HL7.FHIR.US.MIHR\Library for Hypertensive Disorders of Pregnancy

Longitudinal Maternal & Infant Health Information for Research
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Longitudinal Maternal & Infant Health Information for Research, published by HL7 Public Health Work Group. This is not an authorized publication; it is the continuous build for version 1.0.0). This version is based on the current content of https://github.com/HL7/fhir-mmm-ig/ and changes regularly. See the Directory of published versions

Library: Library for Hypertensive Disorders of Pregnancy

Official URL: http://fhir.org/guides/cqf/Library/PIHCohort				Version: 1.0.0
Draft as of 2023-03-29				Computable Name: PIHCohort

Related Artifacts

depends-on Value set Delivery Diagnosis Delivery - Diagnosis

depends-on Code system Observation Category Observation Category Codes

depends-on Value set Delivery Live Births Delivery Live Births

depends-on Value set Delivery Procedure Delivery - Procedure

depends-on Value set Non Live Birth CPT Procedures Non Live Birth CPT Procedures

depends-on Value set Non Live Birth Diagnoses Non Live Birth Diagnoses

depends-on Value set Hypertensive Disorders Pregnancy ICD http://www.hl7.org/fhir/us/mihr/ValueSet/hypertensive-disorders-pregnancy-ICD

depends-on Value set Hypertensive Disorders Pregnancy SNOMED http://www.hl7.org/fhir/us/mihr/ValueSet/hypertensive-disorders-pregnancy-SNOMED

depends-on Value set Pregnancy Procedure Delivery CPT http://www.hl7.org/fhir/us/mihr/ValueSet/PregnancyProcedureDelivery-CPT

depends-on Code system SNOMEDCT SNOMED CT (all versions)

depends-on Code system LOINC Logical Observation Identifiers, Names and Codes (LOINC)

depends-on FHIR model information http://fhir.org/guides/cqf/common/Library/FHIR-ModelInfo|4.0.1

depends-on Library FHIRHelpers http://fhir.org/guides/cqf/Library/FHIRHelpers|4.0.1

depends-on Library Global http://fhir.org/guides/cqf/Library/MATGlobalCommonFunctionsFHIR4|6.1.000

Parameters

Measurement Period

in

0

1

Period

Patient

out

0

1

Patient

PIH Conditions

out

0

*

Condition

Delivery Procedure Group

out

0

*

Procedure

Delivery Diagnosis Group

out

0

*

Condition

Non-Live Birth Group

out

0

*

Condition

Pregnancy Ending in Delivery

out

0

*

Resource

Six Weeks Postpartum Induced Hypertension

out

0

*

Condition

Initial Population

out

0

1

boolean

SDE Allergy Intolerance

out

0

*

AllergyIntolerance

SDE BMI

out

0

*

Observation

SDE Blood Pressure

out

0

*

Observation

SDE Height

out

0

*

Observation

SDE Body Temperature

out

0

*

Observation

SDE Body Weight

out

0

*

Observation

SDE Care Plan

out

0

*

CarePlan

SDE Care Team

out

0

*

CareTeam

SDE Conditions

out

0

*

Condition

SDE Compositions

out

0

*

Composition

SDE Insurance

out

0

*

Coverage

SDE Diagnostic Report

out

0

*

DiagnosticReport

SDE Document Reference

out

0

*

DocumentReference

SDE Device

out

0

*

Device

SDE Encounters

out

0

*

Encounter

SDE FamilyMemberHistory

out

0

*

FamilyMemberHistory

SDE Goal

out

0

*

Goal

SDE Head Circumference

out

0

*

Observation

SDE Heart Rate

out

0

*

Observation

SDE Immunization

out

0

*

Immunization

SDE Lab Observation

out

0

*

Observation

SDE Location

out

0

*

Location

SDE Medication

out

0

*

Medication

SDE Medication Request

out

0

*

MedicationRequest

SDE Organization

out

0

*

Organization

SDE Patient

out

0

*

Patient

SDE Pediatric BMI

out

0

*

Observation

SDE Occipital Frontal Head Circumference

out

0

*

Observation

SDE Pediatric Weight for Height

out

0

*

Observation

SDE Practitioner

out

0

*

Practitioner

SDE Practitioner Role

out

0

*

PractitionerRole

SDE Procedure

out

0

*

Procedure

SDE Provenance

out

0

*

Provenance

SDE Oximetry

out

0

*

Observation

SDE Related Person

out

0

*

RelatedPerson

SDE Respiratory Rate

out

0

*

Observation

SDE Smoking Status

out

0

*

Observation

SDE Vital Signs

out

0

*

Observation

Data Requirements

Type: Patient (Patient)

Type: Condition (Condition)

Filter

Value

code

In ValueSet http://www.hl7.org/fhir/us/mihr/ValueSet/hypertensive-disorders-pregnancy-ICD

Type: Condition (Condition)

Filter

Value

code

In ValueSet http://www.hl7.org/fhir/us/mihr/ValueSet/hypertensive-disorders-pregnancy-SNOMED

Type: Condition (Condition)

Filter

Value

code

In ValueSet http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.67.1.101.1.278

Type: Condition (Condition)

Filter

Value

code

In ValueSet http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.111.12.1015

Type: Condition (Condition)

Filter

Value

code

In ValueSet http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1078.5

Type: Condition (Condition)

Filter

Value

code

In ValueSet http://www.hl7.org/fhir/us/mihr/ValueSet/PregnancyProcedureDelivery-CPT

Type: Condition (Condition)

Filter

Value

code

In ValueSet http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1166.127

Type: Condition (Condition)

Filter

Value

code

In ValueSet http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1166.137

Type: Condition (Condition)

Filter

Value

code

One of these codes: SNOMED CT (all versions) 40521000119100: Postpartum pregnancy-induced hypertension (disorder)

Type: Condition (Condition)

Type: Procedure (Procedure)

Filter

Value

code

In ValueSet http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.111.12.1015

Type: Procedure (Procedure)

Filter

Value

code

In ValueSet http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1078.5

Type: Procedure (Procedure)

Filter

Value

code

In ValueSet http://www.hl7.org/fhir/us/mihr/ValueSet/PregnancyProcedureDelivery-CPT

Type: Procedure (Procedure)

Type: AllergyIntolerance (AllergyIntolerance)

Type: Observation (Observation)

Filter

Value

code

One of these codes: Logical Observation Identifiers, Names and Codes (LOINC) 39156-5: Body mass index (BMI) [Ratio]

Type: Observation (Observation)

Filter

Value

code

One of these codes: Logical Observation Identifiers, Names and Codes (LOINC) 85354-9: Blood pressure panel with all children optional

Type: Observation (Observation)

Filter

Value

code

One of these codes: Logical Observation Identifiers, Names and Codes (LOINC) 8302-2: Body height

Type: Observation (Observation)

Filter

Value

code

One of these codes: Logical Observation Identifiers, Names and Codes (LOINC) 8310-5: Body temperature

Type: Observation (Observation)

Filter

Value

code

One of these codes: Logical Observation Identifiers, Names and Codes (LOINC) 29463-7: Body weight

Type: Observation (Observation)

Filter

Value

code

One of these codes: Logical Observation Identifiers, Names and Codes (LOINC) 9843-4: Head Occipital-frontal circumference

Type: Observation (Observation)

Filter

Value

code

One of these codes: Logical Observation Identifiers, Names and Codes (LOINC) 8867-4: Heart rate

Type: Observation (Observation)

Filter

Value

code

One of these codes: Observation Category Codes laboratory: Laboratory

Type: Observation (Observation)

Filter

Value

code

One of these codes: Logical Observation Identifiers, Names and Codes (LOINC) 59576-9: Body mass index (BMI) [Percentile] Per age and sex

Type: Observation (Observation)

Filter

Value

code

One of these codes: Logical Observation Identifiers, Names and Codes (LOINC) 8289-1: Head Occipital-frontal circumference Percentile

Type: Observation (Observation)

Filter

Value

code

One of these codes: Logical Observation Identifiers, Names and Codes (LOINC) 77606-2: Weight-for-length Per age and sex

Type: Observation (Observation)

Filter

Value

code

One of these codes: Logical Observation Identifiers, Names and Codes (LOINC) 9279-1: Respiratory rate

Type: Observation (Observation)

Type: CarePlan (CarePlan)

Type: CareTeam (CareTeam)

Type: Composition (Composition)

Type: Coverage (Coverage)

Type: DiagnosticReport (DiagnosticReport)

Type: DocumentReference (DocumentReference)

Type: Device (Device)

Type: Encounter (Encounter)

Type: FamilyMemberHistory (FamilyMemberHistory)

Type: Goal (Goal)

Type: Immunization (Immunization)

Type: Location (Location)

Type: Medication (Medication)

Type: MedicationRequest (MedicationRequest)

Type: Organization (Organization)

Type: Practitioner (Practitioner)

Type: PractitionerRole (PractitionerRole)

Type: Provenance (Provenance)

Type: RelatedPerson (RelatedPerson)

library PIHCohort version '0.0.01'

using FHIR version '4.0.1'

include FHIRHelpers version '4.0.1' called FHIRHelpers
include MATGlobalCommonFunctionsFHIR4 version '6.1.000' called Global

codesystem "SNOMEDCT": 'http://snomed.info/sct'
codesystem "LOINC": 'http://loinc.org'
codesystem "Observation Category": 'http://terminology.hl7.org/CodeSystem/observation-category'

valueset "Hypertensive Disorders Pregnancy ICD": 'http://www.hl7.org/fhir/us/mihr/ValueSet/hypertensive-disorders-pregnancy-ICD'
valueset "Hypertensive Disorders Pregnancy SNOMED": 'http://www.hl7.org/fhir/us/mihr/ValueSet/hypertensive-disorders-pregnancy-SNOMED'

//Delivery Procedure Group
valueset "Delivery Live Births": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.111.12.1015'
valueset "Delivery Procedure": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1078.5'
valueset "Pregnancy Procedure Delivery CPT": 'http://www.hl7.org/fhir/us/mihr/ValueSet/PregnancyProcedureDelivery-CPT'

//Pregnancy Delivery Diagnosis
valueset "Delivery Diagnosis": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.67.1.101.1.278'

//Non-Live Birth (Fetal Death/Abortion)
valueset "Non Live Birth CPT Procedures": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1166.127'
valueset "Non Live Birth Diagnoses": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1166.137'

code "Postpartum pregnancy-induced hypertension (disorder)": '40521000119100' from "SNOMEDCT"

code "BMI": '39156-5' from "LOINC"
code "Blood Pressure": '85354-9' from "LOINC"
code "Height": '8302-2' from "LOINC"
code "Body Temperature": '8310-5' from "LOINC"
code "Weight": '29463-7' from "LOINC"
code "Head Circumference": '9843-4' from "LOINC"
code "Heart Rate": '8867-4' from "LOINC"
code "Laboratory": 'laboratory' from "Observation Category"
code "Pediatric BMI": '59576-9' from "LOINC"
code "Frontal Head Circumference": '8289-1' from "LOINC"
code "Pediatric Weight": '77606-2' from "LOINC"
code "Pulse Oximetry": '2708-6' from "LOINC"
code "Oxygen Saturation": '59408-5' from "LOINC"
code "Respiratory Rate": '9279-1' from "LOINC"
code "Social History": 'social-history' from "Observation Category"
code "Vital Signs": 'vital-signs' from "Observation Category"

parameter "Measurement Period" Interval<DateTime> //default Interval[@2022-02-01T00:00:00.0, @2022-02-28T00:00:00.0)

context Patient

define "PIH Conditions":
	[Condition: "Hypertensive Disorders Pregnancy ICD"]
	union [Condition: "Hypertensive Disorders Pregnancy SNOMED"]

define "Initial Population":
	exists("PIH Conditions" 
	union "Six Weeks Postpartum Induced Hypertension")

define "Pregnancy Ending in Delivery":
	("Delivery Procedure Group"
	union "Delivery Diagnosis Group"
	union "Non-Live Birth Group") Delivery
		where Coalesce(start of Global."Normalize Interval"(Delivery.performed), Delivery.abatement) 
			before end of "Measurement Period"
	
define "Six Weeks Postpartum Induced Hypertension":
	[Condition: "Postpartum pregnancy-induced hypertension (disorder)"] PostpartumHTN
	with "Pregnancy Ending in Delivery" Delivery
		such that start of Global."Normalize Interval"(PostpartumHTN.onset) 6 weeks or less after
			Coalesce(start of Global."Normalize Interval"(Delivery.performed), Delivery.abatement)

define "Delivery Procedure Group":
	[Procedure: "Delivery Live Births"]
	union [Procedure: "Delivery Procedure"]
	union [Procedure: "Pregnancy Procedure Delivery CPT"]

define "Delivery Diagnosis Group":
	[Condition: "Delivery Diagnosis"]
	union [Condition: "Delivery Live Births"]
	union [Condition: "Delivery Procedure"]
	union [Condition: "Pregnancy Procedure Delivery CPT"]

define "Non-Live Birth Group":
	[Condition: "Non Live Birth CPT Procedures"]
	union [Condition: "Non Live Birth Diagnoses"]

//Supplemental Data Elements
define "SDE Allergy Intolerance":
	[AllergyIntolerance] Allergy

define "SDE BMI":
	[Observation: code ~ "BMI"] BMI

define "SDE Blood Pressure":
	[Observation: code ~ "Blood Pressure"] BP

define "SDE Height":
	[Observation: code ~ "Height"] Height

define "SDE Body Temperature":
	[Observation: code ~ "Body Temperature"] BodyTemperature

define "SDE Body Weight":
	[Observation: code ~ "Weight"] Weight

define "SDE Care Plan":
	[CarePlan] CarePlans

define "SDE Care Team":
	[CareTeam] CareTeams

define "SDE Conditions":
	[Condition] Conditions

define "SDE Compositions":
	[Composition] Compositions

define "SDE Insurance":
	[Coverage] Coverages

define "SDE Diagnostic Report":
	[DiagnosticReport] DiagnosticReports

define "SDE Document Reference":
	[DocumentReference] DocumentReference

define "SDE Device":
	[Device] Devices

define "SDE Encounters":
	[Encounter] Encounters

define "SDE FamilyMemberHistory":
	[FamilyMemberHistory] FamilyMemberHistory

define "SDE Goal":
	[Goal] Goals

define "SDE Head Circumference":
	[Observation: code ~ "Head Circumference"] HeadCircumference

define "SDE Heart Rate":
	[Observation: code ~ "Heart Rate"] HeartRate

define "SDE Immunization":
	[Immunization] Immunizations

define "SDE Lab Observation":
	[Observation: code ~ "Laboratory"] LabObservations

define "SDE Location":
	[Location] Locations

define "SDE Medication":
	[Medication] Medications

define "SDE Medication Request":
	[MedicationRequest] MedicationRequests

define "SDE Organization":
	[Organization] Organizations

define "SDE Patient":
	[Patient] Patients

define "SDE Pediatric BMI":
	[Observation: code ~ "Pediatric BMI"] PediatricBMI

define "SDE Occipital Frontal Head Circumference":
	[Observation: code ~ "Frontal Head Circumference"] FrontalHead

define "SDE Pediatric Weight for Height":
	[Observation: code ~ "Pediatric Weight"] PediatricWeight

define "SDE Practitioner":
	[Practitioner] Practitioners

define "SDE Practitioner Role":
	[PractitionerRole] PractitionerRoles

define "SDE Procedure":
	[Procedure] Procedures

define "SDE Provenance":
	[Provenance] Provenances

define "SDE Oximetry":
	[Observation] Oximetry
	where (Oximetry.code ~ "Pulse Oximetry"
	or Oximetry.code ~ "Oxygen Saturation")

define "SDE Related Person":
	[RelatedPerson] RelatedPersons

define "SDE Respiratory Rate":
	[Observation: code ~ "Respiratory Rate"] RespiratoryRate

define "SDE Smoking Status":
    [Observation] SmokingStatus
	with SmokingStatus.category category
	such that category ~ "Social History"

define "SDE Vital Signs":
	[Observation] VitalSigns
	with VitalSigns.category category
	such that category ~ "Vital Signs"

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IG © 2020+ HL7 Public Health Work Group. Package hl7.fhir.us.mihr#1.0.0 based on FHIR 4.0.1. Generated 2023-03-29
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