Clinical Quality Language Specification
1.5.3 - Release 1 Errata 2
Clinical Quality Language Specification
1.5.3 - Release 1 Errata 2
Clinical Quality Language Specification, published by Clinical Decision Support WG. This guide is not an authorized publication; it is the continuous build for version 1.5.3 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/cql/ and changes regularly. See the Directory of published versions
{
"library" : {
"identifier" : {
"id" : "ChlamydiaScreening_CDS",
"version" : "2"
},
"schemaIdentifier" : {
"id" : "urn:hl7-org:elm",
"version" : "r1"
},
"usings" : {
"def" : [ {
"localIdentifier" : "System",
"uri" : "urn:hl7-org:elm-types:r1"
}, {
"localId" : "1",
"localIdentifier" : "QUICK",
"uri" : "http://hl7.org/fhir"
} ]
},
"codeSystems" : {
"def" : [ {
"localId" : "2",
"name" : "SNOMED",
"id" : "http://snomed.info/sct",
"accessLevel" : "Public"
} ]
},
"valueSets" : {
"def" : [ {
"localId" : "3",
"name" : "Female Administrative Sex",
"id" : "2.16.840.1.113883.3.560.100.2",
"accessLevel" : "Public"
}, {
"localId" : "4",
"name" : "Other Female Reproductive Conditions",
"id" : "2.16.840.1.113883.3.464.1003.111.12.1006",
"accessLevel" : "Public"
}, {
"localId" : "5",
"name" : "Genital Herpes",
"id" : "2.16.840.1.113883.3.464.1003.110.12.1049",
"accessLevel" : "Public"
}, {
"localId" : "6",
"name" : "Genococcal Infections and Venereal Diseases",
"id" : "2.16.840.1.113883.3.464.1003.112.12.1001",
"accessLevel" : "Public"
}, {
"localId" : "7",
"name" : "Inflammatory Diseases of Female Reproductive Organs",
"id" : "2.16.840.1.113883.3.464.1003.112.12.1004",
"accessLevel" : "Public"
}, {
"localId" : "8",
"name" : "Chlamydia",
"id" : "2.16.840.1.113883.3.464.1003.112.12.1003",
"accessLevel" : "Public"
}, {
"localId" : "9",
"name" : "HIV",
"id" : "2.16.840.1.113883.3.464.1003.120.12.1003",
"accessLevel" : "Public"
}, {
"localId" : "10",
"name" : "Syphilis",
"id" : "2.16.840.1.113883.3.464.1003.112.12.1002",
"accessLevel" : "Public"
}, {
"localId" : "11",
"name" : "Complications of Pregnancy, Childbirth and the Puerperium",
"id" : "2.16.840.1.113883.3.464.1003.111.12.1012",
"accessLevel" : "Public"
}, {
"localId" : "12",
"name" : "Pregnancy Test",
"id" : "2.16.840.1.113883.3.464.1003.111.12.1011",
"accessLevel" : "Public"
}, {
"localId" : "13",
"name" : "Pap Test",
"id" : "2.16.840.1.113883.3.464.1003.108.12.1017",
"accessLevel" : "Public"
}, {
"localId" : "14",
"name" : "Lab Tests During Pregnancy",
"id" : "2.16.840.1.113883.3.464.1003.111.12.1007",
"accessLevel" : "Public"
}, {
"localId" : "15",
"name" : "Lab Tests for Sexually Transmitted Infections",
"id" : "2.16.840.1.113883.3.464.1003.110.12.1051",
"accessLevel" : "Public"
}, {
"localId" : "16",
"name" : "Chlamydia Screening",
"id" : "2.16.840.1.113883.3.464.1003.110.12.1052",
"accessLevel" : "Public"
}, {
"localId" : "17",
"name" : "Reason for not performing Chlamydia Screening",
"id" : "TBD",
"accessLevel" : "Public"
} ]
},
"statements" : {
"def" : [ {
"name" : "Patient",
"context" : "Patient",
"expression" : {
"type" : "SingletonFrom",
"operand" : {
"dataType" : "{http://hl7.org/fhir}Patient",
"templateId" : "patient-qicore-qicore-patient",
"type" : "Retrieve"
}
}
}, {
"localId" : "30",
"name" : "InDemographic",
"context" : "Patient",
"accessLevel" : "Public",
"annotation" : [ {
"type" : "Annotation",
"s" : {
"value" : [ "define \"InDemographic\":\r\n\tAgeInYears() >= 16 and AgeInYears() < 24 and \"Patient\".\"gender\" in \"Female Administrative Sex\"" ]
}
} ],
"expression" : {
"localId" : "29",
"type" : "And",
"operand" : [ {
"localId" : "24",
"type" : "And",
"operand" : [ {
"localId" : "20",
"type" : "GreaterOrEqual",
"operand" : [ {
"localId" : "18",
"precision" : "Year",
"type" : "CalculateAge",
"operand" : {
"path" : "birthDate",
"type" : "Property",
"source" : {
"name" : "Patient",
"type" : "ExpressionRef"
}
}
}, {
"localId" : "19",
"valueType" : "{urn:hl7-org:elm-types:r1}Integer",
"value" : "16",
"type" : "Literal"
} ]
}, {
"localId" : "23",
"type" : "Less",
"operand" : [ {
"localId" : "21",
"precision" : "Year",
"type" : "CalculateAge",
"operand" : {
"path" : "birthDate",
"type" : "Property",
"source" : {
"name" : "Patient",
"type" : "ExpressionRef"
}
}
}, {
"localId" : "22",
"valueType" : "{urn:hl7-org:elm-types:r1}Integer",
"value" : "24",
"type" : "Literal"
} ]
} ]
}, {
"localId" : "28",
"type" : "InValueSet",
"code" : {
"localId" : "26",
"path" : "gender",
"type" : "Property",
"source" : {
"localId" : "25",
"name" : "Patient",
"type" : "ExpressionRef"
}
},
"valueset" : {
"localId" : "27",
"name" : "Female Administrative Sex"
}
} ]
}
}, {
"localId" : "66",
"name" : "SexuallyActive",
"context" : "Patient",
"accessLevel" : "Public",
"annotation" : [ {
"type" : "Annotation",
"s" : {
"value" : [ "define \"SexuallyActive\":\r\n\texists ([\"Condition\": \"Other Female Reproductive Conditions\"])\r\n\tor exists ([\"Condition\": \"Genital Herpes\"])\r\n\tor exists ([\"Condition\": \"Genococcal Infections and Venereal Diseases\"])\r\n\tor exists ([\"Condition\": \"Inflammatory Diseases of Female Reproductive Organs\"])\r\n\tor exists ([\"Condition\": \"Chlamydia\"])\r\n\tor exists ([\"Condition\": \"HIV\"])\r\n\tor exists ([\"Condition\": \"Syphilis\"])\r\n\tor exists ([\"Condition\": \"Complications of Pregnancy, Childbirth and the Puerperium\"])\r\n\tor exists ([\"DiagnosticOrder\": \"Pregnancy Test\"])\r\n\tor exists ([\"DiagnosticOrder\": \"Pap Test\"])\r\n\tor exists ([\"DiagnosticOrder\": \"Lab Tests During Pregnancy\"])\r\n\tor exists ([\"DiagnosticOrder\": \"Lab Tests for Sexually Transmitted Infections\"])" ]
}
} ],
"expression" : {
"localId" : "65",
"type" : "Or",
"operand" : [ {
"localId" : "62",
"type" : "Or",
"operand" : [ {
"localId" : "59",
"type" : "Or",
"operand" : [ {
"localId" : "56",
"type" : "Or",
"operand" : [ {
"localId" : "53",
"type" : "Or",
"operand" : [ {
"localId" : "50",
"type" : "Or",
"operand" : [ {
"localId" : "47",
"type" : "Or",
"operand" : [ {
"localId" : "44",
"type" : "Or",
"operand" : [ {
"localId" : "41",
"type" : "Or",
"operand" : [ {
"localId" : "38",
"type" : "Or",
"operand" : [ {
"localId" : "35",
"type" : "Or",
"operand" : [ {
"localId" : "32",
"type" : "Exists",
"operand" : {
"localId" : "31",
"dataType" : "{http://hl7.org/fhir}Condition",
"templateId" : "condition-qicore-qicore-condition",
"codeProperty" : "code",
"type" : "Retrieve",
"codes" : {
"name" : "Other Female Reproductive Conditions",
"type" : "ValueSetRef"
}
}
}, {
"localId" : "34",
"type" : "Exists",
"operand" : {
"localId" : "33",
"dataType" : "{http://hl7.org/fhir}Condition",
"templateId" : "condition-qicore-qicore-condition",
"codeProperty" : "code",
"type" : "Retrieve",
"codes" : {
"name" : "Genital Herpes",
"type" : "ValueSetRef"
}
}
} ]
}, {
"localId" : "37",
"type" : "Exists",
"operand" : {
"localId" : "36",
"dataType" : "{http://hl7.org/fhir}Condition",
"templateId" : "condition-qicore-qicore-condition",
"codeProperty" : "code",
"type" : "Retrieve",
"codes" : {
"name" : "Genococcal Infections and Venereal Diseases",
"type" : "ValueSetRef"
}
}
} ]
}, {
"localId" : "40",
"type" : "Exists",
"operand" : {
"localId" : "39",
"dataType" : "{http://hl7.org/fhir}Condition",
"templateId" : "condition-qicore-qicore-condition",
"codeProperty" : "code",
"type" : "Retrieve",
"codes" : {
"name" : "Inflammatory Diseases of Female Reproductive Organs",
"type" : "ValueSetRef"
}
}
} ]
}, {
"localId" : "43",
"type" : "Exists",
"operand" : {
"localId" : "42",
"dataType" : "{http://hl7.org/fhir}Condition",
"templateId" : "condition-qicore-qicore-condition",
"codeProperty" : "code",
"type" : "Retrieve",
"codes" : {
"name" : "Chlamydia",
"type" : "ValueSetRef"
}
}
} ]
}, {
"localId" : "46",
"type" : "Exists",
"operand" : {
"localId" : "45",
"dataType" : "{http://hl7.org/fhir}Condition",
"templateId" : "condition-qicore-qicore-condition",
"codeProperty" : "code",
"type" : "Retrieve",
"codes" : {
"name" : "HIV",
"type" : "ValueSetRef"
}
}
} ]
}, {
"localId" : "49",
"type" : "Exists",
"operand" : {
"localId" : "48",
"dataType" : "{http://hl7.org/fhir}Condition",
"templateId" : "condition-qicore-qicore-condition",
"codeProperty" : "code",
"type" : "Retrieve",
"codes" : {
"name" : "Syphilis",
"type" : "ValueSetRef"
}
}
} ]
}, {
"localId" : "52",
"type" : "Exists",
"operand" : {
"localId" : "51",
"dataType" : "{http://hl7.org/fhir}Condition",
"templateId" : "condition-qicore-qicore-condition",
"codeProperty" : "code",
"type" : "Retrieve",
"codes" : {
"name" : "Complications of Pregnancy, Childbirth and the Puerperium",
"type" : "ValueSetRef"
}
}
} ]
}, {
"localId" : "55",
"type" : "Exists",
"operand" : {
"localId" : "54",
"dataType" : "{http://hl7.org/fhir}DiagnosticOrder",
"templateId" : "diagnosticorder-qicore-qicore-diagnosticorder",
"codeProperty" : "item[].code",
"type" : "Retrieve",
"codes" : {
"name" : "Pregnancy Test",
"type" : "ValueSetRef"
}
}
} ]
}, {
"localId" : "58",
"type" : "Exists",
"operand" : {
"localId" : "57",
"dataType" : "{http://hl7.org/fhir}DiagnosticOrder",
"templateId" : "diagnosticorder-qicore-qicore-diagnosticorder",
"codeProperty" : "item[].code",
"type" : "Retrieve",
"codes" : {
"name" : "Pap Test",
"type" : "ValueSetRef"
}
}
} ]
}, {
"localId" : "61",
"type" : "Exists",
"operand" : {
"localId" : "60",
"dataType" : "{http://hl7.org/fhir}DiagnosticOrder",
"templateId" : "diagnosticorder-qicore-qicore-diagnosticorder",
"codeProperty" : "item[].code",
"type" : "Retrieve",
"codes" : {
"name" : "Lab Tests During Pregnancy",
"type" : "ValueSetRef"
}
}
} ]
}, {
"localId" : "64",
"type" : "Exists",
"operand" : {
"localId" : "63",
"dataType" : "{http://hl7.org/fhir}DiagnosticOrder",
"templateId" : "diagnosticorder-qicore-qicore-diagnosticorder",
"codeProperty" : "item[].code",
"type" : "Retrieve",
"codes" : {
"name" : "Lab Tests for Sexually Transmitted Infections",
"type" : "ValueSetRef"
}
}
} ]
}
}, {
"localId" : "98",
"name" : "NoScreening",
"context" : "Patient",
"accessLevel" : "Public",
"annotation" : [ {
"type" : "Annotation",
"s" : {
"value" : [ "define \"NoScreening\":\r\n not exists ([\"DiagnosticReport\": \"Chlamydia Screening\"] R where R.\"issued\" during Interval[Today() - 1 years, Today()] and R.\"result\" is not null)\r\n and not exists ([\"ProcedureRequest\": \"Chlamydia Screening\"] P where P.\"orderedOn\" same day or after Today())\r\n\tand not exists ([\"Observation\": \"Reason for not performing Chlamydia Screening\"])" ]
}
} ],
"expression" : {
"localId" : "97",
"type" : "And",
"operand" : [ {
"localId" : "93",
"type" : "And",
"operand" : [ {
"localId" : "83",
"type" : "Not",
"operand" : {
"localId" : "82",
"type" : "Exists",
"operand" : {
"localId" : "81",
"type" : "Query",
"source" : [ {
"localId" : "68",
"alias" : "R",
"expression" : {
"localId" : "67",
"dataType" : "{http://hl7.org/fhir}DiagnosticReport",
"templateId" : "diagnosticreport-qicore-qicore-diagnosticreport",
"codeProperty" : "name",
"type" : "Retrieve",
"codes" : {
"name" : "Chlamydia Screening",
"type" : "ValueSetRef"
}
}
} ],
"relationship" : [ ],
"where" : {
"localId" : "80",
"type" : "And",
"operand" : [ {
"localId" : "76",
"type" : "In",
"operand" : [ {
"localId" : "70",
"path" : "issued",
"scope" : "R",
"type" : "Property"
}, {
"localId" : "75",
"lowClosed" : true,
"highClosed" : true,
"type" : "Interval",
"low" : {
"localId" : "73",
"type" : "Subtract",
"operand" : [ {
"localId" : "71",
"type" : "Today"
}, {
"localId" : "72",
"value" : 1,
"unit" : "years",
"type" : "Quantity"
} ]
},
"high" : {
"localId" : "74",
"type" : "Today"
}
} ]
}, {
"localId" : "79",
"type" : "Not",
"operand" : {
"type" : "IsNull",
"operand" : {
"localId" : "78",
"path" : "result",
"scope" : "R",
"type" : "Property"
}
}
} ]
}
}
}
}, {
"localId" : "92",
"type" : "Not",
"operand" : {
"localId" : "91",
"type" : "Exists",
"operand" : {
"localId" : "90",
"type" : "Query",
"source" : [ {
"localId" : "85",
"alias" : "P",
"expression" : {
"localId" : "84",
"dataType" : "{http://hl7.org/fhir}ProcedureRequest",
"templateId" : "procedurerequest-qicore-qicore-procedurerequest",
"codeProperty" : "type",
"type" : "Retrieve",
"codes" : {
"name" : "Chlamydia Screening",
"type" : "ValueSetRef"
}
}
} ],
"relationship" : [ ],
"where" : {
"localId" : "89",
"precision" : "Day",
"type" : "SameOrAfter",
"operand" : [ {
"localId" : "87",
"path" : "orderedOn",
"scope" : "P",
"type" : "Property"
}, {
"localId" : "88",
"type" : "Today"
} ]
}
}
}
} ]
}, {
"localId" : "96",
"type" : "Not",
"operand" : {
"localId" : "95",
"type" : "Exists",
"operand" : {
"localId" : "94",
"dataType" : "{http://hl7.org/fhir}Observation",
"templateId" : "observation-qicore-qicore-observation",
"codeProperty" : "code",
"type" : "Retrieve",
"codes" : {
"name" : "Reason for not performing Chlamydia Screening",
"type" : "ValueSetRef"
}
}
}
} ]
}
}, {
"localId" : "104",
"name" : "NeedScreening",
"context" : "Patient",
"accessLevel" : "Public",
"annotation" : [ {
"type" : "Annotation",
"s" : {
"value" : [ "define \"NeedScreening\": \"InDemographic\" and \"SexuallyActive\" and \"NoScreening\"" ]
}
} ],
"expression" : {
"localId" : "103",
"type" : "And",
"operand" : [ {
"localId" : "101",
"type" : "And",
"operand" : [ {
"localId" : "99",
"name" : "InDemographic",
"type" : "ExpressionRef"
}, {
"localId" : "100",
"name" : "SexuallyActive",
"type" : "ExpressionRef"
} ]
}, {
"localId" : "102",
"name" : "NoScreening",
"type" : "ExpressionRef"
} ]
}
}, {
"localId" : "109",
"name" : "ChlamydiaScreeningRequest",
"context" : "Patient",
"accessLevel" : "Public",
"annotation" : [ {
"type" : "Annotation",
"s" : {
"value" : [ "define \"ChlamydiaScreeningRequest\": Tuple {\r\n type: Code '442487003' from \"SNOMED\" display 'Screening for Chlamydia trachomatis (procedure)',\r\n status: 'proposed'\r\n // values for other elements of the request...\r\n}" ]
}
} ],
"expression" : {
"localId" : "108",
"type" : "Tuple",
"element" : [ {
"name" : "type",
"value" : {
"localId" : "106",
"code" : "442487003",
"display" : "Screening for Chlamydia trachomatis (procedure)",
"type" : "Code",
"system" : {
"localId" : "105",
"name" : "SNOMED"
}
}
}, {
"name" : "status",
"value" : {
"localId" : "107",
"valueType" : "{urn:hl7-org:elm-types:r1}String",
"value" : "proposed",
"type" : "Literal"
}
} ]
}
} ]
}
}
}