HL7.FHIR.US.MIHR\Library for Pregnancy Associated Maternal Deaths

This page is part of the Maternal and Infant Health Research (v1.0.0: STU1) based on FHIR R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

Library: Library for Pregnancy Associated Maternal Deaths

Official URL: http://fhir.org/guides/cqf/Library/PAMDeaths				Version: 1.0.0
Draft as of 2023-03-29				Computable Name: PAMDeaths

Related Artifacts

depends-on Code system Observation Category Observation Category Codes

depends-on Value set Delivery Live Births Delivery Live Births

depends-on Value set Delivery Procedure Delivery - Procedure

depends-on Value set Pregnancy Procedure Delivery CPT http://www.hl7.org/fhir/us/mihr/ValueSet/PregnancyProcedureDelivery-CPT

depends-on Value set Procedures During Pregnancy Valueset Group Procedures During Pregnancy

depends-on Value set Pregnancy Pregnancy

depends-on Value set Complications of Pregnancy, Childbirth and the Puerperium (ICD 9) Complications of Pregnancy, Childbirth and the Puerperium

depends-on Value set Complications of Pregnancy, Childbirth and the Puerperium Complications of Pregnancy, Childbirth and the Puerperium

depends-on Value set Delivery Diagnosis Delivery - Diagnosis

depends-on Value set Non Live Birth CPT Procedures Non Live Birth CPT Procedures

depends-on Value set Non Live Birth Diagnoses Non Live Birth Diagnoses

depends-on Code system SNOMEDCT SNOMED CT (all versions)

depends-on Code system LOINC Logical Observation Identifiers, Names and Codes (LOINC)

depends-on FHIR model information http://fhir.org/guides/cqf/common/Library/FHIR-ModelInfo|4.0.1

depends-on Library FHIRHelpers http://fhir.org/guides/cqf/Library/FHIRHelpers|4.0.1

depends-on Library Global http://fhir.org/guides/cqf/Library/MATGlobalCommonFunctionsFHIR4|6.1.000

Parameters

Measurement Period

Period

Patient

out

Patient

Delivery Procedure Group

out

Procedure

Pregnancy Group

out

Condition

Non-Live Birth Group

out

Condition

Pregnancy Test Confirms Pregnant

out

Observation

Delivery Diagnosis Group

out

Condition

Procedures During Pregnancy Group

out

Procedure

History of Pregnancy

out

Resource

Patient Deceased within a Year of Pregnancy

out

boolean

Initial Population

out

boolean

SDE Allergy Intolerance

out

AllergyIntolerance

SDE BMI

out

Observation

SDE Blood Pressure

out

Observation

SDE Height

out

Observation

SDE Body Temperature

out

Observation

SDE Body Weight

out

Observation

SDE Care Plan

out

CarePlan

SDE Care Team

out

CareTeam

SDE Conditions

out

Condition

SDE Compositions

out

Composition

SDE Insurance

out

Coverage

SDE Diagnostic Report

out

DiagnosticReport

SDE Document Reference

out

DocumentReference

SDE Device

out

Device

SDE Encounters

out

Encounter

SDE FamilyMemberHistory

out

FamilyMemberHistory

SDE Goal

out

Goal

SDE Head Circumference

out

Observation

SDE Heart Rate

out

Observation

SDE Immunization

out

Immunization

SDE Lab Observation

out

Observation

SDE Location

out

Location

SDE Medication

out

Medication

SDE Medication Request

out

MedicationRequest

SDE Organization

out

Organization

SDE Patient

out

Patient

SDE Pediatric BMI

out

Observation

SDE Occipital Frontal Head Circumference

out

Observation

SDE Pediatric Weight for Height

out

Observation

SDE Practitioner

out

Practitioner

SDE Practitioner Role

out

PractitionerRole

SDE Procedure

out

Procedure

SDE Provenance

out

Provenance

SDE Oximetry

out

Observation

SDE Related Person

out

RelatedPerson

SDE Respiratory Rate

out

Observation

SDE Smoking Status

out

Observation

SDE Vital Signs

out

Observation

Data Requirements

Type: Patient (Patient)

Type: Procedure (Procedure)

Filter

Value

code

In ValueSet http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.111.12.1015

Type: Procedure (Procedure)

Filter

Value

code

In ValueSet http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1078.5

Type: Procedure (Procedure)

Filter

Value

code

In ValueSet http://www.hl7.org/fhir/us/mihr/ValueSet/PregnancyProcedureDelivery-CPT

Type: Procedure (Procedure)

Filter

Value

code

In ValueSet http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.111.12.1009

Type: Procedure (Procedure)

Type: Condition (Condition)

Filter

Value

code

In ValueSet http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.378

Type: Condition (Condition)

Filter

Value

code

In ValueSet http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.111.12.1012

Type: Condition (Condition)

Filter

Value

code

In ValueSet http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.111.11.1021

Type: Condition (Condition)

Filter

Value

code

In ValueSet http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1166.127

Type: Condition (Condition)

Filter

Value

code

In ValueSet http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1166.137

Type: Condition (Condition)

Filter

Value

code

In ValueSet http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.67.1.101.1.278

Type: Condition (Condition)

Filter

Value

code

In ValueSet http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.111.12.1015

Type: Condition (Condition)

Filter

Value

code

In ValueSet http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1078.5

Type: Condition (Condition)

Filter

Value

code

In ValueSet http://www.hl7.org/fhir/us/mihr/ValueSet/PregnancyProcedureDelivery-CPT

Type: Condition (Condition)

Type: Observation (Observation)

Filter

Value

code

One of these codes: Logical Observation Identifiers, Names and Codes (LOINC) 82810-3: Pregnancy Status

Type: Observation (Observation)

Filter

Value

code

One of these codes: Logical Observation Identifiers, Names and Codes (LOINC) 11449-6: Pregnancy status - Reported

Type: Observation (Observation)

Filter

Value

code

One of these codes: Logical Observation Identifiers, Names and Codes (LOINC) 39156-5: Body mass index (BMI) [Ratio]

Type: Observation (Observation)

Filter

Value

code

One of these codes: Logical Observation Identifiers, Names and Codes (LOINC) 85354-9: Blood pressure panel with all children optional

Type: Observation (Observation)

Filter

Value

code

One of these codes: Logical Observation Identifiers, Names and Codes (LOINC) 8302-2: Body height

Type: Observation (Observation)

Filter

Value

code

One of these codes: Logical Observation Identifiers, Names and Codes (LOINC) 8310-5: Body temperature

Type: Observation (Observation)

Filter

Value

code

One of these codes: Logical Observation Identifiers, Names and Codes (LOINC) 29463-7: Body weight

Type: Observation (Observation)

Filter

Value

code

One of these codes: Logical Observation Identifiers, Names and Codes (LOINC) 9843-4: Head Occipital-frontal circumference

Type: Observation (Observation)

Filter

Value

code

One of these codes: Logical Observation Identifiers, Names and Codes (LOINC) 8867-4: Heart rate

Type: Observation (Observation)

Filter

Value

code

One of these codes: Observation Category Codes laboratory: Laboratory

Type: Observation (Observation)

Filter

Value

code

One of these codes: Logical Observation Identifiers, Names and Codes (LOINC) 59576-9: Body mass index (BMI) [Percentile] Per age and sex

Type: Observation (Observation)

Filter

Value

code

One of these codes: Logical Observation Identifiers, Names and Codes (LOINC) 8289-1: Head Occipital-frontal circumference Percentile

Type: Observation (Observation)

Filter

Value

code

One of these codes: Logical Observation Identifiers, Names and Codes (LOINC) 77606-2: Weight-for-length Per age and sex

Type: Observation (Observation)

Filter

Value

code

One of these codes: Logical Observation Identifiers, Names and Codes (LOINC) 9279-1: Respiratory rate

Type: Observation (Observation)

Type: AllergyIntolerance (AllergyIntolerance)

Type: CarePlan (CarePlan)

Type: CareTeam (CareTeam)

Type: Composition (Composition)

Type: Coverage (Coverage)

Type: DiagnosticReport (DiagnosticReport)

Type: DocumentReference (DocumentReference)

Type: Device (Device)

Type: Encounter (Encounter)

Type: FamilyMemberHistory (FamilyMemberHistory)

Type: Goal (Goal)

Type: Immunization (Immunization)

Type: Location (Location)

Type: Medication (Medication)

Type: MedicationRequest (MedicationRequest)

Type: Organization (Organization)

Type: Practitioner (Practitioner)

Type: PractitionerRole (PractitionerRole)

Type: Provenance (Provenance)

Type: RelatedPerson (RelatedPerson)

text/cql

library PAMDeaths version '0.0.01'

using FHIR version '4.0.1'

include FHIRHelpers version '4.0.1' called FHIRHelpers
include MATGlobalCommonFunctionsFHIR4 version '6.1.000' called Global

codesystem "SNOMEDCT": 'http://snomed.info/sct'
codesystem "LOINC": 'http://loinc.org'
codesystem "Observation Category": 'http://terminology.hl7.org/CodeSystem/observation-category'

//Delivery Procedure Group
valueset "Delivery Live Births": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.111.12.1015'
valueset "Delivery Procedure": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1078.5'
valueset "Pregnancy Procedure Delivery CPT": 'http://www.hl7.org/fhir/us/mihr/ValueSet/PregnancyProcedureDelivery-CPT'

//Procedures During Pregnancy Group
valueset "Procedures During Pregnancy Valueset Group": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.111.12.1009'

//Pregnancy Group
valueset "Pregnancy": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.378'
valueset "Complications of Pregnancy, Childbirth and the Puerperium (ICD 9)": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.111.11.1021'
valueset "Complications of Pregnancy, Childbirth and the Puerperium": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.111.12.1012'

//Pregnancy Delivery Diagnosis
valueset "Delivery Diagnosis": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.67.1.101.1.278'

//Non-Live Birth (Fetal Death/Abortion)
valueset "Non Live Birth CPT Procedures": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1166.127'
valueset "Non Live Birth Diagnoses": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1166.137'

code "Pregnant (finding)": '77386006' from "SNOMEDCT" display 'Pregnant (finding)'
code "Pregnancy Status":  '82810-3' from "LOINC" display 'Pregnancy Status'
code "Pregnancy Status Reported": '11449-6' from "LOINC" display 'Pregnancy status - Reported'

//Supplemental Data Element Codes
code "BMI": '39156-5' from "LOINC"
code "Blood Pressure": '85354-9' from "LOINC"
code "Height": '8302-2' from "LOINC"
code "Body Temperature": '8310-5' from "LOINC"
code "Weight": '29463-7' from "LOINC"
code "Head Circumference": '9843-4' from "LOINC"
code "Heart Rate": '8867-4' from "LOINC"
code "Laboratory": 'laboratory' from "Observation Category"
code "Pediatric BMI": '59576-9' from "LOINC"
code "Frontal Head Circumference": '8289-1' from "LOINC"
code "Pediatric Weight": '77606-2' from "LOINC"
code "Pulse Oximetry": '2708-6' from "LOINC"
code "Oxygen Saturation": '59408-5' from "LOINC"
code "Respiratory Rate": '9279-1' from "LOINC"
code "Social History": 'social-history' from "Observation Category"
code "Vital Signs": 'vital-signs' from "Observation Category"

parameter "Measurement Period" Interval<DateTime>

context Patient

define "Initial Population":
	"Patient Deceased within a Year of Pregnancy"

define "History of Pregnancy":
	"Delivery Procedure Group"
	union "Pregnancy Group"
	union "Non-Live Birth Group"
	union "Pregnancy Test Confirms Pregnant"
	union "Delivery Diagnosis Group"
	union "Procedures During Pregnancy Group"

define "Patient Deceased within a Year of Pregnancy":
	exists("History of Pregnancy" Pregnancy)
    and (exists ("Pregnancy Group" PregnancyDx
            where Patient.deceased as FHIR.dateTime occurs 645 days or less after start of Global."Normalize Interval"(PregnancyDx.onset))
		or exists(("Delivery Diagnosis Group"
			union "Non-Live Birth Group" ) DeliveryCondition
			where Patient.deceased as FHIR.dateTime occurs 365 days or less after end of Global."Normalize Interval"(DeliveryCondition.onset))
		or exists("Pregnancy Test Confirms Pregnant" PregnancyConfirmedTest
			where Patient.deceased as FHIR.dateTime occurs 645 days or less on or after start of Global."Normalize Interval"(PregnancyConfirmedTest.effective))
		or exists(("Delivery Procedure Group"
			union "Procedures During Pregnancy Group") DeliveryProcedure
			where (Patient.deceased) as FHIR.dateTime occurs 365 days or less after end of Global."Normalize Interval"(DeliveryProcedure.performed))
	)

define "Delivery Procedure Group":
	[Procedure: "Delivery Live Births"]
	union [Procedure: "Delivery Procedure"]
	union [Procedure: "Pregnancy Procedure Delivery CPT"]

define "Procedures During Pregnancy Group":
	[Procedure: "Procedures During Pregnancy Valueset Group"]

define "Pregnancy Group":
	[Condition: "Pregnancy"]
	union [Condition: "Complications of Pregnancy, Childbirth and the Puerperium"]
	union [Condition: "Complications of Pregnancy, Childbirth and the Puerperium (ICD 9)"]

define "Delivery Diagnosis Group":
	[Condition: "Delivery Diagnosis"]
	union [Condition: "Delivery Live Births"]
	union [Condition: "Delivery Procedure"]
	union [Condition: "Pregnancy Procedure Delivery CPT"]
	
define "Non-Live Birth Group":
	[Condition: "Non Live Birth CPT Procedures"]
	union [Condition: "Non Live Birth Diagnoses"]

define "Pregnancy Test Confirms Pregnant":
    ([Observation: "Pregnancy Status"]
	union [Observation: "Pregnancy Status Reported"]) PregnancyConfirmedTest
		where PregnancyConfirmedTest.value ~ "Pregnant (finding)"


//Supplemental Data Elements
define "SDE Allergy Intolerance":
	[AllergyIntolerance] Allergy

define "SDE BMI":
	[Observation: code ~ "BMI"] BMI

define "SDE Blood Pressure":
	[Observation: code ~ "Blood Pressure"] BP

define "SDE Height":
	[Observation: code ~ "Height"] Height

define "SDE Body Temperature":
	[Observation: code ~ "Body Temperature"] BodyTemperature

define "SDE Body Weight":
	[Observation: code ~ "Weight"] Weight

define "SDE Care Plan":
	[CarePlan] CarePlans

define "SDE Care Team":
	[CareTeam] CareTeams

define "SDE Conditions":
	[Condition] Conditions

define "SDE Compositions":
	[Composition] Compositions

define "SDE Insurance":
	[Coverage] Coverages

define "SDE Diagnostic Report":
	[DiagnosticReport] DiagnosticReports

define "SDE Document Reference":
	[DocumentReference] DocumentReference

define "SDE Device":
	[Device] Devices

define "SDE Encounters":
	[Encounter] Encounters

define "SDE FamilyMemberHistory":
	[FamilyMemberHistory] FamilyMemberHistory

define "SDE Goal":
	[Goal] Goals

define "SDE Head Circumference":
	[Observation: code ~ "Head Circumference"] HeadCircumference

define "SDE Heart Rate":
	[Observation: code ~ "Heart Rate"] HeartRate

define "SDE Immunization":
	[Immunization] Immunizations

define "SDE Lab Observation":
	[Observation: code ~ "Laboratory"] LabObservations

define "SDE Location":
	[Location] Locations

define "SDE Medication":
	[Medication] Medications

define "SDE Medication Request":
	[MedicationRequest] MedicationRequests

define "SDE Organization":
	[Organization] Organizations

define "SDE Patient":
	[Patient] Patients

define "SDE Pediatric BMI":
	[Observation: code ~ "Pediatric BMI"] PediatricBMI

define "SDE Occipital Frontal Head Circumference":
	[Observation: code ~ "Frontal Head Circumference"] FrontalHead

define "SDE Pediatric Weight for Height":
	[Observation: code ~ "Pediatric Weight"] PediatricWeight

define "SDE Practitioner":
	[Practitioner] Practitioners

define "SDE Practitioner Role":
	[PractitionerRole] PractitionerRoles

define "SDE Procedure":
	[Procedure] Procedures

define "SDE Provenance":
	[Provenance] Provenances

define "SDE Oximetry":
	[Observation] Oximetry
	where (Oximetry.code ~ "Pulse Oximetry"
	or Oximetry.code ~ "Oxygen Saturation")

define "SDE Related Person":
	[RelatedPerson] RelatedPersons

define "SDE Respiratory Rate":
	[Observation: code ~ "Respiratory Rate"] RespiratoryRate

define "SDE Smoking Status":
    [Observation] SmokingStatus
	with SmokingStatus.category category
	such that category ~ "Social History"

define "SDE Vital Signs":
	[Observation] VitalSigns
	with VitalSigns.category category
	such that category ~ "Vital Signs"

Content not shown - (application/elm+xml, size = 132Kb)

Library: Library for Pregnancy Associated Maternal Deaths

Related Artifacts

Parameters

Data Requirements

Contents