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ColorectalCancerScreeningsFHIR.cql
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ColorectalCancerScreeningsFHIR.cql
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library ColorectalCancerScreeningsFHIR version '0.0.001'
using FHIR version '4.0.1'
include FHIRHelpers version '4.0.001' called FHIRHelpers
include SupplementalDataElementsFHIR4 version '2.0.000' called SDE
include MATGlobalCommonFunctionsFHIR4 version '6.0.000' called Global
include AdultOutpatientEncountersFHIR4 version '2.0.000' called AdultOutpatientEncounters
include HospiceFHIR4 version '2.0.000' called Hospice
include AdvancedIllnessandFrailtyExclusionECQMFHIR4 version '5.12.000' called Frailty
codesystem "LOINC": 'http://loinc.org'
valueset "Acute Inpatient": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1083'
valueset "Advanced Illness": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1082'
valueset "Annual Wellness Visit": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1240'
valueset "Care Services in Long-Term Residential Facility": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1014'
valueset "Colonoscopy": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1020'
valueset "CT Colonography": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1038'
valueset "Dementia Medications": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.196.12.1510'
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 "ED": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1085'
valueset "Encounter Inpatient": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307'
valueset "Fecal Occult Blood Test (FOBT)": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1011'
valueset "FIT DNA": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1039'
valueset "Flexible Sigmoidoscopy": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1010'
valueset "Frailty Device": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.118.12.1300'
valueset "Frailty Diagnosis": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.113.12.1074'
valueset "Frailty Encounter": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1088'
valueset "Frailty Symptom": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.113.12.1075'
valueset "Home Healthcare Services": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1016'
valueset "Hospice care ambulatory": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1108.15'
valueset "Malignant Neoplasm of Colon": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1001'
valueset "Nonacute Inpatient": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1084'
valueset "Nursing Facility Visit": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1012'
valueset "Observation": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1086'
valueset "Office Visit": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001'
valueset "Outpatient": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1087'
valueset "Preventive Care Services - Established Office Visit, 18 and Up": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1025'
valueset "Preventive Care Services-Initial Office Visit, 18 and Up": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1023'
valueset "Total Colectomy": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1019'
code "Birth date": '21112-8' from "LOINC" display 'Birth date'
parameter "Measurement Period" Interval<DateTime>
default Interval[@2019-01-01T00:00:00.0, @2020-01-01T00:00:00.0)
context Patient
define "SDE Ethnicity":
SDE."SDE Ethnicity"
define "SDE Payer":
SDE."SDE Payer"
define "SDE Race":
SDE."SDE Race"
define "SDE Sex":
SDE."SDE Sex"
define "Initial Population":
AgeInYearsAt(start of "Measurement Period") between 50 and 75
and exists AdultOutpatientEncounters."Qualifying Encounters"
define "Denominator":
"Initial Population"
define "Flexible Sigmoidoscopy Performed":
[Procedure: "Flexible Sigmoidoscopy"] FlexibleSigmoidoscopy
where FlexibleSigmoidoscopy.status = 'completed'
and Global."Normalize Interval"(FlexibleSigmoidoscopy.performed) ends 5 years or less on or before end of "Measurement Period"
define "CT Colonography Performed":
[Procedure: "CT Colonography"] Colonography
where Colonography.status = 'completed'
and Global."Normalize Interval"(Colonography.performed) ends 5 years or less on or before end of "Measurement Period"
define "Total Colectomy Performed":
[Procedure: "Total Colectomy"] Colectomy
where Colectomy.status = 'completed'
and Global."Normalize Interval"(Colectomy.performed) starts on or before end of "Measurement Period"
define "Fecal Occult Blood Test Performed":
[Observation: "Fecal Occult Blood Test (FOBT)"] FecalOccultResult
where FecalOccultResult.status in {'final', 'amended', 'corrected', 'preliminary'}
and FecalOccultResult.value is not null
and Global."Normalize Interval"(FecalOccultResult.effective) during day of "Measurement Period"
define "Fecal Immunochemical Test DNA":
[Observation: "FIT DNA"] FitDNA
where FitDNA.status in {'final', 'amended', 'corrected', 'preliminary'}
and FitDNA.value is not null
and Global."Normalize Interval"(FitDNA.effective) occurs 3 years or less on or before day of end of "Measurement Period"
define "Colonoscopy Performed":
[Procedure: "Colonoscopy"] Colonoscopy
where Colonoscopy.status = 'completed'
and Global."Normalize Interval"(Colonoscopy.performed) ends 10 years or less on or before end of "Measurement Period"
define "Numerator":
exists "Colonoscopy Performed"
or exists "Fecal Occult Blood Test Performed"
or exists "Flexible Sigmoidoscopy Performed"
or exists "Fecal Immunochemical Test DNA"
or exists "CT Colonography Performed"
define "Malignant Neoplasm":
[Condition: "Malignant Neoplasm of Colon"] ColorectalCancer
where Global."Prevalence Period"(ColorectalCancer) starts on or before end of "Measurement Period"
define "Denominator Exclusion":
Hospice."Has Hospice"
or exists "Malignant Neoplasm"
or exists "Total Colectomy Performed"
or Frailty. "Advanced Illness and Frailty Exclusion Not Including Over Age 80"
and Frailty."Long Term Care Periods Longer Than 90 Consecutive Days"