Data Exchange For Quality Measures Implementation Guide, published by HL7 International / Clinical Quality Information. This guide is not an authorized publication; it is the continuous build for version 5.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-deqm/ and changes regularly. See the Directory of published versions
Active as of 2020-07-21 |
{
"resourceType" : "Library",
"id" : "library-exm130-example",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Library library-exm130-example</b></p><a name=\"library-exm130-example\"> </a><a name=\"hclibrary-exm130-example\"> </a><a name=\"library-exm130-example-en-US\"> </a><h2>Data Requirements</h2><table class=\"grid\"><tr><td colspan=\"2\"><b>Type</b>: <a href=\"http://hl7.org/fhir/R4/coverage.html\">Coverage</a> (<a href=\"http://hl7.org/fhir/R4/coverage.html\">Coverage</a>)</td></tr><tr style=\"background-color: #efefef\"><td>Filter</td><td>Value</td></tr><tr><td>type</td><td>In ValueSet <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.114222.4.11.3591/expansion\">Payer Type</a></td></tr></table><table class=\"grid\"><tr><td colspan=\"2\"><b>Type</b>: <a href=\"http://hl7.org/fhir/R4/procedure.html\">Procedure</a></td></tr><tr style=\"background-color: #efefef\"><td>Filter</td><td>Value</td></tr><tr><td>code</td><td>In ValueSet <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.198.12.1010/expansion\">Flexible Sigmoidoscopy</a></td></tr></table><table class=\"grid\"><tr><td colspan=\"2\"><b>Type</b>: <a href=\"http://hl7.org/fhir/R4/procedure.html\">Procedure</a></td></tr><tr style=\"background-color: #efefef\"><td>Filter</td><td>Value</td></tr><tr><td>code</td><td>In ValueSet <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.108.12.1038/expansion\">CT Colonography</a></td></tr></table><table class=\"grid\"><tr><td colspan=\"2\"><b>Type</b>: <a href=\"http://hl7.org/fhir/R4/procedure.html\">Procedure</a></td></tr><tr style=\"background-color: #efefef\"><td>Filter</td><td>Value</td></tr><tr><td>code</td><td>In ValueSet <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.198.12.1019/expansion\">Total Colectomy</a></td></tr></table><table class=\"grid\"><tr><td colspan=\"2\"><b>Type</b>: <a href=\"http://hl7.org/fhir/R4/condition.html\">Condition</a></td></tr><tr style=\"background-color: #efefef\"><td>Filter</td><td>Value</td></tr><tr><td>code</td><td>In ValueSet <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.108.12.1001/expansion\">Malignant Neoplasm of Colon</a></td></tr></table><table class=\"grid\"><tr><td colspan=\"2\"><b>Type</b>: <a href=\"http://hl7.org/fhir/R4/observation.html\">Observation</a></td></tr><tr style=\"background-color: #efefef\"><td>Filter</td><td>Value</td></tr><tr><td>code</td><td>In ValueSet <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.198.12.1011/expansion\">Fecal Occult Blood Test (FOBT)</a></td></tr></table><table class=\"grid\"><tr><td colspan=\"2\"><b>Type</b>: <a href=\"http://hl7.org/fhir/R4/observation.html\">Observation</a></td></tr><tr style=\"background-color: #efefef\"><td>Filter</td><td>Value</td></tr><tr><td>code</td><td>In ValueSet <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.108.12.1039/expansion\">sDNA FIT Test</a></td></tr></table><table class=\"grid\"><tr><td colspan=\"2\"><b>Type</b>: <a href=\"http://hl7.org/fhir/R4/procedure.html\">Procedure</a></td></tr><tr style=\"background-color: #efefef\"><td>Filter</td><td>Value</td></tr><tr><td>code</td><td>In ValueSet <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.108.12.1020/expansion\">Colonoscopy</a></td></tr></table><h2>Contents</h2><p><code>application/elm+xml</code></p><pre><code><?xml version="1.0" encoding="UTF-8"?>\r\n<library xmlns="urn:hl7-org:elm:r1" xmlns:t="urn:hl7-org:elm-types:r1" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:xsd="http://www.w3.org/2001/XMLSchema" xmlns:fhir="http://hl7.org/fhir" xmlns:qdm43="urn:healthit-gov:qdm:v4_3" xmlns:qdm53="urn:healthit-gov:qdm:v5_3" xmlns:a="urn:hl7-org:cql-annotations:r1">\r\n <identifier id="EXM130_FHIR4" version="7.2.000"/>\r\n <schemaIdentifier id="urn:hl7-org:elm" version="r1"/>\r\n <usings>\r\n <def localIdentifier="System" uri="urn:hl7-org:elm-types:r1"/>\r\n <def localIdentifier="FHIR" uri="http://hl7.org/fhir" version="4.0.0"/>\r\n </usings>\r\n <includes>\r\n <def localIdentifier="FHIRHelpers" path="FHIRHelpers" version="4.0.0"/>\r\n <def localIdentifier="Hospice" path="Hospice_FHIR4" version="1.0.000"/>\r\n <def localIdentifier="AdultOutpatientEncounters" path="AdultOutpatientEncounters_FHIR4" version="1.1.000"/>\r\n <def localIdentifier="Global" path="MATGlobalCommonFunctions_FHIR4" version="4.0.000"/>\r\n <def localIdentifier="SDE" path="SupplementalDataElements_FHIR4" version="1.0.0"/>\r\n </includes>\r\n <parameters>\r\n <def name="Measurement Period" accessLevel="Public">\r\n <default lowClosed="true" highClosed="false" xsi:type="Interval">\r\n <low xsi:type="DateTime">\r\n <year valueType="t:Integer" value="2019" xsi:type="Literal"/>\r\n <month valueType="t:Integer" value="1" xsi:type="Literal"/>\r\n <day valueType="t:Integer" value="1" xsi:type="Literal"/>\r\n <hour valueType="t:Integer" value="0" xsi:type="Literal"/>\r\n <minute valueType="t:Integer" value="0" xsi:type="Literal"/>\r\n <second valueType="t:Integer" value="0" xsi:type="Literal"/>\r\n <millisecond valueType="t:Integer" value="0" xsi:type="Literal"/>\r\n </low>\r\n <high xsi:type="DateTime">\r\n <year valueType="t:Integer" value="2020" xsi:type="Literal"/>\r\n <month valueType="t:Integer" value="1" xsi:type="Literal"/>\r\n <day valueType="t:Integer" value="1" xsi:type="Literal"/>\r\n <hour valueType="t:Integer" value="0" xsi:type="Literal"/>\r\n <minute valueType="t:Integer" value="0" xsi:type="Literal"/>\r\n <second valueType="t:Integer" value="0" xsi:type="Literal"/>\r\n <millisecond valueType="t:Integer" value="0" xsi:type="Literal"/>\r\n </high>\r\n </default>\r\n <parameterTypeSpecifier xsi:type="IntervalTypeSpecifier">\r\n <pointType name="t:DateTime" xsi:type="NamedTypeSpecifier"/>\r\n </parameterTypeSpecifier>\r\n </def>\r\n </parameters>\r\n <valueSets>\r\n <def name="ONC Administrative Sex" id="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1" accessLevel="Public"/>\r\n <def name="Race" id="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.836" accessLevel="Public"/>\r\n <def name="Ethnicity" id="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.837" accessLevel="Public"/>\r\n <def name="Payer" id="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591" accessLevel="Public"/>\r\n <def name="Colonoscopy" id="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1020" accessLevel="Public"/>\r\n <def name="Fecal Occult Blood Test (FOBT)" id="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1011" accessLevel="Public"/>\r\n <def name="Flexible Sigmoidoscopy" id="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1010" accessLevel="Public"/>\r\n <def name="Malignant Neoplasm of Colon" id="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1001" accessLevel="Public"/>\r\n <def name="Total Colectomy" id="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1019" accessLevel="Public"/>\r\n <def name="FIT DNA" id="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1039" accessLevel="Public"/>\r\n <def name="CT Colonography" id="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1038" accessLevel="Public"/>\r\n </valueSets>\r\n <statements>\r\n <def name="Patient" context="Patient">\r\n <expression xsi:type="SingletonFrom">\r\n <operand dataType="fhir:Patient" xsi:type="Retrieve"/>\r\n </expression>\r\n </def>\r\n <def name="SDE Ethnicity" context="Patient" accessLevel="Public">\r\n <expression name="SDE Ethnicity" libraryName="SDE" xsi:type="ExpressionRef"/>\r\n </def>\r\n <def name="SDE Payer" context="Patient" accessLevel="Public">\r\n <expression name="SDE Payer" libraryName="SDE" xsi:type="ExpressionRef"/>\r\n </def>\r\n <def name="SDE Race" context="Patient" accessLevel="Public">\r\n <expression name="SDE Race" libraryName="SDE" xsi:type="ExpressionRef"/>\r\n </def>\r\n <def name="SDE Sex" context="Patient" accessLevel="Public">\r\n <expression name="SDE Sex" libraryName="SDE" xsi:type="ExpressionRef"/>\r\n </def>\r\n <def name="Denominator" context="Patient" accessLevel="Public">\r\n <expression valueType="t:Boolean" value="true" xsi:type="Literal"/>\r\n </def>\r\n <def name="Flexible Sigmoidoscopy Performed" context="Patient" accessLevel="Public">\r\n <expression xsi:type="Query">\r\n <source alias="FlexibleSigmoidoscopy">\r\n <expression dataType="fhir:Procedure" codeProperty="code" xsi:type="Retrieve">\r\n <codes name="Flexible Sigmoidoscopy" xsi:type="ValueSetRef"/>\r\n </expression>\r\n </source>\r\n <where xsi:type="And">\r\n <operand xsi:type="Equal">\r\n <operand name="ToString" libraryName="FHIRHelpers" xsi:type="FunctionRef">\r\n <operand path="status" scope="FlexibleSigmoidoscopy" xsi:type="Property"/>\r\n </operand>\r\n <operand valueType="t:String" value="completed" xsi:type="Literal"/>\r\n </operand>\r\n <operand xsi:type="In">\r\n <operand xsi:type="End">\r\n <operand name="Normalize Interval" libraryName="Global" xsi:type="FunctionRef">\r\n <operand path="performed" scope="FlexibleSigmoidoscopy" xsi:type="Property"/>\r\n </operand>\r\n </operand>\r\n <operand lowClosed="true" highClosed="true" xsi:type="Interval">\r\n <low xsi:type="Subtract">\r\n <operand xsi:type="End">\r\n <operand name="Measurement Period" xsi:type="ParameterRef"/>\r\n </operand>\r\n <operand value="5" unit="years" xsi:type="Quantity"/>\r\n </low>\r\n <high xsi:type="End">\r\n <operand name="Measurement Period" xsi:type="ParameterRef"/>\r\n </high>\r\n </operand>\r\n </operand>\r\n </where>\r\n </expression>\r\n </def>\r\n <def name="CT Colonography Performed" context="Patient" accessLevel="Public">\r\n <expression xsi:type="Query">\r\n <source alias="Colonography">\r\n <expression dataType="fhir:Procedure" codeProperty="code" xsi:type="Retrieve">\r\n <codes name="CT Colonography" xsi:type="ValueSetRef"/>\r\n </expression>\r\n </source>\r\n <where xsi:type="And">\r\n <operand xsi:type="Equal">\r\n <operand name="ToString" libraryName="FHIRHelpers" xsi:type="FunctionRef">\r\n <operand path="status" scope="Colonography" xsi:type="Property"/>\r\n </operand>\r\n <operand valueType="t:String" value="completed" xsi:type="Literal"/>\r\n </operand>\r\n <operand xsi:type="In">\r\n <operand xsi:type="End">\r\n <operand name="Normalize Interval" libraryName="Global" xsi:type="FunctionRef">\r\n <operand path="performed" scope="Colonography" xsi:type="Property"/>\r\n </operand>\r\n </operand>\r\n <operand lowClosed="true" highClosed="true" xsi:type="Interval">\r\n <low xsi:type="Subtract">\r\n <operand xsi:type="End">\r\n <operand name="Measurement Period" xsi:type="ParameterRef"/>\r\n </operand>\r\n <operand value="5" unit="years" xsi:type="Quantity"/>\r\n </low>\r\n <high xsi:type="End">\r\n <operand name="Measurement Period" xsi:type="ParameterRef"/>\r\n </high>\r\n </operand>\r\n </operand>\r\n </where>\r\n </expression>\r\n </def>\r\n <def name="Total Colectomy Performed" context="Patient" accessLevel="Public">\r\n <expression xsi:type="Query">\r\n <source alias="Colectomy">\r\n <expression dataType="fhir:Procedure" codeProperty="code" xsi:type="Retrieve">\r\n <codes name="Total Colectomy" xsi:type="ValueSetRef"/>\r\n </expression>\r\n </source>\r\n <where xsi:type="And">\r\n <operand xsi:type="Equal">\r\n <operand name="ToString" libraryName="FHIRHelpers" xsi:type="FunctionRef">\r\n <operand path="status" scope="Colectomy" xsi:type="Property"/>\r\n </operand>\r\n <operand valueType="t:String" value="completed" xsi:type="Literal"/>\r\n </operand>\r\n <operand xsi:type="SameOrBefore">\r\n <operand xsi:type="Start">\r\n <operand name="Normalize Interval" libraryName="Global" xsi:type="FunctionRef">\r\n <operand path="performed" scope="Colectomy" xsi:type="Property"/>\r\n </operand>\r\n </operand>\r\n <operand xsi:type="End">\r\n <operand name="Measurement Period" xsi:type="ParameterRef"/>\r\n </operand>\r\n </operand>\r\n </where>\r\n </expression>\r\n </def>\r\n <def name="Malignant Neoplasm Ever" context="Patient" accessLevel="Public">\r\n <expression xsi:type="Query">\r\n <source alias="ColorectalCancer">\r\n <expression dataType="fhir:Condition" codeProperty="code" xsi:type="Retrieve">\r\n <codes name="Malignant Neoplasm of Colon" xsi:type="ValueSetRef"/>\r\n </expression>\r\n </source>\r\n <where xsi:type="SameOrBefore">\r\n <operand xsi:type="Start">\r\n <operand name="Normalize Onset" libraryName="Global" xsi:type="FunctionRef">\r\n <operand path="onset" scope="ColorectalCancer" xsi:type="Property"/>\r\n </operand>\r\n </operand>\r\n <operand xsi:type="End">\r\n <operand name="Measurement Period" xsi:type="ParameterRef"/>\r\n </operand>\r\n </where>\r\n </expression>\r\n </def>\r\n <def name="Fecal Occult Blood Test Performed" context="Patient" accessLevel="Public">\r\n <expression xsi:type="Query">\r\n <source alias="FecalOccultResult">\r\n <expression dataType="fhir:Observation" codeProperty="code" xsi:type="Retrieve">\r\n <codes name="Fecal Occult Blood Test (FOBT)" xsi:type="ValueSetRef"/>\r\n </expression>\r\n </source>\r\n <where xsi:type="And">\r\n <operand xsi:type="And">\r\n <operand xsi:type="In">\r\n <operand name="ToString" libraryName="FHIRHelpers" xsi:type="FunctionRef">\r\n <operand path="status" scope="FecalOccultResult" xsi:type="Property"/>\r\n </operand>\r\n <operand xsi:type="List">\r\n <element valueType="t:String" value="final" xsi:type="Literal"/>\r\n <element valueType="t:String" value="amended" xsi:type="Literal"/>\r\n <element valueType="t:String" value="corrected" xsi:type="Literal"/>\r\n <element valueType="t:String" value="preliminary" xsi:type="Literal"/>\r\n </operand>\r\n </operand>\r\n <operand xsi:type="Not">\r\n <operand xsi:type="IsNull">\r\n <operand path="value" scope="FecalOccultResult" xsi:type="Property"/>\r\n </operand>\r\n </operand>\r\n </operand>\r\n <operand precision="Day" xsi:type="IncludedIn">\r\n <operand name="Normalize Interval" libraryName="Global" xsi:type="FunctionRef">\r\n <operand path="effective" scope="FecalOccultResult" xsi:type="Property"/>\r\n </operand>\r\n <operand name="Measurement Period" xsi:type="ParameterRef"/>\r\n </operand>\r\n </where>\r\n </expression>\r\n </def>\r\n <def name="Fecal Immunochemical Test DNA" context="Patient" accessLevel="Public">\r\n <expression xsi:type="Query">\r\n <source alias="FitDNA">\r\n <expression dataType="fhir:Observation" codeProperty="code" xsi:type="Retrieve">\r\n <codes name="FIT DNA" xsi:type="ValueSetRef"/>\r\n </expression>\r\n </source>\r\n <where xsi:type="And">\r\n <operand xsi:type="And">\r\n <operand xsi:type="In">\r\n <operand name="ToString" libraryName="FHIRHelpers" xsi:type="FunctionRef">\r\n <operand path="status" scope="FitDNA" xsi:type="Property"/>\r\n </operand>\r\n <operand xsi:type="List">\r\n <element valueType="t:String" value="final" xsi:type="Literal"/>\r\n <element valueType="t:String" value="amended" xsi:type="Literal"/>\r\n <element valueType="t:String" value="corrected" xsi:type="Literal"/>\r\n <element valueType="t:String" value="preliminary" xsi:type="Literal"/>\r\n </operand>\r\n </operand>\r\n <operand xsi:type="Not">\r\n <operand xsi:type="IsNull">\r\n <operand path="value" scope="FitDNA" xsi:type="Property"/>\r\n </operand>\r\n </operand>\r\n </operand>\r\n <operand precision="Day" xsi:type="In">\r\n <operand xsi:type="End">\r\n <operand name="Normalize Interval" libraryName="Global" xsi:type="FunctionRef">\r\n <operand path="effective" scope="FitDNA" xsi:type="Property"/>\r\n </operand>\r\n </operand>\r\n <operand lowClosed="true" highClosed="true" xsi:type="Interval">\r\n <low xsi:type="Subtract">\r\n <operand xsi:type="End">\r\n <operand name="Measurement Period" xsi:type="ParameterRef"/>\r\n </operand>\r\n <operand value="3" unit="years" xsi:type="Quantity"/>\r\n </low>\r\n <high xsi:type="End">\r\n <operand name="Measurement Period" xsi:type="ParameterRef"/>\r\n </high>\r\n </operand>\r\n </operand>\r\n </where>\r\n </expression>\r\n </def>\r\n <def name="Colonoscopy Performed" context="Patient" accessLevel="Public">\r\n <expression xsi:type="Query">\r\n <source alias="Colonoscopy">\r\n <expression dataType="fhir:Procedure" codeProperty="code" xsi:type="Retrieve">\r\n <codes name="Colonoscopy" xsi:type="ValueSetRef"/>\r\n </expression>\r\n </source>\r\n <where xsi:type="And">\r\n <operand xsi:type="Equal">\r\n <operand name="ToString" libraryName="FHIRHelpers" xsi:type="FunctionRef">\r\n <operand path="status" scope="Colonoscopy" xsi:type="Property"/>\r\n </operand>\r\n <operand valueType="t:String" value="completed" xsi:type="Literal"/>\r\n </operand>\r\n <operand xsi:type="In">\r\n <operand xsi:type="End">\r\n <operand name="Normalize Onset" libraryName="Global" xsi:type="FunctionRef">\r\n <operand path="performed" scope="Colonoscopy" xsi:type="Property"/>\r\n </operand>\r\n </operand>\r\n <operand lowClosed="true" highClosed="true" xsi:type="Interval">\r\n <low xsi:type="Subtract">\r\n <operand xsi:type="End">\r\n <operand name="Measurement Period" xsi:type="ParameterRef"/>\r\n </operand>\r\n <operand value="10" unit="years" xsi:type="Quantity"/>\r\n </low>\r\n <high xsi:type="End">\r\n <operand name="Measurement Period" xsi:type="ParameterRef"/>\r\n </high>\r\n </operand>\r\n </operand>\r\n </where>\r\n </expression>\r\n </def>\r\n <def name="Numerator" context="Patient" accessLevel="Public">\r\n <expression xsi:type="Or">\r\n <operand xsi:type="Or">\r\n <operand xsi:type="Or">\r\n <operand xsi:type="Or">\r\n <operand xsi:type="Exists">\r\n <operand name="Colonoscopy Performed" xsi:type="ExpressionRef"/>\r\n </operand>\r\n <operand xsi:type="Exists">\r\n <operand name="Fecal Occult Blood Test Performed" xsi:type="ExpressionRef"/>\r\n </operand>\r\n </operand>\r\n <operand xsi:type="Exists">\r\n <operand name="Flexible Sigmoidoscopy Performed" xsi:type="ExpressionRef"/>\r\n </operand>\r\n </operand>\r\n <operand xsi:type="Exists">\r\n <operand name="Fecal Immunochemical Test DNA" xsi:type="ExpressionRef"/>\r\n </operand>\r\n </operand>\r\n <operand xsi:type="Exists">\r\n <operand name="CT Colonography Performed" xsi:type="ExpressionRef"/>\r\n </operand>\r\n </expression>\r\n </def>\r\n <def name="Denominator Exclusion" context="Patient" accessLevel="Public">\r\n <expression xsi:type="Or">\r\n <operand xsi:type="Or">\r\n <operand name="Has Hospice" libraryName="Hospice" xsi:type="FunctionRef">\r\n <operand name="Measurement Period" xsi:type="ParameterRef"/>\r\n </operand>\r\n <operand xsi:type="Exists">\r\n <operand name="Malignant Neoplasm Ever" xsi:type="ExpressionRef"/>\r\n </operand>\r\n </operand>\r\n <operand xsi:type="Exists">\r\n <operand name="Total Colectomy Performed" xsi:type="ExpressionRef"/>\r\n </operand>\r\n </expression>\r\n </def>\r\n <def name="Initial Population" context="Patient" accessLevel="Public">\r\n <expression xsi:type="And">\r\n <operand xsi:type="In">\r\n <operand name="CalendarAgeInYearsAt" libraryName="Global" xsi:type="FunctionRef">\r\n <operand xsi:type="ToDateTime">\r\n <operand name="ToDate" libraryName="FHIRHelpers" xsi:type="FunctionRef">\r\n <operand path="birthDate" xsi:type="Property">\r\n <source name="Patient" xsi:type="ExpressionRef"/>\r\n </operand>\r\n </operand>\r\n </operand>\r\n <operand xsi:type="Start">\r\n <operand name="Measurement Period" xsi:type="ParameterRef"/>\r\n </operand>\r\n </operand>\r\n <operand lowClosed="true" highClosed="true" xsi:type="Interval">\r\n <low valueType="t:Integer" value="50" xsi:type="Literal"/>\r\n <high valueType="t:Integer" value="75" xsi:type="Literal"/>\r\n </operand>\r\n </operand>\r\n <operand xsi:type="Exists">\r\n <operand name="Qualifying Encounters" libraryName="AdultOutpatientEncounters" xsi:type="FunctionRef">\r\n <operand name="Measurement Period" xsi:type="ParameterRef"/>\r\n </operand>\r\n </operand>\r\n </expression>\r\n </def>\r\n </statements>\r\n</library>\r\n</code></pre><p><code>text/cql</code></p><pre><code class=\"language-sql\">library EXM130_FHIR4 version '7.2.000'\n\n/*\nBased on CMS130v7 - Colorectal Cancer Screening\n*/\n\n/*\nThis example is a work in progress and should not be considered a final specification\nor recommendation for guidance. This example will help guide and direct the process\nof finding conventions and usage patterns that meet the needs of the various stakeholders\nin the measure development community.\n*/\n\nusing FHIR version '4.0.0'\n\ninclude FHIRHelpers version '4.0.0' called FHIRHelpers\ninclude Hospice_FHIR4 version '1.0.000' called Hospice\ninclude AdultOutpatientEncounters_FHIR4 version '1.1.000' called AdultOutpatientEncounters\ninclude MATGlobalCommonFunctions_FHIR4 version '4.0.000' called Global\ninclude SupplementalDataElements_FHIR4 version '1.0.0' called SDE\n\nvalueset "ONC Administrative Sex": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1'\nvalueset "Race": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.836'\nvalueset "Ethnicity": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.837'\nvalueset "Payer": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591'\nvalueset "Colonoscopy": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1020'\nvalueset "Fecal Occult Blood Test (FOBT)": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1011'\nvalueset "Flexible Sigmoidoscopy": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1010'\nvalueset "Malignant Neoplasm of Colon": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1001'\nvalueset "Total Colectomy": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1019'\nvalueset "FIT DNA": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1039'\nvalueset "CT Colonography": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1038'\n\nparameter "Measurement Period" Interval<DateTime>\n default Interval[@2019-01-01T00:00:00.0, @2020-01-01T00:00:00.0)\n\ncontext Patient\n\ndefine "SDE Ethnicity":\n SDE."SDE Ethnicity"\n\ndefine "SDE Payer":\n SDE."SDE Payer"\n\ndefine "SDE Race":\n SDE."SDE Race"\n\ndefine "SDE Sex":\n SDE."SDE Sex"\n\ndefine "Denominator":\n\ttrue\n\ndefine "Flexible Sigmoidoscopy Performed":\n\t[Procedure: "Flexible Sigmoidoscopy"] FlexibleSigmoidoscopy\n\t\twhere FlexibleSigmoidoscopy.status = 'completed'\n\t\t\tand Global."Normalize Interval"(FlexibleSigmoidoscopy.performed) ends 5 years or less on or before end of "Measurement Period"\n\ndefine "CT Colonography Performed":\n\t[Procedure: "CT Colonography"] Colonography\n\t\twhere Colonography.status = 'completed'\n\t\t\tand Global."Normalize Interval"(Colonography.performed) ends 5 years or less on or before end of "Measurement Period"\n\ndefine "Total Colectomy Performed":\n\t[Procedure: "Total Colectomy"] Colectomy\n\t\twhere Colectomy.status = 'completed'\n\t\t\tand Global."Normalize Interval"(Colectomy.performed) starts on or before end of "Measurement Period"\n\ndefine "Malignant Neoplasm Ever":\n\t[Condition: "Malignant Neoplasm of Colon"] ColorectalCancer\n\t\twhere Global."Normalize Onset"(ColorectalCancer.onset) starts on or before end of "Measurement Period"\n\ndefine "Fecal Occult Blood Test Performed":\n\t[Observation: "Fecal Occult Blood Test (FOBT)"] FecalOccultResult\n\t\twhere FecalOccultResult.status in {'final', 'amended', 'corrected', 'preliminary'}\n\t\t\tand FecalOccultResult.value is not null\n\t\t\tand Global."Normalize Interval"(FecalOccultResult.effective) during day of "Measurement Period"\n\ndefine "Fecal Immunochemical Test DNA":\n\t[Observation: "FIT DNA"] FitDNA\n\t\twhere FitDNA.status in {'final', 'amended', 'corrected', 'preliminary'}\n\t\t\tand FitDNA.value is not null\n\t\t\tand Global."Normalize Interval"(FitDNA.effective) occurs 3 years or less on or before day of end of "Measurement Period"\n\ndefine "Colonoscopy Performed":\n\t[Procedure: "Colonoscopy"] Colonoscopy\n\t\twhere Colonoscopy.status = 'completed'\n\t\t and Global."Normalize Onset"(Colonoscopy.performed) ends 10 years or less on or before end of "Measurement Period"\n\ndefine "Numerator":\n\texists "Colonoscopy Performed"\n\t\tor exists "Fecal Occult Blood Test Performed"\n\t\tor exists "Flexible Sigmoidoscopy Performed"\n\t\tor exists "Fecal Immunochemical Test DNA"\n\t\tor exists "CT Colonography Performed"\n\ndefine "Denominator Exclusion":\n\tHospice."Has Hospice"("Measurement Period")\n\t\tor exists "Malignant Neoplasm Ever"\n\t\tor exists "Total Colectomy Performed"\n\ndefine "Initial Population":\n\tGlobal."CalendarAgeInYearsAt"(FHIRHelpers.ToDate(Patient.birthDate), start of "Measurement Period") in Interval[50, 75]\n\t\t\tand exists AdultOutpatientEncounters."Qualifying Encounters"("Measurement Period")\n</code></pre></div>"
},
"url" : "http://hl7.org/fhir/us/davinci-deqm/Library/library-exm130-example",
"identifier" : [
{
"system" : "urn:ietf:rfc:3986",
"value" : "urn:oid:2.16.840.1.113883.4.642.40.2.28.3"
}
],
"version" : "5.0.0",
"name" : "DEQMLibraryEXM130Example",
"status" : "active",
"experimental" : true,
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/library-type",
"code" : "logic-library"
}
]
},
"date" : "2020-07-21T14:14:47-06:00",
"publisher" : "HL7 International / Clinical Quality Information",
"contact" : [
{
"telecom" : [
{
"system" : "url",
"value" : "http://www.hl7.org/Special/committees/cqi"
}
]
}
],
"jurisdiction" : [
{
"coding" : [
{
"system" : "urn:iso:std:iso:3166",
"code" : "US"
}
]
}
],
"dataRequirement" : [
{
"type" : "Coverage",
"profile" : [
🔗 "http://hl7.org/fhir/StructureDefinition/Coverage"
],
"mustSupport" : [
"type",
"period"
],
"codeFilter" : [
{
"path" : "type",
"valueSet" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591"
}
]
},
{
"type" : "Procedure",
"codeFilter" : [
{
"path" : "code",
"valueSet" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1010"
}
]
},
{
"type" : "Procedure",
"codeFilter" : [
{
"path" : "code",
"valueSet" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1038"
}
]
},
{
"type" : "Procedure",
"codeFilter" : [
{
"path" : "code",
"valueSet" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1019"
}
]
},
{
"type" : "Condition",
"codeFilter" : [
{
"path" : "code",
"valueSet" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1001"
}
]
},
{
"type" : "Observation",
"codeFilter" : [
{
"path" : "code",
"valueSet" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1011"
}
]
},
{
"type" : "Observation",
"codeFilter" : [
{
"path" : "code",
"valueSet" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1039"
}
]
},
{
"type" : "Procedure",
"codeFilter" : [
{
"path" : "code",
"valueSet" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1020"
}
]
}
],
"content" : [
{
"contentType" : "application/elm+xml",
"data" : "<?xml version="1.0" encoding="UTF-8"?>
<library xmlns="urn:hl7-org:elm:r1" xmlns:t="urn:hl7-org:elm-types:r1" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:xsd="http://www.w3.org/2001/XMLSchema" xmlns:fhir="http://hl7.org/fhir" xmlns:qdm43="urn:healthit-gov:qdm:v4_3" xmlns:qdm53="urn:healthit-gov:qdm:v5_3" xmlns:a="urn:hl7-org:cql-annotations:r1">
   <identifier id="EXM130_FHIR4" version="7.2.000"/>
   <schemaIdentifier id="urn:hl7-org:elm" version="r1"/>
   <usings>
      <def localIdentifier="System" uri="urn:hl7-org:elm-types:r1"/>
      <def localIdentifier="FHIR" uri="http://hl7.org/fhir" version="4.0.0"/>
   </usings>
   <includes>
      <def localIdentifier="FHIRHelpers" path="FHIRHelpers" version="4.0.0"/>
      <def localIdentifier="Hospice" path="Hospice_FHIR4" version="1.0.000"/>
      <def localIdentifier="AdultOutpatientEncounters" path="AdultOutpatientEncounters_FHIR4" version="1.1.000"/>
      <def localIdentifier="Global" path="MATGlobalCommonFunctions_FHIR4" version="4.0.000"/>
      <def localIdentifier="SDE" path="SupplementalDataElements_FHIR4" version="1.0.0"/>
   </includes>
   <parameters>
      <def name="Measurement Period" accessLevel="Public">
         <default lowClosed="true" highClosed="false" xsi:type="Interval">
            <low xsi:type="DateTime">
               <year valueType="t:Integer" value="2019" xsi:type="Literal"/>
               <month valueType="t:Integer" value="1" xsi:type="Literal"/>
               <day valueType="t:Integer" value="1" xsi:type="Literal"/>
               <hour valueType="t:Integer" value="0" xsi:type="Literal"/>
               <minute valueType="t:Integer" value="0" xsi:type="Literal"/>
               <second valueType="t:Integer" value="0" xsi:type="Literal"/>
               <millisecond valueType="t:Integer" value="0" xsi:type="Literal"/>
            </low>
            <high xsi:type="DateTime">
               <year valueType="t:Integer" value="2020" xsi:type="Literal"/>
               <month valueType="t:Integer" value="1" xsi:type="Literal"/>
               <day valueType="t:Integer" value="1" xsi:type="Literal"/>
               <hour valueType="t:Integer" value="0" xsi:type="Literal"/>
               <minute valueType="t:Integer" value="0" xsi:type="Literal"/>
               <second valueType="t:Integer" value="0" xsi:type="Literal"/>
               <millisecond valueType="t:Integer" value="0" xsi:type="Literal"/>
            </high>
         </default>
         <parameterTypeSpecifier xsi:type="IntervalTypeSpecifier">
            <pointType name="t:DateTime" xsi:type="NamedTypeSpecifier"/>
         </parameterTypeSpecifier>
      </def>
   </parameters>
   <valueSets>
      <def name="ONC Administrative Sex" id="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1" accessLevel="Public"/>
      <def name="Race" id="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.836" accessLevel="Public"/>
      <def name="Ethnicity" id="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.837" accessLevel="Public"/>
      <def name="Payer" id="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591" accessLevel="Public"/>
      <def name="Colonoscopy" id="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1020" accessLevel="Public"/>
      <def name="Fecal Occult Blood Test (FOBT)" id="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1011" accessLevel="Public"/>
      <def name="Flexible Sigmoidoscopy" id="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1010" accessLevel="Public"/>
      <def name="Malignant Neoplasm of Colon" id="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1001" accessLevel="Public"/>
      <def name="Total Colectomy" id="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1019" accessLevel="Public"/>
      <def name="FIT DNA" id="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1039" accessLevel="Public"/>
      <def name="CT Colonography" id="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1038" accessLevel="Public"/>
   </valueSets>
   <statements>
      <def name="Patient" context="Patient">
         <expression xsi:type="SingletonFrom">
            <operand dataType="fhir:Patient" xsi:type="Retrieve"/>
         </expression>
      </def>
      <def name="SDE Ethnicity" context="Patient" accessLevel="Public">
         <expression name="SDE Ethnicity" libraryName="SDE" xsi:type="ExpressionRef"/>
      </def>
      <def name="SDE Payer" context="Patient" accessLevel="Public">
         <expression name="SDE Payer" libraryName="SDE" xsi:type="ExpressionRef"/>
      </def>
      <def name="SDE Race" context="Patient" accessLevel="Public">
         <expression name="SDE Race" libraryName="SDE" xsi:type="ExpressionRef"/>
      </def>
      <def name="SDE Sex" context="Patient" accessLevel="Public">
         <expression name="SDE Sex" libraryName="SDE" xsi:type="ExpressionRef"/>
      </def>
      <def name="Denominator" context="Patient" accessLevel="Public">
         <expression valueType="t:Boolean" value="true" xsi:type="Literal"/>
      </def>
      <def name="Flexible Sigmoidoscopy Performed" context="Patient" accessLevel="Public">
         <expression xsi:type="Query">
            <source alias="FlexibleSigmoidoscopy">
               <expression dataType="fhir:Procedure" codeProperty="code" xsi:type="Retrieve">
                  <codes name="Flexible Sigmoidoscopy" xsi:type="ValueSetRef"/>
               </expression>
            </source>
            <where xsi:type="And">
               <operand xsi:type="Equal">
                  <operand name="ToString" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                     <operand path="status" scope="FlexibleSigmoidoscopy" xsi:type="Property"/>
                  </operand>
                  <operand valueType="t:String" value="completed" xsi:type="Literal"/>
               </operand>
               <operand xsi:type="In">
                  <operand xsi:type="End">
                     <operand name="Normalize Interval" libraryName="Global" xsi:type="FunctionRef">
                        <operand path="performed" scope="FlexibleSigmoidoscopy" xsi:type="Property"/>
                     </operand>
                  </operand>
                  <operand lowClosed="true" highClosed="true" xsi:type="Interval">
                     <low xsi:type="Subtract">
                        <operand xsi:type="End">
                           <operand name="Measurement Period" xsi:type="ParameterRef"/>
                        </operand>
                        <operand value="5" unit="years" xsi:type="Quantity"/>
                     </low>
                     <high xsi:type="End">
                        <operand name="Measurement Period" xsi:type="ParameterRef"/>
                     </high>
                  </operand>
               </operand>
            </where>
         </expression>
      </def>
      <def name="CT Colonography Performed" context="Patient" accessLevel="Public">
         <expression xsi:type="Query">
            <source alias="Colonography">
               <expression dataType="fhir:Procedure" codeProperty="code" xsi:type="Retrieve">
                  <codes name="CT Colonography" xsi:type="ValueSetRef"/>
               </expression>
            </source>
            <where xsi:type="And">
               <operand xsi:type="Equal">
                  <operand name="ToString" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                     <operand path="status" scope="Colonography" xsi:type="Property"/>
                  </operand>
                  <operand valueType="t:String" value="completed" xsi:type="Literal"/>
               </operand>
               <operand xsi:type="In">
                  <operand xsi:type="End">
                     <operand name="Normalize Interval" libraryName="Global" xsi:type="FunctionRef">
                        <operand path="performed" scope="Colonography" xsi:type="Property"/>
                     </operand>
                  </operand>
                  <operand lowClosed="true" highClosed="true" xsi:type="Interval">
                     <low xsi:type="Subtract">
                        <operand xsi:type="End">
                           <operand name="Measurement Period" xsi:type="ParameterRef"/>
                        </operand>
                        <operand value="5" unit="years" xsi:type="Quantity"/>
                     </low>
                     <high xsi:type="End">
                        <operand name="Measurement Period" xsi:type="ParameterRef"/>
                     </high>
                  </operand>
               </operand>
            </where>
         </expression>
      </def>
      <def name="Total Colectomy Performed" context="Patient" accessLevel="Public">
         <expression xsi:type="Query">
            <source alias="Colectomy">
               <expression dataType="fhir:Procedure" codeProperty="code" xsi:type="Retrieve">
                  <codes name="Total Colectomy" xsi:type="ValueSetRef"/>
               </expression>
            </source>
            <where xsi:type="And">
               <operand xsi:type="Equal">
                  <operand name="ToString" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                     <operand path="status" scope="Colectomy" xsi:type="Property"/>
                  </operand>
                  <operand valueType="t:String" value="completed" xsi:type="Literal"/>
               </operand>
               <operand xsi:type="SameOrBefore">
                  <operand xsi:type="Start">
                     <operand name="Normalize Interval" libraryName="Global" xsi:type="FunctionRef">
                        <operand path="performed" scope="Colectomy" xsi:type="Property"/>
                     </operand>
                  </operand>
                  <operand xsi:type="End">
                     <operand name="Measurement Period" xsi:type="ParameterRef"/>
                  </operand>
               </operand>
            </where>
         </expression>
      </def>
      <def name="Malignant Neoplasm Ever" context="Patient" accessLevel="Public">
         <expression xsi:type="Query">
            <source alias="ColorectalCancer">
               <expression dataType="fhir:Condition" codeProperty="code" xsi:type="Retrieve">
                  <codes name="Malignant Neoplasm of Colon" xsi:type="ValueSetRef"/>
               </expression>
            </source>
            <where xsi:type="SameOrBefore">
               <operand xsi:type="Start">
                  <operand name="Normalize Onset" libraryName="Global" xsi:type="FunctionRef">
                     <operand path="onset" scope="ColorectalCancer" xsi:type="Property"/>
                  </operand>
               </operand>
               <operand xsi:type="End">
                  <operand name="Measurement Period" xsi:type="ParameterRef"/>
               </operand>
            </where>
         </expression>
      </def>
      <def name="Fecal Occult Blood Test Performed" context="Patient" accessLevel="Public">
         <expression xsi:type="Query">
            <source alias="FecalOccultResult">
               <expression dataType="fhir:Observation" codeProperty="code" xsi:type="Retrieve">
                  <codes name="Fecal Occult Blood Test (FOBT)" xsi:type="ValueSetRef"/>
               </expression>
            </source>
            <where xsi:type="And">
               <operand xsi:type="And">
                  <operand xsi:type="In">
                     <operand name="ToString" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                        <operand path="status" scope="FecalOccultResult" xsi:type="Property"/>
                     </operand>
                     <operand xsi:type="List">
                        <element valueType="t:String" value="final" xsi:type="Literal"/>
                        <element valueType="t:String" value="amended" xsi:type="Literal"/>
                        <element valueType="t:String" value="corrected" xsi:type="Literal"/>
                        <element valueType="t:String" value="preliminary" xsi:type="Literal"/>
                     </operand>
                  </operand>
                  <operand xsi:type="Not">
                     <operand xsi:type="IsNull">
                        <operand path="value" scope="FecalOccultResult" xsi:type="Property"/>
                     </operand>
                  </operand>
               </operand>
               <operand precision="Day" xsi:type="IncludedIn">
                  <operand name="Normalize Interval" libraryName="Global" xsi:type="FunctionRef">
                     <operand path="effective" scope="FecalOccultResult" xsi:type="Property"/>
                  </operand>
                  <operand name="Measurement Period" xsi:type="ParameterRef"/>
               </operand>
            </where>
         </expression>
      </def>
      <def name="Fecal Immunochemical Test DNA" context="Patient" accessLevel="Public">
         <expression xsi:type="Query">
            <source alias="FitDNA">
               <expression dataType="fhir:Observation" codeProperty="code" xsi:type="Retrieve">
                  <codes name="FIT DNA" xsi:type="ValueSetRef"/>
               </expression>
            </source>
            <where xsi:type="And">
               <operand xsi:type="And">
                  <operand xsi:type="In">
                     <operand name="ToString" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                        <operand path="status" scope="FitDNA" xsi:type="Property"/>
                     </operand>
                     <operand xsi:type="List">
                        <element valueType="t:String" value="final" xsi:type="Literal"/>
                        <element valueType="t:String" value="amended" xsi:type="Literal"/>
                        <element valueType="t:String" value="corrected" xsi:type="Literal"/>
                        <element valueType="t:String" value="preliminary" xsi:type="Literal"/>
                     </operand>
                  </operand>
                  <operand xsi:type="Not">
                     <operand xsi:type="IsNull">
                        <operand path="value" scope="FitDNA" xsi:type="Property"/>
                     </operand>
                  </operand>
               </operand>
               <operand precision="Day" xsi:type="In">
                  <operand xsi:type="End">
                     <operand name="Normalize Interval" libraryName="Global" xsi:type="FunctionRef">
                        <operand path="effective" scope="FitDNA" xsi:type="Property"/>
                     </operand>
                  </operand>
                  <operand lowClosed="true" highClosed="true" xsi:type="Interval">
                     <low xsi:type="Subtract">
                        <operand xsi:type="End">
                           <operand name="Measurement Period" xsi:type="ParameterRef"/>
                        </operand>
                        <operand value="3" unit="years" xsi:type="Quantity"/>
                     </low>
                     <high xsi:type="End">
                        <operand name="Measurement Period" xsi:type="ParameterRef"/>
                     </high>
                  </operand>
               </operand>
            </where>
         </expression>
      </def>
      <def name="Colonoscopy Performed" context="Patient" accessLevel="Public">
         <expression xsi:type="Query">
            <source alias="Colonoscopy">
               <expression dataType="fhir:Procedure" codeProperty="code" xsi:type="Retrieve">
                  <codes name="Colonoscopy" xsi:type="ValueSetRef"/>
               </expression>
            </source>
            <where xsi:type="And">
               <operand xsi:type="Equal">
                  <operand name="ToString" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                     <operand path="status" scope="Colonoscopy" xsi:type="Property"/>
                  </operand>
                  <operand valueType="t:String" value="completed" xsi:type="Literal"/>
               </operand>
               <operand xsi:type="In">
                  <operand xsi:type="End">
                     <operand name="Normalize Onset" libraryName="Global" xsi:type="FunctionRef">
                        <operand path="performed" scope="Colonoscopy" xsi:type="Property"/>
                     </operand>
                  </operand>
                  <operand lowClosed="true" highClosed="true" xsi:type="Interval">
                     <low xsi:type="Subtract">
                        <operand xsi:type="End">
                           <operand name="Measurement Period" xsi:type="ParameterRef"/>
                        </operand>
                        <operand value="10" unit="years" xsi:type="Quantity"/>
                     </low>
                     <high xsi:type="End">
                        <operand name="Measurement Period" xsi:type="ParameterRef"/>
                     </high>
                  </operand>
               </operand>
            </where>
         </expression>
      </def>
      <def name="Numerator" context="Patient" accessLevel="Public">
         <expression xsi:type="Or">
            <operand xsi:type="Or">
               <operand xsi:type="Or">
                  <operand xsi:type="Or">
                     <operand xsi:type="Exists">
                        <operand name="Colonoscopy Performed" xsi:type="ExpressionRef"/>
                     </operand>
                     <operand xsi:type="Exists">
                        <operand name="Fecal Occult Blood Test Performed" xsi:type="ExpressionRef"/>
                     </operand>
                  </operand>
                  <operand xsi:type="Exists">
                     <operand name="Flexible Sigmoidoscopy Performed" xsi:type="ExpressionRef"/>
                  </operand>
               </operand>
               <operand xsi:type="Exists">
                  <operand name="Fecal Immunochemical Test DNA" xsi:type="ExpressionRef"/>
               </operand>
            </operand>
            <operand xsi:type="Exists">
               <operand name="CT Colonography Performed" xsi:type="ExpressionRef"/>
            </operand>
         </expression>
      </def>
      <def name="Denominator Exclusion" context="Patient" accessLevel="Public">
         <expression xsi:type="Or">
            <operand xsi:type="Or">
               <operand name="Has Hospice" libraryName="Hospice" xsi:type="FunctionRef">
                  <operand name="Measurement Period" xsi:type="ParameterRef"/>
               </operand>
               <operand xsi:type="Exists">
                  <operand name="Malignant Neoplasm Ever" xsi:type="ExpressionRef"/>
               </operand>
            </operand>
            <operand xsi:type="Exists">
               <operand name="Total Colectomy Performed" xsi:type="ExpressionRef"/>
            </operand>
         </expression>
      </def>
      <def name="Initial Population" context="Patient" accessLevel="Public">
         <expression xsi:type="And">
            <operand xsi:type="In">
               <operand name="CalendarAgeInYearsAt" libraryName="Global" xsi:type="FunctionRef">
                  <operand xsi:type="ToDateTime">
                     <operand name="ToDate" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                        <operand path="birthDate" xsi:type="Property">
                           <source name="Patient" xsi:type="ExpressionRef"/>
                        </operand>
                     </operand>
                  </operand>
                  <operand xsi:type="Start">
                     <operand name="Measurement Period" xsi:type="ParameterRef"/>
                  </operand>
               </operand>
               <operand lowClosed="true" highClosed="true" xsi:type="Interval">
                  <low valueType="t:Integer" value="50" xsi:type="Literal"/>
                  <high valueType="t:Integer" value="75" xsi:type="Literal"/>
               </operand>
            </operand>
            <operand xsi:type="Exists">
               <operand name="Qualifying Encounters" libraryName="AdultOutpatientEncounters" xsi:type="FunctionRef">
                  <operand name="Measurement Period" xsi:type="ParameterRef"/>
               </operand>
            </operand>
         </expression>
      </def>
   </statements>
</library>
"
},
{
"contentType" : "text/cql",
"data" : 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"
}
]
}