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",
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},
"usings" : {
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}, {
"localId" : "1",
"locator" : "3:1-3:11",
"localIdentifier" : "QUICK",
"uri" : "http://hl7.org/fhir"
} ]
},
"codeSystems" : {
"def" : [ {
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"locator" : "5:1-5:45",
"name" : "SNOMED",
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} ]
},
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}
}, {
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"locator" : "8:1-8:91",
"name" : "Other Female Reproductive Conditions",
"id" : "2.16.840.1.113883.3.464.1003.111.12.1006",
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"type" : "ListTypeSpecifier",
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"name" : "{urn:hl7-org:elm-types:r1}Code",
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}
}, {
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"locator" : "12:1-12:64",
"name" : "Chlamydia",
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"name" : "{urn:hl7-org:elm-types:r1}Code",
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}
}
}, {
"localId" : "9",
"locator" : "13:1-13:58",
"name" : "HIV",
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}
}, {
"localId" : "10",
"locator" : "14:1-14:63",
"name" : "Syphilis",
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}
}, {
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"locator" : "16:1-16:69",
"name" : "Pregnancy Test",
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"type" : "ListTypeSpecifier",
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"name" : "{urn:hl7-org:elm-types:r1}Code",
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}
}, {
"localId" : "13",
"locator" : "17:1-17:63",
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"type" : "ListTypeSpecifier",
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"name" : "{urn:hl7-org:elm-types:r1}Code",
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}
}
}, {
"localId" : "14",
"locator" : "18:1-18:81",
"name" : "Lab Tests During Pregnancy",
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"type" : "ListTypeSpecifier",
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"name" : "{urn:hl7-org:elm-types:r1}Code",
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}
}
}, {
"localId" : "15",
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"type" : "ListTypeSpecifier",
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"name" : "{urn:hl7-org:elm-types:r1}Code",
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}
}, {
"localId" : "16",
"locator" : "20:1-20:74",
"name" : "Chlamydia Screening",
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"type" : "ListTypeSpecifier",
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"name" : "{urn:hl7-org:elm-types:r1}Code",
"type" : "NamedTypeSpecifier"
}
}
}, {
"localId" : "17",
"locator" : "21:1-21:63",
"name" : "Reason for not performing Chlamydia Screening",
"id" : "TBD",
"accessLevel" : "Public",
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"type" : "ListTypeSpecifier",
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"name" : "{urn:hl7-org:elm-types:r1}Code",
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}
}
} ]
},
"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",
"locator" : "25:1-26:95",
"resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
"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",
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"path" : "birthDate",
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"name" : "Patient",
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}
}, {
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} ]
}, {
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"path" : "birthDate",
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"name" : "Patient",
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}
}
}, {
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"resultTypeName" : "{urn:hl7-org:elm-types:r1}Integer",
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} ]
}, {
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"locator" : "26:47-26:95",
"resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
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"resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
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}
},
"valueset" : {
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"locator" : "26:69-26:95",
"name" : "Female Administrative Sex",
"resultTypeSpecifier" : {
"type" : "ListTypeSpecifier",
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"name" : "{urn:hl7-org:elm-types:r1}Code",
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}
}
}
} ]
}
}, {
"localId" : "66",
"locator" : "28:1-40:81",
"resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
"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" : {
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"locator" : "29:9-29:63",
"dataType" : "{http://hl7.org/fhir}Condition",
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},
"codes" : {
"name" : "Other Female Reproductive Conditions",
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}
}, {
"localId" : "34",
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},
"codes" : {
"name" : "Genital Herpes",
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}
} ]
}, {
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},
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"name" : "Genococcal Infections and Venereal Diseases",
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}
}
} ]
}, {
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"locator" : "32:5-32:81",
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},
"codes" : {
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}
} ]
}, {
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"type" : "ListTypeSpecifier",
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}
},
"codes" : {
"name" : "Chlamydia",
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}
}
} ]
}, {
"localId" : "46",
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"resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
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"templateId" : "condition-qicore-qicore-condition",
"codeProperty" : "code",
"type" : "Retrieve",
"resultTypeSpecifier" : {
"type" : "ListTypeSpecifier",
"elementType" : {
"name" : "{http://hl7.org/fhir}Condition",
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}
},
"codes" : {
"name" : "HIV",
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}
}
} ]
}, {
"localId" : "49",
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"resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
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"templateId" : "condition-qicore-qicore-condition",
"codeProperty" : "code",
"type" : "Retrieve",
"resultTypeSpecifier" : {
"type" : "ListTypeSpecifier",
"elementType" : {
"name" : "{http://hl7.org/fhir}Condition",
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}
},
"codes" : {
"name" : "Syphilis",
"type" : "ValueSetRef"
}
}
} ]
}, {
"localId" : "52",
"locator" : "36:5-36:87",
"resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
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"dataType" : "{http://hl7.org/fhir}Condition",
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},
"codes" : {
"name" : "Complications of Pregnancy, Childbirth and the Puerperium",
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}
} ]
}, {
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},
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}
} ]
}, {
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},
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}
} ]
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"elementType" : {
"name" : "{http://hl7.org/fhir}DiagnosticOrder",
"type" : "NamedTypeSpecifier"
}
},
"codes" : {
"name" : "Lab Tests During Pregnancy",
"type" : "ValueSetRef"
}
}
} ]
}, {
"localId" : "64",
"locator" : "40:5-40:81",
"resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
"type" : "Exists",
"operand" : {
"localId" : "63",
"locator" : "40:12-40:81",
"dataType" : "{http://hl7.org/fhir}DiagnosticOrder",
"templateId" : "diagnosticorder-qicore-qicore-diagnosticorder",
"codeProperty" : "item[].code",
"type" : "Retrieve",
"resultTypeSpecifier" : {
"type" : "ListTypeSpecifier",
"elementType" : {
"name" : "{http://hl7.org/fhir}DiagnosticOrder",
"type" : "NamedTypeSpecifier"
}
},
"codes" : {
"name" : "Lab Tests for Sexually Transmitted Infections",
"type" : "ValueSetRef"
}
}
} ]
}
}, {
"localId" : "98",
"locator" : "42:1-45:82",
"resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
"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" : {
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"locator" : "43:3-45:82",
"resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
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"operand" : [ {
"localId" : "93",
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"resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
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"operand" : [ {
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"locator" : "43:14-43:148",
"type" : "Query",
"resultTypeSpecifier" : {
"type" : "ListTypeSpecifier",
"elementType" : {
"name" : "{http://hl7.org/fhir}DiagnosticReport",
"type" : "NamedTypeSpecifier"
}
},
"source" : [ {
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"locator" : "43:15-43:59",
"alias" : "R",
"resultTypeSpecifier" : {
"type" : "ListTypeSpecifier",
"elementType" : {
"name" : "{http://hl7.org/fhir}DiagnosticReport",
"type" : "NamedTypeSpecifier"
}
},
"expression" : {
"localId" : "67",
"locator" : "43:15-43:57",
"dataType" : "{http://hl7.org/fhir}DiagnosticReport",
"templateId" : "diagnosticreport-qicore-qicore-diagnosticreport",
"codeProperty" : "name",
"type" : "Retrieve",
"resultTypeSpecifier" : {
"type" : "ListTypeSpecifier",
"elementType" : {
"name" : "{http://hl7.org/fhir}DiagnosticReport",
"type" : "NamedTypeSpecifier"
}
},
"codes" : {
"name" : "Chlamydia Screening",
"type" : "ValueSetRef"
}
}
} ],
"relationship" : [ ],
"where" : {
"localId" : "80",
"locator" : "43:61-43:147",
"resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
"type" : "And",
"operand" : [ {
"localId" : "76",
"locator" : "43:67-43:120",
"resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
"type" : "In",
"operand" : [ {
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"locator" : "43:67-43:76",
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}, {
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"locator" : "43:85-43:120",
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"highClosed" : true,
"type" : "Interval",
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},
"low" : {
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"locator" : "43:94-43:100",
"resultTypeName" : "{urn:hl7-org:elm-types:r1}DateTime",
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}, {
"localId" : "72",
"locator" : "43:104-43:110",
"resultTypeName" : "{urn:hl7-org:elm-types:r1}Quantity",
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} ]
},
"high" : {
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"locator" : "43:113-43:119",
"resultTypeName" : "{urn:hl7-org:elm-types:r1}DateTime",
"type" : "Today"
}
} ]
}, {
"localId" : "79",
"locator" : "43:126-43:147",
"resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
"type" : "Not",
"operand" : {
"type" : "IsNull",
"operand" : {
"localId" : "78",
"locator" : "43:126-43:135",
"path" : "result",
"scope" : "R",
"type" : "Property",
"resultTypeSpecifier" : {
"type" : "ListTypeSpecifier",
"elementType" : {
"name" : "{urn:hl7-org:elm-types:r1}Any",
"type" : "NamedTypeSpecifier"
}
}
}
}
} ]
}
}
}
}, {
"localId" : "92",
"locator" : "44:7-44:110",
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"resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
"type" : "Exists",
"operand" : {
"localId" : "90",
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"type" : "Query",
"resultTypeSpecifier" : {
"type" : "ListTypeSpecifier",
"elementType" : {
"name" : "{http://hl7.org/fhir}ProcedureRequest",
"type" : "NamedTypeSpecifier"
}
},
"source" : [ {
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"alias" : "P",
"resultTypeSpecifier" : {
"type" : "ListTypeSpecifier",
"elementType" : {
"name" : "{http://hl7.org/fhir}ProcedureRequest",
"type" : "NamedTypeSpecifier"
}
},
"expression" : {
"localId" : "84",
"locator" : "44:19-44:61",
"dataType" : "{http://hl7.org/fhir}ProcedureRequest",
"templateId" : "procedurerequest-qicore-qicore-procedurerequest",
"codeProperty" : "type",
"type" : "Retrieve",
"resultTypeSpecifier" : {
"type" : "ListTypeSpecifier",
"elementType" : {
"name" : "{http://hl7.org/fhir}ProcedureRequest",
"type" : "NamedTypeSpecifier"
}
},
"codes" : {
"name" : "Chlamydia Screening",
"type" : "ValueSetRef"
}
}
} ],
"relationship" : [ ],
"where" : {
"localId" : "89",
"locator" : "44:65-44:109",
"resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
"precision" : "Day",
"type" : "SameOrAfter",
"operand" : [ {
"localId" : "87",
"locator" : "44:71-44:83",
"resultTypeName" : "{urn:hl7-org:elm-types:r1}DateTime",
"path" : "orderedOn",
"scope" : "P",
"type" : "Property"
}, {
"localId" : "88",
"locator" : "44:103-44:109",
"resultTypeName" : "{urn:hl7-org:elm-types:r1}DateTime",
"type" : "Today"
} ]
}
}
}
} ]
}, {
"localId" : "96",
"locator" : "45:6-45:82",
"resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
"type" : "Not",
"operand" : {
"localId" : "95",
"locator" : "45:10-45:82",
"resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
"type" : "Exists",
"operand" : {
"localId" : "94",
"locator" : "45:17-45:82",
"dataType" : "{http://hl7.org/fhir}Observation",
"templateId" : "observation-qicore-qicore-observation",
"codeProperty" : "code",
"type" : "Retrieve",
"resultTypeSpecifier" : {
"type" : "ListTypeSpecifier",
"elementType" : {
"name" : "{http://hl7.org/fhir}Observation",
"type" : "NamedTypeSpecifier"
}
},
"codes" : {
"name" : "Reason for not performing Chlamydia Screening",
"type" : "ValueSetRef"
}
}
}
} ]
}
}, {
"localId" : "104",
"locator" : "47:1-47:78",
"resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
"name" : "NeedScreening",
"context" : "Patient",
"accessLevel" : "Public",
"annotation" : [ {
"type" : "Annotation",
"s" : {
"value" : [ "define \"NeedScreening\": \"InDemographic\" and \"SexuallyActive\" and \"NoScreening\"" ]
}
} ],
"expression" : {
"localId" : "103",
"locator" : "47:25-47:78",
"resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
"type" : "And",
"operand" : [ {
"localId" : "101",
"locator" : "47:25-47:60",
"resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
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"operand" : [ {
"localId" : "99",
"locator" : "47:25-47:39",
"resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
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}, {
"localId" : "100",
"locator" : "47:45-47:60",
"resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
"name" : "SexuallyActive",
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} ]
}, {
"localId" : "102",
"locator" : "47:66-47:78",
"resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
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} ]
}
}, {
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"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}" ]
}
} ],
"resultTypeSpecifier" : {
"type" : "TupleTypeSpecifier",
"element" : [ {
"name" : "type",
"type" : {
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}
}, {
"name" : "status",
"type" : {
"name" : "{urn:hl7-org:elm-types:r1}String",
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}
} ]
},
"expression" : {
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}, {
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} ]
},
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}
}
}
}, {
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}
} ]
}
} ]
}
}
}