Metadata
Title | Urinary Symptom Score Change 6-12 Months After Diagnosis of Benign Prostatic HyperplasiaFHIR
Version | 1.0.000
Short Name | CMS771FHIR
GUID (Version Independent) | urn:uuid:0748d873-8e20-441e-9bbf-c1eefe3ea054
GUID (Version Specific) | urn:uuid:1765122b-5409-43cb-9449-3d1a62a8ea78
CMS Identifier | 771FHIR
Effective Period | 2026-01-01 through 2026-12-31
Steward (Publisher) | Large Urology Group Practice Association (LUGPA)
Developer | Large Urology Group Practice Association (LUGPA)
Description | Percentage of patients with an office visit within the measurement period and with a new diagnosis of clinically significant Benign Prostatic Hyperplasia who have International Prostate Symptoms Score (IPSS) or American Urological Association (AUA) Symptom Index (SI) documented at time of diagnosis and again 6-12 months later with an improvement of 3 points
Copyright | Limited proprietary coding is contained in the measure specifications for user convenience. Users of the proprietary code sets should obtain all necessary licenses from the owners of these code sets. Large Urology Group Practice Association (LUGPA) and Oregon Urology Institute (OUI) disclaim all liability for the use or accuracy of any 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 MEASURE 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 | Benign prostatic hyperplasia (BPH) is one of the most common conditions affecting older males, with a prevalence of 50% by age 60 years and 90% by the ninth decade of life (Medina et al., 1999). The enlarged gland had been proposed to contribute to the overall lower urinary tract symptoms (LUTS) complex (McVary et al., 2014). Although LUTS secondary to BPH is not often a life-threatening condition, the impact of LUTS/BPH on quality of life can be significant (Wei et al., 2005). The American Urological Association Symptom Index (AUA-SI) and the International Prostate Symptom Score (IPSS) were developed to measure outcomes in studies of different treatments for BPH (Wuerstle et al., 2011). The IPSS uses the same questions as the AUA-SI, but also adds a disease-specific Quality of Life (QOL) score question (O'Leary, 2005). The IPSS was adopted in 1993 by the World Health Organization. It is a reproducible, validated index designed to determine disease severity and response to therapy (D’Silva et al., 2014). It includes 3 storage symptom questions (frequency, nocturia, urgency) and four voiding symptoms (feeling of incomplete emptying, intermittency, straining, and a weak stream) as well as a Bother question: If you were to spend the rest of your life with your urinary condition just the way it is now, how would you feel about that? A three-point improvement in the score is considered meaningful (McVary et al., 2014).
Clinical Recommendation Statement | The symptoms of BPH are lower urinary tract symptoms (LUTS). There are other disorders with similar symptoms that need to be excluded. History, physical examination, and testing are required prior to a diagnosis of BPH. IPSS by itself is not a reliable diagnostic tool for LUTS suggestive of BPH but serves as a quantitative measure of LUTS after the diagnosis is established (D’Silva et al., 2014). Medical and surgical interventions for BPH recommend a follow up IPSS evaluation to determine effectiveness of treatment. IPSS should be evaluated at the time of diagnosis and after definitive treatment.
Citation | D'Silva, K. A., Dahm, P., & Wong, C. L. (2014). Does this man with lower urinary tract symptoms have bladder outlet obstruction? The Rational Clinical Examination: A systematic review. Journal of the American Medical Association, 312(5), 535-542. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/25096693
Citation | McVary, K. T., Roehrborn, C. G., Avins, A. L., et al. (2014). Management of benign prostatic hyperplasia. Retrieved from https://pubmed.ncbi.nlm.nih.gov/21420124/
Citation | Medina, J. J., Parra, R. O., & Moore, R. G. (1999). Benign prostatic hyperplasia (the aging prostate). Medical Clinics of North America, 83(5), 1213-1229. Retrieved from http://www.sciencedirect.com/science/article/pii/S0025712505701590
Citation | O'Leary, M. P. (2005). Validity of the Bother Score in the evaluation and treatment of symptomatic benign prostatic hyperplasia. Reviews in Urology, 7(1), 1-10. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1477553/
Citation | Wei, J., Calhoun, E., & Jacobsen, S. (2005). Urologic diseases in America project: Benign prostatic hyperplasia. Journal of Urology, 173(4), 1256-1261. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/15758764
Citation | Wuerstle, M. C., Van Den Eeden, S. K., Poon, K. T., et al. (2011). Contribution of common medications to lower urinary tract symptoms in men. Archives of Internal Medicine, 171(18), 1680-1682. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/21987200
Definition | Clinically Significant Benign Prostatic Hyperplasia (BPH) : BPH with lower urinary tract symptoms (LUTS)
Guidance (Usage) | The IPSS is inclusive of the symptom index score and the Quality of Life (QOL) score. The AUA-SI is the symptom index score alone and must be added to the QOL score. The AUA-SI with the QOL equals the IPSS. Both of these are the urinary symptom score. The patient must have a urinary symptom score (USS) within 1 month after initial diagnosis. If more than one USS in the initial one month, then the first USS counts. The patient must have a USS again at 6-12 months after the initial diagnosis and if more than one USS in this time frame, then the last USS counts. The result of the test is a numeric value that relates to a continuous numeric scale. Reported either as an integer, a ratio, a real number, or a range. The test result value may optionally contain a relational operator from the set {<=, <, >, >=}. Valid values for a quantitative test are of the form “7”, “-7”, “7.4”, “-7.4”, “7.8912”, “0.125”, “<10”, “<10.15”, “>12000”, 1-10, 1:256. Hospitalization within 30 days of Initial BPH Diagnosis refers to a 30-day period between the end of the hospitalization and the clinical office setting BPH diagnosis. This is due to aggravating factors from hospitalization, such as bed rest, medications, surgery, and altered body functions. Symptoms of BPH include urinary frequency, urinary urgency, difficulty starting urination, weak urine stream, dribbling at the end of urination, incomplete bladder emptying. This eCQM is a patient-based measure. Telehealth encounters are not eligible for this measure because the measure requires a clinical action that cannot be conducted via telehealth. This FHIR-based measure has been derived from the QDM-based measure CMS771v7. 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#outcome: 'Outcome']
Rate Aggregation | None
Improvement Notation | [http://terminology.hl7.org/CodeSystem/measure-improvement-notation#increase: 'Increased score indicates improvement']
Initial Population | ID: InitialPopulation_1 Description: Male patients with an initial diagnosis of benign prostatic hyperplasia 6 months prior to the measurement period who had a qualifying visit during the measurement period Logic Definition: Initial Population
Denominator | ID: Denominator_1 Description: Patients in the Initial Population with a urinary symptom score assessment within 1 month of initial diagnosis and a follow-up urinary symptom score assessment within 6-12 months Logic Definition: Denominator
Denominator Exclusion | ID: DenominatorExclusion_1 Description: Patients with urinary retention that starts within 1 year of initial BPH diagnosis. Patients with an initial BPH diagnosis that starts during, or within 30 days after end of hospitalization. Patients with a diagnosis of morbid obesity, or with a BMI Exam >=40 before the follow up urinary symptom score. Logic Definition: Denominator Exclusions
Numerator | ID: Numerator_1 Description: Patients with a documented improvement of at least 3 points in their urinary symptom score during the measurement period Logic Definition: Numerator
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/CMS771FHIRUrinarySymptomScoreBPH
Contents | Population Criteria Logic Definitions Terminology Dependencies Data Requirements
Population Criteria
Measure Group (Rate) (ID: Group_1)
Initial Population
    define "Initial Population":
      ( "Patient is Male" )
        and "Has Qualifying Encounter"
        and "Has Qualifying BPH Diagnosis"
Denominator
    define "Denominator":
      "Initial Population"
        and "Urinary Symptom Score Within 1 Month After Initial BPH Diagnosis" is not null
        and "Urinary Symptom Score 6 to 12 Months After Initial BPH Diagnosis" is not null
Denominator Exclusion
    define "Denominator Exclusions":
      exists ( "Urinary Retention Diagnosis Starts Within 1 Year After Initial BPH Diagnosis" )
        or ( "Has Initial BPH Diagnosis Starts During or Within 30 Days After End of Hospitalization" is not null )
        or ( "Morbid Obesity Diagnosis or BMI Exam Result Greater Than or Equal to 40 Starts On or Before Follow Up USS Assessment" )
Numerator
    define "Numerator":
      "Urinary Symptom Score Improvement Greater Than or Equal To 3"
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: CMS771FHIRUrinarySymptomScoreBPH
    define "SDE Sex":
      SDE."SDE Sex"
Logic Definition | Library Name: CMS771FHIRUrinarySymptomScoreBPH
    define "Documented IPSS Assessment Result":
      [ObservationScreeningAssessment: "International Prostate Symptom Score [IPSS]"] IPSSAssessment
        where IPSSAssessment.status in { 'final', 'amended', 'corrected' }
          and IPSSAssessment.value is not null
        return {
          effectiveDatetime: IPSSAssessment.effective.earliest ( ),
          valueInteger: IPSSAssessment.value as Integer
        }
Logic Definition | Library Name: CMS771FHIRUrinarySymptomScoreBPH
    define "AUA Symptom Index and Quality of Life Assessment Result":
      [ObservationScreeningAssessment: "American Urological Association Symptom Index [AUASI]"] AUASIAssessment
        let LastQOLOnDate: Last([ObservationScreeningAssessment: "If you were to spend the rest of your life with your urinary condition just the way it is now, how would you feel about that [IPSS]"] QOLAssessment
            where QOLAssessment.effective.earliest() same day as AUASIAssessment.effective.earliest()
              and QOLAssessment.status in { 'final', 'amended', 'corrected' }
              and QOLAssessment.value is not null
            sort by effective.earliest()
        )
        where AUASIAssessment.status in { 'final', 'amended', 'corrected' }
          and AUASIAssessment.value is not null
        return {
          effectiveDatetime: AUASIAssessment.effective.earliest ( ),
          valueInteger: ( AUASIAssessment.value as Integer ) + ( LastQOLOnDate.value as Integer )
        }
Logic Definition | Library Name: CMS771FHIRUrinarySymptomScoreBPH
    define "Urinary Symptom Score Assessment":
      "Documented IPSS Assessment Result"
        union "AUA Symptom Index and Quality of Life Assessment Result"
Logic Definition | Library Name: CMS771FHIRUrinarySymptomScoreBPH
    define "Initial BPH Diagnosis Starts Within 6 Months Before the Measurement Period":
      First(([ConditionProblemsHealthConcerns: "Benign prostatic hyperplasia with lower urinary tract symptoms"]
          union [ConditionEncounterDiagnosis: "Benign prostatic hyperplasia with lower urinary tract symptoms"]) NewBPHDiagnosis
          where NewBPHDiagnosis.prevalenceInterval() starts during Interval[start of "Measurement Period" - 6 months, start of "Measurement Period"]
            and NewBPHDiagnosis.verificationStatusIsNotInvalid()
          sort by start of onset.toInterval()
      )
Logic Definition | Library Name: CMS771FHIRUrinarySymptomScoreBPH
    define "Urinary Symptom Score Within 1 Month After Initial BPH Diagnosis":
      First("Urinary Symptom Score Assessment" USSAssessment
          with "Initial BPH Diagnosis Starts Within 6 Months Before the Measurement Period" InitialBPHDiagnosis
            such that USSAssessment.effectiveDatetime 1 month or less on or after day of start of InitialBPHDiagnosis.prevalenceInterval()
          sort by effectiveDatetime
      )
Logic Definition | Library Name: CMS771FHIRUrinarySymptomScoreBPH
    define "Urinary Symptom Score 6 to 12 Months After Initial BPH Diagnosis":
      Last("Urinary Symptom Score Assessment" USSAssessment
          with "Initial BPH Diagnosis Starts Within 6 Months Before the Measurement Period" InitialBPHDiagnosis
            such that difference in months between start of InitialBPHDiagnosis.prevalenceInterval() and USSAssessment.effectiveDatetime in Interval[6, 12]
          sort by effectiveDatetime
      )
Logic Definition | Library Name: CMS771FHIRUrinarySymptomScoreBPH
    define "Urinary Symptom Score Change":
      from
        "Urinary Symptom Score Within 1 Month After Initial BPH Diagnosis" FirstUSSAssessment,
        "Urinary Symptom Score 6 to 12 Months After Initial BPH Diagnosis" FollowUpUSSAssessment
        let USSChange: ( FirstUSSAssessment.valueInteger ) - ( FollowUpUSSAssessment.valueInteger )
        return USSChange
Logic Definition | Library Name: CMS771FHIRUrinarySymptomScoreBPH
    define "Urinary Symptom Score Improvement Greater Than or Equal To 3":
      ( "Urinary Symptom Score Change" USSImprovement
          where USSImprovement >= 3
      ) is not null
Logic Definition | Library Name: CMS771FHIRUrinarySymptomScoreBPH
    define "Numerator":
      "Urinary Symptom Score Improvement Greater Than or Equal To 3"
Logic Definition | Library Name: CMS771FHIRUrinarySymptomScoreBPH
    define "Patient is Male":
      SDE."SDE Sex" ~ SDE."Male (finding)"
Logic Definition | Library Name: CMS771FHIRUrinarySymptomScoreBPH
    define "Has Qualifying Encounter":
      exists ( [Encounter: "Office Visit"] ValidEncounter
          where ValidEncounter.period during day of "Measurement Period"
            and ValidEncounter.class !~ "virtual"
            and ValidEncounter.status = 'finished'
      )
Logic Definition | Library Name: CMS771FHIRUrinarySymptomScoreBPH
    define "Has Qualifying BPH Diagnosis":
      "Initial BPH Diagnosis Starts Within 6 Months Before the Measurement Period" is not null
Logic Definition | Library Name: CMS771FHIRUrinarySymptomScoreBPH
    define "Initial Population":
      ( "Patient is Male" )
        and "Has Qualifying Encounter"
        and "Has Qualifying BPH Diagnosis"
Logic Definition | Library Name: CMS771FHIRUrinarySymptomScoreBPH
    define "Denominator":
      "Initial Population"
        and "Urinary Symptom Score Within 1 Month After Initial BPH Diagnosis" is not null
        and "Urinary Symptom Score 6 to 12 Months After Initial BPH Diagnosis" is not null
Logic Definition | Library Name: CMS771FHIRUrinarySymptomScoreBPH
    define "SDE Payer":
      SDE."SDE Payer"
Logic Definition | Library Name: CMS771FHIRUrinarySymptomScoreBPH
    define "SDE Ethnicity":
      SDE."SDE Ethnicity"
Logic Definition | Library Name: CMS771FHIRUrinarySymptomScoreBPH
    define "Urinary Retention Diagnosis Starts Within 1 Year After Initial BPH Diagnosis":
      ( [ConditionProblemsHealthConcerns: "Urinary Retention"]
        union [ConditionEncounterDiagnosis: "Urinary Retention"] ) UrinaryRetention
        with "Initial BPH Diagnosis Starts Within 6 Months Before the Measurement Period" InitialBPHDiagnosis
          such that UrinaryRetention.prevalenceInterval ( ) starts 1 year or less on or after day of start of InitialBPHDiagnosis.prevalenceInterval ( )
        where UrinaryRetention.verificationStatusIsNotInvalid ( )
Logic Definition | Library Name: CMS771FHIRUrinarySymptomScoreBPH
    define "Has Initial BPH Diagnosis Starts During or Within 30 Days After End of Hospitalization":
      "Initial BPH Diagnosis Starts Within 6 Months Before the Measurement Period" InitialBPHDiagnosis
        with [Encounter: "Hospital Services for Urology Care"] UrologyHospitalServices
          such that InitialBPHDiagnosis.prevalenceInterval ( ) starts during Interval[start of UrologyHospitalServices.period, end of UrologyHospitalServices.period + 31 days]
            and UrologyHospitalServices.status = 'finished'
Logic Definition | Library Name: CMS771FHIRUrinarySymptomScoreBPH
    define "Morbid Obesity Diagnosis On or Before Follow Up USS Assessment":
      ( [ConditionProblemsHealthConcerns: "Morbid Obesity"]
        union [ConditionEncounterDiagnosis: "Morbid Obesity"] ) MorbidObesityDiagnosis
        with "Urinary Symptom Score 6 to 12 Months After Initial BPH Diagnosis" FollowUpUSSAssessment
          such that MorbidObesityDiagnosis.prevalenceInterval ( ) overlaps "Measurement Period"
            and MorbidObesityDiagnosis.prevalenceInterval ( ) starts on or before FollowUpUSSAssessment.effectiveDatetime
        where MorbidObesityDiagnosis.verificationStatusIsNotInvalid ( )
Logic Definition | Library Name: CMS771FHIRUrinarySymptomScoreBPH
    /*
    * @code: Body mass index (BMI) [Ratio] - 39156-5
    * @profile: http://hl7.org/fhir/StructureDefinition/bmi
    */

    define "BMI Exam Result Greater Than or Equal To 40 During Measurement Period and On or Before Follow Up USS Assessment":
      exists ( ["USCoreBMIProfile"] BMIExam
          with "Urinary Symptom Score 6 to 12 Months After Initial BPH Diagnosis" FollowUpUSSAssessment
            such that BMIExam.value >= 40 'kg/m2'
              and BMIExam.status in { 'final', 'amended', 'corrected' }
              and BMIExam.effective.earliest ( ) during day of "Measurement Period"
              and BMIExam.effective.earliest ( ) on or before FollowUpUSSAssessment.effectiveDatetime
          return BMIExam.effective.earliest ( )
      )
Logic Definition | Library Name: CMS771FHIRUrinarySymptomScoreBPH
    define "Morbid Obesity Diagnosis or BMI Exam Result Greater Than or Equal to 40 Starts On or Before Follow Up USS Assessment":
      exists "Morbid Obesity Diagnosis On or Before Follow Up USS Assessment"
        or "BMI Exam Result Greater Than or Equal To 40 During Measurement Period and On or Before Follow Up USS Assessment"
Logic Definition | Library Name: CMS771FHIRUrinarySymptomScoreBPH
    define "Denominator Exclusions":
      exists ( "Urinary Retention Diagnosis Starts Within 1 Year After Initial BPH Diagnosis" )
        or ( "Has Initial BPH Diagnosis Starts During or Within 30 Days After End of Hospitalization" is not null )
        or ( "Morbid Obesity Diagnosis or BMI Exam Result Greater Than or Equal to 40 Starts On or Before Follow Up USS Assessment" )
Logic Definition | Library Name: CMS771FHIRUrinarySymptomScoreBPH
    define "SDE Race":
      SDE."SDE Race"
Logic Definition | Library Name: QICoreCommon
    /*
    @description: Given an interval, return the starting point if the interval has a starting boundary specified,
    otherwise, return the ending point
    */
    define fluent function earliest(choice Choice<DateTime, Quantity, Interval<DateTime>, Interval<Quantity>> ):
      (choice.toInterval()) period
        return
          if (period."hasStart"()) then start of period
          else end of period
Logic Definition | Library Name: QICoreCommon
    /*
    @description: Given an interval, return true if the interval has a starting boundary specified
    (i.e. the start of the interval is not null and not the minimum DateTime value)
    */
    define fluent function hasStart(period Interval<DateTime> ):
      not ( start of period is null
          or start of period = minimum DateTime
      )
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`
Code System | Description: Code system LOINC Resource: http://loinc.org Canonical URL: `http://loinc.org`
Code System | Description: Code system ICD10CM Resource: http://hl7.org/fhir/sid/icd-10-cm Canonical URL: `http://hl7.org/fhir/sid/icd-10-cm`
Code System | Description: Code system ActCode Resource: http://terminology.hl7.org/CodeSystem/v3-ActCode Canonical URL: `http://terminology.hl7.org/CodeSystem/v3-ActCode`
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`
Value Set | Description: Value set Urinary Retention Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1248.372 Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1248.372`
Value Set | Description: Value set Hospital Services for Urology Care Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1248.360 Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1248.360`
Value Set | Description: Value set Morbid Obesity Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1248.368 Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1248.368`
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: International Prostate Symptom Score [IPSS] Code: 80976-4 System: `http://loinc.org`
Direct Reference Code | Display: American Urological Association Symptom Index [AUASI] Code: 80883-2 System: `http://loinc.org`
Direct Reference Code | Display: If you were to spend the rest of your life with your urinary condition just the way it is now, how would you feel about that [IPSS] Code: 81090-3 System: `http://loinc.org`
Direct Reference Code | Display: Benign prostatic hyperplasia with lower urinary tract symptoms Code: N40.1 System: `http://hl7.org/fhir/sid/icd-10-cm`
Direct Reference Code | Display: virtual Code: VR System: `http://terminology.hl7.org/CodeSystem/v3-ActCode`
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: Observation Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation-screening-assessment Must Support Elements: code, effective, status, status.value, value Code Filter(s): Path: code Code(s): http://loinc.org#80883-2: 'American Urological Association Symptom Index [AUASI]'
Data Requirement | Type: Observation Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation-screening-assessment Must Support Elements: code, effective, status, status.value, value Code Filter(s): Path: code Code(s): http://loinc.org#81090-3: 'If you were to spend the rest of your life with your urinary condition just the way it is now, how would you feel about that [IPSS]'
Data Requirement | Type: Observation Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation-screening-assessment Must Support Elements: code, status, status.value, value, effective Code Filter(s): Path: code Code(s): http://loinc.org#80976-4: 'International Prostate Symptom Score [IPSS]'
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 Code(s): http://hl7.org/fhir/sid/icd-10-cm#N40.1: 'Benign prostatic hyperplasia with lower urinary tract symptoms'
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/2.16.840.1.113762.1.4.1248.372
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/2.16.840.1.113762.1.4.1248.368
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 Code(s): http://hl7.org/fhir/sid/icd-10-cm#N40.1: 'Benign prostatic hyperplasia with lower urinary tract symptoms'
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/2.16.840.1.113762.1.4.1248.372
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/2.16.840.1.113762.1.4.1248.368
Data Requirement | Type: Encounter Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter Must Support Elements: type, period, class, 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: 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/2.16.840.1.113762.1.4.1248.360
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
Data Requirement | Type: Observation Profile(s): http://hl7.org/fhir/us/core/StructureDefinition/us-core-bmi Must Support Elements: value, status, status.value, effective
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