Metadata Title Expression Library for the Genetic/Molecular testing preauthorization Example Version 2.0.0-cibuild Status Draft Experimental true Jurisdiction United States of America Steward (Publisher) HL7 International / Clinical Decision Support Description Initial expressions for use in populating answers to questions in the Genetic/Molecular testing preauthorization example questionnaire. Type logic-library from http://terminology.hl7.org/CodeSystem/library-type Dependency Description: Library FHIRHelpers Resource: http://hl7.org/fhir/uv/cql/Library/FHIRHelpers|4.0.1 Canonical URL: http://hl7.org/fhir/uv/cql/Library/FHIRHelpers|4.0.1 Dependency Description: Library FHIRCommon Resource: http://hl7.org/fhir/uv/cql/Library/FHIRCommon|2.0.0 Canonical URL: http://hl7.org/fhir/uv/cql/Library/FHIRCommon|2.0.0 Dependency Description: Library UC Resource: US Core Commonversion: null2.0.0-cibuild) Canonical URL: http://hl7.org/fhir/us/cql/Library/USCoreCommon|2.0.0-cibuild Dependency Description: Library UCE Resource: US Core Elementsversion: null2.0.0-cibuild) Canonical URL: http://hl7.org/fhir/us/cql/Library/USCoreElements|2.0.0-cibuild Dependency Description: Code System LOINC Resource: Logical Observation Identifiers, Names and Codes (LOINC) Canonical URL: http://loinc.org Dependency Description: Code System Identifier Type Resource: identifierType Canonical URL: http://terminology.hl7.org/CodeSystem/v2-0203 Data Requirement Type: Coverage Profile(s): Coverage Data Requirement Type: ServiceRequest Profile(s): ServiceRequest Parameters Name Use Card. Type Documentation Coverage In 0..1 Coverage ServiceRequest In 0..1 ServiceRequest Patient Out 0..1 Resource All Problem List Items Out 0..* Condition Patient history Out 0..* Resource Patient history including age at diagnosis Out 0..* string Retrieve Member Coverage test parameter Out 0..1 Coverage Member Coverage Out 0..1 Coverage Billing Provider Out 0..1 Resource Billing Provider Name Out 0..1 string Billing Provider Phone Out 0..1 ContactPoint Billing Provider Address Out 0..1 Address Retrieve Service Request test parameter Out 0..1 ServiceRequest Most Recent ServiceRequest Out 0..1 ServiceRequest Billing Provider NPI Out 0..* string Billing Provider Fax Out 0..* string Date of Service Out 0..1 dateTime Requested Test Out 0..1 CodeableConcept Test ID Out 0..1 string Test name Out 0..1 string Test ICD Codes Out 0..* string Test CPT Codes Out 0..* string ALL ICD and CPT Test Codes Out 0..* string Test Related Condition Out 0..* Condition Diagnosis Descriptions Out 0..* string Billing Provider different from Servicing Provider Out 0..1 string Research Subject Out 0..* ResearchSubject Clinical Trial Out 0..* ResearchStudy Clinical Trial Organization Out 0..1 Resource BillingProvider is Clinical Trial Organization Out 0..1 boolean Is Research Subject Out 0..1 boolean Part of clinical trial Out 0..1 string Clinical Trial ID Out 0..* string Previous genetic testing for condition Out 0..* string Library Content CQL Content library GMTPInitialExpressions version '2.0.0-cibuild' using USCore version '6.1.0-derived' using FHIR version '4.0.1' include hl7.fhir.uv.cql.FHIRHelpers version '4.0.1' called FHIRHelpers include hl7.fhir.uv.cql.FHIRCommon version '2.0.0' include USCoreCommon version '2.0.0-cibuild' called UC include USCoreElements version '2.0.0-cibuild' called UCE codesystem "LOINC": 'http://loinc.org' codesystem "Identifier Type": 'http://terminology.hl7.org/CodeSystem/v2-0203' code "Member Number": 'MB' from "Identifier Type" parameter "Coverage" FHIR.Coverage parameter "ServiceRequest" FHIR.ServiceRequest context Patient define "All Problem List Items": UCE."All Problem List Items" /* @question: Patient history (including age at diagnosis): TODO: Determine whether we should be considering encounter diagnoses and/or health concerns TODO: Determine whether age at onset is actually relevant, or if we would, in an automated context, just return the Condition resource TODO: Does "age at diagnosis" mean "age at onset" or is it really asking for when the diagnosis was recorded? TODO: Is there a version of patient history that is reusable here? */ define "Patient history": "All Problem List Items" C let prevalence: C.prevalenceInterval() where C.isConfirmed() return { diagnosis: C.code.coding.first().code, ageAtOnset: ToString(Patient.ageInYearsAt(ToDate(start of prevalence))), onset: ToString(start of prevalence), abatement: ToString(if prevalence.hasEnd() then end of prevalence else null) } /* @linkId: history|patient-history */ define "Patient history including age at diagnosis": "Patient history" H return H.diagnosis & (', ' + H.ageAtOnset + ' yrs') & (', abated ' + H.abatement) define "Billing Provider Name": "Billing Provider".name define "Billing Provider Phone": "Billing Provider".work() define "Billing Provider Address": First( "Billing Provider".address address where address.use in { 'billing', 'work' } and address.period is not null implies address.period includes Today() ) define "Retrieve Member Coverage test parameter": // When executing CQL with the VSCode extension retrieve the resource specific for the test case // the list of resource ids match the resources from the test case folders singleton from ([FHIR.Coverage] CV where CV.id in { 'Coverage-example-GMTP', // testcase: GMTP-example-patient-2 'coverage-GMTP-1' // testcase: USCorePatient-GMTP-1 }) define "Member Coverage": Coalesce( Coverage, "Retrieve Member Coverage test parameter" ) define "Retrieve Service Request test parameter": // When executing CQL with the VSCode extension retrieve the resource specific for the test case // the list of resource ids match the resources from the test case folders singleton from ([FHIR.ServiceRequest] SR where SR.id in { 'ServiceRequest-example-1-GMTP', // testcase: GMTP-example-patient-2 'service-request-USCorePatient-GMTP-1' // testcase: USCorePatient-GMTP-1 }) define "Most Recent ServiceRequest": Coalesce( ServiceRequest, "Retrieve Service Request test parameter" ) define "Billing Provider": UCE.BillingProvider("Member Coverage") define "Billing Provider NPI": "Billing Provider".identifier I where I.system = 'http://hl7.org/fhir/sid/us-npi' return I.value define "Billing Provider Fax": "Billing Provider".telecom T where T.system = 'fax' return T.value define "Date of Service": "Most Recent ServiceRequest".occurrence.value define "Requested Test": "Most Recent ServiceRequest".code define "Test ID": Combine("Requested Test".coding.code.value, ', ') define "Test name": Combine("Requested Test".coding.display.value, ', ') define "ALL ICD and CPT Test Codes": "Test ICD Codes" union "Test CPT Codes" define "Test ICD Codes": "Requested Test".coding C where C.system.value = 'http://hl7.org/fhir/sid/icd-10-cm' return C.code.value define "Test CPT Codes": "Requested Test".coding C where C.system.value = 'http://www.ama-assn.org/go/cpt' return C.code.value define "Test Related Condition": UCE.RelatedCondition("Most Recent ServiceRequest") //.reasonReference changed to .reason in FHIR R5 define "Diagnosis Descriptions": "Test Related Condition".code.coding.display.value define "Billing Provider different from Servicing Provider": if "Billing Provider".id != First(UCE.ServicingProvider("Most Recent ServiceRequest").id) then 'Yes' else 'No' define "Clinical Trial Organization": First(UCE."Clinical Trial Organization" O with "Clinical Trial" T such that EndsWith(T.sponsor.reference, O.id)) //in FHIR R5 T.associatedParty instead of T.sponsor define "BillingProvider is Clinical Trial Organization": "Billing Provider" = "Clinical Trial Organization" //TODO does not get populated properly define "Part of clinical trial": if "Is Research Subject" and "BillingProvider is Clinical Trial Organization" then 'Yes' else 'No' define "Is Research Subject": exists("Research Subject") define "Research Subject": UCE."Research Subject" //ResearchSubject.individual is from FHIR version v4.0.1 and has been replaced by R.subject in FHIR R5 define "Clinical Trial": UCE."All Clinical Trials" R with "Research Subject" S such that EndsWith(S.study.reference, R.id) with "Test Related Condition" C such that C.code in R.condition define "Clinical Trial ID": "Clinical Trial".identifier C where C.system = 'https://clinicaltrials.gov' return C.value.value define "Previous genetic testing for condition": from UCE."All ServiceRequests" S, ServiceRequest SR where S.occurrence before SR.occurrence and S.id != SR.id and S.reasonReference = SR.reasonReference return S.id.value //define "Family history of genetic testing" //too general to prefill? ELM XML Content Encoded data ELM JSON Content Encoded data Generated using version 0.5.3-cibuild of the sample-content-ig Liquid templates
Expression Library for the Genetic/Molecular testing preauthorization Example
HL7 International / Clinical Decision Support
Initial expressions for use in populating answers to questions in the Genetic/Molecular testing preauthorization example questionnaire.
Patient history including age at diagnosis
Billing Provider different from Servicing Provider
BillingProvider is Clinical Trial Organization