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Bundles for the Connectathon

HL7 CMS/FHIR Connectathon

Resources for use at HL7/CMS FHIR Connectathon, Clinical Reasoning Track.

Select a Docker Container that is appropriate for the verion of FHIR you are working with:

DSTU3/R4

docker pull contentgroup/cqf-ruler
docker run -p 8080:8080 contentgroup/cqf-ruler

R4.0.1

docker pull contentgroup/cqf-ruler:develop
docker run -p 8080:8080 contentgroup/cqf-ruler:develop
  • Sandbox:

http://cqm-sandbox.alphora.com/cqf-ruler-r4/fhir/ The sandbox will be using the contentgroup/cqf-ruler:develop Docker Container which is approprioate for FHIR R4.0.1 work. A sandbox willl not be provided for FHIR3 or FHIR4. Please use the appropriate container to host your own instance.

  • Postman Scripts:

FHIR401

Measure Reporting Scenarios

Note: each FHIR version has been implemented as a separate IG.  Folder structures have changed to match.
Note: the FHIR version (FHIR3, FHIR4) has been removed from the naming convention for R4.0.1.

Discharged on Antithrombotic Therapy - EXM104

FHIR401

  • Measure CQL
  • Master Bundle (includes all the Individual bundles)

Individual bundles:

  • Measure Bundle
  • Terminology Bundle
  • Denominator Test Bundle
    • Denominator Patient ID: denom-EXM104
  • Numerator Test Bundle
    • Numerator Patient ID: numer-EXM104

FHIR4

  • Measure CQL
  • Master Bundle (includes all the Individual bundles)

Individual bundles:

  • Measure Bundle
  • Terminology Bundle
  • Denominator Test Bundle
    • Denominator Patient ID: denom-EXM104-FHIR4
  • Numerator Test Bundle
    • Numerator Patient ID: numer-EXM104-FHIR4

FHIR3

  • Measure CQL
  • Master Bundle (includes all the Individual bundles)

Individual bundles:

  • Measure Bundle
  • Terminology Bundle
  • Denominator Test Bundle
    • Denominator Patient ID: denom-EXM104-FHIR3
  • Numerator Test Bundle
    • Numerator Patient ID: numer-EXM104-FHIR3

Discharged on Statin Medication - EXM105

FHIR401

  • Measure CQL
  • Master Bundle (includes all the Individual bundles)

Individual bundles:

  • Measure Bundle
  • Terminology Bundle
  • Denominator Test Bundle
    • Denominator Patient ID: denom-EXM105
  • Numerator Test Bundle
    • Numerator Patient ID: numer-EXM105

FHIR4

  • Measure CQL
  • Master Bundle (includes all the Individual bundles)

Individual bundles:

  • Measure Bundle
  • Terminology Bundle
  • Denominator Test Bundle
    • Denominator Patient ID: denom-EXM105-FHIR4
  • Numerator Test Bundle
    • Numerator Patient ID: numer-EXM105-FHIR4

FHIR3

  • Measure CQL
  • Master Bundle (includes all the Individual bundles)

Individual bundles:

  • Measure Bundle
  • Terminology Bundle
  • Denominator Test Bundle
    • Denominator Patient ID: denom-EXM105-FHIR3
  • Numerator Test Bundle
    • Numerator Patient ID: numer-EXM105-FHIR3

Venous Thromboembolism Prophylaxis - EXM108

FHIR401

  • Measure CQL
  • Master Bundle (includes all the Individual bundles)

Individual bundles:

  • Measure Bundle
  • Terminology Bundle
  • Denominator Test Bundle
    • Denominator Patient ID: denom-EXM108
  • Numerator Test Bundle
    • Numerator Patient ID: numer-EXM108

FHIR4

  • Measure CQL
  • Master Bundle (includes all the Individual bundles)

Individual bundles:

  • Measure Bundle
  • Terminology Bundle
  • Denominator Test Bundle
    • Denominator Patient ID: denom-EXM108-FHIR4
  • Numerator Test Bundle
    • Numerator Patient ID: numer-EXM108-FHIR4

FHIR3

  • Measure CQL
  • Master Bundle (includes all the Individual bundles)

Individual bundles:

  • Measure Bundle
  • Terminology Bundle
  • Denominator Test Bundle
    • Denominator Patient ID: denom-EXM108-FHIR3
  • Numerator Test Bundle
    • Numerator Patient ID: numer-EXM108-FHIR3

Median Admit Decision Time to ED Departure Time for Admitted Patients - EXM111

FHIR401

  • Measure CQL
  • Master Bundle

Individual bundles:

  • Measure Bundle
  • Terminology Bundle
  • Stratification 1 Test Bundle
    • Stratification 1 Patient ID: measure-strat1-EXM111
  • Stratification 1 Exclusion Test Bundle
    • Stratification 1 Exclusion Patient ID: measure-strat1-excl-EXM111
  • Stratification 2 Test Bundle
    • Stratification 2 Patient ID: measure-strat2-EXM111
  • Stratification 2 Exclusion Test Bundle
    • Stratification 2 Exclusion Patient ID: measure-strat2-excl-EXM111

Cervical Cancer Screening - EXM124

FHIR401

  • Measure CQL
  • Master Bundle (includes all the Individual bundles)

Individual bundles:

  • Measure Bundle
  • Terminology Bundle
  • Denominator Test Bundle
    • Denominator Patient ID: denom-EXM124-FHI4
  • Numerator Test Bundle
    • Numerator Patient ID: numer-EXM124

FHIR4

  • Measure CQL
  • Master Bundle (includes all the Individual bundles)

Individual bundles:

  • Measure Bundle
  • Terminology Bundle
  • Denominator Test Bundle
    • Denominator Patient ID: denom-EXM124-FHI4
  • Numerator Test Bundle
    • Numerator Patient ID: numer-EXM124-FHIR4

FHIR3

  • Measure CQL
  • Master Bundle (includes all the Individual bundles)

Individual bundles:

  • Measure Bundle
  • Terminology Bundle
  • Denominator Test Bundle
    • Denominator Patient ID: denom-EXM124-FHIR3
  • Numerator Test Bundle
    • Numerator Patient ID: numer-EXM124-FHIR3

Breast Cancer Screening - EXM125

FHIR401

  • Measure CQL
  • Master Bundle (includes all the Individual bundles)

Individual bundles:

  • Measure Bundle
  • Terminology Bundle
  • Denominator Test Bundle
    • Denominator Patient ID: denom-EXM125
  • Numerator Test Bundle
    • Numerator Patient ID: numer-EXM125

FHIR4

  • Measure CQL
  • Master Bundle (includes all the Individual bundles)

Individual bundles:

  • Measure Bundle
  • Terminology Bundle
  • Denominator Test Bundle
    • Denominator Patient ID: denom-EXM125-FHIR4
  • Numerator Test Bundle
    • Numerator Patient ID: numer-EXM125-FHIR4

FHIR3

  • Measure CQL
  • Master Bundle (includes all the Individual bundles)

Individual bundles:

  • Measure Bundle
  • Terminology Bundle
  • Denominator Test Bundle
    • Denominator Patient ID: denom-EXM125-FHIR3
  • Numerator Test Bundle
    • Numerator Patient ID: numer-EXM125-FHIR3

Colorectal Cancer Screening - EXM130

FHIR401

  • Measure CQL
  • Master Bundle (includes all the Individual bundles)

Individual bundles:

  • Measure Bundle
  • Terminology Bundle
  • Denominator Test Bundle
    • Denominator Patient ID: denom-EXM130
  • Numerator Test Bundle
    • Numerator Patient ID: numer-EXM130

FHIR4

  • Measure CQL
  • Master Bundle (includes all the Individual bundles)

Individual bundles:

  • Measure Bundle
  • Terminology Bundle
  • Denominator Test Bundle
    • Denominator Patient ID: denom-EXM130-FHIR4
  • Numerator Test Bundle
    • Numerator Patient ID: numer-EXM130-FHIR4

FHIR3

  • Measure CQL
  • Master Bundle (includes all the Individual bundles)

Individual bundles:

  • Measure Bundle
  • Terminology Bundle
  • Denominator Test Bundle
    • Denominator Patient ID: denom-EXM130-FHIR3
  • Numerator Test Bundle
    • Numerator Patient ID: numer-EXM130-FHIR3

Dementia: Cognitive Assessment - EXM149

FHIR401

  • Measure CQL
  • Master Bundle

Individual bundles:

  • Measure Bundle
  • Terminology Bundle
  • Denominator Test Bundle
    • Denominator Patient ID: denom-EXM149
  • Numerator Test Bundle
    • Numerator Patient ID: numer-EXM149
  • Denominator Exclusion Test Bundle
    • Denominator Exclusion Patient ID: denex-EXM149

Chlamydia Screening for Women - EXM153

FHIR401

  • Measure CQL
  • Master Bundle

Individual bundles:

  • Measure Bundle
  • Terminology Bundle
  • Denominator Test Bundle
    • Denominator Patient ID: denom-EXM153
  • Numerator Stratification 1 Test Bundle
    • Numerator Stratification 1 Patient ID: numer-strat1-EXM153
  • Numerator Stratification 2 Test Bundle
    • Numerator Stratification 2 Patient ID: numer-strat2-EXM153
  • Denominator Exclusion Test Bundle
    • Denominator Exclusion Patient ID: denomexcl-EXM153

Controlling Blood Pressure - EXM165

FHIR4

  • Measure CQL
  • Master Bundle (includes all the Individual bundles)

Individual bundles:

  • Measure Bundle
  • Terminology Bundle
  • Denominator Test Bundle
    • Denominator Patient ID: denom-EXM165-FHIR4
  • Numerator Test Bundle
    • Numerator Patient ID: numer-EXM165-FHIR4

FHIR3

  • Measure CQL
  • Master Bundle (includes all the Individual bundles)

Individual bundles:

  • Measure Bundle
  • Terminology Bundle
  • Denominator Test Bundle
    • Denominator Patient ID: denom-EXM165-FHIR3
  • Numerator Test Bundle
    • Numerator Patient ID: numer-EXM165-FHIR3

HIV Screening - EXM349

FHIR401

  • Measure CQL
  • Master Bundle (includes all the Individual bundles)

Individual bundles:

  • Measure Bundle
  • Terminology Bundle
  • Denominator Test Bundle
    • Denominator Patient ID: denom-EXM349
  • Numerator Test Bundle
    • Numerator Patient ID: numer-EXM349

FHIR4

  • Measure CQL
  • Master Bundle (includes all the Individual bundles)

Individual bundles:

  • Measure Bundle
  • Terminology Bundle
  • Denominator Test Bundle
    • Denominator Patient ID: denom-EXM349-FHIR4
  • Numerator Test Bundle
    • Numerator Patient ID: numer-EXM349-FHIR4

FHIR3

  • Measure CQL
  • Master Bundle (includes all the Individual bundles)

Individual bundles:

  • Measure Bundle
  • Terminology Bundle
  • Denominator Test Bundle
    • Denominator Patient ID: denom-EXM349-FHIR3
  • Numerator Test Bundle
    • Numerator Patient ID: numer-EXM349-FHIR3

Safe Use of Opioids - Concurrent Prescribing - EXM506

FHIR401

  • Measure CQL
  • Master Bundle (includes all the Individual bundles)

Individual bundles:

  • Measure Bundle
  • Terminology Bundle
  • Denominator Test Bundle
    • Denominator Patient ID: denom-EXM506
  • Numerator Test Bundle
    • Numerator Patient ID: numer-EXM506

FHIR4

  • Measure CQL
  • Master Bundle (includes all the Individual bundles)

Individual bundles:

  • Measure Bundle
  • Terminology Bundle
  • Denominator Test Bundle
    • Denominator Patient ID: denom-EXM506-FHIR4
  • Numerator Test Bundle
    • Numerator Patient ID: numer-EXM506-FHIR4

FHIR3

  • Measure CQL
  • Master Bundle (includes all the Individual bundles)

Individual bundles:

  • Measure Bundle
  • Terminology Bundle
  • Denominator Test Bundle
    • Denominator Patient ID: denom-EXM506-FHIR3
  • Numerator Test Bundle
    • Numerator Patient ID: numer-EXM506-FHIR3

Hospital Core Clinical Data Element - EXM529

FHIR401

  • Measure CQL
  • Master Bundle (includes all the Individual bundles)

Individual bundles:

  • Measure Bundle
  • Terminology Bundle
  • Initial Population Test Bundle
    • Initial Population Patient ID: ip-EXM529

Bulk Data Example

curl -X POST \
'http://3.90.39.179:5000/$import' \
-H 'Accept: application/fhir+json' \
-H 'Content-Type: application/json' \
-H 'Prefer: respond-async' \
-H 'Accept-Encoding: gzip, deflate' \
-H 'Cache-Control: no-cache' \
-H 'Connection: keep-alive' \
-d '{
"inputFormat": "application/fhir+ndjson",
"inputSource": "https://sample.s3.amazonaws.com/",
"storageDetail":
{
"type": "https"
},
"input": [
{
"type": "Patient",
"url": "https://sample.s3.amazonaws.com/Patient.ndjson"
}
]
}'

Example POST for a bulk data import pass-through. The expectation is that the passthrough proxy will post each line in the input file as a POST to the base if the resource type is Bundle, and as a POST to the resource type endpoint if the resource is any other type.

Maintenance Conventions

  • IDs
    • Context ID (Patient ID): [test name]-[id]-[1]
      • ex: Denom-98ce13ee-450b-43ca-9fbe-08b05999532b-1
    • Child ID: [context id]-[number]
      • ex: Denom-98ce13ee-450b-43ca-9fbe-08b05999532b-2

This repository contains a directory for each supported version of FHIR. Within each FHIR directory, there are directories for CQL source, resources, and tests, according to the following conventions:

  • CQL files
    • File names: [library name]-[library version]
      • ex: EXM124_FHIR3-7.2.000.cql
      • note: this must match the library name and version in the CQL content
  |-- fhir3
      |-- cql
          |-- EXM124_FHIR3-7.2.000.cql
          |-- EXM125_FHIR3-7.2.000.cql
  |-- fhir4
      |-- cql
          |-- EXM124_FHIR4-7.2.000.cql
          |-- EXM125_FHIR4-7.2.000.cql
  • Test files
    • Root name: tests
    • Library test folder names: [cql library name]
      • ex: EXM124_FHIR3
    • CQL test folder names: [context id]
      • ex: denom-EXM124-FHIR3
      • note: this must match the Context ID for the CQL Library (usually the ID of the Patient resource)
    • Resource folder names: [resource name]
      • ex: Encounter
    • Test file names: [id]
      • ex: denom-EXM124-FHIR3.json
      • note: this must match the id of the resource file
    |-- fhir3
        |-- tests
        |   |-- EXM124_FHIR3-7.2.000
        |   |   |-- denom-EXM124-FHIR3
        |   |   |   |-- Patient
        |   |   |   |   |-- denom-EXM124-FHIR3.json
        |   |   |   |-- Encounter
        |   |   |       |-- denom-EXM124-FHIR3-1.json
        |   |   |-- numer-EXM124-FHIR3
        |   |       |-- Patient
        |   |       |   |-- denom-EXM125-FHIR3.json
        |   |       |-- Encounter
        |   |           |-- denom-EXM125-FHIR3-1.json
        |   |-- EXM125_FHIR3-7.2.000
    |-- fhir4
        |-- tests