library USCoreElements
using FHIR version '4.0.1'
using USCore version '7.0.0'
include hl7.fhir.uv.cql.FHIRHelpers version '4.0.1'
include hl7.fhir.uv.cql.FHIRCommon version '2.0.0'
include USCoreCommon called UC
codesystem "LOINC": 'http://loinc.org'
codesystem "Identifier Type": 'http://terminology.hl7.org/CodeSystem/v2-0203'
codesystem "Verification Status": 'http://terminology.hl7.org/CodeSystem/condition-ver-status'
codesystem "Condition Clinical": 'http://terminology.hl7.org/CodeSystem/condition-clinical'
valueset "Common allergy substances": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1186.8'
code "No known allergy (situation)": '716186003' from FHIRCommon.SNOMEDCT
code "Member Number": 'MB' from "Identifier Type"
code "Subscriber Number": 'SN' from "Identifier Type"
code "Body surface area": '8277-6' from "LOINC" display 'Body surface area'
code "Confirmed": 'confirmed' from "Verification Status"
code "Active": 'active' from "Condition Clinical"
context Patient
// Patient Patterns
define fluent function ageInDaysAt(patient Patient, asOf Date):
CalculateAgeInDaysAt(Patient.birthDate, asOf)
define fluent function ageInDays(patient Patient):
CalculateAgeInDaysAt(Patient.birthDate, Today())
define fluent function ageInMonthsAt(patient Patient, asOf Date):
CalculateAgeInMonthsAt(Patient.birthDate, asOf)
define fluent function ageInMonths(patient Patient):
CalculateAgeInMonthsAt(Patient.birthDate, Today())
define fluent function ageInYearsAt(patient Patient, asOf Date):
CalculateAgeInYearsAt(Patient.birthDate, asOf)
define fluent function ageInYears(patient Patient):
CalculateAgeInYearsAt(Patient.birthDate, Today())
define fluent function usualName(patient Patient):
patient.name name
where name.use ~ 'usual'
and name.period is not null implies name.period includes Today()
sort by start of period desc
define fluent function officialName(patient Patient):
patient.name name
where name.use ~ 'official'
and name.period is not null implies name.period includes Today()
sort by start of period desc
define fluent function firstNonOfficialNonUsualName(patient Patient):
First(
patient.name name
where not(name.use ~ 'official') and not(name.use ~ 'usual')
and name.period is not null implies name.period includes Today()
sort by start of period desc
)
define fluent function memberID(coverage FHIR.Coverage):
coverage.identifier.where(type ~ "Member Number").single().value
define fluent function policyNumber(coverage FHIR.Coverage):
singleton from (
coverage.identifier I
where I.type ~ "Subscriber Number"
).value
define fluent function medicalRecordNumber(patient Patient):
patient.identifier.where(type ~ UC.MedicalRecordNumber).single().value
define fluent function name(practitioner Practitioner):
Coalesce(practitioner.officialName().first(), practitioner.usualName().first(), practitioner.firstNonOfficialNonUsualName())
define fluent function usualName(practitioner Practitioner):
practitioner.name name
where name.use ~ 'usual'
and name.period is not null implies name.period includes Today()
sort by start of period desc
define fluent function officialName(practitioner Practitioner):
practitioner.name name
where name.use ~ 'official'
and name.period is not null implies name.period includes Today()
sort by start of period desc
define fluent function firstNonOfficialNonUsualName(practitioner Practitioner):
First(
practitioner.name name
where not(name.use ~ 'official') and not(name.use ~ 'usual')
and name.period is not null implies name.period includes Today()
sort by start of period desc
)
define fluent function name(practitioner Practitioner):
Coalesce(practitioner.officialName().first(), practitioner.usualName().first(), practitioner.firstNonOfficialNonUsualName())
define fluent function firstName(name HumanName):
name.given.first()
define fluent function middleNames(name HumanName):
Combine(Skip(name.given, 1), ' ')
define fluent function lastName(name HumanName):
name.family
define fluent function firstMiddleLast(name HumanName):
Combine(name.given, ' ') + ' ' + name.family
define fluent function lastFirstMiddle(name HumanName):
name.family + ', ' + Combine(name.given, ' ')
// Allergy/Intolerance
/*
@description: Returns all allergies and intolerances
@comment: This definition returns all allergies and intolerances conforming to the US Core 7.0.0
[AllergyIntolerance](https://hl7.org/fhir/us/core/STU7/StructureDefinition-us-core-allergyintolerance.html) profile.
Allergies and intolerances returned by this definition include records with any clinical status (including none)
and any verification status (including none).
@profile: http://hl7.org/fhir/us/core/StructureDefinition/us-core-allergyintolerance
*/
define "All Allergies and Intolerances":
[USCore."AllergyIntolerance"]
define "Active Confirmed Allergies and Intolerances":
"All Allergies and Intolerances".active().confirmed()
define "Common Allergies and Intolerances":
"All Allergies and Intolerances" A
where A.code in "Common allergy substances"
define "Active Confirmed Common Allergies and Intolerances":
"Common Allergies and Intolerances".active().confirmed()
// No Known Allergies (Not Asked)
define "No Known Allergies (Not Asked)":
"All Allergies and Intolerances" A
where A.code ~ "No known allergy (situation)"
and A.isActive()
and A.isUnconfirmed()
// No Known Allergies (Confirmed)
define "No Known Allergies (Confirmed)":
"All Allergies and Intolerances" A
where A.code ~ "No known allergy (situation)"
and A.isActive()
and A.isConfirmed()
// Condition
/*
@description: Returns all problem list items, encounter diagnoses, and health concerns
@comment: This definition returns all conditions of any category.
[Condition Encounter Diagnosis](https://hl7.org/fhir/us/core/STU7/StructureDefinition-us-core-condition-encounter-diagnosis.html)
[Condition Problems and Health Concerns](https://hl7.org/fhir/us/core/STU7/StructureDefinition-us-core-condition-problems-health-concerns.html)
Conditions returned by this definition include records with any clinical status (including none) and
any verification status (including none).
@profile: http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition
*/
define "All Conditions":
[FHIR."Condition"]
define "All Problem List Items":
"All Conditions" C
where C.isProblemListItem()
define "Active Confirmed Problem List Items":
"All Problem List Items".active().confirmed()
define "All Encounter Diagnoses":
"All Conditions" C
where C.isEncounterDiagnosis()
define "All Health Concerns":
"All Conditions" C
where C.isHealthConcern()
// Laboratory Diagnostic Report
/*
@comment: [Diagnostic Report for Laboratory Results](https://hl7.org/fhir/us/core/STU7/StructureDefinition-us-core-diagnosticreport-lab.html)
@profile: http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-lab
*/
define "All Diagnostic Reports for Laboratory Results":
["DiagnosticReportProfileLaboratoryReporting"]
// Diagnostic Report
/*
@comment: [Diagnostic Report Note](https://hl7.org/fhir/us/core/STU7/StructureDefinition-us-core-diagnosticreport-note.html)
@profile: http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note
*/
define "All Diagnostic Report Notes":
["DiagnosticReportProfileNoteExchange"]
// Encounter
/*
@comment: [Encounter](https://hl7.org/fhir/us/core/STU7/StructureDefinition-us-core-encounter.html)
@profile: http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter
*/
define "All Encounters":
["EncounterProfile"]
define "All Performed Encounters":
"All Encounters" E
where E.status = 'finished'
// Immunization
/*
@comment: [Immunization](https://hl7.org/fhir/us/core/STU7/StructureDefinition-us-core-immunization.html)
@profile: http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization
*/
define "All Immunizations":
["ImmunizationProfile"]
define "All Completed Immunizations":
"All Immunizations" I
where I.status = 'completed'
// Implantable Device
/*
@comment: [Implantable Device](https://hl7.org/fhir/us/core/STU7/StructureDefinition-us-core-implantable-device.html)
@profile: http://hl7.org/fhir/us/core/StructureDefinition/us-core-implantable-device
*/
define "All Implantable Devices":
["ImplantableDeviceProfile"]
// Laboratory Result
/*
@description: Returns all laboratory results
@comment: [Laboratory Result](https://hl7.org/fhir/us/core/STU7/StructureDefinition-us-core-observation-lab.html)
@profile: http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab
*/
define "All Laboratory Results":
["LaboratoryResultObservationProfile"]
define "Resulted Laboratory Results":
"All Laboratory Results" L
where L.status in { 'preliminary', 'final', 'amended', 'corrected' }
// Medication Request
/*
@description: Returns all medication requests
@comment: [Medication Request](https://hl7.org/fhir/us/core/STU7/StructureDefinition-us-core-medicationrequest.html)
@profile: http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest
*/
define "Most Recent Medication Request":
"All Medication Requests".mostRecent()
define "All Medication Requests":
["MedicationRequestProfile"]
define "Active Medication Orders":
"All Medication Requests" M
where M.status = 'active'
and M.intent in { 'order', 'original-order', 'reflex-order', 'filler-order', 'instance-order' }
define "All Medications":
["MedicationProfile"]
// Pediatric BMI for Age
/*
@comment: [Pediatric BMI for Age](https://hl7.org/fhir/us/core/STU7/StructureDefinition-pediatric-bmi-for-age.html)
@profile: http://hl7.org/fhir/us/core/StructureDefinition/pediatric-bmi-for-age
*/
define "Pediatric BMI for Age":
((["PediatricBMIforAgeObservationProfile"]).resulted()) O
return O as "PediatricBMIforAgeObservationProfile"
define "Pediatric BMI for Age All Statuses":
["PediatricBMIforAgeObservationProfile"]
// Pediatric Head Circumference Percentile
/*
@comment: [Pediatric Head Circumference Percentile](https://hl7.org/fhir/us/core/STU7/StructureDefinition-head-occipital-frontal-circumference-percentile.html)
@profile: http://hl7.org/fhir/us/core/StructureDefinition/head-occipital-frontal-circumference-percentile
*/
define "Pediatric Head Circumference Percentile":
((["PediatricHeadOccipitalFrontalCircumferencePercentileProfile"]).resulted()) O
return O as "PediatricHeadOccipitalFrontalCircumferencePercentileProfile"
// Pediatric Weight for Height
/*
@comment: [Pediatric Weight for Height](https://hl7.org/fhir/us/core/STU7/StructureDefinition-pediatric-weight-for-height.html)
@profile: http://hl7.org/fhir/us/core/StructureDefinition/pediatric-weight-for-height
*/
define "Pediatric Weight for Height":
((["PediatricWeightForHeightObservationProfile"]).resulted()) O
return O as "PediatricWeightForHeightObservationProfile"
define "Pediatric Weight for Height All Statuses":
["PediatricWeightForHeightObservationProfile"]
// Procedure
/*
@comment: [Procedure](https://hl7.org/fhir/us/core/STU7/StructureDefinition-us-core-procedure.html)
@profile: http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure
*/
define "All Procedures":
["ProcedureProfile"] P
where P.status in { 'preparation', 'in-progress', 'on-hold', 'completed' }
define "All Performed Procedures":
"All Procedures" P
where P.status = 'completed'
// Pulse Oximetry
/*
@comment: [Pulse Oximetry](https://hl7.org/fhir/us/core/STU7/StructureDefinition-us-core-pulse-oximetry.html)
@profile: http://hl7.org/fhir/us/core/StructureDefinition/us-core-pulse-oximetry
*/
define "Pulse Oximetry":
((["PulseOximetryProfile"]).resulted()) O
return O as "PulseOximetryProfile"
define "Pulse Oximetry All Statuses":
["PulseOximetryProfile"]
// Smoking Status
/*
@description: Returns all smoking status observations
@comment: This definition returns all smoking status observations conforming to the US Core 3.1.1
[Smoking Status](https://hl7.org/fhir/us/core/STU7/StructureDefinition-us-core-smokingstatus.html)
profile.
@profile: http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus
*/
define "Smoking Status":
((["SmokingStatusProfile"]).resulted()) O
return O as "SmokingStatusProfile"
define "Smoking Status All Statuses":
["SmokingStatusProfile"]
/*
@description: Returns the most recent smoking status
@comment: This definition returns the most recent (by issued time) smoking status observation conforming to the
US Core [Smoking Status](https://hl7.org/fhir/us/core/STU7/StructureDefinition-us-core-smokingstatus.html)
profile.
*/
define "Most Recent Smoking Status":
Last(
"Smoking Status" SS
where SS.status = 'final'
sort by issued
)
// Vital Signs
/*
@comment: [Vital Signs Panel](https://hl7.org/fhir/us/core/STU7/StructureDefinition-us-core-vital-signs.html)
@profile: http://hl7.org/fhir/us/core/StructureDefinition/us-core-vital-signs
*/
define "All Vital Signs":
((["Vital Signs Profile"]).resulted()) O
return O as "Vital Signs Profile"
define "All Vital Signs All Statuses":
["Vital Signs Profile"]
// Respiratory Rate
/*
@comment: [Respiratory Rate](https://hl7.org/fhir/us/core/STU7/StructureDefinition-us-core-respiratory-rate.html)
@profile: http://hl7.org/fhir/us/core/StructureDefinition/us-core-respiratory-rate
*/
define "All Respiratory Rate Measurements":
((["Respiratory Rate Profile"]).resulted()) O
return O as "Respiratory Rate Profile"
define "All Respiratory Rate Measurements All Statuses":
["Respiratory Rate Profile"]
// Heart Rate
/*
@comment: [Heart Rate](https://hl7.org/fhir/us/core/STU7/StructureDefinition-us-core-heart-rate.html)
@profile: http://hl7.org/fhir/us/core/StructureDefinition/us-core-heart-rate
*/
define "All Heart Rate Measurements":
((["Heart Rate Profile"]).resulted()) O
return O as "Heart Rate Profile"
define "All Heart Rate Measurements All Statuses":
["Heart Rate Profile"]
// Body Temperature
/*
@comment: [Body Temperature](https://hl7.org/fhir/us/core/STU7/StructureDefinition-us-core-body-temperature.html)
@profile: http://hl7.org/fhir/us/core/StructureDefinition/us-core-body-temperature
*/
define "All Body Temperature Measurements":
((["Body Temperature Profile"]).resulted()) O
return O as "Body Temperature Profile"
define "All Body Temperature Measurements All Statuses":
["Body Temperature Profile"]
// Body Height
/*
@comment: [Body Height](https://hl7.org/fhir/us/core/STU7/StructureDefinition-us-core-body-height.html)
@profile: http://hl7.org/fhir/us/core/StructureDefinition/us-core-body-height
*/
define "All Body Height Measurements":
((["Body Height Profile"]).resulted()) O
return O as "Body Height Profile"
define "All Body Height Measurements All Statuses":
["Body Height Profile"]
// Head Circumference
/*
@comment: [Head Circumference](https://hl7.org/fhir/us/core/STU7/StructureDefinition-us-core-head-circumference.html)
@profile: http://hl7.org/fhir/us/core/StructureDefinition/us-core-head-circumference
*/
define "All Head Circumference Measurements":
((["Head Circumference Profile"]).resulted()) O
return O as "Head Circumference Profile"
define "All Head Circumference Measurements All Statuses":
["Head Circumference Profile"]
// Body Weight
/*
@comment: [Body Weight](https://hl7.org/fhir/us/core/STU7/StructureDefinition-us-core-body-weight.html)
@profile: http://hl7.org/fhir/us/core/StructureDefinition/us-core-body-weight
*/
define "All Body Weight Measurements":
((["Body Weight Profile"]).resulted()) O
return O as "Body Weight Profile"
define "All Body Weight Measurements All Statuses":
["Body Weight Profile"]
// Body Mass Index
/*
@comment: [Body Mass Index](https://hl7.org/fhir/us/core/STU7/StructureDefinition-us-core-bmi.html)
@profile: http://hl7.org/fhir/us/core/StructureDefinition/us-core-bmi
*/
define "All Body Mass Index Measurements":
((["BMI Profile"]).resulted()) O
return O as "BMI Profile"
define "All Body Mass Index Measurements All Statuses":
["BMI Profile"]
// Blood Pressure
/*
@comment: [Blood Pressure](https://hl7.org/fhir/us/core/STU7/StructureDefinition-us-core-blood-pressure.html)
@profile: http://hl7.org/fhir/us/core/StructureDefinition/us-core-blood-pressure
*/
define "All Blood Pressure Measurements":
((["Blood Pressure Profile"]).resulted()) O
return O as "Blood Pressure Profile"
define "All Blood Pressure Measurements All Statuses":
["Blood Pressure Profile"]
// Systolic Blood Pressure
define "Systolic Blood Pressure":
"All Blood Pressure Measurements".mostRecent().systolic().value
// Diastolic Blood Pressure
define "Diastolic Blood Pressure":
"All Blood Pressure Measurements".mostRecent().diastolic().value
define "Most Recent BSA":
convert (([FHIR.Observation: "Body surface area"]).resulted().mostRecent() as FHIR.Observation).value to 'm2'
define function CalculateBSA(alg System.String, height System.Quantity, weight System.Quantity):
System.Quantity { value:
// Mosteller formula using lbs and inches
if (alg = 'Mosteller') then
((((convert(height) to '[in_i]') * (convert(weight) to '[lb_av]'))/3131).value)^0.5
// DuBois and DuBois formula using cm and kg
// NOTE: never to be used for newborn calculation
else if (alg = 'DuBois and DuBois') then
0.007184 * ((convert(height) to 'cm').value^0.725) * ((convert(weight) to 'kg').value^0.425)
// No matching algorithm found
else null,
unit: 'm2'
}
define "All ServiceRequests":
[FHIR.ServiceRequest]
define function MostRecentSR(serviceRequests List<"FHIR.ServiceRequest">):
Last(
serviceRequests SR
// sort by authoredOn
)
define fluent function mostRecentSR(serviceRequests List<"FHIR.ServiceRequest">):
Last(
serviceRequests SR
// sort by authoredOn
)
define function RequestingProvider(serviceRequest FHIR.ServiceRequest):
[PractitionerProfile] P
where EndsWith(serviceRequest.requester.reference.value, P.id)
define function ServicingProvider(serviceRequest FHIR.ServiceRequest):
[PractitionerProfile] P
where EndsWith(First(serviceRequest.performer.reference.value), P.id)
define function BillingProvider(coverage FHIR.Coverage):
singleton from([OrganizationProfile] O
where EndsWith(First(coverage.payor.reference.value), O.id))
define function RelatedCondition(serviceRequest FHIR.ServiceRequest):
[FHIR.Condition] C
where EndsWith(First(serviceRequest.reasonReference.reference.value), C.id)
define "Research Subject":
[FHIR.ResearchSubject] R
where EndsWith(R.individual.reference, Patient.id)
define "All Clinical Trials":
[FHIR.ResearchStudy]
define "Clinical Trial Organization":
[OrganizationProfile] O
define function "GetServiceRequestReasonCondition"(serviceRequest ServiceRequest):
[FHIR.Condition] C
where EndsWith(First(serviceRequest.insurance.reference), C.id)
return C
define function Requester(medicationRequest MedicationRequestProfile):
singleton from (
[USCore.PractitionerProfile] P
where EndsWith(medicationRequest.requester.reference, P.id)
)
define function RequesterRole(medicationRequest MedicationRequestProfile):
singleton from (
[USCore.PractitionerRoleProfile] R
where EndsWith(R.practitioner.reference, Requester(medicationRequest).id)
)
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