CRCPembrolizumabRule1
type: Library
node role: treeRoot
id:
  v: CRCPembrolizumabRule1
text:
  status:
    v: extensions
  div:
    v: Metadata Title 大腸直腸癌_Pembrolizuma給付規定 Version 1.0.0 Status Draft Description 此 Library 為轉移性大腸或直腸癌病人申請使用 Pembrolizuma 之給付檢核條件。 Type logic-library from http://terminology.hl7.org/CodeSystem/library-type Parameters Parameter None Library Content CQL Content //大腸直腸_Pembrolizumab給付規定 library CRCPembrolizumabRule1 version '1.0.0' using FHIR version '4.0.1' include FHIRHelpers version '4.0.1' called FHIRHelpers include CRCCodeConcept version '1.0.0' called CodeConcept include Reusable version '1.0.0' called Reusable context Patient //============================================ // 申請類型判斷 //============================================ define "初次申請": "申請類型" = '初次使用' define "續用申請": "申請類型" = '續用' define "申請類型未知": "申請類型" = '無法判斷申請類型' define "申請類型": case when Reusable."續用註記為1" then '初次使用' when Reusable."續用註記為2" then '續用' else '無法判斷申請類型' end //============================================ // 主要規定一：初次使用條件 //============================================ /*規則1*/ //條件1-1 //Reusable."ICD-10使用C18、C19、C20、C21" define "ICD代碼檢核_布林值": Reusable."ICD-10使用C18、C19、C20、C21" //條件1-2 define "規則1-1-2=三個月內有影像檢查報告": exists ( [DiagnosticReport] O where exists ( O.code.coding Cdg where Cdg.system in CodeConcept.NHIMedication and Cdg.code in CodeConcept.ImageReportTumorCode ) and O.effective is not null and FHIRHelpers.ToDateTime(O.effective) >= Today() - 90 days and FHIRHelpers.ToDateTime(O.effective) <= Today() ) //條件1-3 define "規則1-1-3=申請項目": exists ( [MedicationRequest] MRPlan where MRPlan.intent = 'plan' and exists ( MRPlan.medication.coding Cdg where Cdg.system in CodeConcept.NHIMedication and Cdg.code in CodeConcept.L01FF02 ) ) and exists ( [Claim] C where exists ( C.item I where exists ( I.programCode PC where exists ( PC.coding Coding where Coding.code in CodeConcept."P141大腸直腸癌給付適應症" ) ) ) ) and exists ( [Claim] C where exists ( C.item I where exists ( I.modifier M where exists ( M.coding Cdg where Cdg.system in CodeConcept.NHILOT and Cdg.code = '1' ) ) ) ) define "條件1": (Reusable."ICD-10使用C18、C…
version:
  v: 1.0.0
name:
  v: CRCPembrolizumabRule1
title:
  v: 大腸直腸癌_Pembrolizuma給付規定
status:
  v: draft
type:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/library-type
      l: library-type
    code:
      v: logic-library
date:
  v: 2025-12-09
description:
  v: 此 Library 為轉移性大腸或直腸癌病人申請使用 Pembrolizuma 之給付檢核條件。
content:
  content type:
    v: text/cql
content:
  content type:
    v: application/elm+xml
content:
  content type:
    v: application/elm+json