@prefix fhir: . @prefix loinc: . @prefix owl: . @prefix rdfs: . @prefix sct: . @prefix xsd: . # - resource ------------------------------------------------------------------- a fhir:Measure ; fhir:nodeRole fhir:treeRoot ; fhir:Resource.id [ fhir:value "AtriusCMS165ControllingHighBP"] ; fhir:Resource.meta [ fhir:Meta.profile [ fhir:value "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareablemeasure|2.0.0" ; fhir:index -1 ; fhir:link ], [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm|4.0.0" ; fhir:index -1 ; fhir:link ], [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|4.0.0" ; fhir:index -1 ; fhir:link ], [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/executable-measure-cqfm|4.0.0" ; fhir:index -1 ; fhir:link ], [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cql-measure-cqfm|4.0.0" ; fhir:index -1 ; fhir:link ], [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/elm-measure-cqfm|4.0.0" ; fhir:index -1 ; fhir:link ], [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/proportion-measure-cqfm|4.0.0" ; fhir:index -1 ; fhir:link ] ] ; fhir:Resource.language [ fhir:value "en"] ; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "extensions" ] ; fhir:Narrative.div "
\n \n \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n \n\n\n\n\n\n\n\n\n\n\n\n\n\n \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n \n \n \n \n \n\n\n\n\n \n \n \n\n\n\n\n\n\n\n\n\n\n \n \n \n \n \n\n\n\n\n\n\n \n \n \n\n\n\n\n\n\n\n\n\n\n\n \n\n \n\n\n\n\n\n\n\n \n \n \n \n \n \n\n\n\n\n\n\n\n\n \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n \n \n\n\n\n \n\n\n\n\n\n\n \n \n \n\n \n \n \n \n \n\n\n\n\n\n\n \n \n \n\n \n\n\n \n\n \n \n\n\n \n\n\n\n\n\n\n \n \n \n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n \n\n\n\n\n \n\n\n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n\n \n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n \n\n\n\n\n \n\n\n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n\n \n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n \n\n\n\n\n \n\n\n\n\n\n \n\n\n\n \n\n \n\n\n\n\n \n\n\n\n\n\n \n\n\n\n \n\n \n\n\n\n\n \n\n\n\n\n\n \n\n\n\n \n\n \n\n\n\n\n \n\n\n\n\n\n \n\n\n\n \n\n \n\n\n\n\n \n\n\n\n\n\n \n\n\n\n \n\n \n\n\n\n\n \n\n\n\n\n\n \n\n\n\n \n\n \n\n\n\n\n \n\n\n\n\n\n \n\n\n\n \n\n \n\n\n\n\n \n\n\n\n\n\n \n\n\n\n \n\n \n\n\n\n\n \n\n\n\n\n\n \n\n\n\n \n\n\n\n \n\n \n\n\n\n\n \n\n\n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n\n \n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n \n\n\n\n\n \n\n\n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n\n \n \n\n\n\n \n\n \n\n\n\n\n \n\n\n\n\n\n \n\n\n\n \n\n \n\n\n\n\n \n\n\n\n\n\n \n\n\n\n \n\n \n\n\n\n\n \n\n\n\n\n\n \n\n\n\n \n\n \n\n\n\n\n \n\n\n\n\n\n \n\n\n\n \n\n \n\n\n\n\n \n\n\n\n\n\n \n\n\n\n \n\n \n\n\n\n\n \n\n\n\n\n\n \n\n\n\n \n\n \n\n\n\n\n \n\n\n\n\n\n \n\n\n\n \n\n \n\n\n\n\n \n\n\n\n\n\n \n\n\n\n \n\n \n\n\n\n\n \n\n\n\n\n\n \n\n\n\n \n\n \n\n\n\n\n \n\n\n\n\n\n \n\n\n\n \n\n\n\n \n\n \n\n\n\n\n \n\n\n\n\n\n \n\n\n\n \n\n \n\n\n\n\n \n\n\n\n\n\n \n\n\n\n \n\n\n\n \n\n \n\n\n\n\n \n\n\n\n\n\n \n\n\n\n \n\n \n\n\n\n\n \n\n\n\n\n\n \n\n\n\n \n\n \n\n\n\n\n \n\n\n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n \n\n\n\n\n \n\n\n\n\n\n \n\n\n\n \n\n\n\n \n\n \n\n\n\n\n \n\n\n\n\n\n \n\n\n\n \n\n\n\n \n\n \n\n\n\n\n \n\n\n\n\n\n \n\n\n\n \n\n \n\n\n\n\n \n\n\n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n \n\n\n\n\n \n\n\n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n\n \n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n \n\n\n\n\n \n\n\n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n \n\n\n\n\n \n\n\n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n \n\n\n\n\n \n\n\n\n\n\n \n\n\n\n \n\n\n\n \n\n \n\n\n\n\n \n\n\n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n \n\n\n\n\n \n\n\n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n \n\n\n\n\n \n\n\n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n\n \n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n \n\n\n\n\n \n\n\n\n\n\n \n\n\n\n \n\n \n\n\n\n\n \n\n\n\n\n\n \n\n\n\n \n\n\n\n \n\n \n\n\n\n\n \n\n\n\n\n\n \n\n\n\n \n\n \n\n\n\n\n \n\n\n\n\n\n \n\n\n\n \n\n \n\n\n\n\n \n\n\n\n\n\n \n\n\n\n \n\n \n\n\n\n\n \n\n\n\n\n\n \n\n\n\n \n\n\n\n \n\n \n\n\n\n\n \n\n\n\n\n\n \n\n\n\n \n\n\n\n \n\n \n\n\n\n\n \n\n\n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n \n\n\n\n\n \n\n\n\n\n\n \n\n\n\n \n\n \n\n\n\n\n \n\n\n\n\n\n \n\n\n\n \n\n \n\n\n\n\n \n\n\n\n\n\n \n\n\n\n \n\n\n\n \n\n \n\n\n\n\n \n\n\n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n \n\n\n\n\n \n\n\n\n\n\n \n\n\n\n \n\n \n\n\n\n\n \n\n\n\n\n\n \n\n\n\n \n\n\n\n \n\n \n\n\n\n\n \n\n\n\n\n\n \n\n\n\n \n\n \n\n\n\n\n \n\n\n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n \n\n\n\n\n \n\n\n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n\n \n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n \n\n\n\n\n \n\n\n\n\n\n \n\n\n\n \n\n \n\n\n\n\n \n\n\n\n\n\n \n\n\n\n \n\n\n\n \n\n \n\n\n\n\n \n\n\n\n\n\n \n\n\n\n \n\n \n\n\n\n\n \n\n\n\n\n\n \n\n\n\n\n \n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n \n\n\n\n\n \n\n\n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n \n\n\n\n\n \n\n\n\n\n\n \n\n\n\n \n\n \n\n\n\n\n \n\n\n\n\n\n \n\n\n\n \n\n \n\n\n\n\n \n\n\n\n\n\n \n\n\n\n \n\n \n\n\n\n\n \n\n\n\n\n\n \n\n\n\n \n\n\n\n \n\n \n\n\n\n\n \n\n\n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n \n\n\n\n\n \n\n\n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n \n\n\n\n\n \n\n\n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n\n\n \n\n \n\n\n\n\n \n\n\n\n\n\n\n\n \n \n\n\n \n\n\n\n\n\n\n \n \n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n\n\n \n \n \n\n\n\n\n \n \n\n \n\n\n\n \n \n \n\n\n\n\n \n \n\n \n\n\n\n \n \n \n\n\n\n\n \n \n\n \n\n\n\n \n \n \n\n\n\n\n \n \n\n \n\n\n\n \n \n \n\n\n\n\n \n \n\n \n\n\n\n \n \n \n\n\n\n\n \n \n\n \n\n\n\n \n \n\n\n\n\n \n \n \n\n \n\n\n\n \n \n\n\n\n\n \n \n \n\n \n\n\n\n \n \n\n\n\n\n \n \n \n\n \n\n\n\n \n \n\n\n\n\n \n \n \n\n \n\n\n\n \n \n\n\n\n\n \n \n \n\n \n\n\n\n \n \n\n\n\n\n \n \n \n\n \n\n\n\n \n \n\n\n\n\n \n \n \n\n \n\n\n\n \n \n\n\n\n\n \n \n \n\n \n\n\n\n \n \n\n\n\n\n \n \n \n\n \n\n\n\n \n \n\n\n\n\n \n \n \n\n \n\n\n\n \n \n\n\n\n\n \n \n \n\n \n\n\n\n \n \n\n\n\n\n \n \n \n\n \n\n\n\n \n \n\n\n\n\n \n \n \n\n \n\n\n\n \n \n\n\n\n\n \n \n \n\n \n\n\n\n \n \n\n\n\n\n \n \n \n\n \n\n\n\n \n \n\n\n\n\n \n \n \n\n \n\n\n\n \n \n\n\n\n\n \n \n \n\n \n\n\n\n \n \n\n\n\n\n \n \n \n\n \n\n\n\n \n \n\n\n\n\n \n \n \n\n \n\n\n\n \n \n\n\n\n\n \n \n \n\n \n\n\n\n \n \n\n\n\n\n \n \n \n\n \n\n\n\n \n \n\n\n\n\n \n \n \n\n \n\n\n\n \n \n\n\n\n\n \n \n \n\n \n\n\n\n \n \n\n\n\n\n \n \n \n\n \n\n\n\n \n \n\n\n\n\n \n \n \n\n \n\n\n\n \n \n\n\n\n\n \n \n \n\n \n\n\n\n \n \n\n\n\n\n \n \n \n\n \n\n\n\n \n \n\n\n\n\n \n \n \n\n \n\n\n\n \n \n\n\n\n\n \n \n \n\n \n\n\n \n \n \n \n \n\n \n \n \n \n\n \n \n \n \n\n \n \n \n \n\n \n \n \n \n\n \n \n \n \n\n \n \n \n \n\n \n \n \n \n\n \n \n \n \n\n \n \n \n \n\n \n \n \n \n\n \n \n \n \n\n \n \n \n \n\n \n \n \n \n\n \n \n \n \n\n \n \n \n \n\n \n \n \n \n\n \n \n \n \n\n \n \n \n \n\n \n \n \n \n\n \n \n \n \n\n \n \n \n \n\n \n \n \n \n\n \n \n\n\n \n\n\n\n\n\n\n \n \n \n\n\n\n \n\n\n\n\n \n\n \n\n\n\n \n\n\n\n\n \n\n \n\n\n\n \n\n\n\n\n \n\n \n\n\n\n \n\n\n\n\n \n\n \n\n\n\n \n\n\n\n\n \n\n \n\n\n\n \n\n\n\n\n \n\n \n\n\n\n \n\n\n\n\n \n\n \n\n\n\n \n\n\n\n\n \n\n \n\n\n\n \n\n\n\n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n\n \n \n\n\n\n\n\n\n \n\n\n\n\n\n\n \n \n \n\n \n \n\n\n\n \n \n\n\n\n \n \n\n\n\n \n \n\n\n\n \n \n\n\n\n \n \n\n\n\n \n \n\n\n\n \n \n\n\n\n \n \n\n\n\n \n \n\n\n\n \n \n\n\n\n \n \n\n\n\n \n \n\n\n\n \n \n\n\n\n \n \n\n\n\n \n \n\n\n\n \n \n\n\n\n \n \n\n\n\n \n \n\n\n\n \n \n\n\n\n \n \n\n\n\n \n \n\n\n\n \n \n\n\n\n \n \n\n\n\n \n \n\n\n\n \n \n\n\n\n \n \n\n\n\n \n \n\n\n\n \n \n\n\n\n \n \n\n\n\n \n \n\n\n\n \n \n\n\n\n \n \n\n\n\n \n \n\n\n\n \n \n\n\n\n \n \n\n\n\n \n \n\n\n\n \n \n\n\n\n \n \n\n\n\n \n \n\n\n\n \n \n\n\n\n \n \n\n\n\n \n \n\n\n\n \n \n\n\n\n \n \n\n\n\n \n \n\n\n\n \n \n\n\n\n \n \n\n\n\n \n \n\n\n\n \n \n\n\n \n \n\n\n \n\n\n\n\n\n\n \n \n \n \n\n\n\n\n \n \n\n\n \n\n\n \n
Metadata
TitleControlling High Blood Pressure (Atrius CMS165)
Version0.1.0
Short NameCMS165
GUID (Version Independent)urn:uuid:55c0d0bf-c4c1-5f4b-8b6a-4e2d3494e027
GUID (Version Specific)urn:uuid:ffa5ae60-f510-50b7-9afe-c38ab337fd41
IdentifierAtriusCMS165ControllingHighBP
Identifierurn:oid:1.3.6.1.4.1.66219.1.29.1
StatusDraft
Experimentaltrue
Steward (Publisher)Atrius
Steward ContactAtrius
Description

Proportion measure: adults 18–85 with hypertension and a qualifying outpatient encounter who have controlled BP (<140/<90). CMS labels this intermediate-outcome; THO measure-type 3.0.1 has no such code, so type is outcome.

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Measure Basisboolean
Measure Scoring\n proportion from http://terminology.hl7.org/CodeSystem/measure-scoring \n\n\n
Improvement Notation\n increase from http://terminology.hl7.org/CodeSystem/measure-improvement-notation \n\n\n
Measure Type\n outcome from http://terminology.hl7.org/CodeSystem/measure-type \n\n\n
Dependency\n \n Description: Atrius CMS165 CQL Library\n \n
\n \n \n \n \n \n \n Resource: Atrius CMS165 Controlling High Blood Pressure CQL version: 0.1.0\n
\n Canonical URL: https://atrius.in/fhir/r4/atrius-in/Library/AtriusCMS165ControllingHighBP|0.1.0\n \n \n \n
Measure Group (Rate) (ID: group-1)
\n\n\n\n

SDE Sex uses Patient.gender mapped to the same SNOMED Male/Female findings as CMS. SDE Payer uses AtriusIn coverage payer type (PM-JAY, ESIS, private, public, self-pay). SDE Residence (state/district) and SDE Urban Rural replace US Core race and ethnicity and are not US-comparable.

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Measure Logic
Primary LibraryAtrius CMS165 Controlling High Blood Pressure CQL version: 0.1.0
Contents\n Population Criteria\n
\n Logic Definitions\n
\n Terminology\n
\n Dependencies\n
\n Data Requirements\n
\n Parameters\n
\n
Population Criteria
Measure Group (Rate) (ID: group-1)
Logic Definitions
\n Logic Definition\n Library Name: AtriusAdultOutpatientEncounters
\n \n \n \n \n \n \n 
define \"Qualifying Encounters\":\n  (\n    (\n      [Encounter: \"Office Visit\"]\n        union [Encounter: \"Annual Wellness Visit\"]\n        union [Encounter: \"Preventive Care Services Established Office Visit, 18 and Up\"]\n        union [Encounter: \"Preventive Care Services Initial Office Visit, 18 and Up\"]\n        union [Encounter: \"Home Healthcare Services\"]\n        union [Encounter: \"Virtual Encounter\"]\n        union [Encounter: \"Telephone Visits\"]\n    ).isEncounterPerformed()\n  ) ValidEncounter\n    where FHIRHelpers.ToInterval(ValidEncounter.period as FHIR.Period) during day of \"Measurement Period\"
\n
\n Logic Definition\n Library Name: AtriusHospice
\n \n \n \n \n \n \n 
define \"Has Hospice Services\":\n  exists ( ( ( [Encounter: \"Encounter Inpatient\"] ).isEncounterPerformed() ) InpatientEncounter\n      where FHIRHelpers.ToConcept(InpatientEncounter.hospitalization.dischargeDisposition) ~ \"Hospice (HL7 discharge)\"\n        and FHIRHelpers.ToInterval(InpatientEncounter.period as FHIR.Period) ends during day of \"Measurement Period\"\n  )\n    or exists ( ( ( [Encounter: \"Hospice Encounter\"] ).isEncounterPerformed() ) HospiceEncounter\n        where FHIRHelpers.ToInterval(HospiceEncounter.period as FHIR.Period) overlaps day of \"Measurement Period\"\n    )\n    or exists ( ( ( [ObservationGeneralAssessment: \"Hospice care [Minimum Data Set]\"] ).isAssessmentPerformed() ) HospiceAssessment\n        where FHIRHelpers.ToConcept(HospiceAssessment.value as FHIR.CodeableConcept) ~ \"Yes (qualifier value)\"\n          and HospiceAssessment.effective.toObservationEffectiveInterval() overlaps day of \"Measurement Period\"\n    )\n    or exists ( ( ( [ServiceRequest: \"Hospice Care Ambulatory\"] ).isInterventionOrder() ) HospiceOrder\n        where FHIRHelpers.ToDateTime(HospiceOrder.authoredOn) during day of \"Measurement Period\"\n    )\n    or exists ( ( ( [Procedure: \"Hospice Care Ambulatory\"] ).isInterventionPerformed() ) HospicePerformed\n        where HospicePerformed.performed.toPerformedInterval() overlaps day of \"Measurement Period\"\n    )\n    or exists ( ( (\n        [ConditionProblemsHealthConcerns: \"Hospice Diagnosis\"]\n          union [ConditionEncounterDiagnosis: \"Hospice Diagnosis\"]\n    ).verified() ) HospiceCareDiagnosis\n        where HospiceCareDiagnosis.prevalenceInterval() overlaps day of \"Measurement Period\"\n    )
\n
\n Logic Definition\n Library Name: AtriusAdvancedIllnessAndFrailty
\n \n \n \n \n \n \n 
define \"Has Frailty Device Order\":\n  exists (\n    [DeviceRequest: \"Frailty Device\"] FrailtyDeviceOrder\n      where FrailtyDeviceOrder.status in { 'active', 'completed' }\n        and FrailtyDeviceOrder.intent in {\n          'order', 'original-order', 'reflex-order', 'filler-order', 'instance-order'\n        }\n        and Interval[\n          FHIRHelpers.ToDateTime(FrailtyDeviceOrder.authoredOn),\n          FHIRHelpers.ToDateTime(FrailtyDeviceOrder.authoredOn)\n        ] during day of \"Measurement Period\"\n  )
\n
\n Logic Definition\n Library Name: AtriusAdvancedIllnessAndFrailty
\n \n \n \n \n \n \n 
define \"Has Frailty Equipment Observation\":\n  exists (\n    [Observation: \"Medical equipment used\"] EquipmentUsed\n      where EquipmentUsed.status in { 'final', 'amended', 'corrected' }\n        and EquipmentUsed.value is FHIR.CodeableConcept\n        and FHIRHelpers.ToConcept(EquipmentUsed.value as FHIR.CodeableConcept) in \"Frailty Device\"\n        and end of EquipmentUsed.observationEffectiveInterval() during day of \"Measurement Period\"\n  )
\n
\n Logic Definition\n Library Name: AtriusAdvancedIllnessAndFrailty
\n \n \n \n \n \n \n 
define \"Has Frailty Diagnosis\":\n  exists (\n    [ConditionProblemsHealthConcerns: \"Frailty Diagnosis\"] FrailtyProblem\n      where (\n        FrailtyProblem.verificationStatus is null\n          or FHIRHelpers.ToConcept(FrailtyProblem.verificationStatus) ~ \"confirmed\"\n          or FHIRHelpers.ToConcept(FrailtyProblem.verificationStatus) ~ \"unconfirmed\"\n          or FHIRHelpers.ToConcept(FrailtyProblem.verificationStatus) ~ \"provisional\"\n          or FHIRHelpers.ToConcept(FrailtyProblem.verificationStatus) ~ \"differential\"\n      )\n        and FrailtyProblem.prevalenceInterval() overlaps day of \"Measurement Period\"\n  )\n    or exists (\n      [ConditionEncounterDiagnosis: \"Frailty Diagnosis\"] FrailtyEncounterDiagnosis\n        where (\n          FrailtyEncounterDiagnosis.verificationStatus is null\n            or FHIRHelpers.ToConcept(FrailtyEncounterDiagnosis.verificationStatus) ~ \"confirmed\"\n            or FHIRHelpers.ToConcept(FrailtyEncounterDiagnosis.verificationStatus) ~ \"unconfirmed\"\n            or FHIRHelpers.ToConcept(FrailtyEncounterDiagnosis.verificationStatus) ~ \"provisional\"\n            or FHIRHelpers.ToConcept(FrailtyEncounterDiagnosis.verificationStatus) ~ \"differential\"\n        )\n          and FrailtyEncounterDiagnosis.prevalenceInterval() overlaps day of \"Measurement Period\"\n    )
\n
\n Logic Definition\n Library Name: AtriusAdvancedIllnessAndFrailty
\n \n \n \n \n \n \n 
define \"Has Frailty Encounter\":\n  exists (\n    [Encounter: \"Frailty Encounter\"] FrailtyEncounter\n      where FrailtyEncounter.status = 'finished'\n        and FHIRHelpers.ToInterval(FrailtyEncounter.period as FHIR.Period) overlaps day of \"Measurement Period\"\n  )
\n
\n Logic Definition\n Library Name: AtriusAdvancedIllnessAndFrailty
\n \n \n \n \n \n \n 
define \"Has Frailty Symptom Observation\":\n  exists (\n    [Observation: \"Frailty Symptom\"] FrailtySymptom\n      where FrailtySymptom.status in { 'preliminary', 'final', 'amended', 'corrected' }\n        and FrailtySymptom.observationEffectiveInterval() overlaps day of \"Measurement Period\"\n  )
\n
\n Logic Definition\n Library Name: AtriusAdvancedIllnessAndFrailty
\n \n \n \n \n \n \n 
define \"Has Criteria Indicating Frailty\":\n  \"Has Frailty Device Order\"\n    or \"Has Frailty Equipment Observation\"\n    or \"Has Frailty Diagnosis\"\n    or \"Has Frailty Encounter\"\n    or \"Has Frailty Symptom Observation\"
\n
\n Logic Definition\n Library Name: AtriusAdvancedIllnessAndFrailty
\n \n \n \n \n \n \n 
define \"Has Advanced Illness in Year Before or During Measurement Period\":\n  exists (\n    [ConditionProblemsHealthConcerns: \"Advanced Illness\"] AdvancedIllnessProblem\n      where (\n        AdvancedIllnessProblem.verificationStatus is null\n          or FHIRHelpers.ToConcept(AdvancedIllnessProblem.verificationStatus) ~ \"confirmed\"\n          or FHIRHelpers.ToConcept(AdvancedIllnessProblem.verificationStatus) ~ \"unconfirmed\"\n          or FHIRHelpers.ToConcept(AdvancedIllnessProblem.verificationStatus) ~ \"provisional\"\n          or FHIRHelpers.ToConcept(AdvancedIllnessProblem.verificationStatus) ~ \"differential\"\n      )\n        and start of AdvancedIllnessProblem.prevalenceInterval() during day of Interval[\n          start of \"Measurement Period\" - 1 year,\n          end of \"Measurement Period\"\n        ]\n  )\n    or exists (\n      [ConditionEncounterDiagnosis: \"Advanced Illness\"] AdvancedIllnessEncounterDiagnosis\n        where (\n          AdvancedIllnessEncounterDiagnosis.verificationStatus is null\n            or FHIRHelpers.ToConcept(AdvancedIllnessEncounterDiagnosis.verificationStatus) ~ \"confirmed\"\n            or FHIRHelpers.ToConcept(AdvancedIllnessEncounterDiagnosis.verificationStatus) ~ \"unconfirmed\"\n            or FHIRHelpers.ToConcept(AdvancedIllnessEncounterDiagnosis.verificationStatus) ~ \"provisional\"\n            or FHIRHelpers.ToConcept(AdvancedIllnessEncounterDiagnosis.verificationStatus) ~ \"differential\"\n        )\n          and start of AdvancedIllnessEncounterDiagnosis.prevalenceInterval() during day of Interval[\n            start of \"Measurement Period\" - 1 year,\n            end of \"Measurement Period\"\n          ]\n    )
\n
\n Logic Definition\n Library Name: AtriusAdvancedIllnessAndFrailty
\n \n \n \n \n \n \n 
define \"Has Dementia Medications in Year Before or During Measurement Period\":\n  exists (\n    [MedicationRequest: \"Dementia Medications\"] DementiaMedication\n      where DementiaMedication.status = 'active'\n        and DementiaMedication.intent in {\n          'order', 'original-order', 'reflex-order', 'filler-order', 'instance-order'\n        }\n        and DementiaMedication.medicationRequestPeriod() overlaps day of Interval[\n          start of \"Measurement Period\" - 1 year,\n          end of \"Measurement Period\"\n        ]\n  )
\n
\n Logic Definition\n Library Name: AtriusAdvancedIllnessAndFrailty
\n \n \n \n \n \n \n 
define \"Is Age 66 to 80 with Advanced Illness and Frailty or Is Age 81 or Older with Frailty\":\n  (\n    AgeInYearsAt(date from end of \"Measurement Period\") in Interval[66, 80]\n      and \"Has Criteria Indicating Frailty\"\n      and (\n        \"Has Advanced Illness in Year Before or During Measurement Period\"\n          or \"Has Dementia Medications in Year Before or During Measurement Period\"\n      )\n  )\n    or (\n      AgeInYearsAt(date from end of \"Measurement Period\") >= 81\n        and \"Has Criteria Indicating Frailty\"\n    )
\n
\n Logic Definition\n Library Name: AtriusAdvancedIllnessAndFrailty
\n \n \n \n \n \n \n 
define \"Is Age 66 or Older Living Long Term in a Nursing Home\":\n  AgeInYearsAt(date from end of \"Measurement Period\") >= 66\n    and (\n      (\n        Last(\n          [Observation: \"Housing status\"] HousingStatus\n            where HousingStatus.status in { 'final', 'amended', 'corrected' }\n              and end of HousingStatus.observationEffectiveInterval() on or before day of end of \"Measurement Period\"\n               sort by end of observationEffectiveInterval() asc\n        )\n      ) LastHousingStatus\n        where LastHousingStatus.value is FHIR.CodeableConcept\n          and FHIRHelpers.ToConcept(LastHousingStatus.value as FHIR.CodeableConcept) ~ \"Lives in nursing home (finding)\"\n    ) is not null
\n
\n Logic Definition\n Library Name: AtriusPalliativeCare
\n \n \n \n \n \n \n 
define \"Has Palliative Care in the Measurement Period\":\n  exists (\n    [ObservationGeneralAssessment: \"Functional Assessment of Chronic Illness Therapy - Palliative Care Questionnaire (FACIT-Pal)\"] PalliativeAssessment\n      where PalliativeAssessment.status in { 'final', 'amended', 'corrected' }\n        and PalliativeAssessment.effective.toObservationEffectiveInterval() overlaps day of \"Measurement Period\"\n  )\n    or exists (\n      [ConditionProblemsHealthConcerns: \"Palliative Care Diagnosis\"] PalliativeProblem\n        where (\n          PalliativeProblem.verificationStatus is null\n            or FHIRHelpers.ToConcept(PalliativeProblem.verificationStatus) ~ \"confirmed\"\n            or FHIRHelpers.ToConcept(PalliativeProblem.verificationStatus) ~ \"unconfirmed\"\n            or FHIRHelpers.ToConcept(PalliativeProblem.verificationStatus) ~ \"provisional\"\n            or FHIRHelpers.ToConcept(PalliativeProblem.verificationStatus) ~ \"differential\"\n        )\n          and PalliativeProblem.prevalenceInterval() overlaps day of \"Measurement Period\"\n    )\n    or exists (\n      [ConditionEncounterDiagnosis: \"Palliative Care Diagnosis\"] PalliativeEncounterDiagnosis\n        where (\n          PalliativeEncounterDiagnosis.verificationStatus is null\n            or FHIRHelpers.ToConcept(PalliativeEncounterDiagnosis.verificationStatus) ~ \"confirmed\"\n            or FHIRHelpers.ToConcept(PalliativeEncounterDiagnosis.verificationStatus) ~ \"unconfirmed\"\n            or FHIRHelpers.ToConcept(PalliativeEncounterDiagnosis.verificationStatus) ~ \"provisional\"\n            or FHIRHelpers.ToConcept(PalliativeEncounterDiagnosis.verificationStatus) ~ \"differential\"\n        )\n          and PalliativeEncounterDiagnosis.prevalenceInterval() overlaps day of \"Measurement Period\"\n    )\n    or exists (\n      [Encounter: \"Palliative Care Encounter\"] PalliativeEncounter\n        where PalliativeEncounter.status = 'finished'\n          and FHIRHelpers.ToInterval(PalliativeEncounter.period as FHIR.Period) overlaps day of \"Measurement Period\"\n    )\n    or exists (\n      [Procedure: \"Palliative Care Intervention\"] PalliativeIntervention\n        where PalliativeIntervention.status = 'completed'\n          and PalliativeIntervention.performed.toPerformedInterval() overlaps day of \"Measurement Period\"\n    )
\n
\n Logic Definition\n Library Name: AtriusCMS165ControllingHighBP
\n \n \n \n \n \n \n 
define \"Inpatient and ED Encounters\":\n  ( [Encounter: \"Encounter Inpatient\"]\n      union [Encounter: \"Emergency Department Evaluation and Management Visit\"]\n  ).isEncounterPerformed()
\n
\n Logic Definition\n Library Name: AtriusCMS165ControllingHighBP
\n \n \n \n \n \n \n 
define \"Qualifying Blood Pressure Reading\":\n  (\n    [ObservationVitalSigns: \"Blood pressure panel with all children optional\"] BloodPressure\n      without \"Inpatient and ED Encounters\" DisqualifyingEncounter\n        such that BloodPressure.effective.latest()\n          during day of FHIRHelpers.ToInterval(DisqualifyingEncounter.period as FHIR.Period)\n      where BloodPressure.status in { 'final', 'amended', 'corrected' }\n        and BloodPressure.effective.latest() during day of \"Measurement Period\"\n  )\n    union (\n      [ObservationVitalSigns: \"Blood pressure panel with all children optional\"] BloodPressure\n        where BloodPressure.status in { 'final', 'amended', 'corrected' }\n          and (\n            BloodPressure.encounter is null\n              or not (\n                FHIRHelpers.ToCode(BloodPressure.encounter.getEncounter().class) in {\n                  Common.\"emergency\",\n                  Common.\"inpatient encounter\",\n                  Common.\"inpatient acute\",\n                  Common.\"inpatient non-acute\",\n                  Common.\"pre-admission\",\n                  Common.\"short stay\"\n                }\n              )\n          )\n          and BloodPressure.effective.latest() during day of \"Measurement Period\"\n    )
\n
\n Logic Definition\n Library Name: AtriusCMS165ControllingHighBP
\n \n \n \n \n \n \n 
define \"Blood Pressure Days\":\n  \"Qualifying Blood Pressure Reading\" BPExam\n    return date from BPExam.effective.latest ( )
\n
\n Logic Definition\n Library Name: AtriusCMS165ControllingHighBP
\n \n \n \n \n \n \n 
define \"Most Recent Blood Pressure Day\":\n  Last(\"Blood Pressure Days\" BPDays\n      sort asc\n  )
\n
\n Logic Definition\n Library Name: AtriusCMS165ControllingHighBP
\n \n \n \n \n \n \n 
define \"Lowest Systolic Reading on Most Recent Blood Pressure Day\":\n  First(\"Qualifying Blood Pressure Reading\" SBPReading\n      where SBPReading.effective.latest() same day as \"Most Recent Blood Pressure Day\"\n      return singleton from(SBPReading.component SBPComponent\n          where SBPComponent.code ~ \"Systolic blood pressure\"\n          return SBPComponent.value as Quantity\n      )\n      sort asc\n  )
\n
\n Logic Definition\n Library Name: AtriusCMS165ControllingHighBP
\n \n \n \n \n \n \n 
define \"Has Systolic Blood Pressure Less Than 140\":\n  \"Lowest Systolic Reading on Most Recent Blood Pressure Day\" < 140 'mm[Hg]'
\n
\n Logic Definition\n Library Name: AtriusCMS165ControllingHighBP
\n \n \n \n \n \n \n 
define \"Lowest Diastolic Reading on Most Recent Blood Pressure Day\":\n  First(\"Qualifying Blood Pressure Reading\" DBPReading\n      where DBPReading.effective.latest() same day as \"Most Recent Blood Pressure Day\"\n      return singleton from(DBPReading.component DBPComponent\n          where DBPComponent.code ~ \"Diastolic blood pressure\"\n          return DBPComponent.value as Quantity\n      )\n      sort asc\n  )
\n
\n Logic Definition\n Library Name: AtriusCMS165ControllingHighBP
\n \n \n \n \n \n \n 
define \"Has Diastolic Blood Pressure Less Than 90\":\n  \"Lowest Diastolic Reading on Most Recent Blood Pressure Day\" < 90 'mm[Hg]'
\n
\n Logic Definition\n Library Name: AtriusCMS165ControllingHighBP
\n \n \n \n \n \n \n 
define \"Numerator\":\n  \"Has Systolic Blood Pressure Less Than 140\"\n    and \"Has Diastolic Blood Pressure Less Than 90\"
\n
\n Logic Definition\n Library Name: AtriusCMS165ControllingHighBP
\n \n \n \n \n \n \n 
define \"Essential Hypertension Diagnosis\":\n  ( ( [ConditionProblemsHealthConcerns: \"Essential Hypertension\"]\n      union [ConditionEncounterDiagnosis: \"Essential Hypertension\"]\n  ).verified ( ) ) Hypertension\n    where Hypertension.prevalenceInterval ( ) overlaps Interval[start of \"Measurement Period\", start of \"Measurement Period\" + 6 months )
\n
\n Logic Definition\n Library Name: AtriusCMS165ControllingHighBP
\n \n \n \n \n \n \n 
define \"Initial Population\":\n  AgeInYearsAt(end of \"Measurement Period\") in Interval[18, 85]\n    and exists \"Essential Hypertension Diagnosis\"\n    and exists AdultOutpatientEncounters.\"Qualifying Encounters\"
\n
\n Logic Definition\n Library Name: AtriusCMS165ControllingHighBP
\n \n \n \n \n \n \n 
define \"Denominator\":\n  \"Initial Population\"
\n
\n Logic Definition\n Library Name: AtriusCMS165ControllingHighBP
\n \n \n \n \n \n \n 
define \"Pregnancy or Renal Diagnosis\":\n  ( ( [ConditionProblemsHealthConcerns: \"Pregnancy\"]\n      union [ConditionEncounterDiagnosis: \"Pregnancy\"]\n      union [ConditionProblemsHealthConcerns: \"End Stage Renal Disease\"]\n      union [ConditionEncounterDiagnosis: \"End Stage Renal Disease\"]\n      union [ConditionProblemsHealthConcerns: \"Kidney Transplant Recipient\"]\n      union [ConditionEncounterDiagnosis: \"Kidney Transplant Recipient\"]\n      union [ConditionProblemsHealthConcerns: \"Chronic Kidney Disease, Stage 5\"]\n      union [ConditionEncounterDiagnosis: \"Chronic Kidney Disease, Stage 5\"]\n  ).verified ( ) ) PregnancyESRDDiagnosis\n    where PregnancyESRDDiagnosis.prevalenceInterval ( ) overlaps \"Measurement Period\"
\n
\n Logic Definition\n Library Name: AtriusCMS165ControllingHighBP
\n \n \n \n \n \n \n 
define \"End Stage Renal Disease Procedures\":\n  ( ([Procedure: \"Kidney Transplant\"]\n      union [Procedure: \"Dialysis Services\"]\n  ).isProcedurePerformed() ) ESRDProcedure\n    where ESRDProcedure.performed.toPerformedInterval() ends on or before end of \"Measurement Period\"
\n
\n Logic Definition\n Library Name: AtriusCMS165ControllingHighBP
\n \n \n \n \n \n \n 
define \"End Stage Renal Disease Encounter\":\n  ( ([Encounter: \"ESRD Monthly Outpatient Services\"]).isEncounterPerformed() ) ESRDEncounter\n    where FHIRHelpers.ToInterval(ESRDEncounter.period as FHIR.Period) starts on or before end of \"Measurement Period\"
\n
\n Logic Definition\n Library Name: AtriusCMS165ControllingHighBP
\n \n \n \n \n \n \n 
define \"Has Advanced Illness Frailty Exclusion\":\n  AIFrailLTCF.\"Is Age 66 to 80 with Advanced Illness and Frailty or Is Age 81 or Older with Frailty\"
\n
\n Logic Definition\n Library Name: AtriusCMS165ControllingHighBP
\n \n \n \n \n \n \n 
define \"Has Long Term Care Exclusion\":\n  AIFrailLTCF.\"Is Age 66 or Older Living Long Term in a Nursing Home\"
\n
\n Logic Definition\n Library Name: AtriusCMS165ControllingHighBP
\n \n \n \n \n \n \n 
define \"Has Palliative Care Exclusion\":\n  PalliativeCare.\"Has Palliative Care in the Measurement Period\"
\n
\n Logic Definition\n Library Name: AtriusCMS165ControllingHighBP
\n \n \n \n \n \n \n 
define \"Denominator Exclusions\":\n  Hospice.\"Has Hospice Services\"\n    or exists ( \"Pregnancy or Renal Diagnosis\" )\n    or exists ( \"End Stage Renal Disease Procedures\" )\n    or exists ( \"End Stage Renal Disease Encounter\" )\n    or \"Has Advanced Illness Frailty Exclusion\"\n    or \"Has Long Term Care Exclusion\"\n    or \"Has Palliative Care Exclusion\"
\n
\n Logic Definition\n Library Name: AtriusCMS165ControllingHighBP
\n \n \n \n \n \n \n 
define fluent function getEncounter(reference Reference):\n  singleton from ( [Encounter] E\n      where E.id = reference.reference.getId ( )\n  )
\n
\n Logic Definition\n Library Name: AtriusStatus
\n \n \n \n \n \n \n 
define fluent function isEncounterPerformed(Enc List<Encounter>):\n  Enc E\n    where E.status = 'finished'
\n
\n Logic Definition\n Library Name: AtriusStatus
\n \n \n \n \n \n \n 
define fluent function verified(\n  conditions List<Choice<ConditionEncounterDiagnosis, ConditionProblemsHealthConcerns>>\n):\n  conditions C\n    where C.verificationStatus is not null implies (\n      FHIRHelpers.ToConcept(C.verificationStatus) ~ \"confirmed\"\n        or FHIRHelpers.ToConcept(C.verificationStatus) ~ \"unconfirmed\"\n        or FHIRHelpers.ToConcept(C.verificationStatus) ~ \"provisional\"\n        or FHIRHelpers.ToConcept(C.verificationStatus) ~ \"differential\"\n    )
\n
\n Logic Definition\n Library Name: AtriusStatus
\n \n \n \n \n \n \n 
define fluent function isAssessmentPerformed(Obs List<Observation>):\n  Obs O\n    where O.status in { 'final', 'amended', 'corrected' }
\n
\n Logic Definition\n Library Name: AtriusStatus
\n \n \n \n \n \n \n 
define fluent function isInterventionOrder(ServiceRequest List<ServiceRequest>):\n  ServiceRequest S\n    where S.status in { 'active', 'completed' }\n      and S.intent in {\n        'order', 'original-order', 'reflex-order', 'filler-order', 'instance-order'\n      }
\n
\n Logic Definition\n Library Name: AtriusStatus
\n \n \n \n \n \n \n 
define fluent function isInterventionPerformed(Proc List<Procedure>):\n  Proc P\n    where P.status = 'completed'
\n
\n Logic Definition\n Library Name: AtriusStatus
\n \n \n \n \n \n \n 
define fluent function isProcedurePerformed(Proc List<Procedure>):\n  Proc P\n    where P.status = 'completed'
\n
\n Logic Definition\n Library Name: FHIRHelpers
\n \n \n \n \n \n \n 
/*\n@description: Converts the given FHIR [Quantity](https://hl7.org/fhir/datatypes.html#Quantity) \nvalue to a CQL Quantity\n@comment: If the given quantity has a comparator specified, a runtime error is raised. If the given quantity\nhas a system other than UCUM (i.e. `http://unitsofmeasure.org`) or CQL calendar units (i.e. `http://hl7.org/fhirpath/CodeSystem/calendar-units`)\nan error is raised. For UCUM to calendar units, the `ToCalendarUnit` function is used.\n@seealso: ToCalendarUnit\n*/\ndefine function ToQuantity(quantity FHIR.Quantity):\n    case\n        when quantity is null then null\n        when quantity.value is null then null\n        when quantity.comparator is not null then\n            Message(null, true, 'FHIRHelpers.ToQuantity.ComparatorQuantityNotSupported', 'Error', 'FHIR Quantity value has a comparator and cannot be converted to a System.Quantity value.')\n        when quantity.system is null or quantity.system.value = 'http://unitsofmeasure.org'\n              or quantity.system.value = 'http://hl7.org/fhirpath/CodeSystem/calendar-units' then\n            System.Quantity { value: quantity.value.value, unit: ToCalendarUnit(Coalesce(quantity.code.value, quantity.unit.value, '1')) }\n        else\n            Message(null, true, 'FHIRHelpers.ToQuantity.InvalidFHIRQuantity', 'Error', 'Invalid FHIR Quantity code: ' & quantity.unit.value & ' (' & quantity.system.value & '|' & quantity.code.value & ')')\n    end
\n
\n Logic Definition\n Library Name: FHIRHelpers
\n \n \n \n \n \n \n 
/*\n@description: Converts a UCUM definite duration unit to a CQL calendar duration\nunit using conversions specified in the [quantities](https://cql.hl7.org/02-authorsguide.html#quantities) \ntopic of the CQL specification.\n@comment: Note that for durations above days (or weeks), the conversion is understood to be approximate\n*/\ndefine function ToCalendarUnit(unit System.String):\n    case unit\n        when 'ms' then 'millisecond'\n        when 's' then 'second'\n        when 'min' then 'minute'\n        when 'h' then 'hour'\n        when 'd' then 'day'\n        when 'wk' then 'week'\n        when 'mo' then 'month'\n        when 'a' then 'year'\n        else unit\n    end
\n
\n Logic Definition\n Library Name: FHIRHelpers
\n \n \n \n \n \n \n 
define function ToString(value EncounterStatus): value.value
\n
\n Logic Definition\n Library Name: FHIRHelpers
\n \n \n \n \n \n \n 
/*\n@description: Converts the given [Period](https://hl7.org/fhir/datatypes.html#Period)\nvalue to a CQL DateTime Interval\n@comment: If the start value of the given period is unspecified, the starting\nboundary of the resulting interval will be open (meaning the start of the interval\nis unknown, as opposed to interpreted as the beginning of time).\n*/\ndefine function ToInterval(period FHIR.Period):\n    if period is null then\n        null\n    else\n        if period.\"start\" is null then\n            Interval(period.\"start\".value, period.\"end\".value]\n        else\n            Interval[period.\"start\".value, period.\"end\".value]
\n
\n Logic Definition\n Library Name: FHIRHelpers
\n \n \n \n \n \n \n 
define function ToString(value ObservationStatus): value.value
\n
\n Logic Definition\n Library Name: FHIRHelpers
\n \n \n \n \n \n \n 
/*\n@description: Converts the given FHIR [Coding](https://hl7.org/fhir/datatypes.html#Coding) value to a CQL Code.\n*/\ndefine function ToCode(coding FHIR.Coding):\n    if coding is null then\n        null\n    else\n        System.Code {\n          code: coding.code.value,\n          system: coding.system.value,\n          version: coding.version.value,\n          display: coding.display.value\n        }
\n
\n Logic Definition\n Library Name: FHIRHelpers
\n \n \n \n \n \n \n 
define function ToString(value string): value.value
\n
\n Logic Definition\n Library Name: FHIRHelpers
\n \n \n \n \n \n \n 
/*\n@description: Converts the given FHIR [CodeableConcept](https://hl7.org/fhir/datatypes.html#CodeableConcept) value to a CQL Concept.\n*/\ndefine function ToConcept(concept FHIR.CodeableConcept):\n    if concept is null then\n        null\n    else\n        System.Concept {\n            codes: concept.coding C return ToCode(C),\n            display: concept.text.value\n        }
\n
\n Logic Definition\n Library Name: FHIRHelpers
\n \n \n \n \n \n \n 
define function ToString(value ServiceRequestStatus): value.value
\n
\n Logic Definition\n Library Name: FHIRHelpers
\n \n \n \n \n \n \n 
define function ToString(value ServiceRequestIntent): value.value
\n
\n Logic Definition\n Library Name: FHIRHelpers
\n \n \n \n \n \n \n 
define function ToDateTime(value dateTime): value.value
\n
\n Logic Definition\n Library Name: FHIRHelpers
\n \n \n \n \n \n \n 
define function ToString(value ProcedureStatus): value.value
\n
\n Logic Definition\n Library Name: FHIRHelpers
\n \n \n \n \n \n \n 
define function ToString(value DeviceRequestStatus): value.value
\n
\n Logic Definition\n Library Name: FHIRHelpers
\n \n \n \n \n \n \n 
define function ToString(value RequestIntent): value.value
\n
\n Logic Definition\n Library Name: FHIRHelpers
\n \n \n \n \n \n \n 
define function ToString(value MedicationRequestStatus): value.value
\n
\n Logic Definition\n Library Name: FHIRHelpers
\n \n \n \n \n \n \n 
define function ToString(value MedicationRequestIntent): value.value
\n
\n Logic Definition\n Library Name: FHIRHelpers
\n \n \n \n \n \n \n 
define function ToString(value UnitsOfTime): value.value
\n
\n Logic Definition\n Library Name: AtriusCumulativeMedicationDuration
\n \n \n \n \n \n \n 
/*\nNow that we have a ToDaily function, we can approach calculation of the\nduration of medication for an order. First, consider the definitions\nfor each element:\n* 1 and only 1 dosageInstruction\n* 1 and only 1 doseAndRate\n* 1 timing with 1 repeat\n* frequency, frequencyMax, defaulting to 1\n* period, periodUnit, defaulting to 1 'd'\n* doseQuantity or doseRange\n* timeOfDay\n* authoredOn: The date the prescription was written\n* dispenseRequest.validityPeriod: Time period supply is authorized for\n* dispenseRequest.quantity: amount of medication supplied per dispense\n* dispenseRequest.numberOfRepeatsAllowed: number of refills authorized\n* dispenseRequest.expectedSupplyDuration: number of days supply per dispense\n* dosageInstruction.timing.repeat.boundsDuration: total duration of the repeat\n* dosageInstruction.timing.repeat.boundsRange: range of durations of the repeat\n* dosageInstruction.timing.repeat.boundsPeriod: period bounds of the repeat\n* dosageInstruction.timing.repeat.count: number of times to repeat\n* dosageInstruction.timing.repeat.countMax: maximum number of times to repeat\n* dosageInstruction.timing.repeat.frequency: event occurs frequency times per period\n* dosageInstruction.timing.repeat.frequencyMax: event occurs up to frequencyMax times per period\n* dosageInstruction.timing.repeat.period: event occurs frequency times per period\n* dosageInstruction.timing.repeat.periodMax: upper limit of period\n* dosageInstruction.timing.repeat.periodUnit: period duration (s | min | h | d | wk | mo | a)\n* dosageInstruction.timing.repeat.timeOfDay: time of day for the event (0..*)\n* dosageInstruction.timing.repeat.when: event timing (HS | WAKE | C | CM | CD | CV | AC | ACM...)\n* dosageInstruction.timing.code: BID | TID | QID | AM | PM | QD | QOD...\n* dosageInstruction.asNeeded\n* dosageInstruction.doseAndRate.doseQuantity\n* dosageInstruction.doseAndRate.doseRange\nIf expectedSupplyDuration is present, then the duration is\n    expectedSupplyDuration * (1 + numberOfRepeatsAllowed)\nIf expectedSupplyDuration is not present, then it must be calculated based on the quantity, dosage, and frequency:\n    (quantity / (dosage * frequency)) * (1 + numberOfRepeatsAllowed)\n    dosage: Coalesce(end of doseAndRate.doseRange, doseAndRate.doseQuantity)\n    frequency: Coalesce(frequencyMax, frequency)\n    period: Quantity(period, periodUnit)\nIf expectedSupplyDuration is not present and cannot be calculated, and the boundsPeriod is present (and completely specified), we can use that directly\n    dosage.timing.repeat.boundsPeriod\nThis calculation results in a number of days, which can then be turned into a period by anchoring that to the\nstart of the validityPeriod or the authoredOn:\n    Interval[earliestDispensable, earliestDispensable + expectedSupplyDuration - 1]\n    earliestDispensable: Coalesce(start of validityPeriod, authoredOn)\nThe following function illustrates this completely:\n*/\n\n/*\nCalculates the Medication Period for a single MedicationRequest.\nMedicationRequest instances provided to this function are expected\nto conform to the [MMEMedicationRequest](http://build.fhir.org/ig/cqframework/opioid-mme-r4/StructureDefinition-mmemedicationrequest.html)\nprofile, which expects:\n* 1 and only 1 dosageInstruction, multiple dosageInstruction elements will result in an error\n* 1 and only 1 doseAndRate, multiple doseAndRate elements will result in an error\n* 1 timing with 1 repeat, missing timing or repeat elements will result in a null\n* frequency, frequencyMax, defaulting to 1\n* period, periodUnit, defaulting to 1 'd'\n* timeOfDay\n* doseQuantity or doseRange, missing doseQuantity and doseRange will result in a null\nNote that MedicationRequest status is not considered by this calculation, as the\nlist of MedicationRequest instances provided to this function should already have\nconsidered appropriate statuses, depending on the use case, typically `completed`.\n*/\n\ndefine fluent function medicationRequestPeriod(sourceRequest \"MedicationRequest\"):\n  sourceRequest R\n    let\n      dosage: singleton from R.dosageInstruction,\n      doseAndRate: singleton from dosage.doseAndRate,\n      timing: dosage.timing,\n      frequency: Coalesce(timing.repeat.frequencyMax.value, timing.repeat.frequency.value, 1),\n      period: Quantity(\n        Coalesce(timing.repeat.period.value, 1.0),\n        Coalesce(timing.repeat.periodUnit, 'd')\n      ),\n      doseChoice: doseAndRate.dose,\n      dose:\n        case\n          when doseChoice is FHIR.Range then FHIRHelpers.ToQuantity((doseChoice as FHIR.Range).high)\n          when doseChoice is FHIR.SimpleQuantity then FHIRHelpers.ToQuantity(doseChoice as FHIR.SimpleQuantity)\n          else null\n        end,\n      dosesPerDay: Coalesce(ToDaily(frequency, period), Count(timing.repeat.timeOfDay), 1.0),\n      boundsPeriod: timingBoundsToInterval(timing.repeat.bounds),\n      daysSupply:\n        (convert FHIRHelpers.ToQuantity(R.dispenseRequest.expectedSupplyDuration as FHIR.Duration) to days).value,\n      quantity: FHIRHelpers.ToQuantity(R.dispenseRequest.quantity as FHIR.Quantity),\n      refills: Coalesce(R.dispenseRequest.numberOfRepeatsAllowed.value, 0),\n      startDate:\n        Coalesce(\n          date from start of boundsPeriod,\n          date from FHIRHelpers.ToDateTime(R.authoredOn as FHIR.dateTime),\n          date from start of FHIRHelpers.ToInterval(R.dispenseRequest.validityPeriod as FHIR.Period)\n        ),\n      totalDaysSupplied: Coalesce(daysSupply, quantity.value / (dose.value * dosesPerDay)) * (1 + refills)\n    return\n      if startDate is not null and totalDaysSupplied is not null then\n        Interval[startDate, startDate + Quantity(totalDaysSupplied - 1, 'day') ]\n      else if startDate is not null and boundsPeriod.\"high\" is not null then\n        Interval[startDate, date from end of boundsPeriod]\n      else\n        null
\n
\n Logic Definition\n Library Name: AtriusCumulativeMedicationDuration
\n \n \n \n \n \n \n 
/**********************************************************************/\n/* Functions in this region are copied from opioid-mme-r4             */\n/**********************************************************************/\n\ndefine function Quantity(value Decimal, unit String):\n  if value is not null then\n    System.Quantity { value: value, unit: unit }\n  else\n    null
\n
\n Logic Definition\n Library Name: AtriusCumulativeMedicationDuration
\n \n \n \n \n \n \n 
/*\n Goal is to get to number of days\n Two broad approaches to the calculation:\n  1) Based on supply and frequency, calculate the number of expected days the medication will cover/has covered\n  2) Based on relevant period, determine a covered interval and calculate the length of that interval in days\nThis topic covers several use cases and illustrates how to calculate Cumulative\nMedication Duration for each type of medication resource using the supply and\nfrequency approach.\n*/\n\n/*\n  For the first approach, we need to get from frequency to a frequency/day\n  So we define ToDaily\n*/\n\n/*\n  Calculates daily frequency given frequency within a period\n*/\ndefine function ToDaily(frequency System.Integer, period System.Quantity):\n  case period.unit\n    when 'h' then frequency * (24.0 / period.value)\n    when 'min' then frequency * (24.0 / period.value) * 60\n    when 's' then frequency * (24.0 / period.value) * 60 * 60\n    when 'd' then frequency * (24.0 / period.value) / 24\n    when 'wk' then frequency * (24.0 / period.value) / (24 * 7)\n    when 'mo' then frequency * (24.0 / period.value) / (24 * 30) /* assuming 30 days in month */\n    when 'a' then frequency * (24.0 / period.value) / (24 * 365) /* assuming 365 days in year */\n    when 'hour' then frequency * (24.0 / period.value)\n    when 'minute' then frequency * (24.0 / period.value) * 60\n    when 'second' then frequency * (24.0 / period.value) * 60 * 60\n    when 'day' then frequency * (24.0 / period.value) / 24\n    when 'week' then frequency * (24.0 / period.value) / (24 * 7)\n    when 'month' then frequency * (24.0 / period.value) / (24 * 30) /* assuming 30 days in month */\n    when 'year' then frequency * (24.0 / period.value) / (24 * 365) /* assuming 365 days in year */\n    when 'hours' then frequency * (24.0 / period.value)\n    when 'minutes' then frequency * (24.0 / period.value) * 60\n    when 'seconds' then frequency * (24.0 / period.value) * 60 * 60\n    when 'days' then frequency * (24.0 / period.value) / 24\n    when 'weeks' then frequency * (24.0 / period.value) / (24 * 7)\n    when 'months' then frequency * (24.0 / period.value) / (24 * 30) /* assuming 30 days in month */\n    when 'years' then frequency * (24.0 / period.value) / (24 * 365) /* assuming 365 days in year */\n    else Message(null, true, 'CMDLogic.ToDaily.UnknownUnit', ErrorLevel, 'Unknown unit ' & period.unit)\n  end
\n
\n Logic Definition\n Library Name: AtriusCumulativeMedicationDuration
\n \n \n \n \n \n \n 
/*\n@description: Normalizes Timing.repeat.bounds (Duration | Range | Period) to Interval<DateTime>.\n@deprecated: Use AtriusCommon.toTimingBoundsInterval(); retained for include compatibility.\n*/\ndefine function timingBoundsToInterval(bounds Choice<FHIR.Duration, FHIR.Range, FHIR.Period>):\n  bounds.toTimingBoundsInterval()
\n
\n Logic Definition\n Library Name: AtriusCommon
\n \n \n \n \n \n \n 
/*\n@description: Returns the tail of the given uri (i.e. everything after the last slash in the URI).\n@comment: This function can be used to determine the logical id of a given resource. It can be used in\na single-server environment to trace references. However, this function does not attempt to resolve\nor distinguish the base of the given url, and so cannot be used safely in multi-server environments.\n*/\ndefine fluent function getId(uri String):\n  Last(Split(uri, '/'))
\n
\n Logic Definition\n Library Name: AtriusCommon
\n \n \n \n \n \n \n 
/*\n@description: Returns an interval representing the normalized prevalence period of a given Condition.\n*/\ndefine fluent function prevalenceInterval(condition Choice<ConditionEncounterDiagnosis, ConditionProblemsHealthConcerns>):\n  if condition.isActive() then\n    Interval[start of condition.onset.toConditionTimingInterval(), end of condition.abatementInterval()]\n  else\n    (end of condition.abatementInterval()) abatementDate\n      return if abatementDate is null then\n        Interval[start of condition.onset.toConditionTimingInterval(), abatementDate)\n      else\n        Interval[start of condition.onset.toConditionTimingInterval(), abatementDate]
\n
\n Logic Definition\n Library Name: AtriusCommon
\n \n \n \n \n \n \n 
/*\n@description: Returns true if the given condition has a clinical status of active, recurrence, or relapse\n*/\ndefine fluent function isActive(condition Choice<ConditionEncounterDiagnosis, ConditionProblemsHealthConcerns>):\n  FHIRHelpers.ToConcept(condition.clinicalStatus) ~ \"active\"\n    or FHIRHelpers.ToConcept(condition.clinicalStatus) ~ \"recurrence\"\n    or FHIRHelpers.ToConcept(condition.clinicalStatus) ~ \"relapse\"
\n
\n Logic Definition\n Library Name: AtriusCommon
\n \n \n \n \n \n \n 
define fluent function toConditionTimingInterval(choice Choice<FHIR.dateTime, FHIR.Age, FHIR.Period, FHIR.Range, FHIR.string>):\n  choice.toInterval()
\n
\n Logic Definition\n Library Name: AtriusCommon
\n \n \n \n \n \n \n 
/*\n@description: Returns an interval representing the normalized abatement of a given Condition.\n*/\ndefine fluent function abatementInterval(condition Choice<ConditionEncounterDiagnosis, ConditionProblemsHealthConcerns>):\n  condition.abatement.toConditionTimingInterval()
\n
\n Logic Definition\n Library Name: AtriusCommon
\n \n \n \n \n \n \n 
define fluent function toObservationEffectiveInterval(choice Choice<FHIR.dateTime, FHIR.Period, FHIR.Timing, FHIR.instant>):\n  choice.toInterval()
\n
\n Logic Definition\n Library Name: AtriusCommon
\n \n \n \n \n \n \n 
define fluent function toPerformedInterval(performed Choice<FHIR.dateTime, FHIR.Period, FHIR.string, FHIR.Age, FHIR.Range>):\n  performed.toInterval()
\n
\n Logic Definition\n Library Name: AtriusCommon
\n \n \n \n \n \n \n 
/*\n@description: Normalizes Observation.effective[x] for any Observation retrieve.\n*/\ndefine fluent function observationEffectiveInterval(observation Observation):\n  observation.effective.toObservationEffectiveInterval()
\n
\n Logic Definition\n Library Name: AtriusCommon
\n \n \n \n \n \n \n 
define fluent function toTimingBoundsInterval(bounds Choice<FHIR.Duration, FHIR.Range, FHIR.Period>):\n  bounds.toInterval()
\n
Terminology
Code System\n \n Description: Code system LOINC\n \n
\n \n \n \n \n \n \n Resource: Logical Observation Identifiers, Names and Codes (LOINC)\n
\n Canonical URL: http://loinc.org\n \n
Code System\n \n Description: Code system ActCode\n \n
\n \n \n \n \n \n \n Resource: ActCode version: 10.0.0\n
\n Canonical URL: http://terminology.hl7.org/CodeSystem/v3-ActCode|10.0.0\n \n
Code System\n \n Description: Code system ConditionVerificationStatusCodes\n \n
\n \n \n \n \n \n \n Resource: ConditionVerificationStatus version: 2.0.1\n
\n Canonical URL: http://terminology.hl7.org/CodeSystem/condition-ver-status|2.0.1\n \n
Code System\n \n Description: Code system ConditionClinicalStatusCodes\n \n
\n \n \n \n \n \n \n Resource: Condition Clinical Status Codes version: 3.0.0\n
\n Canonical URL: http://terminology.hl7.org/CodeSystem/condition-clinical|3.0.0\n \n
Code System\n \n Description: Code system DischargeDisposition\n \n
\n \n \n \n \n \n \n Resource: Discharge disposition version: 1.0.1\n
\n Canonical URL: http://terminology.hl7.org/CodeSystem/discharge-disposition|1.0.1\n \n
Code System\n \n Description: Code system SNOMEDCT\n \n
\n \n \n \n \n \n \n Resource: SNOMED CT (all versions)\n
\n Canonical URL: http://snomed.info/sct\n \n
Value Set\n \n Description: Value set Encounter Inpatient\n \n
\n \n \n \n \n \n \n Resource: Atrius Encounter Inpatient version: 0.1.0\n
\n Canonical URL: https://atrius.in/fhir/r4/atrius-in/ValueSet/atrius-vs-encounter-inpatient|0.1.0\n \n
Value Set\n \n Description: Value set Emergency Department Evaluation and Management Visit\n \n
\n \n \n \n \n \n \n Resource: Atrius Emergency Department Evaluation and Management Visit version: 0.1.0\n
\n Canonical URL: https://atrius.in/fhir/r4/atrius-in/ValueSet/atrius-vs-ed-em-visit|0.1.0\n \n
Value Set\n \n Description: Value set Essential Hypertension\n \n
\n \n \n \n \n \n \n Resource: Atrius Essential Hypertension version: 0.1.0\n
\n Canonical URL: https://atrius.in/fhir/r4/atrius-in/ValueSet/atrius-vs-essential-hypertension|0.1.0\n \n
Value Set\n \n Description: Value set Office Visit\n \n
\n \n \n \n \n \n \n Resource: Atrius Office Visit version: 0.1.0\n
\n Canonical URL: https://atrius.in/fhir/r4/atrius-in/ValueSet/atrius-vs-office-visit|0.1.0\n \n
Value Set\n \n Description: Value set Annual Wellness Visit\n \n
\n \n \n \n \n \n \n Resource: Atrius Annual Wellness Visit version: 0.1.0\n
\n Canonical URL: https://atrius.in/fhir/r4/atrius-in/ValueSet/atrius-vs-annual-wellness-visit|0.1.0\n \n
Value Set\n \n Description: Value set Preventive Care Services Established Office Visit, 18 and Up\n \n
\n \n \n \n \n \n \n Resource: Atrius Preventive Care Services Established Office Visit, 18 and Up version: 0.1.0\n
\n Canonical URL: https://atrius.in/fhir/r4/atrius-in/ValueSet/atrius-vs-preventive-established-18up|0.1.0\n \n
Value Set\n \n Description: Value set Preventive Care Services Initial Office Visit, 18 and Up\n \n
\n \n \n \n \n \n \n Resource: Atrius Preventive Care Services Initial Office Visit, 18 and Up version: 0.1.0\n
\n Canonical URL: https://atrius.in/fhir/r4/atrius-in/ValueSet/atrius-vs-preventive-initial-18up|0.1.0\n \n
Value Set\n \n Description: Value set Home Healthcare Services\n \n
\n \n \n \n \n \n \n Resource: Atrius Home Healthcare Services version: 0.1.0\n
\n Canonical URL: https://atrius.in/fhir/r4/atrius-in/ValueSet/atrius-vs-home-healthcare|0.1.0\n \n
Value Set\n \n Description: Value set Virtual Encounter\n \n
\n \n \n \n \n \n \n Resource: Atrius Virtual Encounter version: 0.1.0\n
\n Canonical URL: https://atrius.in/fhir/r4/atrius-in/ValueSet/atrius-vs-virtual-encounter|0.1.0\n \n
Value Set\n \n Description: Value set Telephone Visits\n \n
\n \n \n \n \n \n \n Resource: Atrius Telephone Visits version: 0.1.0\n
\n Canonical URL: https://atrius.in/fhir/r4/atrius-in/ValueSet/atrius-vs-telephone-visits|0.1.0\n \n
Value Set\n \n Description: Value set Hospice Encounter\n \n
\n \n \n \n \n \n \n Resource: Atrius Hospice Encounter version: 0.1.0\n
\n Canonical URL: https://atrius.in/fhir/r4/atrius-in/ValueSet/atrius-vs-hospice-encounter|0.1.0\n \n
Value Set\n \n Description: Value set Hospice Care Ambulatory\n \n
\n \n \n \n \n \n \n Resource: Atrius Hospice Care Ambulatory version: 0.1.0\n
\n Canonical URL: https://atrius.in/fhir/r4/atrius-in/ValueSet/atrius-vs-hospice-care-ambulatory|0.1.0\n \n
Value Set\n \n Description: Value set Hospice Diagnosis\n \n
\n \n \n \n \n \n \n Resource: Atrius Hospice Diagnosis version: 0.1.0\n
\n Canonical URL: https://atrius.in/fhir/r4/atrius-in/ValueSet/atrius-vs-hospice-diagnosis|0.1.0\n \n
Value Set\n \n Description: Value set Pregnancy\n \n
\n \n \n \n \n \n \n Resource: Atrius Pregnancy version: 0.1.0\n
\n Canonical URL: https://atrius.in/fhir/r4/atrius-in/ValueSet/atrius-vs-pregnancy|0.1.0\n \n
Value Set\n \n Description: Value set End Stage Renal Disease\n \n
\n \n \n \n \n \n \n Resource: Atrius End Stage Renal Disease version: 0.1.0\n
\n Canonical URL: https://atrius.in/fhir/r4/atrius-in/ValueSet/atrius-vs-esrd|0.1.0\n \n
Value Set\n \n Description: Value set Kidney Transplant Recipient\n \n
\n \n \n \n \n \n \n Resource: Atrius Kidney Transplant Recipient version: 0.1.0\n
\n Canonical URL: https://atrius.in/fhir/r4/atrius-in/ValueSet/atrius-vs-kidney-transplant-recipient|0.1.0\n \n
Value Set\n \n Description: Value set Chronic Kidney Disease, Stage 5\n \n
\n \n \n \n \n \n \n Resource: Atrius Chronic Kidney Disease, Stage 5 version: 0.1.0\n
\n Canonical URL: https://atrius.in/fhir/r4/atrius-in/ValueSet/atrius-vs-ckd-stage-5|0.1.0\n \n
Value Set\n \n Description: Value set Kidney Transplant\n \n
\n \n \n \n \n \n \n Resource: Atrius Kidney Transplant version: 0.1.0\n
\n Canonical URL: https://atrius.in/fhir/r4/atrius-in/ValueSet/atrius-vs-kidney-transplant|0.1.0\n \n
Value Set\n \n Description: Value set Dialysis Services\n \n
\n \n \n \n \n \n \n Resource: Atrius Dialysis Services version: 0.1.0\n
\n Canonical URL: https://atrius.in/fhir/r4/atrius-in/ValueSet/atrius-vs-dialysis-services|0.1.0\n \n
Value Set\n \n Description: Value set ESRD Monthly Outpatient Services\n \n
\n \n \n \n \n \n \n Resource: Atrius ESRD Monthly Outpatient Services version: 0.1.0\n
\n Canonical URL: https://atrius.in/fhir/r4/atrius-in/ValueSet/atrius-vs-esrd-monthly-outpatient|0.1.0\n \n
Value Set\n \n Description: Value set Frailty Device\n \n
\n \n \n \n \n \n \n Resource: Atrius Frailty Device version: 0.1.0\n
\n Canonical URL: https://atrius.in/fhir/r4/atrius-in/ValueSet/atrius-vs-frailty-device|0.1.0\n \n
Value Set\n \n Description: Value set Frailty Diagnosis\n \n
\n \n \n \n \n \n \n Resource: Atrius Frailty Diagnosis version: 0.1.0\n
\n Canonical URL: https://atrius.in/fhir/r4/atrius-in/ValueSet/atrius-vs-frailty-diagnosis|0.1.0\n \n
Value Set\n \n Description: Value set Frailty Encounter\n \n
\n \n \n \n \n \n \n Resource: Atrius Frailty Encounter version: 0.1.0\n
\n Canonical URL: https://atrius.in/fhir/r4/atrius-in/ValueSet/atrius-vs-frailty-encounter|0.1.0\n \n
Value Set\n \n Description: Value set Frailty Symptom\n \n
\n \n \n \n \n \n \n Resource: Atrius Frailty Symptom version: 0.1.0\n
\n Canonical URL: https://atrius.in/fhir/r4/atrius-in/ValueSet/atrius-vs-frailty-symptom|0.1.0\n \n
Value Set\n \n Description: Value set Advanced Illness\n \n
\n \n \n \n \n \n \n Resource: Atrius Advanced Illness version: 0.1.0\n
\n Canonical URL: https://atrius.in/fhir/r4/atrius-in/ValueSet/atrius-vs-advanced-illness|0.1.0\n \n
Value Set\n \n Description: Value set Dementia Medications\n \n
\n \n \n \n \n \n \n Resource: Atrius Dementia Medications version: 0.1.0\n
\n Canonical URL: https://atrius.in/fhir/r4/atrius-in/ValueSet/atrius-vs-dementia-medications|0.1.0\n \n
Value Set\n \n Description: Value set Palliative Care Diagnosis\n \n
\n \n \n \n \n \n \n Resource: Atrius Palliative Care Diagnosis version: 0.1.0\n
\n Canonical URL: https://atrius.in/fhir/r4/atrius-in/ValueSet/atrius-vs-palliative-care-diagnosis|0.1.0\n \n
Value Set\n \n Description: Value set Palliative Care Encounter\n \n
\n \n \n \n \n \n \n Resource: Atrius Palliative Care Encounter version: 0.1.0\n
\n Canonical URL: https://atrius.in/fhir/r4/atrius-in/ValueSet/atrius-vs-palliative-care-encounter|0.1.0\n \n
Value Set\n \n Description: Value set Palliative Care Intervention\n \n
\n \n \n \n \n \n \n Resource: Atrius Palliative Care Intervention version: 0.1.0\n
\n Canonical URL: https://atrius.in/fhir/r4/atrius-in/ValueSet/atrius-vs-palliative-care-intervention|0.1.0\n \n
Direct Reference Code\n \n Display: Blood pressure panel with all children optional\n
\n \n Code: 85354-9\n
\n System: http://loinc.org\n
Direct Reference Code\n \n Display: emergency\n
\n \n Code: EMER\n
\n System: http://terminology.hl7.org/CodeSystem/v3-ActCode\n
Direct Reference Code\n \n Display: inpatient encounter\n
\n \n Code: IMP\n
\n System: http://terminology.hl7.org/CodeSystem/v3-ActCode\n
Direct Reference Code\n \n Display: inpatient acute\n
\n \n Code: ACUTE\n
\n System: http://terminology.hl7.org/CodeSystem/v3-ActCode\n
Direct Reference Code\n \n Display: inpatient non-acute\n
\n \n Code: NONAC\n
\n System: http://terminology.hl7.org/CodeSystem/v3-ActCode\n
Direct Reference Code\n \n Display: pre-admission\n
\n \n Code: PRENC\n
\n System: http://terminology.hl7.org/CodeSystem/v3-ActCode\n
Direct Reference Code\n \n Display: short stay\n
\n \n Code: SS\n
\n System: http://terminology.hl7.org/CodeSystem/v3-ActCode\n
Direct Reference Code\n \n Display: Systolic blood pressure\n
\n \n Code: 8480-6\n
\n System: http://loinc.org\n
Direct Reference Code\n \n Display: Diastolic blood pressure\n
\n \n Code: 8462-4\n
\n System: http://loinc.org\n
Direct Reference Code\n \n Display: Confirmed\n
\n \n Code: confirmed\n
\n System: http://terminology.hl7.org/CodeSystem/condition-ver-status\n
Direct Reference Code\n \n Display: Unconfirmed\n
\n \n Code: unconfirmed\n
\n System: http://terminology.hl7.org/CodeSystem/condition-ver-status\n
Direct Reference Code\n \n Display: Provisional\n
\n \n Code: provisional\n
\n System: http://terminology.hl7.org/CodeSystem/condition-ver-status\n
Direct Reference Code\n \n Display: Differential\n
\n \n Code: differential\n
\n System: http://terminology.hl7.org/CodeSystem/condition-ver-status\n
Direct Reference Code\n \n Display: Active\n
\n \n Code: active\n
\n System: http://terminology.hl7.org/CodeSystem/condition-clinical\n
Direct Reference Code\n \n Display: Recurrence\n
\n \n Code: recurrence\n
\n System: http://terminology.hl7.org/CodeSystem/condition-clinical\n
Direct Reference Code\n \n Display: Relapse\n
\n \n Code: relapse\n
\n System: http://terminology.hl7.org/CodeSystem/condition-clinical\n
Direct Reference Code\n \n Display: Hospice\n
\n \n Code: hosp\n
\n System: http://terminology.hl7.org/CodeSystem/discharge-disposition\n
Direct Reference Code\n \n Display: Yes\n
\n \n Code: 373066001\n
\n System: http://snomed.info/sct\n
Direct Reference Code\n \n Display: Hospice care [Minimum Data Set]\n
\n \n Code: 45755-6\n
\n System: http://loinc.org\n
Direct Reference Code\n \n Display: Medical equipment used\n
\n \n Code: 98181-1\n
\n System: http://loinc.org\n
Direct Reference Code\n \n Display: Housing status\n
\n \n Code: 71802-3\n
\n System: http://loinc.org\n
Direct Reference Code\n \n Display: Lives in a nursing home\n
\n \n Code: 160734000\n
\n System: http://snomed.info/sct\n
Direct Reference Code\n \n Display: Functional Assessment of Chronic Illness Therapy - Palliative Care Questionnaire (FACIT-Pal)\n
\n \n Code: 71007-9\n
\n System: http://loinc.org\n
Dependencies
Dependency\n \n Description: AtriusIn model information\n \n
\n \n \n \n \n \n \n Resource: Atrius India Core Model Definition version: 0.1.0\n
\n Canonical URL: https://atrius.in/fhir/r4/atrius-in/Library/AtriusIn-ModelInfo|0.1.0\n \n
Dependency\n \n Description: Library FHIRHelpers\n \n
\n \n \n \n \n \n \n Resource: https://atrius.in/fhir/r4/atrius-in/Library/FHIRHelpers|4.4.000\n
\n Canonical URL: https://atrius.in/fhir/r4/atrius-in/Library/FHIRHelpers|4.4.000\n \n
Dependency\n \n Description: Library Status\n \n
\n \n \n \n \n \n \n Resource: https://atrius.in/fhir/r4/atrius-in/Library/AtriusStatus|1.15.000\n
\n Canonical URL: https://atrius.in/fhir/r4/atrius-in/Library/AtriusStatus|1.15.000\n \n
Dependency\n \n Description: Library Common\n \n
\n \n \n \n \n \n \n Resource: Atrius Common CQL version: 0.1.0\n
\n Canonical URL: https://atrius.in/fhir/r4/atrius-in/Library/AtriusCommon|0.1.0\n \n
Dependency\n \n Description: Library AdultOutpatientEncounters\n \n
\n \n \n \n \n \n \n Resource: https://atrius.in/fhir/r4/atrius-in/Library/AtriusAdultOutpatientEncounters|4.19.000\n
\n Canonical URL: https://atrius.in/fhir/r4/atrius-in/Library/AtriusAdultOutpatientEncounters|4.19.000\n \n
Dependency\n \n Description: Library Hospice\n \n
\n \n \n \n \n \n \n Resource: https://atrius.in/fhir/r4/atrius-in/Library/AtriusHospice|6.18.000\n
\n Canonical URL: https://atrius.in/fhir/r4/atrius-in/Library/AtriusHospice|6.18.000\n \n
Dependency\n \n Description: Library AIFrailLTCF\n \n
\n \n \n \n \n \n \n Resource: https://atrius.in/fhir/r4/atrius-in/Library/AtriusAdvancedIllnessAndFrailty|1.27.000\n
\n Canonical URL: https://atrius.in/fhir/r4/atrius-in/Library/AtriusAdvancedIllnessAndFrailty|1.27.000\n \n
Dependency\n \n Description: Library AtriusCumulativeMedicationDuration\n \n
\n \n \n \n \n \n \n Resource: https://atrius.in/fhir/r4/atrius-in/Library/AtriusCumulativeMedicationDuration|6.0.000\n
\n Canonical URL: https://atrius.in/fhir/r4/atrius-in/Library/AtriusCumulativeMedicationDuration|6.0.000\n \n
Dependency\n \n Description: Library PalliativeCare\n \n
\n \n \n \n \n \n \n Resource: https://atrius.in/fhir/r4/atrius-in/Library/AtriusPalliativeCare|1.18.000\n
\n Canonical URL: https://atrius.in/fhir/r4/atrius-in/Library/AtriusPalliativeCare|1.18.000\n \n
Data Requirements
Data Requirement\n Type: Encounter\n
\n \n Profile(s): \n \n Encounter version: 4.0.1\n
\n \n \n \n Must Support Elements: type, status, period\n
\n \n \n Code Filter(s): \n
\n \n \n Path: type\n
\n \n \n \n ValueSet: Atrius Encounter Inpatient version: 0.1.0\n
\n \n \n \n \n
Data Requirement\n Type: Encounter\n
\n \n Profile(s): \n \n Encounter version: 4.0.1\n
\n \n \n \n Must Support Elements: type, status, period\n
\n \n \n Code Filter(s): \n
\n \n \n Path: type\n
\n \n \n \n ValueSet: Atrius Emergency Department Evaluation and Management Visit version: 0.1.0\n
\n \n \n \n \n
Data Requirement\n Type: Encounter\n
\n \n Profile(s): \n \n Encounter version: 4.0.1\n
\n \n \n \n Must Support Elements: id, status, period\n
\n \n \n
Data Requirement\n Type: Encounter\n
\n \n Profile(s): \n \n Encounter version: 4.0.1\n
\n \n \n \n Must Support Elements: type, status, period\n
\n \n \n Code Filter(s): \n
\n \n \n Path: type\n
\n \n \n \n ValueSet: Atrius Office Visit version: 0.1.0\n
\n \n \n \n \n
Data Requirement\n Type: Encounter\n
\n \n Profile(s): \n \n Encounter version: 4.0.1\n
\n \n \n \n Must Support Elements: type, status, period\n
\n \n \n Code Filter(s): \n
\n \n \n Path: type\n
\n \n \n \n ValueSet: Atrius Annual Wellness Visit version: 0.1.0\n
\n \n \n \n \n
Data Requirement\n Type: Encounter\n
\n \n Profile(s): \n \n Encounter version: 4.0.1\n
\n \n \n \n Must Support Elements: type, status, period\n
\n \n \n Code Filter(s): \n
\n \n \n Path: type\n
\n \n \n \n ValueSet: Atrius Preventive Care Services Established Office Visit, 18 and Up version: 0.1.0\n
\n \n \n \n \n
Data Requirement\n Type: Encounter\n
\n \n Profile(s): \n \n Encounter version: 4.0.1\n
\n \n \n \n Must Support Elements: type, status, period\n
\n \n \n Code Filter(s): \n
\n \n \n Path: type\n
\n \n \n \n ValueSet: Atrius Preventive Care Services Initial Office Visit, 18 and Up version: 0.1.0\n
\n \n \n \n \n
Data Requirement\n Type: Encounter\n
\n \n Profile(s): \n \n Encounter version: 4.0.1\n
\n \n \n \n Must Support Elements: type, status, period\n
\n \n \n Code Filter(s): \n
\n \n \n Path: type\n
\n \n \n \n ValueSet: Atrius Home Healthcare Services version: 0.1.0\n
\n \n \n \n \n
Data Requirement\n Type: Encounter\n
\n \n Profile(s): \n \n Encounter version: 4.0.1\n
\n \n \n \n Must Support Elements: type, status, period\n
\n \n \n Code Filter(s): \n
\n \n \n Path: type\n
\n \n \n \n ValueSet: Atrius Virtual Encounter version: 0.1.0\n
\n \n \n \n \n
Data Requirement\n Type: Encounter\n
\n \n Profile(s): \n \n Encounter version: 4.0.1\n
\n \n \n \n Must Support Elements: type, status, period\n
\n \n \n Code Filter(s): \n
\n \n \n Path: type\n
\n \n \n \n ValueSet: Atrius Telephone Visits version: 0.1.0\n
\n \n \n \n \n
Data Requirement\n Type: Encounter\n
\n \n Profile(s): \n \n Encounter version: 4.0.1\n
\n \n \n \n Must Support Elements: type, hospitalization, hospitalization.dischargeDisposition, period, status\n
\n \n \n Code Filter(s): \n
\n \n \n Path: type\n
\n \n \n \n ValueSet: Atrius Encounter Inpatient version: 0.1.0\n
\n \n \n \n \n Path: hospitalization.dischargeDisposition\n
\n \n \n \n \n \n \n
Data Requirement\n Type: Encounter\n
\n \n Profile(s): \n \n Encounter version: 4.0.1\n
\n \n \n \n Must Support Elements: type, period, status\n
\n \n \n Code Filter(s): \n
\n \n \n Path: type\n
\n \n \n \n ValueSet: Atrius Hospice Encounter version: 0.1.0\n
\n \n \n \n \n
Data Requirement\n Type: Encounter\n
\n \n Profile(s): \n \n Encounter version: 4.0.1\n
\n \n \n \n Must Support Elements: type, period, status\n
\n \n \n Code Filter(s): \n
\n \n \n Path: type\n
\n \n \n \n ValueSet: Atrius ESRD Monthly Outpatient Services version: 0.1.0\n
\n \n \n \n \n
Data Requirement\n Type: Encounter\n
\n \n Profile(s): \n \n Encounter version: 4.0.1\n
\n \n \n \n Must Support Elements: type, status, period\n
\n \n \n Code Filter(s): \n
\n \n \n Path: type\n
\n \n \n \n ValueSet: Atrius Frailty Encounter version: 0.1.0\n
\n \n \n \n \n Path: status\n
\n \n \n \n \n Code(s): \n \n \n [not stated]: finished (finished)\n \n \n \n
\n \n \n \n
Data Requirement\n Type: Encounter\n
\n \n Profile(s): \n \n Encounter version: 4.0.1\n
\n \n \n \n Must Support Elements: type, status, period\n
\n \n \n Code Filter(s): \n
\n \n \n Path: type\n
\n \n \n \n ValueSet: Atrius Palliative Care Encounter version: 0.1.0\n
\n \n \n \n \n Path: status\n
\n \n \n \n \n Code(s): \n \n \n [not stated]: finished (finished)\n \n \n \n
\n \n \n \n
Data Requirement\n Type: Observation\n
\n \n Profile(s): \n \n Atrius India Core Observation Vital Signs version: 0.1.0\n
\n \n \n \n Must Support Elements: code, effective, status, component, encounter, encounter.class\n
\n \n \n Code Filter(s): \n
\n \n \n Path: code\n
\n \n \n \n \n Code(s): \n \n \n LOINC: 85354-9 (Blood pressure panel with all children optional)\n \n \n \n
\n \n \n \n
Data Requirement\n Type: Patient\n
\n \n Profile(s): \n \n Patient version: 4.0.1\n
\n \n \n \n \n
Data Requirement\n Type: Condition\n
\n \n Profile(s): \n \n Atrius India Core Condition Problems Health Concerns version: 0.1.0\n
\n \n \n \n Must Support Elements: code\n
\n \n \n Code Filter(s): \n
\n \n \n Path: code\n
\n \n \n \n ValueSet: Atrius Essential Hypertension version: 0.1.0\n
\n \n \n \n \n
Data Requirement\n Type: Condition\n
\n \n Profile(s): \n \n Atrius India Core Condition Problems Health Concerns version: 0.1.0\n
\n \n \n \n Must Support Elements: code\n
\n \n \n Code Filter(s): \n
\n \n \n Path: code\n
\n \n \n \n ValueSet: Atrius Hospice Diagnosis version: 0.1.0\n
\n \n \n \n \n
Data Requirement\n Type: Condition\n
\n \n Profile(s): \n \n Atrius India Core Condition Problems Health Concerns version: 0.1.0\n
\n \n \n \n Must Support Elements: code\n
\n \n \n Code Filter(s): \n
\n \n \n Path: code\n
\n \n \n \n ValueSet: Atrius Pregnancy version: 0.1.0\n
\n \n \n \n \n
Data Requirement\n Type: Condition\n
\n \n Profile(s): \n \n Atrius India Core Condition Problems Health Concerns version: 0.1.0\n
\n \n \n \n Must Support Elements: code\n
\n \n \n Code Filter(s): \n
\n \n \n Path: code\n
\n \n \n \n ValueSet: Atrius End Stage Renal Disease version: 0.1.0\n
\n \n \n \n \n
Data Requirement\n Type: Condition\n
\n \n Profile(s): \n \n Atrius India Core Condition Problems Health Concerns version: 0.1.0\n
\n \n \n \n Must Support Elements: code\n
\n \n \n Code Filter(s): \n
\n \n \n Path: code\n
\n \n \n \n ValueSet: Atrius Kidney Transplant Recipient version: 0.1.0\n
\n \n \n \n \n
Data Requirement\n Type: Condition\n
\n \n Profile(s): \n \n Atrius India Core Condition Problems Health Concerns version: 0.1.0\n
\n \n \n \n Must Support Elements: code\n
\n \n \n Code Filter(s): \n
\n \n \n Path: code\n
\n \n \n \n ValueSet: Atrius Chronic Kidney Disease, Stage 5 version: 0.1.0\n
\n \n \n \n \n
Data Requirement\n Type: Condition\n
\n \n Profile(s): \n \n Atrius India Core Condition Problems Health Concerns version: 0.1.0\n
\n \n \n \n Must Support Elements: code, verificationStatus\n
\n \n \n Code Filter(s): \n
\n \n \n Path: code\n
\n \n \n \n ValueSet: Atrius Frailty Diagnosis version: 0.1.0\n
\n \n \n \n \n
Data Requirement\n Type: Condition\n
\n \n Profile(s): \n \n Atrius India Core Condition Problems Health Concerns version: 0.1.0\n
\n \n \n \n Must Support Elements: code, verificationStatus\n
\n \n \n Code Filter(s): \n
\n \n \n Path: code\n
\n \n \n \n ValueSet: Atrius Advanced Illness version: 0.1.0\n
\n \n \n \n \n
Data Requirement\n Type: Condition\n
\n \n Profile(s): \n \n Atrius India Core Condition Problems Health Concerns version: 0.1.0\n
\n \n \n \n Must Support Elements: code, verificationStatus\n
\n \n \n Code Filter(s): \n
\n \n \n Path: code\n
\n \n \n \n ValueSet: Atrius Palliative Care Diagnosis version: 0.1.0\n
\n \n \n \n \n
Data Requirement\n Type: Condition\n
\n \n Profile(s): \n \n Atrius India Core Condition Encounter Diagnosis version: 0.1.0\n
\n \n \n \n Must Support Elements: code\n
\n \n \n Code Filter(s): \n
\n \n \n Path: code\n
\n \n \n \n ValueSet: Atrius Essential Hypertension version: 0.1.0\n
\n \n \n \n \n
Data Requirement\n Type: Condition\n
\n \n Profile(s): \n \n Atrius India Core Condition Encounter Diagnosis version: 0.1.0\n
\n \n \n \n Must Support Elements: code\n
\n \n \n Code Filter(s): \n
\n \n \n Path: code\n
\n \n \n \n ValueSet: Atrius Hospice Diagnosis version: 0.1.0\n
\n \n \n \n \n
Data Requirement\n Type: Condition\n
\n \n Profile(s): \n \n Atrius India Core Condition Encounter Diagnosis version: 0.1.0\n
\n \n \n \n Must Support Elements: code\n
\n \n \n Code Filter(s): \n
\n \n \n Path: code\n
\n \n \n \n ValueSet: Atrius Pregnancy version: 0.1.0\n
\n \n \n \n \n
Data Requirement\n Type: Condition\n
\n \n Profile(s): \n \n Atrius India Core Condition Encounter Diagnosis version: 0.1.0\n
\n \n \n \n Must Support Elements: code\n
\n \n \n Code Filter(s): \n
\n \n \n Path: code\n
\n \n \n \n ValueSet: Atrius End Stage Renal Disease version: 0.1.0\n
\n \n \n \n \n
Data Requirement\n Type: Condition\n
\n \n Profile(s): \n \n Atrius India Core Condition Encounter Diagnosis version: 0.1.0\n
\n \n \n \n Must Support Elements: code\n
\n \n \n Code Filter(s): \n
\n \n \n Path: code\n
\n \n \n \n ValueSet: Atrius Kidney Transplant Recipient version: 0.1.0\n
\n \n \n \n \n
Data Requirement\n Type: Condition\n
\n \n Profile(s): \n \n Atrius India Core Condition Encounter Diagnosis version: 0.1.0\n
\n \n \n \n Must Support Elements: code\n
\n \n \n Code Filter(s): \n
\n \n \n Path: code\n
\n \n \n \n ValueSet: Atrius Chronic Kidney Disease, Stage 5 version: 0.1.0\n
\n \n \n \n \n
Data Requirement\n Type: Condition\n
\n \n Profile(s): \n \n Atrius India Core Condition Encounter Diagnosis version: 0.1.0\n
\n \n \n \n Must Support Elements: code, verificationStatus\n
\n \n \n Code Filter(s): \n
\n \n \n Path: code\n
\n \n \n \n ValueSet: Atrius Frailty Diagnosis version: 0.1.0\n
\n \n \n \n \n
Data Requirement\n Type: Condition\n
\n \n Profile(s): \n \n Atrius India Core Condition Encounter Diagnosis version: 0.1.0\n
\n \n \n \n Must Support Elements: code, verificationStatus\n
\n \n \n Code Filter(s): \n
\n \n \n Path: code\n
\n \n \n \n ValueSet: Atrius Advanced Illness version: 0.1.0\n
\n \n \n \n \n
Data Requirement\n Type: Condition\n
\n \n Profile(s): \n \n Atrius India Core Condition Encounter Diagnosis version: 0.1.0\n
\n \n \n \n Must Support Elements: code, verificationStatus\n
\n \n \n Code Filter(s): \n
\n \n \n Path: code\n
\n \n \n \n ValueSet: Atrius Palliative Care Diagnosis version: 0.1.0\n
\n \n \n \n \n
Data Requirement\n Type: Observation\n
\n \n Profile(s): \n \n Atrius India Core Observation General Assessment version: 0.1.0\n
\n \n \n \n Must Support Elements: code, value, effective\n
\n \n \n Code Filter(s): \n
\n \n \n Path: code\n
\n \n \n \n \n Code(s): \n \n \n LOINC: 45755-6 (Hospice care [Minimum Data Set])\n \n \n \n
\n \n \n \n Path: value\n
\n \n \n \n \n \n \n
Data Requirement\n Type: Observation\n
\n \n Profile(s): \n \n Atrius India Core Observation General Assessment version: 0.1.0\n
\n \n \n \n Must Support Elements: code, status, effective\n
\n \n \n Code Filter(s): \n
\n \n \n Path: code\n
\n \n \n \n \n Code(s): \n \n \n LOINC: 71007-9 (Functional Assessment of Chronic Illness Therapy - Palliative Care Questionnaire (FACIT-Pal))\n \n \n \n
\n \n \n \n
Data Requirement\n Type: ServiceRequest\n
\n \n Profile(s): \n \n ServiceRequest version: 4.0.1\n
\n \n \n \n Must Support Elements: code, authoredOn, status, intent\n
\n \n \n Code Filter(s): \n
\n \n \n Path: code\n
\n \n \n \n ValueSet: Atrius Hospice Care Ambulatory version: 0.1.0\n
\n \n \n \n \n
Data Requirement\n Type: Procedure\n
\n \n Profile(s): \n \n Procedure version: 4.0.1\n
\n \n \n \n Must Support Elements: code, performed, status\n
\n \n \n Code Filter(s): \n
\n \n \n Path: code\n
\n \n \n \n ValueSet: Atrius Hospice Care Ambulatory version: 0.1.0\n
\n \n \n \n \n
Data Requirement\n Type: Procedure\n
\n \n Profile(s): \n \n Procedure version: 4.0.1\n
\n \n \n \n Must Support Elements: code, status, performed\n
\n \n \n Code Filter(s): \n
\n \n \n Path: code\n
\n \n \n \n ValueSet: Atrius Kidney Transplant version: 0.1.0\n
\n \n \n \n \n
Data Requirement\n Type: Procedure\n
\n \n Profile(s): \n \n Procedure version: 4.0.1\n
\n \n \n \n Must Support Elements: code, status, performed\n
\n \n \n Code Filter(s): \n
\n \n \n Path: code\n
\n \n \n \n ValueSet: Atrius Dialysis Services version: 0.1.0\n
\n \n \n \n \n
Data Requirement\n Type: Procedure\n
\n \n Profile(s): \n \n Procedure version: 4.0.1\n
\n \n \n \n Must Support Elements: code, status, performed\n
\n \n \n Code Filter(s): \n
\n \n \n Path: code\n
\n \n \n \n ValueSet: Atrius Palliative Care Intervention version: 0.1.0\n
\n \n \n \n \n Path: status\n
\n \n \n \n \n Code(s): \n \n \n [not stated]: completed (completed)\n \n \n \n
\n \n \n \n
Data Requirement\n Type: DeviceRequest\n
\n \n Profile(s): \n \n DeviceRequest version: 4.0.1\n
\n \n \n \n Must Support Elements: code, status, intent, authoredOn\n
\n \n \n Code Filter(s): \n
\n \n \n Path: code\n
\n \n \n \n ValueSet: Atrius Frailty Device version: 0.1.0\n
\n \n \n \n \n
Data Requirement\n Type: Observation\n
\n \n Profile(s): \n \n Observation version: 4.0.1\n
\n \n \n \n Must Support Elements: code, status, value\n
\n \n \n Code Filter(s): \n
\n \n \n Path: code\n
\n \n \n \n \n Code(s): \n \n \n LOINC: 98181-1 (Medical equipment used)\n \n \n \n
\n \n \n \n Path: value\n
\n \n \n \n ValueSet: Atrius Frailty Device version: 0.1.0\n
\n \n \n \n \n
Data Requirement\n Type: Observation\n
\n \n Profile(s): \n \n Observation version: 4.0.1\n
\n \n \n \n Must Support Elements: code, status\n
\n \n \n Code Filter(s): \n
\n \n \n Path: code\n
\n \n \n \n ValueSet: Atrius Frailty Symptom version: 0.1.0\n
\n \n \n \n \n
Data Requirement\n Type: Observation\n
\n \n Profile(s): \n \n Observation version: 4.0.1\n
\n \n \n \n Must Support Elements: code, status\n
\n \n \n Code Filter(s): \n
\n \n \n Path: code\n
\n \n \n \n \n Code(s): \n \n \n LOINC: 71802-3 (Housing status)\n \n \n \n
\n \n \n \n
Data Requirement\n Type: Observation\n
\n \n Profile(s): \n \n Observation version: 4.0.1\n
\n \n \n \n Must Support Elements: code, status, value\n
\n \n \n Code Filter(s): \n
\n \n \n Path: code\n
\n \n \n \n \n Code(s): \n \n \n LOINC: 71802-3 (Housing status)\n \n \n \n
\n \n \n \n Path: value\n
\n \n \n \n \n \n \n
Data Requirement\n Type: Medication\n
\n \n Profile(s): \n \n Medication version: 4.0.1\n
\n \n \n \n Must Support Elements: id, code\n
\n \n \n Code Filter(s): \n
\n \n \n Path: code\n
\n \n \n \n ValueSet: Atrius Dementia Medications version: 0.1.0\n
\n \n \n \n \n
Data Requirement\n Type: MedicationRequest\n
\n \n Profile(s): \n \n MedicationRequest version: 4.0.1\n
\n \n \n \n Must Support Elements: medication.reference, dosageInstruction, dispenseRequest, dispenseRequest.expectedSupplyDuration, dispenseRequest.quantity, dispenseRequest.numberOfRepeatsAllowed, dispenseRequest.numberOfRepeatsAllowed.value, authoredOn, dispenseRequest.validityPeriod, status, intent\n
\n \n \n
Data Requirement\n Type: MedicationRequest\n
\n \n Profile(s): \n \n MedicationRequest version: 4.0.1\n
\n \n \n \n Must Support Elements: medication, dosageInstruction, dispenseRequest, dispenseRequest.expectedSupplyDuration, dispenseRequest.quantity, dispenseRequest.numberOfRepeatsAllowed, dispenseRequest.numberOfRepeatsAllowed.value, authoredOn, dispenseRequest.validityPeriod, status, intent\n
\n \n \n Code Filter(s): \n
\n \n \n Path: medication\n
\n \n \n \n ValueSet: Atrius Dementia Medications version: 0.1.0\n
\n \n \n \n \n
Parameters
\n\n\n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n
NameUseCard.TypeDocumentation
Measurement PeriodIn0..1Period\n
ErrorLevelIn0..1string\n
NumeratorOut0..1boolean\n
DenominatorOut0..1boolean\n
Initial PopulationOut0..1boolean\n
Denominator ExclusionsOut0..1boolean\n
\n
Generated using version 0.5.4 of the sample-content-ig Liquid templates
\n
" ] ; fhir:DomainResource.contained [ a fhir:Library ; fhir:index -1 ; fhir:Resource.id [ fhir:value "effective-data-requirements" ] ; fhir:DomainResource.extension [ fhir:index -1 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode" ] ; fhir:Extension.valueCoding [ a loinc:85354-9 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "85354-9" ] ; fhir:Coding.display [ fhir:value "Blood pressure panel with all children optional" ] ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode" ] ; fhir:Extension.valueCoding [ fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ActCode" ] ; fhir:Coding.code [ fhir:value "EMER" ] ; fhir:Coding.display [ fhir:value "emergency" ] ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode" ] ; fhir:Extension.valueCoding [ fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ActCode" ] ; fhir:Coding.code [ fhir:value "IMP" ] ; fhir:Coding.display [ fhir:value "inpatient encounter" ] ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode" ] ; fhir:Extension.valueCoding [ fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ActCode" ] ; fhir:Coding.code [ fhir:value "ACUTE" ] ; fhir:Coding.display [ fhir:value "inpatient acute" ] ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode" ] ; fhir:Extension.valueCoding [ fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ActCode" ] ; fhir:Coding.code [ fhir:value "NONAC" ] ; fhir:Coding.display [ fhir:value "inpatient non-acute" ] ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode" ] ; fhir:Extension.valueCoding [ fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ActCode" ] ; fhir:Coding.code [ fhir:value "PRENC" ] ; fhir:Coding.display [ fhir:value "pre-admission" ] ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode" ] ; fhir:Extension.valueCoding [ fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ActCode" ] ; fhir:Coding.code [ fhir:value "SS" ] ; fhir:Coding.display [ fhir:value "short stay" ] ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode" ] ; fhir:Extension.valueCoding [ a loinc:8480-6 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "8480-6" ] ; fhir:Coding.display [ fhir:value "Systolic blood pressure" ] ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode" ] ; fhir:Extension.valueCoding [ a loinc:8462-4 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "8462-4" ] ; fhir:Coding.display [ fhir:value "Diastolic blood pressure" ] ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode" ] ; fhir:Extension.valueCoding [ fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/condition-ver-status" ] ; fhir:Coding.code [ fhir:value "confirmed" ] ; fhir:Coding.display [ fhir:value "Confirmed" ] ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode" ] ; fhir:Extension.valueCoding [ fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/condition-ver-status" ] ; fhir:Coding.code [ fhir:value "unconfirmed" ] ; fhir:Coding.display [ fhir:value "Unconfirmed" ] ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode" ] ; fhir:Extension.valueCoding [ fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/condition-ver-status" ] ; fhir:Coding.code [ fhir:value "provisional" ] ; fhir:Coding.display [ fhir:value "Provisional" ] ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode" ] ; fhir:Extension.valueCoding [ fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/condition-ver-status" ] ; fhir:Coding.code [ fhir:value "differential" ] ; fhir:Coding.display [ fhir:value "Differential" ] ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode" ] ; fhir:Extension.valueCoding [ fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/condition-clinical" ] ; fhir:Coding.code [ fhir:value "active" ] ; fhir:Coding.display [ fhir:value "Active" ] ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode" ] ; fhir:Extension.valueCoding [ fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/condition-clinical" ] ; fhir:Coding.code [ fhir:value "recurrence" ] ; fhir:Coding.display [ fhir:value "Recurrence" ] ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode" ] ; fhir:Extension.valueCoding [ fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/condition-clinical" ] ; fhir:Coding.code [ fhir:value "relapse" ] ; fhir:Coding.display [ fhir:value "Relapse" ] ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode" ] ; fhir:Extension.valueCoding [ fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/discharge-disposition" ] ; fhir:Coding.code [ fhir:value "hosp" ] ; fhir:Coding.display [ fhir:value "Hospice" ] ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode" ] ; fhir:Extension.valueCoding [ a sct:373066001 ; fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ; fhir:Coding.code [ fhir:value "373066001" ] ; fhir:Coding.display [ fhir:value "Yes" ] ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode" ] ; fhir:Extension.valueCoding [ a loinc:45755-6 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "45755-6" ] ; fhir:Coding.display [ fhir:value "Hospice care [Minimum Data Set]" ] ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode" ] ; fhir:Extension.valueCoding [ a loinc:98181-1 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "98181-1" ] ; fhir:Coding.display [ fhir:value "Medical equipment used" ] ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode" ] ; fhir:Extension.valueCoding [ a loinc:71802-3 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "71802-3" ] ; fhir:Coding.display [ fhir:value "Housing status" ] ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode" ] ; fhir:Extension.valueCoding [ a sct:160734000 ; fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ; fhir:Coding.code [ fhir:value "160734000" ] ; fhir:Coding.display [ fhir:value "Lives in a nursing home" ] ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode" ] ; fhir:Extension.valueCoding [ a loinc:71007-9 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "71007-9" ] ; fhir:Coding.display [ fhir:value "Functional Assessment of Chronic Illness Therapy - Palliative Care Questionnaire (FACIT-Pal)" ] ] ], [ fhir:index -1 ; fhir:Element.extension [ fhir:index -1 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "AtriusCMS165ControllingHighBP" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "Inpatient and ED Encounters" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "define \"Inpatient and ED Encounters\":\n ( [Encounter: \"Encounter Inpatient\"]\n union [Encounter: \"Emergency Department Evaluation and Management Visit\"]\n ).isEncounterPerformed()" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "0"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index -1 ; fhir:Element.extension [ fhir:index -1 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "AtriusCMS165ControllingHighBP" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "Qualifying Blood Pressure Reading" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "define \"Qualifying Blood Pressure Reading\":\n (\n [ObservationVitalSigns: \"Blood pressure panel with all children optional\"] BloodPressure\n without \"Inpatient and ED Encounters\" DisqualifyingEncounter\n such that BloodPressure.effective.latest()\n during day of FHIRHelpers.ToInterval(DisqualifyingEncounter.period as FHIR.Period)\n where BloodPressure.status in { 'final', 'amended', 'corrected' }\n and BloodPressure.effective.latest() during day of \"Measurement Period\"\n )\n union (\n [ObservationVitalSigns: \"Blood pressure panel with all children optional\"] BloodPressure\n where BloodPressure.status in { 'final', 'amended', 'corrected' }\n and (\n BloodPressure.encounter is null\n or not (\n FHIRHelpers.ToCode(BloodPressure.encounter.getEncounter().class) in {\n Common.\"emergency\",\n Common.\"inpatient encounter\",\n Common.\"inpatient acute\",\n Common.\"inpatient non-acute\",\n Common.\"pre-admission\",\n Common.\"short stay\"\n }\n )\n )\n and BloodPressure.effective.latest() during day of \"Measurement Period\"\n )" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "1"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index -1 ; fhir:Element.extension [ fhir:index -1 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "AtriusCMS165ControllingHighBP" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "Blood Pressure Days" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "define \"Blood Pressure Days\":\n \"Qualifying Blood Pressure Reading\" BPExam\n return date from BPExam.effective.latest ( )" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "2"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index -1 ; fhir:Element.extension [ fhir:index -1 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "AtriusCMS165ControllingHighBP" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "Most Recent Blood Pressure Day" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "define \"Most Recent Blood Pressure Day\":\n Last(\"Blood Pressure Days\" BPDays\n sort asc\n )" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "3"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index -1 ; fhir:Element.extension [ fhir:index -1 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "AtriusCMS165ControllingHighBP" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "Lowest Systolic Reading on Most Recent Blood Pressure Day" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "define \"Lowest Systolic Reading on Most Recent Blood Pressure Day\":\n First(\"Qualifying Blood Pressure Reading\" SBPReading\n where SBPReading.effective.latest() same day as \"Most Recent Blood Pressure Day\"\n return singleton from(SBPReading.component SBPComponent\n where SBPComponent.code ~ \"Systolic blood pressure\"\n return SBPComponent.value as Quantity\n )\n sort asc\n )" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "4"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index -1 ; fhir:Element.extension [ fhir:index -1 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "AtriusCMS165ControllingHighBP" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "Has Systolic Blood Pressure Less Than 140" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "define \"Has Systolic Blood Pressure Less Than 140\":\n \"Lowest Systolic Reading on Most Recent Blood Pressure Day\" < 140 'mm[Hg]'" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "5"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index -1 ; fhir:Element.extension [ fhir:index -1 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "AtriusCMS165ControllingHighBP" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "Lowest Diastolic Reading on Most Recent Blood Pressure Day" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "define \"Lowest Diastolic Reading on Most Recent Blood Pressure Day\":\n First(\"Qualifying Blood Pressure Reading\" DBPReading\n where DBPReading.effective.latest() same day as \"Most Recent Blood Pressure Day\"\n return singleton from(DBPReading.component DBPComponent\n where DBPComponent.code ~ \"Diastolic blood pressure\"\n return DBPComponent.value as Quantity\n )\n sort asc\n )" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "6"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index -1 ; fhir:Element.extension [ fhir:index -1 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "AtriusCMS165ControllingHighBP" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "Has Diastolic Blood Pressure Less Than 90" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "define \"Has Diastolic Blood Pressure Less Than 90\":\n \"Lowest Diastolic Reading on Most Recent Blood Pressure Day\" < 90 'mm[Hg]'" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "7"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index -1 ; fhir:Element.extension [ fhir:index -1 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "AtriusCMS165ControllingHighBP" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "Numerator" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "define \"Numerator\":\n \"Has Systolic Blood Pressure Less Than 140\"\n and \"Has Diastolic Blood Pressure Less Than 90\"" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "8"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index -1 ; fhir:Element.extension [ fhir:index -1 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "AtriusCMS165ControllingHighBP" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "Essential Hypertension Diagnosis" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "define \"Essential Hypertension Diagnosis\":\n ( ( [ConditionProblemsHealthConcerns: \"Essential Hypertension\"]\n union [ConditionEncounterDiagnosis: \"Essential Hypertension\"]\n ).verified ( ) ) Hypertension\n where Hypertension.prevalenceInterval ( ) overlaps Interval[start of \"Measurement Period\", start of \"Measurement Period\" + 6 months )" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "9"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index -1 ; fhir:Element.extension [ fhir:index -1 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "AtriusAdultOutpatientEncounters" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "Qualifying Encounters" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "define \"Qualifying Encounters\":\n (\n (\n [Encounter: \"Office Visit\"]\n union [Encounter: \"Annual Wellness Visit\"]\n union [Encounter: \"Preventive Care Services Established Office Visit, 18 and Up\"]\n union [Encounter: \"Preventive Care Services Initial Office Visit, 18 and Up\"]\n union [Encounter: \"Home Healthcare Services\"]\n union [Encounter: \"Virtual Encounter\"]\n union [Encounter: \"Telephone Visits\"]\n ).isEncounterPerformed()\n ) ValidEncounter\n where FHIRHelpers.ToInterval(ValidEncounter.period as FHIR.Period) during day of \"Measurement Period\"" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "10"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index -1 ; fhir:Element.extension [ fhir:index -1 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "AtriusCMS165ControllingHighBP" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "Initial Population" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "define \"Initial Population\":\n AgeInYearsAt(end of \"Measurement Period\") in Interval[18, 85]\n and exists \"Essential Hypertension Diagnosis\"\n and exists AdultOutpatientEncounters.\"Qualifying Encounters\"" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "11"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index -1 ; fhir:Element.extension [ fhir:index -1 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "AtriusCMS165ControllingHighBP" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "Denominator" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "define \"Denominator\":\n \"Initial Population\"" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "12"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index -1 ; fhir:Element.extension [ fhir:index -1 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "AtriusHospice" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "Has Hospice Services" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "define \"Has Hospice Services\":\n exists ( ( ( [Encounter: \"Encounter Inpatient\"] ).isEncounterPerformed() ) InpatientEncounter\n where FHIRHelpers.ToConcept(InpatientEncounter.hospitalization.dischargeDisposition) ~ \"Hospice (HL7 discharge)\"\n and FHIRHelpers.ToInterval(InpatientEncounter.period as FHIR.Period) ends during day of \"Measurement Period\"\n )\n or exists ( ( ( [Encounter: \"Hospice Encounter\"] ).isEncounterPerformed() ) HospiceEncounter\n where FHIRHelpers.ToInterval(HospiceEncounter.period as FHIR.Period) overlaps day of \"Measurement Period\"\n )\n or exists ( ( ( [ObservationGeneralAssessment: \"Hospice care [Minimum Data Set]\"] ).isAssessmentPerformed() ) HospiceAssessment\n where FHIRHelpers.ToConcept(HospiceAssessment.value as FHIR.CodeableConcept) ~ \"Yes (qualifier value)\"\n and HospiceAssessment.effective.toObservationEffectiveInterval() overlaps day of \"Measurement Period\"\n )\n or exists ( ( ( [ServiceRequest: \"Hospice Care Ambulatory\"] ).isInterventionOrder() ) HospiceOrder\n where FHIRHelpers.ToDateTime(HospiceOrder.authoredOn) during day of \"Measurement Period\"\n )\n or exists ( ( ( [Procedure: \"Hospice Care Ambulatory\"] ).isInterventionPerformed() ) HospicePerformed\n where HospicePerformed.performed.toPerformedInterval() overlaps day of \"Measurement Period\"\n )\n or exists ( ( (\n [ConditionProblemsHealthConcerns: \"Hospice Diagnosis\"]\n union [ConditionEncounterDiagnosis: \"Hospice Diagnosis\"]\n ).verified() ) HospiceCareDiagnosis\n where HospiceCareDiagnosis.prevalenceInterval() overlaps day of \"Measurement Period\"\n )" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "13"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index -1 ; fhir:Element.extension [ fhir:index -1 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "AtriusCMS165ControllingHighBP" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "Pregnancy or Renal Diagnosis" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "define \"Pregnancy or Renal Diagnosis\":\n ( ( [ConditionProblemsHealthConcerns: \"Pregnancy\"]\n union [ConditionEncounterDiagnosis: \"Pregnancy\"]\n union [ConditionProblemsHealthConcerns: \"End Stage Renal Disease\"]\n union [ConditionEncounterDiagnosis: \"End Stage Renal Disease\"]\n union [ConditionProblemsHealthConcerns: \"Kidney Transplant Recipient\"]\n union [ConditionEncounterDiagnosis: \"Kidney Transplant Recipient\"]\n union [ConditionProblemsHealthConcerns: \"Chronic Kidney Disease, Stage 5\"]\n union [ConditionEncounterDiagnosis: \"Chronic Kidney Disease, Stage 5\"]\n ).verified ( ) ) PregnancyESRDDiagnosis\n where PregnancyESRDDiagnosis.prevalenceInterval ( ) overlaps \"Measurement Period\"" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "14"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index -1 ; fhir:Element.extension [ fhir:index -1 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "AtriusCMS165ControllingHighBP" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "End Stage Renal Disease Procedures" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "define \"End Stage Renal Disease Procedures\":\n ( ([Procedure: \"Kidney Transplant\"]\n union [Procedure: \"Dialysis Services\"]\n ).isProcedurePerformed() ) ESRDProcedure\n where ESRDProcedure.performed.toPerformedInterval() ends on or before end of \"Measurement Period\"" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "15"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index -1 ; fhir:Element.extension [ fhir:index -1 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "AtriusCMS165ControllingHighBP" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "End Stage Renal Disease Encounter" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "define \"End Stage Renal Disease Encounter\":\n ( ([Encounter: \"ESRD Monthly Outpatient Services\"]).isEncounterPerformed() ) ESRDEncounter\n where FHIRHelpers.ToInterval(ESRDEncounter.period as FHIR.Period) starts on or before end of \"Measurement Period\"" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "16"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index -1 ; fhir:Element.extension [ fhir:index -1 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "AtriusAdvancedIllnessAndFrailty" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "Has Frailty Device Order" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "define \"Has Frailty Device Order\":\n exists (\n [DeviceRequest: \"Frailty Device\"] FrailtyDeviceOrder\n where FrailtyDeviceOrder.status in { 'active', 'completed' }\n and FrailtyDeviceOrder.intent in {\n 'order', 'original-order', 'reflex-order', 'filler-order', 'instance-order'\n }\n and Interval[\n FHIRHelpers.ToDateTime(FrailtyDeviceOrder.authoredOn),\n FHIRHelpers.ToDateTime(FrailtyDeviceOrder.authoredOn)\n ] during day of \"Measurement Period\"\n )" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "17"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index -1 ; fhir:Element.extension [ fhir:index -1 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "AtriusAdvancedIllnessAndFrailty" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "Has Frailty Equipment Observation" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "define \"Has Frailty Equipment Observation\":\n exists (\n [Observation: \"Medical equipment used\"] EquipmentUsed\n where EquipmentUsed.status in { 'final', 'amended', 'corrected' }\n and EquipmentUsed.value is FHIR.CodeableConcept\n and FHIRHelpers.ToConcept(EquipmentUsed.value as FHIR.CodeableConcept) in \"Frailty Device\"\n and end of EquipmentUsed.observationEffectiveInterval() during day of \"Measurement Period\"\n )" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "18"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index -1 ; fhir:Element.extension [ fhir:index -1 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "AtriusAdvancedIllnessAndFrailty" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "Has Frailty Diagnosis" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "define \"Has Frailty Diagnosis\":\n exists (\n [ConditionProblemsHealthConcerns: \"Frailty Diagnosis\"] FrailtyProblem\n where (\n FrailtyProblem.verificationStatus is null\n or FHIRHelpers.ToConcept(FrailtyProblem.verificationStatus) ~ \"confirmed\"\n or FHIRHelpers.ToConcept(FrailtyProblem.verificationStatus) ~ \"unconfirmed\"\n or FHIRHelpers.ToConcept(FrailtyProblem.verificationStatus) ~ \"provisional\"\n or FHIRHelpers.ToConcept(FrailtyProblem.verificationStatus) ~ \"differential\"\n )\n and FrailtyProblem.prevalenceInterval() overlaps day of \"Measurement Period\"\n )\n or exists (\n [ConditionEncounterDiagnosis: \"Frailty Diagnosis\"] FrailtyEncounterDiagnosis\n where (\n FrailtyEncounterDiagnosis.verificationStatus is null\n or FHIRHelpers.ToConcept(FrailtyEncounterDiagnosis.verificationStatus) ~ \"confirmed\"\n or FHIRHelpers.ToConcept(FrailtyEncounterDiagnosis.verificationStatus) ~ \"unconfirmed\"\n or FHIRHelpers.ToConcept(FrailtyEncounterDiagnosis.verificationStatus) ~ \"provisional\"\n or FHIRHelpers.ToConcept(FrailtyEncounterDiagnosis.verificationStatus) ~ \"differential\"\n )\n and FrailtyEncounterDiagnosis.prevalenceInterval() overlaps day of \"Measurement Period\"\n )" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "19"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index -1 ; fhir:Element.extension [ fhir:index -1 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "AtriusAdvancedIllnessAndFrailty" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "Has Frailty Encounter" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "define \"Has Frailty Encounter\":\n exists (\n [Encounter: \"Frailty Encounter\"] FrailtyEncounter\n where FrailtyEncounter.status = 'finished'\n and FHIRHelpers.ToInterval(FrailtyEncounter.period as FHIR.Period) overlaps day of \"Measurement Period\"\n )" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "20"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index -1 ; fhir:Element.extension [ fhir:index -1 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "AtriusAdvancedIllnessAndFrailty" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "Has Frailty Symptom Observation" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "define \"Has Frailty Symptom Observation\":\n exists (\n [Observation: \"Frailty Symptom\"] FrailtySymptom\n where FrailtySymptom.status in { 'preliminary', 'final', 'amended', 'corrected' }\n and FrailtySymptom.observationEffectiveInterval() overlaps day of \"Measurement Period\"\n )" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "21"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index -1 ; fhir:Element.extension [ fhir:index -1 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "AtriusAdvancedIllnessAndFrailty" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "Has Criteria Indicating Frailty" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "define \"Has Criteria Indicating Frailty\":\n \"Has Frailty Device Order\"\n or \"Has Frailty Equipment Observation\"\n or \"Has Frailty Diagnosis\"\n or \"Has Frailty Encounter\"\n or \"Has Frailty Symptom Observation\"" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "22"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index -1 ; fhir:Element.extension [ fhir:index -1 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "AtriusAdvancedIllnessAndFrailty" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "Has Advanced Illness in Year Before or During Measurement Period" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "define \"Has Advanced Illness in Year Before or During Measurement Period\":\n exists (\n [ConditionProblemsHealthConcerns: \"Advanced Illness\"] AdvancedIllnessProblem\n where (\n AdvancedIllnessProblem.verificationStatus is null\n or FHIRHelpers.ToConcept(AdvancedIllnessProblem.verificationStatus) ~ \"confirmed\"\n or FHIRHelpers.ToConcept(AdvancedIllnessProblem.verificationStatus) ~ \"unconfirmed\"\n or FHIRHelpers.ToConcept(AdvancedIllnessProblem.verificationStatus) ~ \"provisional\"\n or FHIRHelpers.ToConcept(AdvancedIllnessProblem.verificationStatus) ~ \"differential\"\n )\n and start of AdvancedIllnessProblem.prevalenceInterval() during day of Interval[\n start of \"Measurement Period\" - 1 year,\n end of \"Measurement Period\"\n ]\n )\n or exists (\n [ConditionEncounterDiagnosis: \"Advanced Illness\"] AdvancedIllnessEncounterDiagnosis\n where (\n AdvancedIllnessEncounterDiagnosis.verificationStatus is null\n or FHIRHelpers.ToConcept(AdvancedIllnessEncounterDiagnosis.verificationStatus) ~ \"confirmed\"\n or FHIRHelpers.ToConcept(AdvancedIllnessEncounterDiagnosis.verificationStatus) ~ \"unconfirmed\"\n or FHIRHelpers.ToConcept(AdvancedIllnessEncounterDiagnosis.verificationStatus) ~ \"provisional\"\n or FHIRHelpers.ToConcept(AdvancedIllnessEncounterDiagnosis.verificationStatus) ~ \"differential\"\n )\n and start of AdvancedIllnessEncounterDiagnosis.prevalenceInterval() during day of Interval[\n start of \"Measurement Period\" - 1 year,\n end of \"Measurement Period\"\n ]\n )" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "23"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index -1 ; fhir:Element.extension [ fhir:index -1 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "AtriusAdvancedIllnessAndFrailty" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "Has Dementia Medications in Year Before or During Measurement Period" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "define \"Has Dementia Medications in Year Before or During Measurement Period\":\n exists (\n [MedicationRequest: \"Dementia Medications\"] DementiaMedication\n where DementiaMedication.status = 'active'\n and DementiaMedication.intent in {\n 'order', 'original-order', 'reflex-order', 'filler-order', 'instance-order'\n }\n and DementiaMedication.medicationRequestPeriod() overlaps day of Interval[\n start of \"Measurement Period\" - 1 year,\n end of \"Measurement Period\"\n ]\n )" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "24"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index -1 ; fhir:Element.extension [ fhir:index -1 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "AtriusAdvancedIllnessAndFrailty" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "Is Age 66 to 80 with Advanced Illness and Frailty or Is Age 81 or Older with Frailty" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "define \"Is Age 66 to 80 with Advanced Illness and Frailty or Is Age 81 or Older with Frailty\":\n (\n AgeInYearsAt(date from end of \"Measurement Period\") in Interval[66, 80]\n and \"Has Criteria Indicating Frailty\"\n and (\n \"Has Advanced Illness in Year Before or During Measurement Period\"\n or \"Has Dementia Medications in Year Before or During Measurement Period\"\n )\n )\n or (\n AgeInYearsAt(date from end of \"Measurement Period\") >= 81\n and \"Has Criteria Indicating Frailty\"\n )" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "25"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index -1 ; fhir:Element.extension [ fhir:index -1 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "AtriusCMS165ControllingHighBP" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "Has Advanced Illness Frailty Exclusion" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "define \"Has Advanced Illness Frailty Exclusion\":\n AIFrailLTCF.\"Is Age 66 to 80 with Advanced Illness and Frailty or Is Age 81 or Older with Frailty\"" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "26"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index -1 ; fhir:Element.extension [ fhir:index -1 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "AtriusAdvancedIllnessAndFrailty" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "Is Age 66 or Older Living Long Term in a Nursing Home" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "define \"Is Age 66 or Older Living Long Term in a Nursing Home\":\n AgeInYearsAt(date from end of \"Measurement Period\") >= 66\n and (\n (\n Last(\n [Observation: \"Housing status\"] HousingStatus\n where HousingStatus.status in { 'final', 'amended', 'corrected' }\n and end of HousingStatus.observationEffectiveInterval() on or before day of end of \"Measurement Period\"\n sort by end of observationEffectiveInterval() asc\n )\n ) LastHousingStatus\n where LastHousingStatus.value is FHIR.CodeableConcept\n and FHIRHelpers.ToConcept(LastHousingStatus.value as FHIR.CodeableConcept) ~ \"Lives in nursing home (finding)\"\n ) is not null" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "27"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index -1 ; fhir:Element.extension [ fhir:index -1 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "AtriusCMS165ControllingHighBP" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "Has Long Term Care Exclusion" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "define \"Has Long Term Care Exclusion\":\n AIFrailLTCF.\"Is Age 66 or Older Living Long Term in a Nursing Home\"" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "28"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index -1 ; fhir:Element.extension [ fhir:index -1 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "AtriusPalliativeCare" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "Has Palliative Care in the Measurement Period" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "define \"Has Palliative Care in the Measurement Period\":\n exists (\n [ObservationGeneralAssessment: \"Functional Assessment of Chronic Illness Therapy - Palliative Care Questionnaire (FACIT-Pal)\"] PalliativeAssessment\n where PalliativeAssessment.status in { 'final', 'amended', 'corrected' }\n and PalliativeAssessment.effective.toObservationEffectiveInterval() overlaps day of \"Measurement Period\"\n )\n or exists (\n [ConditionProblemsHealthConcerns: \"Palliative Care Diagnosis\"] PalliativeProblem\n where (\n PalliativeProblem.verificationStatus is null\n or FHIRHelpers.ToConcept(PalliativeProblem.verificationStatus) ~ \"confirmed\"\n or FHIRHelpers.ToConcept(PalliativeProblem.verificationStatus) ~ \"unconfirmed\"\n or FHIRHelpers.ToConcept(PalliativeProblem.verificationStatus) ~ \"provisional\"\n or FHIRHelpers.ToConcept(PalliativeProblem.verificationStatus) ~ \"differential\"\n )\n and PalliativeProblem.prevalenceInterval() overlaps day of \"Measurement Period\"\n )\n or exists (\n [ConditionEncounterDiagnosis: \"Palliative Care Diagnosis\"] PalliativeEncounterDiagnosis\n where (\n PalliativeEncounterDiagnosis.verificationStatus is null\n or FHIRHelpers.ToConcept(PalliativeEncounterDiagnosis.verificationStatus) ~ \"confirmed\"\n or FHIRHelpers.ToConcept(PalliativeEncounterDiagnosis.verificationStatus) ~ \"unconfirmed\"\n or FHIRHelpers.ToConcept(PalliativeEncounterDiagnosis.verificationStatus) ~ \"provisional\"\n or FHIRHelpers.ToConcept(PalliativeEncounterDiagnosis.verificationStatus) ~ \"differential\"\n )\n and PalliativeEncounterDiagnosis.prevalenceInterval() overlaps day of \"Measurement Period\"\n )\n or exists (\n [Encounter: \"Palliative Care Encounter\"] PalliativeEncounter\n where PalliativeEncounter.status = 'finished'\n and FHIRHelpers.ToInterval(PalliativeEncounter.period as FHIR.Period) overlaps day of \"Measurement Period\"\n )\n or exists (\n [Procedure: \"Palliative Care Intervention\"] PalliativeIntervention\n where PalliativeIntervention.status = 'completed'\n and PalliativeIntervention.performed.toPerformedInterval() overlaps day of \"Measurement Period\"\n )" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "29"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index -1 ; fhir:Element.extension [ fhir:index -1 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "AtriusCMS165ControllingHighBP" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "Has Palliative Care Exclusion" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "define \"Has Palliative Care Exclusion\":\n PalliativeCare.\"Has Palliative Care in the Measurement Period\"" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "30"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index -1 ; fhir:Element.extension [ fhir:index -1 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "AtriusCMS165ControllingHighBP" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "Denominator Exclusions" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "define \"Denominator Exclusions\":\n Hospice.\"Has Hospice Services\"\n or exists ( \"Pregnancy or Renal Diagnosis\" )\n or exists ( \"End Stage Renal Disease Procedures\" )\n or exists ( \"End Stage Renal Disease Encounter\" )\n or \"Has Advanced Illness Frailty Exclusion\"\n or \"Has Long Term Care Exclusion\"\n or \"Has Palliative Care Exclusion\"" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "31"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index -1 ; fhir:Element.extension [ fhir:index -1 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "FHIRHelpers" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "ToQuantity" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@description: Converts the given FHIR [Quantity](https://hl7.org/fhir/datatypes.html#Quantity) \nvalue to a CQL Quantity\n@comment: If the given quantity has a comparator specified, a runtime error is raised. If the given quantity\nhas a system other than UCUM (i.e. `http://unitsofmeasure.org`) or CQL calendar units (i.e. `http://hl7.org/fhirpath/CodeSystem/calendar-units`)\nan error is raised. For UCUM to calendar units, the `ToCalendarUnit` function is used.\n@seealso: ToCalendarUnit\n*/\ndefine function ToQuantity(quantity FHIR.Quantity):\n case\n when quantity is null then null\n when quantity.value is null then null\n when quantity.comparator is not null then\n Message(null, true, 'FHIRHelpers.ToQuantity.ComparatorQuantityNotSupported', 'Error', 'FHIR Quantity value has a comparator and cannot be converted to a System.Quantity value.')\n when quantity.system is null or quantity.system.value = 'http://unitsofmeasure.org'\n or quantity.system.value = 'http://hl7.org/fhirpath/CodeSystem/calendar-units' then\n System.Quantity { value: quantity.value.value, unit: ToCalendarUnit(Coalesce(quantity.code.value, quantity.unit.value, '1')) }\n else\n Message(null, true, 'FHIRHelpers.ToQuantity.InvalidFHIRQuantity', 'Error', 'Invalid FHIR Quantity code: ' & quantity.unit.value & ' (' & quantity.system.value & '|' & quantity.code.value & ')')\n end" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "32"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index -1 ; fhir:Element.extension [ fhir:index -1 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "FHIRHelpers" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "ToCalendarUnit" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@description: Converts a UCUM definite duration unit to a CQL calendar duration\nunit using conversions specified in the [quantities](https://cql.hl7.org/02-authorsguide.html#quantities) \ntopic of the CQL specification.\n@comment: Note that for durations above days (or weeks), the conversion is understood to be approximate\n*/\ndefine function ToCalendarUnit(unit System.String):\n case unit\n when 'ms' then 'millisecond'\n when 's' then 'second'\n when 'min' then 'minute'\n when 'h' then 'hour'\n when 'd' then 'day'\n when 'wk' then 'week'\n when 'mo' then 'month'\n when 'a' then 'year'\n else unit\n end" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "33"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index -1 ; fhir:Element.extension [ fhir:index -1 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "AtriusStatus" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "isEncounterPerformed" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "define fluent function isEncounterPerformed(Enc List):\n Enc E\n where E.status = 'finished'" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "34"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index -1 ; fhir:Element.extension [ fhir:index -1 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "FHIRHelpers" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "ToString" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "define function ToString(value EncounterStatus): value.value" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "35"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index -1 ; fhir:Element.extension [ fhir:index -1 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "FHIRHelpers" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "ToInterval" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@description: Converts the given [Period](https://hl7.org/fhir/datatypes.html#Period)\nvalue to a CQL DateTime Interval\n@comment: If the start value of the given period is unspecified, the starting\nboundary of the resulting interval will be open (meaning the start of the interval\nis unknown, as opposed to interpreted as the beginning of time).\n*/\ndefine function ToInterval(period FHIR.Period):\n if period is null then\n null\n else\n if period.\"start\" is null then\n Interval(period.\"start\".value, period.\"end\".value]\n else\n Interval[period.\"start\".value, period.\"end\".value]" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "36"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index -1 ; fhir:Element.extension [ fhir:index -1 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "FHIRHelpers" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "ToString" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "define function ToString(value ObservationStatus): value.value" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "37"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index -1 ; fhir:Element.extension [ fhir:index -1 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "FHIRHelpers" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "ToCode" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@description: Converts the given FHIR [Coding](https://hl7.org/fhir/datatypes.html#Coding) value to a CQL Code.\n*/\ndefine function ToCode(coding FHIR.Coding):\n if coding is null then\n null\n else\n System.Code {\n code: coding.code.value,\n system: coding.system.value,\n version: coding.version.value,\n display: coding.display.value\n }" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "38"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index -1 ; fhir:Element.extension [ fhir:index -1 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "AtriusCMS165ControllingHighBP" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "getEncounter" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "define fluent function getEncounter(reference Reference):\n singleton from ( [Encounter] E\n where E.id = reference.reference.getId ( )\n )" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "39"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index -1 ; fhir:Element.extension [ fhir:index -1 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "FHIRHelpers" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "ToString" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "define function ToString(value string): value.value" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "40"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index -1 ; fhir:Element.extension [ fhir:index -1 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "AtriusCommon" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "getId" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@description: Returns the tail of the given uri (i.e. everything after the last slash in the URI).\n@comment: This function can be used to determine the logical id of a given resource. It can be used in\na single-server environment to trace references. However, this function does not attempt to resolve\nor distinguish the base of the given url, and so cannot be used safely in multi-server environments.\n*/\ndefine fluent function getId(uri String):\n Last(Split(uri, '/'))" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "41"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index -1 ; fhir:Element.extension [ fhir:index -1 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "FHIRHelpers" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "ToConcept" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@description: Converts the given FHIR [CodeableConcept](https://hl7.org/fhir/datatypes.html#CodeableConcept) value to a CQL Concept.\n*/\ndefine function ToConcept(concept FHIR.CodeableConcept):\n if concept is null then\n null\n else\n System.Concept {\n codes: concept.coding C return ToCode(C),\n display: concept.text.value\n }" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "42"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index -1 ; fhir:Element.extension [ fhir:index -1 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "AtriusStatus" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "verified" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "define fluent function verified(\n conditions List>\n):\n conditions C\n where C.verificationStatus is not null implies (\n FHIRHelpers.ToConcept(C.verificationStatus) ~ \"confirmed\"\n or FHIRHelpers.ToConcept(C.verificationStatus) ~ \"unconfirmed\"\n or FHIRHelpers.ToConcept(C.verificationStatus) ~ \"provisional\"\n or FHIRHelpers.ToConcept(C.verificationStatus) ~ \"differential\"\n )" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "43"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index -1 ; fhir:Element.extension [ fhir:index -1 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "AtriusCommon" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "prevalenceInterval" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@description: Returns an interval representing the normalized prevalence period of a given Condition.\n*/\ndefine fluent function prevalenceInterval(condition Choice):\n if condition.isActive() then\n Interval[start of condition.onset.toConditionTimingInterval(), end of condition.abatementInterval()]\n else\n (end of condition.abatementInterval()) abatementDate\n return if abatementDate is null then\n Interval[start of condition.onset.toConditionTimingInterval(), abatementDate)\n else\n Interval[start of condition.onset.toConditionTimingInterval(), abatementDate]" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "44"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index -1 ; fhir:Element.extension [ fhir:index -1 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "AtriusCommon" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "isActive" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@description: Returns true if the given condition has a clinical status of active, recurrence, or relapse\n*/\ndefine fluent function isActive(condition Choice):\n FHIRHelpers.ToConcept(condition.clinicalStatus) ~ \"active\"\n or FHIRHelpers.ToConcept(condition.clinicalStatus) ~ \"recurrence\"\n or FHIRHelpers.ToConcept(condition.clinicalStatus) ~ \"relapse\"" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "45"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index -1 ; fhir:Element.extension [ fhir:index -1 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "AtriusCommon" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "toConditionTimingInterval" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "define fluent function toConditionTimingInterval(choice Choice):\n choice.toInterval()" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "46"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index -1 ; fhir:Element.extension [ fhir:index -1 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "AtriusCommon" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "abatementInterval" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@description: Returns an interval representing the normalized abatement of a given Condition.\n*/\ndefine fluent function abatementInterval(condition Choice):\n condition.abatement.toConditionTimingInterval()" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "47"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index -1 ; fhir:Element.extension [ fhir:index -1 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "AtriusStatus" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "isAssessmentPerformed" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "define fluent function isAssessmentPerformed(Obs List):\n Obs O\n where O.status in { 'final', 'amended', 'corrected' }" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "48"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index -1 ; fhir:Element.extension [ fhir:index -1 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "AtriusCommon" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "toObservationEffectiveInterval" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "define fluent function toObservationEffectiveInterval(choice Choice):\n choice.toInterval()" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "49"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index -1 ; fhir:Element.extension [ fhir:index -1 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "AtriusStatus" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "isInterventionOrder" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "define fluent function isInterventionOrder(ServiceRequest List):\n ServiceRequest S\n where S.status in { 'active', 'completed' }\n and S.intent in {\n 'order', 'original-order', 'reflex-order', 'filler-order', 'instance-order'\n }" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "50"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index -1 ; fhir:Element.extension [ fhir:index -1 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "FHIRHelpers" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "ToString" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "define function ToString(value ServiceRequestStatus): value.value" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "51"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index -1 ; fhir:Element.extension [ fhir:index -1 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "FHIRHelpers" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "ToString" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "define function ToString(value ServiceRequestIntent): value.value" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "52"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index -1 ; fhir:Element.extension [ fhir:index -1 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "FHIRHelpers" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "ToDateTime" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "define function ToDateTime(value dateTime): value.value" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "53"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index -1 ; fhir:Element.extension [ fhir:index -1 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "AtriusStatus" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "isInterventionPerformed" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "define fluent function isInterventionPerformed(Proc List):\n Proc P\n where P.status = 'completed'" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "54"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index -1 ; fhir:Element.extension [ fhir:index -1 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "FHIRHelpers" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "ToString" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "define function ToString(value ProcedureStatus): value.value" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "55"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index -1 ; fhir:Element.extension [ fhir:index -1 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "AtriusCommon" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "toPerformedInterval" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "define fluent function toPerformedInterval(performed Choice):\n performed.toInterval()" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "56"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index -1 ; fhir:Element.extension [ fhir:index -1 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "AtriusStatus" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "isProcedurePerformed" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "define fluent function isProcedurePerformed(Proc List):\n Proc P\n where P.status = 'completed'" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "57"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index -1 ; fhir:Element.extension [ fhir:index -1 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "FHIRHelpers" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "ToString" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "define function ToString(value DeviceRequestStatus): value.value" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "58"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index -1 ; fhir:Element.extension [ fhir:index -1 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "FHIRHelpers" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "ToString" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "define function ToString(value RequestIntent): value.value" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "59"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index -1 ; fhir:Element.extension [ fhir:index -1 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "AtriusCommon" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "observationEffectiveInterval" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@description: Normalizes Observation.effective[x] for any Observation retrieve.\n*/\ndefine fluent function observationEffectiveInterval(observation Observation):\n observation.effective.toObservationEffectiveInterval()" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "60"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index -1 ; fhir:Element.extension [ fhir:index -1 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "FHIRHelpers" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "ToString" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "define function ToString(value MedicationRequestStatus): value.value" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "61"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index -1 ; fhir:Element.extension [ fhir:index -1 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "FHIRHelpers" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "ToString" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "define function ToString(value MedicationRequestIntent): value.value" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "62"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index -1 ; fhir:Element.extension [ fhir:index -1 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "AtriusCumulativeMedicationDuration" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "medicationRequestPeriod" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\nNow that we have a ToDaily function, we can approach calculation of the\nduration of medication for an order. First, consider the definitions\nfor each element:\n* 1 and only 1 dosageInstruction\n* 1 and only 1 doseAndRate\n* 1 timing with 1 repeat\n* frequency, frequencyMax, defaulting to 1\n* period, periodUnit, defaulting to 1 'd'\n* doseQuantity or doseRange\n* timeOfDay\n* authoredOn: The date the prescription was written\n* dispenseRequest.validityPeriod: Time period supply is authorized for\n* dispenseRequest.quantity: amount of medication supplied per dispense\n* dispenseRequest.numberOfRepeatsAllowed: number of refills authorized\n* dispenseRequest.expectedSupplyDuration: number of days supply per dispense\n* dosageInstruction.timing.repeat.boundsDuration: total duration of the repeat\n* dosageInstruction.timing.repeat.boundsRange: range of durations of the repeat\n* dosageInstruction.timing.repeat.boundsPeriod: period bounds of the repeat\n* dosageInstruction.timing.repeat.count: number of times to repeat\n* dosageInstruction.timing.repeat.countMax: maximum number of times to repeat\n* dosageInstruction.timing.repeat.frequency: event occurs frequency times per period\n* dosageInstruction.timing.repeat.frequencyMax: event occurs up to frequencyMax times per period\n* dosageInstruction.timing.repeat.period: event occurs frequency times per period\n* dosageInstruction.timing.repeat.periodMax: upper limit of period\n* dosageInstruction.timing.repeat.periodUnit: period duration (s | min | h | d | wk | mo | a)\n* dosageInstruction.timing.repeat.timeOfDay: time of day for the event (0..*)\n* dosageInstruction.timing.repeat.when: event timing (HS | WAKE | C | CM | CD | CV | AC | ACM...)\n* dosageInstruction.timing.code: BID | TID | QID | AM | PM | QD | QOD...\n* dosageInstruction.asNeeded\n* dosageInstruction.doseAndRate.doseQuantity\n* dosageInstruction.doseAndRate.doseRange\nIf expectedSupplyDuration is present, then the duration is\n expectedSupplyDuration * (1 + numberOfRepeatsAllowed)\nIf expectedSupplyDuration is not present, then it must be calculated based on the quantity, dosage, and frequency:\n (quantity / (dosage * frequency)) * (1 + numberOfRepeatsAllowed)\n dosage: Coalesce(end of doseAndRate.doseRange, doseAndRate.doseQuantity)\n frequency: Coalesce(frequencyMax, frequency)\n period: Quantity(period, periodUnit)\nIf expectedSupplyDuration is not present and cannot be calculated, and the boundsPeriod is present (and completely specified), we can use that directly\n dosage.timing.repeat.boundsPeriod\nThis calculation results in a number of days, which can then be turned into a period by anchoring that to the\nstart of the validityPeriod or the authoredOn:\n Interval[earliestDispensable, earliestDispensable + expectedSupplyDuration - 1]\n earliestDispensable: Coalesce(start of validityPeriod, authoredOn)\nThe following function illustrates this completely:\n*/\n\n/*\nCalculates the Medication Period for a single MedicationRequest.\nMedicationRequest instances provided to this function are expected\nto conform to the [MMEMedicationRequest](http://build.fhir.org/ig/cqframework/opioid-mme-r4/StructureDefinition-mmemedicationrequest.html)\nprofile, which expects:\n* 1 and only 1 dosageInstruction, multiple dosageInstruction elements will result in an error\n* 1 and only 1 doseAndRate, multiple doseAndRate elements will result in an error\n* 1 timing with 1 repeat, missing timing or repeat elements will result in a null\n* frequency, frequencyMax, defaulting to 1\n* period, periodUnit, defaulting to 1 'd'\n* timeOfDay\n* doseQuantity or doseRange, missing doseQuantity and doseRange will result in a null\nNote that MedicationRequest status is not considered by this calculation, as the\nlist of MedicationRequest instances provided to this function should already have\nconsidered appropriate statuses, depending on the use case, typically `completed`.\n*/\n\ndefine fluent function medicationRequestPeriod(sourceRequest \"MedicationRequest\"):\n sourceRequest R\n let\n dosage: singleton from R.dosageInstruction,\n doseAndRate: singleton from dosage.doseAndRate,\n timing: dosage.timing,\n frequency: Coalesce(timing.repeat.frequencyMax.value, timing.repeat.frequency.value, 1),\n period: Quantity(\n Coalesce(timing.repeat.period.value, 1.0),\n Coalesce(timing.repeat.periodUnit, 'd')\n ),\n doseChoice: doseAndRate.dose,\n dose:\n case\n when doseChoice is FHIR.Range then FHIRHelpers.ToQuantity((doseChoice as FHIR.Range).high)\n when doseChoice is FHIR.SimpleQuantity then FHIRHelpers.ToQuantity(doseChoice as FHIR.SimpleQuantity)\n else null\n end,\n dosesPerDay: Coalesce(ToDaily(frequency, period), Count(timing.repeat.timeOfDay), 1.0),\n boundsPeriod: timingBoundsToInterval(timing.repeat.bounds),\n daysSupply:\n (convert FHIRHelpers.ToQuantity(R.dispenseRequest.expectedSupplyDuration as FHIR.Duration) to days).value,\n quantity: FHIRHelpers.ToQuantity(R.dispenseRequest.quantity as FHIR.Quantity),\n refills: Coalesce(R.dispenseRequest.numberOfRepeatsAllowed.value, 0),\n startDate:\n Coalesce(\n date from start of boundsPeriod,\n date from FHIRHelpers.ToDateTime(R.authoredOn as FHIR.dateTime),\n date from start of FHIRHelpers.ToInterval(R.dispenseRequest.validityPeriod as FHIR.Period)\n ),\n totalDaysSupplied: Coalesce(daysSupply, quantity.value / (dose.value * dosesPerDay)) * (1 + refills)\n return\n if startDate is not null and totalDaysSupplied is not null then\n Interval[startDate, startDate + Quantity(totalDaysSupplied - 1, 'day') ]\n else if startDate is not null and boundsPeriod.\"high\" is not null then\n Interval[startDate, date from end of boundsPeriod]\n else\n null" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "63"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index -1 ; fhir:Element.extension [ fhir:index -1 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "AtriusCumulativeMedicationDuration" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "Quantity" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/**********************************************************************/\n/* Functions in this region are copied from opioid-mme-r4 */\n/**********************************************************************/\n\ndefine function Quantity(value Decimal, unit String):\n if value is not null then\n System.Quantity { value: value, unit: unit }\n else\n null" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "64"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index -1 ; fhir:Element.extension [ fhir:index -1 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "FHIRHelpers" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "ToString" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "define function ToString(value UnitsOfTime): value.value" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "65"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index -1 ; fhir:Element.extension [ fhir:index -1 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "AtriusCumulativeMedicationDuration" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "ToDaily" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n Goal is to get to number of days\n Two broad approaches to the calculation:\n 1) Based on supply and frequency, calculate the number of expected days the medication will cover/has covered\n 2) Based on relevant period, determine a covered interval and calculate the length of that interval in days\nThis topic covers several use cases and illustrates how to calculate Cumulative\nMedication Duration for each type of medication resource using the supply and\nfrequency approach.\n*/\n\n/*\n For the first approach, we need to get from frequency to a frequency/day\n So we define ToDaily\n*/\n\n/*\n Calculates daily frequency given frequency within a period\n*/\ndefine function ToDaily(frequency System.Integer, period System.Quantity):\n case period.unit\n when 'h' then frequency * (24.0 / period.value)\n when 'min' then frequency * (24.0 / period.value) * 60\n when 's' then frequency * (24.0 / period.value) * 60 * 60\n when 'd' then frequency * (24.0 / period.value) / 24\n when 'wk' then frequency * (24.0 / period.value) / (24 * 7)\n when 'mo' then frequency * (24.0 / period.value) / (24 * 30) /* assuming 30 days in month */\n when 'a' then frequency * (24.0 / period.value) / (24 * 365) /* assuming 365 days in year */\n when 'hour' then frequency * (24.0 / period.value)\n when 'minute' then frequency * (24.0 / period.value) * 60\n when 'second' then frequency * (24.0 / period.value) * 60 * 60\n when 'day' then frequency * (24.0 / period.value) / 24\n when 'week' then frequency * (24.0 / period.value) / (24 * 7)\n when 'month' then frequency * (24.0 / period.value) / (24 * 30) /* assuming 30 days in month */\n when 'year' then frequency * (24.0 / period.value) / (24 * 365) /* assuming 365 days in year */\n when 'hours' then frequency * (24.0 / period.value)\n when 'minutes' then frequency * (24.0 / period.value) * 60\n when 'seconds' then frequency * (24.0 / period.value) * 60 * 60\n when 'days' then frequency * (24.0 / period.value) / 24\n when 'weeks' then frequency * (24.0 / period.value) / (24 * 7)\n when 'months' then frequency * (24.0 / period.value) / (24 * 30) /* assuming 30 days in month */\n when 'years' then frequency * (24.0 / period.value) / (24 * 365) /* assuming 365 days in year */\n else Message(null, true, 'CMDLogic.ToDaily.UnknownUnit', ErrorLevel, 'Unknown unit ' & period.unit)\n end" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "66"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index -1 ; fhir:Element.extension [ fhir:index -1 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "AtriusCumulativeMedicationDuration" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "timingBoundsToInterval" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "/*\n@description: Normalizes Timing.repeat.bounds (Duration | Range | Period) to Interval.\n@deprecated: Use AtriusCommon.toTimingBoundsInterval(); retained for include compatibility.\n*/\ndefine function timingBoundsToInterval(bounds Choice):\n bounds.toTimingBoundsInterval()" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "67"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ], [ fhir:index -1 ; fhir:Element.extension [ fhir:index -1 ; fhir:Extension.url [ fhir:value "libraryName" ] ; fhir:Extension.valueString [ fhir:value "AtriusCommon" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "name" ] ; fhir:Extension.valueString [ fhir:value "toTimingBoundsInterval" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "statement" ] ; fhir:Extension.valueString [ fhir:value "define fluent function toTimingBoundsInterval(bounds Choice):\n bounds.toInterval()" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "displaySequence" ] ; fhir:Extension.valueInteger [ fhir:value "68"^^xsd:integer ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition" ] ] ; fhir:Library.name [ fhir:value "EffectiveDataRequirements" ] ; fhir:Library.status [ fhir:value "active" ] ; fhir:Library.type [ fhir:CodeableConcept.coding [ fhir:index -1 ; fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/library-type" ] ; fhir:Coding.code [ fhir:value "module-definition" ] ] ] ; fhir:Library.relatedArtifact [ fhir:index -1 ; fhir:RelatedArtifact.type [ fhir:value "depends-on" ] ; fhir:RelatedArtifact.display [ fhir:value "AtriusIn model information" ] ; fhir:RelatedArtifact.resource [ fhir:value "https://atrius.in/fhir/r4/atrius-in/Library/AtriusIn-ModelInfo|0.1.0" ; fhir:link ] ], [ fhir:index -1 ; fhir:RelatedArtifact.type [ fhir:value "depends-on" ] ; fhir:RelatedArtifact.display [ fhir:value "Library FHIRHelpers" ] ; fhir:RelatedArtifact.resource [ fhir:value "https://atrius.in/fhir/r4/atrius-in/Library/FHIRHelpers|4.4.000" ; fhir:link ] ], [ fhir:index -1 ; fhir:RelatedArtifact.type [ fhir:value "depends-on" ] ; fhir:RelatedArtifact.display [ fhir:value "Library Status" ] ; fhir:RelatedArtifact.resource [ fhir:value "https://atrius.in/fhir/r4/atrius-in/Library/AtriusStatus|1.15.000" ; fhir:link ] ], [ fhir:index -1 ; fhir:RelatedArtifact.type [ fhir:value "depends-on" ] ; fhir:RelatedArtifact.display [ fhir:value "Library Common" ] ; fhir:RelatedArtifact.resource [ fhir:value "https://atrius.in/fhir/r4/atrius-in/Library/AtriusCommon|0.1.0" ; fhir:link ] ], [ fhir:index -1 ; fhir:RelatedArtifact.type [ fhir:value "depends-on" ] ; fhir:RelatedArtifact.display [ fhir:value "Library AdultOutpatientEncounters" ] ; fhir:RelatedArtifact.resource [ fhir:value "https://atrius.in/fhir/r4/atrius-in/Library/AtriusAdultOutpatientEncounters|4.19.000" ; fhir:link ] ], [ fhir:index -1 ; fhir:RelatedArtifact.type [ fhir:value "depends-on" ] ; fhir:RelatedArtifact.display [ fhir:value "Library Hospice" ] ; fhir:RelatedArtifact.resource [ fhir:value "https://atrius.in/fhir/r4/atrius-in/Library/AtriusHospice|6.18.000" ; fhir:link ] ], [ fhir:index -1 ; fhir:RelatedArtifact.type [ fhir:value "depends-on" ] ; fhir:RelatedArtifact.display [ fhir:value "Library AIFrailLTCF" ] ; fhir:RelatedArtifact.resource [ fhir:value "https://atrius.in/fhir/r4/atrius-in/Library/AtriusAdvancedIllnessAndFrailty|1.27.000" ; fhir:link ] ], [ fhir:index -1 ; fhir:RelatedArtifact.type [ fhir:value "depends-on" ] ; fhir:RelatedArtifact.display [ fhir:value "Library AtriusCumulativeMedicationDuration" ] ; fhir:RelatedArtifact.resource [ fhir:value "https://atrius.in/fhir/r4/atrius-in/Library/AtriusCumulativeMedicationDuration|6.0.000" ; fhir:link ] ], [ fhir:index -1 ; fhir:RelatedArtifact.type [ fhir:value "depends-on" ] ; fhir:RelatedArtifact.display [ fhir:value "Library PalliativeCare" ] ; fhir:RelatedArtifact.resource [ fhir:value "https://atrius.in/fhir/r4/atrius-in/Library/AtriusPalliativeCare|1.18.000" ; fhir:link ] ], [ fhir:index -1 ; fhir:RelatedArtifact.type [ fhir:value "depends-on" ] ; fhir:RelatedArtifact.display [ fhir:value "Code system LOINC" ] ; fhir:RelatedArtifact.resource [ fhir:value "http://loinc.org" ; fhir:link ] ], [ fhir:index -1 ; fhir:RelatedArtifact.type [ fhir:value "depends-on" ] ; fhir:RelatedArtifact.display [ fhir:value "Code system ActCode" ] ; fhir:RelatedArtifact.resource [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ActCode|10.0.0" ; fhir:link ] ], [ fhir:index -1 ; fhir:RelatedArtifact.type [ fhir:value "depends-on" ] ; fhir:RelatedArtifact.display [ fhir:value "Code system ConditionVerificationStatusCodes" ] ; fhir:RelatedArtifact.resource [ fhir:value "http://terminology.hl7.org/CodeSystem/condition-ver-status|2.0.1" ; fhir:link ] ], [ fhir:index -1 ; fhir:RelatedArtifact.type [ fhir:value "depends-on" ] ; fhir:RelatedArtifact.display [ fhir:value "Code system ConditionClinicalStatusCodes" ] ; fhir:RelatedArtifact.resource [ fhir:value "http://terminology.hl7.org/CodeSystem/condition-clinical|3.0.0" ; fhir:link ] ], [ fhir:index -1 ; fhir:RelatedArtifact.type [ fhir:value "depends-on" ] ; fhir:RelatedArtifact.display [ fhir:value "Code system DischargeDisposition" ] ; fhir:RelatedArtifact.resource [ fhir:value "http://terminology.hl7.org/CodeSystem/discharge-disposition|1.0.1" ; fhir:link ] ], [ fhir:index -1 ; fhir:RelatedArtifact.type [ fhir:value "depends-on" ] ; fhir:RelatedArtifact.display [ fhir:value "Code system SNOMEDCT" ] ; fhir:RelatedArtifact.resource [ fhir:value "http://snomed.info/sct" ; fhir:link ] ], [ fhir:index -1 ; fhir:RelatedArtifact.type [ fhir:value "depends-on" ] ; fhir:RelatedArtifact.display [ fhir:value "Value set Encounter Inpatient" ] ; fhir:RelatedArtifact.resource [ fhir:value "https://atrius.in/fhir/r4/atrius-in/ValueSet/atrius-vs-encounter-inpatient|0.1.0" ; fhir:link ] ], [ fhir:index -1 ; fhir:RelatedArtifact.type [ fhir:value "depends-on" ] ; fhir:RelatedArtifact.display [ fhir:value "Value set Emergency Department Evaluation and Management Visit" ] ; fhir:RelatedArtifact.resource [ fhir:value "https://atrius.in/fhir/r4/atrius-in/ValueSet/atrius-vs-ed-em-visit|0.1.0" ; fhir:link ] ], [ fhir:index -1 ; fhir:RelatedArtifact.type [ fhir:value "depends-on" ] ; fhir:RelatedArtifact.display [ fhir:value "Value set Essential Hypertension" ] ; fhir:RelatedArtifact.resource [ fhir:value "https://atrius.in/fhir/r4/atrius-in/ValueSet/atrius-vs-essential-hypertension|0.1.0" ; fhir:link ] ], [ fhir:index -1 ; fhir:RelatedArtifact.type [ fhir:value "depends-on" ] ; fhir:RelatedArtifact.display [ fhir:value "Value set Office Visit" ] ; fhir:RelatedArtifact.resource [ fhir:value "https://atrius.in/fhir/r4/atrius-in/ValueSet/atrius-vs-office-visit|0.1.0" ; fhir:link ] ], [ fhir:index -1 ; fhir:RelatedArtifact.type [ fhir:value "depends-on" ] ; fhir:RelatedArtifact.display [ fhir:value "Value set Annual Wellness Visit" ] ; fhir:RelatedArtifact.resource [ fhir:value "https://atrius.in/fhir/r4/atrius-in/ValueSet/atrius-vs-annual-wellness-visit|0.1.0" ; fhir:link ] ], [ fhir:index -1 ; fhir:RelatedArtifact.type [ fhir:value "depends-on" ] ; fhir:RelatedArtifact.display [ fhir:value "Value set Preventive Care Services Established Office Visit, 18 and Up" ] ; fhir:RelatedArtifact.resource [ fhir:value "https://atrius.in/fhir/r4/atrius-in/ValueSet/atrius-vs-preventive-established-18up|0.1.0" ; fhir:link ] ], [ fhir:index -1 ; fhir:RelatedArtifact.type [ fhir:value "depends-on" ] ; fhir:RelatedArtifact.display [ fhir:value "Value set Preventive Care Services Initial Office Visit, 18 and Up" ] ; fhir:RelatedArtifact.resource [ fhir:value 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fhir:DataRequirement.codeFilter.valueSet [ fhir:value "https://atrius.in/fhir/r4/atrius-in/ValueSet/atrius-vs-dementia-medications|0.1.0" ; fhir:link ] ] ], [ fhir:index -1 ; fhir:Element.id [ fhir:value "831" ] ; fhir:DataRequirement.type [ fhir:value "MedicationRequest" ] ; fhir:DataRequirement.profile [ fhir:value "http://hl7.org/fhir/StructureDefinition/MedicationRequest|4.0.1" ; fhir:index -1 ; fhir:link ] ; fhir:DataRequirement.mustSupport [ fhir:value "medication.reference" ; fhir:index -1 ], [ fhir:value "dosageInstruction" ; fhir:index -1 ], [ fhir:value "dispenseRequest" ; fhir:index -1 ], [ fhir:value "dispenseRequest.expectedSupplyDuration" ; fhir:index -1 ], [ fhir:value "dispenseRequest.quantity" ; fhir:index -1 ], [ fhir:value "dispenseRequest.numberOfRepeatsAllowed" ; fhir:index -1 ], [ fhir:value "dispenseRequest.numberOfRepeatsAllowed.value" ; fhir:index -1 ], [ fhir:value "authoredOn" ; fhir:index -1 ], [ fhir:value "dispenseRequest.validityPeriod" ; fhir:index -1 ], [ fhir:value "status" ; fhir:index -1 ], [ fhir:value "intent" ; fhir:index -1 ] ], [ fhir:index -1 ; fhir:DataRequirement.type [ fhir:value "MedicationRequest" ] ; fhir:DataRequirement.profile [ fhir:value "http://hl7.org/fhir/StructureDefinition/MedicationRequest|4.0.1" ; fhir:index -1 ; fhir:link ] ; fhir:DataRequirement.mustSupport [ fhir:value "medication" ; fhir:index -1 ], [ fhir:value "dosageInstruction" ; fhir:index -1 ], [ fhir:value "dispenseRequest" ; fhir:index -1 ], [ fhir:value "dispenseRequest.expectedSupplyDuration" ; fhir:index -1 ], [ fhir:value "dispenseRequest.quantity" ; fhir:index -1 ], [ fhir:value "dispenseRequest.numberOfRepeatsAllowed" ; fhir:index -1 ], [ fhir:value "dispenseRequest.numberOfRepeatsAllowed.value" ; fhir:index -1 ], [ fhir:value "authoredOn" ; fhir:index -1 ], [ fhir:value "dispenseRequest.validityPeriod" ; fhir:index -1 ], [ fhir:value "status" ; fhir:index -1 ], [ fhir:value "intent" ; fhir:index -1 ] ; fhir:DataRequirement.codeFilter [ fhir:index -1 ; fhir:DataRequirement.codeFilter.path [ fhir:value "medication" ] ; fhir:DataRequirement.codeFilter.valueSet [ fhir:value "https://atrius.in/fhir/r4/atrius-in/ValueSet/atrius-vs-dementia-medications|0.1.0" ; fhir:link ] ] ] ] ; fhir:DomainResource.extension [ fhir:index -1 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis" ] ; fhir:Extension.valueCode [ fhir:value "boolean" ] ], [ fhir:index -1 ; fhir:Element.extension [ fhir:index -1 ; fhir:Extension.url [ fhir:value "usage" ] ; fhir:Extension.valueCodeableConcept [ fhir:CodeableConcept.coding [ fhir:index -1 ; fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-data-usage" ] ; fhir:Coding.code [ fhir:value "supplemental-data" ] ] ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "guidance" ] ; fhir:Extension.valueMarkdown [ fhir:value "SDE Sex uses Patient.gender mapped to the same SNOMED Male/Female findings as CMS. SDE Payer uses AtriusIn coverage payer type (PM-JAY, ESIS, private, public, self-pay). SDE Residence (state/district) and SDE Urban Rural replace US Core race and ethnicity and are not US-comparable." ] ] ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-effectiveDataRequirements" ] ; fhir:Extension.valueCanonical [ fhir:value "#effective-data-requirements" ] ] ; fhir:Measure.url [ fhir:value "https://atrius.in/fhir/r4/atrius-in/Measure/AtriusCMS165ControllingHighBP"] ; fhir:Measure.identifier [ fhir:index -1 ; fhir:Identifier.use [ fhir:value "official" ] ; fhir:Identifier.type [ fhir:CodeableConcept.coding [ fhir:index -1 ; fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/artifact-identifier-type" ] ; fhir:Coding.code [ fhir:value "version-independent" ] ] ] ; fhir:Identifier.system [ fhir:value "urn:ietf:rfc:3986" ] ; fhir:Identifier.value [ fhir:value "urn:uuid:55c0d0bf-c4c1-5f4b-8b6a-4e2d3494e027" ] ], [ fhir:index -1 ; fhir:Identifier.use [ fhir:value "official" ] ; fhir:Identifier.type [ fhir:CodeableConcept.coding [ fhir:index -1 ; fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/artifact-identifier-type" ] ; fhir:Coding.code [ fhir:value "version-specific" ] ] ] ; fhir:Identifier.system [ fhir:value "urn:ietf:rfc:3986" ] ; fhir:Identifier.value [ fhir:value "urn:uuid:ffa5ae60-f510-50b7-9afe-c38ab337fd41" ] ], [ fhir:index -1 ; fhir:Identifier.use [ fhir:value "usual" ] ; fhir:Identifier.type [ fhir:CodeableConcept.coding [ fhir:index -1 ; fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/artifact-identifier-type" ] ; fhir:Coding.code [ fhir:value "short-name" ] ] ] ; fhir:Identifier.value [ fhir:value "CMS165" ] ], [ fhir:index -1 ; fhir:Identifier.use [ fhir:value "official" ] ; fhir:Identifier.system [ fhir:value "https://atrius.in/fhir/r4/atrius-in" ] ; fhir:Identifier.value [ fhir:value "AtriusCMS165ControllingHighBP" ] ], [ fhir:index -1 ; fhir:Identifier.system [ fhir:value "urn:ietf:rfc:3986" ] ; fhir:Identifier.value [ fhir:value "urn:oid:1.3.6.1.4.1.66219.1.29.1" ] ] ; fhir:Measure.version [ fhir:value "0.1.0"] ; fhir:Measure.name [ fhir:value "AtriusCMS165ControllingHighBP"] ; fhir:Measure.title [ fhir:value "Controlling High Blood Pressure (Atrius CMS165)"] ; fhir:Measure.status [ fhir:value "draft"] ; fhir:Measure.experimental [ fhir:value "true"^^xsd:boolean] ; fhir:Measure.date [ fhir:value "2026-09-21"^^xsd:date] ; fhir:Measure.publisher [ fhir:value "Atrius"] ; fhir:Measure.contact [ fhir:index -1 ; fhir:ContactDetail.name [ fhir:value "Atrius" ] ; fhir:ContactDetail.telecom [ fhir:index -1 ; fhir:ContactPoint.system [ fhir:value "url" ] ; fhir:ContactPoint.value [ fhir:value "https://atrius.in" ] ] ] ; fhir:Measure.description [ fhir:value "Proportion measure: adults 18–85 with hypertension and a qualifying outpatient encounter who have controlled BP (<140/<90). CMS labels this intermediate-outcome; THO measure-type 3.0.1 has no such code, so type is outcome."] ; fhir:Measure.relatedArtifact [ fhir:index -1 ; fhir:RelatedArtifact.type [ fhir:value "depends-on" ] ; fhir:RelatedArtifact.display [ fhir:value "Atrius CMS165 CQL Library" ] ; fhir:RelatedArtifact.resource [ fhir:value "https://atrius.in/fhir/r4/atrius-in/Library/AtriusCMS165ControllingHighBP|0.1.0" ; fhir:link ] ] ; fhir:Measure.library [ fhir:value "https://atrius.in/fhir/r4/atrius-in/Library/AtriusCMS165ControllingHighBP|0.1.0" ; fhir:index -1 ; fhir:link ] ; fhir:Measure.scoring [ fhir:CodeableConcept.coding [ fhir:index -1 ; fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-scoring" ] ; fhir:Coding.code [ fhir:value "proportion" ] ] ] ; fhir:Measure.type [ fhir:index -1 ; fhir:CodeableConcept.coding [ fhir:index -1 ; fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-type" ] ; fhir:Coding.code [ fhir:value "outcome" ] ] ] ; fhir:Measure.improvementNotation [ fhir:CodeableConcept.coding [ fhir:index -1 ; fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-improvement-notation" ] ; fhir:Coding.code [ fhir:value "increase" ] ] ] ; fhir:Measure.group [ fhir:index -1 ; fhir:Element.id [ fhir:value "group-1" ] ; fhir:Measure.group.population [ fhir:index -1 ; fhir:Element.id [ fhir:value "initial-population" ] ; fhir:Measure.group.population.code [ fhir:CodeableConcept.coding [ fhir:index -1 ; fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-population" ] ; fhir:Coding.code [ fhir:value "initial-population" ] ] ] ; fhir:Measure.group.population.criteria [ fhir:Expression.language [ fhir:value "text/cql-identifier" ] ; fhir:Expression.expression [ fhir:value "Initial Population" ] ] ], [ fhir:index -1 ; fhir:Element.id [ fhir:value "denominator" ] ; fhir:Measure.group.population.code [ fhir:CodeableConcept.coding [ fhir:index -1 ; fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-population" ] ; fhir:Coding.code [ fhir:value "denominator" ] ] ] ; fhir:Measure.group.population.criteria [ fhir:Expression.language [ fhir:value "text/cql-identifier" ] ; fhir:Expression.expression [ fhir:value "Denominator" ] ] ], [ fhir:index -1 ; fhir:Element.id [ fhir:value "denominator-exclusion" ] ; fhir:Measure.group.population.code [ fhir:CodeableConcept.coding [ fhir:index -1 ; fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-population" ] ; fhir:Coding.code [ fhir:value "denominator-exclusion" ] ] ] ; fhir:Measure.group.population.criteria [ fhir:Expression.language [ fhir:value "text/cql-identifier" ] ; fhir:Expression.expression [ fhir:value "Denominator Exclusions" ] ] ], [ fhir:index -1 ; fhir:Element.id [ fhir:value "numerator" ] ; fhir:Measure.group.population.code [ fhir:CodeableConcept.coding [ fhir:index -1 ; fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-population" ] ; fhir:Coding.code [ fhir:value "numerator" ] ] ] ; fhir:Measure.group.population.criteria [ fhir:Expression.language [ fhir:value "text/cql-identifier" ] ; fhir:Expression.expression [ fhir:value "Numerator" ] ] ] ] . # - ontology header ------------------------------------------------------------ a owl:Ontology ; owl:imports fhir:fhir.ttl . # -------------------------------------------------------------------------------------