Metadata
Title | Bone Density Evaluation for Patients with Prostate Cancer and Receiving Androgen Deprivation TherapyFHIR
Version | 1.0.000
Short Name | CMS645FHIR
GUID (Version Independent) | urn:uuid:299de9c4-755d-4f5a-ac9e-fa74fe34f759
GUID (Version Specific) | urn:uuid:5cd769d8-9a63-4637-b18e-76ee9c68cbf9
CMS Identifier | 645FHIR
Effective Period | 2026-01-01 through 2026-12-31
Steward (Publisher) | Oregon Urology
Developer | Oregon Urology
Description | Percentage of patients determined as having prostate cancer who are currently starting or undergoing androgen deprivation therapy (ADT), for an anticipated period of 12 months or greater and who receive an initial bone density evaluation. The bone density evaluation must be prior to the start of ADT or within 3 months of the start of ADT.
Copyright | Limited proprietary coding is contained in the measure specifications for convenience. Users of the proprietary code sets should obtain all necessary licenses from the owners of these code sets. Oregon Urology Institute (OUI) and Large Urology Group Practice Association (LUGPA) disclaim all liability for the use or accuracy of third-party codes contained in the specifications. CPT(R) contained in the Measure specifications is copyright 2004-2024. American Medical Association. LOINC(R) copyright 2004-2024 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2024. International Health Terminology Standards Development Organisation. ICD-10 copyright 2024 World Health Organization. All Rights Reserved.
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 MEASURES AND SPECIFICATIONS ARE PROVIDED "AS IS" WITHOUT WARRANTY OF ANY KIND. Due to technical limitations, registered trademarks are indicated by (R) or [R] and unregistered trademarks are indicated by (TM) or [TM].
Rationale | Androgen suppression as a treatment for prostate cancer can cause osteoporosis (Qaseem, 2008). Patients with prostate cancer undergoing prolonged androgen deprivation therapy (ADT) incur bone loss at a rate higher than menopausal patients (Guise, 2007). In preserving bone health, the goal is to prevent or treat osteopenia/osteoporosis for the patient on ADT and to prevent or delay skeletal-related events. The National Osteoporosis Foundation recommendations include a baseline assessment of bone density with a dual-energy X-ray absorptiometry (DEXA) scan and daily calcium and Vitamin D supplementation (Watts, 2012). The DEXA scan is the gold standard for bone density screening. Patients at risk for adverse bone consequences from chronic ADT do not always receive care according to evidence-based guidelines. These findings call for improved processes that standardize evidence-based practice, including baseline and follow-up bone density assessment (Watts, 2012).
Clinical Recommendation Statement | Bone density screening should be performed at the start of Androgen Deprivation Therapy (ADT) for prostate cancer. It should also be performed every 2 years for the patient with continued ADT or for patients with known osteoporosis. Current insurance practice is to possibly cover the cost of bone density screening if osteoporosis is known or if there is a high-risk drug. Some patients choose to delay bone density screening until after ADT is started and they therefore have insurance authorization due to the administration of a high-risk drug.
Citation | Cosman, F., deBeur, S.J., LeBoff, M.S., Lewiecki, E. M., Tanner, B., Randall, S., & Lindsay, R. (2014). Clinician’s Guide to Prevention and Treatment of Osteoporosis. Osteoporosis International, 25(10), 2359–2381. https://doi.org/10.1007/s00198-014-2794-2
Citation | Finkelstein, J., & Yu, E. (2017). Clinical manifestations, diagnosis, and evaluation of osteoporosis in men. Retrieved from https://www.uptodate.com/contents/clinical-manifestations-diagnosis-and-evaluation-of-osteoporosis-in-men/print?source=see_link
Citation | Guise, T.A., Oefelein, M.G., Eastham, J.A., Cookson, M.S., Higano, C.S., & Smith, M.R. (2007). Estrogenic side effects of androgen deprivation therapy. Reviews in urology, 9(4), 163-180.
Citation | Qaseem, A., Snow, V., Shekelle, P., Hopkins, R., Forciea, M. A., Owens, D. K., & for the Clinical Efficacy Assessment Subcommittee of the American College of Physicians. (2008). Annals of Internal Medicine. Screening for osteoporosis in men: A clinical practice guideline from the American College of Physicians, 2008. Annals of Internal Medicine, 148(9), 680-684. https://doi.org/10.7326/0003-4819-148-9-200805060-00008
Citation | Ward, R. J., Roberts, C. C., Bencardino, J. T., Arnold, E., Baccei, S. J., Cassidy, R. C., … Weissman, B. N. (2017). ACR Appropriateness Criteria (R) Osteoporosis and Bone Mineral Density. Journal of the American College of Radiology, 14(5), S189–S202. https://doi.org/10.1016/j.jacr.2017.02.018
Citation | Watts, N. B., Adler, R. A., Bilezikian, J. P., Drake, M. T., Eastell, R., Orwoll, E. S., & Finkelstein, J. S. (2012). Osteoporosis in Men: An Endocrine Society Clinical Practice Guideline. The Journal of Clinical Endocrinology & Metabolism, 97(6), 1802–1822. https://doi.org/10.1210/jc.2011-3045
Definition | Dual Energy X-ray Absorptiometry (DEXA): A scan that measures the bone of the spine, hip, or total body and measures bone mineral density. It is considered one of the most accurate measurements.
Definition | First Androgen Deprivation Therapy: The first Androgen Deprivation Therapy (ADT) is measured as the first order or administration of ADT for an anticipated period of 12 months or greater to a patient with prostate cancer.
Definition | Peripheral Dual Energy X-ray Absorptiometry (PDXA): Bone mineral density measurement of the wrist, heel, or finger.
Guidance (Usage) | In order to capture the practitioner's intent of androgen deprivation therapy (ADT) for a period of 12 months or greater, SNOMEDCT 456381000124102 which is Injection of leuprolide acetate for the twelve-month period (regime/therapy) is the correct code. This eCQM is a patient-based measure. This FHIR-based measure has been derived from the QDM-based measure CMS645v9. Please refer to the HL7 QI-Core Implementation Guide (https://hl7.org/fhir/us/qicore/STU6/) for more information on QI-Core and mapping recommendations from QDM to QI-Core STU 6 (https://hl7.org/fhir/us/qicore/STU6/qdm-to-qicore.html).
Measure Group (Rate) (ID: Group_1)
Basis | boolean
Scoring | [http://terminology.hl7.org/CodeSystem/measure-scoring#proportion: 'Proportion']
Type | [http://terminology.hl7.org/CodeSystem/measure-type#process: 'Process']
Improvement Notation | [http://terminology.hl7.org/CodeSystem/measure-improvement-notation#increase: 'Increased score indicates improvement']
Initial Population | ID: InitialPopulation_1 Description: Patients with a qualifying encounter in the measurement period AND with a diagnosis of prostate cancer AND with an order for ADT or an active medication of ADT with an intent for treatment greater than or equal to 12 months during the measurement period AND order for ADT in 3 months before to 9 months after the start of the measurement period Logic Definition: Initial Population
Denominator | ID: Denominator_1 Description: Equals Initial Population Logic Definition: Denominator
Numerator | ID: Numerator_1 Description: Patients with a bone density evaluation within the two years prior to the start of or less than three months after the start of ADT treatment Logic Definition: Numerator
Denominator Exception | ID: DenominatorException_1 Description: Patient refused the bone density evaluation at the time ordered or did not have it performed within 3 months after the start of ADT Logic Definition: Denominator Exception
Supplemental Data Guidance | For every patient evaluated by this measure also identify payer, race, ethnicity and sex
Supplemental Data Elements
Supplemental Data Element | ID: sde-ethnicity Usage Code: [http://terminology.hl7.org/CodeSystem/measure-data-usage#supplemental-data] Description: SDE Ethnicity Logic Definition: SDE Ethnicity
Supplemental Data Element | ID: sde-payer Usage Code: [http://terminology.hl7.org/CodeSystem/measure-data-usage#supplemental-data] Description: SDE Payer Logic Definition: SDE Payer
Supplemental Data Element | ID: sde-race Usage Code: [http://terminology.hl7.org/CodeSystem/measure-data-usage#supplemental-data] Description: SDE Race Logic Definition: SDE Race
Supplemental Data Element | ID: sde-sex Usage Code: [http://terminology.hl7.org/CodeSystem/measure-data-usage#supplemental-data] Description: SDE Sex Logic Definition: SDE Sex
Measure Logic
Primary Library | https://madie.cms.gov/Library/CMS645FHIRBoneDensityPCADTherapy
Contents | Population Criteria Logic Definitions Terminology Dependencies Data Requirements
Population Criteria
Measure Group (Rate) (ID: Group_1)
Initial Population
    define "Initial Population":
      "Has Qualifying Encounter"
        and exists "Order for 12 Months of ADT in 3 Months Before to 9 Months After Start of Measurement Period"
Denominator
    define "Denominator":
      "Initial Population"
Numerator
    define "Numerator":
      "Has Baseline DEXA Scan Two Years Prior to the Start of or Less than Three Months After the Start of ADT"
Denominator Exception
    define "Denominator Exception":
      exists ( "No Bone Density Scan Ordered Due to Patient Refusal" )
        or exists ( "No Bone Density Scan Performed Due to Patient Refusal" )
Logic Definitions
Logic Definition | Library Name: SupplementalDataElements
    define "SDE Sex":
      case
        when Patient.sex = '248153007' then "Male (finding)"
        when Patient.sex = '248152002' then "Female (finding)"
        else null
      end
Logic Definition | Library Name: SupplementalDataElements
    define "SDE Payer":
      [Coverage: type in "Payer Type"] Payer
        return {
          code: Payer.type,
          period: Payer.period
        }
Logic Definition | Library Name: SupplementalDataElements
    define "SDE Ethnicity":
      Patient.ethnicity E
        return Tuple {
          codes: { E.ombCategory } union E.detailed,
          display: E.text
        }
Logic Definition | Library Name: SupplementalDataElements
    define "SDE Race":
      Patient.race R
        return Tuple {
          codes: R.ombCategory union R.detailed,
          display: R.text
        }
Logic Definition | Library Name: CMS645FHIRBoneDensityPCADTherapy
    define "SDE Sex":
      SDE."SDE Sex"
Logic Definition | Library Name: CMS645FHIRBoneDensityPCADTherapy
    define "Androgen Deprivation Therapy for Urology Care Medication Active Start Dates":
      [MedicationRequest: "Androgen Deprivation Therapy for Urology Care"] ADTActive
        let firstMedicationPeriod: First((collapse(ADTActive.dosageInstruction.timing.repeat.bounds DoseTime
              return DoseTime.toInterval()
          )) DrugPeriods
            sort by start of $this
        ),

        //get the very first event as interval

        firstMedicationEvent: First((ADTActive.dosageInstruction.timing dosageTiming
            //returns first event for the specific dosageTiming

            return First(dosageTiming.event dosageTimingEvents
                sort ascending
            )) firstEvents
            sort ascending
        ),
        medicationDateTime: Min({ firstMedicationEvent, start of firstMedicationPeriod,
          end of firstMedicationPeriod }
        )
        where ADTActive.status in { 'active', 'completed' }
          and ADTActive.intent in { 'order', 'original-order', 'reflex-order', 'filler-order', 'instance-order' }
        return medicationDateTime
Logic Definition | Library Name: CMS645FHIRBoneDensityPCADTherapy
    define "Androgen Deprivation Therapy for Urology Care Medication Order Start Dates":
      [MedicationRequest: "Androgen Deprivation Therapy for Urology Care"] ADTOrder
        let firstMedicationPeriod: First((collapse(ADTOrder.dosageInstruction.timing.repeat.bounds DoseTime
              return DoseTime.toInterval()
          )) DrugPeriods
            sort by start of $this
        ),
        medicationDateTime: Min({ ADTOrder.authoredOn, start of firstMedicationPeriod,
          end of firstMedicationPeriod }
        )
        where ADTOrder.status in { 'active', 'completed' }
          and ADTOrder.intent in { 'order', 'original-order', 'reflex-order', 'filler-order', 'instance-order' }
        return medicationDateTime
Logic Definition | Library Name: CMS645FHIRBoneDensityPCADTherapy
    define "Prostate Cancer Diagnosis":
      ( [ConditionProblemsHealthConcerns: "Prostate Cancer"]
        union [ConditionEncounterDiagnosis: "Prostate Cancer"] ) ProstateCancer
        where ProstateCancer.prevalenceInterval ( ) overlaps day of "Measurement Period"
          and ProstateCancer.isVerified ( )
Logic Definition | Library Name: CMS645FHIRBoneDensityPCADTherapy
    define "First ADT in 3 Months Before to 9 Months After Start of Measurement Period":
      First(("Androgen Deprivation Therapy for Urology Care Medication Active Start Dates"
          union "Androgen Deprivation Therapy for Urology Care Medication Order Start Dates") ADTDateTime
          with "Prostate Cancer Diagnosis" ProstateCancer
            such that ADTDateTime during day of ProstateCancer.prevalenceInterval()
              and ADTDateTime during day of Interval[start of "Measurement Period" - 3 months, start of "Measurement Period" + 9 months]
          sort ascending
      )
Logic Definition | Library Name: CMS645FHIRBoneDensityPCADTherapy
    define "Order for 12 Months of ADT in 3 Months Before to 9 Months After Start of Measurement Period":
      [ServiceRequest: "Injection of leuprolide acetate for twelve month period (regime/therapy)"] OrderTwelveMonthADT
        with "First ADT in 3 Months Before to 9 Months After Start of Measurement Period" FirstADTMP
          such that OrderTwelveMonthADT.authoredOn on or after day of FirstADTMP
            and OrderTwelveMonthADT.authoredOn during day of Interval[start of "Measurement Period" - 3 months, start of "Measurement Period" + 9 months]
            and OrderTwelveMonthADT.status in { 'active', 'completed' }
            and OrderTwelveMonthADT.intent = 'order'
Logic Definition | Library Name: CMS645FHIRBoneDensityPCADTherapy
    define "Has Baseline DEXA Scan Two Years Prior to the Start of or Less than Three Months After the Start of ADT":
      exists ( ( [ServiceRequest: "DEXA Bone Density for Urology Care"] DEXAOrdered
            with "Order for 12 Months of ADT in 3 Months Before to 9 Months After Start of Measurement Period" OrderTwelveMonthsADT
              such that DEXAOrdered.authoredOn 3 months or less on or after day of OrderTwelveMonthsADT.authoredOn
                or DEXAOrdered.authoredOn 2 years or less before day of OrderTwelveMonthsADT.authoredOn
            where DEXAOrdered.status in { 'active', 'completed' }
              and DEXAOrdered.intent = 'order'
        )
          union ( [ObservationClinicalResult: "DEXA Bone Density for Urology Care"] DEXAPerformed
              with "Order for 12 Months of ADT in 3 Months Before to 9 Months After Start of Measurement Period" OrderTwelveMonthsADT
                such that DEXAPerformed.effective.toInterval ( ) 3 months or less on or after day of OrderTwelveMonthsADT.authoredOn
                  or DEXAPerformed.effective.toInterval ( ) 2 years or less before day of OrderTwelveMonthsADT.authoredOn
              where DEXAPerformed.status in { 'final', 'amended', 'corrected' }
          )
      )
Logic Definition | Library Name: CMS645FHIRBoneDensityPCADTherapy
    define "Numerator":
      "Has Baseline DEXA Scan Two Years Prior to the Start of or Less than Three Months After the Start of ADT"
Logic Definition | Library Name: CMS645FHIRBoneDensityPCADTherapy
    define "No Bone Density Scan Ordered Due to Patient Refusal":
      [ServiceNotRequested: "DEXA Bone Density for Urology Care"] DEXANotOrdered
        with "Order for 12 Months of ADT in 3 Months Before to 9 Months After Start of Measurement Period" OrderTwelveMonthsADT
          such that DEXANotOrdered.authoredOn 3 months or less on or after day of OrderTwelveMonthsADT.authoredOn
            and DEXANotOrdered.reasonRefused in "Patient Declined"
Logic Definition | Library Name: CMS645FHIRBoneDensityPCADTherapy
    define "No Bone Density Scan Performed Due to Patient Refusal":
      [ObservationCancelled: "DEXA Bone Density for Urology Care"] DEXANotPerformed
        with "Order for 12 Months of ADT in 3 Months Before to 9 Months After Start of Measurement Period" OrderTwelveMonthsADT
          such that DEXANotPerformed.issued 3 months or less on or after day of OrderTwelveMonthsADT.authoredOn
            and DEXANotPerformed.notDoneReason in "Patient Declined"
Logic Definition | Library Name: CMS645FHIRBoneDensityPCADTherapy
    define "Denominator Exception":
      exists ( "No Bone Density Scan Ordered Due to Patient Refusal" )
        or exists ( "No Bone Density Scan Performed Due to Patient Refusal" )
Logic Definition | Library Name: CMS645FHIRBoneDensityPCADTherapy
    define "Has Qualifying Encounter":
      exists ( ["Encounter": "Office Visit"] OfficeVisit
          where OfficeVisit.period during day of "Measurement Period"
            and OfficeVisit.status = 'finished'
      )
Logic Definition | Library Name: CMS645FHIRBoneDensityPCADTherapy
    define "Initial Population":
      "Has Qualifying Encounter"
        and exists "Order for 12 Months of ADT in 3 Months Before to 9 Months After Start of Measurement Period"
Logic Definition | Library Name: CMS645FHIRBoneDensityPCADTherapy
    define "Denominator":
      "Initial Population"
Logic Definition | Library Name: CMS645FHIRBoneDensityPCADTherapy
    define "SDE Payer":
      SDE."SDE Payer"
Logic Definition | Library Name: CMS645FHIRBoneDensityPCADTherapy
    define "SDE Ethnicity":
      SDE."SDE Ethnicity"
Logic Definition | Library Name: CMS645FHIRBoneDensityPCADTherapy
    define "SDE Race":
      SDE."SDE Race"
Logic Definition | Library Name: FHIRHelpers
    define function ToString(value uri): value.value
Logic Definition | Library Name: FHIRHelpers
    /*
    @description: Converts the given [Period](https://hl7.org/fhir/datatypes.html#Period)
    value to a CQL DateTime Interval
    @comment: If the start value of the given period is unspecified, the starting
    boundary of the resulting interval will be open (meaning the start of the interval
    is unknown, as opposed to interpreted as the beginning of time).
    */
    define function ToInterval(period FHIR.Period):
        if period is null then
            null
        else
            if period."start" is null then
                Interval(period."start".value, period."end".value]
            else
                Interval[period."start".value, period."end".value]
Logic Definition | Library Name: FHIRHelpers
    /*
    @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
            }
Terminology
Code System | Description: Code system SNOMEDCT Resource: http://snomed.info/sct Canonical URL: `http://snomed.info/sct`
Value Set | Description: Value set DEXA Bone Density for Urology Care Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1248.359 Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1248.359`
Value Set | Description: Value set Androgen Deprivation Therapy for Urology Care Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1248.352 Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1248.352`
Value Set | Description: Value set Prostate Cancer Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.319 Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.319`
Value Set | Description: Value set Patient Declined Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1582 Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1582`
Value Set | Description: Value set Office Visit Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001 Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001`
Value Set | Description: Value set Payer Type Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591 Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591`
Direct Reference Code | Display: Male (finding) Code: 248153007 System: `http://snomed.info/sct`
Direct Reference Code | Display: Female (finding) Code: 248152002 System: `http://snomed.info/sct`
Direct Reference Code | Display: Injection of leuprolide acetate for twelve month period (regime/therapy) Code: 456381000124102 System: `http://snomed.info/sct`
Dependencies
Dependency | Description: QICore model information Resource: http://hl7.org/fhir/Library/QICore-ModelInfo Canonical URL: `http://hl7.org/fhir/Library/QICore-ModelInfo`
Dependency | Description: Library SDE Resource: https://madie.cms.gov/Library/SupplementalDataElements|5.1.000 Canonical URL: `https://madie.cms.gov/Library/SupplementalDataElements|5.1.000`
Dependency | Description: Library FHIRHelpers Resource: https://madie.cms.gov/Library/FHIRHelpers|4.4.000 Canonical URL: `https://madie.cms.gov/Library/FHIRHelpers|4.4.000`
Dependency | Description: Library QICoreCommon Resource: https://madie.cms.gov/Library/QICoreCommon|4.0.000 Canonical URL: `https://madie.cms.gov/Library/QICoreCommon|4.0.000`
Data Requirements
Data Requirement | Type: Patient Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient Must Support Elements: extension, url
Data Requirement | Type: MedicationRequest Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationrequest Must Support Elements: medication, dosageInstruction, status, status.value, intent, intent.value, authoredOn, authoredOn.value Code Filter(s): Path: medication ValueSet: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1248.352
Data Requirement | Type: MedicationRequest Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationrequest Must Support Elements: medication.reference.value, dosageInstruction, status, status.value, intent, intent.value, authoredOn, authoredOn.value
Data Requirement | Type: Medication Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medication Must Support Elements: id.value, code
Data Requirement | Type: Condition Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-problems-health-concerns Must Support Elements: code Code Filter(s): Path: code ValueSet: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.319
Data Requirement | Type: Condition Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-encounter-diagnosis Must Support Elements: code Code Filter(s): Path: code ValueSet: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.319
Data Requirement | Type: ServiceRequest Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-servicerequest Must Support Elements: code, authoredOn, authoredOn.value, status, status.value, intent, intent.value Code Filter(s): Path: code Code(s): http://snomed.info/sct#456381000124102: 'Injection of leuprolide acetate for twelve month period (regime/therapy)'
Data Requirement | Type: ServiceRequest Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-servicerequest Must Support Elements: code, authoredOn, authoredOn.value, status, status.value, intent, intent.value Code Filter(s): Path: code ValueSet: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1248.359
Data Requirement | Type: Observation Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation-clinical-result Must Support Elements: code, effective, status, status.value Code Filter(s): Path: code ValueSet: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1248.359
Data Requirement | Type: ServiceRequest Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-servicenotrequested Must Support Elements: code, authoredOn, authoredOn.value, extension Code Filter(s): Path: code ValueSet: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1248.359
Data Requirement | Type: Observation Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observationcancelled Must Support Elements: code, issued, issued.value, extension Code Filter(s): Path: code ValueSet: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1248.359
Data Requirement | Type: Encounter Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter Must Support Elements: type, period, status, status.value Code Filter(s): Path: type ValueSet: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001
Data Requirement | Type: Coverage Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-coverage Must Support Elements: type, period Code Filter(s): Path: type ValueSet: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591
Generated using version 0.4.8 of the sample-content-ig Liquid templates