Skip to content

Line 70, 100 "Left Mastectomy" renamed to "Left Mastectomy Diagnosis"… #64

New issue

Have a question about this project? Sign up for a free GitHub account to open an issue and contact its maintainers and the community.

Sign up for GitHub

By clicking “Sign up for GitHub”, you agree to our terms of service and privacy statement. We’ll occasionally send you account related emails.

Already on GitHub? Sign in to your account

Open
dand9959 wants to merge 1 commit into
base: master
Choose a base branch
from
Open

Line 70, 100 "Left Mastectomy" renamed to "Left Mastectomy Diagnosis"… #64

Show file tree
Hide file tree
Changes from all commits
Commits
Show all changes
1 commit
Select commit
File filter

Filter by extension

Filter by extension
Conversations
Failed to load comments.
Loading
Jump to
Jump to file
Failed to load files.
Loading
Diff view
Diff view
127 changes: 127 additions & 0 deletions pages/cql/complete/fhir401/AdvancedIllnessandFrailtyExclusion-5.0.000.cql
View file
Open in desktop
Original file line number Diff line number Diff line change
@@ -0,0 +1,127 @@
library AdvancedIllnessandFrailtyExclusion_FHIR4 version '5.0.000'

/*
@update: @@BTR 2020-03-31 ->
Incremented version to 5.0.000
Updated FHIR version to 4.0.1
@@@
*/

using FHIR version '4.0.1'

include FHIRHelpers version '4.0.1' called FHIRHelpers
include MATGlobalCommonFunctions version '5.0.000' called Global

codesystem "LOINC": 'http://loinc.org'

valueset "Acute Inpatient": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1083'
valueset "Advanced Illness": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1082'
valueset "Care Services in Long-Term Residential Facility": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1014'
valueset "Dementia Medications": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.196.12.1510'
valueset "ED": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1085'
valueset "Frailty Device": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.118.12.1300'
valueset "Frailty Diagnosis": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.113.12.1074'
valueset "Frailty Encounter": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1088'
valueset "Frailty Symptom": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.113.12.1075'
valueset "Nonacute Inpatient": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1084'
valueset "Nursing Facility Visit": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1012'
valueset "Observation": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1086'
valueset "Outpatient": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1087'

code "Birth date": '21112-8' from "LOINC" display 'Birth date'

parameter "Measurement Period" Interval<DateTime>
default Interval[@2019-01-01T00:00:00.0, @2020-01-01T00:00:00.0)

context Patient


define "Advanced Illness and Frailty Exclusion Including Over Age 80":
//If the measure includes populations age 80 and older, then use this logic:
(
Global."CalendarAgeInYearsAt"(FHIRHelpers.ToDate(Patient.birthDate), start of "Measurement Period")in Interval[66, 80]
and "Has Criteria Indicating Frailty"
and ( Count("Outpatient Encounters with Advanced Illness")>= 2
or exists ( "Inpatient Encounter with Advanced Illness" )
or exists "Dementia Medications In Year Before or During Measurement Period"
)
)
or (
Global."CalendarAgeInYearsAt"(FHIRHelpers.ToDate(Patient.birthDate), start of "Measurement Period")>= 81
and "Has Criteria Indicating Frailty"
)

define "Advanced Illness and Frailty Exclusion Including Under Age 80":
//If the measure does NOT include populations age 80 and older, then use this logic:
Global."CalendarAgeInYearsAt"(FHIRHelpers.ToDate(Patient.birthDate), start of "Measurement Period")>= 65
and "Has Criteria Indicating Frailty"
and ( Count("Outpatient Encounters with Advanced Illness")>= 2
or exists ( "Inpatient Encounter with Advanced Illness" )
or exists "Dementia Medications In Year Before or During Measurement Period"
)

define "Outpatient Encounters with Advanced Illness":
( [Encounter: "Outpatient"]
union [Encounter: "Observation"]
union [Encounter: "ED"]
union [Encounter: "Nonacute Inpatient"] ) OutpatientEncounter
with [Condition: "Advanced Illness"] AdvancedIllnessDiagnosis
such that exists (
OutpatientEncounter.diagnosis.condition EncounterDiagnosis
where EndsWith(EncounterDiagnosis.reference, AdvancedIllnessDiagnosis.id)
)
and OutpatientEncounter.period starts 2 years or less on or before
end of "Measurement Period"

define "Inpatient Encounter with Advanced Illness":
[Encounter: "Acute Inpatient"] InpatientEncounter
with [Condition: "Advanced Illness"] AdvancedIllnessDiagnosis
such that exists (
InpatientEncounter.diagnosis.condition EncounterDiagnosis
where EndsWith(EncounterDiagnosis.reference, AdvancedIllnessDiagnosis.id)
)
and InpatientEncounter.period starts 2 years or less on or before
end of "Measurement Period"
// start here
define "Dementia Medications In Year Before or During Measurement Period":
["MedicationDispense": "Dementia Medications"] DementiaMed
where DementiaMed.whenHandedOver during Interval[
( start of "Measurement Period" - 1 year ), end of "Measurement Period"
]

define "Has Criteria Indicating Frailty":
//Ask Bryn about devices
exists ( [DeviceRequest: "Frailty Device"] FrailtyDeviceOrder
where FrailtyDeviceOrder.authoredOn during "Measurement Period"
)
or exists ( [DeviceUseStatement: "Frailty Device"] FrailtyDeviceUse
where Global."Normalize Interval"(FrailtyDeviceUse.timing) overlaps "Measurement Period"
)
or exists ( [Condition: "Frailty Diagnosis"] FrailtyDiagnosis
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 Global."Normalize Interval"(FrailtySymptomObservation.effective) overlaps "Measurement Period"
)


define "Long Term Care Periods During Measurement Period":
( [Encounter: "Care Services in Long-Term Residential Facility"]
union [Encounter: "Nursing Facility Visit"] ) LongTermFacilityEncounter
where LongTermFacilityEncounter.period overlaps "Measurement Period"
return LongTermFacilityEncounter.period
intersect "Measurement Period"

define "Has Spent More Than 90 Days in Long Term Care":
"Days Spent in Long Term Care During Measurement Period" > 90

define "Days Spent in Long Term Care During Measurement Period":
"CumulativeDays"("Long Term Care Periods During Measurement Period")

define function "CumulativeDays"(Intervals List<Interval<DateTime>> ):
Sum((collapse Intervals)CollapsedInterval
return all duration in days of CollapsedInterval
)
20 changes: 10 additions & 10 deletions ...progress/fhir401/EXM125_FHIR4-9.1.000.cql → ...s/cql/complete/fhir401/EXM125-9.1.000.cql
View file
Open in desktop
Original file line number Diff line number Diff line change
@@ -1,4 +1,4 @@
library EXM125_FHIR401 version '9.1.000'
library EXM125 version '9.1.000'

/*
Based on CMS125v7 - Breast Cancer Screening
Expand All @@ -14,11 +14,11 @@ in the measure development community.
using FHIR version '4.0.1'

include FHIRHelpers version '4.0.1' called FHIRHelpers
include Hospice_FHIR4 version '2.0.000' called Hospice
include AdultOutpatientEncounters_FHIR4 version '2.0.000' called AdultOutpatientEncounters
include MATGlobalCommonFunctions_FHIR4 version '5.0.000' called Global
include SupplementalDataElements_FHIR4 version '2.0.0' called SDE
include AdvancedIllnessandFrailtyExclusion_FHIR4 version '5.0.000' called AdvancedIllness
include Hospice version '2.0.000' called Hospice
include AdultOutpatientEncounters version '2.0.000' called AdultOutpatientEncounters
include MATGlobalCommonFunctions version '5.0.000' called Global
include SupplementalDataElements version '2.0.0' called SDE
include AdvancedIllnessandFrailtyExclusion version '5.0.000' called AdvancedIllness

valueset "ONC Administrative Sex": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1'
valueset "Race": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.836'
Expand Down Expand Up @@ -67,7 +67,7 @@ define "Denominator":
define "Denominator Exclusion":
Hospice."Has Hospice"
or (( exists "Right Mastectomy Diagnosis" or exists "Right Mastectomy Procedure")
and (exists "Left Mastectomy" or exists "Left Mastectomy Procedure"))
and (exists "Left Mastectomy Diagnosis" or exists "Left Mastectomy Procedure"))
or exists "Bilateral Mastectomy Diagnosis"
or exists "Bilateral Mastectomy Procedure"
or AdvancedIllness."Advanced Illness and Frailty Exclusion Including Under Age 80"
Expand All @@ -77,7 +77,7 @@ define "Denominator Exclusion":
define "Right Mastectomy Diagnosis":
(
( [Condition: "Status Post Right Mastectomy"]
//where C.clinicalStatus ~ ToConcept(Global."active") not nneeded for exclusion
//where C.clinicalStatus ~ ToConcept(Global."active") not needed for exclusion
)
union (
[Condition: "Unilateral Mastectomy, Unspecified Laterality"] UnilateralMastectomyDiagnosis
Expand All @@ -97,7 +97,7 @@ define "Left Mastectomy Procedure":
where Global."Normalize Interval"(UnilateralMastectomyLeftPerformed.performed) ends on or before end of "Measurement Period"
and UnilateralMastectomyLeftPerformed.status = 'completed'

define "Left Mastectomy":
define "Left Mastectomy Diagnosis":
(
( [Condition: "Status Post Left Mastectomy"]
// where C.clinicalStatus ~ ToConcept(Global."active") not needed for exclusion
Expand All @@ -122,7 +122,7 @@ define "Bilateral Mastectomy Procedure":

define "Numerator":
exists (
[DiagnosticReport: "Mammography"] Mammogram
[Observation: "Mammography"] Mammogram // QDM - QI Core mapping guidance advises using Observation for Diagnostic Study, Performed.
where ( Global."Normalize Interval"(Mammogram.effective) ends 27 months or less on or before end of "Measurement Period" )
and Mammogram.status in { 'final', 'amended', 'corrected', 'appended' }
)