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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 0.5.3-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: TJCOverallExample

Official URL: http://somewhere.org/fhir/uv/mycontentig/Library/TJCOverallExample Version: 0.5.3-cibuild
Draft as of 2025-10-11 Computable Name: TJCOverallExample
Metadata
Version 0.5.3-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
Dependency Description: Library FHIRHelpers
Resource: http://somewhere.org/fhir/uv/mycontentig/Library/FHIRHelpers|4.0.1
Canonical URL: http://somewhere.org/fhir/uv/mycontentig/Library/FHIRHelpers|4.0.1
Dependency Description: Library CQMCommon
Resource: CQMCommonExample
Canonical URL: http://somewhere.org/fhir/uv/mycontentig/Library/CQMCommonExample
Dependency Description: Library QICoreCommon
Resource: QICoreCommonExample
Canonical URL: http://somewhere.org/fhir/uv/mycontentig/Library/QICoreCommonExample
Dependency Description: Value set Comfort Measures
Resource: Comfort Measures
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/1.3.6.1.4.1.33895.1.3.0.45
Dependency Description: Value set Discharge To Acute Care Facility
Resource: Discharge To Acute Care Facility
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.87
Dependency Description: Value set Discharged to Health Care Facility for Hospice Care
Resource: Discharged to Health Care Facility for Hospice Care
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.207
Dependency Description: Value set Discharged to Home for Hospice Care
Resource: Discharged to Home for Hospice Care
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.209
Dependency Description: Value set Hemorrhagic Stroke
Resource: Hemorrhagic Stroke
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.212
Dependency Description: Value set Ischemic Stroke
Resource: Ischemic Stroke
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.247
Dependency Description: Value set Left Against Medical Advice
Resource: Left Against Medical Advice
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.308
Dependency Description: Value set Nonelective Inpatient Encounter
Resource: Non-Elective Inpatient Encounter
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.424
Dependency Description: Value set Patient Expired
Resource: Patient Expired
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.309
Data Requirement Type: Patient
Profile(s): QICore Patient
Data Requirement Type: Encounter
Profile(s): QICore Encounter
Must Support Elements: type, period, hospitalization, hospitalization.dischargeDisposition
Code Filter(s):
Path: type
ValueSet: Non-Elective Inpatient Encounter
Data Requirement Type: ServiceRequest
Profile(s): QICore ServiceRequest
Must Support Elements: code, status, status.value, intent, intent.value, doNotPerform, doNotPerform.value
Code Filter(s):
Path: code
ValueSet: Comfort Measures
Data Requirement Type: Procedure
Profile(s): QICore Procedure
Must Support Elements: code, status, status.value
Code Filter(s):
Path: code
ValueSet: Comfort Measures
Parameters
Name Use Card. Type Documentation
Measurement Period In 0..1 Period
Patient Out 0..1 Resource
Non Elective Inpatient Encounter Out 0..* Resource
All Stroke Encounter Out 0..* Resource
Encounter with Principal Diagnosis and Age Out 0..* Resource
Ischemic Stroke Encounter Out 0..* Resource
Ischemic Stroke Encounters with Discharge Disposition Out 0..* Resource
Intervention Comfort Measures Out 0..* Resource
Comfort Measures during Hospitalization Out 0..* Resource
Encounter with Comfort Measures during Hospitalization Out 0..* Resource
Library Content
CQL Content 
library TJCOverallExample version '0.4.1'

using QICore version '4.1.1'

include FHIRHelpers version '4.0.1' called FHIRHelpers
include CQMCommonExample called CQMCommon
include QICoreCommonExample called QICoreCommon

valueset "Comfort Measures": 'http://cts.nlm.nih.gov/fhir/ValueSet/1.3.6.1.4.1.33895.1.3.0.45'
valueset "Discharge To Acute Care Facility": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.87'
valueset "Discharged to Health Care Facility for Hospice Care": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.207'
valueset "Discharged to Home for Hospice Care": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.209'
valueset "Hemorrhagic Stroke": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.212'
valueset "Ischemic Stroke": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.247'
valueset "Left Against Medical Advice": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.308'
valueset "Nonelective Inpatient Encounter": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.424'
valueset "Patient Expired": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.309'

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

context Patient

define "Non Elective Inpatient Encounter":
  ["Encounter": "Nonelective Inpatient Encounter"] NonElectiveEncounter
        where NonElectiveEncounter.period ends during day of "Measurement Period"

define "All Stroke Encounter":
  "Non Elective Inpatient Encounter" NonElectiveEncounter
  let ConditionCode: NonElectiveEncounter.principalDiagnosis().code
    where ( ConditionCode in "Hemorrhagic Stroke"
       or   ConditionCode in "Ischemic Stroke" )  

define "Ischemic Stroke Encounter":
  "Encounter with Principal Diagnosis and Age" EncounterWithAge
    where EncounterWithAge.principalDiagnosis().code in "Ischemic Stroke"

define "Ischemic Stroke Encounters with Discharge Disposition":
  "Ischemic Stroke Encounter" IschemicStrokeEncounter
  let DischDisp: IschemicStrokeEncounter.hospitalization.dischargeDisposition
  	where  DischDisp in "Discharge To Acute Care Facility"
		or DischDisp in "Left Against Medical Advice"
		or DischDisp in "Patient Expired"
		or DischDisp in "Discharged to Home for Hospice Care"
		or DischDisp in "Discharged to Health Care Facility for Hospice Care"			

define "Encounter with Principal Diagnosis and Age":
  "All Stroke Encounter" AllStrokeEncounter
    where AgeInYearsAt(date from start of AllStrokeEncounter.period ) >= 18

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

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

define "Intervention Comfort Measures":
  ( ["ServiceRequest": code in "Comfort Measures"] SR
    where SR.status in { 'active', 'completed', 'on-hold' }
      and SR.intent in { 'order', 'original-order', 'reflex-order', 'filler-order', 'instance-order' }
      and SR.doNotPerform is not true
  )  
  union ( ["Procedure": "Comfort Measures"] InterventionPerformed
        where InterventionPerformed.status in { 'completed', 'in-progress' }
  )
  
define fluent function "TruncateTime"(Value DateTime ):
  DateTime(year from Value, month from Value, day from Value, 0, 0, 0, 0, timezoneoffset from Value)

define fluent function CalendarDayOfOrDayAfter(StartValue DateTime ):
  Interval[StartValue.TruncateTime(), StartValue.TruncateTime() + 2 days )
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