library QICoreCommonTests
using FHIR version '4.0.1'
include FHIRHelpers version '4.0.1'
include QICoreCommon called Common
codesystem "Marital Status Codes": 'http://terminology.hl7.org/CodeSystem/v3-MaritalStatus'
codesystem "CDC Race and Ethnicity Codes": 'urn:oid:2.16.840.1.113883.6.238'
valueset "Marital Status": 'http://hl7.org/fhir/ValueSet/marital-status'
code "Marital Status - Married": 'M' from "Marital Status Codes"
code "American Indian or Alaska Native": '1002-5' from "CDC Race and Ethnicity Codes"
code "Alaska Native": '1735-0' from "CDC Race and Ethnicity Codes"
code "Blood pressure": '85354-9' from Common."LOINC" display 'Blood pressure panel with all children optional'
code "Diastolic blood pressure": '8462-4' from Common."LOINC" display 'Diastolic blood pressure'
code "Systolic blood pressure": '8480-6' from Common."LOINC" display 'Systolic blood pressure'
context Patient
// QICoreAdverseEvent
// @profile: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-adverseevent
define AdverseEvent:
[AdverseEvent]
// QICoreAllergyIntolerance
// @profile: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-allergyintolerance
define AllergyIntolerance:
[AllergyIntolerance]
// QICoreBodyStructure
// @profile: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-bodystructure
define BodyStructure:
[BodyStructure]
// QICoreCarePlan
// @profile: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-careplan
define CarePlan:
[CarePlan]
// QICoreCareTeam
// @profile: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-careteam
define CareTeam:
[CareTeam]
// QICoreClaim
// @profile: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-claim
define Claim:
[Claim]
// QICoreCommunication
// @profile: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-communication
define Communication:
[Communication] C
where C.status in { 'preparation', 'in-progress', 'on-hold', 'completed' }
// QICoreCommunicationNotDone
// @profile: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-communicationnotdone
define CommunicationNotDone:
[Communication] C
where C.status = 'not-done'
// QICoreCommunicationRequest
// @profile: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-communicationrequest
define CommunicationRequest:
[CommunicationRequest]
// QICoreCondition
// @profile: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition
define Condition:
[Condition]
// QICoreCoverage
// @profile: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-coverage
define Coverage:
[Coverage]
// QICoreDevice
// @profile: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-device
define Device:
[Device]
// QICoreDeviceNotRequested
// @profile: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-devicenotrequested
define DeviceNotRequested:
[DeviceRequest] D
where D.status = 'completed'
and D.doNotPerform() is true
// QICoreDeviceRequest
// @profile: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-devicerequest
define DeviceRequest:
[DeviceRequest] D
where D.status in { 'draft', 'active', 'on-hold', 'revoked', 'completed' }
and D.doNotPerform() is not true
// QICoreDeviceUseStatement
// @profile: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-deviceusestatement
define DeviceUseStatement:
[DeviceUseStatement]
// QICoreDiagnosticReportLab
// @profile: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-diagnosticreport-lab
define DiagnosticReportLab:
[DiagnosticReport] D
//where D.category ~ "http://terminology.hl7.org/CodeSystem/v2-0074#LAB"
// QICoreDiagnosticReportNote
// @profile: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-diagnosticreport-note
define DiagnosticReportNote:
[DiagnosticReport] D
// QICoreEncounter
// @profile: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter
define Encounter:
[Encounter]
define EncounterPerformed:
Encounter E
where E.status = 'finished'
// QICoreFamilyMemberHistory
// @profile: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-familymemberhistory
define FamilyMemberHistory:
[FamilyMemberHistory]
// QICoreFlag
// @profile: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-flag
define Flag:
[Flag]
// QICoreGoal
// @profile: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-goal
define Goal:
[Goal]
// QICoreImagingStudy
// @profile: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-imagingstudy
define ImagingStudy:
[ImagingStudy]
// QICoreImmunization
// @profile: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-immunization
define Immunization:
[Immunization] I
where I.status = 'completed'
// QICoreImmunizationEvaluation
// @profile: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-immunizationevaluation
define ImmunizationEvaluation:
[ImmunizationEvaluation]
// QICoreImmunizationNotDone
// @profile: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-immunizationnotdone
define ImmunizationNotDone:
[Immunization] I
where I.status = 'not-done'
// QICoreImmunizationRecommendation
// @profile: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-immunizationrec
define ImmunizationRecommendation:
[ImmunizationRecommendation]
// USCoreImplantableDevice
// @profile: http://hl7.org/fhir/us/core/StructureDefinition/us-core-implantable-device
define ImplantableDevice:
[Device]
// QICoreLocation
// @profile: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-location
define Location:
[Location]
// QICoreMedication
// @profile: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medication
define Medication:
[Medication]
// QICoreMedicationAdministration
// @profile: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationadministration
define MedicationAdministration:
[MedicationAdministration] M
where M.status in { 'in-progress', 'on-hold', 'completed' }
// QICoreMedicationAdministrationNotDone
// @profile: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-mednotadministered
define MedicationAdministrationNotDone:
[MedicationAdministration] M
where M.status = 'not-done'
// QICoreMedicationDispense
// @profile: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationdispense
define MedicationDispense:
[MedicationDispense] D
where D.status in { 'preparation', 'in-progress', 'on-hold', 'completed' }
// QICoreMedicationDispenseNotDone
// @profile: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-mednotdispensed
define MedicationDispenseNotDone:
[MedicationDispense] D
where D.status in { 'cancelled', 'declined' }
// QICoreMedicationNotRequested
// @profile: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-mednotrequested
define MedicationNotRequested:
[MedicationRequest] R
where R.status = 'completed'
and R.doNotPerform is true
/*
define "Antithrombotic Not Given at Discharge":
["MedicationRequest": medication in "Antithrombotic Therapy"] NoAntithromboticDischarge
where NoAntithromboticDischarge.doNotPerform is true
and (NoAntithromboticDischarge.reasonCode in "Medical Reason"
or NoAntithromboticDischarge.reasonCode in "Patient Refusal")
and exists (NoAntithromboticDischarge.category C where FHIRHelpers.ToConcept(C) ~ FC."Community" or FHIRHelpers.ToConcept(C) ~ FC."Discharge")
and NoAntithromboticDischarge.status = 'completed'
and NoAntithromboticDischarge.intent = 'order'
define "Antithrombotic Not Given at Discharge":
QICore.MedicationNotRequested NoAntithromboticDischarge
where NoAntithromboticDischarge.medication in "Antithrombotic Therapy"
and (NoAntithromboticDischarge.reasonCode in "Medical Reason"
or NoAntithromboticDischarge.reasonCode in "Patient Refusal")
and (NoAntithromboticDischarge.isCommunity() or NoAntithromboticDischarge.isDischarge())
and NoAntithromboticDischarge.intent = 'order'
define "Antithrombotic Not Given at Discharge":
["MedicationNotRequested": medication in "Antithrombotic Therapy"] NoAntithromboticDischarge
where (NoAntithromboticDischarge.reasonCode in "Medical Reason"
or NoAntithromboticDischarge.reasonCode in "Patient Refusal")
and (NoAntithromboticDischarge.isCommunity() or NoAntithromboticDischarge.isDischarge())
and NoAntithromboticDischarge.intent = 'order'
*/
// QICoreMedicationRequest
// @profile: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationrequest
define MedicationRequest:
[MedicationRequest] R
where R.status in { 'active', 'on-hold', 'completed', 'draft' }
and R.doNotPerform is not true
/*
define "Antithrombotic Therapy at Discharge":
["MedicationRequest": medication in "Antithrombotic Therapy"] Antithrombotic
where exists (Antithrombotic.category C where FHIRHelpers.ToConcept(C) in { Global."Community", Global."Discharge" })
and Antithrombotic.status in { 'active', 'completed' }
and Antithrombotic.intent.value = 'order'
define "Antithrombotic Therapy at Discharge":
QICore.MedicationRequest Antithrombotic
where Antithrombotic.medication in "Antithrombotic Therapy"
and (Antithrombotic.isCommunity() or Antithrombotic.isDischarge())
and Antithrombotic.status in { 'active', 'completed' }
and Antithrombotic.intent = 'order'
define "Antithrombotic Therapy at Discharge":
[MedicationRequest: medication in "Antithrombotic Therapy"] Antithrombotic
where (Antithrombotic.isCommunity() or Antithrombotic.isDischarge())
and Antithrombotic.status in { 'active', 'completed' }
and Antithrombotic.intent = 'order'
*/
// QICoreMedicationStatement
// @profile: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationstatement
define MedicationStatement:
[MedicationStatement]
// QICoreNutritionOrder
// @profile: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-nutritionorder
define NutritionOrder:
[NutritionOrder]
// QICoreObservation
// @profile: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation
define Observation:
[Observation] O
where O.status in { 'registered', 'preliminary', 'final', 'amended', 'corrected' }
// QICoreObservationNotDone
// @profile: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observationnotdone
define ObservationNotDone:
[Observation] O
where O.status = 'cancelled'
// FHIR Vital Signs
// USCore Smoking Status
// USCore Laboratory Result
// USCore Pediatric BMI for Age
// USCore Pediatric Weight for Height
// USCore Pulse Oximetry
// QICoreOrganization
// @profile: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization
define Organization:
[Organization]
// QICorePatient
// @profile: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient
//define Patient:
// [Patient]
// QICorePractitioner
// @profile: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitioner
define Practitioner:
[Practitioner]
// QICorePractitionerRole
// @profile: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitionerrole
define PractitionerRole:
[PractitionerRole]
// QICoreProcedure
// @profile: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedure
define Procedure:
[Procedure] P
where P.status in { 'preparation', 'in-progress', 'on-hold', 'completed' }
define ProcedurePerformed:
Procedure P
where P.status = 'completed'
/*
define "Flexible Sigmoidoscopy Performed":
[Procedure: "Flexible Sigmoidoscopy"] FlexibleSigmoidoscopy
where FlexibleSigmoidoscopy.status = 'completed'
and Global."Normalize Interval"(FlexibleSigmoidoscopy.performed) ends 5 years or less on or before end of "Measurement Period"
define "Flexible Sigmoidoscopy Performed":
QICore.ProcedurePerformed FlexibleSigmoidoscopy
where FlexibleSigmoidoscopy.code in "Flexible Sigmoidoscopy"
and FlexibleSigmoidoscopy.performed.toInterval() ends 5 years or less on or before end of "Measurement Period"
*/
// QICoreProcedureNotDone
// @profile: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedurenotdone
define ProcedureNotDone:
[Procedure] P
where P.status = 'not-done'
/*
define "No VTE Prophylaxis Device Applied":
["Procedure": "Device Application"] DeviceApplied
let DeviceNotDoneTiming: Global.GetExtension(DeviceApplied, 'qicore-recorded').value
where (DeviceApplied.usedCode in "Intermittent pneumatic compression devices (IPC)"
or DeviceApplied.usedCode in "Venous foot pumps (VFP)"
or DeviceApplied.usedCode in "Graduated compression stockings (GCS)"
)
and DeviceApplied.status = 'not-done'
return {id: DeviceApplied.id, requestStatusReason: DeviceApplied.statusReason, authoredOn: DeviceNotDoneTiming}
define "No VTE Prophylaxis Device Applied":
QICore.ProcedureNotDone DeviceApplied
where DeviceApplied.code in "Device Application"
and (DeviceApplied.usedCode in "Intermittent pneumatic compression devices (IPC)"
or DeviceApplied.usedCode in "Venous foot pumps (VFP)"
or DeviceApplied.usedCode in "Graduated compression stockings (GCS)")
return {
id: DeviceApplied.id,
requestStatusReason: DeviceApplied.statusReason,
authoredOn: DeviceApplied.recorded()
}
*/
// QICoreRelatedPerson
// @profile: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-relatedperson
define RelatedPerson:
[RelatedPerson]
// QICoreServiceNotRequested
// @profile: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-servicenotrequested
define ServiceNotRequested:
[ServiceRequest] SR
where SR.status = 'completed'
and SR.doNotPerform is true
/*
define "No VTE Prophylaxis Device Order":
(["ServiceRequest": "Venous foot pumps (VFP)"]
union ["ServiceRequest": "Intermittent pneumatic compression devices (IPC)"]
union ["ServiceRequest": "Graduated compression stockings (GCS)"]
) DeviceOrder
where DeviceOrder.status = 'completed'
and DeviceOrder.doNotPerform is true
define "No VTE Prophylaxis Device Order":
QICore.ServiceNotRequested DeviceOrder
where DeviceOrder.code in "Venous foot pumps (VFP)"
or DeviceOrder.code in "Intermittent pneumatic compression devices (IPC)"
or DeviceOrder.code in "Graduated compression stockings (GCS)"
*/
// QICoreServiceRequest
// @profile: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-servicerequest
define ServiceRequest:
[ServiceRequest] SR
where SR.status in { 'draft', 'active', 'on-hold', 'completed' }
and SR.doNotPerform is not true
/*
define "Intervention Comfort Measures":
(["ServiceRequest": "Comfort Measures"] P
where P.intent = 'order'
)
union (["Procedure": "Comfort Measures"] InterventionPerformed
where InterventionPerformed.status in {'completed', 'in-progress'}
)
define "Intervention Comfort Measures":
(QICore.ServiceRequest SR
where SR.code in "Comfort Measures"
and SR.intent = 'order'
)
union (
QICore.Procedure InterventionPerformed
where InterventionPerformed.code in "Comfort Measures"
and InterventionPerformed.status in { 'completed', 'in-progress' }
)
*/
// QICoreSpecimen
// @profile: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-specimen
define Specimen:
[Specimen]
// QICoreSubstance
// @profile: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-substance
define Substance:
[Substance]
// QICoreTask
// @profile: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-task
define Task:
[Task] T
where T.status in { 'draft', 'requested', 'received', 'accepted', 'ready', 'in-progress', 'on-hold', 'completed' }
// QICoreTaskNotDone
// @profile: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-tasknotdone
// TODO: What about cancelled and failed?
define TaskNotDone:
[Task] T
where T.status = 'rejected'
define TestPatientGender:
Patient P
where P.gender = 'male'
define TestPatientActive:
Patient P
where P.active is true
define TestPatientBirthDate:
Patient P
where P.birthDate before Today()
define TestPatientMaritalStatusMembership:
Patient P
where P.maritalStatus in "Marital Status"
define TestPatientMartialStatusComparison:
Patient P
where P.maritalStatus ~ "Marital Status - Married"
define TestPatientDeceasedAsBoolean:
Patient P
where P.deceased is false
define TestPatientDeceasedAsDateTime:
Patient P
where P.deceased before Today()
define TestSlices:
[Observation: "Blood pressure"] O
let
systolicBP: singleton from (O.component SBP where SBP.code ~ "Systolic blood pressure"),
diastolicBP: singleton from (O.component DBP where DBP.code ~ "Diastolic blood pressure")
where O.status in { 'registered', 'preliminary', 'final', 'amended', 'corrected' }
and systolicBP.value < 140 'mm[Hg]'
and diastolicBP.value < 90 'mm[Hg]'
define TestSimpleExtensions:
Patient P
where P.birthsex() = 'M'
define TestComplexExtensions:
Patient P
where exists ((P.race().ombCategory) C where C ~ "American Indian or Alaska Native")
and exists ((P.race().detailed) C where C ~ "Alaska Native")
|
|
Propose a change