CRCRegorafenibRule1
type: Library
node role: treeRoot
id:
  v: CRCRegorafenibRule1
text:
  status:
    v: extensions
  div:
    v: Metadata Title 大腸直腸癌_Regorafenib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 Regorafenib 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_CRCRegorafenib給付規定 library CRCRegorafenibRule1 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 //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2 define "規則1-2=癌症分期分數或結果為M≠1": Count( [Observation] O where exists ( O.code.coding Cdg where Cdg.code = '399390009' and Cdg in CodeConcept.SNOMED ) and O.value is not null and O.value is FHIR.string and Matches((O.value as FHIR.string).value, '.*M[1-9].*') ) > 0 //條件3 define "規則1-3=三個月內有影像檢查報告": exists ( [DiagnosticReport] O where exists ( O.code.coding Cdg where ( Cdg in CodeConcept.ICD10PCS2023Image or Cdg in CodeConcept.ICD10PCS2014Image ) and Cdg.code in CodeConcept.ImageReportCode ) and O.effective is not null and FHIRHelpers.ToDateTime(O.effective) >= Today() - 90 days and FHIRHelpers.ToDateTime(O.effective) <= Today() ) define "規則1=轉移性大腸直腸癌（mCRC）": Reusable."ICD-10使用C18、C19、C20、C21" and "規則1-2=癌症分期分數或結果為M≠1" and "規則1-3=三個月內有影像檢查報告" /*規則2*/ //條件1 define "規則2-1=曾接受fluoropyrimidine、oxaliplatin、irinotecan為基礎的化療": ( // 存在 Fluoropyrimidine 處方且治療期間已結束 exists ( [MedicationRequest] MROrder1 where MROrder1.intent = 'order' and ex…
version:
  v: 1.0.0
name:
  v: CRCRegorafenibRule1
title:
  v: 大腸直腸癌_Regorafenib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 Regorafenib 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