Canonical Resource Management Infrastructure Implementation Guide, published by HL7 International / Clinical Decision Support. This guide is not an authorized publication; it is the continuous build for version 1.1.0-cibuild built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/crmi-ig/ and changes regularly. See the Directory of published versions
Draft as of 2023-11-14 |
<Library xmlns="http://hl7.org/fhir">
<id value="OpioidCDSREC10ModuleConfiguration"/>
<meta>
<profile
value="http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-moduleconfigurationlibrary"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Library OpioidCDSREC10ModuleConfiguration</b></p><a name="OpioidCDSREC10ModuleConfiguration"> </a><a name="hcOpioidCDSREC10ModuleConfiguration"> </a><a name="OpioidCDSREC10ModuleConfiguration-en-US"> </a><h2>Data Requirements</h2><table class="grid"><tr><td colspan="2"><b>Type</b>: <a href="http://hl7.org/fhir/R4/patient.html">Patient</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>category</td><td>One of these codes: <a href="http://terminology.hl7.org/5.5.0/CodeSystem-observation-category.html#observation-category-laboratory">Observation Category Codes</a> laboratory: Laboratory</td></tr><tr><td>code</td><td>In ValueSet <code>http://fhir.org/guides/cdc/opioid-cds/ValueSet/all-urine-drug-screening-tests</code></td></tr><tr><td>effective</td><td>No display for Duration </td></tr></table><table class="grid"><tr><td colspan="2"><b>Type</b>: <a href="http://hl7.org/fhir/R4/medicationrequest.html">MedicationRequest</a></td></tr><tr style="background-color: #efefef"><td>Filter</td><td>Value</td></tr><tr><td>category</td><td>One of these codes: <a href="http://terminology.hl7.org/5.5.0/CodeSystem-medicationrequest-category.html#medicationrequest-category-community">MedicationRequest Category Codes</a> community: Community</td></tr><tr><td>status</td><td>One of these codes: <a href="http://hl7.org/fhir/R4/codesystem-medicationrequest-status.html#medicationrequest-status-active">Medicationrequest status</a> active: Active</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>category</td><td>One of these codes: <a href="http://terminology.hl7.org/5.5.0/CodeSystem-condition-category.html#condition-category-encounter-diagnosis">Condition Category Codes</a> encounter-diagnosis: Encounter Diagnosis, condition-category health-concern: health-concern, <a href="http://terminology.hl7.org/5.5.0/CodeSystem-condition-category.html#condition-category-problem-list-item">Condition Category Codes</a> problem-list-item: Problem List Item</td></tr><tr><td>clinicalStatus</td><td>One of these codes: <a href="http://terminology.hl7.org/5.5.0/CodeSystem-condition-clinical.html#condition-clinical-active">Condition Clinical Status Codes</a> active: Active</td></tr></table><table class="grid"><tr><td colspan="2"><b>Type</b>: <a href="http://hl7.org/fhir/R4/encounter.html">Encounter</a></td></tr><tr style="background-color: #efefef"><td>Filter</td><td>Value</td></tr><tr><td>effective</td><td>No display for Duration </td></tr></table><table class="grid"><tr><td colspan="2"><b>Type</b>: <a href="http://hl7.org/fhir/R4/servicerequest.html">ServiceRequest</a></td></tr><tr style="background-color: #efefef"><td>Filter</td><td>Value</td></tr><tr><td>status</td><td>One of these codes: <a href="http://hl7.org/fhir/R4/codesystem-request-status.html#request-status-active">RequestStatus</a> active: Active, <a href="http://hl7.org/fhir/R4/codesystem-request-status.html#request-status-completed">RequestStatus</a> completed: Completed</td></tr></table></div>
</text>
<extension
url="http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-configurationEndpoint">
<valueUri value="http://example.com/fhir"/>
</extension>
<extension
url="http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-endpointSupportsPost">
<valueBoolean value="true"/>
</extension>
<extension
url="http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-configurationFor">
<valueCanonical
value="http://fhir.org/guides/cdc/opioid-cds/PlanDefinition/opioidcds-10-order-sign"/>
</extension>
<url
value="http://fhir.org/guides/cdc/opioid-cds/Library/OpioidCDSREC10ModuleConfiguration"/>
<identifier>
<system value="urn:ietf:rfc:3986"/>
<value value="urn:oid:2.16.840.1.113883.4.642.40.38.28.6"/>
</identifier>
<version value="1.1.0-cibuild"/>
<name value="OpioidCDSREC10ModuleConfiguration"/>
<title
value="Module Configuration Example Library for Recommendation 10 (Endpoint-specific prefetch configuration)"/>
<status value="draft"/>
<experimental value="true"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/library-type"/>
<code value="module-definition"/>
</coding>
</type>
<date value="2023-11-14"/>
<publisher value="HL7 International / Clinical Decision Support"/>
<contact>
<telecom>
<system value="url"/>
<value value="http://www.hl7.org/Special/committees/dss"/>
</telecom>
</contact>
<description
value="This library is used to populate the prefetch template for Recommendation 10 (Endpoint-specific)"/>
<jurisdiction>
<coding>
<system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
<code value="001"/>
<display value="World"/>
</coding>
</jurisdiction>
<dataRequirement id="patient-query">
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-fhirQueryPattern">
<valueString value="Patient?_id={{context.patientId}}"/>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/cqf-valueFilter">
<extension url="path">
<valueString value="id"/>
</extension>
<extension url="searchParam">
<valueString value="_id"/>
</extension>
<extension url="comparator">
<valueCode value="eq"/>
</extension>
<extension url="value">
<valueString value="{{context.patientId}}"/>
</extension>
</extension>
<type value="Patient"/>
</dataRequirement>
<dataRequirement id="all-uds-labs-query">
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-fhirQueryPattern">
<valueString>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-expression">
<valueExpression>
<description
value="Expression that builds the FHIR query for all UDS labs for the patient in the past year"/>
<language value="text/cql-expression"/>
<expression
value="'Observation?subject=Patient/{{context.patientId}}&category=laboratory&date=ge' + ToString(Today() - 1 year) + 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03-2,61424-8,61425-5,95135-0,60276-3,58430-0,61197-0,46973-4,51954-6,3851-3,19607-1,19608-9,19605-5,16218-0,3839-8,20551-8,3840-6,3841-4,78768-9,58392-2,19599-0,19600-6,78861-2,70210-0,19597-4,13648-1,16196-8,3830-7,16251-1,3831-5,3832-3,74818-6,74817-8,101223-6,49831-1,19603-0,19604-8,19601-4,19602-2,3828-1,20550-0,3829-9,78770-5,41466-4,19552-9,19553-7,78857-0,52958-6,70149-0,70148-2,19550-3,16199-2,3773-9,70147-4,16246-1,3774-7,3775-4,58390-6,77752-4,77754-0,93495-0,58428-4,41858-2,58429-2,50542-0,42251-9,33527-3,58386-4,19534-7,19535-4,19532-1,16207-3,3746-5,16253-7,3747-3,3748-1,58387-2,77777-1,95798-5,58388-0,27920-8,58389-8,3869-5,58385-6,72384-1,19518-0,19519-8,19516-4,16213-1,3711-9,20540-1,3712-7,3713-5,58394-8,19487-8,19488-6,19486-0,18473-9,9834-3,16998-7,9835-0,89309-9,46971-8,51737-5,78769-7,58393-0,19484-5,19485-2,78830-7,19482-9,19483-7,12308-3,16252-9,3681-4,61420-6,78868-7,89304-0,61421-4,61422-2,51738-3,78766-3,58380-7,79260-6,79259-8,78828-1,59673-4,40839-3,11235-9,58381-5,3637-6,26867-2,11073-4,58382-3,77775-5,95797-7,43200-5,43199-9,58383-1,11075-9,93471-1,58379-9,66129-8,74810-3,74372-4,19464-7,19465-4,19462-1,19463-9,3618-6,20527-8,3619-4,16851-8,3573-3,3574-1,3575-8,19441-5,19442-3,19439-9,16198-4,3546-9,16755-1,3547-7,3540-2,3541-0,58391-4,19413-4,19414-2,70206-8,19411-8,13641-6,16197-6,3507-1,16250-3,3508-9,60514-7,86608-7,49829-5,89310-7,51739-1,58360-9,77787-0,77764-9,93494-3,16208-1,3414-0,49752-9,3415-7,16496-2,3416-5,58361-7,77774-8,82371-6,58362-5,49751-1,49753-7,89305-7,91027-3,58359-1,38373-7,3357-1,3359-7,3358-9,3309-2,3310-0,3311-8,86604-6,18383-0,16334-5,89300-8,75362-4,61429-7,79240-8,77879-5,72485-6,58401-1,58402-9,65807-0,89306-5,81754-4,65808-8,86610-3,18435-8,9396-3,100437-3,58398-9,19431-6,19432-4,59960-5,19429-0,16200-8,19141-1,16242-0,22065-7,3545-1,3544-4,19437-3,19438-1,19433-2,19434-0,19435-7,19436-5,16749-4,58399-7,19636-0,19637-8,19632-9,17376-5,3871-1,17377-3,19635-2,86197-1,86193-0,60126-0,41465-6,19296-3,19297-1,19301-1,19299-7,19300-3,19138-7,19302-9,52952-9,70151-6,21431-2,19295-5,8222-2,8221-4,18390-5,3879-4,5706-7,5707-5,70150-8,17384-9,8220-6,19298-9,72789-1,19612-1,19613-9,19609-7,18334-3,12309-1,19610-5,19611-3,78865-3,79377-8,82527-3,82524-0,72788-3,72787-5,78863-8,78862-0,78864-6,42618-9,92649-3,77207-9,89307-3,3842-2,75649-4,72730-5,96058-3,73995-3,96059-1,72732-1,72729-7,75643-7,72731-3,64131-6,19450-6,19451-4,19446-4,16211-5,14066-5,19448-0,19449-8,51955-3,51448-9,19379-7,19380-5,19377-1,19378-9,12333-1,16499-6,12395-0,12554-2,58384-9,19323-5,19595-8,19324-3,19596-6,70197-9,55520-1,19321-9,19322-7,10976-9,19593-3,20514-6,10975-1,19594-1,21050-0,19591-7,19592-5,14845-2,27073-6,89308-1,47004-7,51740-9,89301-6,78765-5,58396-3,19649-3,19650-1,78874-5,19646-9,18325-1,11247-4,17395-5,19648-5,46975-9,51736-7,93454-7,93453-9,93452-1,93451-3,93455-4,93456-2,93457-0,93458-8,93459-6,93460-4,93461-2,93462-0,93463-8,101161-8,101162-6,93464-6,93467-9,99079-6,93468-7,93469-5,99081-2,93470-3,93472-9,93473-7,93465-3,93466-1,101164-2,101165-9,101163-4,101167-5,101168-3,101166-7,101171-7,101180-8,101169-1,67822-7,94304-3,94305-0,93474-5'"/>
</valueExpression>
</extension>
</valueString>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/cqf-valueFilter">
<extension url="path">
<valueString value="subject"/>
</extension>
<extension url="searchParam">
<valueString value="patient"/>
</extension>
<extension url="comparator">
<valueCode value="eq"/>
</extension>
<extension url="value">
<valueString value="{{context.patientId}}"/>
</extension>
</extension>
<type value="Observation"/>
<codeFilter>
<path value="category"/>
<code>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="laboratory"/>
</code>
</codeFilter>
<codeFilter>
<path value="code"/>
<valueSet
value="http://fhir.org/guides/cdc/opioid-cds/ValueSet/all-urine-drug-screening-tests"/>
</codeFilter>
<dateFilter>
<path value="effective"/>
<valueDuration>
<value value="1"/>
<unit value="years"/>
<system value="http://unitsofmeasure.org"/>
<code value="a"/>
</valueDuration>
</dateFilter>
</dataRequirement>
<dataRequirement id="active-medication-requests">
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-fhirQueryPattern">
<valueString
value="MedicationRequest?subject=Patient/{{context.patientId}}&status=active&category=community&_include=MedicationRequest:medication">
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-expression">
<valueExpression>
<description
value="Expression that builds the FHIR query for all active medication requests for the patient. NOTE: Epic does not appear to support searching MedicationRequest resources by medicationCodeableConcept (being able to search for orders with specific codes would narrow the search)."/>
<language value="text/cql-expression"/>
<expression
value="MedicationRequest?subject=Patient/{{context.patientId}}&status=active&category=community&_include=MedicationRequest:medication"/>
</valueExpression>
</extension>
</valueString>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/cqf-valueFilter">
<extension url="path">
<valueString value="subject"/>
</extension>
<extension url="searchParam">
<valueString value="patient"/>
</extension>
<extension url="comparator">
<valueCode value="eq"/>
</extension>
<extension url="value">
<valueString value="{{context.patientId}}"/>
</extension>
</extension>
<type value="MedicationRequest"/>
<codeFilter>
<path value="category"/>
<code>
<system
value="http://terminology.hl7.org/CodeSystem/medicationrequest-category"/>
<code value="community"/>
</code>
</codeFilter>
<codeFilter>
<path value="status"/>
<code>
<system
value="http://hl7.org/fhir/CodeSystem/medicationrequest-status"/>
<code value="active"/>
</code>
</codeFilter>
</dataRequirement>
<dataRequirement id="us-core-active-categorized-conditions">
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-fhirQueryPattern">
<valueString
value="Condition?patient={{context.patientId}}&category=encounter-diagnosis,health-concern,problem-list-item&clinical-status=active">
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-expression">
<valueExpression>
<description
value="Expression that builds the FHIR query for active US Core categorized conditions for the patient. NOTE: Epic does not appear to support searching Condition resources by code."/>
<language value="text/cql-expression"/>
<expression
value="'Condition?patient={{context.patientId}}&category=encounter-diagnosis,health-concern,problem-list-item&clinical-status=active'"/>
</valueExpression>
</extension>
</valueString>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/cqf-valueFilter">
<extension url="path">
<valueString value="subject"/>
</extension>
<extension url="searchParam">
<valueString value="patient"/>
</extension>
<extension url="comparator">
<valueCode value="eq"/>
</extension>
<extension url="value">
<valueString value="{{context.patientId}}"/>
</extension>
</extension>
<type value="Condition"/>
<codeFilter>
<path value="category"/>
<code>
<system
value="http://terminology.hl7.org/CodeSystem/condition-category"/>
<code value="encounter-diagnosis"/>
</code>
<code>
<system
value="http://example.org/fhir/us/core/CodeSystem/condition-category"/>
<code value="health-concern"/>
</code>
<code>
<system
value="http://terminology.hl7.org/CodeSystem/condition-category"/>
<code value="problem-list-item"/>
</code>
</codeFilter>
<codeFilter>
<path value="clinicalStatus"/>
<code>
<system
value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
<code value="active"/>
</code>
</codeFilter>
</dataRequirement>
<dataRequirement id="all-encounters-in-past-year">
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-fhirQueryPattern">
<valueString>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-expression">
<valueExpression>
<description
value="Expression that builds the FHIR query for all encounters in the past year for the patient. NOTE: Epic does not appear to support searching Encounter resources by type (being able to search for office visit encounter types would narrow the search)."/>
<language value="text/cql-expression"/>
<expression
value="'Encounter?patient={{context.patientId}}&date=ge' + ToString(Today() - 1 year)"/>
</valueExpression>
</extension>
</valueString>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/cqf-valueFilter">
<extension url="path">
<valueString value="subject"/>
</extension>
<extension url="searchParam">
<valueString value="patient"/>
</extension>
<extension url="comparator">
<valueCode value="eq"/>
</extension>
<extension url="value">
<valueString value="{{context.patientId}}"/>
</extension>
</extension>
<type value="Encounter"/>
<dateFilter>
<path value="effective"/>
<valueDuration>
<value value="1"/>
<unit value="years"/>
<system value="http://unitsofmeasure.org"/>
<code value="a"/>
</valueDuration>
</dateFilter>
</dataRequirement>
<dataRequirement id="active-or-completed-service-requests">
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-fhirQueryPattern">
<valueString
value="ServiceRequest?patient={{context.patientId}}&status=active,completed">
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-expression">
<valueExpression>
<description
value="Expression that builds the FHIR query for all active/completed service requests for the patient. NOTE: Epic does not appear to support searching ServiceRequest resources by date (being able to search for service requests within the past 90 days would narrow the search)."/>
<language value="text/cql-expression"/>
<expression
value="'ServiceRequest?patient={{context.patientId}}&status=active,completed'"/>
</valueExpression>
</extension>
</valueString>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/cqf-valueFilter">
<extension url="path">
<valueString value="subject"/>
</extension>
<extension url="searchParam">
<valueString value="patient"/>
</extension>
<extension url="comparator">
<valueCode value="eq"/>
</extension>
<extension url="value">
<valueString value="{{context.patientId}}"/>
</extension>
</extension>
<type value="ServiceRequest"/>
<codeFilter>
<path value="status"/>
<code>
<system value="http://hl7.org/fhir/request-status"/>
<code value="active"/>
</code>
<code>
<system value="http://hl7.org/fhir/request-status"/>
<code value="completed"/>
</code>
</codeFilter>
</dataRequirement>
</Library>