Clinical Practice Guidelines, published by HL7 International / Clinical Decision Support. This guide is not an authorized publication; it is the continuous build for version 2.0.0-draft built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/cqf-recommendations/ and changes regularly. See the Directory of published versions
Official URL: http://hl7.org/fhir/uv/cpg/Library/recordinference-library | Version: 2.0.0-draft | |||
Active as of 2024-10-03 | Computable Name: RecordInference |
Logic for an example recommendation to record an inference
Generated Narrative: Library recordinference-library
Depends On | Code System Activity Type | CPG Activity Type Code System |
Patient | out | 0 | 1 | Patient |
Inclusion Criteria | out | 0 | 1 | boolean |
Record Inference Task | out | 0 | * | Task |
Inference | out | 0 | * | Observation |
Active or Completed Activity | out | 0 | * | Task |
Activity Not Done | out | 0 | * | Task |
Activity Proposal | out | 0 | * | Task |
Activity Proposal Rejected | out | 0 | * | Task |
Is Recommendation Applicable | out | 0 | 1 | boolean |
Type: Task (Task) |
Type: Observation (Observation) |
text/cql
library RecordInference
using FHIR version '4.0.1'
include FHIRHelpers version '4.0.1'
codesystem "Activity Type": 'http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-activity-type-cs'
code "Record inference": 'record-inference' from "Activity Type"
context Patient
/* Recommendation to record an inference */
/*
NOTE: This recommendation is dramatically simplified to illustrate the general
pattern for a positive recommendation to record an inference, with the ability
for users to reject the recommendation, and flexibility in how the recommendation
is achieved.
Specifically:
* There is no terminology, any task on any topic will do
* There is no timing, any task will do at any time
* There is no reference to participants other than the patient
* There is no relationship to a setting
* There is no relationship to an encounter or episode
* There is no relationship to a care plan
These simplifications allow the example to focus exclusively on the pattern for
recommending and for accepting/rejecting the proposal, as well as documenting
the completion, or explicit non-performance of the activity.
*/
/*
Positive recommendation:
If the patient meets the inclusion criteria
If the patient does not have the inference recorded
If recording the inference has not been planned or proposed
Propose recording the inference
Given a proposal, the user can:
Accept the proposal
Ignore the proposal
Reject the proposal without reason
Reject the proposal with reason
Scenario 1: No event, no plan or proposal, decision support should propose
Scenario 2: No event, incomplete proposal, decision support should not propose
Scenario 3: No event, rejected proposal, decision support should not propose
Scenario 4: Event, no proposal, decision support should not propose
Scenario 5: Event, completed proposal, decision support should not propose
Scenario 6: Event not done, no proposal, decision support should not propose
Scenario 7: Event not done, proposal, decision support should not propose
*/
define "Inclusion Criteria":
Patient.active
define "Record Inference Task":
[Task] C
where C.code ~ "Record inference"
and not Coalesce(doNotPerform(C), false)
define "Inference":
[Observation] O
where O.status = 'final'
define "Active or Completed Activity":
"Record Inference Task" C
where C.status in { 'in-progress', 'on-hold', 'completed' }
define "Activity Not Done":
"Record Inference Task" C
where C.status in { 'cancelled', 'failed' }
define "Activity Proposal":
"Record Inference Task" R
where R.status in { 'draft', 'requested', 'received', 'accepted', 'ready' }
define "Activity Proposal Rejected":
"Record Inference Task" R
where R.status in { 'rejected' }
define "Is Recommendation Applicable":
"Inclusion Criteria"
and not exists ("Inference")
and not exists (
"Active or Completed Activity"
union "Activity Not Done"
)
and not exists (
"Activity Proposal"
union "Activity Proposal Rejected"
)
define function doNotPerform(task Task):
singleton from (
task.extension E
where E.url = 'http://hl7.org/fhir/StructureDefinition/request-doNotPerform'
).value as boolean
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