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Your User Friendly Name for MyContentIG Here, published by HL7 International - [Some] Work Group. This guide is not an authorized publication; it is the continuous build for version 0.5.1-cibuild built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/cqframework/sample-content-ig/ and changes regularly. See the Directory of published versions

Library: DischargedonAntithromboticTherapyFHIRExample

Official URL: http://somewhere.org/fhir/uv/mycontentig/Library/DischargedonAntithromboticTherapyFHIRExample Version: 0.5.1-cibuild
Draft as of 2025-09-07 Computable Name: DischargedonAntithromboticTherapyFHIRExample
Metadata
Version 0.5.1-cibuild
Status Draft
Jurisdiction 001 from http://unstats.un.org/unsd/methods/m49/m49.htm
Steward (Publisher) HL7 International - [Some] Work Group
Type logic-library from http://terminology.hl7.org/CodeSystem/library-type
Parameter Name: Measurement Period
Use: In
Min Cardinality: 0
Max Cardinality: 1
Type: Period
Parameter Name: Patient
Use: Out
Min Cardinality: 0
Max Cardinality: 1
Type: Resource
Parameter Name: Initial Population
Use: Out
Min Cardinality: 0
Max Cardinality: *
Type: Resource
Parameter Name: Denominator
Use: Out
Min Cardinality: 0
Max Cardinality: *
Type: Resource
Parameter Name: Encounter with Comfort Measures during Hospitalization for Patients with Documented Ischemic Stroke
Use: Out
Min Cardinality: 0
Max Cardinality: *
Type: Resource
Parameter Name: Denominator Exclusions
Use: Out
Min Cardinality: 0
Max Cardinality: *
Type: Resource
Parameter Name: Numerator
Use: Out
Min Cardinality: 0
Max Cardinality: *
Type: Resource
Parameter Name: Antithrombotic Therapy at Discharge
Use: Out
Min Cardinality: 0
Max Cardinality: *
Type: Resource
Parameter Name: Reason for Not Giving Antithrombotic at Discharge
Use: Out
Min Cardinality: 0
Max Cardinality: *
Type: Resource
Parameter Name: Encounter with Documented Reason for No Antithrombotic At Discharge
Use: Out
Min Cardinality: 0
Max Cardinality: *
Type: Resource
Parameter Name: Pharmacological Contraindications for Antithrombotic Therapy at Discharge
Use: Out
Min Cardinality: 0
Max Cardinality: *
Type: Resource
Parameter Name: Encounter with Pharmacological Contraindications for Antithrombotic Therapy at Discharge
Use: Out
Min Cardinality: 0
Max Cardinality: *
Type: Resource
Parameter Name: Denominator Exceptions
Use: Out
Min Cardinality: 0
Max Cardinality: *
Type: Resource
Parameter Name: SDE Ethnicity
Use: Out
Min Cardinality: 0
Max Cardinality: 1
Type: Resource
Parameter Name: SDE Payer
Use: Out
Min Cardinality: 0
Max Cardinality: *
Type: Resource
Parameter Name: SDE Race
Use: Out
Min Cardinality: 0
Max Cardinality: 1
Type: Resource
Parameter Name: SDE Sex
Use: Out
Min Cardinality: 0
Max Cardinality: 1
Type: Coding
Data Requirement Type: Patient
Profile(s): QICore Patient
Data Requirement Type: MedicationRequest
Profile(s): QICore MedicationRequest
Must Support Elements: medication, authoredOn, authoredOn.value, status, status.value, intent, intent.value, doNotPerform, doNotPerform.value
Code Filter(s):
Path: medication
ValueSet: Antithrombotic Therapy
Data Requirement Type: MedicationRequest
Profile(s): QICore MedicationRequest
Must Support Elements: medication, authoredOn, authoredOn.value, status, status.value, intent, intent.value, doNotPerform, doNotPerform.value
Code Filter(s):
Path: medication
ValueSet: Pharmacological Contraindications For Antithrombotic Therapy
Data Requirement Type: MedicationRequest
Profile(s): QICore MedicationRequest
Must Support Elements: medication.reference.value, authoredOn, authoredOn.value, status, status.value, intent, intent.value, doNotPerform, doNotPerform.value
Data Requirement Type: Medication
Profile(s): QICore Medication
Must Support Elements: id.value, code
Data Requirement Type: MedicationRequest
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-mednotrequested
Must Support Elements: medication, reasonCode, intent, intent.value, authoredOn, authoredOn.value
Code Filter(s):
Path: medication
ValueSet: Antithrombotic Therapy
Library Content
CQL Content 
library DischargedonAntithromboticTherapyFHIRExample version '0.5.0-cibuild'

/* based upon FHIR library DischargedonAntithromboticTherapyFHIR4 version '0.4.000' */
/* 2023 AU */

using QICore version '4.1.1'

include FHIRHelpers version '4.0.1' called FHIRHelpers
include CQMCommonExample called CQMCommon
include QICoreCommonExample called QICoreCommon
include SupplementalDataElementsExample called SDE
include TJCOverallExample called TJC

valueset "Antithrombotic Therapy for Ischemic Stroke": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1110.62'
valueset "Medical Reason For Not Providing Treatment": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.473'
valueset "Patient Refusal": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.93'
valueset "Pharmacological Contraindications For Antithrombotic Therapy": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1110.52'

parameter "Measurement Period" Interval<DateTime>
  default Interval[@2024-01-01T00:00:00.0, @2025-01-01T00:00:00.0)

context Patient

define "Initial Population":
  TJC."Encounter with Principal Diagnosis and Age"

define "Denominator":
  TJC."Ischemic Stroke Encounter"

define "Denominator Exclusions":
  TJC."Ischemic Stroke Encounters with Discharge Disposition"
    union "Encounter with Comfort Measures during Hospitalization for Patients with Documented Ischemic Stroke"

define "Encounter with Comfort Measures during Hospitalization for Patients with Documented Ischemic Stroke":
  "Denominator" Encounter
    with TJC."Intervention Comfort Measures" ComfortMeasure
      such that Coalesce(start of ComfortMeasure.performed.toInterval(), ComfortMeasure.authoredOn) during Encounter.hospitalizationWithObservation ( )

define "Numerator":
  TJC."Ischemic Stroke Encounter" IschemicStrokeEncounter
    with ["MedicationRequest": "Antithrombotic Therapy for Ischemic Stroke"] DischargeAntithrombotic
      such that DischargeAntithrombotic.authoredOn during IschemicStrokeEncounter.period

define "Antithrombotic Therapy at Discharge":
  ["MedicationRequest": "Antithrombotic Therapy for Ischemic Stroke"] Antithrombotic
    where ( Antithrombotic.isCommunity ( )
        or Antithrombotic.isDischarge ( )
    )
      and Antithrombotic.status in { 'active', 'completed' }
      and Antithrombotic.intent in { 'order', 'original-order', 'reflex-order', 'filler-order', 'instance-order' }
      and Antithrombotic.doNotPerform is not true

define "Denominator Exceptions":
  "Encounter with Documented Reason for No Antithrombotic At Discharge"
    union "Encounter with Pharmacological Contraindications for Antithrombotic Therapy at Discharge"

define "Encounter with Documented Reason for No Antithrombotic At Discharge":
  TJC."Ischemic Stroke Encounter" IschemicStrokeEncounter
    with "Reason for Not Giving Antithrombotic at Discharge" NoDischargeAntithrombotic
      such that NoDischargeAntithrombotic.authoredOn during IschemicStrokeEncounter.period

define "Reason for Not Giving Antithrombotic at Discharge":
  ["MedicationNotRequested": "Antithrombotic Therapy for Ischemic Stroke"] NoAntithromboticDischarge
    where ( NoAntithromboticDischarge.reasonCode in "Medical Reason For Not Providing Treatment"
        or NoAntithromboticDischarge.reasonCode in "Patient Refusal"
    )
      and ( NoAntithromboticDischarge.isCommunity ( )
          or NoAntithromboticDischarge.isDischarge ( )
      )
      and NoAntithromboticDischarge.intent in { 'order', 'original-order', 'reflex-order', 'filler-order', 'instance-order' }

define "Encounter with Pharmacological Contraindications for Antithrombotic Therapy at Discharge":
  TJC."Ischemic Stroke Encounter" IschemicStrokeEncounter
    with "Pharmacological Contraindications for Antithrombotic Therapy at Discharge" DischargePharmacological
      such that DischargePharmacological.authoredOn during IschemicStrokeEncounter.period

define "Pharmacological Contraindications for Antithrombotic Therapy at Discharge":
  ["MedicationRequest": "Pharmacological Contraindications For Antithrombotic Therapy"] Pharmacological
    where ( Pharmacological.isCommunity ( )
        or Pharmacological.isDischarge ( )
    )
      and Pharmacological.status in { 'active', 'completed' }
      and Pharmacological.intent in { 'order', 'original-order', 'reflex-order', 'filler-order', 'instance-order' }
      and Pharmacological.doNotPerform is not true

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

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

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

define "SDE Sex":
  SDE."SDE Sex"
ELM XML Content 
Encoded data (103216 characters)
ELM JSON Content 
Encoded data (197512 characters)
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