7.org/fhir/StructureDefinition/Encounter" ],
      "mustSupport": [ "type", "status", "hospitalization", "hospitalization.dischargeDisposition", "period" ],
      "codeFilter": [ {
        "path": "type",
        "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307"
      } ]
    }, {
      "type": "Coverage",
      "profile": [ "http://hl7.org/fhir/StructureDefinition/Coverage" ],
      "mustSupport": [ "type", "period" ],
      "codeFilter": [ {
        "path": "type",
        "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591"
      } ]
    }, {
      "type": "ServiceRequest",
      "profile": [ "http://hl7.org/fhir/StructureDefinition/ServiceRequest" ],
      "mustSupport": [ "code", "status", "intent", "authoredOn" ],
      "codeFilter": [ {
        "path": "code",
        "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1108.15"
      } ]
    } ]
  } ],
  "extension": [ {
    "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis",
    "valueCode": "boolean"
  }, {
    "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-softwaresystem",
    "valueReference": {
      "reference": "Device/cqf-tooling"
    }
  }, {
    "id": "effective-data-requirements",
    "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-effectiveDataRequirements",
    "valueReference": {
      "reference": "#effective-data-requirements"
    }
  } ],
  "url": "http://ecqi.healthit.gov/ecqms/Measure/PrimaryCariesPreventionasOfferedbyPCPsincludingDentistsFHIR",
  "identifier": [ {
    "use": "official",
    "system": "http://hl7.org/fhir/cqi/ecqm/Measure/Identifier/guid",
    "value": "ad166f03-3e61-47a6-836c-4b6c5d591b60"
  }, {
    "use": "official",
    "system": "http://hl7.org/fhir/cqi/ecqm/Measure/Identifier/cms",
    "value": "74FHIR"
  } ],
  "version": "0.0.008",
  "name": "PrimaryCariesPreventionasOfferedbyPCPsincludingDentistsFHIR",
  "title": "Primary Caries Prevention Intervention as Offered by Primary Care Providers, including DentistsFHIR",
  "status": "draft",
  "experimental": false,
  "date": "2022-07-05T22:34:35-04:00",
  "publisher": "Centers for Medicare & Medicaid Services (CMS)",
  "contact": [ {
    "telecom": [ {
      "system": "url",
      "value": "https://cms.gov"
    } ]
  } ],
  "description": "Percentage of children, 6 months - 20 years of age, who received a fluoride varnish application during the measurement period",
  "purpose": "Unknown",
  "copyright": "This Physician Performance Measure (Measure) and related data specifications are owned and stewarded by the Centers for Medicare & Medicaid Services (CMS). CMS contracted (Contract HHSP23320095627WC; HHSP23337008T) with the National Committee for Quality Assurance (NCQA) to develop this electronic measure. NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications. \n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any third party codes contained in the specifications. \n\nCPT(R) contained in the Measure specifications is copyright 2004-2020 American Medical Association. LOINC(R) copyright 2004-2020 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2020 International Health Terminology Standards Development Organisation. ICD-10 copyright 2020 World Health Organization. All Rights Reserved.",
  "effectivePeriod": {
    "start": "2022-01-01",
    "end": "2022-12-31"
  },
  "library": [ "http://ecqi.healthit.gov/ecqms/Library/PrimaryCariesPreventionasOfferedbyPCPsincludingDentistsFHIR" ],
  "disclaimer": "The performance Measure is not a clinical guideline and does not establish a standard of medical care, and has not been tested for all potential applications. THE MEASURE AND SPECIFICATIONS ARE PROVIDED \"AS IS\" WITHOUT WARRANTY OF ANY KIND.\n \nDue to technical limitations, registered trademarks are indicated by (R) or [R] and unregistered trademarks are indicated by (TM) or [TM].",
  "scoring": {
    "coding": [ {
      "system": "http://terminology.hl7.org/CodeSystem/measure-scoring",
      "code": "proportion",
      "display": "Proportion"
    } ]
  },
  "type": [ {
    "coding": [ {
      "system": "http://terminology.hl7.org/CodeSystem/measure-type",
      "code": "process"
    } ]
  } ],
  "rationale": "The literature reflects that fluoride varnish, when applied to the teeth of high-risk children, reduces, in conjunction with anticipatory guidance provided to the caregiver, the risk of the child developing caries (Weintraub et al., 2006).",
  "clinicalRecommendationStatement": "ADA clinical recommendations for use of professionally applied or prescription-strength, home-use topical fluorides for caries prevention in patients at elevated risk of developing caries: \n\n- Younger Than 6 Years - 2.26 percent fluoride varnish at least every three to six months \n\n- 6-18 Years - 2.26 percent fluoride varnish at least every three to six months OR 1.23 percent fluoride (APF*) gel for four minutes at least every three to six months \n\n- Older Than 18 Years - 2.26 percent fluoride varnish at least every three to six months OR 1.23 percent fluoride (APF) gel for four minutes at least every three to six months (Weyant et al., 2013) \n \nThe USPSTF [US Preventive Services Task Force] recommends that primary care clinicians apply fluoride varnish to the primary teeth of all infants and children starting at the age of primary tooth eruption. (B recommendation)",
  "improvementNotation": {
    "coding": [ {
      "system": "http://terminology.hl7.org/CodeSystem/measure-improvement-notation",
      "code": "increase"
    } ]
  },
  "guidance": "This eCQM is a patient-based measure.\n\nThis FHIR-based measure has been derived from the QDM-based measure: CMS74v11",
  "group": [ {
    "population": [ {
      "id": "289CF939-EC1D-4261-B6C7-A09622011614",
      "code": {
        "coding": [ {
          "system": "http://terminology.hl7.org/CodeSystem/measure-population",
          "code": "initial-population",
          "display": "Initial Population"
        } ]
      },
      "criteria": {
        "language": "text/cql.identifier",
        "expression": "Initial Population"
      }
    }, {
      "id": "4BD5915B-6D74-4024-B20A-2CA6EEAF2941",
      "code": {
        "coding": [ {
          "system": "http://terminology.hl7.org/CodeSystem/measure-population",
          "code": "denominator",
          "display": "Denominator"
        } ]
      },
      "criteria": {
        "language": "text/cql.identifier",
        "expression": "Denominator"
      }
    }, {
      "id": "2376AE4F-D63C-4E08-85EE-784E1704E798",
      "code": {
        "coding": [ {
          "system": "http://terminology.hl7.org/CodeSystem/measure-population",
          "code": "denominator-exclusion",
          "display": "Denominator Exclusion"
        } ]
      },
      "criteria": {
        "language": "text/cql.identifier",
        "expression": "Denominator Exclusions"
      }
    }, {
      "id": "53A4CAA0-4F43-4887-9F20-05F857A29C0B",
      "code": {
        "coding": [ {
          "system": "http://terminology.hl7.org/CodeSystem/measure-population",
          "code": "numerator",
          "display": "Numerator"
        } ]
      },
      "criteria": {
        "language": "text/cql.identifier",
        "expression": "Numerator"
      }
    } ],
    "stratifier": [ {
      "id": "92B4344D-15D1-400A-A423-A28ACE3CA8E0",
      "code": {
        "text": "Stratum 3"
      },
      "criteria": {
        "language": "text/cql.identifier",
        "expression": "Stratification 1"
      }
    }, {
      "id": "634DE8E1-5412-43C3-A5F0-46C237E62785",
      "code": {
        "text": "Stratum 4"
      },
      "criteria": {
        "language": "text/cql.identifier",
        "expression": "Stratification 2"
      }
    }, {
      "id": "69952863-BF4A-4AEF-850D-26E448304FA4",
      "code": {
        "text": "Stratum 5"
      },
      "criteria": {
        "language": "text/cql.identifier",
        "expression": "Stratification 3"
      }
    } ]
  } ],
  "supplementalData": [ {
    "id": "B0E2BF30-75AD-4D68-9CA0-84AE32446478",
    "usage": [ {
      "coding": [ {
        "system": "http://terminology.hl7.org/CodeSystem/measure-data-usage",
        "code": "supplemental-data"
      } ]
    } ],
    "criteria": {
      "language": "text/cql.identifier",
      "expression": "SDE Ethnicity"
    }
  }, {
    "id": "7CB5937B-FCC5-48B8-9B3E-22C4C22D25C0",
    "usage": [ {
      "coding": [ {
        "system": "http://terminology.hl7.org/CodeSystem/measure-data-usage",
        "code": "supplemental-data"
      } ]
    } ],
    "criteria": {
      "language": "text/cql.identifier",
      "expression": "SDE Payer"
    }
  }, {
    "id": "9A369E69-C3D9-4ADB-BE83-BEA2AF10952E",
    "usage": [ {
      "coding": [ {
        "system": "http://terminology.hl7.org/CodeSystem/measure-data-usage",
        "code": "supplemental-data"
      } ]
    } ],
    "criteria": {
      "language": "text/cql.identifier",
      "expression": "SDE Race"
    }
  }, {
    "id": "634D6DC3-A816-4F69-8EE3-B4B02C2760AE",
    "usage": [ {
      "coding": [ {
        "system": "http://terminology.hl7.org/CodeSystem/measure-data-usage",
        "code": "supplemental-data"
      } ]
    } ],
    "criteria": {
      "language": "text/cql.identifier",
      "expression": "SDE Sex"
    }
  } ]
}