diff --git a/pages/cql/in-progress/fhir4/AdvancedIllnessandFrailtyExclusion_FHIR4-4.0.000.cql b/pages/cql/in-progress/fhir4/AdvancedIllnessandFrailtyExclusion_FHIR4-4.0.000.cql index da48d42..7301f9b 100644 --- a/pages/cql/in-progress/fhir4/AdvancedIllnessandFrailtyExclusion_FHIR4-4.0.000.cql +++ b/pages/cql/in-progress/fhir4/AdvancedIllnessandFrailtyExclusion_FHIR4-4.0.000.cql @@ -36,12 +36,12 @@ define "Outpatient Encounters with Advanced Illness": union [Encounter: "Observation"] union [Encounter: "ED"] union [Encounter: "Nonacute Inpatient"] ) OutpatientEncounter - with "Advanced Illness Diagnoses" AdvancedIllnessDiagnosis + with [Condition: "Advanced Illness"] AdvancedIllnessDiagnosis such that exists ( - OutpatientEncounter.diagnosis.condition Condition - where EndsWith(Condition.reference, AdvancedIllnessDiagnosis.id) + OutpatientEncounter.diagnosis.condition EncounterDiagnosis + where EndsWith(EncounterDiagnosis.reference, AdvancedIllnessDiagnosis.id) ) - and OutpatientEncounter.period starts 2 years or less before + and OutpatientEncounter.period starts 2 years or less before end of "Measurement Period" define "Long Term Care Periods During Measurement Period": @@ -53,38 +53,35 @@ define "Long Term Care Periods During Measurement Period": define "Inpatient Encounter with Advanced Illness": [Encounter: "Acute Inpatient"] InpatientEncounter - with "Advanced Illness Diagnoses" AdvancedIllnessDiagnosis + with [Condition: "Advanced Illness"] AdvancedIllnessDiagnosis such that exists ( - InpatientEncounter.diagnosis.condition Condition - where EndsWith(Condition.reference, AdvancedIllnessDiagnosis.id) + InpatientEncounter.diagnosis.condition EncounterDiagnosis + where EndsWith(EncounterDiagnosis.reference, AdvancedIllnessDiagnosis.id) ) and InpatientEncounter.period starts 2 years or less before end of "Measurement Period" define "Dementia Medications In Year Before or During Measurement Period": ["MedicationDispense": "Dementia Medications"] DementiaMed - where DementiaMed.whenHandedOver as dateTime during day of Interval[ + where DementiaMed.whenHandedOver during day of Interval[ ( start of "Measurement Period" - 1 year ), end of "Measurement Period" ] define "Has Criteria Indicating Frailty": exists ( [DeviceRequest: "Frailty Device"] FrailtyDeviceOrder - where FrailtyDeviceOrder.authoredOn during day of "Measurement Period" + where FrailtyDeviceOrder.authoredOn during "Measurement Period" ) or exists ( [DeviceUseStatement: "Frailty Device"] FrailtyDeviceUse - where FrailtyDeviceUse.timing as Period overlaps "Measurement Period" - or FrailtyDeviceUse.timing as dateTime during day of "Measurement Period" + where Global."Normalize Interval"(FrailtyDeviceUse.timing) overlaps "Measurement Period" ) or exists ( [Condition: "Frailty Diagnosis"] FrailtyDiagnosis - where FrailtyDiagnosis.onset as Period overlaps "Measurement Period" - or FrailtyDiagnosis.onset as dateTime during day of "Measurement Period" + where Global."Prevalence Period"(FrailtyDiagnosis) overlaps "Measurement Period" ) or exists ( [Encounter: "Frailty Encounter"] FrailtyEncounter where FrailtyEncounter.period overlaps "Measurement Period" ) or exists ( [Observation: "Frailty Symptom"] FrailtySymptomObservation - where FrailtySymptomObservation.effective as Period overlaps "Measurement Period" - or FrailtySymptomObservation.effective as dateTime during day of "Measurement Period" + where Global."Normalize Interval"(FrailtySymptomObservation.effective) overlaps "Measurement Period" ) define "Advanced Illness and Frailty Exclusion Including Over Age 80":