library UPPARFInitialExpressions 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'
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
include CumulativeMedicationDuration version '2.0.0-cibuild' called CMD 

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'
codesystem "ICD10": 'http://hl7.org/fhir/sid/icd-10-cm' 

valueset "ICD10 vs": 'http://hl7.org/fhir/ValueSet/icd-10'

code "ICD10 example code": 'example' from "ICD10"
code "Member Number": 'MB' from "Identifier Type"
code "Subscriber Number": 'SN' from "Identifier Type"
code "Confirmed": 'confirmed' from "Verification Status"
code "Active": 'active' from "Condition Clinical"

parameter "MedicationRequest" USCore.MedicationRequestProfile

context Patient

define "Retrieve Medication Request test parameter":
  // The VSCode extension doesn't support parameters
  // 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 ([USCore.MedicationRequestProfile] MR where MR.id in { 
    'reference-nizatidine',                 // from tests/library/UPPARFInitialExpressions/example/MedicationRequest-new-reference-nizatidine.json
    'MedicationRequest-1-nizatidine',       // from tests/library/UPPARFInitialExpressions/Patient-example-UPPARF-1/MedicationRequest-1-nizatidine.json
    'MedicationRequest-lisinopril-example'  // from tests/library/UPPARFInitialExpressions/Patient-example-UPPARF-2/MedicationRequest-lisinopril-example.json
  })

define "Medication Request":
  Coalesce(
    MedicationRequest,
    "Retrieve Medication Request test parameter"
  )

define "Urgency":
"Most Recent Medication Request".priority P
  return (
    if P != 'routine' then 'Urgent'
    else  'Not Urgent'
  )

//TODO: name could also be retrieved by MedicationRequest as a codeable concept if there is no reference
define "Most Recent Medication Name":
  "Most Recent Medication" M
    return Combine(((M.code.coding) C return C.display), '|')

define "Is Opioid Treatment":
null //TBD

//TODO: can we assume that with a previous prior authentication there also has been a prior prescription?
define "Is First Prior Authentication":
IsNull("Prior Prescription")

//TODO: does the initial request date mean the exact same medication was requested before?
define "Initial Request Date":
if not "Is First Prior Authentication" then
    singleton from (
    UCE."All Medication Requests" M
      where EndsWith(("Most Recent Medication Request".priorPrescription).reference, M.id)
      return M.authoredOn
    )
  else 
    null

define "Is First Request > 12 Months":
if IsNull("Initial Request Date") then null else 
(months between "Initial Request Date" and Now() > 12)

define "Prescription Date":
"Most Recent Medication Request".authoredOn

define "Prescriber Name":
   First(Requester.name).family
   //TODO: should this be First("Requester".name).family with double quotes?
   //TODO: prefix, suffix and given do not work as expected.

define "Prescriber Fax":
  Fax(Requester.telecom).value

define "Prescriber Phone":
  Mobile(Requester.telecom).value

define "Prescriber Pager":
  Pager(Requester.telecom).value

define "Prescriber Address":
'TODO: remove hard coded address'

define "Prescriber Contact":
'TODO: remove hard coded contact'
//TBD: would this be a work phone or more something like an address?

define "Prescriber NPI":
First (
  "Requester".identifier I
  where I.system = 'http://hl7.org.fhir/sid/us-npi'
  ).value

//TODO: what is DEA?
// A DEA number is used to identify the prescriber who is licensed to prescribe controlled substances.
// A prescriber needs a unique DEA numbers for every jurisdiction they are licensed.
// Every DEA number is made up of two letters, six numbers, and one check digit
// https://www.careerstep.com/blog/news/dea-numbers-what-do-they-mean/#:~:text=The%20DEA%20number%20is%20also,a%20manufacturer%2C%20etc.).
define "Prescriber DEA":
  null

define "Prescriber Tax ID":
First (
  "Requester".identifier I
  where I.system = 'urn:oid:2.16.840.1.113883.4.4'
  ).value

define "Prescriber Specialty":
First(RequesterRole.specialty.coding).display

define "Prescriber Email Address":
  Email(Requester.telecom).value

define "Request Type":
//TODO: is this logic correct?
if "Is First Prior Authentication" then
  'New Request' else 'Reauthorization'

define "ICD 10 Codes":
  UCE."Active Confirmed Problem List Items".code.coding C
  where C.system ~ "ICD10 example code".system //"ICD10".id
  return C.code

define "Diagnosis Descriptions":
  Combine(((UCE."Active Confirmed Problem List Items".code.coding) C return C.display), ', ')

define "Unit Volume of Named Drugs":
  "Dosage Value as String" + "Dosage Unit"

define "Dose": 
  "Dosage Value as String"

define "Route": 
  Combine(((First("Most Recent Medication Request".dosageInstruction).route.coding) C return C.display), ', ')

define "Most Recent Dosage Instruction":
  singleton from ("Most Recent Medication Request".dosageInstruction)

define "Frequency": 
  "Most Recent Dosage Instruction" DI
    return ToString(DI.timing.repeat.frequency) + ' times per ' 
      + ToString(DI.timing.repeat.period) 
      + DI.timing.repeat.periodUnit

define "Refills": 
  "Most Recent Medication Request".dispenseRequest.numberOfRepeatsAllowed

define "Today":
  Today()

define "Dosage Value as String":
  ToString(("Most Recent Medication Request".dosageInstruction.doseAndRate[0].dose).value)

define "Dosage Unit":
  ("Most Recent Medication Request".dosageInstruction.doseAndRate[0].dose).unit

//helper definitions
//TODO: medications are not necessarily a reference but could also be represented by a codeable concept
define "Most Recent Medication":
singleton from (
  UCE."All Medications" M
    where EndsWith(("Most Recent Medication Request".medication).reference, M.id))

define "Most Recent Medication Request":
  "Medication Request"
  // UCE."Most Recent Medication Request"

define "Prior Prescription":
  "Most Recent Medication Request".priorPrescription

define "Requester":
  UCE.Requester("Most Recent Medication Request")

define "RequesterRole":
  UCE.RequesterRole("Most Recent Medication Request")

//email, pager, and fax functions moved to USCoreCommon.cql

//IMPORTANT NOTE: Missing the entire (or majority) of the "Prior Authorization Request for Drug Benefit" section of the quesstionnaire. Expect errors on Postman regarding the items in this section.
define "Start Date and Length":
  null as System.String

define function Pager(contactPoints List<ContactPoint>):
  singleton from (contactPoints P where P.system = 'pager')

define function Mobile(contactPoints List<ContactPoint>):
  singleton from (contactPoints P where P.system = 'mobile')

define function Email(contactPoints List<ContactPoint>):
  singleton from (contactPoints P where P.system = 'email')

define function Fax(contactPoints List<ContactPoint>):
  singleton from (contactPoints P where P.system = 'fax')

Encoded data 

Encoded data