Proportion

Process

increase

define "Initial Population":
  "Has Encounter during Measurement Period"
    and "First Referral during First 10 Months of Measurement Period" is not null

define "Denominator":
  "Initial Population"

define "Numerator":
  "Referring Clinician Receives Consultant Report to Close Referral Loop"

define "SDE Sex":
  case
    when Patient.gender = 'male' then "M"
    when Patient.gender = 'female' then "F"
    else null
  end

define "SDE Sex":
  SDE."SDE Sex"

define "First Referral during First 10 Months of Measurement Period":
  First([ServiceRequest: "Referral"] ReferralOrder
      where ReferralOrder.status in { 'active', 'completed' }
        and ReferralOrder.intent = 'order'
        and ReferralOrder.authoredOn during day of Interval[start of "Measurement Period", Date(year from start of "Measurement Period", 10, 31)]
      return {
        ID: ReferralOrder.id,
        AuthorDate: ReferralOrder.authoredOn
      }
      sort by AuthorDate ascending
  )

define "Referring Clinician Receives Consultant Report to Close Referral Loop":
  exists ( [Task: "Consultant Report"] ConsultantReportObtained
      with "First Referral during First 10 Months of Measurement Period" FirstReferral
        such that FirstReferral.ID in "TaskGetRequestID"(ConsultantReportObtained)
          and ConsultantReportObtained.executionPeriod ends after FirstReferral.AuthorDate
          and ConsultantReportObtained.status = 'completed'
          and ConsultantReportObtained.executionPeriod ends during day of "Measurement Period"
  )

define "Numerator":
  "Referring Clinician Receives Consultant Report to Close Referral Loop"

define "Has Encounter from Valuesets during Measurement Period":
  exists ( ( [Encounter: "Behavioral/Neuropsych Assessment"]
      union [Encounter: "Office Visit"]
      union [Encounter: "Ophthalmological Services"]
      union [Encounter: "Preventive Care Services Established Office Visit, 18 and Up"]
      union [Encounter: "Preventive Care Services, Initial Office Visit, 0 to 17"]
      union [Encounter: "Preventive Care Services Initial Office Visit, 18 and Up"]
      union [Encounter: "Preventive Care, Established Office Visit, 0 to 17"]
      union [Encounter: "Psych Visit Diagnostic Evaluation"] ) Encounter
      where Encounter.status = 'finished'
        and Encounter.period during day of "Measurement Period"
  )

define "Has Encounter from DRCs during Measurement Period":
  exists ( ( [Encounter] EncDRC
      where exists ( ( EncDRC.type ) T
          where T ~ "Psychological or neuropsychological test administration and scoring by physician or other qualified health care professional, two or more tests, any method; first 30 minutes"
      )
        or exists ( ( EncDRC.type ) T
            where T ~ "Psychological or neuropsychological test administration and scoring by technician, two or more tests, any method; first 30 minutes"
        )
        or exists ( ( EncDRC.type ) T
            where T ~ "Psychotherapy for crisis; first 60 minutes"
        )
        or exists ( ( EncDRC.type ) T
            where T ~ "Developmental test administration (including assessment of fine and/or gross motor, language, cognitive level, social, memory and/or executive functions by standardized developmental instruments when performed), by physician or other qualified health care professional, with interpretation and report; first hour"
        )
        or exists ( ( EncDRC.type ) T
            where T ~ "Health behavior assessment, or re-assessment (ie, health-focused clinical interview, behavioral observations, clinical decision making)"
        ) ) Encounter
      where Encounter.status = 'finished'
        and Encounter.period during day of "Measurement Period"
  )

define "Has Encounter during Measurement Period":
  "Has Encounter from Valuesets during Measurement Period"
    or "Has Encounter from DRCs during Measurement Period"

define "Initial Population":
  "Has Encounter during Measurement Period"
    and "First Referral during First 10 Months of Measurement Period" is not null

define "Denominator":
  "Initial Population"

define "SDE Payer":
  [Coverage: type in "Payer Type"] Payer
    return {
      code: Payer.type,
      period: Payer.period
    }

define "SDE Payer":
  SDE."SDE Payer"

define "SDE Ethnicity":
  Patient.ethnicity E
    return Tuple {
      codes: { E.ombCategory } union E.detailed,
      display: E.text
    }

define "SDE Ethnicity":
  SDE."SDE Ethnicity"

define "SDE Race":
  Patient.race R
    return Tuple {
      codes: R.ombCategory union R.detailed,
      display: R.text
    }

define "SDE Race":
  SDE."SDE Race"

define function "TaskGetRequestID"(task Task):
  task.basedOn Task
    return QICoreCommon."GetId" ( Task.reference )

/*
@description: Returns the tail of the given uri (i.e. everything after the last slash in the URI).
@comment: This function can be used to determine the logical id of a given resource. It can be used in
a single-server environment to trace references. However, this function does not attempt to resolve
or distinguish the base of the given url, and so cannot be used safely in multi-server environments.
@deprecated: This function is deprecated. Use the fluent function `getId()` instead
*/
define function GetId(uri String ):
  Last(Split(uri, '/'))

/*
@description: Converts the given FHIR [CodeableConcept](https://hl7.org/fhir/datatypes.html#CodeableConcept) value to a CQL Concept.
*/
define function ToConcept(concept FHIR.CodeableConcept):
    if concept is null then
        null
    else
        System.Concept {
            codes: concept.coding C return ToCode(C),
            display: concept.text.value
        }

define function ToString(value uri): value.value

/*
@description: Converts the given FHIR [Coding](https://hl7.org/fhir/datatypes.html#Coding) value to a CQL Code.
*/
define function ToCode(coding FHIR.Coding):
    if coding is null then
        null
    else
        System.Code {
          code: coding.code.value,
          system: coding.system.value,
          version: coding.version.value,
          display: coding.display.value
        }