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_CQM",
"version" : "2"
},
"schemaIdentifier" : {
"id" : "urn:hl7-org:elm",
"version" : "r1"
},
"usings" : {
"def" : [ {
"localIdentifier" : "System",
"uri" : "urn:hl7-org:elm-types:r1"
}, {
"localIdentifier" : "QUICK",
"uri" : "http://hl7.org/fhir"
} ]
},
"parameters" : {
"def" : [ {
"name" : "MeasurementPeriod",
"accessLevel" : "Public",
"default" : {
"lowClosed" : true,
"highClosed" : false,
"type" : "Interval",
"low" : {
"type" : "DateTime",
"year" : {
"valueType" : "{urn:hl7-org:elm-types:r1}Integer",
"value" : "2013",
"type" : "Literal"
},
"month" : {
"valueType" : "{urn:hl7-org:elm-types:r1}Integer",
"value" : "1",
"type" : "Literal"
},
"day" : {
"valueType" : "{urn:hl7-org:elm-types:r1}Integer",
"value" : "1",
"type" : "Literal"
},
"hour" : {
"valueType" : "{urn:hl7-org:elm-types:r1}Integer",
"value" : "0",
"type" : "Literal"
},
"minute" : {
"valueType" : "{urn:hl7-org:elm-types:r1}Integer",
"value" : "0",
"type" : "Literal"
},
"second" : {
"valueType" : "{urn:hl7-org:elm-types:r1}Integer",
"value" : "0",
"type" : "Literal"
},
"millisecond" : {
"valueType" : "{urn:hl7-org:elm-types:r1}Integer",
"value" : "0",
"type" : "Literal"
}
},
"high" : {
"type" : "DateTime",
"year" : {
"valueType" : "{urn:hl7-org:elm-types:r1}Integer",
"value" : "2014",
"type" : "Literal"
},
"month" : {
"valueType" : "{urn:hl7-org:elm-types:r1}Integer",
"value" : "1",
"type" : "Literal"
},
"day" : {
"valueType" : "{urn:hl7-org:elm-types:r1}Integer",
"value" : "1",
"type" : "Literal"
},
"hour" : {
"valueType" : "{urn:hl7-org:elm-types:r1}Integer",
"value" : "0",
"type" : "Literal"
},
"minute" : {
"valueType" : "{urn:hl7-org:elm-types:r1}Integer",
"value" : "0",
"type" : "Literal"
},
"second" : {
"valueType" : "{urn:hl7-org:elm-types:r1}Integer",
"value" : "0",
"type" : "Literal"
},
"millisecond" : {
"valueType" : "{urn:hl7-org:elm-types:r1}Integer",
"value" : "0",
"type" : "Literal"
}
}
}
} ]
},
"valueSets" : {
"def" : [ {
"name" : "Female Administrative Sex",
"id" : "2.16.840.1.113883.3.560.100.2",
"accessLevel" : "Public"
}, {
"name" : "Other Female Reproductive Conditions",
"id" : "2.16.840.1.113883.3.464.1003.111.12.1006",
"accessLevel" : "Public"
}, {
"name" : "Genital Herpes",
"id" : "2.16.840.1.113883.3.464.1003.110.12.1049",
"accessLevel" : "Public"
}, {
"name" : "Genococcal Infections and Venereal Diseases",
"id" : "2.16.840.1.113883.3.464.1003.112.12.1001",
"accessLevel" : "Public"
}, {
"name" : "Inflammatory Diseases of Female Reproductive Organs",
"id" : "2.16.840.1.113883.3.464.1003.112.12.1004",
"accessLevel" : "Public"
}, {
"name" : "Chlamydia",
"id" : "2.16.840.1.113883.3.464.1003.112.12.1003",
"accessLevel" : "Public"
}, {
"name" : "HIV",
"id" : "2.16.840.1.113883.3.464.1003.120.12.1003",
"accessLevel" : "Public"
}, {
"name" : "Syphilis",
"id" : "2.16.840.1.113883.3.464.1003.112.12.1002",
"accessLevel" : "Public"
}, {
"name" : "Complications of Pregnancy, Childbirth and the Puerperium",
"id" : "2.16.840.1.113883.3.464.1003.111.12.1012",
"accessLevel" : "Public"
}, {
"name" : "Pregnancy Test",
"id" : "2.16.840.1.113883.3.464.1003.111.12.1011",
"accessLevel" : "Public"
}, {
"name" : "Pap Test",
"id" : "2.16.840.1.113883.3.464.1003.108.12.1017",
"accessLevel" : "Public"
}, {
"name" : "Lab Tests During Pregnancy",
"id" : "2.16.840.1.113883.3.464.1003.111.12.1007",
"accessLevel" : "Public"
}, {
"name" : "Lab Tests for Sexually Transmitted Infections",
"id" : "2.16.840.1.113883.3.464.1003.110.12.1051",
"accessLevel" : "Public"
}, {
"name" : "Chlamydia Screening",
"id" : "2.16.840.1.113883.3.464.1003.110.12.1052",
"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"
}
}
}, {
"name" : "InDemographic",
"context" : "Patient",
"accessLevel" : "Public",
"expression" : {
"type" : "And",
"operand" : [ {
"type" : "And",
"operand" : [ {
"type" : "GreaterOrEqual",
"operand" : [ {
"precision" : "Year",
"type" : "CalculateAgeAt",
"operand" : [ {
"path" : "birthDate",
"type" : "Property",
"source" : {
"name" : "Patient",
"type" : "ExpressionRef"
}
}, {
"type" : "Start",
"operand" : {
"name" : "MeasurementPeriod",
"type" : "ParameterRef"
}
} ]
}, {
"valueType" : "{urn:hl7-org:elm-types:r1}Integer",
"value" : "16",
"type" : "Literal"
} ]
}, {
"type" : "Less",
"operand" : [ {
"precision" : "Year",
"type" : "CalculateAgeAt",
"operand" : [ {
"path" : "birthDate",
"type" : "Property",
"source" : {
"name" : "Patient",
"type" : "ExpressionRef"
}
}, {
"type" : "Start",
"operand" : {
"name" : "MeasurementPeriod",
"type" : "ParameterRef"
}
} ]
}, {
"valueType" : "{urn:hl7-org:elm-types:r1}Integer",
"value" : "24",
"type" : "Literal"
} ]
} ]
}, {
"type" : "InValueSet",
"code" : {
"path" : "gender",
"type" : "Property",
"source" : {
"name" : "Patient",
"type" : "ExpressionRef"
}
},
"valueset" : {
"name" : "Female Administrative Sex"
}
} ]
}
}, {
"name" : "SexuallyActive",
"context" : "Patient",
"accessLevel" : "Public",
"expression" : {
"type" : "Or",
"operand" : [ {
"type" : "Or",
"operand" : [ {
"type" : "Or",
"operand" : [ {
"type" : "Or",
"operand" : [ {
"type" : "Or",
"operand" : [ {
"type" : "Or",
"operand" : [ {
"type" : "Or",
"operand" : [ {
"type" : "Or",
"operand" : [ {
"type" : "Or",
"operand" : [ {
"type" : "Or",
"operand" : [ {
"type" : "Or",
"operand" : [ {
"type" : "Exists",
"operand" : {
"type" : "Query",
"source" : [ {
"alias" : "C",
"expression" : {
"dataType" : "{http://hl7.org/fhir}Condition",
"templateId" : "condition-qicore-qicore-condition",
"codeProperty" : "code",
"type" : "Retrieve",
"codes" : {
"name" : "Other Female Reproductive Conditions",
"type" : "ValueSetRef"
}
}
} ],
"relationship" : [ ],
"where" : {
"type" : "Overlaps",
"operand" : [ {
"lowClosed" : true,
"highClosed" : true,
"type" : "Interval",
"low" : {
"path" : "onsetDateTime",
"scope" : "C",
"type" : "Property"
},
"high" : {
"path" : "abatementDate",
"scope" : "C",
"type" : "Property"
}
}, {
"name" : "MeasurementPeriod",
"type" : "ParameterRef"
} ]
}
}
}, {
"type" : "Exists",
"operand" : {
"type" : "Query",
"source" : [ {
"alias" : "C",
"expression" : {
"dataType" : "{http://hl7.org/fhir}Condition",
"templateId" : "condition-qicore-qicore-condition",
"codeProperty" : "code",
"type" : "Retrieve",
"codes" : {
"name" : "Genital Herpes",
"type" : "ValueSetRef"
}
}
} ],
"relationship" : [ ],
"where" : {
"type" : "Overlaps",
"operand" : [ {
"lowClosed" : true,
"highClosed" : true,
"type" : "Interval",
"low" : {
"path" : "onsetDateTime",
"scope" : "C",
"type" : "Property"
},
"high" : {
"path" : "abatementDate",
"scope" : "C",
"type" : "Property"
}
}, {
"name" : "MeasurementPeriod",
"type" : "ParameterRef"
} ]
}
}
} ]
}, {
"type" : "Exists",
"operand" : {
"type" : "Query",
"source" : [ {
"alias" : "C",
"expression" : {
"dataType" : "{http://hl7.org/fhir}Condition",
"templateId" : "condition-qicore-qicore-condition",
"codeProperty" : "code",
"type" : "Retrieve",
"codes" : {
"name" : "Genococcal Infections and Venereal Diseases",
"type" : "ValueSetRef"
}
}
} ],
"relationship" : [ ],
"where" : {
"type" : "Overlaps",
"operand" : [ {
"lowClosed" : true,
"highClosed" : true,
"type" : "Interval",
"low" : {
"path" : "onsetDateTime",
"scope" : "C",
"type" : "Property"
},
"high" : {
"path" : "abatementDate",
"scope" : "C",
"type" : "Property"
}
}, {
"name" : "MeasurementPeriod",
"type" : "ParameterRef"
} ]
}
}
} ]
}, {
"type" : "Exists",
"operand" : {
"type" : "Query",
"source" : [ {
"alias" : "C",
"expression" : {
"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"
}
}
} ],
"relationship" : [ ],
"where" : {
"type" : "Overlaps",
"operand" : [ {
"lowClosed" : true,
"highClosed" : true,
"type" : "Interval",
"low" : {
"path" : "onsetDateTime",
"scope" : "C",
"type" : "Property"
},
"high" : {
"path" : "abatementDate",
"scope" : "C",
"type" : "Property"
}
}, {
"name" : "MeasurementPeriod",
"type" : "ParameterRef"
} ]
}
}
} ]
}, {
"type" : "Exists",
"operand" : {
"type" : "Query",
"source" : [ {
"alias" : "C",
"expression" : {
"dataType" : "{http://hl7.org/fhir}Condition",
"templateId" : "condition-qicore-qicore-condition",
"codeProperty" : "code",
"type" : "Retrieve",
"codes" : {
"name" : "Chlamydia",
"type" : "ValueSetRef"
}
}
} ],
"relationship" : [ ],
"where" : {
"type" : "Overlaps",
"operand" : [ {
"lowClosed" : true,
"highClosed" : true,
"type" : "Interval",
"low" : {
"path" : "onsetDateTime",
"scope" : "C",
"type" : "Property"
},
"high" : {
"path" : "abatementDate",
"scope" : "C",
"type" : "Property"
}
}, {
"name" : "MeasurementPeriod",
"type" : "ParameterRef"
} ]
}
}
} ]
}, {
"type" : "Exists",
"operand" : {
"type" : "Query",
"source" : [ {
"alias" : "C",
"expression" : {
"dataType" : "{http://hl7.org/fhir}Condition",
"templateId" : "condition-qicore-qicore-condition",
"codeProperty" : "code",
"type" : "Retrieve",
"codes" : {
"name" : "HIV",
"type" : "ValueSetRef"
}
}
} ],
"relationship" : [ ],
"where" : {
"type" : "Overlaps",
"operand" : [ {
"lowClosed" : true,
"highClosed" : true,
"type" : "Interval",
"low" : {
"path" : "onsetDateTime",
"scope" : "C",
"type" : "Property"
},
"high" : {
"path" : "abatementDate",
"scope" : "C",
"type" : "Property"
}
}, {
"name" : "MeasurementPeriod",
"type" : "ParameterRef"
} ]
}
}
} ]
}, {
"type" : "Exists",
"operand" : {
"type" : "Query",
"source" : [ {
"alias" : "C",
"expression" : {
"dataType" : "{http://hl7.org/fhir}Condition",
"templateId" : "condition-qicore-qicore-condition",
"codeProperty" : "code",
"type" : "Retrieve",
"codes" : {
"name" : "Syphilis",
"type" : "ValueSetRef"
}
}
} ],
"relationship" : [ ],
"where" : {
"type" : "Overlaps",
"operand" : [ {
"lowClosed" : true,
"highClosed" : true,
"type" : "Interval",
"low" : {
"path" : "onsetDateTime",
"scope" : "C",
"type" : "Property"
},
"high" : {
"path" : "abatementDate",
"scope" : "C",
"type" : "Property"
}
}, {
"name" : "MeasurementPeriod",
"type" : "ParameterRef"
} ]
}
}
} ]
}, {
"type" : "Exists",
"operand" : {
"type" : "Query",
"source" : [ {
"alias" : "C",
"expression" : {
"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"
}
}
} ],
"relationship" : [ ],
"where" : {
"type" : "Overlaps",
"operand" : [ {
"lowClosed" : true,
"highClosed" : true,
"type" : "Interval",
"low" : {
"path" : "onsetDateTime",
"scope" : "C",
"type" : "Property"
},
"high" : {
"path" : "abatementDate",
"scope" : "C",
"type" : "Property"
}
}, {
"name" : "MeasurementPeriod",
"type" : "ParameterRef"
} ]
}
}
} ]
}, {
"type" : "Exists",
"operand" : {
"type" : "Query",
"source" : [ {
"alias" : "O",
"expression" : {
"dataType" : "{http://hl7.org/fhir}DiagnosticOrder",
"templateId" : "diagnosticorder-qicore-qicore-diagnosticorder",
"codeProperty" : "item[].code",
"type" : "Retrieve",
"codes" : {
"name" : "Pregnancy Test",
"type" : "ValueSetRef"
}
}
} ],
"relationship" : [ ],
"where" : {
"type" : "In",
"operand" : [ {
"path" : "dateTime",
"type" : "Property",
"source" : {
"type" : "Last",
"source" : {
"type" : "Query",
"source" : [ {
"alias" : "E",
"expression" : {
"path" : "event",
"scope" : "O",
"type" : "Property"
}
} ],
"relationship" : [ ],
"where" : {
"type" : "Equal",
"operand" : [ {
"path" : "status",
"scope" : "E",
"type" : "Property"
}, {
"valueType" : "{urn:hl7-org:elm-types:r1}String",
"value" : "completed",
"type" : "Literal"
} ]
},
"sort" : {
"by" : [ {
"direction" : "asc",
"type" : "ByExpression",
"expression" : {
"path" : "dateTime",
"scope" : "E",
"type" : "Property"
}
} ]
}
}
}
}, {
"name" : "MeasurementPeriod",
"type" : "ParameterRef"
} ]
}
}
} ]
}, {
"type" : "Exists",
"operand" : {
"type" : "Query",
"source" : [ {
"alias" : "O",
"expression" : {
"dataType" : "{http://hl7.org/fhir}DiagnosticOrder",
"templateId" : "diagnosticorder-qicore-qicore-diagnosticorder",
"codeProperty" : "item[].code",
"type" : "Retrieve",
"codes" : {
"name" : "Pap Test",
"type" : "ValueSetRef"
}
}
} ],
"relationship" : [ ],
"where" : {
"type" : "In",
"operand" : [ {
"path" : "dateTime",
"type" : "Property",
"source" : {
"type" : "Last",
"source" : {
"type" : "Query",
"source" : [ {
"alias" : "E",
"expression" : {
"path" : "event",
"scope" : "O",
"type" : "Property"
}
} ],
"relationship" : [ ],
"where" : {
"type" : "Equal",
"operand" : [ {
"path" : "status",
"scope" : "E",
"type" : "Property"
}, {
"valueType" : "{urn:hl7-org:elm-types:r1}String",
"value" : "completed",
"type" : "Literal"
} ]
},
"sort" : {
"by" : [ {
"direction" : "asc",
"type" : "ByExpression",
"expression" : {
"path" : "dateTime",
"scope" : "E",
"type" : "Property"
}
} ]
}
}
}
}, {
"name" : "MeasurementPeriod",
"type" : "ParameterRef"
} ]
}
}
} ]
}, {
"type" : "Exists",
"operand" : {
"type" : "Query",
"source" : [ {
"alias" : "O",
"expression" : {
"dataType" : "{http://hl7.org/fhir}DiagnosticOrder",
"templateId" : "diagnosticorder-qicore-qicore-diagnosticorder",
"codeProperty" : "item[].code",
"type" : "Retrieve",
"codes" : {
"name" : "Lab Tests During Pregnancy",
"type" : "ValueSetRef"
}
}
} ],
"relationship" : [ ],
"where" : {
"type" : "In",
"operand" : [ {
"path" : "dateTime",
"type" : "Property",
"source" : {
"type" : "Last",
"source" : {
"type" : "Query",
"source" : [ {
"alias" : "E",
"expression" : {
"path" : "event",
"scope" : "O",
"type" : "Property"
}
} ],
"relationship" : [ ],
"where" : {
"type" : "Equal",
"operand" : [ {
"path" : "status",
"scope" : "E",
"type" : "Property"
}, {
"valueType" : "{urn:hl7-org:elm-types:r1}String",
"value" : "completed",
"type" : "Literal"
} ]
}
}
}
}, {
"name" : "MeasurementPeriod",
"type" : "ParameterRef"
} ]
}
}
} ]
}, {
"type" : "Exists",
"operand" : {
"type" : "Query",
"source" : [ {
"alias" : "O",
"expression" : {
"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"
}
}
} ],
"relationship" : [ ],
"where" : {
"type" : "In",
"operand" : [ {
"path" : "dateTime",
"type" : "Property",
"source" : {
"type" : "Last",
"source" : {
"type" : "Query",
"source" : [ {
"alias" : "E",
"expression" : {
"path" : "event",
"scope" : "O",
"type" : "Property"
}
} ],
"relationship" : [ ],
"where" : {
"type" : "Equal",
"operand" : [ {
"path" : "status",
"scope" : "E",
"type" : "Property"
}, {
"valueType" : "{urn:hl7-org:elm-types:r1}String",
"value" : "completed",
"type" : "Literal"
} ]
}
}
}
}, {
"name" : "MeasurementPeriod",
"type" : "ParameterRef"
} ]
}
}
} ]
}
}, {
"name" : "InInitialPopulation",
"context" : "Patient",
"accessLevel" : "Public",
"expression" : {
"type" : "And",
"operand" : [ {
"name" : "InDemographic",
"type" : "ExpressionRef"
}, {
"name" : "SexuallyActive",
"type" : "ExpressionRef"
} ]
}
}, {
"name" : "InDenominator",
"context" : "Patient",
"accessLevel" : "Public",
"expression" : {
"valueType" : "{urn:hl7-org:elm-types:r1}Boolean",
"value" : "true",
"type" : "Literal"
}
}, {
"name" : "InNumerator",
"context" : "Patient",
"accessLevel" : "Public",
"expression" : {
"type" : "Exists",
"operand" : {
"type" : "Query",
"source" : [ {
"alias" : "R",
"expression" : {
"dataType" : "{http://hl7.org/fhir}DiagnosticReport",
"templateId" : "diagnosticreport-qicore-qicore-diagnosticreport",
"codeProperty" : "name",
"type" : "Retrieve",
"codes" : {
"name" : "Chlamydia Screening",
"type" : "ValueSetRef"
}
}
} ],
"relationship" : [ ],
"where" : {
"type" : "And",
"operand" : [ {
"type" : "In",
"operand" : [ {
"path" : "issued",
"scope" : "R",
"type" : "Property"
}, {
"name" : "MeasurementPeriod",
"type" : "ParameterRef"
} ]
}, {
"type" : "Not",
"operand" : {
"type" : "IsNull",
"operand" : {
"path" : "result",
"scope" : "R",
"type" : "Property"
}
}
} ]
}
}
}
}, {
"name" : "MeasureScore",
"context" : "Population",
"accessLevel" : "Public",
"expression" : {
"type" : "Multiply",
"operand" : [ {
"type" : "Divide",
"operand" : [ {
"type" : "ToDecimal",
"operand" : {
"type" : "Count",
"source" : {
"type" : "Query",
"source" : [ {
"alias" : "P",
"expression" : {
"name" : "Patient",
"type" : "ExpressionRef"
}
} ],
"relationship" : [ ],
"where" : {
"type" : "And",
"operand" : [ {
"type" : "And",
"operand" : [ {
"name" : "InInitialPopulation",
"type" : "ExpressionRef"
}, {
"name" : "InDenominator",
"type" : "ExpressionRef"
} ]
}, {
"name" : "InNumerator",
"type" : "ExpressionRef"
} ]
}
}
}
}, {
"type" : "ToDecimal",
"operand" : {
"type" : "Count",
"source" : {
"type" : "Query",
"source" : [ {
"alias" : "P",
"expression" : {
"name" : "Patient",
"type" : "ExpressionRef"
}
} ],
"relationship" : [ ],
"where" : {
"type" : "And",
"operand" : [ {
"name" : "InInitialPopulation",
"type" : "ExpressionRef"
}, {
"name" : "InDenominator",
"type" : "ExpressionRef"
} ]
}
}
}
} ]
}, {
"type" : "ToDecimal",
"operand" : {
"valueType" : "{urn:hl7-org:elm-types:r1}Integer",
"value" : "100",
"type" : "Literal"
}
} ]
}
} ]
}
}
}